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Parental psychological distress associated with COVID-19 outbreak: A large-scale multicenter survey from Turkey

Bıkmazer, Alperen; Kadak, Muhammed Tayyib; Görmez, Vahdet; DoÄŸan, UÄŸur; Aslankaya, Zeynep Dilara; Bakır, Fulya; TarakçıoÄŸlu, Mahmut Cem; Kaya, İlyas; Gümüş, Yusuf Yasin; Esin, İbrahim Selçuk; KarayaÄŸmurlu, Ali; Adak, İbrahim; Yaylacı, Ferhat; Güller, Barış; Tanır, YaÅŸar; Koyuncu, Zehra; Serdengeçti, Nihal; ErmiÅŸ, ÇaÄŸatay; Kaçmaz, Gül Bilgin; GülÅŸen, Hatice; DoÄŸru, Hicran; Bayati, Mohammed Al; ÜstündaÄŸ, Büşra; Gökler, Enes; Özyurt, Gonca; Baykara, Burak; Ekinci, Özalp; BaÅŸgül, Åžaziye Senem; Görmez, Aynur; EmiroÄŸlu, Neslihan İnal; Türkçapar, Hakan; Öztürk, Mücahit
AIMS:Pandemics can cause substantial psychological distress; however, we do not know the impact of the COVID-19 related lockdown and mental health burden on the parents of school age children. We aimed to comparatively examine the COVID-19 related the stress and psychological burden of the parents with different occupational, locational, and mental health status related backgrounds. METHODS: = 3,278) of children aged 6 to 18 years, parents with different occupational (health care workers-HCW [18.2%] vs. others), geographical (İstanbul [38.2%] vs. others), and psychiatric (child with a mental disorder [37.8%]) backgrounds. RESULTS: < .001) were independently associated with significant parental distress. CONCLUSIONS:Parents report significant psychological distress associated with COVID-19 pandemic and further research is needed to investigate its wider impact including on the whole family unit.
PMID: 33148091
ISSN: 1741-2854
CID: 5285292

Myths and Evidence Regarding Melatonin Supplementation for Occasional Sleeplessness in the Pediatric Population

Goldman, Ran D; Bongiorno, Peter B; Olcese, James M; Witt-Enderby, Paula A; Shatkin, Jess P
Occasional sleeplessness in children is common, with as many as 25% of all healthy children experiencing a problem sleeping at some point over the course of their childhood. Occasional sleeplessness is poorly understood, has a significant impact on quality of life in children and their families, and is often challenging to manage. There is substantial evidence supporting the safe and effective use of the widely available dietary supplement melatonin for children with chronic conditions. This article summarizes the views expressed in a recent Consensus Panel meeting convened to evaluate the use of melatonin in children, as well as the published scientific literature related to the effectiveness and safety of melatonin, with a focus on occasional sleeplessness in healthy children. We provide an evidence-based framework for the implementation of a standard process to effectively manage occasional sleeplessness in children and adolescents. Unsubstantiated concerns in the past may have limited melatonin's use in children with conditions for which the supplement may support a better sleep pattern and, by doing so, may help to improve quality of life. Melatonin dietary supplements using high quality standards may be provided to children together with cognitive-behavioral therapy after proper sleep evaluation and after improved sleep hygiene, family education, and sleep diary activities have failed to resolve sleep difficulties. [Pediatr Ann. 2021;50(9):e391-e395.].
PMID: 34542334
ISSN: 1938-2359
CID: 5061412

The World Federation of ADHD International Consensus Statement: 208 Evidence-based Conclusions about the Disorder

Faraone, Stephen V; Banaschewski, Tobias; Coghill, David; Zheng, Yi; Biederman, Joseph; Bellgrove, Mark A; Newcorn, Jeffrey H; Gignac, Martin; Al Saud, Nouf M; Manor, Iris; Rohde, Luis Augusto; Yang, Li; Cortese, Samuele; Almagor, Doron; Stein, Mark A; Albatti, Turki H; Aljoudi, Haya F; Alqahtani, Mohammed M J; Asherson, Philip; Atwoli, Lukoye; Bölte, Sven; Buitelaar, Jan K; Crunelle, Cleo L; Daley, David; Dalsgaard, Søren; Döepfner, Manfred; Espinet, Stacey; Fitzgerald, Michael; Franke, Barbara; Haavik, Jan; Hartman, Catharina A; Hartung, Cynthia M; Hinshaw, Stephen P; Hoekstra, Pieter J; Hollis, Chris; Kollins, Scott H; Sandra Kooij, J J; Kuntsi, Jonna; Larsson, Henrik; Li, Tingyu; Liu, Jing; Merzon, Eugene; Mattingly, Gregory; Mattos, Paulo; McCarthy, Suzanne; Mikami, Amori Yee; Molina, Brooke S G; Nigg, Joel T; Purper-Ouakil, Diane; Omigbodun, Olayinka O; Polanczyk, Guilherme V; Pollak, Yehuda; Poulton, Alison S; Rajkumar, Ravi Philip; Reding, Andrew; Reif, Andreas; Rubia, Katya; Rucklidge, Julia; Romanos, Marcel; Ramos-Quiroga, J Antoni; Schellekens, Arnt; Scheres, Anouk; Schoeman, Renata; Schweitzer, Julie B; Shah, Henal; Solanto, Mary V; Sonuga-Barke, Edmund; Soutullo, César; Steinhausen, Hans-Christoph; Swanson, James M; Thapar, Anita; Tripp, Gail; van de Glind, Geurt; Brink, Wim van den; Van der Oord, Saskia; Venter, Andre; Vitiello, Benedetto; Walitza, Susanne; Wang, Yufeng
BACKGROUND:Misconceptions about ADHD stigmatize affected people, reduce credibility of providers, and prevent/delay treatment. To challenge misconceptions, we curated findings with strong evidence base. METHODS:We reviewed studies with more than 2,000 participants or meta-analyses from five or more studies or 2,000 or more participants. We excluded meta-analyses that did not assess publication bias, except for meta-analyses of prevalence. For network meta-analyses we required comparison adjusted funnel plots. We excluded treatment studies with waiting-list or treatment as usual controls. From this literature, we extracted evidence-based assertions about the disorder. RESULTS:We generated 208 empirically supported statements about ADHD. The status of the included statements as empirically supported is approved by 79 authors from 27 countries and 6 continents. The contents of the manuscript are endorsed by 362 people who have read this document and agree with its contents. CONCLUSIONS:Many findings in ADHD are supported by meta-analysis. These allow for firm statements about the nature, course, outcome causes, and treatments for disorders that are useful for reducing misconceptions and stigma.
PMID: 33549739
ISSN: 1873-7528
CID: 4779222

A National Pediatric Telepsychiatry Curriculum for Graduate Medical Education and Continuing Medical Education

Khan, Shabana; Myers, Kathleen; Busch, Bianca; Brooks, Deborah; Alicata, Dan; Ramtekkar, Ujjwal; Vo, Lan Chi; DeJong, Sandra M
PMID: 34283939
ISSN: 1557-8992
CID: 5060902

Racial/Ethnic, Sex, Sexual Orientation, and Socioeconomic Disparities in Suicidal Trajectories and Mental Health Treatment Among Adolescents Transitioning to Young Adulthood in the USA: A Population-Based Cohort Study

Xiao, Yunyu; Lindsey, Michael A
Suicide is the second leading cause of death for people aged 10-34 years old. Limited research has documented extant heterogeneities in suicide across the life course and among diverse sociodemographic groups. There is also limited research on the influences of mental health utilization on suicidal trajectories across the life course. This study aims to: (1) identify racial/ethnic, sex, sexual orientation, socioeconomic status, and intersectional differences in suicidal trajectories among adolescents transitioning to adulthood; and (2) examine influences of mental health service utilization on disparities in suicidal trajectories. The study included 9421 respondents (Mage = 14.99 [SD = 1.61]) from Waves I-IV National Longitudinal Study of Adolescent to Adult Health (1994-2008). Latent class growth analyses were used to identify trajectories of suicidal ideation and suicide attempts. Multivariate multinomial logistic regression was used to examine the influences of mental health treatment and sociodemographic characteristics on suicidal trajectories. Three suicidal ideation (low-stable, high-decreasing, moderate-decreasing-increasing) and two suicide attempt (low-stable, moderate-decreasing) trajectories were identified. Compared with the low-stable trajectories, the risks of being in high-decreasing suicidal ideation trajectories were higher among females (AOR = 1.45, 95% CI 1.01-2.13) and sexual minorities (AOR = 1.82, 95% CI 1.21-2.74). Sexual minorities (AOR = 2.63, 95% CI 1.69-4.08) and low-SES adolescents (AOR = 1.79, 95% CI 1.08-2.98) were more likely to be in the moderate-decreasing suicide attempt group. Mental health service utilization predicted engagement in high-risk suicidal trajectories. Sociodemographic disparities in suicidal trajectories initiate early and persist over time. Individuals in high-risk trajectories received mental health treatment during adolescence. Suicide prevention should target vulnerable subpopulations and mental health service utilization in the early stage.
PMCID:7904031
PMID: 33629220
ISSN: 1573-3289
CID: 5030902

Pediatric Consultation-Liaison: Patient Characteristics and Considerations for Training in Evidence-Based Practices

Bowling, Amanda A; Bearman, Sarah Kate; Wang, Weixi; Guzman, Leslie A; Daleiden, Eric
Consultation-liaison services are an integral part of many pediatric hospital settings, yet characteristics of this patient population have not been extensively documented. The current study is a retrospective one-year chart review of the consultation-liaison service at a large pediatric hospital in the Southwestern United States. The purpose of this study is twofold: (1) to characterize this hospital's CL population and (2) to use these characteristics to identify preliminary evidence-based practices that should be considered for CL provider training. Identifying evidence-based practice elements that align with the characteristics of consultation-liaison patient populations may inform trainings for consultation-liaison staff. This would help to ensure that youth seen in hospital consultation-liaison services are getting the best available services, which is critical given the shortened time frame available to work with this patient population.
PMID: 32779089
ISSN: 1573-3572
CID: 4556172

Validation of the Multidimensional Assessment of Parenting: An application of item response theory

Loiselle, Raelyn; Parent, Justin; Georgeson, A R; Thissen, David; Jones, Deborah J; Forehand, Rex
Parenting is a critical mechanism contributing to child and adolescent development and outcomes. The Multidimensional Assessment of Parenting Scale (MAPS) is a new measure that aims to address gaps in the literature on existing self-report parenting measures. Research to date on the MAPS includes essential steps of scale development and validation; however, replicating scale dimensionality and examining differential item functioning (DIF) based on child age and a parent or child gender is a critical next step. The current study included 1,790 mothers and fathers of sons and daughters, spanning childhood to adolescence in the United States. Item response theory (IRT) confirmed initial factor-analytic work revealing positive and negative dimensions; however, the best-fitting multidimensional model included six nested dimensions from the original seven. A few notable items displayed DIF based on child age and parent gender; however, DIF based on child gender had minimal impact on the overall score. Future directions, clinical implications, and recommendations are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
PMID: 33900099
ISSN: 1939-134x
CID: 5401212

Implementation of the Mental Health Gap Action Programme (mhGAP) in Kosrae State in the Federated States of Micronesia

Engelhard, Caitlin; Haack, Sara; Alik, Tholman
PMID: 34137304
ISSN: 1941-2479
CID: 5353632

Editorial: For Adolescents With Subthreshold Depression, Is an Ounce of Prevention Worth a Pound of Cure? [Editorial]

Myers, Kathleen; Rockhill, Carol; Cortese, Samuele
PMID: 33667603
ISSN: 1527-5418
CID: 4802002

Revisiting caregiver satisfaction with children's mental health services in the United States

Seibel, Lauren F; Peth-Pierce, Robin; Hoagwood, Kimberly E
Nearly four decades ago, Unclaimed Children documented the gaps in the United States between mental health programs and caregivers' perspectives about those services for their children. This absence of attention to parent or caregiver perspectives, including their satisfaction with these services, was a key finding of the report, which detailed system failure in caring for youth with mental health needs. Since then, the focus on caregiver satisfaction with children's mental health services has been largely overlooked in research, and when examined has been mostly included as an indicator of the feasibility of program implementation. In striking contrast, overall healthcare system reforms have highlighted the importance of improving consumer's direct experience of care. However, caregiver satisfaction remains largely disconnected to these overall health system reforms, even as reforms focus increasingly on value-based, coordinated and integrated care. In this paper, we review literature from 2010 to 2020, revisit the measurement of caregiver satisfaction, identify how and when it is being measured, and delineate a research agenda to both realign it with health system improvements, refine its focus on expectancies and appropriateness, and root it more firmly in the principles of user experience (UX) and human-centered design (HCD).
PMCID:8403344
PMID: 34454565
ISSN: 1752-4458
CID: 5066962