Dépouillements

Editorial: From adolescence into young adulthood - the importance of a longitudinal perspective across development in child and adolescent mental health / Julian KOENIG in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.1-3 Titre : Editorial: From adolescence into young adulthood - the importance of a longitudinal perspective across development in child and adolescent mental health Type de document : Texte imprimé et/ou numérique Auteurs : Julian KOENIG, Auteur ; Luis C. FARHAT, Auteur ; Michael H. BLOCH, Auteur Article en page(s) : p.1-3 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The transition from adolescence into adulthood is a pivotal phase in a person's life, marking a period of significant social, psychological, and biological changes that can profoundly impact an individual's well-being and developmental trajectory. During this period, adolescents and young adults face increasing environmental demands from academic or occupational responsibilities and social interactions, including the pursuit of romantic partners. These changes are inherently related to stress, which is essential for adolescents and young adults to develop their personality and form an identity. Throughout adolescence into young adulthood, the brain undergoes maturational changes as part of the normal development, and it is possible that deviations from the expected developmental trajectories may contribute to the onset of psychiatric disorders in this age group. This editorial highlights recent work published in the Journal of Child Psychology and Psychiatry that examines important aspects of this developmental period. En ligne : https://dx.doi.org/10.1111/jcpp.14094 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=544 [article] Editorial: From adolescence into young adulthood - the importance of a longitudinal perspective across development in child and adolescent mental health [Texte imprimé et/ou numérique] / Julian KOENIG, Auteur ; Luis C. FARHAT, Auteur ; Michael H. BLOCH, Auteur . - p.1-3. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.1-3 Index. décimale : PER Périodiques Résumé : The transition from adolescence into adulthood is a pivotal phase in a person's life, marking a period of significant social, psychological, and biological changes that can profoundly impact an individual's well-being and developmental trajectory. During this period, adolescents and young adults face increasing environmental demands from academic or occupational responsibilities and social interactions, including the pursuit of romantic partners. These changes are inherently related to stress, which is essential for adolescents and young adults to develop their personality and form an identity. Throughout adolescence into young adulthood, the brain undergoes maturational changes as part of the normal development, and it is possible that deviations from the expected developmental trajectories may contribute to the onset of psychiatric disorders in this age group. This editorial highlights recent work published in the Journal of Child Psychology and Psychiatry that examines important aspects of this developmental period. En ligne : https://dx.doi.org/10.1111/jcpp.14094 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=544

Examining variability in Naturalistic Developmental Behavioral Intervention strategy use in caregivers of children with autism spectrum disorders / Hallie BROWN in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.4-15 Titre : Examining variability in Naturalistic Developmental Behavioral Intervention strategy use in caregivers of children with autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Hallie BROWN, Auteur ; Deanna SWAIN, Auteur ; Hye Won KIM, Auteur ; Sally ROGERS, Auteur ; Annette ESTES, Auteur ; Connie KASARI, Auteur ; Catherine LORD, Auteur ; So Hyun KIM, Auteur Article en page(s) : p.4-15 Langues : Anglais (eng) Mots-clés : autism  caregiver Input  caregiver-mediated intervention  child mental health  Naturalistic Developmental Behavioral Interventions (NDBI) Index. décimale : PER Périodiques Résumé : Background Naturalistic Developmental Behavioral Interventions (NDBIs) for young children with autism spectrum disorder commonly involve caregiver-mediated approaches. However, to date, there is limited research on how caregivers' skills change, and, in turn, impact child outcomes. Methods We evaluated the NDBI strategy use of 191 caregivers prior to participation in NDBIs (or control groups) across multiple randomized controlled trials, using the Measure of NDBI Strategy Implementation, Caregiver Change (MONSI-CC). Clustering analyses were used to examine caregiver variability in NDBI strategy use at intervention entry. Generalized Linear Mixed Models were used to examine changes in caregiver strategy use over the course of intervention and its impact on changes in children's social communication. Results Using clustering analysis, we found that caregivers' baseline skills fit four profiles: limited, emerging, variable, and consistent/high, with few demographic factors distinguishing these groups. Caregivers starting with limited or emerging skills improved in their strategy use with intervention. Caregivers starting with more skills (consistent/high or variable) maintained higher skills over intervention. Children of caregivers in these groups who received target NDBIs improved in their social communication skills. Conclusions Results suggested that caregiver skills improve through participation in NDBIs and may directly contribute to their children's outcomes, although more research on mediating factors is needed. Individualized approaches for caregivers and their children starting with differing skill profiles at intervention entry may be warranted. En ligne : https://dx.doi.org/10.1111/jcpp.13994 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=544 [article] Examining variability in Naturalistic Developmental Behavioral Intervention strategy use in caregivers of children with autism spectrum disorders [Texte imprimé et/ou numérique] / Hallie BROWN, Auteur ; Deanna SWAIN, Auteur ; Hye Won KIM, Auteur ; Sally ROGERS, Auteur ; Annette ESTES, Auteur ; Connie KASARI, Auteur ; Catherine LORD, Auteur ; So Hyun KIM, Auteur . - p.4-15. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.4-15 Mots-clés : autism  caregiver Input  caregiver-mediated intervention  child mental health  Naturalistic Developmental Behavioral Interventions (NDBI) Index. décimale : PER Périodiques Résumé : Background Naturalistic Developmental Behavioral Interventions (NDBIs) for young children with autism spectrum disorder commonly involve caregiver-mediated approaches. However, to date, there is limited research on how caregivers' skills change, and, in turn, impact child outcomes. Methods We evaluated the NDBI strategy use of 191 caregivers prior to participation in NDBIs (or control groups) across multiple randomized controlled trials, using the Measure of NDBI Strategy Implementation, Caregiver Change (MONSI-CC). Clustering analyses were used to examine caregiver variability in NDBI strategy use at intervention entry. Generalized Linear Mixed Models were used to examine changes in caregiver strategy use over the course of intervention and its impact on changes in children's social communication. Results Using clustering analysis, we found that caregivers' baseline skills fit four profiles: limited, emerging, variable, and consistent/high, with few demographic factors distinguishing these groups. Caregivers starting with limited or emerging skills improved in their strategy use with intervention. Caregivers starting with more skills (consistent/high or variable) maintained higher skills over intervention. Children of caregivers in these groups who received target NDBIs improved in their social communication skills. Conclusions Results suggested that caregiver skills improve through participation in NDBIs and may directly contribute to their children's outcomes, although more research on mediating factors is needed. Individualized approaches for caregivers and their children starting with differing skill profiles at intervention entry may be warranted. En ligne : https://dx.doi.org/10.1111/jcpp.13994 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=544

Socio-demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the COVID-19 pandemic: time series analysis of primary care electronic health records / Louise Jane HUSSEY in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.16-29 Titre : Socio-demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the COVID-19 pandemic: time series analysis of primary care electronic health records Type de document : Texte imprimé et/ou numérique Auteurs : Louise Jane HUSSEY, Auteur ; Evan KONTOPANTELIS, Auteur ; Pearl L. H. MOK, Auteur ; Darren M. ASHCROFT, Auteur ; Matthew J. CARR, Auteur ; Shruti GARG, Auteur ; Carolyn A. CHEW-GRAHAM, Auteur ; Nav KAPUR, Auteur ; Karina LOVELL, Auteur ; Roger T. WEBB, Auteur Article en page(s) : p.16-29 Langues : Anglais (eng) Mots-clés : Anxiety disorders  depression  COVID-19  children and young people  ethnicity  deprivation  general practice Index. décimale : PER Périodiques Résumé : Background The impact of the COVID-19 pandemic on the mental health of children and young people (CYP) has been widely reported. Primary care electronic health records were utilised to examine trends in the diagnosing, recording and treating of these common mental disorders by ethnicity and social deprivation in Greater Manchester, England. Methods Time-series analyses conducted using Greater Manchester Care Record (GMCR) data examined all diagnosed episodes of anxiety disorders and depression and prescribing of anxiolytics and antidepressants among patients aged 6?24?years. The 41-month observation period was split into three epochs: Pre-pandemic (1/2019?2/2020); Pandemic Phase 1 (3/2020?6/2021); Pandemic Phase 2 (7/2021?5/2022). Rate ratios for all CYP specific to sex, age, ethnicity, and neighbourhood-level Indices of Multiple Deprivation (IMD) quintile were modelled using negative binomial regression. Results Depression and anxiety disorder rates were highest in females, CYP aged 19?24, and White and ?Other? ethnic groups. During Pandemic Phase 1, rates for these diagnoses fell in all demographic subgroups and then rose to similar levels as those recorded pre-pandemic. In Pandemic Phase 2, rates in Black and Mixed-ethnicity females rose to a significantly greater degree (by 54% and 62%, respectively) than those in White females. Prescribing rates increased throughout the study period, with significantly greater rises observed in non-White females and males. The temporal trends were mostly homogeneous across deprivation quintiles. Conclusion The observed fluctuations in frequency of recorded common mental illness diagnoses likely reflect service accessibility and patients' differential propensities to consult as well as changing levels of distress and psychopathology in the population. However, psychotropic medication prescribing increased throughout the observation period, possibly indicating a sustained decline in mental health among CYP, and also clinicians' responses to problems presented. The comparatively greater increases in frequencies of diagnosis recording and medication prescribing among ethnic minority groups warrants further investigation. En ligne : https://dx.doi.org/10.1111/jcpp.14026 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Socio-demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the COVID-19 pandemic: time series analysis of primary care electronic health records [Texte imprimé et/ou numérique] / Louise Jane HUSSEY, Auteur ; Evan KONTOPANTELIS, Auteur ; Pearl L. H. MOK, Auteur ; Darren M. ASHCROFT, Auteur ; Matthew J. CARR, Auteur ; Shruti GARG, Auteur ; Carolyn A. CHEW-GRAHAM, Auteur ; Nav KAPUR, Auteur ; Karina LOVELL, Auteur ; Roger T. WEBB, Auteur . - p.16-29. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.16-29 Mots-clés : Anxiety disorders  depression  COVID-19  children and young people  ethnicity  deprivation  general practice Index. décimale : PER Périodiques Résumé : Background The impact of the COVID-19 pandemic on the mental health of children and young people (CYP) has been widely reported. Primary care electronic health records were utilised to examine trends in the diagnosing, recording and treating of these common mental disorders by ethnicity and social deprivation in Greater Manchester, England. Methods Time-series analyses conducted using Greater Manchester Care Record (GMCR) data examined all diagnosed episodes of anxiety disorders and depression and prescribing of anxiolytics and antidepressants among patients aged 6?24?years. The 41-month observation period was split into three epochs: Pre-pandemic (1/2019?2/2020); Pandemic Phase 1 (3/2020?6/2021); Pandemic Phase 2 (7/2021?5/2022). Rate ratios for all CYP specific to sex, age, ethnicity, and neighbourhood-level Indices of Multiple Deprivation (IMD) quintile were modelled using negative binomial regression. Results Depression and anxiety disorder rates were highest in females, CYP aged 19?24, and White and ?Other? ethnic groups. During Pandemic Phase 1, rates for these diagnoses fell in all demographic subgroups and then rose to similar levels as those recorded pre-pandemic. In Pandemic Phase 2, rates in Black and Mixed-ethnicity females rose to a significantly greater degree (by 54% and 62%, respectively) than those in White females. Prescribing rates increased throughout the study period, with significantly greater rises observed in non-White females and males. The temporal trends were mostly homogeneous across deprivation quintiles. Conclusion The observed fluctuations in frequency of recorded common mental illness diagnoses likely reflect service accessibility and patients' differential propensities to consult as well as changing levels of distress and psychopathology in the population. However, psychotropic medication prescribing increased throughout the observation period, possibly indicating a sustained decline in mental health among CYP, and also clinicians' responses to problems presented. The comparatively greater increases in frequencies of diagnosis recording and medication prescribing among ethnic minority groups warrants further investigation. En ligne : https://dx.doi.org/10.1111/jcpp.14026 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Prenatal maternal infections and early childhood developmental outcomes: analysis of linked administrative health data for Greater Glasgow & Clyde, Scotland / Iain HARDIE in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.30-40 Titre : Prenatal maternal infections and early childhood developmental outcomes: analysis of linked administrative health data for Greater Glasgow & Clyde, Scotland Type de document : Texte imprimé et/ou numérique Auteurs : Iain HARDIE, Auteur ; Aja MURRAY, Auteur ; Josiah KING, Auteur ; Hildigunnur Anna HALL, Auteur ; Emily LUEDECKE, Auteur ; Louise MARRYAT, Auteur ; Lucy THOMPSON, Auteur ; Helen MINNIS, Auteur ; Philip WILSON, Auteur ; Bonnie AUYEUNG, Auteur Article en page(s) : p.30-40 Langues : Anglais (eng) Mots-clés : Child development  maternal factors  prenatal  infection  CNS Index. décimale : PER Périodiques Résumé : Background Previous research has linked prenatal maternal infections to later childhood developmental outcomes and socioemotional difficulties. However, existing studies have relied on retrospectively self-reported survey data, or data on hospital-recorded infections only, resulting in gaps in data collection. Methods This study used a large linked administrative health dataset, bringing together data from birth records, hospital records, prescriptions and routine child health reviews for 55,856 children born in Greater Glasgow 95% CI: 1.19?1.42). This was broadly consistent across all developmental outcome types and appeared to be specifically linked to infections occurring in pregnancy trimesters 2 (OR: 1.34; 95% CI: 1.07?1.67) and 3 (OR: 1.33; 95% CI: 1.21?1.47), that is the trimesters in which foetal brain myelination occurs. Infection-related prescriptions were not associated with any clear increase in odds of having at least one developmental concern after confounder/covariate adjustment (OR: 1.03; 95% CI: 0.98?1.08), but were associated with slightly increased odds of concerns specifically related to personal-social (OR: 1.12; 95% CI: 1.03?1.22) and emotional-behavioural-attention (OR: 1.15; 95% CI: 1.08?1.22) development. Conclusions Prenatal infections, particularly those which are hospital-diagnosed (and likely more severe), are associated with early childhood developmental outcomes. Prevention of prenatal infections, and monitoring of support needs of affected children, may improve childhood development, but causality remains to be established. En ligne : https://dx.doi.org/10.1111/jcpp.14028 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Prenatal maternal infections and early childhood developmental outcomes: analysis of linked administrative health data for Greater Glasgow & Clyde, Scotland [Texte imprimé et/ou numérique] / Iain HARDIE, Auteur ; Aja MURRAY, Auteur ; Josiah KING, Auteur ; Hildigunnur Anna HALL, Auteur ; Emily LUEDECKE, Auteur ; Louise MARRYAT, Auteur ; Lucy THOMPSON, Auteur ; Helen MINNIS, Auteur ; Philip WILSON, Auteur ; Bonnie AUYEUNG, Auteur . - p.30-40. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.30-40 Mots-clés : Child development  maternal factors  prenatal  infection  CNS Index. décimale : PER Périodiques Résumé : Background Previous research has linked prenatal maternal infections to later childhood developmental outcomes and socioemotional difficulties. However, existing studies have relied on retrospectively self-reported survey data, or data on hospital-recorded infections only, resulting in gaps in data collection. Methods This study used a large linked administrative health dataset, bringing together data from birth records, hospital records, prescriptions and routine child health reviews for 55,856 children born in Greater Glasgow 95% CI: 1.19?1.42). This was broadly consistent across all developmental outcome types and appeared to be specifically linked to infections occurring in pregnancy trimesters 2 (OR: 1.34; 95% CI: 1.07?1.67) and 3 (OR: 1.33; 95% CI: 1.21?1.47), that is the trimesters in which foetal brain myelination occurs. Infection-related prescriptions were not associated with any clear increase in odds of having at least one developmental concern after confounder/covariate adjustment (OR: 1.03; 95% CI: 0.98?1.08), but were associated with slightly increased odds of concerns specifically related to personal-social (OR: 1.12; 95% CI: 1.03?1.22) and emotional-behavioural-attention (OR: 1.15; 95% CI: 1.08?1.22) development. Conclusions Prenatal infections, particularly those which are hospital-diagnosed (and likely more severe), are associated with early childhood developmental outcomes. Prevention of prenatal infections, and monitoring of support needs of affected children, may improve childhood development, but causality remains to be established. En ligne : https://dx.doi.org/10.1111/jcpp.14028 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Early relational origins of Theory of Mind: A two-study replication / Grazyna KOCHANSKA in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.41-52 Titre : Early relational origins of Theory of Mind: A two-study replication Type de document : Texte imprimé et/ou numérique Auteurs : Grazyna KOCHANSKA, Auteur ; Lilly BENDEL-STENZEL, Auteur ; Danming AN, Auteur ; Neevetha SIVAGURUNATHAN, Auteur Article en page(s) : p.41-52 Langues : Anglais (eng) Mots-clés : Theory of mind  parental mind-mindedness  mutually responsive orientation Index. décimale : PER Périodiques Résumé : Background Research implies early relational factors ? parental appropriate mind-mindedness (MM) and mutually responsive orientation (MRO) ? as antecedents of children's Theory of Mind (ToM), yet the longitudinal path is unclear. Furthermore, little is known about the process in father?child relationships. In two studies of community families in a Midwestern state in United States, we tested a path from parental appropriate MM in infancy to parent?child MRO in toddlerhood to children's ToM at preschool age in mother? and father?child relationships, using comparable observational measures at parallel ages. Methods In Children and Parents Study (CAPS) of children born in 2017 and 2018, we collected data at 8?months (N?=?200, 96 girls), 38?months, age 3 (N?=?175, 86 girls), and 52?months, age 4.5 (N?=?177, 86 girls). In Family Study (FS) of children born mostly in 2001, we collected data at 7?months (N?=?102, 51 girls), 38?months, age 3 (N?=?100, 50 girls), and 52?months, age 4.5 (N?=?99, 49 girls). Parental MM (verbal comments aligned with the infant's psychological state) was observed in infancy, MRO (parent and child responsiveness to each other and shared positive affect) at age 3, and ToM (false belief tasks) at age 4.5. Results The findings supported the proposed indirect effects of parents' MM on children's ToM, mediated by MRO, for fathers and children in both studies, and for mothers and children, in CAPS. In FS, mothers' MM predicted MRO and ToM, but there was no mediation. Conclusions This investigation, testing a path from MM to MRO to ToM in both mother? and father?child relationships in two longitudinal studies, adds to the literature that has described relations among those constructs but rarely integrated those in one model. En ligne : https://dx.doi.org/10.1111/jcpp.14029 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Early relational origins of Theory of Mind: A two-study replication [Texte imprimé et/ou numérique] / Grazyna KOCHANSKA, Auteur ; Lilly BENDEL-STENZEL, Auteur ; Danming AN, Auteur ; Neevetha SIVAGURUNATHAN, Auteur . - p.41-52. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.41-52 Mots-clés : Theory of mind  parental mind-mindedness  mutually responsive orientation Index. décimale : PER Périodiques Résumé : Background Research implies early relational factors ? parental appropriate mind-mindedness (MM) and mutually responsive orientation (MRO) ? as antecedents of children's Theory of Mind (ToM), yet the longitudinal path is unclear. Furthermore, little is known about the process in father?child relationships. In two studies of community families in a Midwestern state in United States, we tested a path from parental appropriate MM in infancy to parent?child MRO in toddlerhood to children's ToM at preschool age in mother? and father?child relationships, using comparable observational measures at parallel ages. Methods In Children and Parents Study (CAPS) of children born in 2017 and 2018, we collected data at 8?months (N?=?200, 96 girls), 38?months, age 3 (N?=?175, 86 girls), and 52?months, age 4.5 (N?=?177, 86 girls). In Family Study (FS) of children born mostly in 2001, we collected data at 7?months (N?=?102, 51 girls), 38?months, age 3 (N?=?100, 50 girls), and 52?months, age 4.5 (N?=?99, 49 girls). Parental MM (verbal comments aligned with the infant's psychological state) was observed in infancy, MRO (parent and child responsiveness to each other and shared positive affect) at age 3, and ToM (false belief tasks) at age 4.5. Results The findings supported the proposed indirect effects of parents' MM on children's ToM, mediated by MRO, for fathers and children in both studies, and for mothers and children, in CAPS. In FS, mothers' MM predicted MRO and ToM, but there was no mediation. Conclusions This investigation, testing a path from MM to MRO to ToM in both mother? and father?child relationships in two longitudinal studies, adds to the literature that has described relations among those constructs but rarely integrated those in one model. En ligne : https://dx.doi.org/10.1111/jcpp.14029 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Later ("evening") circadian preference is associated with poorer executive, academic, and attentional functioning in adolescents with and without ADHD / Stephen P. BECKER in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.53-63 Titre : Later ("evening") circadian preference is associated with poorer executive, academic, and attentional functioning in adolescents with and without ADHD Type de document : Texte imprimé et/ou numérique Auteurs : Stephen P. BECKER, Auteur ; Aleah BROWN, Auteur ; Joshua M. LANGBERG, Auteur ; Dean W. BEEBE, Auteur Article en page(s) : p.53-63 Langues : Anglais (eng) Mots-clés : ADHD  academic performance  adolescence  chronotype  circadian preference  executive function Index. décimale : PER Périodiques Résumé : Background Adolescents vary considerably in their circadian phase preference; those with greater ?eveningness? (also known as ?night owls?) have later bedtimes, wake times, and peak arousal compared to those with greater ?morningness.? Prior research suggests that (a) greater eveningness is associated with worse academic, executive, and attentional functioning; and (b) adolescents with attention-deficit/hyperactivity disorder (ADHD) tend to be high in eveningness and to have deficits in these school-related constructs. However, few studies have examined circadian preference alongside two potential confounds?sleep duration and sleep quality?as predictors of daytime functioning, or whether the strength of associations differs across adolescents with and without ADHD. Methods Participants were 302 adolescents (Mage?=?13.17?years; 44.7% female; 81.8% White); approximately half (52%) had ADHD. A multi-method, multi-informant design was used. Specifically, adolescents reported on their circadian preference, school night sleep duration, and sleep quality. Adolescents provided ratings of their academic motivation (intrinsic, extrinsic, and amotivation) and were administered standardized achievement tests in reading and math. Adolescents and parents completed ratings of daily life executive functioning (behavioral, emotion, and cognitive regulation), and they and teachers also provided ratings of ADHD inattentive symptoms. Results Above and beyond sleep duration, sleep quality, and covariates (sex, family income, pubertal development, medication use), greater eveningness was uniquely associated with poorer academic, executive, and attentional functioning across most measures. Sleep quality was uniquely associated with a handful of outcomes, and sleep duration was not significantly uniquely associated with any outcome in the regression analyses. ADHD status did not moderate effects. Conclusions This study provides compelling evidence that poorer academic, executive, and attentional functioning are more closely associated with greater eveningness than with sleep duration or quality in adolescents. Findings suggest that targeting circadian preference may be important to reduce these problems in adolescents, especially in clinical samples such as ADHD for whom academic, executive, and attentional difficulties are exceptionally common. En ligne : https://dx.doi.org/10.1111/jcpp.14030 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Later ("evening") circadian preference is associated with poorer executive, academic, and attentional functioning in adolescents with and without ADHD [Texte imprimé et/ou numérique] / Stephen P. BECKER, Auteur ; Aleah BROWN, Auteur ; Joshua M. LANGBERG, Auteur ; Dean W. BEEBE, Auteur . - p.53-63. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.53-63 Mots-clés : ADHD  academic performance  adolescence  chronotype  circadian preference  executive function Index. décimale : PER Périodiques Résumé : Background Adolescents vary considerably in their circadian phase preference; those with greater ?eveningness? (also known as ?night owls?) have later bedtimes, wake times, and peak arousal compared to those with greater ?morningness.? Prior research suggests that (a) greater eveningness is associated with worse academic, executive, and attentional functioning; and (b) adolescents with attention-deficit/hyperactivity disorder (ADHD) tend to be high in eveningness and to have deficits in these school-related constructs. However, few studies have examined circadian preference alongside two potential confounds?sleep duration and sleep quality?as predictors of daytime functioning, or whether the strength of associations differs across adolescents with and without ADHD. Methods Participants were 302 adolescents (Mage?=?13.17?years; 44.7% female; 81.8% White); approximately half (52%) had ADHD. A multi-method, multi-informant design was used. Specifically, adolescents reported on their circadian preference, school night sleep duration, and sleep quality. Adolescents provided ratings of their academic motivation (intrinsic, extrinsic, and amotivation) and were administered standardized achievement tests in reading and math. Adolescents and parents completed ratings of daily life executive functioning (behavioral, emotion, and cognitive regulation), and they and teachers also provided ratings of ADHD inattentive symptoms. Results Above and beyond sleep duration, sleep quality, and covariates (sex, family income, pubertal development, medication use), greater eveningness was uniquely associated with poorer academic, executive, and attentional functioning across most measures. Sleep quality was uniquely associated with a handful of outcomes, and sleep duration was not significantly uniquely associated with any outcome in the regression analyses. ADHD status did not moderate effects. Conclusions This study provides compelling evidence that poorer academic, executive, and attentional functioning are more closely associated with greater eveningness than with sleep duration or quality in adolescents. Findings suggest that targeting circadian preference may be important to reduce these problems in adolescents, especially in clinical samples such as ADHD for whom academic, executive, and attentional difficulties are exceptionally common. En ligne : https://dx.doi.org/10.1111/jcpp.14030 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder / Andrea B. GOLDSCHMIDT in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.64-74 Titre : Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder Type de document : Texte imprimé et/ou numérique Auteurs : Andrea B. GOLDSCHMIDT, Auteur ; Kwonho JEONG, Auteur ; Lan YU, Auteur ; Amy H. EGBERT, Auteur ; Ricarda SCHMIDT, Auteur ; Anja HILBERT, Auteur Article en page(s) : p.64-74 Langues : Anglais (eng) Mots-clés : Executive functioning  binge eating  loss of control eating  adolescent  cognitive-behavioral therapy Index. décimale : PER Périodiques Résumé : Background Cognitive-behavioral therapy (CBT) is an evidence-supported treatment for adolescents with binge-eating disorder (BED). Executive dysfunctions, which are associated with binge eating and elevated body weight in youth, may undermine CBT outcomes by making it difficult for youth to engage with or adhere to treatment, including recalling and/or implementing intervention strategies in real-world contexts. Methods We assessed 73 adolescents [82.2% female; Mage?=?15.0?+?2.5?year; M baseline standardized body mass index (zBMI)?=?1.9?+?1.0?kg/m2] with BED at baseline, posttreatment, 6-, 12-, and 24-month follow-up. Linear mixed models examined the effects of baseline executive functioning (EF) on loss of control (LOC) eating and weight change following CBT. Linear and logistic regressions probed associations between EF, attendance, and attrition. Results More impulsive decision-making, as reflected in higher baseline scores on the Iowa Gambling Task, predicted better attendance (??=?.07; p?=?.019) and more frequent LOC eating following treatment (??=?.12; p?=?.017). Lower cognitive flexibility, as reflected in lower baseline T-scores on the Comprehensive Trail Making Test complex sequencing index, predicted higher zBMI following treatment (??=??.03; p?=?.003). Inhibition, concentration, attention, and parent-reported EF behavior symptoms were not associated with outcome, attendance, or attrition. Conclusions More impulsive decision-making and lower cognitive flexibility were associated with suboptimal response to CBT for BED, although findings should be interpreted with caution in light of the sample size and waitlist control design. Future research should examine whether strengthening EF could improve eating and weight outcomes among adolescents with BED who have lower pre-treatment EF. En ligne : https://dx.doi.org/10.1111/jcpp.14031 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Executive functioning and treatment outcome among adolescents undergoing cognitive-behavioral therapy for binge-eating disorder [Texte imprimé et/ou numérique] / Andrea B. GOLDSCHMIDT, Auteur ; Kwonho JEONG, Auteur ; Lan YU, Auteur ; Amy H. EGBERT, Auteur ; Ricarda SCHMIDT, Auteur ; Anja HILBERT, Auteur . - p.64-74. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.64-74 Mots-clés : Executive functioning  binge eating  loss of control eating  adolescent  cognitive-behavioral therapy Index. décimale : PER Périodiques Résumé : Background Cognitive-behavioral therapy (CBT) is an evidence-supported treatment for adolescents with binge-eating disorder (BED). Executive dysfunctions, which are associated with binge eating and elevated body weight in youth, may undermine CBT outcomes by making it difficult for youth to engage with or adhere to treatment, including recalling and/or implementing intervention strategies in real-world contexts. Methods We assessed 73 adolescents [82.2% female; Mage?=?15.0?+?2.5?year; M baseline standardized body mass index (zBMI)?=?1.9?+?1.0?kg/m2] with BED at baseline, posttreatment, 6-, 12-, and 24-month follow-up. Linear mixed models examined the effects of baseline executive functioning (EF) on loss of control (LOC) eating and weight change following CBT. Linear and logistic regressions probed associations between EF, attendance, and attrition. Results More impulsive decision-making, as reflected in higher baseline scores on the Iowa Gambling Task, predicted better attendance (??=?.07; p?=?.019) and more frequent LOC eating following treatment (??=?.12; p?=?.017). Lower cognitive flexibility, as reflected in lower baseline T-scores on the Comprehensive Trail Making Test complex sequencing index, predicted higher zBMI following treatment (??=??.03; p?=?.003). Inhibition, concentration, attention, and parent-reported EF behavior symptoms were not associated with outcome, attendance, or attrition. Conclusions More impulsive decision-making and lower cognitive flexibility were associated with suboptimal response to CBT for BED, although findings should be interpreted with caution in light of the sample size and waitlist control design. Future research should examine whether strengthening EF could improve eating and weight outcomes among adolescents with BED who have lower pre-treatment EF. En ligne : https://dx.doi.org/10.1111/jcpp.14031 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

The association between early regulatory problems and adult peer relationship quality is mediated by the brain's allostatic-interoceptive system / Sa?a ZORJAN in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.75-84 Titre : The association between early regulatory problems and adult peer relationship quality is mediated by the brain's allostatic-interoceptive system Type de document : Texte imprimé et/ou numérique Auteurs : Sa?a ZORJAN, Auteur ; Dieter WOLKE, Auteur ; Nicole BAUMANN, Auteur ; Christian SORG, Auteur ; Satja MULEJ BRATEC, Auteur Article en page(s) : p.75-84 Langues : Anglais (eng) Mots-clés : Regulatory problems  allostatic interoceptive system  insula  peer relationships  crying  sleeping  feeding  Bavarian Longitudinal Study Index. décimale : PER Périodiques Résumé : Background Early regulatory problems (RPs), i.e., problems with crying, sleeping, and/or feeding during the first years, increase the risk for avoidant personality traits in adulthood, associated with social withdrawal and anxiety. Even more, RPs are linked with functional alterations in the adult default mode and salience networks, comprising the brain's allostatic-interoceptive system (AIS) and playing a role in social interactions. We investigated whether RPs assessed in infancy are associated with difficulties in adult peer relationships mediated by functional alterations of the AIS. Methods As part of a large case-controlled prospective study, 42 adults with previous RPs and 70 matched controls (mean age?=?28.48, SD?=?2.65, 51% male) underwent fMRI during rest. The analysis focused on the intrinsic functional connectivity (iFC) of key nodes of the AIS. Peer relationship quality was assessed via a semi-structured Life Course Interview and the YASR scale. In these same individuals, RPs were assessed at ages 5, 20 and 56?months. Results RPs in infancy were associated with lower-quality peer relationships and enhanced functional connectivity of the AIS nodes in adulthood, with a stronger effect for multiple and persistent RPs compared with transient-multiple or single-persistent RPs. Importantly, iFC changes of the dorsal mid insula, a primary interoceptive cortex with frontal and temporal regions, mediated the relationship between early RPs and adult peer relationship quality. Conclusions Results indicate long-lasting social and neural changes associated with early RPs. Our findings further implicate the AIS in both interoceptive and social processes, while indicating the need for early screening of early RPs. En ligne : https://dx.doi.org/10.1111/jcpp.14033 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] The association between early regulatory problems and adult peer relationship quality is mediated by the brain's allostatic-interoceptive system [Texte imprimé et/ou numérique] / Sa?a ZORJAN, Auteur ; Dieter WOLKE, Auteur ; Nicole BAUMANN, Auteur ; Christian SORG, Auteur ; Satja MULEJ BRATEC, Auteur . - p.75-84. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.75-84 Mots-clés : Regulatory problems  allostatic interoceptive system  insula  peer relationships  crying  sleeping  feeding  Bavarian Longitudinal Study Index. décimale : PER Périodiques Résumé : Background Early regulatory problems (RPs), i.e., problems with crying, sleeping, and/or feeding during the first years, increase the risk for avoidant personality traits in adulthood, associated with social withdrawal and anxiety. Even more, RPs are linked with functional alterations in the adult default mode and salience networks, comprising the brain's allostatic-interoceptive system (AIS) and playing a role in social interactions. We investigated whether RPs assessed in infancy are associated with difficulties in adult peer relationships mediated by functional alterations of the AIS. Methods As part of a large case-controlled prospective study, 42 adults with previous RPs and 70 matched controls (mean age?=?28.48, SD?=?2.65, 51% male) underwent fMRI during rest. The analysis focused on the intrinsic functional connectivity (iFC) of key nodes of the AIS. Peer relationship quality was assessed via a semi-structured Life Course Interview and the YASR scale. In these same individuals, RPs were assessed at ages 5, 20 and 56?months. Results RPs in infancy were associated with lower-quality peer relationships and enhanced functional connectivity of the AIS nodes in adulthood, with a stronger effect for multiple and persistent RPs compared with transient-multiple or single-persistent RPs. Importantly, iFC changes of the dorsal mid insula, a primary interoceptive cortex with frontal and temporal regions, mediated the relationship between early RPs and adult peer relationship quality. Conclusions Results indicate long-lasting social and neural changes associated with early RPs. Our findings further implicate the AIS in both interoceptive and social processes, while indicating the need for early screening of early RPs. En ligne : https://dx.doi.org/10.1111/jcpp.14033 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Developmental trajectories of child and adolescent emotional problems: associations with early adult alcohol use behaviors / Tong CHEN in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.85-97 Titre : Developmental trajectories of child and adolescent emotional problems: associations with early adult alcohol use behaviors Type de document : Texte imprimé et/ou numérique Auteurs : Tong CHEN, Auteur ; Olakunle A. OGINNI, Auteur ; Laurie J. HANNIGAN, Auteur ; Thalia C. ELEY, Auteur ; Jennifer L. MAGGS, Auteur ; Ashley N. LINDEN-CARMICHAEL, Auteur ; Jenae M. NEIDERHISER, Auteur Article en page(s) : p.85-97 Langues : Anglais (eng) Mots-clés : Behavior problems  alcohol abuse  longitudinal studies  development  genetics Index. décimale : PER Périodiques Résumé : Background Whether emotional problems during childhood and adolescence are longitudinally associated with adult alcohol use behaviors is unclear. This study examined associations between developmental trajectories of emotional problems and early adult alcohol use behaviors, while considering co-occurring conduct problems, developmental change/timing, sex differences, and potential confounds. Methods Participants were from the Twins Early Development Study (analytic N?=?19,908 individuals). Emotional and conduct problems were measured by parent reports at child ages 4, 7, and 9?years and via self-reports at ages 9, 11, and 16?years on the Strengths and Difficulties Questionnaire. Alcohol use behaviors (alcohol consumption and alcohol-related problems) were self-reported by the twins on the Alcohol Use Disorders Identification Test at age 22?years. Piecewise latent growth curve models described nonlinear developmental trajectories of emotional and conduct problems from ages 4 to 16. At age 22, alcohol use was regressed on emotional and conduct problems' intercepts and slopes from piecewise latent growth curve model and sex differences in regression coefficients were tested. Using twin modeling, Cholesky decompositions and direct path models were compared to test whether significant phenotypic associations were best explained by direct phenotypic influences or correlated genetic and environmental influences. Results Emotional problems had different associations with alcohol-related problems versus alcohol consumption. After accounting for direct influences from conduct problems, emotional problems were not associated with alcohol-related problems, while emotional problems at age 9 were negatively associated with alcohol consumption in males. Conclusions Overall, findings did not support emotional problems as prospective risk factors for severe alcohol use above and beyond risks associated with conduct problems. Sex- and age-specific links between emotional problems and alcohol consumption in early adulthood may be worthy of further exploration, particularly as twin analyses improved our confidence that such links may be underpinned by causal mechanisms. En ligne : https://dx.doi.org/10.1111/jcpp.14034 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Developmental trajectories of child and adolescent emotional problems: associations with early adult alcohol use behaviors [Texte imprimé et/ou numérique] / Tong CHEN, Auteur ; Olakunle A. OGINNI, Auteur ; Laurie J. HANNIGAN, Auteur ; Thalia C. ELEY, Auteur ; Jennifer L. MAGGS, Auteur ; Ashley N. LINDEN-CARMICHAEL, Auteur ; Jenae M. NEIDERHISER, Auteur . - p.85-97. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.85-97 Mots-clés : Behavior problems  alcohol abuse  longitudinal studies  development  genetics Index. décimale : PER Périodiques Résumé : Background Whether emotional problems during childhood and adolescence are longitudinally associated with adult alcohol use behaviors is unclear. This study examined associations between developmental trajectories of emotional problems and early adult alcohol use behaviors, while considering co-occurring conduct problems, developmental change/timing, sex differences, and potential confounds. Methods Participants were from the Twins Early Development Study (analytic N?=?19,908 individuals). Emotional and conduct problems were measured by parent reports at child ages 4, 7, and 9?years and via self-reports at ages 9, 11, and 16?years on the Strengths and Difficulties Questionnaire. Alcohol use behaviors (alcohol consumption and alcohol-related problems) were self-reported by the twins on the Alcohol Use Disorders Identification Test at age 22?years. Piecewise latent growth curve models described nonlinear developmental trajectories of emotional and conduct problems from ages 4 to 16. At age 22, alcohol use was regressed on emotional and conduct problems' intercepts and slopes from piecewise latent growth curve model and sex differences in regression coefficients were tested. Using twin modeling, Cholesky decompositions and direct path models were compared to test whether significant phenotypic associations were best explained by direct phenotypic influences or correlated genetic and environmental influences. Results Emotional problems had different associations with alcohol-related problems versus alcohol consumption. After accounting for direct influences from conduct problems, emotional problems were not associated with alcohol-related problems, while emotional problems at age 9 were negatively associated with alcohol consumption in males. Conclusions Overall, findings did not support emotional problems as prospective risk factors for severe alcohol use above and beyond risks associated with conduct problems. Sex- and age-specific links between emotional problems and alcohol consumption in early adulthood may be worthy of further exploration, particularly as twin analyses improved our confidence that such links may be underpinned by causal mechanisms. En ligne : https://dx.doi.org/10.1111/jcpp.14034 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Advancing the treatment of anxiety disorders in transition-age youth: a review of the therapeutic effects of unconscious exposure / Paul SIEGEL in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.98-121 Titre : Advancing the treatment of anxiety disorders in transition-age youth: a review of the therapeutic effects of unconscious exposure Type de document : Texte imprimé et/ou numérique Auteurs : Paul SIEGEL, Auteur ; Bradley S. PETERSON, Auteur Article en page(s) : p.98-121 Langues : Anglais (eng) Mots-clés : Unconscious exposure  phobia  exposure therapy  fear  unconscious Index. décimale : PER Périodiques Résumé : Background The real-world effectiveness of exposure-based therapies for youth depends on the willingness and ability of young people to tolerate confronting their fears, which can be experienced as highly aversive and create problems with treatment engagement and acceptance. Recently, neuroscientific research on the nonconscious basis of fear has been translated into novel exposure interventions that bypass conscious processing of feared stimuli and that thus do not cause phobic youth to experience distress. We present a review of these unconscious exposure interventions. Methods A PRISMA-based search yielded 20 controlled experiments based on three paradigms that tested if fear-related responses could be reduced without conscious awareness in highly phobic, transition-age youth: 14 randomized controlled trials (RCTs), 5 fMRI studies (1 was also an RCT), 4 psychophysiological studies (3 were also RCTs), and 1 ERP study. We conducted meta-analyses of outcomes where feasible. Results Unconscious exposure interventions significantly (1) reduced avoidance behavior (range of Cohen's d?=?0.51?0.95) and self-reported fear (d?=?0.45?1.25) during in vivo exposure to the feared situation; (2) reduced neurobiological indicators of fear (d?=?0.54?0.62) and concomitant physiological arousal (d?=?0.55?0.64); (3) activated neural systems supporting fear regulation more strongly than visible exposure to the same stimuli (d?=?1.2?1.5); (4) activated regions supporting fear regulation that mediated the reduction of avoidance behavior (d?=?0.70); (5) evoked ERPs suggesting encoding of extinction memories (d?=?2.13); and (6) had these effects without inducing autonomic arousal or subjective fear. Conclusions Unconscious exposure interventions significantly reduce a variety of symptomatic behaviors with mostly moderate effect sizes in transition-age youth with specific phobias. fMRI and physiological findings establish a neurophysiological basis for this efficacy, and suggest it occurs through extinction learning. Unconscious exposure was well tolerated, entirely unassociated with drop out, and is highly scalable for clinical practice. However, a number of limitations must be addressed to assess potential clinical impacts, including combining unconscious exposure with exposure therapy to boost treatment acceptance and efficacy. En ligne : https://dx.doi.org/10.1111/jcpp.14037 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Advancing the treatment of anxiety disorders in transition-age youth: a review of the therapeutic effects of unconscious exposure [Texte imprimé et/ou numérique] / Paul SIEGEL, Auteur ; Bradley S. PETERSON, Auteur . - p.98-121. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.98-121 Mots-clés : Unconscious exposure  phobia  exposure therapy  fear  unconscious Index. décimale : PER Périodiques Résumé : Background The real-world effectiveness of exposure-based therapies for youth depends on the willingness and ability of young people to tolerate confronting their fears, which can be experienced as highly aversive and create problems with treatment engagement and acceptance. Recently, neuroscientific research on the nonconscious basis of fear has been translated into novel exposure interventions that bypass conscious processing of feared stimuli and that thus do not cause phobic youth to experience distress. We present a review of these unconscious exposure interventions. Methods A PRISMA-based search yielded 20 controlled experiments based on three paradigms that tested if fear-related responses could be reduced without conscious awareness in highly phobic, transition-age youth: 14 randomized controlled trials (RCTs), 5 fMRI studies (1 was also an RCT), 4 psychophysiological studies (3 were also RCTs), and 1 ERP study. We conducted meta-analyses of outcomes where feasible. Results Unconscious exposure interventions significantly (1) reduced avoidance behavior (range of Cohen's d?=?0.51?0.95) and self-reported fear (d?=?0.45?1.25) during in vivo exposure to the feared situation; (2) reduced neurobiological indicators of fear (d?=?0.54?0.62) and concomitant physiological arousal (d?=?0.55?0.64); (3) activated neural systems supporting fear regulation more strongly than visible exposure to the same stimuli (d?=?1.2?1.5); (4) activated regions supporting fear regulation that mediated the reduction of avoidance behavior (d?=?0.70); (5) evoked ERPs suggesting encoding of extinction memories (d?=?2.13); and (6) had these effects without inducing autonomic arousal or subjective fear. Conclusions Unconscious exposure interventions significantly reduce a variety of symptomatic behaviors with mostly moderate effect sizes in transition-age youth with specific phobias. fMRI and physiological findings establish a neurophysiological basis for this efficacy, and suggest it occurs through extinction learning. Unconscious exposure was well tolerated, entirely unassociated with drop out, and is highly scalable for clinical practice. However, a number of limitations must be addressed to assess potential clinical impacts, including combining unconscious exposure with exposure therapy to boost treatment acceptance and efficacy. En ligne : https://dx.doi.org/10.1111/jcpp.14037 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Practitioner Review: Treatments for young people who self-harm - challenges and recommendations for research and clinical practice / Katrina WITT in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.122-131 Titre : Practitioner Review: Treatments for young people who self-harm - challenges and recommendations for research and clinical practice Type de document : Texte imprimé et/ou numérique Auteurs : Katrina WITT, Auteur ; Anne STEWART, Auteur ; Keith HAWTON, Auteur Article en page(s) : p.122-131 Langues : Anglais (eng) Mots-clés : Suicide  self-harm  child  adolescence  treatment  prevention Index. décimale : PER Périodiques Résumé : Background Self-harm is very common in young people and is associated with suicide. Rates of both self-harm and suicide have increased in young people, particularly in females. There is a clear need to identify new approaches to prevent repeat self-harm. Method We significantly update and build on previous reviews with the aim of identifying issues in research relevant to clinical practice. We identify challenges in developing, implementing and evaluating treatments for self-harm in children and adolescents, suggest a way forward for research, and provide clear and practical guidance for clinicians on how to apply current research evidence in the real world. Results Currently, there is limited evidence for effective interventions, other than some support for dialectical behaviour therapy for adolescents (DBT-A). To improve research and, by extension, clinical practice, future studies need to address psychosocial factors associated with youth self-harm and suicide, investigate the critical mechanism(s) of action, ensure trials are sufficiently powered and representative, and involve young people more actively in the design, implementation and evaluation of these approaches. Consideration should also be given to alternative research designs, such as pragmatic or adaptive clinical trials, as well as registry-based randomised controlled trials which leverage administrative data collected in routine clinical practice, to help meet these goals. Conclusions Recommendations for practice include undertaking comprehensive assessment and formulation, and offering DBT-A where indicated. There should be further development and evaluation (with input from young people) of Cognitive Behavioural-based Therapy adapted for young people. Greater attention to the role of the therapeutic relationship and family involvement (where possible) is also an important considerations, irrespective of the specific therapeutic modality. Finally, more consideration should be given to improving staff training to ensure all clinical staff feel equipped to treat young people who self-harm in a person-centred and compassionate manner. En ligne : https://dx.doi.org/10.1111/jcpp.14052 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Practitioner Review: Treatments for young people who self-harm - challenges and recommendations for research and clinical practice [Texte imprimé et/ou numérique] / Katrina WITT, Auteur ; Anne STEWART, Auteur ; Keith HAWTON, Auteur . - p.122-131. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.122-131 Mots-clés : Suicide  self-harm  child  adolescence  treatment  prevention Index. décimale : PER Périodiques Résumé : Background Self-harm is very common in young people and is associated with suicide. Rates of both self-harm and suicide have increased in young people, particularly in females. There is a clear need to identify new approaches to prevent repeat self-harm. Method We significantly update and build on previous reviews with the aim of identifying issues in research relevant to clinical practice. We identify challenges in developing, implementing and evaluating treatments for self-harm in children and adolescents, suggest a way forward for research, and provide clear and practical guidance for clinicians on how to apply current research evidence in the real world. Results Currently, there is limited evidence for effective interventions, other than some support for dialectical behaviour therapy for adolescents (DBT-A). To improve research and, by extension, clinical practice, future studies need to address psychosocial factors associated with youth self-harm and suicide, investigate the critical mechanism(s) of action, ensure trials are sufficiently powered and representative, and involve young people more actively in the design, implementation and evaluation of these approaches. Consideration should also be given to alternative research designs, such as pragmatic or adaptive clinical trials, as well as registry-based randomised controlled trials which leverage administrative data collected in routine clinical practice, to help meet these goals. Conclusions Recommendations for practice include undertaking comprehensive assessment and formulation, and offering DBT-A where indicated. There should be further development and evaluation (with input from young people) of Cognitive Behavioural-based Therapy adapted for young people. Greater attention to the role of the therapeutic relationship and family involvement (where possible) is also an important considerations, irrespective of the specific therapeutic modality. Finally, more consideration should be given to improving staff training to ensure all clinical staff feel equipped to treat young people who self-harm in a person-centred and compassionate manner. En ligne : https://dx.doi.org/10.1111/jcpp.14052 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Research Review: Pharmacological and non-pharmacological treatments for adolescents with attention deficit/hyperactivity disorder - a systematic review of the literature / Margaret H. SIBLEY in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.132-149 Titre : Research Review: Pharmacological and non-pharmacological treatments for adolescents with attention deficit/hyperactivity disorder - a systematic review of the literature Type de document : Texte imprimé et/ou numérique Auteurs : Margaret H. SIBLEY, Auteur ; Sabrina FLORES, Auteur ; Madeline MURPHY, Auteur ; Hana BASU, Auteur ; Mark A. STEIN, Auteur ; Steven W. EVANS, Auteur ; Xin ZHAO, Auteur ; Maychelle MANZANO, Auteur ; Shauntal VAN DREEL, Auteur Article en page(s) : p.132-149 Langues : Anglais (eng) Mots-clés : ADHD  adolescence  treatment trials Index. décimale : PER Périodiques Résumé : Background Attention Deficit/Hyperactivity Disorder (ADHD) demonstrates unique developmental manifestations in adolescence with implications for optimized, age-appropriate treatment. This 10-year update is the third in a series of systematic reviews examining the efficacy and safety of adolescent ADHD treatments. We broadly examined efficacy on ADHD symptoms, impairments, and other reported outcomes. Acute and long-term efficacy, and treatment moderators, were considered. Method We performed PubMed, EMBASE, and PsycINFO searches for articles published or in press from 2013 to 2024, integrated with hand search and randomized controlled trials (RCTs) identified in this series' earlier reviews. RCTs examining the safety or efficacy of interventions delivered to adolescents (ages 10.0?19.9) with a diagnosis of ADHD were included. Study characteristics were extracted and reviewed, quality of evidence was assessed using GRADE, and effect sizes were calculated for individual studies and illustrated using forest plots. Results Sixty-three RCTs were identified. Quality of evidence ranged from high (medication; k?=?29) to very low (nutrient supplementation, neurofeedback, occupational therapy; k?=?1 each). Medications demonstrated consistent strong impact on ADHD symptoms and inconsistent impact on impairment. Diverse cognitive/behavioral treatments (C/BTs) demonstrated inconsistent impact on ADHD symptoms but strong and consistent impact on impairment and executive function skills, plus moderate benefits on internalizing symptoms. No interventions demonstrated significant safety concerns. Long-term maintenance (up to 3?years post-treatment) was demonstrated for C/BTs, though moderate quality of evidence was noted because participants cannot be fully blinded to receipt of treatment. Conclusions The effects of C/BTs and medication appear complementary, not duplicative. Combining medication and C/BT is advised at treatment outset to maximize engagement, maintenance, and response breadth (i.e. improving both ADHD symptoms/cognitive performance and coping skills/functional impairments). Engagement strategies (e.g. motivational interviewing) may facilitate uptake. Novel treatments do not yet demonstrate effects on ADHD symptoms or impairments in adolescents but remain a promising area for research. En ligne : https://dx.doi.org/10.1111/jcpp.14056 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Research Review: Pharmacological and non-pharmacological treatments for adolescents with attention deficit/hyperactivity disorder - a systematic review of the literature [Texte imprimé et/ou numérique] / Margaret H. SIBLEY, Auteur ; Sabrina FLORES, Auteur ; Madeline MURPHY, Auteur ; Hana BASU, Auteur ; Mark A. STEIN, Auteur ; Steven W. EVANS, Auteur ; Xin ZHAO, Auteur ; Maychelle MANZANO, Auteur ; Shauntal VAN DREEL, Auteur . - p.132-149. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.132-149 Mots-clés : ADHD  adolescence  treatment trials Index. décimale : PER Périodiques Résumé : Background Attention Deficit/Hyperactivity Disorder (ADHD) demonstrates unique developmental manifestations in adolescence with implications for optimized, age-appropriate treatment. This 10-year update is the third in a series of systematic reviews examining the efficacy and safety of adolescent ADHD treatments. We broadly examined efficacy on ADHD symptoms, impairments, and other reported outcomes. Acute and long-term efficacy, and treatment moderators, were considered. Method We performed PubMed, EMBASE, and PsycINFO searches for articles published or in press from 2013 to 2024, integrated with hand search and randomized controlled trials (RCTs) identified in this series' earlier reviews. RCTs examining the safety or efficacy of interventions delivered to adolescents (ages 10.0?19.9) with a diagnosis of ADHD were included. Study characteristics were extracted and reviewed, quality of evidence was assessed using GRADE, and effect sizes were calculated for individual studies and illustrated using forest plots. Results Sixty-three RCTs were identified. Quality of evidence ranged from high (medication; k?=?29) to very low (nutrient supplementation, neurofeedback, occupational therapy; k?=?1 each). Medications demonstrated consistent strong impact on ADHD symptoms and inconsistent impact on impairment. Diverse cognitive/behavioral treatments (C/BTs) demonstrated inconsistent impact on ADHD symptoms but strong and consistent impact on impairment and executive function skills, plus moderate benefits on internalizing symptoms. No interventions demonstrated significant safety concerns. Long-term maintenance (up to 3?years post-treatment) was demonstrated for C/BTs, though moderate quality of evidence was noted because participants cannot be fully blinded to receipt of treatment. Conclusions The effects of C/BTs and medication appear complementary, not duplicative. Combining medication and C/BT is advised at treatment outset to maximize engagement, maintenance, and response breadth (i.e. improving both ADHD symptoms/cognitive performance and coping skills/functional impairments). Engagement strategies (e.g. motivational interviewing) may facilitate uptake. Novel treatments do not yet demonstrate effects on ADHD symptoms or impairments in adolescents but remain a promising area for research. En ligne : https://dx.doi.org/10.1111/jcpp.14056 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545