scholarly journals Shared Genetic and Environmental Influences on Early Temperament and Preschool Psychiatric Disorders in Hispanic Twins

2015 ◽  
Vol 18 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Judy L. Silberg ◽  
Nathan Gillespie ◽  
Ashlee A. Moore ◽  
Lindon J. Eaves ◽  
John Bates ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Psychiatric Disorders ◽  
Family Environment ◽  
Separation Anxiety ◽  
Early Period ◽  
Separation Anxiety Disorder ◽  
Preschool Age ◽  
Infant Temperament ◽  
Oppositional Defiant ◽  
Temperamental Trait

Objective: Despite an increasing recognition that psychiatric disorders can be diagnosed as early as preschool, little is known how early genetic and environmental risk factors contribute to the development of psychiatric disorders during this very early period of development. Method: We assessed infant temperament at age 1, and attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and separation anxiety disorder (SAD) at ages 3 through 5 years in a sample of Hispanic twins. Genetic, shared, and non-shared environmental effects were estimated for each temperamental construct and psychiatric disorder using the statistical program MX. Multivariate genetic models were fitted to determine whether the same or different sets of genes and environments account for the co-occurrence between early temperament and preschool psychiatric disorders. Results: Additive genetic factors accounted for 61% of the variance in ADHD, 21% in ODD, and 28% in SAD. Shared environmental factors accounted for 34% of the variance in ODD and 15% of SAD. The genetic influence on difficult temperament was significantly associated with preschool ADHD, SAD, and ODD. The association between ODD and SAD was due to both genetic and family environmental factors. The temperamental trait of resistance to control was entirely accounted for by the shared family environment. Conclusions: There are different genetic and family environmental pathways between infant temperament and psychiatric diagnoses in this sample of Puerto Rican preschool age children.

scholarly journals Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender

2019 ◽  
Author(s):  
Mohammad Reza Mohammadi ◽  
Seyed-Ali Mostafavi ◽  
Zahra Hooshyari ◽  
Ali Khaleghi ◽  
Nastaran Ahmadi
Keyword(s):  
Body Mass Index ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Body Mass ◽  
National Survey ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Oppositional Defiant ◽  
The Status

Objective: Body mass index undergoes a substantial change in some psychiatric disorders. This study aimed to explore the status of body mass index (BMI) in different psychiatric disorders in a national survey among children and adolescents and to identify the role of gender in this regard. Method: A total of 30 532 children and adolescents were randomly selected using cluster sampling method with equal blocks of three age groups and two genders. Psychiatric disorders were assessed using a standardized face-to-face diagnostic interview of Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (KSADS-PL), and Body Mass Index (BMI) was measured for each participant. Results: In this study, 22 730 children and adolescents (109 46 boys and 11784 girls), with valid data of BMI, completed the KSADS-PL interview. The prevalence of psychiatric disorders was 21.2% among underweight participants, 22.8% among overweight participants, and 22.2% among obese participants, which was significantly higher than normal weight participants with 19.6% (X2 = 17.55; p = 0.001). In boys’ subgroup, depression and separation anxiety were mostly seen among the underweight category, while tic disorder was mostly seen in the obese category. In girls’ subgroup, on the other hand, generalized anxiety was mostly observed in the underweight category, while oppositional defiant disorder (ODD), depression, and mental retardation were mostly observed in the obese category. In total, the highest mean BMI rates were among the children and adolescents with alcohol abuse disorder, mania, and panic disorder. However, the lowest BMI rates were among those with attention deficit hyperactivity disorder (ADHD), separation anxiety disorder (SAD), and enuresis. Conclusion: This study gives an overall picture of BMI status in different psychiatric disorders according to gender. Furthermore, in a multidisciplinary approach, the results of this study drew the attention of child psychiatrists to the status of BMI in their clients.

The Prevalence of Psychiatric Disorders in Children and Adolescents in Hormozgan Province of Iran

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Atieh Golbon ◽  
Seyed Yaser Mousavi ◽  
Mohammad Reza Mohammadi ◽  
Zahra Hooshyari ◽  
Nastaran Ahmadi ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Separation Anxiety ◽  
Demographic Data ◽  
Separation Anxiety Disorder ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Oppositional Defiant ◽  
Significant Difference

Objectives: The current cross-sectional study aimed to investigate the prevalence of psychiatric disorders in children and adolescents in the Hormozgan province in Iran. Methods: 1005 children and adolescents aged 6 to 18 years who were living in Hormozgan province participated in this community-based study. Participants were selected using the stratified random cluster sampling and were instructed to fill the Persian version of Kiddie-Sads-Present and Lifetime Version (K-SADS-PL). Demographic data were also collected (i.e., gender, age, education, parents’ education, and socioeconomic status). Descriptive analysis and 95% confidence interval were used to investigate the relationship between the scores of the K-SADS-PL questionnaire and the demographic factors. Logistic regression was used to calculate the OR of the diagnosis with a psychiatric disorder according to sex, age, and socioeconomic status. Results: The overall prevalence in children and adolescents was 16.01%. No statistically significant difference was found concerning gender in regards to the frequency of psychiatric disorders. The most prevalent psychiatric disorders were separation anxiety disorder (4.2%), attention-deficit/hyperactivity disorder (2.5%), and oppositional defiant disorder (2.5%), while anorexia nervosa (0.1%) had the lowest prevalence. Conclusions: The frequency of psychiatric disorders in adolescents in Hormozgan province is comparable to the reports from other countries. The results of this study can be used to develop more specific preventive and therapeutic measures, focused on the highest risk subgroups.

scholarly journals PSYCHIATRIC DISORDERS IN CHILDREN: PATTERN AND CORRELATES AMONG THOSE REPORTING TO A TERTIARY CARE HOSPITAL

2021 ◽  
Vol 71 (3) ◽  
pp. 924-28
Author(s):  
Malik Awais Amin ◽  
Muhammad Kamran ◽  
Shehzad Rauf ◽  
Sumaira Bukhsh ◽  
Isbah Gul ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Psychiatric Disorders ◽  
Attention Deficit ◽  
Tertiary Care ◽  
Separation Anxiety Disorder ◽  
Care Hospital ◽  
Psychiatry Department ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
Naval Ship

Objective: To determine the pattern of psychiatric disorders among children reporting to the Psychiatry department Pakistan Naval Ship Shifa Hospital, Karachi. Study Design: Comparative cross sectional study. Place and Duration of Study: Psychiatry department Pakistan Naval Ship Shifa Hospital, Karachi, from Feb to Aug 2018. Methodolgy: A total of 100 children, aged between 6-12 years of age, both male and female, meeting the selection criteria of the study, presenting to the Psychiatry department at Pakistan Naval Ship Shifa Hospital, were enrolled for this study. Informed consent was taken from the parents. The consultant psychiatrist interviewed the patients and diagnosed any psychiatric disorders based on international classification of diseases version 10. The data was recorded on the study proforma. Results: Out of a total of 100 children, 66 (66%) were male, while 34 (34%) were female. The mean age of the participating children was 8.66 + 1.97 years. The most common psychiatric disorder was attention deficit hyperactivity disorder 44 (44%), followed by depression 30 (30%). Other diagnoses included oppositional defiant disorder 12 (12%), conduct disorder 9 (9%) and separation anxiety disorder 5 (5%). Conclusion: Attention deficit hyperactivity disorder and depression are amongst the quite prevalent psychiatric disorders, than that was considered earlier.

scholarly journals A Brazilian version of the "Children's Interview for Psychiatric Syndromes" (ChIPS)

2009 ◽  
Vol 58 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Isabella G. S. de Souza ◽  
Maria Antonia Serra-Pinheiro ◽  
Renata Mousinho ◽  
Paulo Mattos
Keyword(s):  
Anxiety Disorder ◽  
Psychotic Disorders ◽  
Separation Anxiety ◽  
Child And Adolescent Psychiatry ◽  
Brazilian Portuguese ◽  
Separation Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Children And Adolescent ◽  
Compulsive Disorder ◽  
Oppositional Defiant

OBJETIVE: The advance of research in child and adolescent psychiatry in Brazil heavily depends on the existence of instruments for the investigation of psychiatric syndromes adapted to Brazilian Portuguese. METHODS: This article describes a careful process of translation of the Children's Interview for Psychiatric Syndromes for the purpose of use in research in Brazil. The Children's Interview for Psychiatric Syndromes has a version for parents (P-ChIPs) and a version for children (ChIPS). In this article, the sections of P-ChIPS referring to attention-deficit hyperactivity disorder, oppositional-defiant disorder, conduct disorder, mania/hypomania, anorexia nervosa, bulimia nervosa and psychotic disorders were translated to Brazilian Portuguese. The sections of the ChIPS referring to substance use disorders, social anxiety disorder, specific phobias, obsessive-compulsive disorder, generalized anxiety disoder, separation anxiety disorder, post-traumatic disorders and depression/dysthimia were also adapted. Each section was translated by two independent translators and later discussed in a committee composed of experts in the field of Psychiatry and a professional of the field of linguistics. RESULT: A final version containing an interview for the main psychiatric syndromes was defined. CONCLUSION: The translated P-ChIPS is a helpful instrument in children and adolescent clinical evaluation.

Childhood and adolescent mental health of NICU graduates: an observational study

2020 ◽  
Vol 105 (7) ◽  
pp. 684-689
Author(s):  
Andreea Chiorean ◽  
Calan Savoy ◽  
Karen Beattie ◽  
Salhab el Helou ◽  
Maysoon Silmi ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorder ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Oppositional Defiant Disorder ◽  
Psychiatric Comorbidity ◽  
Separation Anxiety Disorder ◽  
Self Report ◽  
Oppositional Defiant ◽  
Increased Risk

ObjectiveTo investigate the mental health of children and adolescents admitted to neonatal intensive/special care units (NICUs) in infancy.MethodsThis cross-sectional study used a provincially representative cohort from the 2014 Ontario Child Health Study. Parents provided data on psychiatric disorders using the MINI International Neuropsychiatric Interview for Children and Adolescents in 3141 children aged 4–11 years (NICU n=389; control n=2752) and in 2379 children aged 12–17 years (NICU n=298; control n=2081). Additionally, 2235 adolescents aged 12–17 years completed the interview themselves (NICU n=285; control n=1950). Odds of psychiatric disorder were compared in those admitted and controls.ResultsBased on parent reports, NICU graduates aged 4–11 years had increased adjusted ORs (95% CI) of 1.78 (1.39 to 2.28) for any psychiatric disorder, with a marginal prevalence of 32.4% in NICU participants and 27.6% in controls. At this age, NICU graduates also had increased ORs of 1.74 (1.25 to 2.40) for psychiatric comorbidity, 1.48 (1.04 to 2.11) for oppositional defiant disorder, 1.61 (1.19 to 2.19) for attention-deficit hyperactivity disorder, 4.11 (2.33 to 7.25) for separation anxiety disorder and 2.13 (1.37 to 3.31) for specific phobia. At 12–17 years, 40.5% and 30.5% of NICU graduates and 30.6% and 17.9% of controls had any psychiatric disorder as reported by parents and self-report, respectively. Parents and adolescents, respectively, reported increased adjusted ORs (95% CI) of 1.63 (1.18 to 2.26) and 1.55 (1.13 to 2.11) for any disorder, 1.64 (1.06 to 2.54) and 1.74 (1.11 to 2.73) for psychiatric comorbidity, and 1.89 (1.22 to 2.93) and 3.17 (2.03 to 4.95) for oppositional defiant disorder.ConclusionsNICU graduates are at increased risk for psychiatric disorders during childhood and adolescence.

Comorbid Externalising Disorders and Child Anxiety Treatment Outcomes

2004 ◽  
Vol 21 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Ellen Flannery-Schroeder ◽  
Cynthia Suveg ◽  
Scott Safford ◽  
Philip C. Kendall ◽  
Alicia Webb
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Oppositional Defiant ◽  
Cognitive Behavioural ◽  
Externalising Disorders

AbstractExamined the effects of comorbid externalising disorders (i.e., attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder [ODD], conduct disorder [CD]) on the long-term outcome (7.4 years) of individuals treated for anxiety disorders as youth. Ninety-four anxiety-disordered children (aged 8-13) were provided with a 16-session manual-based cognitive behavioural treatment (CBT). Assessments were completed at pretreatment, posttreatment, 1-year posttreatment (see Kendall, et al., 1997) and for 88 of the original 94 subjects at 7.4-years posttreatment (see Kendall, Safford, Flannery-Schroeder, & Webb, in press). At pretreatment, all participants received principal anxiety diagnoses (generalised anxiety disorder, separation anxiety disorder, social phobia). Nineteen had comorbid externalising disorders (11 ADHD, 7 ODD and 1 CD). These 19 subjects were matched on age (within an average of 3 months), gender and race with 19 previously treated youths who were not comorbid with an externalising disorder. Examining parent- and child-reports, respectively, comparable rates of comorbid versus non-comorbid cases were free of their principal anxiety disorder at the 7.4-year follow-up on all dependent measures. Parents of anxiety-disordered children with a comorbid externalising disorder reported higher levels of child externalising behaviour than did parents of anxiety-disordered children without comorbidity. Comorbid children reported greater self-efficacy in coping with anxiety-provoking situations than did non-comorbid children. Thus, it appears that overall anxiety-disordered children with and without comorbid externalising disorders showed comparable improvements following CBT.

scholarly journals Prevalence, Demographic Characteristics and Comorbid Psychiatric Disorders in Children and Adolescents With Substance Use Disorder in Iran

2021 ◽  
Author(s):  
Mohammad Reza Mohammadi ◽  
Seyed Kaveh Hojjat ◽  
Ali Khaleghi ◽  
Zahra Hooshyari ◽  
Seyed-Ali Mostafavi ◽  
...  
Keyword(s):  
Substance Use ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Substance Use Disorder ◽  
National Survey ◽  
Demographic Characteristics ◽  
Separation Anxiety Disorder ◽  
Psychiatric Comorbidities ◽  
Oppositional Defiant ◽  
Iranian Children

Abstract Background: The present study aimed to investigate the prevalence of substance use disorder in Iranian children and adolescents and its relationship with demographic characteristics and psychiatric comorbidities.Method: The data were taken from a national survey on the prevalence of psychiatric disorders in Iranian children and adolescents. The national survey was conducted on 30,532 children and adolescents aged 6-18 years. The psychiatric disorders were assessed by employing k-SADS-PL questionnaire and interviews carried out by 240 clinical psychologists with the participants and their parents. Data were analyzed by Chi-square test and logistic regression.Results: A total of 277 (0.97%) were diagnosed as people with substance use disorder which were further studied for comorbid disorders. Among the various types of drugs, hypnotic / sedative / anti-anxiety drugs were abused by 84 people (46.15%), cannabis by 68 (37.36%) and stimulants by 43 (23.63%). The variables of gender, place of residence, and father’s occupation and parents’ education level were identified as predictors of substance use disorder in children and adolescents. At the same time, 42.50% substances and alcohol abusing people had at least one comorbid psychiatric disorder and the highest Comorbidity was observed in oppositional defiant disorder, attention deficit and hyperactivity disorder and separation anxiety disorder (p≤0.05). Conclusions: The findings can be used in the prevention and treatment of substance use disorder and promotion of mental health in children and adolescents by focusing on the psychiatric comorbidities of people with substance use disorder.

scholarly journals The relationship between sensory reactivity, intolerance of uncertainty and anxiety subtypes in preschool-age autistic children

Autism ◽  
2021 ◽  
pp. 136236132110161
Author(s):  
Keren MacLennan ◽  
Timothy Rossow ◽  
Teresa Tavassoli
Keyword(s):  
Separation Anxiety ◽  
Intolerance Of Uncertainty ◽  
Parent Report ◽  
Preschool Age ◽  
Autistic Children ◽  
Sensory Reactivity ◽  
Mediation Analyses ◽  
Effective Interventions ◽  
Development Of Anxiety ◽  
Sensory Hyperreactivity

Sensory reactivity differences are a diagnostic criterion of autism. Sensory hyperreactivity has been linked to intolerance of uncertainty and anxiety in autistic children. However, research is yet to explore the mediating relationships or sensory hyporeactivity, seeking and anxiety subtypes in preschool-age autistic children. Therefore, we aimed to elucidate the relationships between sensory reactivity, intolerance of uncertainty and anxiety subtypes in a heterogeneous group of 54 preschool-age autistic children, age 3–5 years, using observation and parent-report assessments. Correlational analysis found sensory hyperreactivity, intolerance of uncertainty and total anxiety were significantly intercorrelated. In addition, sensory hyperreactivity was significantly correlated with separation anxiety when controlling for autism traits. Serial mediation analyses indicated significant full mediation between sensory hyperreactivity and anxiety through intolerance of uncertainty, and significant full mediation between sensory hyperreactivity and intolerance of uncertainty through anxiety. Our results suggest that sensory hyperreactivity is a key early factor in the development of anxiety, and supports that intolerance of uncertainty is an important interrelated construct in the development and maintenance of anxiety in autism. Our findings have important implications for the development of effective interventions. However, due to limitations with the measures, our research also highlights a pressing need for objective assessments of anxiety and intolerance of uncertainty that can be used with preschool-age autistic children. Lay abstract This study found links between greater sensory hyperreactivity (e.g., over-sensitive to sensory input), intolerance of uncertainty and anxiety, including separation anxiety, in autistic pre-schoolers. Sensory hyperreactivity may predict both anxiety and intolerance of uncertainty, and anxiety and intolerance of uncertainty may both be mutually important, mediating factors. These findings have implications for early anxiety interventions. But there is a pressing need for objective assessments that can be used with preschool-age autistic children.

Overview of Anxiety Disorders

2018 ◽  
Author(s):  
Jon E Grant
Keyword(s):  
United States ◽  
Anxiety Disorder ◽  
Panic Disorder ◽  
Anxiety Disorders ◽  
Separation Anxiety ◽  
The United States ◽  
Specific Phobia ◽  
Separation Anxiety Disorder ◽  
Generalized Anxiety ◽  
Psychosocial Impairment

Anxiety disorders are the most common psychiatric disorders among adults in the United States. Although anxiety disorders generally result in significant psychosocial impairment, most adults do not seek treatment until many years after the onset of the anxiety disorder. The treatment literature for anxiety disorder has grown tremendously since the 1980s, and both psychotherapy and medications may prove beneficial for people with anxiety disorders. This review presents a general overview of the anxiety disorders. This review contains 7 tables, and 33 references. Key words: agoraphobia, anxiety disorder, generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder, specific phobia, treatment of anxiety

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