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Auteur Anthony SPIRITO |
Documents disponibles écrits par cet auteur (3)



Early childhood trauma exposure and neurocognitive and emotional processes: Associations in young children in a partial hospital program / Lindsay Huffhines in Development and Psychopathology, 37-2 (May 2025)
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[article]
Titre : Early childhood trauma exposure and neurocognitive and emotional processes: Associations in young children in a partial hospital program Type de document : Texte imprimé et/ou numérique Auteurs : Lindsay Huffhines, Auteur ; Stephanie H. PARADE, Auteur ; Sarah E. MARTIN, Auteur ; Anjali GOTTIPATY, Auteur ; Brian KAVANAUGH, Auteur ; Anthony SPIRITO, Auteur ; John R. BOEKAMP, Auteur Article en page(s) : p.1108-1124 Langues : Anglais (eng) Mots-clés : adverse childhood experiences early childhood trauma emotion reactivity emotion regulation executive functioning Index. décimale : PER Périodiques Résumé : Early childhood trauma has been linked to neurocognitive and emotional processing deficits in older children, yet much less is known about these associations in young children. Early childhood is an important developmental period in which to examine relations between trauma and executive functioning/emotion reactivity, given that these capacities are rapidly developing and are potential transdiagnostic factors implicated in the development of psychopathology. This cross-sectional study examined associations between cumulative trauma, interpersonal trauma, and components of executive functioning, episodic memory, and emotion reactivity, conceptualized using the RDoC framework and assessed with observational and performance-based measures, in a sample of 90 children (ages 4-7) admitted to a partial hospital program. Children who had experienced two or more categories of trauma had lower scores in episodic memory, global cognition, and inhibitory control as measured in a relational (but not computerized) task, when compared to children with less or no trauma. Interpersonal trauma was similarly associated with global cognition and relational inhibitory control. Family contextual factors did not moderate associations. Findings support examining inhibitory control in both relationally significant and decontextualized paradigms in early childhood, and underscore the importance of investigating multiple neurocognitive and emotional processes simultaneously to identify potential targets for early intervention. En ligne : https://dx.doi.org/10.1017/S0954579424000956 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=552
in Development and Psychopathology > 37-2 (May 2025) . - p.1108-1124[article] Early childhood trauma exposure and neurocognitive and emotional processes: Associations in young children in a partial hospital program [Texte imprimé et/ou numérique] / Lindsay Huffhines, Auteur ; Stephanie H. PARADE, Auteur ; Sarah E. MARTIN, Auteur ; Anjali GOTTIPATY, Auteur ; Brian KAVANAUGH, Auteur ; Anthony SPIRITO, Auteur ; John R. BOEKAMP, Auteur . - p.1108-1124.
Langues : Anglais (eng)
in Development and Psychopathology > 37-2 (May 2025) . - p.1108-1124
Mots-clés : adverse childhood experiences early childhood trauma emotion reactivity emotion regulation executive functioning Index. décimale : PER Périodiques Résumé : Early childhood trauma has been linked to neurocognitive and emotional processing deficits in older children, yet much less is known about these associations in young children. Early childhood is an important developmental period in which to examine relations between trauma and executive functioning/emotion reactivity, given that these capacities are rapidly developing and are potential transdiagnostic factors implicated in the development of psychopathology. This cross-sectional study examined associations between cumulative trauma, interpersonal trauma, and components of executive functioning, episodic memory, and emotion reactivity, conceptualized using the RDoC framework and assessed with observational and performance-based measures, in a sample of 90 children (ages 4-7) admitted to a partial hospital program. Children who had experienced two or more categories of trauma had lower scores in episodic memory, global cognition, and inhibitory control as measured in a relational (but not computerized) task, when compared to children with less or no trauma. Interpersonal trauma was similarly associated with global cognition and relational inhibitory control. Family contextual factors did not moderate associations. Findings support examining inhibitory control in both relationally significant and decontextualized paradigms in early childhood, and underscore the importance of investigating multiple neurocognitive and emotional processes simultaneously to identify potential targets for early intervention. En ligne : https://dx.doi.org/10.1017/S0954579424000956 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=552 Self-injurious implicit attitudes among adolescent suicide attempters versus those engaged in nonsuicidal self-injury / Daniel P. DICKSTEIN in Journal of Child Psychology and Psychiatry, 56-10 (October 2015)
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Titre : Self-injurious implicit attitudes among adolescent suicide attempters versus those engaged in nonsuicidal self-injury Type de document : Texte imprimé et/ou numérique Auteurs : Daniel P. DICKSTEIN, Auteur ; Megan E. PUZIA, Auteur ; Grace K. CUSHMAN, Auteur ; Alexandra B. WEISSMAN, Auteur ; Ezra WEGBREIT, Auteur ; Kerri L. KIM, Auteur ; Matthew K. NOCK, Auteur ; Anthony SPIRITO, Auteur Article en page(s) : p.1127-1136 Langues : Anglais (eng) Mots-clés : Suicide nonsuicidal self-injury adolescent cognition Index. décimale : PER Périodiques Résumé : Background Suicide is among the most important mental health issues affecting adolescents today despite much research on its detection and prevention. Beyond suicide attempts (SAs), clinicians are increasingly confronted with another, potentially related problem: non-suicidal self-injury (NSSI)—defined as the deliberate destruction of body tissue without intent to die. NSSI may increase risk for making an SA by sevenfold, but many studies examining this link have involved youths engaging in both NSSI and SAs. Thus, there is a need to compare homogeneous groups of adolescents engaged in NSSI-only or SA-only, but not both, to advance what is known about each form of self-harm. The self-injurious implicit association task (SI-IAT) is a particularly important computerized behavioral task to study such adolescents because the SI-IAT provides objective behavioral data about problems for which people may lack insight or be motivated to conceal, such as SAs and NSSI. Methods We evaluated implicit associations with cutting and death/suicide using the computerized SI-IAT in three mutually exclusive groups: (1) adolescents who made an SA but had never engaged in NSSI (n = 47); (2) adolescents who engaged in NSSI but had never made an SA (n = 46); and (3) typically developing control (TDC) adolescents without history of psychiatric problems (n = 43). Results Nonsuicidal self-injury participants had stronger identification with cutting versus no cutting than either SA or TDC participants. Contrary to our hypothesis, NSSI participants had stronger identification with suicide/death versus life than either SA or TDC participants. Conclusions Strong implicit attitudes towards suicide/death among adolescents with NSSI without a prior SA suggest that clinicians should not dismiss NSSI as not serious. Further work is required to elucidate the mechanism by which youths engaged in NSSI acquire these stronger identifications and make a first-time SA to develop novel treatment and prevention strategies blocking this transformation, ultimately reducing youth suicide. En ligne : http://dx.doi.org/10.1111/jcpp.12385 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=269
in Journal of Child Psychology and Psychiatry > 56-10 (October 2015) . - p.1127-1136[article] Self-injurious implicit attitudes among adolescent suicide attempters versus those engaged in nonsuicidal self-injury [Texte imprimé et/ou numérique] / Daniel P. DICKSTEIN, Auteur ; Megan E. PUZIA, Auteur ; Grace K. CUSHMAN, Auteur ; Alexandra B. WEISSMAN, Auteur ; Ezra WEGBREIT, Auteur ; Kerri L. KIM, Auteur ; Matthew K. NOCK, Auteur ; Anthony SPIRITO, Auteur . - p.1127-1136.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 56-10 (October 2015) . - p.1127-1136
Mots-clés : Suicide nonsuicidal self-injury adolescent cognition Index. décimale : PER Périodiques Résumé : Background Suicide is among the most important mental health issues affecting adolescents today despite much research on its detection and prevention. Beyond suicide attempts (SAs), clinicians are increasingly confronted with another, potentially related problem: non-suicidal self-injury (NSSI)—defined as the deliberate destruction of body tissue without intent to die. NSSI may increase risk for making an SA by sevenfold, but many studies examining this link have involved youths engaging in both NSSI and SAs. Thus, there is a need to compare homogeneous groups of adolescents engaged in NSSI-only or SA-only, but not both, to advance what is known about each form of self-harm. The self-injurious implicit association task (SI-IAT) is a particularly important computerized behavioral task to study such adolescents because the SI-IAT provides objective behavioral data about problems for which people may lack insight or be motivated to conceal, such as SAs and NSSI. Methods We evaluated implicit associations with cutting and death/suicide using the computerized SI-IAT in three mutually exclusive groups: (1) adolescents who made an SA but had never engaged in NSSI (n = 47); (2) adolescents who engaged in NSSI but had never made an SA (n = 46); and (3) typically developing control (TDC) adolescents without history of psychiatric problems (n = 43). Results Nonsuicidal self-injury participants had stronger identification with cutting versus no cutting than either SA or TDC participants. Contrary to our hypothesis, NSSI participants had stronger identification with suicide/death versus life than either SA or TDC participants. Conclusions Strong implicit attitudes towards suicide/death among adolescents with NSSI without a prior SA suggest that clinicians should not dismiss NSSI as not serious. Further work is required to elucidate the mechanism by which youths engaged in NSSI acquire these stronger identifications and make a first-time SA to develop novel treatment and prevention strategies blocking this transformation, ultimately reducing youth suicide. En ligne : http://dx.doi.org/10.1111/jcpp.12385 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=269 Social connectedness and adolescent suicide risk / David BRENT ; Jacqueline GRUPP-PHELAN ; Bradley J. BARNEY ; Anthony SPIRITO ; Megan M. MROCZKOWSKI ; Rohit SHENOI ; Melinda MAHABEE-GITTENS ; T. Charles CASPER ; Cheryl KING ; in collaboration with the Pediatric Emergency Care Applied Research NETWORK in Journal of Child Psychology and Psychiatry, 65-6 (June 2024)
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Titre : Social connectedness and adolescent suicide risk Type de document : Texte imprimé et/ou numérique Auteurs : David BRENT, Auteur ; Jacqueline GRUPP-PHELAN, Auteur ; Bradley J. BARNEY, Auteur ; Anthony SPIRITO, Auteur ; Megan M. MROCZKOWSKI, Auteur ; Rohit SHENOI, Auteur ; Melinda MAHABEE-GITTENS, Auteur ; T. Charles CASPER, Auteur ; Cheryl KING, Auteur ; in collaboration with the Pediatric Emergency Care Applied Research NETWORK, Auteur Année de publication : 2024 Article en page(s) : p.785-797 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Despite evidence of the importance of interpersonal connectedness to our understanding of suicide risk, relatively little research has examined the protective and buffering effects of connectedness among adolescents. The aims of this study were to determine: (a) whether overall connectedness (composite of family, peer, and school) and specific domains of connectedness were related to a lower likelihood of suicide attempts, and (b) whether these factors buffer the prospective risk of suicide attempt for high-risk subgroups (i.e., recent suicidal ideation and/or lifetime history of suicide attempt, peer victimization, or sexual and gender minority status). Methods Participants were 2,897 adolescents (64.7% biological female), ages 12 to 17 (M = 14.6, SD = 1.6), recruited in collaboration with the Pediatric Emergency Care Applied Research Network (PECARN) from 14 emergency departments for the Emergency Department Screen for Teens at Risk for Suicide Study (ED-STARS). Suicide risk and protective factors were assessed at baseline; 3- and 6-month follow-ups were completed (79.5% retention). Multivariable logistic regressions were conducted, adjusting for established suicide risk factors. Results Higher overall connectedness and, specifically, school connectedness were associated with decreased likelihood of a suicide attempt across 6?months. Overall connectedness and connectedness domains did not function as buffers for future suicide attempts among certain high-risk subgroups. The protective effect of overall connectedness was lower for youth with recent suicidal ideation or a suicide attempt history than for those without this history. Similarly, overall connectedness was protective for youth without peer victimization but not those with this history. Regarding specific domains, family connectedness was protective for youth without recent suicidal ideation or a suicide attempt history and peer connectedness was protective for youth without peer victimization but not youth with these histories. Conclusions In this large and geographically diverse sample, overall and school connectedness were related prospectively to lower likelihood of suicide attempts, and connectedness was more protective for youth not in certain high-risk subgroups. Results inform preventive efforts aimed at improving youth connectedness and reducing suicide risk. En ligne : https://doi.org/10.1111/jcpp.13908 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528
in Journal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.785-797[article] Social connectedness and adolescent suicide risk [Texte imprimé et/ou numérique] / David BRENT, Auteur ; Jacqueline GRUPP-PHELAN, Auteur ; Bradley J. BARNEY, Auteur ; Anthony SPIRITO, Auteur ; Megan M. MROCZKOWSKI, Auteur ; Rohit SHENOI, Auteur ; Melinda MAHABEE-GITTENS, Auteur ; T. Charles CASPER, Auteur ; Cheryl KING, Auteur ; in collaboration with the Pediatric Emergency Care Applied Research NETWORK, Auteur . - 2024 . - p.785-797.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.785-797
Index. décimale : PER Périodiques Résumé : Background Despite evidence of the importance of interpersonal connectedness to our understanding of suicide risk, relatively little research has examined the protective and buffering effects of connectedness among adolescents. The aims of this study were to determine: (a) whether overall connectedness (composite of family, peer, and school) and specific domains of connectedness were related to a lower likelihood of suicide attempts, and (b) whether these factors buffer the prospective risk of suicide attempt for high-risk subgroups (i.e., recent suicidal ideation and/or lifetime history of suicide attempt, peer victimization, or sexual and gender minority status). Methods Participants were 2,897 adolescents (64.7% biological female), ages 12 to 17 (M = 14.6, SD = 1.6), recruited in collaboration with the Pediatric Emergency Care Applied Research Network (PECARN) from 14 emergency departments for the Emergency Department Screen for Teens at Risk for Suicide Study (ED-STARS). Suicide risk and protective factors were assessed at baseline; 3- and 6-month follow-ups were completed (79.5% retention). Multivariable logistic regressions were conducted, adjusting for established suicide risk factors. Results Higher overall connectedness and, specifically, school connectedness were associated with decreased likelihood of a suicide attempt across 6?months. Overall connectedness and connectedness domains did not function as buffers for future suicide attempts among certain high-risk subgroups. The protective effect of overall connectedness was lower for youth with recent suicidal ideation or a suicide attempt history than for those without this history. Similarly, overall connectedness was protective for youth without peer victimization but not those with this history. Regarding specific domains, family connectedness was protective for youth without recent suicidal ideation or a suicide attempt history and peer connectedness was protective for youth without peer victimization but not youth with these histories. Conclusions In this large and geographically diverse sample, overall and school connectedness were related prospectively to lower likelihood of suicide attempts, and connectedness was more protective for youth not in certain high-risk subgroups. Results inform preventive efforts aimed at improving youth connectedness and reducing suicide risk. En ligne : https://doi.org/10.1111/jcpp.13908 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528