A Comparison of Intranasal Dexmedetomidine and Dexmedetomidine Plus Buccal Midazolam for Non-painful Procedural Sedation in Children with Autism / Bi Lian LI in Journal of Autism and Developmental Disorders, 49-9 (September 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-9 (September 2019) . - p.3798-3806 Titre : A Comparison of Intranasal Dexmedetomidine and Dexmedetomidine Plus Buccal Midazolam for Non-painful Procedural Sedation in Children with Autism Type de document : texte imprimé Auteurs : Bi Lian LI, Auteur ; Vivian Man-Ying YUEN, Auteur ; Na ZHANG, Auteur ; Huan Huan ZHANG, Auteur ; Jun Xiang HUANG, Auteur ; Se-Yeol YANG, Auteur ; Jeffery W. MILLER, Auteur ; Xing Rong SONG, Auteur Article en page(s) : p.3798-3806 Langues : Anglais (eng) Mots-clés : Autism  Dexmedetomidine  Midazolam  Pediatric sedation Index. décimale : PER Périodiques Résumé : Children with autism often need sedation for diagnostic procedures and they are often difficult to sedate. This prospective randomized double-blind control trial evaluates the efficacy and safety using intranasal dexmedetomidine with and without buccal midazolam for sedation in children with autism undergoing computerized tomography and/or auditory brainstem response test. The primary outcome is the proportion of children attaining satisfactory sedation. One hundred and thirty-six children received intranasal dexmedetomidine and 139 received intranasal dexmedetomidine with buccal midazolam for sedation. Combination of intranasal dexmedetomidine and buccal midazolam was associated with higher sedation success when compared to intranasal dexmedetomidine. Since intranasal and buccal sedatives required little cooperation this could be especially useful technique for children with autism or other behavioral conditions. En ligne : http://dx.doi.org/10.1007/s10803-019-04095-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405 [article] A Comparison of Intranasal Dexmedetomidine and Dexmedetomidine Plus Buccal Midazolam for Non-painful Procedural Sedation in Children with Autism [texte imprimé] / Bi Lian LI, Auteur ; Vivian Man-Ying YUEN, Auteur ; Na ZHANG, Auteur ; Huan Huan ZHANG, Auteur ; Jun Xiang HUANG, Auteur ; Se-Yeol YANG, Auteur ; Jeffery W. MILLER, Auteur ; Xing Rong SONG, Auteur . - p.3798-3806. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-9 (September 2019) . - p.3798-3806 Mots-clés : Autism  Dexmedetomidine  Midazolam  Pediatric sedation Index. décimale : PER Périodiques Résumé : Children with autism often need sedation for diagnostic procedures and they are often difficult to sedate. This prospective randomized double-blind control trial evaluates the efficacy and safety using intranasal dexmedetomidine with and without buccal midazolam for sedation in children with autism undergoing computerized tomography and/or auditory brainstem response test. The primary outcome is the proportion of children attaining satisfactory sedation. One hundred and thirty-six children received intranasal dexmedetomidine and 139 received intranasal dexmedetomidine with buccal midazolam for sedation. Combination of intranasal dexmedetomidine and buccal midazolam was associated with higher sedation success when compared to intranasal dexmedetomidine. Since intranasal and buccal sedatives required little cooperation this could be especially useful technique for children with autism or other behavioral conditions. En ligne : http://dx.doi.org/10.1007/s10803-019-04095-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405

Effects of the After Deployment: Adaptive Parenting Tools (ADAPT) intervention on fathers and their children: A moderated mediation model / Abigail H. GEWIRTZ in Development and Psychopathology, 31-5 (December 2019)  

Public ISBD [article]  inDevelopment and Psychopathology > 31-5 (December 2019) . - p.1837-1849 Titre : Effects of the After Deployment: Adaptive Parenting Tools (ADAPT) intervention on fathers and their children: A moderated mediation model Type de document : texte imprimé Auteurs : Abigail H. GEWIRTZ, Auteur ; James SNYDER, Auteur ; Osnat ZAMIR, Auteur ; Jishui ZHANG, Auteur ; Na ZHANG, Auteur Année de publication : 2019 Article en page(s) : p.1837-1849 Langues : Anglais (eng) Mots-clés : children  families  military  parenting  prevention Index. décimale : PER Périodiques Résumé : Deployment to war is associated with disruptions to emotion regulation and parenting. Using data from a randomized controlled trial, we examined whether fathers with poorer emotion regulation would differentially benefit from the After Deployment, Adaptive Parenting Tools program, a 14-session group-based parenting intervention. Prior analyses of the intervention demonstrated benefits to observed couple parenting and children's adjustment, but not to fathers' observed parenting. In this study we examined whether intervention effects on fathers' observed distress avoidance were moderated by baseline emotion regulation, and whether reduced distress avoidance was associated with improved observed parenting and reduced children's internalizing symptoms. A subset of the full randomized controlled trial sample (181 families with a father who had returned from deployment to war in Iraq or Afghanistan, a nondeployed mother, and a target child aged 4-13) completed measures at baseline, 12-months, and 24-months postbaseline. Results indicated that fathers high in baseline emotion regulation difficulties assigned to the intervention group showed reductions in observed distress avoidance at 12 months compared to controls, which were subsequently associated with improvements in observed parenting practices and reductions in children's internalizing symptoms at 24 months. The results suggest a role for personalizing parenting programs for fathers high in emotion dysregulation. En ligne : http://dx.doi.org/10.1017/s0954579419001238 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412 [article] Effects of the After Deployment: Adaptive Parenting Tools (ADAPT) intervention on fathers and their children: A moderated mediation model [texte imprimé] / Abigail H. GEWIRTZ, Auteur ; James SNYDER, Auteur ; Osnat ZAMIR, Auteur ; Jishui ZHANG, Auteur ; Na ZHANG, Auteur . - 2019 . - p.1837-1849. Langues : Anglais (eng) in Development and Psychopathology > 31-5 (December 2019) . - p.1837-1849 Mots-clés : children  families  military  parenting  prevention Index. décimale : PER Périodiques Résumé : Deployment to war is associated with disruptions to emotion regulation and parenting. Using data from a randomized controlled trial, we examined whether fathers with poorer emotion regulation would differentially benefit from the After Deployment, Adaptive Parenting Tools program, a 14-session group-based parenting intervention. Prior analyses of the intervention demonstrated benefits to observed couple parenting and children's adjustment, but not to fathers' observed parenting. In this study we examined whether intervention effects on fathers' observed distress avoidance were moderated by baseline emotion regulation, and whether reduced distress avoidance was associated with improved observed parenting and reduced children's internalizing symptoms. A subset of the full randomized controlled trial sample (181 families with a father who had returned from deployment to war in Iraq or Afghanistan, a nondeployed mother, and a target child aged 4-13) completed measures at baseline, 12-months, and 24-months postbaseline. Results indicated that fathers high in baseline emotion regulation difficulties assigned to the intervention group showed reductions in observed distress avoidance at 12 months compared to controls, which were subsequently associated with improvements in observed parenting practices and reductions in children's internalizing symptoms at 24 months. The results suggest a role for personalizing parenting programs for fathers high in emotion dysregulation. En ligne : http://dx.doi.org/10.1017/s0954579419001238 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412

Reducing suicide risk in parentally bereaved youth through promoting effective parenting: testing a developmental cascade model / Na ZHANG in Development and Psychopathology, 35-1 (February 2023)  

Public ISBD [article]  inDevelopment and Psychopathology > 35-1 (February 2023) . - p.433-446 Titre : Reducing suicide risk in parentally bereaved youth through promoting effective parenting: testing a developmental cascade model Type de document : texte imprimé Auteurs : Na ZHANG, Auteur ; Irwin N. SANDLER, Auteur ; Jenn-Yun TEIN, Auteur ; Sharlene WOLCHIK, Auteur Article en page(s) : p.433-446 Langues : Anglais (eng) Mots-clés : bereavement  parenting  self  suicidal behavior  suicide prevention Index. décimale : PER Périodiques Résumé : Children who experience parental death are at increased risk for suicide. The Family Bereavement Program (FBP) is an upstream preventive intervention for parentally bereaved families that was found to reduce suicide risk in parentally bereaved youth up to 6 and 15 years later. We tested whether FBP-induced improvements in effective parenting led to changes in multiple proximal factors that prior theory and research implicated in the cascading pathway to suicide risk, namely, aversive self-views, caregiver connectedness, peer connectedness, complicated grief, depressive symptoms, and emotion suppression. The sample was 244 bereaved youth and their surviving caregiver from 156 families. Families were randomized into the FBP (12 group-based sessions for parents, youth, and two joint sessions) or a literature control condition. Multimethod and multiinformant data were collected at baseline, posttest, 6-year and 15-year follow-up assessments. Results showed that program-induced improvements in effective parenting at posttest were associated with reduced aversive self-views and increased caregiver connectedness at the 6-year follow-up, and each mediator was in turn associated with reduced suicide risk at the 6- and 15-year follow-up. The mediated pathways via aversive self-views remained significant while controlling for caregiver connectedness. Self-related concepts may be important targets in upstream suicide prevention for at-risk youth. En ligne : https://doi.org/10.1017/S0954579421001474 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] Reducing suicide risk in parentally bereaved youth through promoting effective parenting: testing a developmental cascade model [texte imprimé] / Na ZHANG, Auteur ; Irwin N. SANDLER, Auteur ; Jenn-Yun TEIN, Auteur ; Sharlene WOLCHIK, Auteur . - p.433-446. Langues : Anglais (eng) in Development and Psychopathology > 35-1 (February 2023) . - p.433-446 Mots-clés : bereavement  parenting  self  suicidal behavior  suicide prevention Index. décimale : PER Périodiques Résumé : Children who experience parental death are at increased risk for suicide. The Family Bereavement Program (FBP) is an upstream preventive intervention for parentally bereaved families that was found to reduce suicide risk in parentally bereaved youth up to 6 and 15 years later. We tested whether FBP-induced improvements in effective parenting led to changes in multiple proximal factors that prior theory and research implicated in the cascading pathway to suicide risk, namely, aversive self-views, caregiver connectedness, peer connectedness, complicated grief, depressive symptoms, and emotion suppression. The sample was 244 bereaved youth and their surviving caregiver from 156 families. Families were randomized into the FBP (12 group-based sessions for parents, youth, and two joint sessions) or a literature control condition. Multimethod and multiinformant data were collected at baseline, posttest, 6-year and 15-year follow-up assessments. Results showed that program-induced improvements in effective parenting at posttest were associated with reduced aversive self-views and increased caregiver connectedness at the 6-year follow-up, and each mediator was in turn associated with reduced suicide risk at the 6- and 15-year follow-up. The mediated pathways via aversive self-views remained significant while controlling for caregiver connectedness. Self-related concepts may be important targets in upstream suicide prevention for at-risk youth. En ligne : https://doi.org/10.1017/S0954579421001474 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

Social support and depression of autistic children?s caregivers: The mediating role of caregivers' self-esteem / Huilun LI in Research in Autism Spectrum Disorders, 108 (October 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 108 (October 2023) . - p.102241 Titre : Social support and depression of autistic children?s caregivers: The mediating role of caregivers' self-esteem Type de document : texte imprimé Auteurs : Huilun LI, Auteur ; Ya SU, Auteur ; Chengcheng WANG, Auteur ; Qingqing RAN, Auteur ; Liangzhi TU, Auteur ; Erliang ZHANG, Auteur ; Jinjun RAN, Auteur ; Hui WANG, Auteur ; Na ZHANG, Auteur ; Yinghui WU, Auteur ; Mi XIANG, Auteur Article en page(s) : p.102241 Mots-clés : Autism  Caregiver  Self-esteem  Depression  Social support Index. décimale : PER Périodiques Résumé : Background Social support and self-esteem have been associated with depression in ASD caregivers. However, the mechanism of action and the self-esteem status of Chinese ASD caregivers have not been revealed. This study was designed to examine the potential paths among self-esteem, social support, and depression. In addition, we examined the self-esteem status of ASD caregivers in China. Methods A total of 6120 participants were recruited via an online survey in China in this cross-sectional study. Caregivers younger than 60 years old and with an autistic child/children aged between 0 and 18 years were eligible for the study. The Sobel-Goodman mediation (SGM) test was performed to investigate the mediating effect of self-esteem between social support and depression. Results The indirect effect was statistically significant (? =  0.128, p = 0.049). The proportion of the total effect mediated by self-esteem was 24.6 %. Low self-esteem was observed in 60.64 % of the study participants, and 55.51 b% scored high in depression. A large percentage of study participants scored high in depression (56.89 %) and scored low in self-esteem (61.30 %) when not receiving any social support. Conclusion The findings suggest a significant mediating effect of self-esteem on the association between social support and depression, indicating that receiving more social support decreases the depression level by increasing the ASD caregivers' self-esteem. En ligne : https://doi.org/10.1016/j.rasd.2023.102241 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514 [article] Social support and depression of autistic children?s caregivers: The mediating role of caregivers' self-esteem [texte imprimé] / Huilun LI, Auteur ; Ya SU, Auteur ; Chengcheng WANG, Auteur ; Qingqing RAN, Auteur ; Liangzhi TU, Auteur ; Erliang ZHANG, Auteur ; Jinjun RAN, Auteur ; Hui WANG, Auteur ; Na ZHANG, Auteur ; Yinghui WU, Auteur ; Mi XIANG, Auteur . - p.102241. in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102241 Mots-clés : Autism  Caregiver  Self-esteem  Depression  Social support Index. décimale : PER Périodiques Résumé : Background Social support and self-esteem have been associated with depression in ASD caregivers. However, the mechanism of action and the self-esteem status of Chinese ASD caregivers have not been revealed. This study was designed to examine the potential paths among self-esteem, social support, and depression. In addition, we examined the self-esteem status of ASD caregivers in China. Methods A total of 6120 participants were recruited via an online survey in China in this cross-sectional study. Caregivers younger than 60 years old and with an autistic child/children aged between 0 and 18 years were eligible for the study. The Sobel-Goodman mediation (SGM) test was performed to investigate the mediating effect of self-esteem between social support and depression. Results The indirect effect was statistically significant (? =  0.128, p = 0.049). The proportion of the total effect mediated by self-esteem was 24.6 %. Low self-esteem was observed in 60.64 % of the study participants, and 55.51 b% scored high in depression. A large percentage of study participants scored high in depression (56.89 %) and scored low in self-esteem (61.30 %) when not receiving any social support. Conclusion The findings suggest a significant mediating effect of self-esteem on the association between social support and depression, indicating that receiving more social support decreases the depression level by increasing the ASD caregivers' self-esteem. En ligne : https://doi.org/10.1016/j.rasd.2023.102241 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514

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