JAACAP open最新文献

{"title":"Editors’ Best of 2023","authors":"Robert R. Althoff MD, PhD, Kara S. Bagot MD, Daniel P. Dickstein MD, FAAP, Stacy S. Drury MD, PhD, FAPA, Robert L. Findling MD, MBA, Manpreet K. Singh MD, MS","doi":"10.1016/j.jaacop.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.jaacop.2024.01.001","url":null,"abstract":"","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 1","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732924000024/pdfft?md5=e181524d387094df5a868f565a14ef7e&pid=1-s2.0-S2949732924000024-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140000351","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":"Review: Preventing Psychopathology in the Digital Age: Leveraging Technology to Target Coping and Emotion Regulation in Adolescents","authors":"Lauren M. Henry PhD,&nbsp;Bruce E. Compas PhD","doi":"10.1016/j.jaacop.2023.09.006","DOIUrl":"10.1016/j.jaacop.2023.09.006","url":null,"abstract":"<div><h3>Objective</h3><p>Exposure to stress is a risk factor for the development of psychopathology in adolescence. Coping and emotion regulation (ER) mediate and moderate the association between stress exposure and psychopathology, and interventions that teach coping and ER skills to adolescents have demonstrated efficacy for the prevention of psychological symptoms and disorders. Although multiple barriers limit the impact of in-person interventions, digital solutions are promising for delivering interventions in part or whole.</p></div><div><h3>Method</h3><p>The purpose of the current review is to inform the development of interventions that both work and impact public health. The focus is leveraging technology for the prevention of internalizing and externalizing psychopathology in adolescents, with coping and ER as the mechanisms for change.</p></div><div><h3>Results</h3><p>A brief overview of the research on coping and ER is provided; extant in-person and digital interventions targeting coping and ER to prevent psychopathology in adolescents are discussed; and a direction for how the field can progress to bridge the gap between research and commercial silos is provided.</p></div><div><h3>Conclusion</h3><p>Taken together, this review can guide efforts toward technology-based and -enhanced preventive interventions targeting coping and ER to prevent psychopathology in adolescents.</p></div><div><h3>Diversity &amp; Inclusion Statement</h3><p>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 6-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000480/pdfft?md5=8ba9277727440b7ef6c91059fd740df8&pid=1-s2.0-S2949732923000480-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934829","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":"Barriers and Facilitators to Incorporating an Integrative Mind–Body Intervention in Youth With Type 2 Diabetes","authors":"Irina Bransteter PhD ,&nbsp;Molly McVoy MD ,&nbsp;David W. Miller MD, LAc ,&nbsp;Rose A. Gubitosi-Klug MD ,&nbsp;Tracy L. Segall MSHS ,&nbsp;Mina K. Divan MD ,&nbsp;Jessica Surdam MPH ,&nbsp;Martha Sajatovic MD ,&nbsp;Jeffery A. Dusek PhD","doi":"10.1016/j.jaacop.2024.01.005","DOIUrl":"10.1016/j.jaacop.2024.01.005","url":null,"abstract":"<div><h3>Objective</h3><p>There has been little to no qualitative research done with adolescents and young adults (AYA) with type 2 diabetes (T2D) that can guide creation of interventions for this demographic. Using qualitative research methods, a novel mind–body intervention called Intervention for Early Onset Type 2 Diabetes (INTEND) has been developed for AYA aged 15 to 20 years, with the goal of improving self-management and coping skills, by enhancing routine care with augmented education coupled with mind–body skills.</p></div><div><h3>Method</h3><p>Qualitative interviews with AYA 15 to 20 years of age with T2D, their parents, and professionals caring specifically for this population were done through a focus group model. Transcripts were created, depersonalized, and coded using a Consensual Qualitative Research (CQR) method. Identified themes then guided the creation of course materials that included education about self-management of T2D and how to use the 4 mind–body technique toward self-care and regulation.</p></div><div><h3>Results</h3><p>The qualitative approach used in the development of this intervention revealed important findings in understanding key barriers faced by this group, key facilitators that improve their quality of life, and core components of an intervention that would be acceptable to them.</p></div><div><h3>Conclusion</h3><p>Results of this qualitative study helped craft an intervention tool that can subsequently be deployed and evaluated for effectiveness. Findings of the qualitative research model allow us to better understand the lived experience of AYA living with T2D.</p></div><div><h3>Plain language summary</h3><p>Youth-onset type 2 diabetes is a growing epidemic associated with increased risk for mental health problems, but there is little research regarding tailored treatment options. This study examined data from key stakeholder input from 3 patients, 3 parents, and 6 healthcare professionals using focus groups and qualitative interviews, to identify themes that guided the development of a novel mind-body intervention. Adolescents, medical providers and guardians identified stigma, isolation, and difficulty coordinating medical care as barriers to care. The novel mind-body intervention addressing both physical and mental health was positively received by all stakeholders. Thess results indicate the acceptability of a novel treatment for this understudied and underserved population.</p></div><div><h3>Clinical guidance</h3><p></p><ul><li><span>•</span><span><p>Stigma of type 2 diabetes in adolescents may interfere with patients’ ability to adequately adhere to treatment recommendations</p></span></li><li><span>•</span><span><p>Clinicians need to identify social supports for adolescents with type 2 diabetes</p></span></li><li><span>•</span><span><p>Identifying family members and including them in treatment plans may help adolescents with type 2 diabetes</p></span></li></ul></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 208-216"},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732924000127/pdfft?md5=1bcc78c148bb8a4e9a369d9defa2a75b&pid=1-s2.0-S2949732924000127-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083534","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":"Relative Age Effects on Attention-Deficit/Hyperactivity Disorder Symptoms and Educational Achievement: A Longitudinal UK Cohort Study","authors":"Qigang Deng MSc ,&nbsp;Jonathan R.I. Coleman PhD ,&nbsp;Ethan Mottershead MSc ,&nbsp;Angelica Ronald PhD ,&nbsp;Helena M.S. Zavos PhD ,&nbsp;Jonna Kuntsi PhD","doi":"10.1016/j.jaacop.2024.01.004","DOIUrl":"10.1016/j.jaacop.2024.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>Being among the youngest in a school class increases the risk for worse educational outcomes and attention-deficit/hyperactivity disorder (ADHD) symptoms, but questions remain about the nature and persistence of such effects. We investigated this “relative age effect” on educational achievement at age 15 to 16 years and on ADHD symptoms from age 7 to age 21 years. Furthermore, we examined whether being young-in-class is linked to a greater reduction in ADHD symptoms from childhood to adulthood and a lower genetic propensity to ADHD.</p></div><div><h3>Method</h3><p>We identified 3,928 young-in-class and 4,580 old-in-class participants from the Twins’ Early Development Study. Educational achievement was measured with mathematics and English examination grades at age 15 to 16 years, and ADHD symptoms were measured using 2 different scales and different raters, from age 7 to 21 years, with effects tested using regression.</p></div><div><h3>Results</h3><p>A relative age effect emerged for English but not mathematics examination grades, and for the majority of parent and teacher ratings on ADHD symptoms, most consistently in middle childhood. Being young-in-class was associated with a greater reduction in parent-rated ADHD symptoms from childhood to adulthood when measured with a brief scale, but the comparable result from a longer scale was non-significant (after multiple testing correction). No interaction emerged between relative age and ADHD polygenic scores.</p></div><div><h3>Conclusion</h3><p>Our results emphasise the need to improve support for the children who start school younger than most, and to ensure that developmental comparisons take children’s precise age into account. Future research would benefit from in-depth analyses of individual trajectories and their variability among the young-in-class children.</p></div><div><h3>Plain language summary</h3><p>Young-in-class children are at increased risk for worse educational outcomes and attention-deficit/hyperactivity disorder (ADHD) symptoms, but their persistence is unclear. This study examined data from a large longitudinal UK community sample (3,928 young-in-class and 4,580 old-in-class) to identify age effects on educational achievements and ADHD symptoms. Results showed that young-in-class children are more likely to be rated with ADHD symptoms by both parents and teachers, especially in middle childhood, and have lower English exam grades at age 15 to 16.These results emphasize the need to improve support for children who start school younger than most and ensure that developmental comparisons take children’s precise age into account.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 199-207"},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732924000115/pdfft?md5=0d83eeb729e23c401e7734756bc718eb&pid=1-s2.0-S2949732924000115-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083533","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":"Associations Between Dysregulation and Metabolic Syndrome in Youth and Adults","authors":"","doi":"10.1016/j.jaacop.2023.12.006","DOIUrl":"10.1016/j.jaacop.2023.12.006","url":null,"abstract":"<div><h3>Objective</h3><p>Metabolic syndrome is a serious and costly health condition that is increasingly prevalent in the United States. Current treatment standards, which include lifestyle modification and medication, do not consistently yield sustainable improvements. High rates of co-occurrence with psychiatric disorders suggest that understanding psychological factors associated with metabolic syndrome may be important for enhancing interventions. The current study examines the relations between the psychological construct of “dysregulation” and metabolic risk in children, adolescents, and adults.</p></div><div><h3>Method</h3><p>Participants were 95 family triads comprising 158 youth aged 7 to 17 years and 127 biological parents. Dysregulation was measured using a bifactor model comprising symptoms from the Anxious/Depressed, Attention Problems, and Aggressive Behavior subscales of the Child Behavior Checklist and Adult Self Report for children and adults, respectively. Metabolic risk was measured using confirmatory factor analysis, which included waist circumference, mean arterial pressure, insulin resistance, and triglyceride-to-HDL ratio.</p></div><div><h3>Results</h3><p>Higher levels of dysregulation were associated with increased metabolic risk in adults. In children, this association was moderated by age, such that dysregulation and metabolic risk were positively associated only for older youth.</p></div><div><h3>Conclusion</h3><p>The findings of this study suggest that the association between dysregulation and metabolic risk may become stronger with age and development. This highlights that early detection and intervention of dysregulation may help prevent metabolic comorbidities later in life.</p></div><div><h3>Plain language summary</h3><p>Psychiatric disorders frequently co-occur with metabolic syndrome. Understanding psychological factors associated with metabolic syndrome may help enhance interventions for both conditions. This study examined the relation between the psychological construct of “dysregulation” and metabolic risk in 95 families. Results showed that higher levels of dysregulation were associated with increased metabolic risk in both adults and their children. Dysregulation was positively associated with metabolic risk but only for older youth. Early identification and intervention of dysregulation may help prevent metabolic comorbidities later in life.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 161-169"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000686/pdfft?md5=d46c40abc113e574d43a2121799784fa&pid=1-s2.0-S2949732923000686-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195257","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":"Impact of SARS-CoV-2 (COVID-19) Infections on Mental Health Diagnoses in Youth With Chronic Illness","authors":"","doi":"10.1016/j.jaacop.2023.12.004","DOIUrl":"10.1016/j.jaacop.2023.12.004","url":null,"abstract":"<div><h3>Objective</h3><p>Stressors from the COVID-19 pandemic and limited availability of mental health care services have negatively impacted youth mental health in a significant way. In the first year of the pandemic, global prevalence of anxiety and depression increased by roughly 25% in pediatric populations. While the general trend is clear, this research aimed to explore the added mental health burden of acute COVID-19 on pediatric patients with chronic conditions and describe the differences in mental health outcomes between pediatric patients with 2 common chronic conditions (asthma and diabetes) to better understand specific factors that may increase susceptibility to mental health concerns.</p></div><div><h3>Method</h3><p>Using the TriNetX database, data were extracted for all pediatric patients (aged 5-17 years) with a positive SARS-CoV-2 infection (COVID-19) within a 1-year time frame (April 7, 2021, to April 6, 2022). These patients were divided into 4 cohorts based on the presence of chronic conditions before COVID-19 infection: diabetes (n = 1,587), asthma (n = 13,217), diabetes plus asthma (n = 626), and neither diabetes nor asthma (n = 104,427). For all cohorts, patients with other chronic illness and previous mental health diagnoses were excluded using relevant <em>ICD-10</em> codes. After matching for demographics, comorbid conditions, and body mass index, odds ratios (ORs) of the following outcomes were compared between cohorts after 6 months: new psychiatric diagnosis using relevant <em>ICD-10</em> codes, hospitalization within 1 week, and mortality.</p></div><div><h3>Results</h3><p>After matching, there were statistically significant differences in outcomes between patients with chronic illness and healthy controls after 6 months. Compared with healthy controls, the asthma cohort OR of developing a new psychiatric diagnosis was 1.4 (95% CI 1.15-1.71, <em>p</em> &lt; .001), and the diabetes cohort OR was 1.81 (95% CI 1.11-2.94, <em>p</em> = .015). The new psychiatric diagnosis OR of the asthma cohort compared with the diabetes cohort was 0.62 (95% CI 0.39-0.99, <em>p</em> = .045), suggesting that patients in the diabetes cohort were particularly susceptible to additional mental health diagnoses after an acute COVID-19 infection.</p></div><div><h3>Conclusion</h3><p>Compared with healthy controls, pediatric patients with asthma and pediatric patients with diabetes experienced increased odds of developing a new psychiatric diagnosis after an acute COVID-19 infection.</p></div><div><h3>Plain language summary</h3><p>Adverse mental health outcomes have been reported in adults after a COVID-19 infection, but its effect on children with pre-existing chronic conditions is unclear. This study examined data from the TriNetX database, focusing on 5-to-17 year-old SARS-CoV-2 patients with pre-existing chronic conditions and without mental health diagnoses prior to infection, to identify factors associated with increased risk of mental he","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 180-187"},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000662/pdfft?md5=e8342fdc48d42e23b6358c52deacbff0&pid=1-s2.0-S2949732923000662-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189559","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":"Fluctuations of Attention During Self-paced Naturalistic Goal-Directed Behavior in Attention-Deficit/Hyperactivity Disorder","authors":"","doi":"10.1016/j.jaacop.2023.12.002","DOIUrl":"10.1016/j.jaacop.2023.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>Temporal fluctuations of attention detected with strictly controlled neuropsychological tests is an important objective behavioral marker for attention-deficit/hyperactivity disorder (ADHD). This study examined whether intraindividual variability in response latencies is also detectable in more realistic open-ended virtual contexts where the participants can freely interact with the surroundings when performing instructed everyday tasks from memory.</p></div><div><h3>Method</h3><p>Three ex-Gaussian parameters, μ, σ, and τ, were derived from response latencies in 2 tasks obtained from 2 datasets comprising 9- to 13-year-old children (72 with ADHD and 71 typically developing controls). In the Executive Performance in Everyday LIving (EPELI) task, participants performed instructed household chores in a virtual apartment. In the other task, a continuous performance test (CPT), was used to examine whether previous findings were replicated in this sample.</p></div><div><h3>Results</h3><p>Children with ADHD had shorter response latencies than controls in the EPELI task, while group differences in τ reflecting occasional sluggish responses depended on whether the trials were task-relevant (smaller τ in children with ADHD) or task-irrelevant (larger τ in children with ADHD). CPT results replicated previous observations of longer response latencies and larger τ in children with ADHD compared with control children. Intraindividual variability in the naturalistic EPELI task, however, explained more of the symptom variability than the CPT.</p></div><div><h3>Conclusion</h3><p>This study demonstrates that task context and stimulus relevance considerably influence how intraindividual variability in attention is manifested in children with ADHD. Virtual reality tasks provide a promising avenue for ecologically relevant quantification of this common cognitive deficit in neuropsychiatric disorders.</p></div><div><h3>Plain language summary</h3><p>Temporal fluctuation of cognitive functioning is a behavioral marker for attention-deficit/hyperactivity disorder (ADHD). This study examined data from 72 children with ADHD and 71 children without ADHD, to identify whether cognitive fluctuation can be detected in both a classical experimental task and a novel naturalistic virtual reality task. Results showed that while cognitive fluctuations were observed in both tasks, intra-individual variability was dependent on task context, with ADHD children responding faster in the naturalistic task than the experimental task. Importantly, temporal fluctuation of cognitive function from the naturalistic task explained more symptom variability than those from the experimental task. These results suggest that virtual reality tasks may help identify ecologically relevant markers for ADHD.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 188-198"},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000637/pdfft?md5=ef02c1e4ffa59c060d1702891c4c7650&pid=1-s2.0-S2949732923000637-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019277","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":"Factors Associated With Child and Youth Mental Health Readmissions From a US National Database","authors":"","doi":"10.1016/j.jaacop.2023.12.001","DOIUrl":"10.1016/j.jaacop.2023.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>To describe and identify factors associated with mental health (MH) readmission rates for youth ages 5 to 17 years discharged between January 2019 and November 2019.</p></div><div><h3>Method</h3><p>This retrospective, cross-sectional analysis using the 2019 Nationwide Readmissions Database identified hospitalizations for patients with a primary diagnosis of an MH condition using the Clinical Classification Software groupings, which are based on <em>ICD-10-CM</em> codes. Various patient characteristics including comorbidities were included in univariate and multivariate analysis to study their association with psychiatric readmission.</p></div><div><h3>Results</h3><p>A 30-day readmission rate of 7.8% was found for the overall sample with significantly higher rates for youth younger than age 15 years. MH comorbidity was a factor in readmission rates; having ≥3 primary MH conditions was associated with higher rates of readmission (adjusted odds ratio [aOR] = 1.20). Significantly higher rates of readmission were noted for several diagnostic groupings including schizophrenia spectrum and other psychotic disorders (aOR = 1.95); bipolar and related disorders (aOR = 1.42); other specified and unspecified mood disorders (aOR = 1.42); disruptive, impulse-control, and conduct disorders (aOR = 1.32); and neurodevelopmental disorders (aOR = 1.23). Having public insurance (aOR=1.28) and a longer length of stay (AOR = 1.71 for ≥15 days) were associated with significantly higher odds of an MH readmission.</p></div><div><h3>Conclusion</h3><p>A concerning number of children admitted for MH conditions in 2019 were readmitted within 30 days (7.8%). Younger children, children with specific MH diagnoses, children with public health insurance, and children with a long initial length of stay have higher odds for readmission and represent a target for prevention and intervention.</p></div><div><h3>Plain language summary</h3><p>Hospital readmissions for mental health may reflect healthcare quality. This study examined data from the National Readmission Database in patients 5 to 17 years old with a primary diagnosis of a mental health condition in order to identify factors associated with readmissions. Results showed that 7.8% of youth were readmitted to the hospital within 30 days. A higher number of co-occurring primary mental health conditions, certain diagnostic groups, those with longer initial lengths of stay, and public insurance were associated with higher odds of readmission These factors represent important targets for prevention and intervention.</p></div><div><h3>Diversity &amp; Inclusion Statement</h3><p>We worked to ensure that the study questionnaires were prepared in an inclusive way. Diverse cell lines and/or genomic datasets were not available. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"2 3","pages":"Pages 170-179"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000625/pdfft?md5=cde3f1045b2eb4b09304ec2d83c0900b&pid=1-s2.0-S2949732923000625-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138993268","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":"Scope","authors":"","doi":"10.1016/S2949-7329(23)00054-6","DOIUrl":"https://doi.org/10.1016/S2949-7329(23)00054-6","url":null,"abstract":"","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"1 4","pages":"Page A1"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949732923000546/pdfft?md5=1a5413e18bb56b08ae39bde600b26288&pid=1-s2.0-S2949732923000546-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471753","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":"Physical Aggression Toward Others and Self: Correlates in Autism, Attention-Deficit/Hyperactivity Disorder, and Population-Based Child Samples","authors":"Raman Baweja MD, MS,&nbsp;Daniel A. Waschbusch PhD,&nbsp;Susan D. Mayes PhD","doi":"10.1016/j.jaacop.2023.07.004","DOIUrl":"10.1016/j.jaacop.2023.07.004","url":null,"abstract":"<div><h3>Objective</h3><p>This is the first study investigating physical aggression toward others and toward self (self-injurious behavior [SIB]) and its association with comorbid disorders and symptoms and demographics in large autism, ADHD, and population-based samples.</p></div><div><h3>Method</h3><p>The referred sample comprised 2,456 children (1,415 with autism, 739 with ADHD-combined, and 302 with ADHD-inattentive) aged 2 to 17 years. The population-based sample consisted of 665 children evaluated at baseline (6-12 years of age) and 259 reevaluated at follow-up (12-17 years). The Pediatric Behavior Scale was rated by mothers yielding scores on 2 dependent variables: physical aggression (“hits, bites, or throws things at people”) and SIB (“bites or hits self, bangs head, or repeats other acts causing self-injury”) and 9 independent variables (oppositional behavior, irritability, conduct problems, hyperactivity, impulsivity, autism, inattention, anxiety, and depression).</p></div><div><h3>Results</h3><p>Physical aggression was strongly linked with the autism and ADHD-combined groups (28% and 20% often a problem) but not the ADHD-inattentive or community group (<em>&lt;</em>2%). SIB was primarily associated with autism (16% often a problem). Irritability, conduct problems, and younger age were significant concurrent predictors of physical aggression in most groups, and irritability predicted SIB in autism and ADHD-combined. IQ, sex, race, and parent occupation were not predictors.</p></div><div><h3>Conclusion</h3><p>Physical aggression is common in autism and ADHD-combined, whereas SIB is strongly linked with autism. The irritability component of oppositional defiant disorder and not oppositional behavior significantly predicted physical aggression and SIB. In addition to treating aggression directly, addressing irritability with the use of pharmacological, behavioral, and psychosocial interventions may also decrease aggression.</p></div>","PeriodicalId":73525,"journal":{"name":"JAACAP open","volume":"1 4","pages":"Pages 274-283"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294973292300025X/pdfft?md5=e6524526d06a2b887142f23093ac1a56&pid=1-s2.0-S294973292300025X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41771925","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}