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1.
Am J Epidemiol ; 190(2): 220-229, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33524119

RESUMO

Mental health (MH) and behavioral health are fundamental to a good quality of life. Only a few studies have investigated the association between behavioral health (e.g., physical activity (PA), screen time (ST)) and MH from childhood to adolescence. Therefore, we investigated the relationships of PA and ST with MH by sex in an 11-year longitudinal cohort study of German schoolchildren during 2003-2017. A subsample (n = 686; 55.2% female) of participants from the German Motorik-Modul (MoMo) Longitudinal Study who participated in all 3 measurement phases (mean ages: time 1 (baseline; 2003-2006), 5.57 (standard deviation (SD), 1.00) years; time 2 (wave 1; 2009-2012), 11.85 (SD, 1.03) years; time 3 (wave 2; 2014-2017), 16.86 (SD, 1.04) years) were analyzed with regard to PA, ST, and MH (emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, prosocial behavior, and overall strengths and difficulties). Path panel prediction models were fitted with time 1, time 2, and time 3 PA, ST, and MH indicators. PA predicted less television (TV)/video watching in females, and TV/video watching predicted personal computer (PC)/Internet use in both sexes. Behavior and MH results suggested that, for females, higher TV/video watching and PC/Internet use was related to higher MH challenges over the course of maturation. Some preadolescent males' MH challenges increased ST (TV/video watching and PC/Internet use) in adolescence. Researchers should explore innovative and effective methods for reducing childhood ST, especially among females with early signs of MH issues, and addressing preadolescent males' MH challenges.


Assuntos
Transtornos do Comportamento Infantil/epidemiologia , Exercício Físico , Saúde Mental/estatística & dados numéricos , Tempo de Tela , Adolescente , Criança , Pré-Escolar , Emoções , Feminino , Alemanha/epidemiologia , Humanos , Estudos Longitudinais , Masculino , Comportamento Sedentário , Fatores Sexuais , Fatores Socioeconômicos
2.
Psychiatr Prax ; 47(8): 417-425, 2020 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-32869217

RESUMO

OBJECTIVE: To determinate behavioral problems of children of parents with mental illness. Conclusions for prevention. METHODS: Inpatients from a psychiatric hospital (N = 399) with children (4-18 yrs.) evaluated their children's behavior with the Child Behavior Checklist (CBCL). RESULTS: Children of mentally ill parents showed significantly more behavioral problems than children of healthy parents. They had overall fewer behavioral problems compared to children with mental illness, however, behavioral problems were similar with respect to "social problems" (4-11 year-old boys, 12-18 year-old girls) and "somatic complaints" (12-18 year-old boys and girls). CONCLUSION: Results indicate a selective, partly indicated, need for prevention. The data point towards certain areas of behavioral problems that should be particularly targeted when planning such programs.


Assuntos
Transtornos do Comportamento Infantil , Efeitos Psicossociais da Doença , Adolescente , Criança , Transtornos do Comportamento Infantil/epidemiologia , Pré-Escolar , Feminino , Alemanha , Humanos , Masculino , Pais , Fatores de Risco
3.
Yonsei Med J ; 61(10): 880-890, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32975063

RESUMO

PURPOSE: The aim of this study was to investigate differences in language ability and emotional-behavioral problems according to the severity of social communication impairments (SCI) and restricted and repetitive behaviors (RRB) in children with autism spectrum disorders (ASD). MATERIALS AND METHODS: We grouped 113 children with ASD aged 3-12 years according to the severity of SCI and RRB, and investigated language differences and emotional-behavioral problems among the severity groups. If differences in language abilities between the groups were observed, they were further subdivided to examine possible predictors of both receptive and expressive language abilities. RESULTS: In cluster analyses using subdomains of the Autism Diagnostic Interview-revised, severe SCI individuals showed lower language ability than their milder counterparts, while RRB showed no differences. Receptive and expressive language in the severe SCI group was negatively predicted by social communication and social motivation, respectively. The severe RRB group showed significantly higher levels of anxiety/distress, somatic complaints, thought problems, attention problems, and aggressive behavior, while the severe SCI group was reported to be more withdrawn. CONCLUSION: The results of this study suggest that the severity of SCI greatly affects language ability. In children with severe SCI, social communication and social motivation negatively predicted receptive language and expressive language, respectively. Children with severe RRB may have more emotional-behavioral problems that require active intervention.


Assuntos
Sintomas Afetivos/diagnóstico , Sintomas Afetivos/psicologia , Transtorno do Espectro Autista/psicologia , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/psicologia , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Transtornos do Desenvolvimento da Linguagem/psicologia , Desenvolvimento da Linguagem , Sintomas Afetivos/epidemiologia , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/epidemiologia , Criança , Transtornos do Comportamento Infantil/epidemiologia , Pré-Escolar , Emoções , Feminino , Humanos , Idioma , Transtornos do Desenvolvimento da Linguagem/epidemiologia , Masculino , Comportamento Problema , Índice de Gravidade de Doença
4.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 20(2): 1889-1780, jun. 2020.
Artigo em Espanhol | IBECS | ID: ibc-192930

RESUMO

No disponible


COVID-19 confinement situation imposed to the population by the public health reasons causes a considerable reordering of daily habits in families with children. Parent-child interactions might crease and, accordingly, the opportunities to strengthen adaptive behavioral dynamics between the child and their parents and other family members. If this is not the case, problematic behavior increases and, in the context of confinement conditions, the probability of COVID-19 might also infection. Functional Analysis of Behavior is a key reference to shape child'behavior and in the same functional root, Acceptance and Commitment Therapy (ACT) is proving to be useful to build psychological flexibility in many arenas beyond the clinical one where it accumulates remarkable evidence. One of this arenas points to building flexible behavioral patterns in children both in educational and family contexts. The present work aims to apply the ACT model for managing the child's behavior and for improving psychological flexibility during family interactions in the context of following the instructions to reduce virus infection


Assuntos
Humanos , Criança , Transtornos do Comportamento Infantil/terapia , Infecções por Coronavirus/epidemiologia , Quarentena/psicologia , Terapia de Aceitação e Compromisso , Pandemias/estatística & dados numéricos , Distância Social , Sintomas Afetivos/epidemiologia , Características da Família , Relações Familiares/psicologia , Transtornos do Comportamento Infantil/epidemiologia
5.
PLoS One ; 15(5): e0231620, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32374786

RESUMO

BACKGROUND: There is little evidence on the child and family factors that affect the intensity of care use by children with complex problems. We therefore wished to identify changes in these factors associated with changes in care service use and its intensity, for care use in general and psychosocial care in particular. METHODS: Parents of 272 children with problems in several life domains completed questionnaires at baseline (response 69.1%) and after 12 months. Negative binominal Hurdle analyses enabled us to distinguish between using care services (yes/ no) and its intensity, i.e. number of contacts when using care. RESULTS: Change in care use was more likely if the burden of adverse life events (ALE) decreased (odds ratio, OR = 0.94, 95% confidence interval, CI = 0.90-0.99) and if parenting concerns increased (OR = 1.29, CI = 1.11-1.51). Psychosocial care use became more likely for school-age children (vs. pre-school) (OR = 1.99, CI = 1.09-3.63) if ALE decreased (OR = 0.93, CI = 0.89-0.97) and if parenting concerns increased (OR = 1.26, CI = 1.10-1.45). Intensity of use (>0 contacts) of any care decreased when ALE decreased (relative risk, RR = 0.95, CI = 0.92-0.98) and when psychosocial problems became less severe (RR = 0.38, CI = 0.20-0.73). Intensity of psychosocial care also decreased when severe psychosocial problems became less severe (RR = 0.39, CI = 0.18-0.84). CONCLUSIONS: Changes in care-service use (vs. no use) and its intensity (>0 contacts) are explained by background characteristics and changes in a child's problems. Care use is related to factors other than changes in its intensity, indicating that care use and its intensity have different drivers. ALE in particular contribute to intensity of any care use.


Assuntos
Transtornos do Comportamento Infantil/terapia , Cuidado da Criança , Serviços de Saúde da Criança/provisão & distribução , Serviços de Saúde da Criança/estatística & dados numéricos , Recursos em Saúde , Adolescente , Adulto , Criança , Transtornos do Comportamento Infantil/epidemiologia , Cuidado da Criança/métodos , Cuidado da Criança/estatística & dados numéricos , Serviços de Saúde da Criança/organização & administração , Bem-Estar da Criança/estatística & dados numéricos , Pré-Escolar , Estudos de Coortes , Família , Feminino , Seguimentos , Recursos em Saúde/organização & administração , Recursos em Saúde/estatística & dados numéricos , Recursos em Saúde/provisão & distribução , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Países Baixos/epidemiologia , Relações Pais-Filho , Poder Familiar , Fatores Socioeconômicos , Inquéritos e Questionários
6.
J Pediatr ; 221: 224-229, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32446486

RESUMO

OBJECTIVES: To describe patterns of overall, within-household, and community adverse childhood experiences (ACEs) among children in vulnerable neighborhoods and to identify which individual ACEs, over and above overall ACE level, predict need for behavioral health services. STUDY DESIGN: This was a cross-sectional study that used a sample of 257 children ages 3-16 years who were seeking primary care services with co-located mental healthcare services at 1 of 2 clinics in Chicago, Illinois. The outcome variable was need for behavioral health services (Pediatric Symptom Checklist score ≥28). The independent variables were ACEs, measured with an adapted, 28-item version of the Traumatic Events Screening Inventory. RESULTS: Six ACE items were individually predictive of a clinical-range Pediatric Symptom Checklist score after adjusting for sociodemographic covariates: emotional abuse or neglect (OR 2.93, 95% CI 1.32-6.52, P < .01), natural disaster (OR 3.89, 95% CI 1.18-12.76, P = .02), forced separation from a parent or caregiver (OR 2.95, 95% CI 1.50-5.83, P < .01), incarceration of a family member (OR 2.43, 95% CI 1.20-4.93, P = .01), physical attack (OR 2.84, 95% CI 1.32-6.11, P < .01), and community violence (OR 2.35, 95% CI 1.18-4.65, P = .01). After adjusting for overall ACE level, only 1 item remained statistically significant: forced separation from a parent or caregiver (OR 2.44, 95% CI 1.19-5.01, P = .02). CONCLUSIONS: ACEs that disrupt attachment relationships between children and their caregivers are a significant predictor of risk for child emotional or behavioral problems.


Assuntos
Experiências Adversas da Infância , Transtornos do Comportamento Infantil/epidemiologia , Adolescente , Chicago/epidemiologia , Criança , Maus-Tratos Infantis/psicologia , Pré-Escolar , Estudos Transversais , Exposição à Violência/psicologia , Separação da Família , Feminino , Humanos , Modelos Logísticos , Masculino , Desastres Naturais , Apego ao Objeto , Abuso Físico/psicologia
8.
Nord J Psychiatry ; 74(6): 453-460, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32186228

RESUMO

Purpose: The aim of the present study was to investigate the prevalence of specific learning disorder (SLD), comorbid disorders, and risk factors in primary school children for the first time in two-stage design in Turkey.Materials and methods: Participants were 1041 pupils in 28 primary schools and aged from 7 to 11. The Mathematics, Reading, Writing Assessment Scale (MOYA) teacher and parent forms were used in the screening stage and parents and teachers of each child completed MOYA. Ninety-five children were screen positive and eighty-three of these children participated in the interview. SLD diagnoses were based on DSM V criteria. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) was used for the comorbid psychiatric disorders.Results and conclusions: The prevalence rate of the SLD was 6.6%, impairment in reading was 4%, in mathematics was 3.6%, and in written expression was 1.8%. About 62.75% of children with SLD had one or more comorbid diagnoses. ADHD was the most common comorbid mental disorder in SLD (54.9%). SLD prevalence was higher among males. The prevalence of SLD in primary school children in Turkey is consistent with previous studies.


Assuntos
Transtornos do Neurodesenvolvimento/epidemiologia , Transtornos do Neurodesenvolvimento/psicologia , Instituições Acadêmicas/tendências , Transtorno de Aprendizagem Específico/epidemiologia , Transtorno de Aprendizagem Específico/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/epidemiologia , Transtornos do Comportamento Infantil/psicologia , Comorbidade , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Masculino , Transtornos do Neurodesenvolvimento/diagnóstico , Prevalência , Transtorno de Aprendizagem Específico/diagnóstico , Turquia/epidemiologia
9.
BJOG ; 127(9): 1129-1137, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32124520

RESUMO

OBJECTIVE: To compare the long-term effects of tocolysis with nifedipine or atosiban on child outcome at age 2.5-5.5 years. DESIGN: The APOSTEL III trial was a multicentre randomised controlled trial that compared tocolysis with nifedipine or atosiban in 503 women with threatened preterm birth. Neonatal outcomes did not differ between both treatment arms, except for a higher incidence of intubation in the atosiban group. METHODS: Parents were asked to complete four questionnaires regarding neurodevelopment, executive function, behaviour problems and general health. MAIN OUTCOME MEASURES: The main long-term outcome measure was a composite of abnormal development at the age of 2.5-5.5 years. RESULTS: Of the 426 women eligible for follow-up, 196 (46%) parents returned the questionnaires for 115 children in the nifedipine group and 110 children in the atosiban group. Abnormal development occurred in 32 children (30%) in the nifedipine group and in 38 children (38%) in the atosiban group (OR 0.74, 95% CI 0.41-1.34). The separate outcomes for neurodevelopment, executive function, behaviour, and general health showed no significant differences between the groups. Sensitivity analysis for all children of the APOSTEL III trial, including a comparison of deceased children, resulted in a higher rate of healthy survival in the nifedipine group (64 versus 54%), but there was no significant difference in the overall mortality rate (5.4 versus 2.7%). There were no significant subgroup effects. CONCLUSION: Outcomes on broad child neurodevelopment, executive function, behaviour and general health were comparable in both groups. Neither nifedipine nor atosiban can be considered as the preferred treatment for women with threatened preterm birth. TWEETABLE ABSTRACT: Nifedipine- and atosiban-exposed children had comparable long-term outcomes, including neurodevelopment, executive function and behaviour.


Assuntos
Nifedipino/uso terapêutico , Tocolíticos/uso terapêutico , Vasotocina/análogos & derivados , Transtornos do Comportamento Infantil/epidemiologia , Pré-Escolar , Função Executiva , Feminino , Seguimentos , Nível de Saúde , Humanos , Masculino , Transtornos do Neurodesenvolvimento/epidemiologia , Gravidez , Nascimento Prematuro/prevenção & controle , Inquéritos e Questionários , Tocólise , Vasotocina/uso terapêutico
10.
Fertil Steril ; 113(2): 435-443, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32106995

RESUMO

OBJECTIVE: To study the associations between maternal polycystic ovary syndrome (PCOS) and hirsutism with offspring attention-deficit/hyperactivity disorder (ADHD), anxiety, conduct disorder, and behavioral problems. DESIGN: Prospective birth cohort study. SETTING: Not applicable. PATIENT(S): A total of 1,915 mother-child dyads. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Maternal report of offspring ADHD, anxiety, or conduct disorder diagnosis at 7 to 8 years; emotional symptoms, behavioral problems (including peer relationship, conduct, hyperactivity/inattention), and prosocial problems measured with the Strengths and Difficulties Questionnaire (SDQ) at 7 years. RESULT(S): Prevalence of PCOS and hirsutism were 12.0% and 3.9%; 84% of women with hirsutism had PCOS. After adjustment for sociodemographic covariates, prepregnancy body mass index, and parental history of affective disorders, children born to mothers with PCOS had higher risk of anxiety (adjusted risk ratio [aRR] 1.62; 95% confidence interval [CI], 1.02-2.57) and borderline emotional symptoms (aRR 1.66; 95% CI, 1.18-2.33) compared with children born to mothers without PCOS. The associations between maternal PCOS and offspring ADHD were positive but imprecise. Maternal hirsutism was related to a higher risk of children's ADHD (aRR 2.33; 95% CI, 1.28-4.24), conduct disorder (aRR 2.54; 95% CI 1.18-5.47), borderline emotional symptoms, peer relationship problems, and conduct problems (aRRs 2.61; 95% CI, 1.69-4.05; 1.92; 95% CI, 1.16-3.17; and 2.22; 95% CI, 1.30-3.79, respectively). CONCLUSION(S): Maternal PCOS was associated with offspring anxiety, and hirsutism was related to other offspring behavioral problems. These findings should be interpreted with caution as replication is needed in prospective cohort studies that assess PCOS and hirsutism diagnoses using medical records.


Assuntos
Ansiedade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtornos do Comportamento Infantil/epidemiologia , Comportamento Infantil , Transtorno da Conduta/epidemiologia , Hirsutismo/epidemiologia , Saúde Materna , Síndrome do Ovário Policístico/epidemiologia , Efeitos Tardios da Exposição Pré-Natal , Adulto , Fatores Etários , Ansiedade/diagnóstico , Ansiedade/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/psicologia , Transtorno da Conduta/diagnóstico , Transtorno da Conduta/fisiopatologia , Emoções , Feminino , Hirsutismo/diagnóstico , Humanos , Masculino , New York/epidemiologia , Síndrome do Ovário Policístico/diagnóstico , Gravidez , Prevalência , Estudos Prospectivos , Medição de Risco , Fatores de Risco , Comportamento Social
11.
Ital J Pediatr ; 46(1): 9, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31973770

RESUMO

BACKGROUND: The aims of the study were to determine the effects of electronic exposure on behaviors of preschoolers, which could provide scientific grounds to the control of digital screen time and usage of electronics. METHODS: Children of 3-6 years of age (n = 1897) and their families were included in this study. The daily screen time were recorded for seven days. Children were grouped based on daily screen time of < 60 min or > 60 min. Socio-demographic characteristics of the children were acquired by parental questionnaires. Analyses were made based on the CBCL/1.5-5 results. Chi-square test, t-test and Nonparametric correlation analyses were used to determine the correlation between strength, direction and significance of the relations between the variables. Rates of attention-deficit hyperactivity disorder (ADHD) of children in two groups were compared using χ2 test. RESULTS: Our results indicate that screen time is closely correlated with gender of children, household location, maternal education. We observed that preschoolers with screen time of > 60 min tend to have more behavioral problems than those with screen time of < 60 min (total problem: 35.84 vs. 32.76, p = 0.024; externalizing: 11.54 vs. 9.08, p = 0.016). CONCLUSION: Our study suggests that excessive screen time may be a detrimental factor in the development of preschoolers. Caution should be taken in shortening the screen time of preschoolers.


Assuntos
Transtornos do Comportamento Infantil/epidemiologia , Tempo de Tela , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Pré-Escolar , China/epidemiologia , Estudos Transversais , Escolaridade , Feminino , Humanos , Masculino , Fatores Sexuais , Inquéritos e Questionários
12.
J Behav Health Serv Res ; 47(1): 146-163, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-30607528

RESUMO

Millions of children across the USA have unmet mental health needs. When these include the disruptive behavior disorders (DBDs)-oppositional defiant disorder (ODD), conduct disorder (CD), and attention-deficit/hyperactivity disorder (ADHD)-this can mean significant long-term consequences. Since children rarely seek treatment themselves, parents are central to the help-seeking process. This paper reviews research on the rates of problem recognition and help-seeking for DBDs, and on perceptual barriers that might hinder service engagement. Most children with DBDs are neither identified as such nor engaged in treatment, although this may be less true for ADHD than ODD or CD. Factors associated with DBDs that may reduce service engagement include seeing the behaviors as "normative," interpreting the symptoms as willful, and expecting to be blamed for the child's problems. Implications of these findings are discussed with particular focus on the widespread dissemination of evidence-based information about DBDs.


Assuntos
Transtornos do Comportamento Infantil/psicologia , Comportamento de Busca de Ajuda , Pais/psicologia , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/epidemiologia , Pré-Escolar , Humanos , Psicopatologia , Estigma Social
13.
Arch Dis Child Fetal Neonatal Ed ; 105(3): 304-309, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31371433

RESUMO

OBJECTIVE: Evaluate the incidence of and risk factors for behavioural problems in twin-twin transfusion syndrome (TTTS) survivors treated with fetoscopic laser coagulation. DESIGN: Observational cohort study. SETTING: National referral center for fetal therapy, Leiden University Medical Center, The Netherlands. PATIENTS: Behavioural outcome was assessed in 417 TTTS survivors, at the age of 2 years. INTERVENTIONS: Parents completed the Child Behavior Checklist for their twins. Antenatal, neonatal and follow-up data including Bayley III and a neurological exam were recorded from the medical database. MAIN OUTCOME MEASURES: The incidence of and risk factors for behavioural problems. RESULTS: 332 twin pregnancies (664 fetuses) were treated with fetoscopic laser for TTTS between 2008 and 2015. For 517 children eligible for follow-up, 417 (81%) Child Behavior Checklist questionnaires were completed. The study group was born at a mean gestational age of 32.8 weeks±3.2. Total behavioural problems within the borderline to clinical range were reported in 8% (95% CI 5.9 to 11.2) of survivors, compared with 10% in the general Dutch population (p=0.12). No difference between donors and recipients was detected (p=0.84). Internalising and externalising problems were reported in 9.4% (95% CI 6.9 to 12.6) and 11.5% (95% CI 8.8 to 15.0), respectively. Severe neurodevelopmental impairment was more frequent in the children with behavioural problems. High maternal educational level was associated with lower behavioural problem scores. CONCLUSION: Parents of twins treated with fetoscopic laser therapy for TTTS do not report more behavioural problems compared with general population norms. More behavioural problems are reported in children with severe neurodevelopmental impairment.


Assuntos
Transtornos do Comportamento Infantil/epidemiologia , Transfusão Feto-Fetal/epidemiologia , Fetoscopia/métodos , Fotocoagulação a Laser/métodos , Transtornos do Neurodesenvolvimento/epidemiologia , Peso ao Nascer , Pré-Escolar , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Países Baixos , Gravidez , Índice de Gravidade de Doença , Fatores Socioeconômicos
14.
J Youth Adolesc ; 49(7): 1393-1405, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31587175

RESUMO

Some prior studies have found that, for boys, earlier puberty is linked to higher crime and delinquency, while other studies have found that earlier puberty is associated with greater social competence and beneficial psychosocial development. The current study suggests that these seemingly contradictory results actually represent two divergent pathways by which earlier pubertal timing can affect adjustment. Which pathway boys take is highly dependent on psychosocial context. Using a sample of 310 African American boys and their primary caregivers tracked across three waves of data collection from ages 10.55-18.84 from the Family and Community Health Study (FACHS), the current study utilizes Latent Moderated Structural Equation Modeling (LMS) to analyze effects of interactions between pubertal timing and social contextual factors on criminal behavior and social competence. Results suggest that criminogenic effects of early puberty are contingent on deviant peer group, poor school experience, harsh parenting, and neighborhood disorganization, whereas the association between earlier puberty and social competence is attenuated by harsh parenting. Results suggest that modeling both positive and negative development outcomes together may give a clearer picture of the developmental consequences of pubertal timing for boys. In addition, this study shows the importance of social context in shaping the meaning and consequences of biological variables like pubertal timing.


Assuntos
Afro-Americanos/estatística & dados numéricos , Puberdade/fisiologia , Maturidade Sexual/fisiologia , Habilidades Sociais , Adolescente , Criança , Transtornos do Comportamento Infantil/epidemiologia , Humanos , Masculino , Poder Familiar/psicologia , Grupo Associado , Puberdade/psicologia , Características de Residência , Meio Social
15.
Laryngoscope ; 130(2): 546-550, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-30950515

RESUMO

OBJECTIVES: Improvements in sleep-related quality of life (QOL) and behavioral problems have been observed in children with obstructive sleep apnea (OSA) during a short-term follow-up after adenotonsillectomy. Whether this trend continues beyond the short term remains unclear. Therefore, we aimed to evaluate the long-term effects of surgery in children with OSA. METHODS: The study participants comprised 20 children with OSA who underwent adenotonsillectomy. We used the scores from the Attention Deficit and Hyperactivity Disorder Rating Scale (ADHD-RS) and total scores from the Korean OSA-18 Survey (KOSA-18) before and after adenotonsillectomy to compare and analyze behavioral problems and OSA-specific health-related QOL, respectively, during a long-term follow-up. Respiratory disturbance parameters from standard polysomnography and subjective symptom scores for snoring and apnea were also investigated. RESULTS: The mean patient age was 6.6 ± 3.4 years (range, 3-13), and the male-to-female ratio was 15:5. The mean follow-up period was 54.5 months (range, 27-98). The total scores for both ADHD-RS (from 17.6 to 10.5; P = 0.006) and KOSA-18 (from 74.3 to 40.7; P = 0.001) decreased significantly from before to after surgery. Significant decreases were also observed in the subjective symptom scores for snoring (from 5.4 to 2.4; P = 0.000) and apnea (from 3.3 to 0.8; P = 0.002). CONCLUSION: Significant improvement was observed in sleep-related QOL and behavioral problems in children with OSA during long-term follow-up after adenotonsillectomy. LEVEL OF EVIDENCE: 4 Laryngoscope, 130:546-550, 2020.


Assuntos
Adenoidectomia , Transtornos do Comportamento Infantil/epidemiologia , Complicações Pós-Operatórias/epidemiologia , Qualidade de Vida , Transtornos do Sono-Vigília/epidemiologia , Tonsilectomia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Polissonografia , República da Coreia/epidemiologia
16.
J Behav Health Serv Res ; 47(1): 126-138, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31165416

RESUMO

Retention in treatment for children with behavior problems is critical to achieve successful outcomes, and clinical evidence suggests the behavioral health needs and retention of military-connected and civilian families differ meaningfully. Military and civilian children in outpatient behavioral treatment were compared in terms of presenting problems as well as appointment adherence (n = 446 children and their parents). Demographics and rates of externalizing behavior were similar across the two groups. More military than civilian children had internalizing problems. Military parents had more parenting distress and depressive symptoms. Fewer military families dropped out of treatment early. Within-military comparisons demonstrated that children whose parent had recently deployed were more likely to have internalizing problems and poor adaptive skills. Although retention was better among military families, the early treatment drop-out proportions (20-30%) for both groups highlight a barrier to effective behavioral intervention.


Assuntos
Transtornos do Comportamento Infantil/psicologia , Militares/psicologia , Pais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adulto , Criança , Transtornos do Comportamento Infantil/epidemiologia , Transtornos do Comportamento Infantil/terapia , Serviços de Saúde da Criança , Pré-Escolar , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Mid-Atlantic Region , Pessoa de Meia-Idade , Militares/estatística & dados numéricos , Pacientes Ambulatoriais , Estudos Retrospectivos , Adulto Jovem
17.
Epilepsy Behav ; 103(Pt A): 106386, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31645316

RESUMO

Neurobehavioral comorbidities, particularly attention-deficits, are common in children with epilepsy (CWE). Neurobehavioral problems are manifested in school performance, peer relations, and social competence. Although the high prevalence of these comorbid behavioral problems is fully recognized, there remains to be a lack of studies on the interventions targeted for CWE. A manualized neuropsychological group intervention, Rehabilitation of EXecutive Function and ATtention (EXAT) has been developed for school-aged children (aged 6-12 years) with executive function (EF) and attention-deficits. This study aimed to explore the effects of EXAT on parent- and teacher-rated attention and behavior problems in CWE compared with children with the diagnosis of attention-deficit hyperactivity disorder (ADHD) and children with no formal diagnosis but prominent deficits in EF and attention. Forty-two children attending in neuropsychological group rehabilitation EXAT between the years 2006 and 2017 participated in this retrospective registry study. The CWE group consisted of 11 children, the ADHD group with 16 children, and EF/attention group consisted of 15 children with EF attention and/or problems without diagnosis of ADHD. The CWE group did not differ from the other two study groups (ADHD and no formal diagnosis) before the EXAT intervention. This indicates that attention problems in CWE are similar to those with diagnosed ADHD. The results were promising for applying structured multilevel intervention for CWE and neurobehavioral comorbidities. Lack of group differences between the groups participating EXAT suggests similar intervention effects between CWE, ADHD, and those with less severe EF and attention problems. In parent ratings, intervention effects were higher in hyperactivity and oppositional behavior for children with attention problems and without epilepsy. Parents in the CWE group reported no effects except for one subscale related to hyperactivity. However, teachers reported consistently positive intervention effects for both inattention and hyperactivity-impulsivity along with anxiety and emotional lability. The results suggest that neurobehavioral comorbidities in CWE could be targeted in neuropsychological group intervention. In conclusion, CWE seem to benefit from interventions and behavior modification techniques first developed for children with ADHD.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/reabilitação , Terapia Comportamental , Transtornos do Comportamento Infantil/reabilitação , Disfunção Cognitiva/reabilitação , Epilepsia/reabilitação , Psicoterapia de Grupo , Sistema de Registros , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Transtornos do Comportamento Infantil/epidemiologia , Disfunção Cognitiva/epidemiologia , Remediação Cognitiva , Comorbidade , Epilepsia/epidemiologia , Feminino , Humanos , Masculino , Estudos Retrospectivos
18.
Infect Control Hosp Epidemiol ; 41(1): 67-72, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31685049

RESUMO

OBJECTIVE: Central-line-associated bloodstream infections (CLABSI) cause morbidity and mortality in critically ill children. We examined novel and/or modifiable risk factors for CLABSI to identify new potential targets for infection prevention strategies. METHODS: This single-center retrospective matched case-control study of pediatric intensive care unit (PICU) patients was conducted in a 60-bed PICU from April 1, 2013, to December 31, 2017. Case patients were in the PICU, had a central venous catheter (CVC), and developed a CLABSI. Control patients were in the PICU for ≥2 days, had a CVC for ≥3 days, and did not develop a CLABSI. Cases and controls were matched 1:4 on age, number of complex chronic conditions, and hospital length of stay. RESULTS: Overall, 72 CLABSIs were matched to 281 controls. Univariate analysis revealed 14 risk factors, and 4 remained significant in multivariable analysis: total number of central line accesses in the 3 days preceding CLABSI (80+ accesses: OR, 4.8; P = .01), acute behavioral health needs (OR, 3.2; P = .02), CVC duration >7 days (8-14 days: OR, 4.2; P = .01; 15-29 days: OR, 9.8; P < .01; 30-59 days: OR, 17.3; P < .01; 60-89 days: OR, 39.8; P < .01; 90+ days: OR, 4.9; P = .01), and hematologic/immunologic disease (OR, 1.5; P = .05). CONCLUSIONS: Novel risk factors for CLABSI in PICU patients include acute behavioral health needs and >80 CVC accesses in the 3 days before CLABSI. Interventions focused on these factors may reduce CLABSIs in this high-risk population.


Assuntos
Bacteriemia/epidemiologia , Infecções Relacionadas a Cateter/epidemiologia , Cateterismo Periférico/estatística & dados numéricos , Cateteres Venosos Centrais/estatística & dados numéricos , Estudos de Casos e Controles , Cateterismo Periférico/efeitos adversos , Cateteres Venosos Centrais/efeitos adversos , Criança , Transtornos do Comportamento Infantil/epidemiologia , Pré-Escolar , Estado Terminal , Feminino , Doenças Hematológicas/epidemiologia , Humanos , Doenças do Sistema Imunitário/epidemiologia , Lactente , Unidades de Terapia Intensiva Pediátrica , Masculino , Philadelphia/epidemiologia , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo
19.
Indoor Air ; 30(1): 126-136, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31797459

RESUMO

Cooking is one of the main sources of indoor air pollution in China. Given emerging evidence of a link between air pollutants and neurodevelopmental delays, we examined whether maternal experiences with cooking during gestation might increase their child's hyperactivity at 3 years of age. The participants involved 45 518 mothers of children who were newly enrolled at kindergarten in the Longhua District of Shenzhen from 2015 to 2017. The results show that maternal exposure to cooking fumes during pregnancy was related to an increased risk of their offspring having hyperactivity behaviors at the age of 3 years. Compared with pregnant mothers who never cooked, pregnant mothers who cooked sometimes, often, or always had children who showed a significantly higher hyperactivity risk. Households using cooking fuels such as coal, gas during the mothers' pregnancy, exhibited more hyperactivity behaviors in the young child when compared to those using electricity for cooking. In addition, poor ventilation during cooking, while mothers were pregnant, was found to be a significant risk factor for clinical levels of the offspring's hyperactive behaviors. Furthermore, the positive association with maternal cooking during pregnancy and their offsprings' hyperactivity was relatively consistent across strata defined by social class, education, and other covariates.


Assuntos
Poluição do Ar em Ambientes Fechados/estatística & dados numéricos , Transtornos do Comportamento Infantil/epidemiologia , Culinária/métodos , Exposição Materna/estatística & dados numéricos , Adulto , Poluentes Atmosféricos , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Pré-Escolar , China/epidemiologia , Carvão Mineral , Culinária/instrumentação , Características da Família , Feminino , Humanos , Masculino , Gravidez , Efeitos Tardios da Exposição Pré-Natal/epidemiologia
20.
Arch Dis Child ; 105(3): 282-287, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31666244

RESUMO

OBJECTIVE: To evaluate long-term associations between early childhood hyperactivity and conduct problems (CP), measured using Strengths and Difficulties Questionnaire (SDQ) and risk of injury in early adolescence. DESIGN: Data linkage between a longitudinal birth cohort and routinely collected electronic health records. SETTING: Consenting Millennium Cohort Study (MCS) participants residing in Wales and Scotland. PATIENTS: 3119 children who participated in the age 5 MCS interview. MAIN OUTCOME MEASURES: Children with parent-reported SDQ scores were linked with hospital admission and Accident & Emergency (A&E) department records for injuries between ages 9 and 14 years. Negative binomial regression models adjusting for number of people in the household, lone parent, residential area, household poverty, maternal age and academic qualification, child sex, physical activity level and country of interview were fitted in the models. RESULTS: 46% of children attended A&E or were admitted to hospital for injury, and 11% had high/abnormal scores for hyperactivity and CP. High/abnormal or borderline hyperactivity were not significantly associated with risk of injury, incidence rate ratio (IRR) with 95% CI of the high/abnormal and borderline were 0.92 (95% CI 0.74 to 1.14) and 1.16 (95% CI 0.88 to 1.52), respectively. Children with borderline CP had higher injury rates compared with those without CP (IRR 1.31, 95% CI 1.09 to 1.57). CONCLUSIONS: Children with high/abnormal hyperactivity or CP scores were not at increased risk of injury; however, those with borderline CP had higher injury rates. Further research is needed to understand if those with difficulties receive treatment and support, which may reduce the likelihood of injuries.


Assuntos
Transtornos do Comportamento Infantil/complicações , Ferimentos e Lesões/etiologia , Adolescente , Fatores Etários , Criança , Transtornos do Comportamento Infantil/epidemiologia , Pré-Escolar , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Estudos Longitudinais , Masculino , Estudos Prospectivos , Fatores de Risco , Reino Unido/epidemiologia , Ferimentos e Lesões/epidemiologia
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