Searched for: school:SOM
Department/Unit:Child and Adolescent Psychiatry
Children's ADHD Symptoms and Friendship Patterns across a School Year
Lee, Yeeun; Mikami, Amori Yee; Owens, Julie Sarno
Symptoms of attention-deficit/hyperactivity disorder (ADHD) in elementary school-age children are associated with poor relationships with classroom peers, as indicated by poor social preference, low peer support, and peer victimization. Less is known about how friendship patterns relate to ADHD symptoms, or how friendships may buffer risk for negative peer experiences. Participants were 558 children in 34 classrooms (grades K-5). At the beginning (fall) and end (spring) of an academic year, children completed (a) sociometric interviews to index friendship patterns and social preference, and (b) self-report questionnaires about their support and victimization experiences from classmates. In fall, higher teacher-reported ADHD symptoms were associated with children having more classmates with no friendship ties (non-friends) and who the child nominated but did not receive a nomination in return (unreciprocated friends), and with having fewer classmates with mutual friendship ties (reciprocated friends) and who nominated the child but the child did not nominate in return (unchosen friends). Higher fall ADHD symptoms predicted more non-friend classmates, poorer social preference, and more victimization in the spring, after accounting for the same variables in fall. However, having many reciprocated friends (and to a lesser extent, many unchosen friends) in fall buffered against the trajectory between fall ADHD symptoms and poor peer functioning in spring. By contrast, having many unreciprocated friends in fall exacerbated the trajectory between fall ADHD symptoms and poor peer functioning in spring. Thus, elevated ADHD symptoms are associated with poorer friendship patterns, but reciprocated friendship may protect against negative classroom peer experiences over time.
PMID: 33532873
ISSN: 2730-7174
CID: 4776392
Social Support and Internalizing Psychopathology in Transgender Youth
Durwood, Lily; Eisner, Léïla; Fladeboe, Kaitlyn; Ji, Chonghui Gabriella; Barney, Samantha; McLaughlin, Katie A; Olson, Kristina R
Although increasing numbers of children have socially transitioned to live in line with their gender identities, little is known about factors associated with their wellbeing. This study examines the associations between parent-reported family, peer, and school support for a youth's gender identity, as well as an objective measure of state-level support, with parent-reported internalizing symptoms in 265 transgender youth (67.2% transgender girls, 32.8% transgender boys), ages 3-15 years (M = 9.41, SD = 2.62). Parents who reported higher levels of family, peer, and school support for their child's gender identity also reported fewer internalizing symptoms; the objective measure of state-level support was not related to internalizing symptoms. Additionally, peer and school support buffered against the association between gender-related victimization and internalizing symptoms, as reported by parents. This work demonstrates that even among transgender youth with families who supported their transitions, parents see better well-being in their children when they also see more support for the child's gender identity from family, peers, and schools.
PMCID:8272454
PMID: 33575917
ISSN: 1573-6601
CID: 5401132
Dorsal and ventral mossy cells differ in their axonal projections throughout the dentate gyrus of the mouse hippocampus
Botterill, Justin J; Gerencer, Kathleen J; Vinod, K Yaragudri; Alcantara-Gonzalez, David; Scharfman, Helen E
Glutamatergic hilar mossy cells (MCs) have axons that terminate both near and far from their cell body but stay within the DG, making synapses primarily in the molecular layer. The long-range axons are considered the primary projection, and extend throughout the DG ipsilateral to the soma, and project to the contralateral DG. The specificity of MC axons for the inner molecular layer (IML) has been considered to be a key characteristic of the DG. In the present study, we made the surprising finding that dorsal MC axons are an exception to this rule. We used two mouse lines that allow for Cre-dependent viral labeling of MCs and their axons: dopamine receptor D2 (Drd2-Cre) and calcitonin receptor-like receptor (Crlr-Cre). A single viral injection into the dorsal DG to label dorsal MCs resulted in labeling of MC axons in both the IML and middle molecular layer (MML). Interestingly, this broad termination of dorsal MC axons occurred throughout the septotemporal DG. In contrast, long-range axons of ventral MCs terminated in the IML, consistent with the literature. Taken together, these results suggest that dorsal and ventral MCs differ significantly in their axonal projections. Since MC projections in the ML are thought to terminate primarily on GCs, the results suggest a dorsal-ventral difference in MC activation of GCs. The surprising difference in dorsal and ventral MC projections should therefore be considered when evaluating dorsal-ventral differences in DG function.
PMID: 33600026
ISSN: 1098-1063
CID: 4787032
Clinical Decision Support Systems: An Innovative Approach to Enhancing Child and Adolescent Mental Health Services [Editorial]
Clausen, Carolyn E; Leventhal, Bennett L; Nytrø, Øystein; Koposov, Roman; Westbye, Odd Sverre; Røst, Thomas Brox; Bakken, Victoria; Koochakpour, Kaban; Thorvik, Ketil; Skokauskas, Norbert
PMID: 33068753
ISSN: 1527-5418
CID: 4646062
Editors' Note and Special Communication: Research Priorities in Child and Adolescent Mental Health Emerging From the COVID-19 Pandemic [Editorial]
Novins, Douglas K; Stoddard, Joel; Althoff, Robert R; Charach, Alice; Cortese, Samuele; Cullen, Kathryn Regan; Frazier, Jean A; Glatt, Stephen J; Henderson, Schuyler W; Herringa, Ryan J; Hulvershorn, Leslie; Kieling, Christian; McBride, Anne B; McCauley, Elizabeth; Middeldorp, Christel M; Reiersen, Angela M; Rockhill, Carol M; Sagot, Adam J; Scahill, Lawrence; Simonoff, Emily; Stewart, S Evelyn; Szigethy, Eva; Taylor, Jerome H; White, Tonya; Zima, Bonnie T
PMID: 33741474
ISSN: 1527-5418
CID: 4821912
Editorial: What are the "Doses," Timing and Treatment of Childhood Depression that Impact Adulthood? [Editorial]
Hulvershorn, Leslie A
PMID: 33359032
ISSN: 1527-5418
CID: 4731292
A Method for Computerized Olfactory Assessment and Training Outside of Laboratory or Clinical Settings
Niedenthal, Simon; Nilsson, Johannes; Jernsäther, Teodor; Cuartielles, David; Larsson, Maria; Olofsson, Jonas K
There are currently few ways to reliably and objectively assess olfaction outside of the research laboratory or clinic. The COVID-19 pandemic has highlighted the need for remote olfactory assessment; in particular, smell training at home is a promising method for olfactory rehabilitation, but further methodological advances might enhance its effectiveness and range of use. Here, we present Exerscent, a portable, low-cost olfactory display designed primarily for uses outside of the laboratory and that can be operated with a personal computer. Exerscent includes Radio Frequency Identification (RFID) tags that are attached to odor stimuli and read with a MFRC522 module RFID reader/antenna that encodes the odor in order to provide adaptive challenges for the user (e.g., an odor identification task). Hardware parts are commercially available or 3D printed. Instructions and code for building the Exerscent are freely available online (https://osf.io/kwftm/). As a proof of concept, we present a case study in which a participant trained daily to identify 54 odors, improving from 81% to 96% accuracy over 16 consecutive days. In addition, results from a laboratory experiment with 11 volunteers indicated a very high level of perceived usability and engagement. Exerscent may be used for olfactory skills development (e.g., perfumery, enology), and rehabilitation purposes (e.g., postviral olfactory loss), but it also allows for other forms of technological interactions such as olfactory-based recreational interactions.
PMCID:8202270
PMID: 34178300
ISSN: 2041-6695
CID: 4926132
Trauma in Schools: An Examination of Trauma Screening and Linkage to Behavioral Health Care in School-Based Health Centers
Nadeem, Erum; Floyd-RodrÃguez, Vanessa; de la Torre, Gabriela; Greswold, Whitney
BACKGROUND:This study examined trauma screening and behavioral health linkage rates in school-based health centers (SBHCs). METHODS:Participants included 4161 English- and Spanish-speaking patients between the ages of 12 and 22 across 8 urban SBHCs 2 years. Screening rates at medical visits and linkage to additional behavioral health screening and services were assessed via electronic medical records and a chart audit. RESULTS:Medical providers administered the Primary Care-PTSD screen to 66.3% of patients in year 1 and 46.7% of patients in year 2. Rates of positive trauma screens were 27.5% and 32.1%, respectively, with more girls screening positive than boys. Few (year 1; 8.1%; year 2: 9.6%) adolescents received additional trauma screening by a behavioral health clinician. However, the majority were linked to services (year 1: 66%; year 2: 74%). Lack of documentation (year 1: 24%; year 2: 33%) was a common gap in the charts of patients who did not receive a second stage trauma screening. Demographic differences in screening rates were minimal. CONCLUSION/CONCLUSIONS:The current study supports the feasibility of traumatic stress screening and linkage within an integrated care setting. Process improvement efforts should, however, address communication gaps around trauma assessment and its integration into ongoing care.
PMID: 33728655
ISSN: 1746-1561
CID: 4817802
Understanding Factors Associated with Suicidality Among Transgender and Gender-Diverse Identified Youth
Bochicchio, Lauren; Reeder, Kelsey; Aronson, Lauren; McTavish, Charles; Stefancic, Ana
PMID: 33904768
ISSN: 2325-8306
CID: 4853192
"Being There" vs "Being Direct:" Perspectives of Persons with Serious Mental Illness on Receiving Support with Physical Health from Peer and Non-Peer Providers
Bochicchio, Lauren; Stefancic, Ana; McTavish, Charles; Tuda, Daniela; Cabassa, Leopoldo J
Individuals with serious mental illness (SMI) face significant health disparities and multiple barriers to engaging in health behavior change. To reduce these health disparities, it is necessary to enhance the support individuals with SMI receive through the collaboration of different healthcare providers. This study explored how people with SMI living in supportive housing perceived receiving support from peer and non-peer providers for their physical health. Qualitative interviews were conducted with 28 participants receiving a peer-led healthy lifestyle intervention in the context of a randomized trial in supportive housing agencies. Interviews explored participants' experiences working with the healthy lifestyle peer specialist and a non-peer provider who assisted them with health. Interviews were audio recorded, transcribed, and analyzed using strategies rooted in grounded theory. Participants viewed their relationships with peer and non-peer providers positively, but described differences in the approach to practice, power dynamics present, and how they identified with each provider. Participants described peers as process-oriented while non-peer staff as task-oriented, focusing on accomplishing concrete objectives. Each provider sought to boost participants' motivation, but peers built hope by emphasizing the possibility of change, while non-peer providers emphasized the consequences of inaction. Participants related to peer staff through shared experiences, while identifying the importance of having a shared treatment goal with their non-peer provider. Overall, participants appreciated the unique roles of both peer and non-peer staff in supporting their health. Study findings have implications for integrating the use of peer-based health interventions to improve the health of people with SMI.
PMID: 33479782
ISSN: 1573-3289
CID: 4760972