Scandinavian Journal of Child and Adolescent Psychiatry and Psychology最新文献

{"title":"Validation of the \"Darryl\" PTSD Cartoon Test with Abused Children.","authors":"Sille Schandorph Løkkegaard, Camilla Jeppesen, Ask Elklit","doi":"10.2478/sjcapp-2023-0001","DOIUrl":"10.2478/sjcapp-2023-0001","url":null,"abstract":"<p><strong>Background: </strong>There is a lack of reliable and valid PTSD tests for young children that cannot read or are weak readers. The semi-projective cartoon test, \"Darryl\", which is read aloud, is a measure that appeals to this age group. The test has been applied in both clinical and epidemiological studies.</p><p><strong>Objective: </strong>to validate a cartoon test, \"Darryl\", for children aged 6 or older in a population of children suspectedly sexually and/or physically abused.</p><p><strong>Methods: </strong>In the Danish Child Centres, 327 children were screened with Darryl as part of an assessment for further intervention. The Bech Youth Inventory was filled out by 113 children, and 63 caregivers filled out the Strengths & Difficulties Questionnaire. Correlations were used to study the convergent validity between the scales and subscales and effect sizes were estimated. Reliability of the scales was investigated using Cronbach's alpha.</p><p><strong>Results: </strong>Following the DSM-IV, 55.7% of the children (n = 182) had a possible PTSD diagnosis. More girls (n = 110, 62.9 %) than boys (n = 72, 47.4%) had PTSD. A total of 21.7 % (n = 71) had subclinical PTSD, lacking only one symptom of the full diagnosis. There was no significant difference in PTSD regarding physical or sexual abuse.</p><p><strong>Clinical significance: </strong>The test allows clinicians in the pediatric field to screen for possible PTSD in a population where systematic self-report data have paramount importance.</p><p><strong>Conclusions: </strong>Darryl appears to be a valid and reliable test for screening young children who have been physically or sexually abused. The test is helpful for clinician working with young children to identify those have developed trauma symptoms to secure them early treatment.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"11 1","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/78/sjcapp-11-001.PMC9984801.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Diagnoses and Medications in Wolfram Syndrome.","authors":"Angela M Reiersen, Jacob S Noel, Tasha Doty, Richa A Sinkre, Anagha Narayanan, Tamara Hershey","doi":"10.2478/sjcapp-2022-0017","DOIUrl":"10.2478/sjcapp-2022-0017","url":null,"abstract":"<p><strong>Background: </strong>Wolfram Syndrome is a rare genetic disorder usually resulting from pathogenic variation in the <i>WFS1</i> gene, which leads to an exaggerated endoplasmic reticulum (ER) stress response. The disorder is typically characterized by diabetes insipidus, diabetes mellitus, optic nerve atrophy, hearing loss, and neurodegenerative features. Existing literature suggests it may also have psychiatric manifestations.</p><p><strong>Objective: </strong>To examine lifetime psychiatric diagnoses and medication history in Wolfram Syndrome.</p><p><strong>Method: </strong>Child, adolescent, and young adult Wolfram Syndrome participants (n=39) were assessed by a child & adolescent psychiatrist to determine best estimate DSM-5 lifetime psychiatric diagnoses as well as psychoactive medication history. In addition, the Child & Adolescent Symptom Inventory-5 (CASI-5) Parent Checklist was used to determine likely psychiatric diagnoses based on symptom counts in Wolfram Syndrome patients (n=33), type 1 diabetes (n=15), and healthy comparison (n=18) groups.</p><p><strong>Results: </strong>Study participants with Wolfram Syndrome had high lifetime rates of anxiety disorders (77%). Also, 31% had an obsessive-compulsive spectrum disorder, 33% had a mood disorder, 31% had a neurodevelopmental or disruptive behavior disorder, and 31% had a sleep-wake disorder. More than half of Wolfram Syndrome participants had taken at least one psychoactive medication, and one third had taken at least one selective serotonin reuptake inhibitor (SSRI). Some individuals reported poor response to sertraline but better response after switching to another SSRI (fluoxetine or citalopram). In general, people with Wolfram Syndrome often reported benefit from psychotherapy and/or commonly used psychoactive medications appropriate for their psychiatric diagnoses.</p><p><strong>Conclusions: </strong>Wolfram Syndrome may be associated with elevated risk for anxiety and obsessive-compulsive spectrum disorders, which seem generally responsive to usual treatments for these disorders.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"10 1","pages":"163-174"},"PeriodicalIF":1.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/18/sjcapp-10-163.PMC9828213.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote Teaching and School Refusal Behavior - Lessons Learned from the COVID-19 Pandemic.","authors":"Ulla Irene Hansen, Kenneth Larsen, Hanne Sundberg, Ellen Kathrine Munkhaugen","doi":"10.2478/sjcapp-2022-0014","DOIUrl":"10.2478/sjcapp-2022-0014","url":null,"abstract":"<p><p>When the Norwegian government closed down schools and kindergartens in response to the increased spread of COVID-19, the use of homeschooling raised concerns about students with school refusal behavior and the school system's ability to address their special needs in these circumstances. Six students referred to the school absenteeism team were interviewed about their circumstances, using an author-developed interview. The results indicate that the students rated homeschooling as very satisfactory. Students with school refusal behavior participated in homeschooling and their attendance continued during the initial reopening of schools.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"10 1","pages":"134-143"},"PeriodicalIF":1.4,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/4b/sjcapp-10-134.PMC9828207.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis-Specific Group CBT Treating Social Anxiety in Adolescents: A Feasibility Study.","authors":"Thea Nørregaard Agersnap,&nbsp;Esben Hougaard,&nbsp;Morten Berg Jensen,&nbsp;Mikael Thastum","doi":"10.2478/sjcapp-2022-0010","DOIUrl":"https://doi.org/10.2478/sjcapp-2022-0010","url":null,"abstract":"<p><strong>Background: </strong>Social anxiety disorder (SAD) is one of the most common anxiety disorders among adolescents. It is associated with extensive distress and negative long-term consequences. Generic cognitive behavioral therapy (CBT) is one of the preferred treatments for anxiety disorders, but it has shown poorer outcome for adolescents with SAD than for other anxiety disorders.</p><p><strong>Aim: </strong>As preparation for a randomized controlled trial the aim of the present study was to examine the feasibility of an adjusted diagnosis-specific CBT group intervention for adolescents with SAD, and provide preliminary information on adolescent and family outcomes.</p><p><strong>Method: </strong>Thirteen adolescents (age 12-17 years) diagnosed with SAD received a group therapy version of the Cool Kids Anxiety Program, Social Enhanced (CK-E), a program developed at Macquarie University, Sydney, Australia. The treatment is a diagnosis-specific manualized CBT treatment for adolescents with SAD. Semi-diagnostic interviews and questionnaires were completed at baseline, post, 3-month follow-up and 1-year follow-up.</p><p><strong>Results: </strong>Thirteen adolescents participated with no drop-outs. Most families attended all 10 intervention sessions. The families were generally satisfied with the treatment and would recommend it to others in need. Preliminary outcomes showed that participants had marked improvements in their anxiety symptoms and life interference, with significant medium to large baseline-post effect sizes durable at 1-year follow-up. Two of the adolescents were free of their SAD diagnosis at 3-month follow-up.</p><p><strong>Conclusion: </strong>Results from this feasibility study indicate that the Danish-translated and revised version of Cool Kids Anxiety Program - Social Enhanced could be a feasible intervention for Danish adolescents with SAD. The intervention will be investigated further in a randomized controlled trial.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":" ","pages":"89-101"},"PeriodicalIF":1.9,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/07/sjcapp-10-089.PMC9454321.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33468890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' Experiences of Clozapine for Treatment-Resistant Schizophrenia: A Systematic Review.","authors":"Steven Parkes, Bethany Mantell, Ebenezer Oloyede, Graham Blackman","doi":"10.1093/schizbullopen/sgac042","DOIUrl":"10.1093/schizbullopen/sgac042","url":null,"abstract":"<p><strong>Background: </strong>Clozapine is the most effective antipsychotic for patients with treatment-resistant schizophrenia (TRS), however, it remains widely under-utilized in clinical practice. To date, relatively little attention has been given to patients' experience of clozapine. By synthesizing the existing literature, we sought to determine the experiences of patients with TRS treated with clozapine.</p><p><strong>Methods: </strong>A systematic review was conducted on Embase, Medline, PsychInfo, and PubMed databases for studies from 1956 to 2021. English language studies and those based on adult patients prescribed clozapine for TRS were included.</p><p><strong>Results: </strong>Thirteen studies were included with a total of 1487 patients and a narrative synthesis was performed. Overall, most patients reported positive experiences of clozapine, with generally high levels of satisfaction, alongside symptom improvement and preference over previous medications. Negative experiences of clozapine were less common, but when mentioned, focused on blood tests and common side effects, including hypersalivation and weight gain.</p><p><strong>Conclusions: </strong>This is the first systematic review exploring patients' subjective experiences of clozapine for TRS. Findings suggest that patients generally have a favorable experience when being treated with clozapine. However, conclusions are limited by the risk of bias, particularly survivorship bias. High-quality longitudinal studies exploring patients' experiences of clozapine are indicated for the future.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"3 1","pages":"sgac042"},"PeriodicalIF":0.0,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11205966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89789972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions.","authors":"Pia Tallberg,&nbsp;Kristina Svanberg,&nbsp;Anne-Li Hallin,&nbsp;Maria Rastam,&nbsp;Peik Gustafsson,&nbsp;Sean Perrin","doi":"10.2478/sjcapp-2022-0008","DOIUrl":"https://doi.org/10.2478/sjcapp-2022-0008","url":null,"abstract":"<p><strong>Background: </strong>Further knowledge is needed regarding long-term outcome of emotional symptoms, and the interplay between these symptoms and neuropsychological functioning in youth with attention deficit hyperactivity disorder (ADHD).</p><p><strong>Objective: </strong>We aimed to explore the effect of performance-based neurocognitive functions and parent-rated behavioral executive functioning (EF) on self-rated and parent-rated internalizing symptoms longitudinally in clinically referred youth with ADHD (n = 137; mean age = 12.4 years). We also aimed to examine the change in self-rated emotional symptoms in the ADHD group and a Control group (n = 59; mean age = 11.9 years).</p><p><strong>Method: </strong>At baseline, and three years later, parents completed rating scales of their child's ADHD symptoms (Swanson Nolan Pelham Scale, Version IV - SNAP-IV), emotional symptoms (Five To Fifteen Questionnaire, Strengths, and Difficulties Questionnaire), and EF (Behavior Rating Inventory of Executive Function). At the same time, the child completed self-report measures of Anxiety, Depression, and Anger Inventories (the Beck Youth Inventories) and neurocognitive measures (Conner's Continuous Performance Test, Version II (CPT-II), Working Memory and Processing Speed composites (Wechsler Intelligence Scales). Statistical analyses were linear and logistic mixed models.</p><p><strong>Results: </strong>Using longitudinal data, parent- and self-ratings of emotional symptoms were associated with parent-ratings of EF behavior in youth with ADHD. Plan/organizing deficits were associated with Anxiety and Anger over and above other metacognitive subscales, while Emotional Control was related to Anger over and above other behavior regulation subscales. In the ADHD group, Anger symptoms improved across measuring points. When controlling for age, Anxiety, and Depression symptoms were largely stable in both groups, however at higher levels in the ADHD group. The differences in anxiety and depression symptoms across groups decreased over time.</p><p><strong>Conclusions: </strong>The current study emphasizes the importance of identification, monitoring, and treatment of emotional symptoms, and behavioral aspects of EF in youth with ADHD.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":" ","pages":"72-86"},"PeriodicalIF":1.9,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/40/sjcapp-10-072.PMC9284941.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40556573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe Hyperprolactinemia during Lurasidone Treatment in a 16-year Old Girl with Schizophrenia - A Case Report.","authors":"Karsten Gjessing Jensen","doi":"10.2478/sjcapp-2022-0009","DOIUrl":"https://doi.org/10.2478/sjcapp-2022-0009","url":null,"abstract":"<p><strong>Background: </strong>Increase of serum prolactin is a common adverse effect to antipsychotic medication, potentially leading to galactorrhea, menstrual cycle disturbances or sexual adverse effects. Lurasidone is commonly associated with a low risk of prolactin change.</p><p><strong>Objective: </strong>To describe a case of severe hyperprolactinemia in a 16-year old female with schizophrenia.</p><p><strong>Method: </strong>Case report.</p><p><strong>Results: </strong>We saw a severe and sustained prolactin increase during treatment with lurasidone.</p><p><strong>Conclusions: </strong>Although lurasidone is usually considered not to increase prolactin, some patients may experience this adverse effect. As related subjective consequences may be falsely attributed to the disease or as direct effects of the antipsycotic agent, serum prolactin measurements should be made prior to and during antipsychotic treatment regardless of medication choice.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":" ","pages":"87-88"},"PeriodicalIF":1.9,"publicationDate":"2022-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/dd/sjcapp-10-087.PMC9284940.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40556572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Parent Rated Interest and Deprivation Type Curiosity in Swedish Young Children - Are they Meaningfully Distinct?","authors":"John Michel Kaneko","doi":"10.2478/sjcapp-2022-0007","DOIUrl":"https://doi.org/10.2478/sjcapp-2022-0007","url":null,"abstract":"<p><strong>Background: </strong>Proxy ratings of young children's curiosity has the potential to be useful for research in Sweden. One such proxy rating is the parent-rating Interest/Deprivation Young Children scale. This scale has previously only been validated in Dutch samples, where it differentiated curiosity dimensions of interest (joyful exploration) and deprivation (reduction of aversive feelings of not knowing).</p><p><strong>Objective: </strong>The objective of this study was to investigate internal and construct validity of the Swedish version of the Interest/Deprivation Young Children scale.</p><p><strong>Method: </strong>A translation of the Interest/Deprivation Young Children scale was conducted and then administered to 266 parents in Sweden, who rated their children (4-6-years old) on 10 items, with 5 items each for subscales of interest and deprivation dimensions of epistemic curiosity. Responses were analyzed using confirmatory factor analysis.</p><p><strong>Results: </strong>Results indicate acceptable internal reliability for deprivation-curiosity items (α = 0.78) and for interest-curiosity items (α = 0.79). For the combined scale score alpha was found good (α = 0.84). However, confirmatory factor analysis failed to differentiate interest and deprivation dimensions of curiosity.</p><p><strong>Conclusions: </strong>Item revisions are suggested which could be implemented for further investigations. Also, the possibility of using the I/D-YC total score as a more general measure of child curiosity is argued for. An open question is how other dimensions of curiosity might be more viable for proxy ratings of child curiosity.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":" ","pages":"64-71"},"PeriodicalIF":1.9,"publicationDate":"2022-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/9d/sjcapp-10-064.PMC9238430.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Mental Health Emergency Visits During the COVID-19 Pandemic.","authors":"Daniel Hernández-Calle,&nbsp;Jorge Andreo-Jover,&nbsp;Javier Curto-Ramos,&nbsp;Daniel García Martínez,&nbsp;Luis Vicente Valor,&nbsp;Guillermo Juárez,&nbsp;Margarita Alcamí,&nbsp;Arancha Ortiz,&nbsp;Noelia Iglesias,&nbsp;María Fe Bravo-Ortiz,&nbsp;Beatriz Rodríguez Vega,&nbsp;Gonzalo Martínez-Alés","doi":"10.2478/sjcapp-2022-0005","DOIUrl":"https://doi.org/10.2478/sjcapp-2022-0005","url":null,"abstract":"<p><strong>Introduction: </strong>Paediatric and adult psychiatric emergency department (ED) visits decreased during the initial COVID-19 outbreak. Long-term consequences of the COVID-19 pandemic will include increases in mental healthcare needs, especially among vulnerable groups such as children and adolescents.</p><p><strong>Aim: </strong>This study examined changes in the number of overall and diagnosis-specific mental health ED visits among patients aged <18 years following the onset of the COVID-19 pandemic in Madrid, Spain.</p><p><strong>Methods: </strong>Using clinical records from all psychiatric ED visits at a major teaching hospital between October 2018 and April 2021, we conducted interrupted time-series analyses and compared trends before and after the day of the first ED COVID-19 case (1st March 2020).</p><p><strong>Results: </strong>A total of 663 patients were included. In March 2020, there was a marked initial decrease of -12.8 (95% CI -21.9, - 7.9) less monthly mental health ED visits. After April 2020, there was a subsequent increasing trend of 3.4 (95% CI 2.6, 4.2) additional monthly mental health ED visits.</p><p><strong>Conclusion: </strong>After the onset of the COVID-19 pandemic, there was an increase in paediatric psychiatric ED visits, especially due to suicide-related reasons. These data reinforce the crucial role of the ED in the management of acute mental health problems among youth and highlight the need for renovated efforts to enhance access to care outside of and during acute crises during the pandemic and its aftermath.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":" ","pages":"53-57"},"PeriodicalIF":1.9,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9238432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety, Addiction to Social Networks, Internet and Smartphones in Paraguayan Adolescents: A Brief Report.","authors":"Pamela Figueredo,&nbsp;Iván Barrios,&nbsp;Marcelo O'Higgins,&nbsp;Diego Amarilla,&nbsp;José Almirón-Santacruz,&nbsp;Osvaldo Melgarejo,&nbsp;Noelia Ruiz-Díaz,&nbsp;João Mauricio Castaldelli-Maia,&nbsp;Antonio Ventriglio,&nbsp;Julio Torales","doi":"10.2478/sjcapp-2022-0006","DOIUrl":"https://doi.org/10.2478/sjcapp-2022-0006","url":null,"abstract":"<p><strong>Background: </strong>Several authors have pointed out that the use of smartphones might have an impact on mental health in general. Most of the evidences are focused on the incorrect or overblown use of smartphones, videogame or Internet, particularly focusing on related addiction problems among adolescents.</p><p><strong>Objective: </strong>The present study, although preliminary, aims to report the first evidence in Paraguay regarding the association between anxiety and addiction to social networks/internet as well as the use of smartphones among adolescents.</p><p><strong>Method: </strong>Participants (100 adolescents, aged 12- 17 years old) were assessed in a school setting with the Beck Anxiety Inventory (BAI) and the Scale of risk of Addiction to Social Networks and Internet for adolescents (ERA-RSI). Categorical variables and associations were statistically assessed.</p><p><strong>Results: </strong>The average smartphone use in boys rated 8.06 ±3.81 hours and in girls 9.46 ±4.4 hours. The BAI mean score was 20.71 ± 13.2. Of the participants, 27% reported moderate anxiety, and 36% severe anxiety and scores on this scale were not associated with hours of smartphone use. The ERA-RSI mean score was 1.94 ± 0.46 and anxiety was related to the symptoms-addiction, social-use, and nomophobia dimensions of the scale.</p><p><strong>Conclusion: </strong>The misuse of smartphones in the Paraguayan pediatric population has been reported to be closely related to anxious symptoms. Our results suggest further research with an impact on possible public health policies aimed at preserving the mental health of children and adolescents exposed to internet and electronic devices.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":" ","pages":"58-63"},"PeriodicalIF":1.9,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/80/sjcapp-10-058.PMC9238431.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}