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Sustained improvements by behavioural parent training for children with attention-deficit/hyperactivity disorder: A meta-analytic review of longer-term child and parental outcomes 父母行为训练对注意力缺陷/多动障碍儿童的持续改善:对长期儿童和父母结果的荟萃分析综述。
JCPP advances Pub Date : 2023-09-04 DOI: 10.1002/jcv2.12196
Dominique P. A. Doffer, Tycho J. Dekkers, Rianne Hornstra, Saskia van der Oord, Marjolein Luman, Patty Leijten, Pieter J. Hoekstra, Barbara J. van den Hoofdakker, Annabeth P. Groenman
{"title":"Sustained improvements by behavioural parent training for children with attention-deficit/hyperactivity disorder: A meta-analytic review of longer-term child and parental outcomes","authors":"Dominique P. A. Doffer,&nbsp;Tycho J. Dekkers,&nbsp;Rianne Hornstra,&nbsp;Saskia van der Oord,&nbsp;Marjolein Luman,&nbsp;Patty Leijten,&nbsp;Pieter J. Hoekstra,&nbsp;Barbara J. van den Hoofdakker,&nbsp;Annabeth P. Groenman","doi":"10.1002/jcv2.12196","DOIUrl":"10.1002/jcv2.12196","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Behavioural parent training is an evidence-based intervention for children with attention-deficit/hyperactivity disorder (ADHD), but little is known about the extent to which initial benefits are maintained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This meta-analytic review investigated longer-term (i.e., more than 2 months post-intervention) child and parental outcomes of behavioural parent training for children with ADHD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>We searched for randomized controlled trials and examined ADHD symptoms, behavioural problems, positive parenting, negative parenting, parenting sense of competence, parent-child relationship quality, and parental mental health as outcomes. We included 27 studies (31 interventions; 217 effect sizes), used multilevel random-effects meta-analyses for between- and within-group comparisons (pre-intervention to follow-up and post-intervention to follow-up), and explored twelve predictors of change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between pre-intervention and follow-up (<i>M</i> = 5.3 months), we found significant small-to-moderate between-group effects of the intervention on ADHD symptoms, behavioural problems, positive parenting, parenting sense of competence and parent-child relationship quality. Within-group findings show sustained improvements in the intervention conditions for all outcome domains. There were few significant changes from post-intervention to follow-up. Additionally, the large majority of the individual effect sizes indicated sustained outcomes from post-intervention to follow-up. There were seven significant predictors of change in child outcomes, including stronger reductions in ADHD symptoms of girls and behaviour problems of younger children. In contrast with some meta-analyses on short-term effects, we found no differences between masked and unmasked outcomes on ADHD symptoms at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion &amp; Conclusion</h3>\u0000 \u0000 <p>We conclude that behavioural parent training has longer-term benefits for children's ADHD symptoms and behavioural problems, and for positive parenting behaviours, parenting sense of competence and quality of the parent-child relationship.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652907","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: 5
Evidence-based child and adolescent mental health care: The role of high-quality and transparently reported evidence synthesis studies 基于证据的儿童和青少年心理健康护理:高质量和透明报告的证据综合研究的作用。
JCPP advances Pub Date : 2023-08-25 DOI: 10.1002/jcv2.12197
Alessio Bellato, Ioana Alina Cristea, Cinzia Del Giovane, Seena Fazel, Guilherme V. Polanczyk, Marco Solmi, Henrik Larsson
{"title":"Evidence-based child and adolescent mental health care: The role of high-quality and transparently reported evidence synthesis studies","authors":"Alessio Bellato,&nbsp;Ioana Alina Cristea,&nbsp;Cinzia Del Giovane,&nbsp;Seena Fazel,&nbsp;Guilherme V. Polanczyk,&nbsp;Marco Solmi,&nbsp;Henrik Larsson","doi":"10.1002/jcv2.12197","DOIUrl":"10.1002/jcv2.12197","url":null,"abstract":"<p>The publication of evidence synthesis studies (e.g., systematic reviews, meta-analyses of aggregated data or individual participant data, network meta-analyses, umbrella reviews) has grown exponentially in recent decades, with many placing these studies at the top of the pyramid of what is considered <i>good</i> evidence (Murad et al., <span>2016</span>). Evidence synthesis studies integrate and analyse the collective evidence from multiple sources, thus providing comprehensive overviews and analyses of the available literature. Importantly, clinicians, policymakers and researchers make informed decisions, suggest healthcare policies, and guide clinical practice, based on such studies. It is therefore important to ensure that high-quality studies are conducted and published according to specific standardised protocols, to make sure that the evidence synthesis remains rigorous, accessible, and informative. The 13 evidence synthesis studies published in the current special issue of <i>JCPP Advances</i> report comprehensive overviews of several important areas in child and adolescent mental health.</p><p>An important focus of the studies in the special issue is on outcomes and prognosis, such as those demonstrating an association between Attention-Deficit/Hyperactivity Disorder (ADHD) and cardiovascular problems (Li et al., <span>2023</span>) and sleep problems (Marten et al., <span>2023</span>), as well as for poor health-related quality of life associated with low socio-economic status amongst children and adolescents with ADHD (Sevastidis et al., <span>2023</span>). Bogdan et al. (<span>2023</span>) presented a comprehensive summary of the main characteristics of longitudinal studies investigating child and adolescent mental health conditions in the general population; Aymerich et al. (<span>2023</span>) found that internalising and externalising problems are present in children with enuresis or encopresis; while Pollard et al. (<span>2023</span>) observed that anxiety problems during childhood are associated with multifaceted poor outcomes and considerable economic costs.</p><p>Another key focus was on early predictors, including one study reporting an association between markers of autonomic functioning and self-injurious thoughts and behaviours in children and young people (Bellato et al., <span>2023</span>), and another showing that sleep disturbances are transdiagnostic mediating factors of the relationship between adverse childhood experiences and psychopathology in children and adolescents (Liu et al., <span>2023</span>).</p><p>Other studies in the current issue focused on interventions. For example, studies reported evidence for the effectiveness of stimulant medication for pre-schoolers with ADHD (Sugaya et al., <span>2023</span>), and long-term benefits of behavioural parent training for children with ADHD (Doffer, <span>in press</span>). Keiller et al. (<span>2023</span>) found preliminary evidence of the effectiveness of dramathera","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652911","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
Heterogeneity in the trajectories of psychological distress among late adolescents during the COVID-19 pandemic COVID - 19大流行期间晚期青少年心理困扰轨迹的异质性
JCPP advances Pub Date : 2023-08-24 DOI: 10.1002/jcv2.12195
Jean-Philippe Gouin, Alejandro de la Torre-Luque, Yolanda Sánchez-Carro, Marie-Claude Geoffroy, Cecilia Essau
{"title":"Heterogeneity in the trajectories of psychological distress among late adolescents during the COVID-19 pandemic","authors":"Jean-Philippe Gouin,&nbsp;Alejandro de la Torre-Luque,&nbsp;Yolanda Sánchez-Carro,&nbsp;Marie-Claude Geoffroy,&nbsp;Cecilia Essau","doi":"10.1002/jcv2.12195","DOIUrl":"10.1002/jcv2.12195","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The coronavirus disease 2019 (COVID-19) pandemic has constrained opportunities in social, educational and professional domains, leading to developmental challenges for adolescents initiating their transition to adulthood. Meta-analysis indicated that there was a small increase in psychological distress during the first year of the COVID-19 pandemic. However, significant heterogeneity in the psychological response to the COVID-19 pandemic was noted. Developmental antecedents as well as social processes may account for such heterogeneity. The goal of this study was to characterize trajectories of psychological distress in late adolescence during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>5014 late adolescents born between 2000 and 2002 from the UK Millennium Cohort Study completed online self-reported assessments at three occasions during the first year of the COVID-19 pandemic (May 2020, September/October 2020 and February/March 2021). These surveys assessed psychological distress, loneliness, social support, family conflict, as well as other pandemic stressors. Information on developmental antecedents were obtained when cohort members were 17 years of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four distinct trajectories class were identified. <i>Normative class</i> (52.13%) experienced low and decreasing levels of psychological distress, while <i>moderately increasing class</i> (31.84%) experienced a small, but significant increase in distress over time and <i>increasing class</i> (8.75%) exhibited a larger increase in distress after the first wave of the pandemic. <i>Inverted U-shaped class</i> (7.29%) experienced elevated psychological distress during the first wave of the pandemic, followed by a decrease in distress in subsequent waves of the pandemic. Larger longitudinal increases in loneliness were noted among individuals in the elevated distress trajectory, compared to other trajectories. Pre-pandemic psychopathology was associated with elevated distress early in the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The largest trajectory showed low and declining psychological distress, highlighting the resilience of the majority of late adolescents. However, a subgroup of adolescents experienced large increases in psychological distress, identifying a group of individuals more vulnerable to pandemic-related stress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43536614","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
Transactional associations of child irritability and anxiety with parent psychological control in Taiwanese school-aged children 台湾学龄儿童易怒、焦虑与父母心理控制的交易关联
JCPP advances Pub Date : 2023-08-11 DOI: 10.1002/jcv2.12192
Ka Shu Lee, Eli R. Lebowitz, Wendy K. Silverman, Wan-Ling Tseng
{"title":"Transactional associations of child irritability and anxiety with parent psychological control in Taiwanese school-aged children","authors":"Ka Shu Lee,&nbsp;Eli R. Lebowitz,&nbsp;Wendy K. Silverman,&nbsp;Wan-Ling Tseng","doi":"10.1002/jcv2.12192","DOIUrl":"10.1002/jcv2.12192","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Child irritability and anxiety are associated with parent psychological control; yet their transactional relations over time are not well-characterized at the within-person level. Research addressing generalizability of past Western-based literature in non-Western, collectivist community samples is lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sample comprised 285 children aged 8.8–11.4 years (145 girls; <i>M</i>age = 9.9 years, <i>SD</i> = 0.6) in Northern Taiwan. Participants were assessed at baseline (T1), 6-month (T2), and 12-month (T3) follow-ups. Child irritability and anxiety symptoms were assessed using parent-rated Child Behavior Checklist. Parent psychological control was assessed using the parent- and child-rated Psychological Control Scale. Within-person processes were specified using the random-intercept cross-lagged panel models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Models showed that psychological control predicted increased child irritability when analyzing parenting data from parents and children. However, the lagged effect from psychological control to child anxiety was only seen in parent-rated parenting data. We found limited evidence for a back-and-forth transactional pathway among constructs. Child irritability predicted increased child anxiety in all models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Directional effects from psychological control to child irritability and anxiety support parent-involved interventions that prioritize collaborative parenting and positive reinforcement techniques. Future validations in combined clinical and typically developing samples and direct cross-cultural comparisons are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41701733","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
Longitudinal studies of child mental disorders in the general population: A systematic review of study characteristics 普通人群中儿童精神障碍的纵向研究:研究特征的系统综述。
JCPP advances Pub Date : 2023-08-11 DOI: 10.1002/jcv2.12186
Theodora Bogdan, Weiyi Xie, Habeba Talaat, Hafsa Mir, Bhargavi Venkataraman, Laura E. Banfield, Katholiki Georgiades, Laura Duncan
{"title":"Longitudinal studies of child mental disorders in the general population: A systematic review of study characteristics","authors":"Theodora Bogdan,&nbsp;Weiyi Xie,&nbsp;Habeba Talaat,&nbsp;Hafsa Mir,&nbsp;Bhargavi Venkataraman,&nbsp;Laura E. Banfield,&nbsp;Katholiki Georgiades,&nbsp;Laura Duncan","doi":"10.1002/jcv2.12186","DOIUrl":"10.1002/jcv2.12186","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Longitudinal studies of child mental disorders in the general population (herein study) investigate trends in prevalence, incidence, risk/protective factors, and sequelae for disorders. They are time and resource intensive but offer life-course perspectives and examination of causal mechanisms. Comprehensive syntheses of the methods of existing studies will provide an understanding of studies conducted to date, inventory studies, and inform the planning of new longitudinal studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review of the research literature in MEDLINE, EMBASE, and PsycINFO was conducted in December 2022 for longitudinal studies of child mental disorders in the general population. Records were grouped by study and assessed for eligibility. Data were extracted from one of four sources: a record reporting study methodology, a record documenting child mental disorder prevalence, study websites, or user guides. Narrative and tabular syntheses of the scope and design features of studies were generated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 18,133 unique records for 487 studies—159 of these were eligible for inclusion. Studies occurred from 1934 to 2019 worldwide, with data collection across 1 to 68 time points, with 70% of studies ongoing. Baseline sample sizes ranged from <i>n</i> = 151 to 64,136. Studies were most frequently conducted in the United States and at the city/town level. Internalizing disorders and disruptive, impulse control, and conduct disorders were the most frequently assessed mental disorders. Of studies reporting methods of disorder assessment, almost all used measurement scales. Individual, familial and environmental risk and protective factors and sequelae were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results summarize characteristics of existing longitudinal studies of child mental disorders in the general population, provide an understanding of studies conducted to date, encourage comprehensive and consistent reporting of study methodology to facilitate meta-analytic syntheses of longitudinal evidence, and offer recommendations and suggestions for the design of future studies. Registration DOI: 10.17605/OSF.IO/73HSW.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652912","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: 1
When do the effects of single-session interventions persist? Testing the mindset + supportive context hypothesis in a longitudinal randomized trial 单次干预的效果何时持续?在一项纵向随机试验中检验心态+支持性环境假说
JCPP advances Pub Date : 2023-08-10 DOI: 10.1002/jcv2.12191
Cameron A. Hecht, Samuel D. Gosling, Christopher J. Bryan, Jeremy P. Jamieson, Jared S. Murray, David S. Yeager
{"title":"When do the effects of single-session interventions persist? Testing the mindset + supportive context hypothesis in a longitudinal randomized trial","authors":"Cameron A. Hecht,&nbsp;Samuel D. Gosling,&nbsp;Christopher J. Bryan,&nbsp;Jeremy P. Jamieson,&nbsp;Jared S. Murray,&nbsp;David S. Yeager","doi":"10.1002/jcv2.12191","DOIUrl":"10.1002/jcv2.12191","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Single-session interventions have the potential to address young people's mental health needs at scale, but their effects are heterogeneous. We tested whether the <i>mindset + supportive context</i> hypothesis could help explain when intervention effects persist or fade over time. The hypothesis posits that interventions are more effective in environments that support the intervention message. We tested this hypothesis using the synergistic mindsets intervention, a preventative treatment for stress-related mental health symptoms that helps students appraise stress as a potential asset in the classroom (e.g., increasing oxygenated blood flow) rather than debilitating. In an introductory college course, we examined whether intervention-consistent messages from instructors sustained changes in appraisals over time, as well as impacts on students' predisposition to try demanding academic tasks that could enhance learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We randomly assigned 1675 students in the course to receive the synergistic mindsets intervention (or a control activity) at the beginning of the semester, and subsequently, to receive intervention-supportive messages from their instructor (or neutral messages) four times throughout the term. We collected weekly measures of students' appraisals of stress in the course and their predisposition to take on academic challenges. Trial-registration: OSF.io; DOI: 10.17605/osf.io/fchyn.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A conservative Bayesian analysis indicated that receiving both the intervention and supportive messages led to the greatest increases in positive stress appraisals (0.35 <i>SD</i>; 1.00 posterior probability) and challenge-seeking predisposition (2.33 percentage points; 0.94 posterior probability), averaged over the course of the semester. In addition, intervention effects grew larger throughout the semester when complemented by supportive instructor messages, whereas without these messages, intervention effects shrank somewhat over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study shows, for the first time, that supportive cues in local contexts can be the difference in whether a single-session intervention's effects fade over time or persist and even amplify.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42477641","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
Three year outcomes in infants with a family history of autism and/or attention deficit hyperactivity disorder 有自闭症和/或注意缺陷多动障碍家族史的婴儿的三年结果
JCPP advances Pub Date : 2023-08-02 DOI: 10.1002/jcv2.12189
Tony Charman, Greg Pasco, Alexandra Hendry, Tessel Bazelmans, Nisha Narvekar, Amy Goodwin, Hanna Halkola, Mary Agyapong, Rebecca Holman, Jannath Begum Ali, Mutluhan Ersoy, Mark H. Johnson, Andrew Pickles, Emily J. H. Jones, The STAARS Team
{"title":"Three year outcomes in infants with a family history of autism and/or attention deficit hyperactivity disorder","authors":"Tony Charman,&nbsp;Greg Pasco,&nbsp;Alexandra Hendry,&nbsp;Tessel Bazelmans,&nbsp;Nisha Narvekar,&nbsp;Amy Goodwin,&nbsp;Hanna Halkola,&nbsp;Mary Agyapong,&nbsp;Rebecca Holman,&nbsp;Jannath Begum Ali,&nbsp;Mutluhan Ersoy,&nbsp;Mark H. Johnson,&nbsp;Andrew Pickles,&nbsp;Emily J. H. Jones,&nbsp;The STAARS Team","doi":"10.1002/jcv2.12189","DOIUrl":"10.1002/jcv2.12189","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Most research on early outcomes in infants with a family history (FH) of autism has focussed on categorically defined autism, although some have language and developmental delays. Less is known about outcomes in infants with a FH of attention deficit hyperactivity disorder (ADHD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Infants with and without a FH of autism and/or ADHD, due to a first-degree relative with either or both conditions, were recruited at 5 or 10 months. Three year outcomes were characterised using latent profile analysis (LPA) across measures of cognitive ability, adaptive functioning and autism, ADHD and anxiety traits (<i>n</i> = 131). We additionally ran an LPA using only autism and ADHD measures, and the broader LPA in an independent cohort (<i>n</i> = 139) and in both cohorts combined (<i>n</i> = 270).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A Low Developmental Level + High Behavioural Concerns class had elevated autism, ADHD and anxiety scores, low cognitive and adaptive function, and included all but one child with autism. A Low Developmental Level + Typical Behaviour class had average cognitive ability and typical behaviour but low adaptive function. A Typical Developmental Level + Some Behavioural Concerns class had average cognitive and adaptive function but slightly elevated behaviour scores. A High Developmental Level + Typical Behaviour class had above average cognitive ability and typical behaviour. All four LPAs identified classes characterised by combinations of either, or both, Low Development Level and elevated behaviour scores, as well as a typically developing class. No classes had elevated autism or ADHD traits in isolation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Some infants with a FH of autism or ADHD have atypical developmental and behavioural outcomes, but do not show strong autism or ADHD traits in isolation. The field needs to recalibrate aims and methods to embrace the broader transdiagnostic pattern of outcomes seen in these infants.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46068947","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: 1
More frequent naps are associated with lower cognitive development in a cohort of 8–38-month-old children, during the Covid-19 pandemic 在一组8-38个月大的儿童中,在2019冠状病毒病大流行期间,更频繁的小睡与较低的认知发育有关
JCPP advances Pub Date : 2023-07-27 DOI: 10.1002/jcv2.12190
Teodora Gliga, Alexandra Hendry, Shannon P. Kong, Ben Ewing, Catherine Davies, Michelle McGillion, Nayeli Gonzalez-Gomez
{"title":"More frequent naps are associated with lower cognitive development in a cohort of 8–38-month-old children, during the Covid-19 pandemic","authors":"Teodora Gliga,&nbsp;Alexandra Hendry,&nbsp;Shannon P. Kong,&nbsp;Ben Ewing,&nbsp;Catherine Davies,&nbsp;Michelle McGillion,&nbsp;Nayeli Gonzalez-Gomez","doi":"10.1002/jcv2.12190","DOIUrl":"10.1002/jcv2.12190","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>How often a child naps, during infancy, is believed to reflect both intrinsic factors, that is, the need of an immature brain to consolidate information soon after it is acquired, and environmental factors. Difficulty accounting for important environmental factors that interfere with a child's sleep needs (e.g., attending daycare) has clouded our ability to understand the role of intrinsic drivers of napping frequency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Here we investigate sleep patterns in association with two measures of cognitive ability, vocabulary size, measured with the Oxford-Communicative Development Inventory (<i>N</i> = 298) and cognitive executive functions (EF), measured with the Early EF Questionnaire (<i>N</i> = 463), in a cohort of 8–38-month-olds. Importantly, because of the social distancing measures imposed during the Covid-19 Spring 2020 lockdown, in the UK, measures of sleep were taken when children did not access daycare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We find that children with more frequent but shorter naps than expected for their age had lower concurrent receptive vocabularies, lower cognitive EF and a slower increase in expressive vocabulary from spring to winter 2020, when age, sex, and SES were accounted for. The negative association between vocabulary and frequency of naps became stronger with age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest that the structure of daytime sleep is an indicator of cognitive development and highlight the importance of considering environmental perturbations and age when investigating developmental correlates of sleep.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48986348","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: 1
Relationship between elimination disorders and internalizing-externalizing problems in children: A systematic review and meta-analysis 儿童消除障碍和内化外化问题之间的关系:一项系统综述和荟萃分析。
JCPP advances Pub Date : 2023-07-27 DOI: 10.1002/jcv2.12185
Claudia Aymerich, Borja Pedruzo, Malein Pacho, Jon Herrero, María Laborda, Marta Bordenave, Gonzalo Salazar de Pablo, Eva Sesma, Aranzazu Fernández-Rivas, Ana Catalan, Miguel Ángel González-Torres
{"title":"Relationship between elimination disorders and internalizing-externalizing problems in children: A systematic review and meta-analysis","authors":"Claudia Aymerich,&nbsp;Borja Pedruzo,&nbsp;Malein Pacho,&nbsp;Jon Herrero,&nbsp;María Laborda,&nbsp;Marta Bordenave,&nbsp;Gonzalo Salazar de Pablo,&nbsp;Eva Sesma,&nbsp;Aranzazu Fernández-Rivas,&nbsp;Ana Catalan,&nbsp;Miguel Ángel González-Torres","doi":"10.1002/jcv2.12185","DOIUrl":"10.1002/jcv2.12185","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Elimination disorders are highly prevalent in childhood and often associated with clinically relevant comorbid psychological disorders. The aim of this study is to determine if, and to what extent, children with elimination disorders show higher internalizing and externalizing problems than their healthy peers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multistep literature search was performed from database inception until May 1st, 2022. PRISMA/MOOSE-compliant systematic review (PROSPERO: CRD42022303555) were used to identify studies reporting on internalizing and/or externalizing symptoms in children with an elimination disorder and a healthy control (HC) group. First, a systematic review was provided. Second, where data allowed for it, a quantitative meta-analysis with random effects model was conducted to analyze the differences between the elimination disorder and the HC groups for internalizing and externalizing symptoms. Effect size was standardized mean difference. Meta-regression analyses were conducted to examine the effect of sex, age, and study quality. Funnel plots were used to detect a publication bias. Where found, the trim and fill method was used to correct it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>36 articles were included, 32 of them reporting on enuresis (<i>n</i> = 3244; mean age = 9.4; SD = 3.4; 43.84% female) and 7 of them on encopresis (<i>n</i> = 214; mean age = 8.6; SD = 2.3; 36.24% female). Children with an elimination disorder presented significantly lower self-concept (ES:0.42; 95%CI [0.08; 9.76]; <i>p</i> = 0.017) and higher symptom scores for thought problems (ES:−0.26; 95%CI: −0.43;−0.09]; <i>p</i> = 0.003), externalizing symptoms (ES: −0.20; 95%CI [−0.37;−0.03]; <i>p</i> = 0.020), attention problems (ES:−0.37; 95%CI [−0.51;−0.22]; <i>p</i> = 0.0001), aggressive behavior (ES:−0.33; 95%CI [−0.62;−0.04]; <i>p</i> = 0.025) and social problems (ES:−0.39; 95%CI [−0.58;−0.21]; <i>p</i> = 0.0001). Significant publication biases were found across several of the studied domains. No significant effect of sex, age or quality of the study score was found.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Children with an elimination disorder may have significant internalizing and externalizing problems, as well as impaired self-concept. It is recommendable to screen for them in children with enuresis or encopresis and provide appropriate interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652908","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: 1
Opportunities of measuring hierarchical models of psychopathology 测量精神病理学层次模型的机会
JCPP advances Pub Date : 2023-07-22 DOI: 10.1002/jcv2.12187
Erik Pettersson
{"title":"Opportunities of measuring hierarchical models of psychopathology","authors":"Erik Pettersson","doi":"10.1002/jcv2.12187","DOIUrl":"10.1002/jcv2.12187","url":null,"abstract":"<p>All psychiatric phenomena are positively associated, and several different models can account for this observation. These include the correlated factors, network, general psychopathology as outcome, and hierarchical models. Advantages of hierarchical models, which consist of one general and several (general factor-residualized) specific factors, is that the general factor provides an opportunity to reliably measure global distress and impairment, while the specific factors might improve the ability to discriminate between individuals with different kinds of problems. Nevertheless, other models also have their respective advantages, and it remains challenging to empirically determine which model best accounts for the positive manifold in psychiatry. Instead, I present two non-empirical arguments in favor of hierarchical models. First, by measuring the general factor in isolation, the specific factors tend to include both favorable and unfavorable correlates, which might reduce stigma compared to psychiatric diagnoses that by and large are associated with only unfavorable outcomes. Second, the general psychopathology factor displays an unusual psychometric property in that it includes symptoms of opposite meaning if they have similar valence (e.g., self-reported symptoms such as <i>gullible</i> and <i>paranoid</i>, <i>lazy</i> and <i>workaholic</i>, and <i>terrified</i> and <i>apathetic</i> load in the same direction), which one might want to measure in isolation from variance capturing the content of symptoms. I conclude by speculating that tests designed based on hierarchical models might help clinical assessment.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41261015","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
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