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1.
Twin Res Hum Genet ; 22(6): 800-808, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31364586

RESUMO

The COllaborative project of Development of Anthropometrical measures in Twins (CODATwins) project is a large international collaborative effort to analyze individual-level phenotype data from twins in multiple cohorts from different environments. The main objective is to study factors that modify genetic and environmental variation of height, body mass index (BMI, kg/m2) and size at birth, and additionally to address other research questions such as long-term consequences of birth size. The project started in 2013 and is open to all twin projects in the world having height and weight measures on twins with information on zygosity. Thus far, 54 twin projects from 24 countries have provided individual-level data. The CODATwins database includes 489,981 twin individuals (228,635 complete twin pairs). Since many twin cohorts have collected longitudinal data, there is a total of 1,049,785 height and weight observations. For many cohorts, we also have information on birth weight and length, own smoking behavior and own or parental education. We found that the heritability estimates of height and BMI systematically changed from infancy to old age. Remarkably, only minor differences in the heritability estimates were found across cultural-geographic regions, measurement time and birth cohort for height and BMI. In addition to genetic epidemiological studies, we looked at associations of height and BMI with education, birth weight and smoking status. Within-family analyses examined differences within same-sex and opposite-sex dizygotic twins in birth size and later development. The CODATwins project demonstrates the feasibility and value of international collaboration to address gene-by-exposure interactions that require large sample sizes and address the effects of different exposures across time, geographical regions and socioeconomic status.


Assuntos
Envelhecimento/genética , Estatura/genética , Índice de Massa Corporal , Bases de Dados Factuais , Interação Gene-Ambiente , Gêmeos Dizigóticos/genética , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
2.
Sci Rep ; 7(1): 7446, 2017 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-28785027

RESUMO

Recent models propose deoxyribonucleic acid methylation of key neuro-regulatory genes as a molecular mechanism underlying the increased risk of mental disorder associated with early life adversity (ELA). The goal of this study was to examine the association of ELA with oxytocin receptor gene (OXTR) methylation among young adults. Drawing from a 21-year longitudinal cohort, we compared adulthood OXTR methylation frequency of 46 adults (23 males and 23 females) selected for high or low ELA exposure based on childhood socioeconomic status and exposure to physical and sexual abuse during childhood and adolescence. Associations between OXTR methylation and teacher-rated childhood trajectories of anxiousness were also assessed. ELA exposure was associated with one significant CpG site in the first intron among females, but not among males. Similarly, childhood trajectories of anxiousness were related to one significant CpG site within the promoter region among females, but not among males. This study suggests that females might be more sensitive to the impact of ELA on OXTR methylation than males.


Assuntos
Experiências Adversas da Infância , Ansiedade/genética , Metilação de DNA , Receptores de Ocitocina/genética , Estresse Psicológico/genética , Adolescente , Adulto , Criança , Ilhas de CpG , Epigênese Genética , Feminino , Estudos de Associação Genética , Predisposição Genética para Doença , Humanos , Íntrons , Estudos Longitudinais , Masculino , Estudos Prospectivos , Análise de Sequência de DNA , Fatores Sexuais , Adulto Jovem
3.
Psychol Med ; 47(3): 460-470, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27766994

RESUMO

BACKGROUND: This study investigated the potential environmental effects of peer victimization and the quality of relationships with parents and friends on diurnal cortisol secretion in mid-adolescence. METHOD: This study used the monozygotic (MZ) twin-difference design to control for genetic effects and thus estimate the unique environmental influences on diurnal cortisol. Participants were 136 MZ twin pairs (74 female pairs) for whom cortisol was assessed four times per day over four collection days grouped in a 2-week period in grade 8 (mean age = 14.07 years). Participants also provided self-reports of peer victimization from grade 4 to grade 8 and of the relationship quality with the mother, father and best friend in grade 8. RESULTS: The expected pattern of diurnal cortisol secretion was observed, with high levels at awakening followed by an increase 30 min later and a progressive decrease subsequently. Controlling for a host of confounders, only within-twin pair differences in peer victimization and a problematic relationship with the mother were significantly linked to twin differences in diurnal cortisol secretion. Specifically, whereas a more problematic mother-child relationship was associated with morning cortisol secretion, peer victimization was linked to cortisol secretion later in the day (diurnal slope). CONCLUSIONS: Controlling for genetic influences and other confounders, stressful relationships with peers and the mother exert unique and time-specific environmental influences on the pattern of diurnal cortisol secretion in mid-adolescence.


Assuntos
Bullying/estatística & dados numéricos , Amigos/psicologia , Hidrocortisona/metabolismo , Relações Interpessoais , Relações Mãe-Filho/psicologia , Grupo Associado , Relações Pai-Filho , Feminino , Humanos , Masculino , Gêmeos Monozigóticos/psicologia
4.
Br J Psychiatry ; 206(3): 216-22, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25497297

RESUMO

BACKGROUND: Antisocial personality disorder (ASPD) is characterised by elevated impulsive aggression and increased risk for criminal behaviour and incarceration. Deficient activity of the monoamine oxidase A (MAOA) gene is suggested to contribute to serotonergic system dysregulation strongly associated with impulsive aggression and antisocial criminality. AIMS: To elucidate the role of epigenetic processes in altered MAOA expression and serotonin regulation in a population of incarcerated offenders with ASPD compared with a healthy non-incarcerated control population. METHOD: Participants were 86 incarcerated participants with ASPD and 73 healthy controls. MAOA promoter methylation was compared between case and control groups. We explored the functional impact of MAOA promoter methylation on gene expression in vitro and blood 5-HT levels in a subset of the case group. RESULTS: Results suggest that MAOA promoter hypermethylation is associated with ASPD and may contribute to downregulation of MAOA gene expression, as indicated by functional assays in vitro, and regression analysis with whole-blood serotonin levels in offenders with ASPD. CONCLUSIONS: These results are consistent with prior literature suggesting MAOA and serotonergic dysregulation in antisocial populations. Our results offer the first evidence suggesting epigenetic mechanisms may contribute to MAOA dysregulation in antisocial offenders.


Assuntos
Transtorno da Personalidade Antissocial/genética , Criminosos/psicologia , Metilação de DNA , Regulação para Baixo , Monoaminoxidase/genética , Regiões Promotoras Genéticas/genética , Transcrição Gênica/genética , Adulto , Transtorno da Personalidade Antissocial/sangue , Estudos de Casos e Controles , Genótipo , Humanos , Masculino , Serotonina/sangue , Adulto Jovem
5.
Psychol Med ; 44(12): 2617-27, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24443874

RESUMO

BACKGROUND: Physical aggression (PA) tends to have its onset in infancy and to increase rapidly in frequency. Very little is known about the genetic and environmental etiology of PA development during early childhood. We investigated the temporal pattern of genetic and environmental etiology of PA during this crucial developmental period. METHOD: Participants were 667 twin pairs, including 254 monozygotic and 413 dizygotic pairs, from the ongoing longitudinal Quebec Newborn Twin Study. Maternal reports of PA were obtained from three waves of data at 20, 32 and 50 months. These reports were analysed using a biometric Cholesky decomposition and linear latent growth curve model. RESULTS: The best-fitting Cholesky model revealed developmentally dynamic effects, mostly genetic attenuation and innovation. The contribution of genetic factors at 20 months substantially decreased over time, while new genetic effects appeared later on. The linear latent growth curve model revealed a significant moderate increase in PA from 20 to 50 months. Two separate sets of uncorrelated genetic factors accounted for the variation in initial level and growth rate. Non-shared and shared environments had no effect on the stability, initial status and growth rate in PA. CONCLUSIONS: Genetic factors underlie PA frequency and stability during early childhood; they are also responsible for initial status and growth rate in PA. The contribution of shared environment is modest, and perhaps limited, as it appears only at 50 months. Future research should investigate the complex nature of these dynamic genetic factors through genetic-environment correlation (r GE) and interaction (G×E) analyses.


Assuntos
Agressão/fisiologia , Desenvolvimento Infantil/fisiologia , Doenças em Gêmeos/genética , Interação Gene-Ambiente , Pré-Escolar , Feminino , Genoma , Humanos , Lactente , Estudos Longitudinais , Masculino , Quebeque
6.
Mol Psychiatry ; 18(7): 806-12, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22733124

RESUMO

Numerous prospective studies have shown that children diagnosed with attention deficit/hyperactivity disorder (ADHD) are at higher risk of long-term substance abuse/dependence. However, there are three important limits to these studies: (a) most did not differentiate the role of hyperactivity and inattention; (b) most did not control for associated behavioral problems; and (c) most did not consider females. Our aim was to clarify the unique and interactive contributions of childhood inattention and hyperactivity symptoms to early adulthood substance abuse/dependence. Behavioral problems of 1803 participants (814 males) in a population-based longitudinal study were assessed yearly between 6 and 12 years by mothers and teachers. The prevalence of substance abuse/dependence at age 21 years was 30.7% for nicotine, 13.4% for alcohol, 9.1% for cannabis and 2.0% for cocaine. The significant predictors of nicotine dependence were inattention (odds ratio (OR): 2.25; 95% confidence interval (CI): 1.63-3.11) and opposition (OR: 1.65; 95%: 1.20-2.28). Only opposition contributed to the prediction of cannabis dependence (OR: 2.33; 95% CI: 1.40-3.87) and cocaine dependence (OR: 2.97; 95% CI: 1.06-8.57). The best behavioral predictor of alcohol abuse/dependence (opposition) was only marginally significant (OR: 1.38; 95% CI: 0.98-1.95). Frequent oppositional behaviors during elementary school were clearly the most pervasive predictors of substance abuse/dependence in early adulthood. The association of childhood ADHD with substance abuse/dependence is largely attributable to its association with opposition problems during childhood. However, inattention remained an important predictor of nicotine dependence, in line with genetic and molecular commonalities between the two phenotypes suggested in the literature.


Assuntos
Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Atenção , Hipercinese/complicações , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adulto , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/complicações , Estudos de Casos e Controles , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Prevalência , Prognóstico , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/diagnóstico
7.
Comput Methods Programs Biomed ; 109(1): 104-11, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23127283

RESUMO

In cohort studies, variables are measured repeatedly and can be considered as trajectories. A classic way to work with trajectories is to cluster them in order to detect the existence of homogeneous patterns of evolution. Since cohort studies usually measure a large number of variables, it might be interesting to study the joint evolution of several variables (also called joint-variable trajectories). To date, the only way to cluster joint-trajectories is to cluster each trajectory independently, then to cross the partitions obtained. This approach is unsatisfactory because it does not take into account a possible co-evolution of variable-trajectories. KmL3D is an R package that implements a version of k-means dedicated to clustering joint-trajectories. It provides facilities for the management of missing values, offers several quality criteria and its graphic interface helps the user to select the best partition. KmL3D can work with any number of joint-variable trajectories. In the restricted case of two joint trajectories, it proposes 3D tools to visualize the partitioning and then export 3D dynamic rotating-graphs to PDF format.


Assuntos
Algoritmos , Estudos de Coortes , Software , Análise por Conglomerados , Humanos
9.
Psychol Med ; 42(11): 2373-82, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22433421

RESUMO

BACKGROUND: Suicidal behavior is frequently associated with a history of childhood abuse yet it remains unclear precisely how early life adversity may increase suicide risk later in life. As such, our aim was to examine whether lifetime trajectories of disruptiveness and anxiousness trait dysregulation explain the association between childhood adversity and suicidal behavior; and moreover, to test the potential modifying effects of mental disorders on these associations. METHOD: A sample of 1776 individuals from a prospective school-based cohort followed longitudinally for over 22 years was investigated. We tested the influence of disruptiveness and anxiousness trajectories from age 6 to 12 years on the association between childhood adversity (i.e. sexual and physical abuse) and history of suicide attempts (SA) using logistic regression models. Both adolescent externalizing and internalizing Axis I disorders and gender were tested as potential modifiers of these associations. RESULTS: Four distinct longitudinal trajectories were identified for both disruptiveness and anxiousness. The high disruptiveness trajectory accounted for the association between childhood adversity and SA, but only for females. The high anxiousness trajectory also explained the association between adversity and SA; however, in this case it was not sex but mental disorders that influenced the potency of the mediating effect. More specifically, anxiousness fully explained the effect of adversity on SA in the presence of externalizing disorders, whereas in the absence of these disorders, this effect was significantly attenuated. CONCLUSIONS: This study provides evidence that both disruptiveness and anxiousness play an important role in explaining the relationship between childhood adversity and SA.


Assuntos
Ansiedade/epidemiologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/epidemiologia , Maus-Tratos Infantis/estatística & dados numéricos , Comportamento Infantil/classificação , Desenvolvimento Infantil/classificação , Tentativa de Suicídio/estatística & dados numéricos , Adolescente , Adulto , Ansiedade/psicologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Criança , Maus-Tratos Infantis/psicologia , Feminino , Humanos , Masculino , Quebeque/epidemiologia , Fatores Sexuais , Tentativa de Suicídio/psicologia , Adulto Jovem
10.
Addict Behav ; 35(12): 1074-82, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20688439

RESUMO

Childhood disruptiveness is one of the most important antecedents of heavy substance use in adolescence, especially among boys. The first aim of the present study is to verify whether parental monitoring and friend conventionality protect disruptive boys from engaging in heavy substance-use in adolescence. The second purpose is to examine whether these protective effects are strengthened by attachment to parents or friends respectively. Finally, the third objective is to verify whether the expected protective effect of parental monitoring could be mediated through exposure to conventional friends. A sample of 1037 boys from low socioeconomic neighbourhoods was followed from childhood (age 6) to adolescence (age 15). Parent, teacher, and self-reported measures were used to measure disruptiveness, parental monitoring, family attachment, friend conventionality, and attachment to friends. Results suggest that parental monitoring and friends' conventionality mitigated the relationship between childhood disruptiveness and adolescence heavy substance use. Exposure to conventional friends further mediated the protective effect of parent monitoring. The postulated enhancement of attachment quality on the protective effect of parents or peer behaviors was not confirmed, but low attachment was related to heavier substance use in highly monitored disruptive boys. Parental monitoring, family attachment, and peer conventionality are factors amenable to intervention, and thus represent promising targets for future prevention strategies aimed at-risk boys. Our results underscore the importance of simultaneously addressing the behavioral and the affective dimensions in interventions with parents.


Assuntos
Transtornos do Comportamento Infantil/psicologia , Relações Pais-Filho , Grupo Associado , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Criança , Amigos , Humanos , Relações Interpessoais , Estudos Longitudinais , Masculino , Quebeque
11.
Mol Psychiatry ; 15(8): 831-43, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19381154

RESUMO

To investigate similarities and differences in the serotonergic diathesis for mood disorders and suicide attempts, we conducted a study in a cohort followed longitudinally for 22 years. A total of 1255 members of this cohort, which is representative of the French-speaking population of Quebec, were investigated. Main outcome measures included (1) mood disorders (bipolar disorder and major depression) and suicide attempts by early adulthood; (2) odds ratios and probabilities associated with 143 single nucleotide polymorphisms in 11 serotonergic genes, acting directly or as moderators in gene-environment interactions with childhood sexual or childhood physical abuse (CPA), and in gene-gene interactions; (3) regression coefficients for putative endophenotypes for mood disorders (childhood anxiousness) and suicide attempts (childhood disruptiveness). Five genes showed significant adjusted effects (HTR2A, TPH1, HTR5A, SLC6A4 and HTR1A). Of these, HTR2A variation influenced both suicide attempts and mood disorders, although through different mechanisms. In suicide attempts, HTR2A variants (rs6561333, rs7997012 and rs1885884) were involved through interactions with histories of sexual and physical abuse whereas in mood disorders through one main effect (rs9316235). In terms of phenotype-specific contributions, TPH1 variation (rs10488683) was relevant only in the diathesis for suicide attempts. Three genes contributed exclusively to mood disorders, one through a main effect (HTR5A (rs1657268)) and two through gene-environment interactions with CPA (HTR1A (rs878567) and SLC6A4 (rs3794808)). Childhood anxiousness did not mediate the effects of HTR2A and HTR5A on mood disorders, nor did childhood disruptiveness mediate the effects of TPH1 on suicide attempts. Of the serotonergic genes implicated in mood disorders and suicidal behaviors, four exhibited phenotype-specific effects, suggesting that despite their high concordance and common genetic determinants, suicide attempts and mood disorders may also have partially independent etiological pathways. To identify where these pathways diverge, we need to understand the differential, phenotype-specific gene-environment interactions such as the ones observed in the present study, using suitably powered samples.


Assuntos
Suscetibilidade a Doenças , Meio Ambiente , Transtornos do Humor , Polimorfismo de Nucleotídeo Único , Serotonina/genética , Tentativa de Suicídio , Adolescente , Adulto , Análise de Variância , Criança , Abuso Sexual na Infância/psicologia , Epistasia Genética , Família/psicologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Modelos Biológicos , Transtornos do Humor/epidemiologia , Transtornos do Humor/genética , Transtornos do Humor/psicologia , Razão de Chances , Probabilidade , Quebeque/epidemiologia , Receptores de Serotonina/genética , Fatores de Risco , Serotonina/metabolismo , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Tentativa de Suicídio/psicologia , Triptofano Hidroxilase/genética , Adulto Jovem
12.
Encephale ; 31(4 Pt 1): 427-36, 2005.
Artigo em Francês | MEDLINE | ID: mdl-16389710

RESUMO

UNLABELLED: A meta-analysis of North American studies indicates that the prevalence rate of pathological gambling varies between 4.4% and 7.4% among adolescents. Pathological gambling is thus not a phenomenon that suddenly appears once youths reach an adult age. On the contrary, significant contact with gambling occurs in childhood adolescence. For this reason, it is important to develop an effective gambling prevention program that will reduce the risk that youths will develop gambling problems. The information promoted in the prevention program our research team created and evaluated here teaches youths to recognize the traps of gambling activities, while enabling them to make an informed decision as to their eventual participation in those activities. The program is based on knowledge and recognition of key indices that can be easily identified as warning signs of a loss of control. It is predicted that youths who participate in this prevention program will improve their knowledge of gambling activities and will develop a more realistic attitude towards those activities than youths from a control group. The experimental group's problem-solving skills are also expected to improve. An experimental design (pre-test, post-test and follow-ups with control group) was used to evaluate the program's effectiveness. Overall, 1193 youths participated in this study. The prevention program involves three 60-minute meetings. The objectives of these meetings are the following: (meeting #1) improve youths' knowledge of gambling activities and help them acquire a more realistic attitude towards these activities; (meeting #2) teach a structured problem-solving approach to resist to peer-pressure; (meeting #3) inform youths of the consequences that may be associated with abusive participation in gambling and teach them to recognize warning signs of a loss of control over gambling habits. DEPENDENT VARIABLES: (a) knowledge of and attitudes towards gambling and gambling activities; (b) problem-solving skills; (c) frequency of participation in gambling activities; (d) discussion with relatives, friends and teachers regarding gambling activities and attention paid towards gambling habits among close friends and family. Participation in the gambling prevention program significantly improves youths' knowledge of the real probabilities of winning and the pitfalls included in gambling activities and favours the development of a more realistic attitude towards these activities. However, the participation in the prevention program does not help to improve their problem-solving skills. Nonetheless, it leads more youths to talk about gambling with their parents and teachers, and enables them to be more aware of the gambling habits of their friends and family. Finally, note that it was impossible to verify any decrease in gambling habits as the majority of participants (62%) were non or very occasional gamblers. However, no iatrogenic effect was observed on the frequency of participation in gambling activities. Aside the positive impact of the program on the attitudes and knowledge of students, participation in the preventive sessions contributed to create a dialogue with adults and increased youths' interest in the gambling habits of their friends and family. These discussions enabled the youths to validate the information they received during class, to consolidate what they learned during the prevention sessions, and favour the dissemination of this knowledge beyond the scope of the academic environment. The results obtained regarding youths' attitudes and knowledge demonstrate that attitude modification takes place progressively. However, once well assimilated, these new attitudes seem to take hold in a fairly durable way. On the other hand, acquisition of knowledge seems to take place immediately after the theoretical concepts are taught. Yet, they slightly decreased before stabilising a few months later. This suggests that assimilation of new knowledge may be optimized by the addition of an intervention session a couple of months after the end of the intervention. Even if it was impossible to verify any decrease in participants' gambling habits, it is possible to think that the impact of participation in the gambling prevention program could be observable and measurable within a few years. However, only a long-term follow-up study would make it possible to assess whether participation in the program does indeed contribute to decreasing gambling habits and the number of youths who regularly participate in gambling activities. Despite the non-significant results observed for problem-solving skills, it seems nonetheless important to include this component, which benefits from great theoretical support, especially within the framework of prevention programs targeting youths. However, the teaching method must be changed in order to maximize the intervention's effectiveness. Despite some methodological limitations observed during the evaluation of this program, the results obtained clearly demonstrate that participation in the prevention program significantly improves youths' attitudes and knowledge regarding gambling activities. The teaching of accurate knowledge and realistic attitudes towards gambling should help youths to recognize the cognitive traps inherent to gambling activities and thus contribute, over the long run, to decrease the number of youths with gambling problems.


Assuntos
Transtornos Disruptivos, de Controle do Impulso e da Conduta/prevenção & controle , Jogo de Azar , Desenvolvimento de Programas , Adolescente , Demografia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Transtornos Disruptivos, de Controle do Impulso e da Conduta/diagnóstico , Transtornos Disruptivos, de Controle do Impulso e da Conduta/epidemiologia , Feminino , Humanos , Masculino , Projetos Piloto , Prevalência , Avaliação de Programas e Projetos de Saúde
13.
J Neural Transm (Vienna) ; 112(8): 1083-96, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15583952

RESUMO

Chronic antisocial behaviour in youth has been associated with cortisol, a measure of stress reactivity. However, some studies have found low cortisol levels, while others have found elevated cortisol levels. The present study compared variously defined aggressive subgroups for differences in salivary cortisol. A population-based sample of boys was followed longitudinally from childhood to adolescence. Assessments of different forms of antisocial behaviour were obtained from various informants at several points in time, and cortisol was collected at age 13. Higher cortisol levels were found in boys with conduct disorder (CD) than in boys without CD. In addition, boys with an aggressive form of CD had higher cortisol levels than boys who showed a covert form of CD. Furthermore, reactive aggression was strongly correlated with elevated cortisol. Adolescent boys with chronic reactive aggression and those who scored high on aggressive CD symptoms seem to have a more active hypothalamic-pituitary-adrenal system.


Assuntos
Agressão/fisiologia , Transtorno da Personalidade Antissocial/metabolismo , Hidrocortisona/metabolismo , Sistema Hipotálamo-Hipofisário/metabolismo , Sistema Hipófise-Suprarrenal/metabolismo , Estresse Fisiológico/metabolismo , Adolescente , Envelhecimento/fisiologia , Transtorno da Personalidade Antissocial/fisiopatologia , Transtorno da Personalidade Antissocial/psicologia , Estudos de Coortes , Transtorno da Conduta/metabolismo , Transtorno da Conduta/fisiopatologia , Transtorno da Conduta/psicologia , Humanos , Sistema Hipotálamo-Hipofisário/fisiopatologia , Estudos Longitudinais , Masculino , Sistema Hipófise-Suprarrenal/fisiopatologia , Valor Preditivo dos Testes , Saliva/química , Saliva/metabolismo , Glândulas Salivares/metabolismo , Estresse Fisiológico/fisiopatologia , Estresse Fisiológico/psicologia
14.
J Gambl Stud ; 17(2): 101-16, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11705206

RESUMO

This study compares the attitudes, knowledge, and behavior of parents of 5- to 17-year-old children regarding youth gambling. This information was obtained through two telephone surveys conducted in 1995, and 5 years later in 2000, in the Québec City area. Survey 1, in 1995, was conducted on 279 respondents, while survey 2, in 2000, was carried out with 213 respondents. Results showed a number of changes in parents' attitudes, behavior, and knowledge concerning youth gambling: For example, parents' perception of the age of onset of gambling behavior had improved slightly at the end of the 5-year period. Furthermore, parents were more satisfied with government limitation of access to gambling, and more accurately informed about legal aspects of the sale of lottery tickets. However, the percentage of parents who failed to associate youth gambling with some of its correlates (arcade attendance, parental gambling problems, and friendship with gamblers) increased from 1995 to year 2000. The improvements that were observed suggested that parents had benefited from media-transmitted information during this period. However, the deterioration of some parental attitudes, and the stability of other variables, suggest that it is still important to educate parents about youth gambling, and to design interventions adapted to parents' needs.


Assuntos
Jogo de Azar/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Pais/psicologia , Adolescente , Criança , Pré-Escolar , Seguimentos , Humanos , Quebeque
15.
Prev Sci ; 2(3): 133-43, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11678290

RESUMO

Several investigators have underlined the importance of long-term prevention programs in order to expect positive results for at-risk children. One essential prerequisite to addressing this issue is the retention of participants in such programs. The present study aims at examining the contribution of mother-child interactions, mother's social isolation, improvement in the mother-child relationship, and improvement in the child's behavior to the prediction of persistence. Participants (n = 59 disruptive boys) were recruited for a 3-year multicomponent preventive intervention program. Results indicated an improvement of the boys' behavior (reduction of inattention/hyperactivity and reduction of fighting) during the first year of the program, and showed that mother-child positive interactions before the beginning of the program were the best predictors of persistence. Implications of these results for long-term preventive programs are discussed.


Assuntos
Terapia Comportamental/organização & administração , Transtornos do Comportamento Infantil/prevenção & controle , Transtornos do Comportamento Infantil/reabilitação , Criança , Transtornos do Comportamento Infantil/diagnóstico , Pré-Escolar , Estudos de Coortes , Escolaridade , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Relações Mãe-Filho , Valor Preditivo dos Testes , Prevenção Primária/métodos , Probabilidade , Avaliação de Programas e Projetos de Saúde , Fatores de Risco , Classe Social , Fatores Socioeconômicos , Resultado do Tratamento
16.
J Am Acad Child Adolesc Psychiatry ; 40(6): 678-84, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11392346

RESUMO

OBJECTIVE: To examine girls' developmental trajectories of disruptive behaviors during the elementary school years and to predict conduct disorder symptoms and diagnosis in adolescence with trajectories of these behaviors. METHOD: The sample was 820 girls from the province of Quebec followed over 10 years (1986-1996). A semiparametric mixture model was used to describe girls' developmental trajectories of teacher-rated disruptive behaviors between the ages of 6 and 12 years. The trajectories were used to predict conduct disorder symptoms and diagnosis when the girls were on average 15.7 years. RESULTS: Four groups of girls following trajectories with distinct levels of disruptive behaviors were identified: a low, medium, medium-high, and high trajectory. Prediction with the trajectories indicated that girls on the medium, medium-high, and high trajectories reported a significantly higher number of conduct disorder symptoms in adolescence. However, only the girls on the medium-high and high trajectories were at significantly higher risk to meet DSM-III-R criteria for conduct disorder, compared with girls in the low group (odds ratio: 4.46). More than two thirds of the girls with conduct disorder were in the medium or higher-level trajectories. CONCLUSION: The results suggest that there is an early-onset type of conduct disorder in girls.


Assuntos
Comportamento do Adolescente/psicologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/diagnóstico , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Adolescente , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/epidemiologia , Pré-Escolar , Transtorno da Conduta/diagnóstico , Transtorno da Conduta/epidemiologia , Transtorno da Conduta/psicologia , Feminino , Seguimentos , Previsões , Humanos , Incidência , Masculino , Escalas de Graduação Psiquiátrica , Índice de Gravidade de Doença
17.
J Child Psychol Psychiatry ; 42(4): 451-61, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11383961

RESUMO

The present study examined psychiatric functioning in a community sample of adolescents aged 14 to 17 years (average age of 15 years). We administered the Diagnostic Interview Schedule for Children-2.25 (DISC-2.25) to 1,201 adolescents and their mothers to obtain prevalence estimates of DSM-III-R disorders and the amount of perceived impairment associated with these disorders. While adolescent females reported a significantly higher prevalence of psychiatric disorders than males (15.5% vs. 8.5%), mothers indicated no sex difference. Compared with adolescent males, females had significantly higher rates of internalizing, anxiety. and depressive disorders. In contrast, the prevalence of externalizing disorders was significantly higher among adolescent males. The inclusion of an impairment criterion had a significant impact in reducing the prevalence rates of overall psychiatric disorders. This reduction occurred mainly through impairment's effects on internalizing disorders, specifically anxiety-based disorders (i.e., simple and social phobia). Given the limited research on the effect of impairment on the prevalence of adolescent psychiatric disorders, future work in this area seems warranted.


Assuntos
Transtornos de Ansiedade/epidemiologia , Transtornos da Personalidade/epidemiologia , Adolescente , Adulto , Transtornos de Ansiedade/psicologia , Atitude , Estudos Transversais , Feminino , Humanos , Masculino , Percepção , Transtornos da Personalidade/psicologia , Prevalência , Escalas de Graduação Psiquiátrica , Fatores Sexuais
18.
J Child Psychol Psychiatry ; 42(4): 463-73, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11383962

RESUMO

Epidemiological surveys of child and adolescent mental disorders often rely on multiple informants to get a complete diagnostic picture. A consistent finding in the literature is that different informants often do not identify the same children as being disordered. However, because current strategies for estimating interinformant agreement often involve categorizing children using less than perfectly sensitive and/or specific symptoms, biased estimates of interinformant agreement are likely. The aim of this report was to illustrate how latent class analysis (LCA) can be used to model interinformant agreement in the absence of a "gold standard". The proposed model consists of informant-specific latent variables each made up of two or more latent classes corresponding to different levels of symptomatology. Unlike most previous applications of LCA this model allows us to model the extent to which the prevalence of the disorder is the same across informants; and, in addition, the association between informants. The data set comes from a prospective longitudinal study of 2,264 children from Quebec (1,155 boys and 1,109 girls). In grade 2, teachers and mothers independently rated each child on three physical aggression behavior symptoms. We satisfactorily accounted for the cross-classification of the behavior symptoms by postulating the existence of two latent variables--one for each informant each made up of three latent classes of children: low-, medium-, and high-aggressive. The results showed that the prevalence of low- and medium-aggressive children in the population differed from teacher to mother, but that the prevalence of high-aggressive children did not. We found that the association between teacher and mother was large and positive and did not vary according to the child's physical aggression state or gender; in contrast, the association between physical aggression and gender was not the same for mother and teacher. Limitations and other potential applications of the proposed model are discussed.


Assuntos
Agressão , Comportamento Infantil , Modelos Teóricos , Adulto , Criança , Feminino , Humanos , Masculino , Relações Mãe-Filho , Variações Dependentes do Observador , Psicometria , Reprodutibilidade dos Testes , Instituições Acadêmicas , Fatores Sexuais
19.
Dev Psychopathol ; 13(2): 297-315, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11393648

RESUMO

This study examined the controversial practice of grade retention and children's academic and behavioral adjustment using data from the Quebec Longitudinal Study of Kindergarten Children. We employed an autoregressive modeling technique to detect the impact of being held back during primary school on subsequent academic performance and behavioral development until age 12 years. The results indicate both a short- and long-term negative influence on academic performance for boys and girls. Children's anxious, inattentive, and disruptive behaviors persisted and, in some cases, worsened after grade retention. These prospective associations were long lasting and more pronounced when grade retention occurred early in primary school. Boys were more vulnerable to the negative influence of grade retention on academic performance and classroom disruptiveness. Disruptive behavior in girls was comparatively less associated with long-term consequences than boys. Nevertheless, girls experienced both short- and long-term academic performance problems in the aftermath of grade retention. Children's prosocial behavior appeared unaffected by grade retention. These results are independent of what would have been expected by the natural course of academic and behavioral development.


Assuntos
Logro , Transtornos do Comportamento Infantil/diagnóstico , Retenção Psicológica , Criança , Feminino , Seguimentos , Humanos , Masculino , Estudos Prospectivos
20.
Dev Psychol ; 37(3): 308-20, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11370908

RESUMO

Using a new longitudinal clustering technique, this study aimed to (a) empirically identify groups of children with distinct longitudinal profiles of peer social preference during elementary school; (b) compare these groups regarding their longitudinal pattern of classification into J. D. Coie, K. A. Dodge, and H. Coppotelli's (CDC; 1982) sociometric categories; and (c) compare these groups regarding their longitudinal trajectories of antisocial, hyperactive, and anxious behavior. Based on 299 children, 3 groups were identified: a stable popular group, a stable average group, and an unpopular group whose social preference decreased over time. Each of the groups showed considerable overlap over time with their closest corresponding CDC category (popular, average, rejected). Growth curve analyses showed that externalizing and internalizing behavior generally decreased over time, but overall means and the rates of decrease differed in the 3 groups.


Assuntos
Transtornos do Comportamento Infantil/epidemiologia , Desenvolvimento Infantil , Comportamento de Escolha , Grupo Associado , Percepção Social , Transtorno da Personalidade Antissocial/epidemiologia , Transtorno da Personalidade Antissocial/psicologia , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Criança , Transtornos do Comportamento Infantil/psicologia , Análise por Conglomerados , Feminino , Seguimentos , Humanos , Masculino , Semântica , Inquéritos e Questionários
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