Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10 / Alexandra D. CONVERTINO in Journal of Child Psychology and Psychiatry, 63-5 (May 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.519-526 Titre : Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10 Type de document : Texte imprimé et/ou numérique Auteurs : Alexandra D. CONVERTINO, Auteur ; Aaron J. BLASHILL, Auteur Article en page(s) : p.519-526 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Anorexia Nervosa/epidemiology  Anxiety Disorders/epidemiology  Child  Comorbidity  Depressive Disorder, Major/epidemiology  Feeding and Eating Disorders/epidemiology  Humans  Prevalence  Eating disorder  anorexia nervosa  binge eating  bulimia nervosa Index. décimale : PER Périodiques Résumé : BACKGROUND: Eating disorders exhibit high comorbidity with other psychiatric disorders, most notably mood, substance use, and anxiety disorders. However, most studies examining psychiatric comorbidity are conducted in adolescents and adults. Therefore, the comorbidity among children living with eating disorders is unknown. The aim of this study was to characterize co-occurring psychiatric disorders with eating disorders in a US sample of children aged 9-10?years old utilizing the Adolescent Brain Cognitive Development study. METHODS: The analytic sample included 11,718 children aged 9-10?years. Anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorder subtype diagnoses were examined. Statistical analyses were conducted using complex sampling. Odds ratios and 95% confidence intervals were calculated comparing the likelihood of being diagnosed for a psychiatric disorder when having an eating disorder, as compared to children without an eating disorder, children diagnosed with major depressive disorder, and children diagnosed with posttraumatic stress disorder using binary logistic regression. RESULTS: Co-occurring psychiatric disorders were substantially higher in children with eating disorders as compared to children without eating disorders, but not as compared to children diagnosed with major depressive disorder or posttraumatic stress disorder. The most common comorbidities for the eating disorder group were anxiety disorders (71.4%), attention deficit/hyperactivity disorder (47.9%), disruptive/impulse control disorders (45.0%), mood disorders (29.6%), and obsessive-compulsive disorder (28.8%), largely in line with previous research. CONCLUSIONS: This study extends prior research finding high rates of comorbidity in eating disorders, specifically with anxiety, mood, and disruptive/impulse control disorders. Clinicians assessing for psychiatric disorders should be aware that eating disorders can occur in children 9 and 10?years old and are associated with severe comorbidity. Referrals for specialty mental health care should be considered. En ligne : http://dx.doi.org/10.1111/jcpp.13484 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10 [Texte imprimé et/ou numérique] / Alexandra D. CONVERTINO, Auteur ; Aaron J. BLASHILL, Auteur . - p.519-526. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.519-526 Mots-clés : Adolescent  Adult  Anorexia Nervosa/epidemiology  Anxiety Disorders/epidemiology  Child  Comorbidity  Depressive Disorder, Major/epidemiology  Feeding and Eating Disorders/epidemiology  Humans  Prevalence  Eating disorder  anorexia nervosa  binge eating  bulimia nervosa Index. décimale : PER Périodiques Résumé : BACKGROUND: Eating disorders exhibit high comorbidity with other psychiatric disorders, most notably mood, substance use, and anxiety disorders. However, most studies examining psychiatric comorbidity are conducted in adolescents and adults. Therefore, the comorbidity among children living with eating disorders is unknown. The aim of this study was to characterize co-occurring psychiatric disorders with eating disorders in a US sample of children aged 9-10?years old utilizing the Adolescent Brain Cognitive Development study. METHODS: The analytic sample included 11,718 children aged 9-10?years. Anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorder subtype diagnoses were examined. Statistical analyses were conducted using complex sampling. Odds ratios and 95% confidence intervals were calculated comparing the likelihood of being diagnosed for a psychiatric disorder when having an eating disorder, as compared to children without an eating disorder, children diagnosed with major depressive disorder, and children diagnosed with posttraumatic stress disorder using binary logistic regression. RESULTS: Co-occurring psychiatric disorders were substantially higher in children with eating disorders as compared to children without eating disorders, but not as compared to children diagnosed with major depressive disorder or posttraumatic stress disorder. The most common comorbidities for the eating disorder group were anxiety disorders (71.4%), attention deficit/hyperactivity disorder (47.9%), disruptive/impulse control disorders (45.0%), mood disorders (29.6%), and obsessive-compulsive disorder (28.8%), largely in line with previous research. CONCLUSIONS: This study extends prior research finding high rates of comorbidity in eating disorders, specifically with anxiety, mood, and disruptive/impulse control disorders. Clinicians assessing for psychiatric disorders should be aware that eating disorders can occur in children 9 and 10?years old and are associated with severe comorbidity. Referrals for specialty mental health care should be considered. En ligne : http://dx.doi.org/10.1111/jcpp.13484 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

Sexual orientation and mental health in a US cohort of children: a longitudinal mediation study / Arjan VAN DER STAR ; Kate D. DORRELL ; Aaron J. BLASHILL in Journal of Child Psychology and Psychiatry, 65-2 (February 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-2 (February 2024) . - p.188-198 Titre : Sexual orientation and mental health in a US cohort of children: a longitudinal mediation study Type de document : Texte imprimé et/ou numérique Auteurs : Arjan VAN DER STAR, Auteur ; Kate D. DORRELL, Auteur ; Aaron J. BLASHILL, Auteur Article en page(s) : p.188-198 Index. décimale : PER Périodiques Résumé : Background Sexual minorities, including children, are at increased risk for adverse mental health outcomes compared to their heterosexual peers, but longitudinal studies are needed to determine the factors that explain the associations between sexual minority identification and adverse mental health outcomes during this developmental period. We examined longitudinal associations between sexual orientation and mental health over 2?years in a US cohort of children (aged 9?10 at baseline) and two explanatory factors (increased social problems such as getting teased and decreased perceived school safety). We hypothesized that beginning to identify as gay/bisexual and consistently identifying as gay/bisexual would be associated with increases in internalizing (e.g. depression, anxiety) and externalizing (e.g. aggression) problems compared to consistently identifying as heterosexual, and these associations would be partially explained by increased social problems and decreased perceived school safety. Methods We used data from Waves 1?3 of the Adolescent Brain Cognitive Development study. The analytic sample included 5,574 children (46.0% female; 55.1% non-Hispanic White). Results Beginning to identify as gay/bisexual was associated with increased internalizing/externalizing problems, and consistently identifying as gay/bisexual was associated with increased internalizing problems, compared to consistently identifying as heterosexual. For those who consistently identified as gay/bisexual, increased disparities in internalizing problems were partially explained by increased social problems and decreased perceived school safety, and increased disparities in externalizing problems were partially explained by increased social problems. Conclusions These findings suggest the health disparities affecting sexual minority children include both internalizing and externalizing problems, and social problems and feeling unsafe at school may be contributing factors. En ligne : https://doi.org/10.1111/jcpp.13873 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520 [article] Sexual orientation and mental health in a US cohort of children: a longitudinal mediation study [Texte imprimé et/ou numérique] / Arjan VAN DER STAR, Auteur ; Kate D. DORRELL, Auteur ; Aaron J. BLASHILL, Auteur . - p.188-198. in Journal of Child Psychology and Psychiatry > 65-2 (February 2024) . - p.188-198 Index. décimale : PER Périodiques Résumé : Background Sexual minorities, including children, are at increased risk for adverse mental health outcomes compared to their heterosexual peers, but longitudinal studies are needed to determine the factors that explain the associations between sexual minority identification and adverse mental health outcomes during this developmental period. We examined longitudinal associations between sexual orientation and mental health over 2?years in a US cohort of children (aged 9?10 at baseline) and two explanatory factors (increased social problems such as getting teased and decreased perceived school safety). We hypothesized that beginning to identify as gay/bisexual and consistently identifying as gay/bisexual would be associated with increases in internalizing (e.g. depression, anxiety) and externalizing (e.g. aggression) problems compared to consistently identifying as heterosexual, and these associations would be partially explained by increased social problems and decreased perceived school safety. Methods We used data from Waves 1?3 of the Adolescent Brain Cognitive Development study. The analytic sample included 5,574 children (46.0% female; 55.1% non-Hispanic White). Results Beginning to identify as gay/bisexual was associated with increased internalizing/externalizing problems, and consistently identifying as gay/bisexual was associated with increased internalizing problems, compared to consistently identifying as heterosexual. For those who consistently identified as gay/bisexual, increased disparities in internalizing problems were partially explained by increased social problems and decreased perceived school safety, and increased disparities in externalizing problems were partially explained by increased social problems. Conclusions These findings suggest the health disparities affecting sexual minority children include both internalizing and externalizing problems, and social problems and feeling unsafe at school may be contributing factors. En ligne : https://doi.org/10.1111/jcpp.13873 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520

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