High-risk sexual behaviour in young people with mental health disorders

Abstract Background Mental health disorders in the context of long-term conditions in children and young people are currently overlooked and undertreated. Evidence-based psychological treatments for common childhood mental health disorders (anxiety, depression and disruptive behaviour disorders) have not been systematically evaluated in young people with epilepsy despite their high prevalence in this population. The aim of this multi-site randomised controlled trial is to determine the clinical and cost-effectiveness of adding a modular psychological intervention to usual care for the mental health disorders in comparison to assessment-enhanced usual care alone. Methods In total, 334 participants aged 3–18 years attending epilepsy services will be screened for mental health disorders with the Strengths and Difficulties Questionnaire (SDQ) and the diagnostic Development and Wellbeing Assessment (DAWBA). Those identified as having a mental health disorder and consenting to the trial will be randomised to either receive up to 22 sessions of the modular psychological intervention (MATCH-ADTC) delivered over the telephone over 6 months by non-mental health professionals in addition to usual care or to assessment-enhanced usual care alone. Outcomes will be measured at baseline, 6 months and 12 months post-randomisation. It is hypothesised that MATCH-ADTC plus usual care will be superior to assessment-enhanced usual care in improving emotional and behavioural symptoms. The primary outcome is the SDQ reported by parents at 6 months. Secondary outcomes include parent-reported mental health measures such as the Revised Children’s Anxiety and Depression Scale, quality of life measures such as the Paediatric Quality of Life Inventory and physical health measures such as the Hague Seizure Severity Scale. Outcome assessors will be blinded to group assignment. Qualitative process evaluations and a health economic evaluation will also be completed. Discussion This trial aims to determine whether a systematic and integrated approach to the identification and treatment of mental health disorders in children and young people with epilepsy is clinically and cost-effective. The findings will contribute to policies and practice with regard to addressing mental health needs in children and young people with other long-term conditions. Trial registration ISRCTN ISRCTN57823197. Registered on 25 February 2019.

Download Full-text

Analysis of herpes simplex virus 1 and 2 infection in women with high risk sexual behaviour in Mexico

International Journal of Epidemiology ◽

10.1093/ije/28.3.571 ◽

1999 ◽

Vol 28 (3) ◽

pp. 571-576 ◽

Cited By ~ 21

Author(s):

C. J. Conde-Glez ◽

L. Juarez-Figueroa ◽

F. Uribe-Salas ◽

P. Hernandez-Nevarez ◽

D. S. Schmid ◽

...

Keyword(s):

Herpes Simplex Virus ◽

Herpes Simplex ◽

High Risk ◽

Sexual Behaviour ◽

Herpes Simplex Virus 1 ◽

High Risk Sexual Behaviour ◽

Risk Sexual Behaviour ◽

Simplex Virus

Download Full-text

OP18 Mental health disorders amongst children and young people involved in family justice court proceedings: a longitudinal national data linkage study

10.1136/jech-2021-ssmabstracts.18 ◽

2021 ◽

Author(s):

Lucy J Griffiths ◽

Joanna McGregor ◽

Theodora Pouliou ◽

Rhodri Johnson ◽

Karen Broadhurst ◽

...

Keyword(s):

Mental Health ◽

Young People ◽

Data Linkage ◽

Mental Health Disorders ◽

Linkage Study ◽

National Data ◽

Children And Young People ◽

Health Disorders ◽

Court Proceedings

Download Full-text

Examining lottery play and risk among young people in Great Britain

10.33684/2021.002 ◽

2021 ◽

Author(s):

Sasha Stark ◽

Heather Wardle ◽

Isabel Burdett

Keyword(s):

Mental Health ◽

Great Britain ◽

Young People ◽

Health Survey ◽

General Health ◽

Risk Groups ◽

Mental Health Disorders ◽

Mental Wellbeing ◽

Gambling Problems ◽

Health Disorders

Purpose & Significance: Despite the popularity of lottery and scratchcards and some evidence of gambling problems among players, limited research focuses on the risks of lottery and scratchcard play and predictors of problems, especially among young people. The purpose of this project is to examine whether lottery and scratchcard participation is related to gambling problems among 16-24 year olds in Great Britain and whether general and mental health and gambling behaviours explain this relationship. Methodology: Samples of 16-24 year olds were pooled from the 2012, 2015, and 2016 Gambling in England and Scotland: Combined Data from the Health Survey for England and the Scottish Health Survey (n=3,454). Bivariate analyses and Firth method logistic regression were used to examine the relationship between past-year lottery and scratchcard participation and gambling problems, assessing the attenuating role of mental wellbeing, mental health disorders, self-assessed general health, and playing other games in past year. Results: There is a significant association between scratchcard play and gambling problems. The association somewhat attenuated but remained significant after taking into account wellbeing, mental health disorders, general health, and engagement in other gambling activities. Findings also show that gambling problems are further predicted by age (20-24 years), gender (male), lower wellbeing, and playing any other gambling games. Implications: Results are valuable for informing youth-focused education, decisions around the legal age for National Lottery products, and the development of safer gambling initiatives for high risk groups and behaviours, such as scratchcard play.

Download Full-text

Child and family psychiatry

Oxford Handbook of Paediatrics 3e ◽

10.1093/med/9780198789888.003.0019 ◽

2020 ◽

pp. 737-758

Keyword(s):

Mental Health ◽

Young People ◽

Successful Treatment ◽

Mental Health Disorders ◽

Working Relationship ◽

Children And Young People ◽

Good Working ◽

Health Disorders

Mental health is intrinsically linked to many paediatric disorders, and a good working knowledge of psychiatry is important for all clinicians working with children and young people. Prompt recognition and diagnosis of mental health disorders improve the chance of successful treatment, and the close working relationship between the fields of psychiatry and paediatrics is pivotal to this.

Download Full-text

Double trouble: modelling the impact of low risk perception and high-risk sexual behaviour on chlamydia transmission

Journal of The Royal Society Interface ◽

10.1098/rsif.2017.0847 ◽

2018 ◽

Vol 15 (141) ◽

pp. 20170847 ◽

Cited By ~ 5

Author(s):

Daphne A. van Wees ◽

Chantal den Daas ◽

Mirjam E. E. Kretzschmar ◽

Janneke C. M. Heijne

Keyword(s):

Risk Perception ◽

High Risk ◽

Mathematical Models ◽

Sexual Behaviour ◽

Sexually Transmitted ◽

Pair Model ◽

High Risk Sexual Behaviour ◽

Testing Uptake ◽

Risk Sexual Behaviour ◽

The Impact

Risk perception plays an important role in testing behaviour for sexually transmitted infections, but is rarely included in mathematical models exploring the impact of testing. We explored the impact of incorporating sexual behaviour (SB), risk perception (RP) and differential testing uptake in SB–RP groups on prevalence, using chlamydia as an example. We developed a pair model with a susceptible–infected–susceptible structure representing heterosexuals aged 16–26 years. The effect of testing on chlamydia prevalence was compared between a model with only SB (SB model) and a model with SB and RP (SB–RP model). In the SB–RP model, a scenario without differential testing uptake in SB–RP groups was compared to scenarios with differential testing uptake in SB–RP groups. Introducing testing into the SB–RP model resulted in a slightly smaller reduction in chlamydia prevalence (−38.0%) as compared to the SB model (−40.4%). In the SB–RP model, the scenario without differential testing uptake in SB–RP groups overestimated the reduction in chlamydia prevalence (with 4.8%), especially in the group with high SB and low RP (19.8%). We conclude that mathematical models incorporating RP and differential testing uptake in SB–RP groups improve the impact assessment of testing and treatment on chlamydia prevalence.

Download Full-text