Emotional dysregulation in childhood and disordered eating and self-harm in adolescence: prospective associations and mediating pathways / Naomi WARNE in Journal of Child Psychology and Psychiatry, 64-5 (May 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-5 (May 2023) . - p.797-806 Titre : Emotional dysregulation in childhood and disordered eating and self-harm in adolescence: prospective associations and mediating pathways Type de document : Texte imprimé et/ou numérique Auteurs : Naomi WARNE, Auteur ; Jon HERON, Auteur ; Becky MARS, Auteur ; Francesca SOLMI, Auteur ; Lucy BIDDLE, Auteur ; David GUNNELL, Auteur ; Gemma HAMMERTON, Auteur ; Paul MORAN, Auteur ; Marcus MUNAFO, Auteur ; Ian PENTON-VOAK, Auteur ; Andy SKINNER, Auteur ; Anne STEWART, Auteur ; Helen BOULD, Auteur Article en page(s) : p.797-806 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Emotional dysregulation may be a risk factor for disordered eating and self-harm in young people, but few prospective studies have assessed these associations long-term, or considered potential mediators. We examined prospective relationships between childhood emotional dysregulation and disordered eating and self-harm in adolescence; and social cognition, emotional recognition, and being bullied as mediators. Methods We analysed Avon Longitudinal Study of Parents and Children data on 3,453 males and 3,481 females. We examined associations between emotional dysregulation at 7?years and any disordered eating and any self-harm at 16?years with probit regression models. We also assessed whether social cognition (7?years), emotional recognition (8?years) and bullying victimisation (11?years) mediated these relationships. Results Emotional dysregulation at age 7?years was associated with disordered eating [fully adjusted probit B (95% CI) = 0.082 (0.029, 0.134)] and self-harm [fully adjusted probit B (95% CI) = 0.093 (0.036, 0.150)] at age 16?years. There was no evidence of sex interactions or difference in effects between self-harm and disordered eating. Mediation models found social cognition was a key pathway to disordered eating (females 51.2%; males 27.0% of total effect) and self-harm (females 15.7%; males 10.8% of total effect). Bullying victimisation was an important pathway to disordered eating (females 17.1%; males 10.0% of total effect), but only to self-harm in females (15.7% of total effect). Indirect effects were stronger for disordered eating than self-harm. Conclusions In males and females, emotional dysregulation in early childhood is associated with disordered eating and self-harm in adolescence and may be a useful target for prevention and treatment. Mediating pathways appeared to differ by sex and outcome, but social cognition was a key mediating pathway for both disordered eating and self-harm. En ligne : https://doi.org/10.1111/jcpp.13738 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=501 [article] Emotional dysregulation in childhood and disordered eating and self-harm in adolescence: prospective associations and mediating pathways [Texte imprimé et/ou numérique] / Naomi WARNE, Auteur ; Jon HERON, Auteur ; Becky MARS, Auteur ; Francesca SOLMI, Auteur ; Lucy BIDDLE, Auteur ; David GUNNELL, Auteur ; Gemma HAMMERTON, Auteur ; Paul MORAN, Auteur ; Marcus MUNAFO, Auteur ; Ian PENTON-VOAK, Auteur ; Andy SKINNER, Auteur ; Anne STEWART, Auteur ; Helen BOULD, Auteur . - p.797-806. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-5 (May 2023) . - p.797-806 Index. décimale : PER Périodiques Résumé : Background Emotional dysregulation may be a risk factor for disordered eating and self-harm in young people, but few prospective studies have assessed these associations long-term, or considered potential mediators. We examined prospective relationships between childhood emotional dysregulation and disordered eating and self-harm in adolescence; and social cognition, emotional recognition, and being bullied as mediators. Methods We analysed Avon Longitudinal Study of Parents and Children data on 3,453 males and 3,481 females. We examined associations between emotional dysregulation at 7?years and any disordered eating and any self-harm at 16?years with probit regression models. We also assessed whether social cognition (7?years), emotional recognition (8?years) and bullying victimisation (11?years) mediated these relationships. Results Emotional dysregulation at age 7?years was associated with disordered eating [fully adjusted probit B (95% CI) = 0.082 (0.029, 0.134)] and self-harm [fully adjusted probit B (95% CI) = 0.093 (0.036, 0.150)] at age 16?years. There was no evidence of sex interactions or difference in effects between self-harm and disordered eating. Mediation models found social cognition was a key pathway to disordered eating (females 51.2%; males 27.0% of total effect) and self-harm (females 15.7%; males 10.8% of total effect). Bullying victimisation was an important pathway to disordered eating (females 17.1%; males 10.0% of total effect), but only to self-harm in females (15.7% of total effect). Indirect effects were stronger for disordered eating than self-harm. Conclusions In males and females, emotional dysregulation in early childhood is associated with disordered eating and self-harm in adolescence and may be a useful target for prevention and treatment. Mediating pathways appeared to differ by sex and outcome, but social cognition was a key mediating pathway for both disordered eating and self-harm. En ligne : https://doi.org/10.1111/jcpp.13738 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=501

The clinical and cost effectiveness of a STAndardised DIagnostic Assessment for children and adolescents with emotional difficulties: the STADIA multi-centre randomised controlled trial / Laura WYATT ; Christopher PARTLETT ; Colleen EWART ; Anupam BHARDWAJ ; Bernadka DUBICKA ; Tamsin MARSHALL ; Julia GLEDHILL ; Alexandra LANG ; Kirsty SPRANGE ; Louise THOMSON ; Sebastian MOODY ; Grace HOLT ; Helen BOULD ; Clare UPTON ; Matthew KEANE ; Edward COX ; Marilyn JAMES ; Alan MONTGOMERY in Journal of Child Psychology and Psychiatry, 66-6 (June 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-6 (June 2025) . - p.805-820 Titre : The clinical and cost effectiveness of a STAndardised DIagnostic Assessment for children and adolescents with emotional difficulties: the STADIA multi-centre randomised controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Laura WYATT, Auteur ; Christopher PARTLETT, Auteur ; Colleen EWART, Auteur ; Anupam BHARDWAJ, Auteur ; Bernadka DUBICKA, Auteur ; Tamsin MARSHALL, Auteur ; Julia GLEDHILL, Auteur ; Alexandra LANG, Auteur ; Kirsty SPRANGE, Auteur ; Louise THOMSON, Auteur ; Sebastian MOODY, Auteur ; Grace HOLT, Auteur ; Helen BOULD, Auteur ; Clare UPTON, Auteur ; Matthew KEANE, Auteur ; Edward COX, Auteur ; Marilyn JAMES, Auteur ; Alan MONTGOMERY, Auteur Article en page(s) : p.805-820 Langues : Anglais (eng) Mots-clés : RCT  standardised diagnostic assessment  diagnosis  emotional disorders  health economic evaluation  STADIA  Child and Adolescent Mental Health Services (CAMHS) Index. décimale : PER Périodiques Résumé : Background Standardised Diagnostic Assessment tools, such as the Development and Well-Being Assessment (DAWBA), may aid detection and diagnosis of emotional disorders but there is limited real-world evidence of their clinical or cost effectiveness. Methods We conducted a multicentre, two-arm parallel group randomised controlled trial in eight large National Health Service Trusts in England providing multidisciplinary specialist Child and Adolescent Mental Health Services (CAMHS). Participants (5?17?year-olds with emotional difficulties referred to CAMHS) were randomly assigned (1:1), following referral receipt, to either receive the DAWBA and assessment-as-usual (intervention group) or assessment-as-usual (control group). Data were self-reported by participants (parents and/or young person, depending on age) at baseline, 6- and 12-month post-randomisation and collected from clinical records up to 18?months post-randomisation. The primary outcome was a clinician-made diagnosis decision about the presence of an emotional disorder within 12?months of randomisation. Trial registration: ISRCTN15748675. Results In total, 1,225 children and young people (58% female sex) were randomised (615 intervention; 610 control). Adherence to the intervention (full/partial completion) was 80% (494/615). At 12?months, 68 (11%) participants in the intervention group received an emotional disorder diagnosis versus 72 (12%) in the control group (adjusted risk ratio (RR) 0.94 [95% CI 0.70, 1.28]). The intervention was not cost effective. There was no evidence of any differences between groups for service-related or participant-reported secondary outcomes, for example, CAMHS acceptance of the index referral (intervention 277 (45%) versus control 262 (43%); RR: 1.06 [95% CI: 0.94, 1.19]) was similar between groups. Conclusions As delivered in this pragmatic trial, we found no evidence for the effectiveness or cost effectiveness of using a Standardised Diagnostic Assessment tool in aiding the detection of emotional disorders or clinical outcomes in clinically referred children and young people. Despite regular efforts to encourage clinicians to view the DAWBA report and consider its findings as part of assessment and diagnosis, we did not collect data on usage and therefore cannot confirm the extent to which clinicians did this. As a pragmatic trial that aimed to test the effectiveness of incorporating the DAWBA into usual practice and clinical care, our study found that, in the format as delivered in this trial, there was no impact on diagnosis or clinical outcomes. En ligne : https://doi.org/10.1111/jcpp.14090 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=556 [article] The clinical and cost effectiveness of a STAndardised DIagnostic Assessment for children and adolescents with emotional difficulties: the STADIA multi-centre randomised controlled trial [Texte imprimé et/ou numérique] / Laura WYATT, Auteur ; Christopher PARTLETT, Auteur ; Colleen EWART, Auteur ; Anupam BHARDWAJ, Auteur ; Bernadka DUBICKA, Auteur ; Tamsin MARSHALL, Auteur ; Julia GLEDHILL, Auteur ; Alexandra LANG, Auteur ; Kirsty SPRANGE, Auteur ; Louise THOMSON, Auteur ; Sebastian MOODY, Auteur ; Grace HOLT, Auteur ; Helen BOULD, Auteur ; Clare UPTON, Auteur ; Matthew KEANE, Auteur ; Edward COX, Auteur ; Marilyn JAMES, Auteur ; Alan MONTGOMERY, Auteur . - p.805-820. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-6 (June 2025) . - p.805-820 Mots-clés : RCT  standardised diagnostic assessment  diagnosis  emotional disorders  health economic evaluation  STADIA  Child and Adolescent Mental Health Services (CAMHS) Index. décimale : PER Périodiques Résumé : Background Standardised Diagnostic Assessment tools, such as the Development and Well-Being Assessment (DAWBA), may aid detection and diagnosis of emotional disorders but there is limited real-world evidence of their clinical or cost effectiveness. Methods We conducted a multicentre, two-arm parallel group randomised controlled trial in eight large National Health Service Trusts in England providing multidisciplinary specialist Child and Adolescent Mental Health Services (CAMHS). Participants (5?17?year-olds with emotional difficulties referred to CAMHS) were randomly assigned (1:1), following referral receipt, to either receive the DAWBA and assessment-as-usual (intervention group) or assessment-as-usual (control group). Data were self-reported by participants (parents and/or young person, depending on age) at baseline, 6- and 12-month post-randomisation and collected from clinical records up to 18?months post-randomisation. The primary outcome was a clinician-made diagnosis decision about the presence of an emotional disorder within 12?months of randomisation. Trial registration: ISRCTN15748675. Results In total, 1,225 children and young people (58% female sex) were randomised (615 intervention; 610 control). Adherence to the intervention (full/partial completion) was 80% (494/615). At 12?months, 68 (11%) participants in the intervention group received an emotional disorder diagnosis versus 72 (12%) in the control group (adjusted risk ratio (RR) 0.94 [95% CI 0.70, 1.28]). The intervention was not cost effective. There was no evidence of any differences between groups for service-related or participant-reported secondary outcomes, for example, CAMHS acceptance of the index referral (intervention 277 (45%) versus control 262 (43%); RR: 1.06 [95% CI: 0.94, 1.19]) was similar between groups. Conclusions As delivered in this pragmatic trial, we found no evidence for the effectiveness or cost effectiveness of using a Standardised Diagnostic Assessment tool in aiding the detection of emotional disorders or clinical outcomes in clinically referred children and young people. Despite regular efforts to encourage clinicians to view the DAWBA report and consider its findings as part of assessment and diagnosis, we did not collect data on usage and therefore cannot confirm the extent to which clinicians did this. As a pragmatic trial that aimed to test the effectiveness of incorporating the DAWBA into usual practice and clinical care, our study found that, in the format as delivered in this trial, there was no impact on diagnosis or clinical outcomes. En ligne : https://doi.org/10.1111/jcpp.14090 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=556

Trajectories of autistic social traits in childhood and adolescence and disordered eating behaviours at age 14 years: A UK general population cohort study / Francesca SOLMI in Journal of Child Psychology and Psychiatry, 62-1 (January 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-1 (January 2021) . - p.75-85 Titre : Trajectories of autistic social traits in childhood and adolescence and disordered eating behaviours at age 14 years: A UK general population cohort study Type de document : Texte imprimé et/ou numérique Auteurs : Francesca SOLMI, Auteur ; Francesca BENTIVEGNA, Auteur ; Helen BOULD, Auteur ; William MANDY, Auteur ; Radha KOTHARI, Auteur ; Dheeraj RAI, Auteur ; David SKUSE, Auteur ; Glyn LEWIS, Auteur Article en page(s) : p.75-85 Langues : Anglais (eng) Mots-clés : Alspac  autistic traits  cohort study  eating disorders  trajectories Index. décimale : PER Périodiques Résumé : BACKGROUND: Some people with eating disorders have difficulties with social communication. However, no longitudinal evidence regarding the direction of this association exists. We investigated trajectories of autistic social traits across childhood and adolescence in adolescents with and without disordered eating behaviours in early adolescence. METHODS: We used data from the Avon Longitudinal Study of Parents and Children. Our disordered eating measure indicated presence of any, monthly and weekly disordered eating (fasting, purging, dieting, binge eating) at age 14 years. Autistic social traits were reported by mothers using the Social and Communication Disorders Checklist (SCDC) at age seven, 11, 14 and 16 years. We modelled SCDC score trajectories using multilevel negative binomial models adjusting for a number of child- and maternal-level confounders. RESULTS: Of the 5,381 adolescents included in our sample, 421 (7.8%) experienced one or more disordered eating behaviours, and 148 (2.8%) weekly episodes. Adolescents with disordered eating had a 20% increase in SCDC scores (relative risk (RR) 1.23, 95% confidence interval (CI):1.14, 1.32) compared to those without disordered eating. This association was particularly apparent for those reporting weekly (RR 1.43, 95%CI: 1.27, 1.61) as opposed to monthly disordered eating (RR 1.12, 95%CI: 1.01, 1.22). CONCLUSIONS: Greater autistic social traits in childhood could represent a risk factor for the development of disordered eating in adolescence. Although mechanisms of this association need to be elucidated, clinicians should be aware that autistic social traits could have predated the eating disorder when managing people with these conditions. En ligne : http://dx.doi.org/10.1111/jcpp.13255 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=435 [article] Trajectories of autistic social traits in childhood and adolescence and disordered eating behaviours at age 14 years: A UK general population cohort study [Texte imprimé et/ou numérique] / Francesca SOLMI, Auteur ; Francesca BENTIVEGNA, Auteur ; Helen BOULD, Auteur ; William MANDY, Auteur ; Radha KOTHARI, Auteur ; Dheeraj RAI, Auteur ; David SKUSE, Auteur ; Glyn LEWIS, Auteur . - p.75-85. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-1 (January 2021) . - p.75-85 Mots-clés : Alspac  autistic traits  cohort study  eating disorders  trajectories Index. décimale : PER Périodiques Résumé : BACKGROUND: Some people with eating disorders have difficulties with social communication. However, no longitudinal evidence regarding the direction of this association exists. We investigated trajectories of autistic social traits across childhood and adolescence in adolescents with and without disordered eating behaviours in early adolescence. METHODS: We used data from the Avon Longitudinal Study of Parents and Children. Our disordered eating measure indicated presence of any, monthly and weekly disordered eating (fasting, purging, dieting, binge eating) at age 14 years. Autistic social traits were reported by mothers using the Social and Communication Disorders Checklist (SCDC) at age seven, 11, 14 and 16 years. We modelled SCDC score trajectories using multilevel negative binomial models adjusting for a number of child- and maternal-level confounders. RESULTS: Of the 5,381 adolescents included in our sample, 421 (7.8%) experienced one or more disordered eating behaviours, and 148 (2.8%) weekly episodes. Adolescents with disordered eating had a 20% increase in SCDC scores (relative risk (RR) 1.23, 95% confidence interval (CI):1.14, 1.32) compared to those without disordered eating. This association was particularly apparent for those reporting weekly (RR 1.43, 95%CI: 1.27, 1.61) as opposed to monthly disordered eating (RR 1.12, 95%CI: 1.01, 1.22). CONCLUSIONS: Greater autistic social traits in childhood could represent a risk factor for the development of disordered eating in adolescence. Although mechanisms of this association need to be elucidated, clinicians should be aware that autistic social traits could have predated the eating disorder when managing people with these conditions. En ligne : http://dx.doi.org/10.1111/jcpp.13255 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=435

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