Journal of the Canadian Academy of Child and Adolescent Psychiatry最新文献_第8页

Substance Use Problem Trajectories in Canadian Adolescents: A Longitudinal Study. 加拿大青少年物质使用问题轨迹:一项纵向研究。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-11-01

Na Zhu, Lisa D Hawke, Joanna Henderson

{"title":"Substance Use Problem Trajectories in Canadian Adolescents: A Longitudinal Study.","authors":"Na Zhu, Lisa D Hawke, Joanna Henderson","doi":"","DOIUrl":"","url":null,"abstract":"Background: Adolescents experience rapid changes and are more vulnerable for developing substance use problems than other age groups. Many studies have focused on the trajectories of adolescent substance use frequencies, rather than symptoms.Objective: The present study examined the trajectory of substance use disorder symptoms, particularly beginning in early adolescence and within a Canadian context.Methods: Data were drawn from a Canadian longitudinal project, in which a province-wide survey was administered to students across three biennial waves starting in grades 7-8. The final sample was comprised of 765 adolescents (baseline M age = 12.73, SD = 0.67, 49.7% female, 57.6% White). Latent class analysis was conducted to identify substance use disorder symptom classes based on participants' responses on a substance use disorder screener across the three waves. Group differences tests were also computed to examine if the substance use classes differed in participants' demographics.Results: Four classes were identified, labelled as low stable (n = 538, 70.3%), deteriorating (n = 169, 22.1%), recovered (n = 12, 1.6%), and high-risk relapse (n = 46, 6.0%) substance use. Among the demographic variables, non-White ethnicity, both parents being born outside of Canada, and parents' completion of post-secondary education were significantly associated with a less severe substance use class.Conclusions: Results fill a gap in the evidence on the trajectory of symptoms of substance use disorder among adolescents, using a Canadian sample, an area of limited study. Results highlight an at-risk group (i.e., high-risk relapse class) that warrants further tailored prevention and intervention efforts.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"31 4","pages":"176-188"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9661905/pdf/ccap31_p0176.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485673","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}

引用次数: 0

Age, Sex and Relationship Strengths: Internalizing Symptom Differences in Children and Youth Within a Clinical Sample. 年龄、性别和关系优势:儿童和青少年在临床样本中的内化症状差异。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-11-01

Shannon L Stewart, Natalia Lapshina, Valbona Semovski, Anastasiia Usova

{"title":"Age, Sex and Relationship Strengths: Internalizing Symptom Differences in Children and Youth Within a Clinical Sample.","authors":"Shannon L Stewart, Natalia Lapshina, Valbona Semovski, Anastasiia Usova","doi":"","DOIUrl":"","url":null,"abstract":"Background: Internalizing problems such as depression, anxiety and anhedonia are particularly problematic due to their covert nature. Due to their deleterious effects on psychological well-being, social connection and education, it is important to understand the development of internalizing problems and their unique contributors.Objectives: Examine whether internalizing symptoms vary by (i) age, and (ii) sex, and whether (iii) relationship strengths are associated with sex and internalizing symptoms.Method: Using a polynomial model with Tweedie distribution with log link, this study examined relationships for 18,701 clinically referred children and adolescents between 4 and 18 years of age assessed using the interRAI Child and Youth Mental Health assessment.Results: Internalizing symptoms reported by children and adolescents varied by age and sex. Sex differences in internalizing symptoms became prominent after about six years of age with female adolescents reporting higher levels when compared to male peers. An increase in relationship strengths corresponded with a decrease in internalizing symptoms for both sexes. However, the pattern depended on sex. In our sample, females required a greater number of relationship strengths to observe a decrease in internalizing symptoms.Conclusions: The current study illustrates a difference in internalizing symptoms between females and males with respect to age and relationship strengths. The results may have implications for prevention and intervention strategies geared towards internalizing symptoms for children and adolescents.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"31 4","pages":"189-201"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9661912/pdf/ccap31_p0189.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40484281","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}

引用次数: 0

Factors Associated With Sleep Disturbance Amongst Youth With Bipolar Disorder. 双相情感障碍青少年睡眠障碍的相关因素。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-11-01

Jessica Barton, Megan Mio, Vanessa Timmins, Rachel H B Mitchell, Brian J Murray, Benjamin I Goldstein

{"title":"Factors Associated With Sleep Disturbance Amongst Youth With Bipolar Disorder.","authors":"Jessica Barton, Megan Mio, Vanessa Timmins, Rachel H B Mitchell, Brian J Murray, Benjamin I Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"Background: While sleep disturbances and their impact on functioning are well-established in adults with bipolar disorder (BD), little is known about this topic in youth.Objective: This study investigates the prevalence and correlates of sleep disturbance among youth with BD.Methods: The study included 103 youth (72 BD, 31 healthy controls [HC]), ages 14-20 years. Study measures included a semi-structured diagnostic interview and the Pittsburgh Sleep Quality Index (PSQI). PSQI yields a global score and 7 subscale scores. Analyses examined between group differences in PSQI scores, and correlates of PSQI within BD.Results: BD youth had significantly higher (worse) global sleep scores, and higher scores on 5/7 subscales (quality, latency, disturbance, sleep medication use, daytime dysfunction). In univariate analyses, poorer sleep quality was associated with higher lifetime and current depression severity, mixed mood state, self-reported affective lability, and borderline personality traits. Lifetime lithium treatment and euthymic mood state were associated with better sleep scores. In multivariate analyses, greater current depression severity and self-reported affective lability were most robustly associated with poor sleep quality.Conclusions: Converging with data from adults, present findings indicate greater sleep disturbance among youth with BD versus HC. Also convergent with adults with BD, mood disturbance, whether depression severity or emotional lability, comprised the predominant correlates of sleep disturbance among youth with BD. Future research is warranted to better understand the temporal association between sleep disturbance and its correlates in youth with BD. Relatedly, interventions that address both mood and sleep disturbances may help improve overall functioning.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"31 4","pages":"165-175"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9661909/pdf/ccap31_p0165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485671","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}

引用次数: 0

Psychopharmacological Approaches to a Case of Treatment Resistant Adolescent Depression. 一例难治性青少年抑郁症的精神药理学研究。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-11-01

引用次数: 0

Reflections on a Term as CACAP President During the Pandemic. 大流行期间担任亚太经社会主席一职的思考。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-11-01

Claire De Souza

引用次数: 0

Emergency Department Issues. 急诊科的问题

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-11-01

引用次数: 0

Nouvelles De La Direction De L’ACPEA. 来自acpea管理层的消息。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-08-01

E Lila Amirali

引用次数: 0

Sleep Duration and Internalizing Symptoms in Children. 儿童睡眠时间与内化症状

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-08-01

Liliana C Wu, Nayantara Hattangadi, Charles D G Keown-Stoneman, Jonathon L Maguire, Catherine S Birken, Robyn Stremler, Evelyn Constantin, Alice Charach

{"title":"Sleep Duration and Internalizing Symptoms in Children.","authors":"Liliana C Wu, Nayantara Hattangadi, Charles D G Keown-Stoneman, Jonathon L Maguire, Catherine S Birken, Robyn Stremler, Evelyn Constantin, Alice Charach","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Emotional problems such as anxiety and low mood have been associated with sleep problems in children. The study's objectives were to 1) assess the association between sleep duration and internalizing symptoms (anxiety and low mood) in children aged 5-12 years (y), and 2) evaluate whether insufficient sleep according to the National Sleep Foundation (NSF) guidelines is associated with internalizing symptoms.Methods: A cross-sectional study of N =796 children aged 5-12y, recruited from primary care physicians' offices in Toronto, Canada was conducted through the TARGet Kids! research network. Using linear regression, we investigated 1) the cross-sectional association between parent reported 24-hour sleep duration (hours) and parent reported symptoms using the Strengths and Difficulties Questionnaire (SDQ), controlling for child age, sex, family income, maternal education, family composition, and standardized body-mass index (zBMI). The analysis was repeated using insufficient sleep per NSF guideline as the independent variable.Results: Sleep duration was inversely associated with internalizing symptoms, B estimate = -0.33 (95%CI -0.57, -0.07), p=0.012. Twenty-eight (14%) children aged 5 y, and 36 (6%) of those aged 6-12y, experienced insufficient sleep. There was a trend toward association between insufficient sleep and internalizing symptoms, B estimate = 0.64 (-0.09, 1.38), p=0.086.Conclusion: The relationship between insufficient sleep and internalizing symptoms among children requires further elucidation. Children who show internalizing symptoms may benefit from interventions supporting sleep.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"31 3","pages":"115-123"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275369/pdf/ccap_p0115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40579541","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}

引用次数: 0

Arts & Literature And Nature. 艺术与文学与自然。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-08-01

引用次数: 0

Application of Transactional (Cross-lagged panel) Models in Mental Health Research: An Introduction and Review of Methodological Considerations. 交易(交叉滞后面板)模型在心理健康研究中的应用:方法考虑的介绍和回顾。

IF 2.3

Journal of the Canadian Academy of Child and Adolescent Psychiatry Pub Date : 2022-08-01

Danielle A Baribeau, Simone Vigod, Heather Brittain, Tracy Vaillancourt, Peter Szatmari, Eleanor Pullenayegum

{"title":"Application of Transactional (Cross-lagged panel) Models in Mental Health Research: An Introduction and Review of Methodological Considerations.","authors":"Danielle A Baribeau, Simone Vigod, Heather Brittain, Tracy Vaillancourt, Peter Szatmari, Eleanor Pullenayegum","doi":"","DOIUrl":"","url":null,"abstract":"Transactional models employing cross-lagged panels have been used for over 40 years to examine the longitudinal relations and directional associations between variables of interest to child and adolescent mental health. Through a narrative synthesis of the literature, we provide an accessible overview of cross-lagged panels with attention to developing a research question, study design and assumptions, dynamic effects (including the random-intercept cross-lagged panel model), and reporting and interpretation of results. Implications and critical appraisal guidelines for readers are discussed throughout. Overall, several key points are highlighted, with particular emphasis on the intended level of inference, model and measure selection, and timing of assessments. Despite limitations in establishing causation, cross-lagged panel models are fundamental to non-experimental epidemiologic research in child mental health and development.","PeriodicalId":47053,"journal":{"name":"Journal of the Canadian Academy of Child and Adolescent Psychiatry","volume":"31 3","pages":"124-134"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275371/pdf/ccap_p0124.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40577568","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}

引用次数: 0