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Postpartum Depression Increases the Risk of Autism Diagnosis in the Offspring 产后抑郁增加后代被诊断为自闭症的风险
JAACAP open Pub Date : 2024-04-01 DOI: 10.1016/j.jaacop.2024.02.008
Morgan R. Peltier, M. Fassett, Nana A Mensah, N. Khadka, Meiyu Yeh, Vicki Y Chiu, Y. Oyelese, D. Getahun
{"title":"Postpartum Depression Increases the Risk of Autism Diagnosis in the Offspring","authors":"Morgan R. Peltier, M. Fassett, Nana A Mensah, N. Khadka, Meiyu Yeh, Vicki Y Chiu, Y. Oyelese, D. Getahun","doi":"10.1016/j.jaacop.2024.02.008","DOIUrl":"https://doi.org/10.1016/j.jaacop.2024.02.008","url":null,"abstract":"","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"55 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140765446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 Pandemic Impacts on Behavioral and Emotional Health of Young Children With Autism COVID-19 大流行对自闭症幼儿行为和情感健康的影响
JAACAP open Pub Date : 2024-04-01 DOI: 10.1016/j.jaacop.2024.02.006
Olivia M. Pokoski, Hayley Crain, Sarah M. Furnier, Ronald E. Gangnon, Cy Nadler, Eric J. Moody, Karen Pazol, Maria A. Stanley, L. Wiggins, Maureen S. Durkin
{"title":"COVID-19 Pandemic Impacts on Behavioral and Emotional Health of Young Children With Autism","authors":"Olivia M. Pokoski, Hayley Crain, Sarah M. Furnier, Ronald E. Gangnon, Cy Nadler, Eric J. Moody, Karen Pazol, Maria A. Stanley, L. Wiggins, Maureen S. Durkin","doi":"10.1016/j.jaacop.2024.02.006","DOIUrl":"https://doi.org/10.1016/j.jaacop.2024.02.006","url":null,"abstract":"","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"441 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Saliency Models Reveal Reduced Top-Down Attention in Attention-Deficit/Hyperactivity Disorder: A Naturalistic Eye-Tracking Study 显著性模型揭示了注意力缺陷/多动障碍患者自上而下注意力的降低:自然眼动追踪研究
JAACAP open Pub Date : 2024-04-01 DOI: 10.1016/j.jaacop.2024.03.001
S. Dziemian, G. Bujia, Paul Prasse, Zofia Barańczuk-Turska, Lena A. Jäger, J. Kamienkowski, Nicolas Langer
{"title":"Saliency Models Reveal Reduced Top-Down Attention in Attention-Deficit/Hyperactivity Disorder: A Naturalistic Eye-Tracking Study","authors":"S. Dziemian, G. Bujia, Paul Prasse, Zofia Barańczuk-Turska, Lena A. Jäger, J. Kamienkowski, Nicolas Langer","doi":"10.1016/j.jaacop.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.jaacop.2024.03.001","url":null,"abstract":"","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"328 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140784553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing the Prevalence of Psychiatric Disorders in Cohorts of Children Born Extremely Preterm in 1995 and 2006: The EPICure Studies 比较 1995 年和 2006 年极早产儿群组的精神障碍患病率:EPICure 研究
JAACAP open Pub Date : 2024-03-26 DOI: 10.1016/j.jaacop.2024.02.005
Jennifer Larsen MBChB , Josephine Holland BMBCh, MA (Oxon), MRCPsych , Puja Kochhar BM, BSc, MSc, DCH, MRCPsych, PhD , Dieter Wolke PhD, Dr h.c. mult. Dipl-Psych , Elizabeth S. Draper PhD , Neil Marlow DM, FMedSci , Samantha Johnson PhD
{"title":"Comparing the Prevalence of Psychiatric Disorders in Cohorts of Children Born Extremely Preterm in 1995 and 2006: The EPICure Studies","authors":"Jennifer Larsen MBChB ,&nbsp;Josephine Holland BMBCh, MA (Oxon), MRCPsych ,&nbsp;Puja Kochhar BM, BSc, MSc, DCH, MRCPsych, PhD ,&nbsp;Dieter Wolke PhD, Dr h.c. mult. Dipl-Psych ,&nbsp;Elizabeth S. Draper PhD ,&nbsp;Neil Marlow DM, FMedSci ,&nbsp;Samantha Johnson PhD","doi":"10.1016/j.jaacop.2024.02.005","DOIUrl":"10.1016/j.jaacop.2024.02.005","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to identify the prevalence of psychiatric disorders in 2 population-based cohorts of children born extremely preterm (EP) 11 years apart to ascertain whether psychiatric outcomes have changed over time following improved survival of EP children.</p></div><div><h3>Method</h3><p>In the EPICure2 study, 200 children born EP (22-26 weeks’ gestation) in England in 2006 were assessed at 11 years of age alongside 143 term-born children. Children were assessed using the Developmental and Wellbeing Assessment (DAWBA). <em>DSM-IV</em> diagnoses were assigned by clinical psychiatrists for 145 EP and 98 term-born children. Outcomes were compared between a subsample of children from the EPICure2 cohort (2006, n = 76) and the earlier-born EPICure (1995, n = 161) cohort born at 22 to 25 weeks’ gestation in England.</p></div><div><h3>Results</h3><p>EP children in EPICure2 were significantly more likely than term-born children to have any psychiatric disorder (39.3% vs 3.1%; adjusted odds ratio [OR] = 15.1, 95% CI = 4.4-51.1), emotional disorders (14.6% vs 2.0%; OR = 7.3, 95% CI = 1.6-32.7), conduct disorders (6.3% vs 0.0%, <em>p =</em> .01), attention-deficit/hyperactivity disorder (ADHD, 21.9% vs 2.6%; OR = 7.2; 95% CI = 1.5-33.6), and autism spectrum disorder (ASD, 18.9%; vs 0.0%, <em>p &lt;</em> .001). There was no significant difference in the rates of any psychiatric disorder between EP children in the EPICure2 and EPICure cohorts.</p></div><div><h3>Conclusion</h3><p>EP children remain at increased risk for psychiatric disorders at 11 years of age compared with term-born peers. Increased survival has not translated into improved psychiatric outcomes. Health care professionals need to be aware of this ongoing risk when caring for children born preterm.</p></div><div><h3>Plain language summary</h3><p>Medical advances have improved the survival of extremely preterm children, but whether long-term outcomes have also improved is unclear. This study compared rates of psychiatric disorders at age 11 years among 76 children born extremely preterm in 1995 and 161 children born extremely preterm in 2006, to identify trends in psychiatric outcomes. Results showed that children born extremely preterm in 2006 were more likely than term children to have psychiatric disorders (39.3% vs 3.1%). There was no difference in rates of disorders between children born extremely preterm in 2006 and 1995. These results suggest that there has been no improvement in psychological outcomes for extremely preterm children, and healthcare professionals should continue to monitor for psychiatric disorders in this population.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 217-228"},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732924000243/pdfft?md5=7e3817aacffe1e4c3bb409b603e93694&pid=1-s2.0-S2949732924000243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083535","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
Irritability, Negative Life Events, and the Course of Anxiety and Depressive Symptoms in a Clinical Sample of Youth: A Longitudinal Study 青少年临床样本中的易激惹性、负面生活事件以及焦虑和抑郁症状的发展过程:纵向研究
JAACAP open Pub Date : 2024-03-01 DOI: 10.1016/j.jaacop.2023.09.001
Camille Archer BA , Tatiana Meza-Cervera PhD , Brooke Scheinberg BA , Katharina Kircanski PhD , Melissa A. Brotman PhD , Daniel S. Pine MD , Ellen Leibenluft MD , Julia O. Linke PhD
{"title":"Irritability, Negative Life Events, and the Course of Anxiety and Depressive Symptoms in a Clinical Sample of Youth: A Longitudinal Study","authors":"Camille Archer BA ,&nbsp;Tatiana Meza-Cervera PhD ,&nbsp;Brooke Scheinberg BA ,&nbsp;Katharina Kircanski PhD ,&nbsp;Melissa A. Brotman PhD ,&nbsp;Daniel S. Pine MD ,&nbsp;Ellen Leibenluft MD ,&nbsp;Julia O. Linke PhD","doi":"10.1016/j.jaacop.2023.09.001","DOIUrl":"10.1016/j.jaacop.2023.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>Irritability, the tendency to react with anger, and the experience of negative life events (NLE) have independently been associated with the emergence of anxiety and depression. This study investigated how irritability and cumulative effects of NLE interactively predict the course of anxiety and depression in the context of common psychiatric disorders.</p></div><div><h3>Method</h3><p>Study participants were 432 youth with no psychiatric diagnosis or with a diagnosis of an anxiety disorder, attention-deficit/hyperactivity disorder, or disruptive mood dysregulation disorder. At baseline, we assessed NLE, parent and youth reports of irritability and anxiety, and youth reports of depression. Symptoms were annually reassessed for up to 4 years.</p></div><div><h3>Results</h3><p>In youth without psychiatric diagnoses but with elevated baseline irritability, the presence of NLE predicted decreasing anxiety, while the absence of NLE predicted increasing anxiety. In youth with an anxiety disorder, elevated baseline irritability predicted decreasing anxiety independent of NLE, while a large cumulative effect of NLE predicted increasing depression. NLE predicted persisting mild anxiety in attention-deficit/hyperactivity disorder and persisting mild depressive symptoms in disruptive mood dysregulation disorder.</p></div><div><h3>Conclusion</h3><p>These findings suggest that, particularly in nonreferred samples, NLE might moderate the relation between irritability and future anxiety such that irritability/anger in the context of NLE can positively affect the course of anxiety. Future work replicating this finding while repeatedly measuring NLE and rigorously controlling for potentially confounding effects of treatment is warranted.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Pages 45-54"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000364/pdfft?md5=44f5444cf39e2b5acea9bae5e3d4821c&pid=1-s2.0-S2949732923000364-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346673","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
Sex-Specific Depressive Symptom Trajectories Among Adolescents in Los Angeles County, 2013 to 2017 2013 年至 2017 年洛杉矶县青少年按性别划分的抑郁症状轨迹
JAACAP open Pub Date : 2024-03-01 DOI: 10.1016/j.jaacop.2023.10.001
Catherine Gimbrone MPH , Samuel E. Packard MPH , Megan C. Finsaas PhD , Nadav L. Sprague MPH , Ahuva Jacobowitz MA , Adam M. Leventhal PhD , Andrew G. Rundle DrPH , Katherine M. Keyes PhD
{"title":"Sex-Specific Depressive Symptom Trajectories Among Adolescents in Los Angeles County, 2013 to 2017","authors":"Catherine Gimbrone MPH ,&nbsp;Samuel E. Packard MPH ,&nbsp;Megan C. Finsaas PhD ,&nbsp;Nadav L. Sprague MPH ,&nbsp;Ahuva Jacobowitz MA ,&nbsp;Adam M. Leventhal PhD ,&nbsp;Andrew G. Rundle DrPH ,&nbsp;Katherine M. Keyes PhD","doi":"10.1016/j.jaacop.2023.10.001","DOIUrl":"10.1016/j.jaacop.2023.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>After remaining stable for many years, the prevalence of depression among adolescents increased over the past decade, particularly among girls. In this study, we used longitudinal data from a cohort of high school students to characterize sex-specific trajectories of depressive symptoms during this period of increasing prevalence and widening gender gap in adolescent depression.</p></div><div><h3>Method</h3><p>Using data from the Health and Happiness Cohort, a longitudinal 8-wave study of high school students residing in Los Angeles County from 2013 to 2017 (N = 3,393), we conducted a multiple-group, latent class growth analysis by sex to differentiate developmental trajectories in depressive symptoms scores measured by the Center for Epidemiological Studies– Depression (CES-D) scale (range, 0-60).</p></div><div><h3>Results</h3><p>A 4-class solution provided the best model fit for both girls and boys. Trajectories among girls included low stable (35.1%), mild stable (42.8%), moderate decreasing (16.2%), and high arching (5.9%). Trajectories among boys included low stable (49.2%), mild increasing (34.7%), moderate decreasing (12.2%), and high increasing (3.9%). Average scores consistently exceeded or crossed the threshold for probable depression (≥16). Across comparable sex-specific trajectory groups, the average CES-D scores of girls were higher than those of boys, whose average scores increased over time.</p></div><div><h3>Conclusion</h3><p>In a diverse cohort of students in Los Angeles County, depressive symptom trajectories were comparable to prior time periods but with a higher proportion of students in trajectories characterized by probable depression. Trajectories differed by sex, suggesting that future research should consider differential severity and onset of depression between boys and girls.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Pages 55-65"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000522/pdfft?md5=ad945a9528b0234c0dcfa7a0b334fb2e&pid=1-s2.0-S2949732923000522-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136054657","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
Intensive Cognitive-Behavioral Therapy Telehealth for Pediatric Obsessive-Compulsive Disorder During the COVID-19 Pandemic: Comparison With a Matched Sample Treated in Person 在 COVID-19 大流行期间,针对儿童强迫症的强化认知行为疗法远程保健:与亲自治疗的匹配样本比较
JAACAP open Pub Date : 2024-03-01 DOI: 10.1016/j.jaacop.2023.09.007
Martin E. Franklin PhD , Jeffrey M. Engelmann PhD , Nyssa Z. Bulkes PhD , Gregor Horvath MS , Kelly Piacsek PhD , Erik Osterlund BA , Jennifer Freeman PhD , Rachel A. Schwartz PhD , Michael B. Himle PhD , Bradley C. Riemann PhD
{"title":"Intensive Cognitive-Behavioral Therapy Telehealth for Pediatric Obsessive-Compulsive Disorder During the COVID-19 Pandemic: Comparison With a Matched Sample Treated in Person","authors":"Martin E. Franklin PhD ,&nbsp;Jeffrey M. Engelmann PhD ,&nbsp;Nyssa Z. Bulkes PhD ,&nbsp;Gregor Horvath MS ,&nbsp;Kelly Piacsek PhD ,&nbsp;Erik Osterlund BA ,&nbsp;Jennifer Freeman PhD ,&nbsp;Rachel A. Schwartz PhD ,&nbsp;Michael B. Himle PhD ,&nbsp;Bradley C. Riemann PhD","doi":"10.1016/j.jaacop.2023.09.007","DOIUrl":"10.1016/j.jaacop.2023.09.007","url":null,"abstract":"<div><h3>Objective</h3><p>This naturalistic, nonblinded, nonrandomized study examined the efficacy of multimodal treatment including intensive cognitive-behavioral therapy (CBT) for pediatric obsessive-compulsive disorder (OCD) delivered via telehealth (TH) compared with a matched sample of youth treated in person (IP).</p></div><div><h3>Method</h3><p>Patients included 1,286 youth ages 7 to 17 inclusive (643 TH, 643 IP) who received TH or IP in either partial hospitalization (n = 818) or intensive outpatient (n = 468) programs. Changes in patient-rated OCD symptoms and quality of life from pretreatment to posttreatment were examined.</p></div><div><h3>Results</h3><p>TH patients were discharged with a statistically higher Children’s Yale-Brown Obsessive-Compulsive Scale Self-Report score than IP patients, although this group difference (1.4) was not clinically significant. Quality-of-life scores at discharge did not significantly differ between TH patients and IP patients. Treatment response was robust attesting to the broad applicability of the treatment model.</p></div><div><h3>Conclusion</h3><p>Youth receiving CBT via TH responded both well and comparably to youth treated IP, offering a viable access path forward. These findings extend the reach of CBT for pediatric OCD. Concerted efforts must now be made to improve CBT availability for families for whom financial, insurance, geographical, and other barriers preclude access at present.</p></div><div><h3>Diversity &amp; Inclusion Statement</h3><p>We worked to ensure that the study questionnaires were prepared in an inclusive way. We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We actively worked to promote sex and gender balance in our author group. While citing references scientifically relevant for this work, we also actively worked to promote sex and gender balance in our reference list. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Pages 26-35"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000492/pdfft?md5=33627e6832a0b9c7e8eb31737e6c9878&pid=1-s2.0-S2949732923000492-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134935927","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
Scope 范围
JAACAP open Pub Date : 2024-03-01 DOI: 10.1016/S2949-7329(24)00004-8
{"title":"Scope","authors":"","doi":"10.1016/S2949-7329(24)00004-8","DOIUrl":"https://doi.org/10.1016/S2949-7329(24)00004-8","url":null,"abstract":"","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Page A1"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732924000048/pdfft?md5=7d6c60ad544d3fe0b62f8a15ebfed853&pid=1-s2.0-S2949732924000048-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140000352","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
Executive Functioning, Internalizing and Externalizing Symptoms: Understanding Developmental Dynamics Through Panel Network Approaches 执行功能、内化症状和外化症状--通过小组网络方法了解发展动态
JAACAP open Pub Date : 2024-03-01 DOI: 10.1016/j.jaacop.2023.11.001
René Freichel MSc , Janine Pfirrmann MSc , Peter J. de Jong PhD , Janna Cousijn PhD , Ingmar H.A. Franken PhD , Albertine J. Oldehinkel PhD , Ilya M. Veer PhD , Reinout W. Wiers PhD
{"title":"Executive Functioning, Internalizing and Externalizing Symptoms: Understanding Developmental Dynamics Through Panel Network Approaches","authors":"René Freichel MSc ,&nbsp;Janine Pfirrmann MSc ,&nbsp;Peter J. de Jong PhD ,&nbsp;Janna Cousijn PhD ,&nbsp;Ingmar H.A. Franken PhD ,&nbsp;Albertine J. Oldehinkel PhD ,&nbsp;Ilya M. Veer PhD ,&nbsp;Reinout W. Wiers PhD","doi":"10.1016/j.jaacop.2023.11.001","DOIUrl":"10.1016/j.jaacop.2023.11.001","url":null,"abstract":"<div><h3>Objective</h3><p>Early adolescence is a transition period during which many mental health disorders emerge. The interplay between different internalizing and externalizing mental health problems in adolescence is poorly understood at the within-person level. Executive functioning (EF) in early adolescence has been shown to constitute a transdiagnostic risk factor, but the specificity of the associations between different domains of EF and mental health problems remains unclear.</p></div><div><h3>Method</h3><p>Network dynamics (ie, temporal effects) of different internalizing and externalizing symptoms were investigated leveraging data from the Tracking Adolescents’ Individual Lives Survey (TRAILS), a large longitudinal panel study of adolescents (&gt;1,641 participants) assessed at ages 11, 13, and 15. Two novel methodological panel network approaches were used: cross-lagged panel network models and graphical vector autoregressive models. Hierarchical regression models were used to investigate prospective associations between different measures of EF and broadband transdiagnostic dimensions.</p></div><div><h3>Results</h3><p>Depressive problems predicted a range of other internalizing symptoms (ie, panic, somatic problems, separation anxiety, general anxiety, social phobia) over time, particularly during early adolescence. Important feedback loops with reciprocal associations between different anxiety symptoms were identified. Different facets of EF assessed at age 11, particularly sustained attention, showed weak but significant prospective associations with internalizing and externalizing symptoms at age 13.</p></div><div><h3>Conclusion</h3><p>The present findings emphasize the importance of targeting depressive problems in early adolescence to prevent a spiral of different internalizing symptoms from arising later on.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Pages 66-77"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000601/pdfft?md5=aaca776a874197d997a5f0fed311ecda&pid=1-s2.0-S2949732923000601-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613891","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
Remote Delivery of Allied and Behavioral Healthcare During COVID-19 for Children With Developmental Disabilities 在 COVID-19 期间为发育障碍儿童远程提供联合和行为保健服务
JAACAP open Pub Date : 2024-03-01 DOI: 10.1016/j.jaacop.2023.08.007
Lisa D. Wiggins PhD, MPH , Lin H. Tian MD , Sarah C. Tinker PhD, MPH , Marshalyn Yeargin-Allsopp MD , Carolyn G. DiGuiseppi MD, MPH, PhD , Cy Nadler PhD , Patrick S. Powell PhD , Eric J. Moody PhD , Maureen S. Durkin PhD, DrPH , M. Danielle Fallin PhD , A. Blythe Ryerson PhD , JoAnn M. Thierry PhD , Britney Robinson MPH , Karen Pazol PhD
{"title":"Remote Delivery of Allied and Behavioral Healthcare During COVID-19 for Children With Developmental Disabilities","authors":"Lisa D. Wiggins PhD, MPH ,&nbsp;Lin H. Tian MD ,&nbsp;Sarah C. Tinker PhD, MPH ,&nbsp;Marshalyn Yeargin-Allsopp MD ,&nbsp;Carolyn G. DiGuiseppi MD, MPH, PhD ,&nbsp;Cy Nadler PhD ,&nbsp;Patrick S. Powell PhD ,&nbsp;Eric J. Moody PhD ,&nbsp;Maureen S. Durkin PhD, DrPH ,&nbsp;M. Danielle Fallin PhD ,&nbsp;A. Blythe Ryerson PhD ,&nbsp;JoAnn M. Thierry PhD ,&nbsp;Britney Robinson MPH ,&nbsp;Karen Pazol PhD","doi":"10.1016/j.jaacop.2023.08.007","DOIUrl":"10.1016/j.jaacop.2023.08.007","url":null,"abstract":"<div><h3>Objective</h3><p>Many children with autism spectrum disorder (ASD) and other developmental disabilities (DD) transitioned to telehealth services due to the COVID-19 pandemic. Our objectives were to describe reductions in allied and behavioral healthcare services and receipt of caregiver training to deliver services at home because of COVID-19 for children with ASD and other DD, and factors associated with worse response to remote delivery of services for children with ASD.</p></div><div><h3>Method</h3><p>Prior to the pandemic, children 2 to 5 years of age were enrolled in a multi-site case-control study and completed a developmental assessment. Caregivers completed questionnaires on child behavior problems and ASD symptoms. Children were classified as having ASD vs another DD based on standardized diagnostic measures. Subsequently, caregivers completed a survey during January to June 2021 to assess how COVID-19 affected children and families.</p></div><div><h3>Results</h3><p>Caregivers reported that most children with ASD and other DD had a decrease in service hours (50.0%-76.9% by service type) during the COVID-19 pandemic. Children with ASD were significantly more likely to experience reduced speech/language therapy than children with other DD. Receipt of caregiver training to deliver services at home ranged from 38.1% to 57.4% by service type. Among children with ASD, pre-pandemic problems with internalizing behaviors and social communication/interaction were associated with worse response to behavioral telehealth but no other common therapies.</p></div><div><h3>Conclusion</h3><p>Our study demonstrates the caregiver-reported impacts of COVID-19 on remote delivery of allied and behavioral healthcare services for children with ASD and other DD. Considerations for caregiver support and remote delivery of services are provided.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Pages 36-44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000509/pdfft?md5=90c25931c3434879bc7c9ff8b64dd580&pid=1-s2.0-S2949732923000509-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934683","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}
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