The science of child and adolescent mental health in Greece: a nationwide systematic review.

Evidence-based information is essential for effective mental health care, yet the extent and accessibility of the scientific literature are critical barriers for professionals and policymakers. To map the necessities and make validated resources accessible, we undertook a systematic review of scientific evidence on child and adolescent mental health in Greece encompassing three research topics: prevalence estimates, assessment instruments, and interventions. We searched Pubmed, Web of Science, PsycINFO, Google Scholar, and IATPOTEK from inception to December 16th, 2021. We included studies assessing the prevalence of conditions, reporting data on assessment tools, and experimental interventions. For each area, manuals informed data extraction and the methodological quality were ascertained using validated tools. This review was registered in protocols.io [68583]. We included 104 studies reporting 533 prevalence estimates, 223 studies informing data on 261 assessment instruments, and 34 intervention studies. We report the prevalence of conditions according to regions within the country. A repository of locally validated instruments and their psychometrics was compiled. An overview of interventions provided data on their effectiveness. The outcomes are made available in an interactive resource online [ https://rpubs.com/camhi/sysrev_table ]. Scientific evidence on child and adolescent mental health in Greece has now been cataloged and appraised. This timely and accessible compendium of up-to-date evidence offers valuable resources for clinical practice and policymaking in Greece and may encourage similar assessments in other countries.

The psychopathology of parents of children and adolescents with obsessive-compulsive disorder.

OBJECTIVE: Our purpose was to determine the rates of psychopathology in parents of children and adolescents with obsessive-compulsive disorder (OCD) and compare these with that found in parents of children with learning disorders of reading and written expression. METHOD: Thirty-one children with OCD, aged 8-15 years, and their parents (n = 62), aged 43-48 years, were studied and compared to 30 children with learning disorders, aged 7-16 years, and their parents (n = 58), aged 40-46 years. In order to investigate the parental psychopathology, the Symptom Checklist-90-R (SCL-90-R), the State and Trait Anxiety Inventory and the Yale-Brown Obsessive-Compulsive Scale were administered. The psychopathology of children was examined through the Schedule for Affective Disorders and Schizophrenia for school-aged children and other instruments. RESULTS: Both fathers and mothers of the probands differed from the controls in a variety of symptoms (i.e. anxiety, depression, obsessions, etc.). Both parents had increased severity of OC symptomatology in comparison to the controls. In addition, the probands' fathers had severe OC symptomatology at a higher percentage than the mothers and respective controls. CONCLUSION: The elevated scores of the parents of children with OCD in some SCL-90-R subscales can be perceived as an index of heightened psychopathology. More fathers in the OCD group, compared to mothers and controls, were found to have OC symptoms in the SCL-90-R and increased severity of OC symptoms on the Yale-Brown Obsessive-Compulsive Scale. The last finding requires further study. Parental psychopathology in children with OCD needs to be addressed clinically.