Children's cognitive performance and suicide risk through middle adulthood / Pablo VIDAL-RIBAS in Journal of Child Psychology and Psychiatry, 64-10 (October 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-10 (October 2023) . - p.1480-1491 Titre : Children's cognitive performance and suicide risk through middle adulthood Type de document : Texte imprimé et/ou numérique Auteurs : Pablo VIDAL-RIBAS, Auteur ; Theemeshni GOVENDER, Auteur ; Jing YU, Auteur ; Rajeshwari SUNDARAM, Auteur ; Roy H. PERLIS, Auteur ; Stephen E. GILMAN, Auteur Article en page(s) : p.1480-1491 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Longitudinal studies show that lower cognitive performance in adolescence and early adulthood is associated with higher risk of suicide death throughout adulthood. However, it is unclear whether this cognitive vulnerability originates earlier in childhood since studies conducted in children are scarce and have inconsistent results. Methods Vital status of 49,853 individuals born between 1959 and 1966 to participants in the Collaborative Perinatal Project cohort was determined by a probabilistic linkage to the National Death Index, covering all US deaths occurring from 1979 through 2016. Cox proportional hazard models were used to examine associations of general, verbal, and non-verbal intelligence at ages 4 and 7, and academic skills at age 7 with suicide death coded according to ICD-9/10 criteria, while accounting for sociodemographic and pregnancy factors previously associated with suicide in this sample. Results By the end of 2016, 288 cohort members had died by suicide. Cognitive performance at 7?years on tests with verbal components was associated with suicide risk (average vs. high verbal intelligence, HR=1.97, 95% CI 1.05-3.71; low vs. high spelling skills, HR=2.02, 95% CI 1.16-3.51; low vs. high reading skills, HR=2.01, 95% CI 1.27-3.17). Associations were still evident, especially for verbal intelligence and reading skills, but hazard ratios were attenuated after adjusting for prenatal and sociodemographic factors at birth (verbal intelligence, HR=1.97, 95% CI 1.03-3.78; spelling, HR=1.61, 95% CI 0.90-2.88; reading, HR=1.67, 95% CI 1.02-2.72). Conclusions Childhood neurocognitive performance is associated with vulnerability to suicide mortality through middle-adulthood, suggesting that there might be a cognitive diathesis for suicide originating in early childhood. Future studies should examine how multiple domains of childhood cognitive performance contribute to vulnerability to suicide risk, including by increasing risk for social and environmental factors that are associated not only with suicide but also with many types of psychiatric disorders. En ligne : https://doi.org/10.1111/jcpp.13841 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Children's cognitive performance and suicide risk through middle adulthood [Texte imprimé et/ou numérique] / Pablo VIDAL-RIBAS, Auteur ; Theemeshni GOVENDER, Auteur ; Jing YU, Auteur ; Rajeshwari SUNDARAM, Auteur ; Roy H. PERLIS, Auteur ; Stephen E. GILMAN, Auteur . - p.1480-1491. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-10 (October 2023) . - p.1480-1491 Index. décimale : PER Périodiques Résumé : Background Longitudinal studies show that lower cognitive performance in adolescence and early adulthood is associated with higher risk of suicide death throughout adulthood. However, it is unclear whether this cognitive vulnerability originates earlier in childhood since studies conducted in children are scarce and have inconsistent results. Methods Vital status of 49,853 individuals born between 1959 and 1966 to participants in the Collaborative Perinatal Project cohort was determined by a probabilistic linkage to the National Death Index, covering all US deaths occurring from 1979 through 2016. Cox proportional hazard models were used to examine associations of general, verbal, and non-verbal intelligence at ages 4 and 7, and academic skills at age 7 with suicide death coded according to ICD-9/10 criteria, while accounting for sociodemographic and pregnancy factors previously associated with suicide in this sample. Results By the end of 2016, 288 cohort members had died by suicide. Cognitive performance at 7?years on tests with verbal components was associated with suicide risk (average vs. high verbal intelligence, HR=1.97, 95% CI 1.05-3.71; low vs. high spelling skills, HR=2.02, 95% CI 1.16-3.51; low vs. high reading skills, HR=2.01, 95% CI 1.27-3.17). Associations were still evident, especially for verbal intelligence and reading skills, but hazard ratios were attenuated after adjusting for prenatal and sociodemographic factors at birth (verbal intelligence, HR=1.97, 95% CI 1.03-3.78; spelling, HR=1.61, 95% CI 0.90-2.88; reading, HR=1.67, 95% CI 1.02-2.72). Conclusions Childhood neurocognitive performance is associated with vulnerability to suicide mortality through middle-adulthood, suggesting that there might be a cognitive diathesis for suicide originating in early childhood. Future studies should examine how multiple domains of childhood cognitive performance contribute to vulnerability to suicide risk, including by increasing risk for social and environmental factors that are associated not only with suicide but also with many types of psychiatric disorders. En ligne : https://doi.org/10.1111/jcpp.13841 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Sex differences in the associations between vagal reactivity and oppositional defiant disorder symptoms / Pablo VIDAL-RIBAS in Journal of Child Psychology and Psychiatry, 58-9 (September 2017)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 58-9 (September 2017) . - p.988-997 Titre : Sex differences in the associations between vagal reactivity and oppositional defiant disorder symptoms Type de document : Texte imprimé et/ou numérique Auteurs : Pablo VIDAL-RIBAS, Auteur ; Andrew PICKLES, Auteur ; Florin TIBU, Auteur ; Helen SHARP, Auteur ; Jonathan HILL, Auteur Article en page(s) : p.988-997 Langues : Anglais (eng) Mots-clés : Vagal reactivity  oppositional defiant disorder  irritability  headstrong  sex differences Index. décimale : PER Périodiques Résumé : Background Vagal reactivity to stress in children has been associated with future psychiatric outcomes. However, results have been mixed possibly because these effects are in opposite direction in boys and girls. These sex differences are relevant in the context of development of psychopathology, whereby the rates of psychiatric disorders differ by sex. In this study, we aimed to examine the association between vagal reactivity, assessed as a reduction in respiratory sinus arrhythmia (RSA) in response to a challenge, and the development of future oppositional defiant disorder (ODD) symptoms in boys and girls. In addition, we examine the specific associations with ODD symptom dimensions, named irritability and headstrong. We hypothesized that increased vagal reactivity was associated with increased ODD symptoms in girls and a reduction in ODD symptoms in boys. Methods Participants were members of the Wirral Child Health and Development Study, a prospective epidemiological longitudinal study of 1,233 first-time mothers recruited at 20 weeks’ gestation. RSA during four nonstressful and one stressful (still-face) procedures was assessed when children were aged 29 weeks in a sample stratified by adversity (n = 270). Maternal reports of ODD symptoms were collected when children were 2.5 years old (n = 253), 3.5 years old (n = 826), and 5 years old (n = 770). Structural equation modeling (SEM) was employed to test our hypotheses. Results There was a significant sex difference in the prediction of ODD symptoms due to the opposite directionality in which increasing vagal reactivity was associated with an increase in ODD symptoms in girls and a reduction of ODD symptoms in boys. This Sex by Vagal reactivity interaction was common for both ODD dimensions, with no sex by dimension-specific associations. Conclusions Physiological reactivity to a stressful situation predicts differently ODD symptoms in boys and girls very early in life, with no difference across irritability and headstrong components. Findings are discussed in the context of the several mechanisms involved on the later development of distinct psychiatric disorders in boys and girls. En ligne : http://dx.doi.org/10.1111/jcpp.12750 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=317 [article] Sex differences in the associations between vagal reactivity and oppositional defiant disorder symptoms [Texte imprimé et/ou numérique] / Pablo VIDAL-RIBAS, Auteur ; Andrew PICKLES, Auteur ; Florin TIBU, Auteur ; Helen SHARP, Auteur ; Jonathan HILL, Auteur . - p.988-997. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 58-9 (September 2017) . - p.988-997 Mots-clés : Vagal reactivity  oppositional defiant disorder  irritability  headstrong  sex differences Index. décimale : PER Périodiques Résumé : Background Vagal reactivity to stress in children has been associated with future psychiatric outcomes. However, results have been mixed possibly because these effects are in opposite direction in boys and girls. These sex differences are relevant in the context of development of psychopathology, whereby the rates of psychiatric disorders differ by sex. In this study, we aimed to examine the association between vagal reactivity, assessed as a reduction in respiratory sinus arrhythmia (RSA) in response to a challenge, and the development of future oppositional defiant disorder (ODD) symptoms in boys and girls. In addition, we examine the specific associations with ODD symptom dimensions, named irritability and headstrong. We hypothesized that increased vagal reactivity was associated with increased ODD symptoms in girls and a reduction in ODD symptoms in boys. Methods Participants were members of the Wirral Child Health and Development Study, a prospective epidemiological longitudinal study of 1,233 first-time mothers recruited at 20 weeks’ gestation. RSA during four nonstressful and one stressful (still-face) procedures was assessed when children were aged 29 weeks in a sample stratified by adversity (n = 270). Maternal reports of ODD symptoms were collected when children were 2.5 years old (n = 253), 3.5 years old (n = 826), and 5 years old (n = 770). Structural equation modeling (SEM) was employed to test our hypotheses. Results There was a significant sex difference in the prediction of ODD symptoms due to the opposite directionality in which increasing vagal reactivity was associated with an increase in ODD symptoms in girls and a reduction of ODD symptoms in boys. This Sex by Vagal reactivity interaction was common for both ODD dimensions, with no sex by dimension-specific associations. Conclusions Physiological reactivity to a stressful situation predicts differently ODD symptoms in boys and girls very early in life, with no difference across irritability and headstrong components. Findings are discussed in the context of the several mechanisms involved on the later development of distinct psychiatric disorders in boys and girls. En ligne : http://dx.doi.org/10.1111/jcpp.12750 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=317

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