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Asano D, Takeda M, Abe H, Nobusako S, Gima H. Depressive Symptoms and Behavioral Manifestations in Children and Adolescents with Cerebral Palsy: A Parent-Child Perspective Study. Behav Med 2025:1-10. [PMID: 40265948 DOI: 10.1080/08964289.2025.2494535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2024] [Revised: 04/08/2025] [Accepted: 04/12/2025] [Indexed: 04/24/2025]
Abstract
Individuals with cerebral palsy (CP) often exhibit mental health problems, including depressive symptoms. This study investigated self-reported depressive symptoms in children and adolescents with and without CP and associated factors. Herein, 52 and 38 children and adolescents with and without CP were enrolled in the CP and typically developing (TD) groups. Depressive symptoms were assessed using the Birleson Depression Self-Rating Scale for Children. Parents of the participants completed the Strengths and Difficulties Questionnaire. Self-reported depressive symptoms were more severe in the CP group than in the TD group, which was primarily attributed to declining activities and enjoyment in daily life. Depressive symptoms in the CP group were not correlated with age, the severity of CP, or parent-reported behavioral features. However, in the overall cohort, the cluster with high levels of depressive symptoms had significantly higher proportions of individuals with CP and participants with conduct, emotional, and peer problems. Multivariate analyses revealed that only peer problems were associated with increased depressive symptoms. Furthermore, peer problems fully mediated the relationship between the presence of CP and depressive symptoms. Our study suggests that providing opportunities for activities involving social interactions with peers and offering support to enable the enjoyment of such activities from an early age are imperative to prevent an increase in depressive symptoms in children with CP.
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Affiliation(s)
- Daiki Asano
- Department of Rehabilitation, Japan Baptist Hospital, Kyoto, Japan
| | - Masaki Takeda
- Department of Rehabilitation, Beppu Developmental Medical Center, Oita, Japan
| | - Hirokazu Abe
- Department of Health Care and Child Development, Saitama Children's Medical Center, Saitama, Japan
| | - Satoshi Nobusako
- Department of Neurorehabilitation, Graduate School of Health Science, Kio University, Nara, Japan
| | - Hirotaka Gima
- Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
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Yildiz Silahli N, Baris HE, Qutranji L, Yorganci Kale B, Günal Ö, Ütük B, Karavuş M, Rodopman Arman A, Boran P. Universal depressive symptom screening in middle schools in Istanbul: An epidemiologic study. J Affect Disord 2025; 369:110-117. [PMID: 39321980 DOI: 10.1016/j.jad.2024.09.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 08/28/2024] [Accepted: 09/13/2024] [Indexed: 09/27/2024]
Abstract
INTRODUCTION Depression is a significant public health concern, with severe adolescent morbidity and mortality. Promoting adolescents' mental health is increasingly recognized, and schools are proposed as screening and preventive intervention sites. This cross-sectional study aimed to screen self-reported elevated depressive symptom prevalence among secondary school students in Istanbul, Turkey. The secondary objectives were determining behavioral problems, resilience, positive attitudes, and risk factors associated with depressive symptoms. METHODS Data collection was conducted between April-June 2022. Six thousand one hundred ten students from nine randomly selected schools from different city districts were approached. Depression was screened by the Centre for Epidemiological Studies Depression Scale for Children (CES-DC). The Strengths and Difficulties Questionnaire (SDQ) was used for screening behavioral problems and positive attitudes. Resilience was evaluated by the Child and Youth Resilience Measure (CYRM). RESULTS The final study sample comprised 2780 participants (response rate 47.7 %) with a mean age of 12.4 ± 1.1 years (females:52.7 %). Elevated depressive symptoms were detected in 31.2 % of the students. Female students exhibited higher scores in CES-DC and total difficulties but lower resilience scores in CYRM than male students. In a multiple regression analysis, female gender, higher total difficulties score, lower resilience score, and lower perceived academic performance significantly predicted CES-DC [F(6,2279) = 421, p < 0.01]. DISCUSSION Our findings showed high rates of elevated self-reported depressive symptoms in a city sample among Turkish adolescents at middle schools, in addition to coexisting behavioral difficulties and decreased resilience indicating poor psychosocial functioning. Given the prevalent depressive symptoms, screening and intervention programs involving resilience promotion may involve school systems to prevent adolescent depression.
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Affiliation(s)
- Nicel Yildiz Silahli
- Marmara University School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey; Marmara University, Institute of Health Sciences, Turkey; Istanbul Medipol University School of Medicine, Department of Pediatrics, Istanbul, Turkey.
| | - Hatice Ezgi Baris
- Marmara University School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey; Marmara University, Institute of Health Sciences, Turkey
| | - Lubna Qutranji
- Istanbul Medipol University School of Medicine, Department of Pediatrics, Istanbul, Turkey
| | - Burçin Yorganci Kale
- Marmara University School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey; Marmara University, Institute of Health Sciences, Turkey
| | - Özge Günal
- Marmara University School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey
| | - Burak Ütük
- Marmara University School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey
| | - Melda Karavuş
- Marmara University School of Medicine, Department of Public Health, Turkey
| | - Ayşe Rodopman Arman
- Spastic Children's Foundation of Turkey, Scientific Board Member, Istanbul, Turkey
| | - Perran Boran
- Marmara University School of Medicine, Department of Pediatrics, Division of Social Pediatrics, Istanbul, Turkey; Marmara University, Institute of Health Sciences, Turkey
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Otu MS, Sefotho MM. Examination of emotional distress, depression, and anxiety in neurodiverse students: A cross-sectional study. World J Psychiatry 2024; 14:1681-1695. [PMID: 39564177 PMCID: PMC11572678 DOI: 10.5498/wjp.v14.i11.1681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 09/06/2024] [Accepted: 10/10/2024] [Indexed: 11/07/2024] Open
Abstract
BACKGROUND Neurodiverse students frequently encounter distinct challenges that can adversely affect their mental well-being. This research aimed to investigate emotional distress, depression, and anxiety among neurodiverse students, examine the interrelationships among these factors, and assess the impact of participant characteristics. AIM To address the problem of lack of data pointed out in the neurodiversity research in Nigeria, this study aims to examine the emotional distress, depression, and anxiety in neurodiverse students. METHODS A cross-sectional study was carried out involving 200 neurodiverse students in Nigeria. Participants filled out self-report questionnaires that measured emotional distress (Brief Emotional Distress Scale for Youth), depression (Center for Epidemiologic Studies Depression Scale Revised), and anxiety (State-Trait Anxiety Inventory). The data were analyzed using descriptive statistics, correlation analyses, Bayesian Mann-Whitney U tests, two-way ANOVAs, and Kruskal-Wallis tests. RESULTS Anxiety was found to have the highest prevalence (mean = 68.8), followed by depression (mean = 34.2) and emotional distress (mean = 26.3). Significant positive correlations were identified among all three mental health factors, with the strongest correlation observed between depression and anxiety (rho = 0.492, P < 0.001). Moderate evidence indicated gender differences in emotional distress (BF10 = 2.448). The interaction between educational environment and diagnosis had a significant effect on emotional distress (F = 3.106, P = 0.017). Kruskal-Wallis tests indicated significant variations in anxiety levels across different educational settings (P = 0.002), although post-hoc comparisons did not reveal significant differences among specific settings. CONCLUSION This research emphasizes the prevalence of mental health challenges among neurodiverse students, particularly concerning anxiety. The intricate relationships among emotional distress, depression, and anxiety highlight the necessity for thorough mental health support. The impact of educational settings and diagnoses on mental health outcomes stresses the importance of customized interventions. These findings are significant for educators, mental health professionals, and policymakers in formulating targeted support strategies for neurodiverse students.
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Affiliation(s)
- Mkpoikanke Sunday Otu
- Department of Educational Psychology, University of Johannesburg, Johannesburg 2006, Gauteng, South Africa
| | - Maximus Monaheng Sefotho
- Department of Educational Psychology, University of Johannesburg, Johannesburg 2006, Gauteng, South Africa
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Schlechter P, Hillmann M, Neufeld SAS. Gender, age, and longitudinal measurement invariance of child and adolescent depression scales: A systematic review. Clin Psychol Rev 2024; 113:102481. [PMID: 39168055 DOI: 10.1016/j.cpr.2024.102481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 07/20/2024] [Accepted: 08/12/2024] [Indexed: 08/23/2024]
Abstract
Understanding developmental trajectories and gender differences in depressive symptoms is clinically relevant. Discerning true differences across gender, age groups, and time is based on the often-neglected premise of measurement invariance (MI) of child and adolescent depression scales. In this systematic review, we assessed available evidence for MI across gender, age groups, and time for depression scales validated in children and adolescents, in studies with at least one assessment under age 18. A literature search using Medline, PsychInfo, Scopus, Web of Science, and Google Scholar databases identified 42 studies that examined MI. MI of eleven scales was tested in 1-9 studies per scale. Conclusions are hampered by different factor solutions tested within some scales. All included questionnaires showed preliminary evidence for MI across gender. Across some studies, crying had higher factor loadings in females compared to males, indicating that crying may be differently related to depression across gender. MI evidence was preliminary in just four scales across time, mostly confined to ages 13-17. One study showed developmental conclusions differed when non-invariance is not accounted for in observed scores. Overall, evidence for MI in child and adolescent depression scales is currently limited.
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Affiliation(s)
- Pascal Schlechter
- Institute of Psychology, University of Münster, Germany; Mental Health Research and Treatment Center, Department of Clinical Psychology and Psychotherapy, Ruhr-Universität Bochum, Bochum, Germany; University of Cambridge, Department of Psychiatry, UK.
| | - Mona Hillmann
- Mental Health Research and Treatment Center, Department of Clinical Psychology and Psychotherapy, Ruhr-Universität Bochum, Bochum, Germany
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Gong X, Tian T, Xu J, Qin S, Lin D. Psychophysiological Factors Moderate Amygdala-Prefrontal Connectivity Linked to Perceived Peer Victimization and Depressive Symptoms in Preadolescent Migrant Children. Depress Anxiety 2024; 2024:5596651. [PMID: 40226685 PMCID: PMC11919204 DOI: 10.1155/2024/5596651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 08/20/2024] [Accepted: 09/04/2024] [Indexed: 04/15/2025] Open
Abstract
Background: As a sense of an intense stressor, perceived peer victimization can cause adverse effects on mental health, like depressive symptoms. Yet, little is known about the neurobiological mechanisms underlying how perceived peer victimization causes and maintains depressive symptoms in preadolescence. Methods: Here we investigate the effects of peer victimization on amygdala subregional functional connectivity in 101 preadolescent migrant children, and their relations to depressive symptoms and potential protective factors of self-esteem and daily cortisol. Further control analyses were conducted to verify whether there are any specific effects in migrant children compared to 54 age-matched preadolescent children from nonmigrant background. Results: Children with higher perceived peer victimization exhibited greater intrinsic functional connectivity of the amygdala with the middle frontal gyrus extending into the superior frontal gyrus. Perceived peer victimization could account for an indirect association between amygdala hyperconnectivity and depressive symptoms. Moderated mediation analyses revealed that basolateral amygdala connectivity with the superior frontal gyrus acted as a neural marker linking peer victimization and greater risk for depressive symptoms only in preadolescent children with low self-esteem or low daily cortisol. Conclusions: These findings suggest that considering neurobiological vulnerability and psychophysiological factors may gain a nuanced understanding of the adverse effects of perceived peer victimization on depressive symptoms, a risk for internalizing pathology. This study could inform personalized intervention strategies to prevent or ameliorate depressive symptoms in this disadvantaged population.
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Affiliation(s)
- Xinyu Gong
- Institute of Developmental Psychology, Beijing Normal University, Beijing, China
| | - Ting Tian
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
- Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing, China
| | - Jiahua Xu
- Psychiatry Research Center, Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
| | - Shaozheng Qin
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
- Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing, China
| | - Danhua Lin
- Institute of Developmental Psychology, Beijing Normal University, Beijing, China
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Al-Smadi M, Abu Khait AF, Shahrour G, Hamaideh SH, Al-Omari H. The mediation role of social support in the relationship between bullying and depressive symptoms among Jordanian adolescents. J Pediatr Nurs 2024; 78:e375-e382. [PMID: 39127588 DOI: 10.1016/j.pedn.2024.07.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 07/24/2024] [Accepted: 07/24/2024] [Indexed: 08/12/2024]
Abstract
BACKGROUND Bullying in school is a universal psychosocial issue that raises concerns about adolescents' safety and mental health and is positively associated with depressive symptoms. Social support could be a preventive factor that eases bullying and its psychological distress. PURPOSE The primary purpose of this study was to examine the mediating effect of social support in the relationship between bullying and depressive symptoms among adolescents in Jordan. Another aim was to investigate predictors of depression based on adolescents' sociodemographic factors. METHODS In this cross-sectional, non-experimental mediational study, a stratified and systematic sampling method was used to recruit 270 Jordanian adolescents. RESULTS Sociodemographic variables of being female, having divorced parents, having illiterate fathers, and being older in adolescence explained 12.2% of the variance in depressive symptoms. Family social support partially mediated the relationship between bullying and depressive symptoms. CONCLUSION Our findings showed that a notable proportion of adolescents experienced bullying victimization and depressive symptoms, and a positive relationship exists between these two variables. These results further highlight the role of family social support in buffering the negative impact of bullying on depressive symptoms. IMPLICATIONS TO PRACTICE The study's results emphasize the significance of developing and implementing family-centered social support initiatives by nurses to lessen adolescents' bullying experiences and depressive symptomatology.
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Affiliation(s)
- Marah Al-Smadi
- Department of Nursing Science, Irbid National University 2600, Irbid, Jordan
| | - Abdallah F Abu Khait
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa 13133, Jordan.
| | - Ghada Shahrour
- Department of Community and Mental Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan.
| | - Shaher H Hamaideh
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.
| | - Hasan Al-Omari
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.
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Zhao Y, Niu J, Huang J, Meng Y. A bifactor representation of the Center for Epidemiological Studies Depression Scale for children: gender and age invariance and implications for adolescents' social and academic adjustment. Child Adolesc Psychiatry Ment Health 2024; 18:27. [PMID: 38378642 PMCID: PMC10880255 DOI: 10.1186/s13034-024-00717-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 02/05/2024] [Indexed: 02/22/2024] Open
Abstract
BACKGROUND The Center for Epidemiological Studies Depression Scale for Children (CES-DC) is a widely used scale for screening depressive symptoms in children and adolescents. This study aims to uncover the optimal factor structure of the DES-DC and presents an alternate conceptualization of adolescent depression by estimating bifactor models and several competing models using a sample of Chinese adolescents. METHODS The participants were 533 adolescents (49.7% boys, 49.7% girls, 3 participants did not report) between 12 and 18 years of age attending public secondary schools in the middle part of mainland China. Data were collected in classrooms using a questionnaire survey. A structural equation modeling approach was used to estimate and compare a series of competing models for the DES-DC. RESULTS A Bifactor exploratory structural equation model (Bi-ESEM) with the best model fit was retained for representing the current data. Tests of measurement invariance demonstrated strict measurement equivalence across gender and age. No gender and age differences have been found in the general depression factor. Findings provided evidence for the composite reliability and construct validity of DES-DC. Depressive symptoms positively related to the Big Five trait neuroticism, negative emotions, loneliness, social anxious behaviors, and disruptive behaviors during school and negatively related to agreeableness, conscientiousness, extraversion, physical health status, school connectedness, and academic self-efficacy. CONCLUSIONS This study provides support for the one general factor construct of the CES-DC and the continuum concept structure of adolescent depression. Moreover, this research offers empirical evidence for comparing depression symptoms among adolescent populations with diverse genders and age groups. Additionally, the findings replicate and expand upon the implications of depressive symptoms on adolescents' traits, well-being, social-relational adjustment, and academic adaptation.
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Affiliation(s)
- Yanhua Zhao
- School of Psychology, Henan University, Jinming Campus, Kaifeng, 475003, P. R. China.
| | - Jiahui Niu
- School of Psychology, Henan University, Jinming Campus, Kaifeng, 475003, P. R. China
| | - Jing Huang
- School of Psychology, Henan University, Jinming Campus, Kaifeng, 475003, P. R. China
| | - Yan Meng
- School of Education, Henan University, Jinming Campus, Kaifeng, 475003, P. R. China
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Seong E, Lee KH, Lee JS, Kim S, Seo DG, Yoo JH, Han DH, Hwang H, Choi CH, Kim JW. Depression and posttraumatic stress disorder in adolescents with nonsuicidal self-injury: comparisons of the psychological correlates and suicidal presentations across diagnostic subgroups. BMC Psychiatry 2024; 24:138. [PMID: 38373899 PMCID: PMC10877746 DOI: 10.1186/s12888-024-05533-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 01/18/2024] [Indexed: 02/21/2024] Open
Abstract
BACKGROUND Nonsuicidal self-injury (NSSI) combined with suicide ideation increases the risk of suicidal behaviors. Depression and posttraumatic stress disorder (PTSD) are comorbidities of NSSI compounding this relationship. The present study compared diagnostic subgroups of NSSI based on current depression and PTSD on psychological correlates (i.e., vulnerabilities and impairment) and suicidal presentations (i.e., suicidal cognitions and behaviors) in a psychiatric sample of adolescents. METHODS Eighty-seven adolescents meeting DSM-5 criteria for NSSI and 104 age-range-matched nonclinical controls (NC) participated. Participants completed self-report measures on psychological vulnerabilities and impairment (e.g., emotion regulation difficulties, negative cognitions). Adolescents with NSSI also completed clinical interviews on psychiatric diagnoses and a recent self-injurious behavior (SIB). Scores on the psychological correlates of NSSI were compared between adolescents with NSSI and NC, and across three diagnostic subgroups of NSSI (A: NSSI+/depression-/PTSD-, n = 14; B: NSSI+/depression+/PTSD-, n = 57; C: NSSI+/depression+/PTSD+, n = 14). Differences between NSSI diagnostic subgroups were tested on the motives for SIB and accompanying suicidal presentations (e.g., desire, intent, motive, lethality). RESULTS Common comorbidities of NSSI included depression, panic disorder, generalized anxiety disorder, and PTSD. The NSSI subgroup classification was significantly associated with panic disorder, which was controlled for in the subsequent group comparisons. Overall, adolescents who engage in NSSI with vs. without depression reported more psychological vulnerabilities and impairment and a greater degree of suicidal thoughts/desire in SIB (i.e., groups B, C >A), which remained significant after controlling for panic disorder. An increased odds of the suicidal motive for SIB was found in adolescents with all three conditions (i.e., group C: NSSI+/depression+/PTSD+) compared to those with NSSI but neither depression nor PTSD (i.e., group A: NSSI+/depression-/PTSD-); however, this was not significant after controlling for panic disorder. CONCLUSIONS Psychological underpinnings of adolescent NSSI in clinical contexts may be largely associated with concurrent depression. Suicidal motives in adolescents who engage in NSSI in the presence of depression and PTSD may be confounded by the co-occurrence of panic disorder. This study warrants the importance of attending to the comorbid depression with NSSI in adolescents as it is related to an increase in suicidal desire accompanying SIB.
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Affiliation(s)
- Eunice Seong
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Kyung Hwa Lee
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Jong-Sun Lee
- Department of Psychology, Kangwon National University, 1 Gangwondaehak-gil, Chuncheon, Gangwon-do, 24341, Republic of Korea
| | - Sojung Kim
- Department of Psychology, Yeungnam University, 280 Daehak-ro, Gyeongsan, Gyeongbuk, 38541, Republic of Korea
| | - Dong Gi Seo
- Department of Psychology, Hallym University, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do, 24252, Republic of Korea
| | - Jae Hyun Yoo
- Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Doug Hyun Han
- Department of Psychiatry, Chung-Ang University College of Medicine, 84 Heukseok-ro, Dongjak-gu, Seoul, 06973, Republic of Korea
| | - Hyunchan Hwang
- Department of Psychiatry, Chung-Ang University College of Medicine, 84 Heukseok-ro, Dongjak-gu, Seoul, 06973, Republic of Korea
| | - Chi-Hyun Choi
- Seoul Alpha Neuropsychiatric Clinic, 511 Nonhyeon-ro, Gangnam-gu, Seoul, 06131, Republic of Korea
| | - Jae-Won Kim
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
- Department of Psychiatry, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
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Vidmar AP, Salvy SJ, Wee CP, Pretlow R, Fox DS, Yee JK, Garell C, Glasner S, Mittelman SD. An addiction-based digital weight loss intervention: A multi-centre randomized controlled trial. Pediatr Obes 2023; 18:e12990. [PMID: 36484235 PMCID: PMC9905275 DOI: 10.1111/ijpo.12990] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 10/07/2022] [Accepted: 11/02/2022] [Indexed: 12/13/2022]
Abstract
OBJECTIVE This randomized clinical trial tested the effectiveness of an addiction-based digital weight-loss intervention, focusing on withdrawal/abstinence from self-identified problem foods, snacking and excessive amounts at meals, and discomfort displacement, with and without coaching, compared to an in-person, multi-disciplinary, care model among adolescents with obesity. We hypothesized that the digital intervention with coaching would yield greater weight loss and lower delivery burden than the standard clinical arm, and greater participant engagement than the digital arm without coaching. METHODS Adolescents were randomized to app intervention, with or without coaching, or in-person multidisciplinary obesity intervention for 6 months. The primary outcome was change in %BMIp95 at weeks 12 and 24. A mixed-effects linear regression model was used to assess the association between change in %BMIp95 and intervention arm. We were also interested in assessing delivery burden, participant engagement and evaluating the relationships between weight change and demographic characteristics, mood, executive function and eating behaviours. RESULTS All adolescents (n = 161; BMI ≥95th%, age 16 ± 2.5 year; 47% Hispanic, 65% female, 59% publicly insured) lost weight over 24-weeks (-1.29%, [-1.82, -0.76], p < 0.0001), with no significant weight loss difference between groups (p = 0.3). Girls lost more weight than boys, whereas binge eating behaviour at baseline was associated with increase in %BMIp95 when controlling for other covariates. There was no association between ethnicity, mood, timing of intervention in relation to the pandemic, or executive function and change in %BMIp95 . CONCLUSIONS Contrary with our hypothesis, our results showed no difference in the change in BMI status between treatment arms. Since efficacy of this digital intervention was not inferior to in-person, multi-disciplinary care, this could offer a reasonable weight management option for clinicians, based on youth and family specific characteristics, such as accessibility, resources, and communication styles. CLINICAL TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT035008353.
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Affiliation(s)
- Alaina P. Vidmar
- Department of Pediatrics, Center for Endocrinology, Diabetes and Metabolism, Children’s Hospital Los Angeles and Keck School of Medicine of USC, Los Angeles, California, USA
| | - Sarah J. Salvy
- Department of Medicine, Cedars-Sinai Medical Center, Research Center for Health Equity Samuel Oschin Comprehensive Cancer Institute, Los Angeles, California, USA
| | - Choo Phei Wee
- Department of Population and Public Health Sciences, Keck School of Medicine of USC, Southern California Clinical Science Institute, Los Angeles, California, USA
| | | | - D. Steven Fox
- Department of Pharmaceutical and Health Economics, School of Pharmacy of the University of Southern California, Los Angeles, California, USA
| | - Jennifer K. Yee
- Division of Pediatric Endocrinology, Harbor-UCLA Medical Center, Harbor-UCLA Medical Center, Torrance, California, United States
| | - Cambria Garell
- Department of Pediatrics, Division of General Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA
| | - Suzette Glasner
- Department of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles, California, USA
| | - Steven D. Mittelman
- Department of Pediatrics, Division of General Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA
- Department of Pediatrics, Division of Endocrinology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA
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Wong M, Power TG. Parental Depressive Symptoms, Parent Attributional Style, and Child Coping as Predictors of Depressive Symptoms in Children of Parents with Anxiety or Mood Disorders. Child Psychiatry Hum Dev 2023; 54:352-364. [PMID: 34546466 PMCID: PMC9977699 DOI: 10.1007/s10578-021-01248-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/08/2021] [Indexed: 11/27/2022]
Abstract
Few studies have examined the effects of parental depressive symptoms on children in China. The present study examined the relationships between parental depression, parental attributional style, children's coping strategies and 5-12-year-old children's depressive symptoms in a sample of Chinese children whose parents had been diagnosed with an anxiety or a mood disorder. The present study confirmed that children of parents with anxiety or mood disorders would show high levels of depressive symptoms. Parents with an optimistic or neutral attributional style rated their children as showing fewer depressive symptoms than parents with a pessimistic style. This study showed a significant positive relationship between children's disengagement coping and children's reports of depressive symptoms. The findings highlight the need for early identification of, and support and intervention programs for, parents suffering from depression and children of depressed parents as a means of protecting the psychological well-being of both parents and children.
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Affiliation(s)
- Mun Wong
- Department of Early Childhood Education, The Education University of Hong Kong, 10 Lo Ping road, Tai Po, New territories, Hong Kong.
| | - Thomas G Power
- Department of Human Development, Washington State University, Pullman, WA, USA
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Leybas Nuño V, Mantina NM, Dawodu O, Dykinga M, Carr DL, Pogreba-Brown K, Cordova-Marks F, Jehn M, Peace-Tuskey K, Barraza L, Garcia-Filion P. Consequences of COVID-19 on adolescents in Arizona: A longitudinal study protocol. Front Public Health 2022; 10:945089. [PMID: 36589965 PMCID: PMC9797691 DOI: 10.3389/fpubh.2022.945089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 11/16/2022] [Indexed: 12/23/2022] Open
Abstract
Introduction The long-term impact of COVID-19 is unknown. We developed a 5-year prospective cohort study designed to generate actionable community-informed research about the consequences of COVID-19 on adolescents ages 12-17 years in Arizona. Methods The study has two primary outcomes: 1) acute and long-term outcomes of COVID-19 illness and 2) symptoms of depression and anxiety. Data is collected using an online survey with plans to integrate qualitative data collection methods. The survey is administered at baseline, 4, and 8 months in year one, and annually in years two through five. This study is informed by Intersectionality Theory, which considers the diverse identities adolescents have that are self and socially defined and the influence they have collectively and simultaneously. To this end, a sample of variables collected is race/ethnicity, language usage, generational status, co-occurring health conditions, and gender. Additional measures capture experiences in social contexts such as home (parent employment, food, and housing security), school (remote learning, type of school), and society (racism). Results Findings are not presented because the manuscript is a protocol designed to describe the procedure instead of report results. Discussion The unique contributions of the study is its focus on COVID-19 the illness and COVID-19 the socially experienced pandemic and the impact of both on adolescents.
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Affiliation(s)
- Velia Leybas Nuño
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health (MEZCOPH), University of Arizona, Tucson, AZ, United States,*Correspondence: Velia Leybas Nuño
| | - Namoonga M. Mantina
- Department of Health Promotion Sciences, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Oriyomi Dawodu
- Department of Health Promotion Sciences, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Maureen Dykinga
- Department of Health Promotion Sciences, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Dametreea L. Carr
- Department of Epidemiology and Biostatistics, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Kristen Pogreba-Brown
- Department of Epidemiology and Biostatistics, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Felina Cordova-Marks
- Department of Health Promotion Sciences, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Megan Jehn
- School of Human Evolution and Social Change, Arizona States University, Tempe, AZ, United States
| | - Kimberly Peace-Tuskey
- Department of Health Promotion Sciences, MEZCOPH, University of Arizona, Tucson, AZ, United States
| | - Leila Barraza
- Department of Community, Environment and Policy, MEZCOPH, University of Arizona, Tucson, AZ, United States
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12
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Sørensen CLB, Grønborg TK, Biering K. Reliability and structural validity of the Danish Short 4-item version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC4) in adolescents. BMC Pediatr 2022; 22:388. [PMID: 35778689 PMCID: PMC9250219 DOI: 10.1186/s12887-022-03451-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Accepted: 06/23/2022] [Indexed: 11/11/2022] Open
Abstract
Background The 4-item version of the Center of Epidemiological Studies Depression Scale (CES-DC4) is a self-reported questionnaire used to measure depressive symptoms in adolescents, but the psychometric properties of the scale have been tested to only a limited extent. The aim of this study was to examine the reliability and structural validity of the Danish CES-DC4 in 9th graders. Methods Using a sample of 72 adolescents 15 to 17 years of age from five 9th grade classes, the reliability of the CES-DC4 was determined by a test–retest study at a 2-week interval. Descriptive statistics of the adolescents were presented, and internal consistency, structural validity, reliability, and agreement between tests were evaluated. The structural validity of the scale was tested by confirmatory factor analysis (CFA), and the sumscores of the test and retest were presented. Results The estimated Cronbach’s α was 0.61 (95% CI 0.50; 0.71). Inter-item and item-rest correlations indicated that one of the four items (item 20) did not fit well on the scale. CFA found a one-factor model suited for the scale, but the factor loadings indicated that item 20 contributed the least to measure the factor (0.29). Sum scores ranged from 0–9 within a possible interval of 0–12. There were no signs of systematic error of the scale. Limits of Agreement (-3.01; 3.79) were broad. The standard error of measurement (SEM = 1.25 point (95% CI.1.05; 1.47)) and intraclass correlation (ICC(2,1) = 0.60 (95% CI: 0.44; 0.73)) calculations showed low reliability of the CES-DC4. Conclusion This study found low reliability of the CES-DC4 with low estimates of ICC and Cronbach’s α. The CES-DC4 needs revision, and removal of item 20 and adding more items from the CES-DC should be considered.
Supplementary Information The online version contains supplementary material available at 10.1186/s12887-022-03451-7.
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Affiliation(s)
- Christine Leonhard Birk Sørensen
- Department of Occupational Medicine, University Research Clinic, Danish Ramazzini Centre, Goedstrup Hospital, Hospitalsparken 15, 7400, Herning, Denmark.
| | - Therese Koops Grønborg
- Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark.,Department of Clinical Epidemiology, Aarhus University Hospital, Olof Palmes Allé 43-45, 8200, Aarhus N, Denmark
| | - Karin Biering
- Department of Occupational Medicine, University Research Clinic, Danish Ramazzini Centre, Goedstrup Hospital, Hospitalsparken 15, 7400, Herning, Denmark
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Al Kiyumi H, Al-Huseini S, Mirza H, Al Balushi N, Al-Risi K, Al Toubi A, Al Hosni A, Al-Mashaikhi T, Al Balushi R, Al-Adawi S. Depressive Symptoms and Its Correlate Among Children with Epilepsy at Single-center Study in Oman. Oman Med J 2022; 36:e329. [PMID: 35024176 PMCID: PMC8722311 DOI: 10.5001/omj.2021.112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 03/07/2021] [Indexed: 11/15/2022] Open
Abstract
Objectives Epilepsy is the most common neurological disorder in children and comorbid depression is common. This study aimed to assess the frequency of depressive symptoms along with demographic and clinical factors in children diagnosed with epilepsy in a tertiary care institution in Oman. Methods This cross-sectional study was conducted between June 2016 and August 2018 and included children (n = 75) aged 6–12 years old attending the epilepsy clinic at Sultan Qaboos University Hospital, Oman. The cohort constituted of children with epilepsy (CWE) following up at a dedicated unit. We used the Center for Epidemiologic Studies Depression Scale for Children to assess the presence of depressive symptoms. Associated factors, including history of seizure in the last three months, compliance with antiepileptic medications, and type of epilepsy were also examined. Results Depressive symptoms were endorsed in 52.0% of CWE and 96.0% were compliant to medications. Recurrent seizures were present in the last three months among 48.0% of the CWE. The type of epilepsy was significantly associated with the presence of depressive symptoms. Conclusions Depression is prevalent among Omani CWE. Certain clinical factors appeared to increase the risk of depression among this population. The findings of this study fill a gap in the existing literature and call for further work aiming to explore possible tailored recognition and CWE.
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Affiliation(s)
- Hamood Al Kiyumi
- Psychiatry Residency Training Program, Oman Medical Specialty Board, Muscat, Oman
| | - Salim Al-Huseini
- Psychiatry Residency Training Program, Oman Medical Specialty Board, Muscat, Oman
| | - Hassan Mirza
- Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Naser Al Balushi
- Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Khalid Al-Risi
- Psychiatry Residency Training Program, Oman Medical Specialty Board, Muscat, Oman
| | - Alsalt Al Toubi
- Psychiatry Residency Training Program, Oman Medical Specialty Board, Muscat, Oman
| | - Amira Al Hosni
- Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Talal Al-Mashaikhi
- Department of Neurology and Epileptology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Rola Al Balushi
- Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Samir Al-Adawi
- Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
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Aldhmadi BK, Itumalla R, Kumar R, Perera B. Feelings, Behavioral Actions and Depressive Symptoms Related to COVID-19 among Undergraduates in Hail, Saudi Arabia. Healthcare (Basel) 2021; 9:1280. [PMID: 34682960 PMCID: PMC8535400 DOI: 10.3390/healthcare9101280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/18/2021] [Accepted: 09/25/2021] [Indexed: 12/14/2022] Open
Abstract
The severe acute respiratory syndrome coronavirus 2 (COVID-19) outbreak has had a profound psychological impact on university undergraduates. Feelings, behavioral actions, and depressive symptoms related to COVID-19 in undergraduates in Hail, Saudi Arabia, were assessed using an online survey. Eighteen feelings and six behavioral acts were assessed. The Center for Epidemiological Studies Depression Scale was used to measure depressive symptomatology. Descriptive statistics and logistic regression techniques were used. The mean age of the participants (n = 418) was 20.2 years (standard deviation (SD) = 1.8 years), and 52.9% (n = 221) were males. Elevated levels of depressive symptoms were reported by 47.1% of male and 51.3% of female participants. Social isolation, loss of interest, obsessive monitoring of symptoms, concentration difficulties, recurrent negative thoughts, and worries about health services emerged as vital negative feelings related to COVID-19 that were expressed by the participants. Younger age (odds ratio (OR) = 0.636, 95% confidence interval (95% CI) = 0.428-0.946) and coming from the middle-income category (OR = 0.388, 95% CI = 0.151-0.994) were found to be protective factors against developing depressive symptoms. Frequent cleaning of hands, wearing masks when going out, and adherence to social distancing rules were practiced by 71.5% (95% CI = 67.2-75.8%), 78.7% (95% CI = (74.4-82.5%) and 66.0% (95% CI = (61.3-70.5%) of the participants, respectively. These behavioral acts were not associated with the development of depressive symptoms. Although the practice of COVID-19 precautionary measures by the participants was satisfactory, nearly half of the participants reported depressive symptoms. Innovative educational strategies are needed to curb concentration difficulties and social isolation experienced by undergraduates during outbreaks such as COVID-19.
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Affiliation(s)
- Badr K. Aldhmadi
- Department of Health Management, College of Public Health and Health Informatics, University of Hail, Hail P.O. Box 2440, Saudi Arabia; (R.I.); (R.K.); (B.P.)
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15
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Quilter M, Hiraki L, Knight AM, Couture J, Levy D, Silverman ED, Danguecan AN, Ng L, Dominguez D, Cost KT, Neufeld KM, Schachter R, Korczak DJ. Evaluation of self-report screening measures in the detection of depressive and anxiety disorders among children and adolescents with systemic lupus erythematosus. Lupus 2021; 30:1327-1337. [PMID: 34078154 PMCID: PMC8209764 DOI: 10.1177/09612033211018504] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 04/21/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND There are no validated screening measures for depressive or anxiety disorders in childhood Systemic Lupus Erythematosus (cSLE). We investigated cross-sectionally (1) the prevalence of depressive and anxiety disorder in cSLE. (2) the validity of the Centre for Epidemiologic Studies Depression Scale for Children (CES-DC) and the Screen for Childhood Anxiety and Related Disorders (SCARED) measures in identifyingthese disorders. METHODS Participants 8-18 years with cSLE/incipient cSLE completed CES-DC, SCARED, and Quality OfMy Life (QOML) measures. Parents completed the SCARED-Parent measure. Diagnosis was by gold-standard psychiatric interview and determined prevalence of psychiatric disorder. Receiver Operating Characteristics Area under the Curve (ROCAUC) evaluated screening measure diagnostic performance. RESULTS Ofseventy-two parent-child dyads, 56 interviews were completed. Mean screen scores were: CES-DC = 15 (range 1-49, SD 12), SCARED-C = 22 (range 2-61, SD 14), SCARED-P = 13 (range 0-36, SD 8). Depressive disorder screen positivity (CES-DC ≥ 15) was 35% (vs. prevalence 5%). Anxiety disorder screen positivity (SCARED ≥ 25) was 39% (vs. prevalence 16%). CES-DC ROCAUC = 0.98 and SCARED-C ROCAUC = 0.7 (cut-points 38 and 32 respectively). CONCLUSIONS Diagnostic thresholds for depressive and anxiety disorderscreening measures are high for both CES-DC and SCARED-C in cSLE. Brief focused interview should follow to determine whether psychiatric evaluation is warranted.
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Affiliation(s)
- Michelle Quilter
- Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada
- Department of Psychiatry, University of Toronto, Toronto, Canada
| | - Linda Hiraki
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
- Department of Paediatrics, University of Toronto, Toronto, Canada
| | - Andrea M Knight
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
- Department of Paediatrics, University of Toronto, Toronto, Canada
| | - Julie Couture
- Division of Pediatric Rheumatology-Immunology, CHU Sainte-Justine, Montreal, Canada
- Department of Pediatrics, CHU Sainte-Justine, University of Montreal, Montreal, Canada
| | - Deborah Levy
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
- Department of Paediatrics, University of Toronto, Toronto, Canada
| | - Earl D Silverman
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
- Department of Paediatrics, University of Toronto, Toronto, Canada
| | - Ashley N Danguecan
- Department of Psychology, The Hospital for Sick Children, Toronto, Canada
| | - Lawrence Ng
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
| | - Daniela Dominguez
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
| | - Katherine T Cost
- Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada
| | - Kate M Neufeld
- Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada
- Department of Paediatrics, University of Toronto, Toronto, Canada
| | - Reva Schachter
- Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada
| | - Daphne J Korczak
- Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada
- Department of Psychiatry, University of Toronto, Toronto, Canada
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16
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Lopez KE, Salvy SJ, Fink C, Werner J, Wee CP, Hegedus E, Gonzalez J, Fox DS, Vidmar AP. Executive Functioning, Depressive Symptoms, and Intervention Engagement in a Sample of Adolescents Enrolled in a Weight Management Program. Child Obes 2021; 17:281-290. [PMID: 33826861 PMCID: PMC8147508 DOI: 10.1089/chi.2020.0334] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Purpose: This study examines how baseline demographics, psychosocial characteristics, and intervention delivery predict engagement among adolescents with overweight and obesity seeking treatment. Methods: Data originates from a multisite randomized control trial evaluating the efficacy of an app-based weight loss intervention, compared with standard in-clinic model in adolescents with overweight and obesity. Participants were randomized to one of the three arms: (1) AppCoach, (2) AppAlone, or (3) Control. Demographic, executive functioning (EF), and depression questionnaires were completed at baseline. Percent engagement was compared within and between groups defined by demographics and depressive symptoms. Quantile regression was used to evaluate the association between age and EF on percent engagement. Results: Baseline demographics were not associated with engagement within or between groups. Neither baseline self-reported depressive symptoms (p = 0.244) nor deficits in EF (p = 0.34) were predictors of engagement. Univariate analysis found that the control arm had the highest engagement (83%) compared with AppCoach (63.5%) and AppAlone (22.5%, p = 0.02). Hispanic ethnicity was predictive of higher engagement in the control arm (p = 0.02). On multivariate quartile regression no other baseline characteristics were significant predictors of engagement. Conclusion: Baseline demographics and individual psychosocial characteristics were not related to engagement in this cohort. The intervention arm that required parental involvement resulted in the greatest engagement suggesting that family involvement may overshadow individual behavioral phenotype and thus promote better engagement. Further investigation is needed to understand how program delivery can be leveraged to optimize treatment engagement and outcomes in adolescence. Clinical Trial Registration number: NCT03500835.
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Affiliation(s)
- Kelleen E. Lopez
- Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.,Address correspondence to: Kelleen E. Lopez, MPH, Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop #61, Los Angeles, CA 90027, USA
| | - Sarah-Jeanne Salvy
- Research Center for Health Equity, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Cassandra Fink
- Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - Julie Werner
- Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, CA, USA.,Division of Pediatric Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - Choo Phei Wee
- Department of Preventive Medicine, Southern California Clinical and Translational Science Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Elizabeth Hegedus
- Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - Janelle Gonzalez
- Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - D. Steven Fox
- Department of Pharmaceutical and Health Economics, School of Pharmacy of the University of Southern California, Los Angeles, CA, USA
| | - Alaina P. Vidmar
- Diabetes and Obesity Program, Center for Endocrinology, Diabetes, and Metabolism, Children's Hospital Los Angeles, Los Angeles, CA, USA.,Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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17
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Aldhmadi BK, Kumar R, Itumalla R, Perera B. Depressive Symptomatology and Practice of Safety Measures among Undergraduate Students during COVID-19: Impact of Gender. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094924. [PMID: 34063106 PMCID: PMC8124892 DOI: 10.3390/ijerph18094924] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 04/27/2021] [Accepted: 05/03/2021] [Indexed: 12/15/2022]
Abstract
The COVID-19 pandemic has greatly affected the personal and academic lives of undergraduates in Saudi Arabia. Although studies have suggested that COVID-19 increased the prevalence of psychological health problems among undergraduates, the associations between the risk of depression and safety practices and the influence of gender on these associations have not been studied in detail. A cross-sectional online survey was conducted among preparatory-year undergraduates in a large public university in Saudi Arabia during the outbreak. Depressive symptoms were assessed using the Center for Epidemiological Studies Depression (CES-D) Scale, and the practice of eight precautionary behaviors was also assessed. Data analysis was performed using the chi-square test, multiple linear regression and Spearman's correlation coefficient. In total, 3044 undergraduates were surveyed. The mean age was 18.6 years (SD = 0.84), and 61.9% (n = 1883) of the participants were female. Overall, 47.7% of the participants reported having elevated depressive symptoms. Overall mean values of CES-D scores were higher among female undergraduates than that of male undergraduates (18.08 versus 15.56, p < 0.01). There were inverse and weak but significant relationships between the CES-D score and frequent cleaning of hands (male: r = -0.116, p < 0.01; female: r = -0.098, p < 0.01), wearing a mask when going out (male: r = -0.172, p < 0.01; female: r = -0.135, p < 0.01), keeping social distance (male: r = -0.117, p < 0.01; female: r = -0.147, p < 0.01), and covering the nose when sneezing (male: r = -0.202, p < 0.01; female: r = -0.115, p < 0.01). Regression analysis indicated that adherence to precautionary measures was a strong predictor of reduction of depressive symptoms in the target population. Male gender was also found to be an independent predictor of reduction of depressive symptoms. Depressive symptoms were highly prevalent in this target group, and female undergraduates seemed to be more vulnerable to developing such symptoms. Results also indicated that female undergraduates were more likely to implement the protective measures for COVID-19. The promotion of precautionary measures seems to be effective in reducing distress in this target population, but further research is needed to confirm our assertions.
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Vidmar AP, Wee CP, Salvy SJ. Food addiction, executive function and mood in adolescents with obesity seeking treatment. Appetite 2021; 159:105049. [PMID: 33227386 PMCID: PMC8086816 DOI: 10.1016/j.appet.2020.105049] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 11/05/2020] [Accepted: 11/12/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND The relationships between food addiction, executive functions and mood in adolescence are not well-understood. This study examines differences in executive functioning, depression symptoms and perceived stress among adolescents with obesity with- and without food addiction. METHODS A total of 110 adolescents with obesity (74 females; age = 15.59 ± 1.3 y; 67% Hispanic; 74% public insurance) completed the Behavior Rating Inventory of Executive Function-2 (BRIEF-2), the Yale Food Addiction Scale for children (YFAS-c), the Perceived Stress Scale (PSS) and the Center for Epidemiologic Studies Depression scale (CES-DC). Chi-squared and Fisher's exact tests were used to evaluate differences in BRIEF-2, CES-DC and PSS scores between participants with and without food addiction. A logistic regression model assessed the associations between executive dysfunction, depression and stress on food addiction individually. Multiple logistic regression was utilized to further examine the association between executive dysfunction and food addiction when accounting for depression and stress. RESULTS More than a third of participants (34.5%) met the criteria for food addiction. Females were 2.89 times more likely than males to have food addiction (95th%CI = 1.12-7.46, p = 0.03). Participants with FA had significantly higher BRIEF-2 T-scores (all p < 0.05) and higher PSS and CES-DC scores (all p < 0.05). Multiple logistic regression analysis showed depression was strongly correlated with FA when controlling for executive dysfunction and stress (p = 0.010). CONCLUSIONS Among obesity treatment-seeking adolescents, youths with food addiction displayed greater impairments in executive functioning and higher levels of stress and depressive symptoms than adolescents without food addiction. Prospective studies are needed to determine how this behavioral phenotype helps predict intervention outcomes.
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Affiliation(s)
- Alaina P Vidmar
- Children's Hospital Los Angeles and Keck School of Medicine of USC, Department of Pediatrics, Center for Endocrinology, Diabetes and Metabolism, USA.
| | - Choo Phei Wee
- CTSI Biostatics Core, Saban Research Institute, Los Angeles, CA, USA
| | - Sarah J Salvy
- Research Center for Health Equity Samuel Oschin Comprehensive Cancer Institute, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
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Saragondlu Lakshminarasappa D, Chandrasekaran V, Kandasamy P. Co-morbid anxiety and depression in childhood asthma and its effect on symptom control: A cross sectional study. Pediatr Pulmonol 2021; 56:378-383. [PMID: 33219604 DOI: 10.1002/ppul.25180] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 10/24/2020] [Accepted: 11/14/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND Anxiety and depression are co-morbidities that affect symptom control in children with asthma and are often overlooked in busy practice. OBJECTIVES To find out the proportion of children with asthma who have co-morbid anxiety and depression, to study the association of co-morbid anxiety and depression on symptom control and to study the clinic-sociodemographic factors associated with anxiety and depression in children with asthma. METHODS Assuming 13% prevalence of anxiety and depression, with 95% confidence level and 5% absolute precision, a total of 176 children with asthma aged 6 years and above were enrolled from the asthma clinic. Clinical and sociodemographic details were collected for all. Symptom control was assessed using asthma control test questionnaire. Center for epidemiological studies-depression scale for children and screen for child anxiety related emotional disorders was used to assess depression and anxiety, respectively. Association of independent variables with outcome variables was assessed using χ2 . Statistical tests were done using SPSS version 26. RESULTS Out of the 176 children enrolled, 13.1%, 8%, and 16.5% had anxiety, depression, and combined anxiety and depression, respectively. A higher proportion of children with uncontrolled asthma had depression and combined anxiety and depression than children with controlled asthma. CONCLUSION Combined anxiety and depression was more common than either anxiety or depression alone and along with depression, was significantly associated with uncontrolled symptoms.
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KavehFarsani Z, Kelishadi R, Beshlideh K. Study of the effect of family communication and function, and satisfaction with body image, on psychological well-being of obese girls: the mediating role of self-esteem and depression. Child Adolesc Psychiatry Ment Health 2020; 14:39. [PMID: 33062050 PMCID: PMC7552351 DOI: 10.1186/s13034-020-00345-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Accepted: 10/05/2020] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Obesity has become a global problem in childhood and adolescence. The objective of the present study was to investigate the impact of family communication and function, and body image satisfaction, on psychological well-being by considering: the mediating role of self-esteem and depression. METHODS In this cross sectional study, 173 obese and overweight female students were selected and evaluated based on body image satisfaction, self-esteem, depression, psychological well-being, functioning, and family Communication. The proposed model was evaluated through structural equation modeling, using AMOS and SPSS software. RESULTS Results showed that family communication and function directly affected adolescents' psychological well-being. In addition, family communication and function, as well body image satisfaction indirectly affected psychological well-being through self-esteem and depression. CONCLUSION The current finding suggests that the psychological well-being of obese adolescent girls is associated with many factors, including family functioning and communication, body image satisfaction, self-esteem, and depression. The factors identified in this study may be helpful for mental health policy-makers, in planning and implementing preventive and therapeutic intervention programs.
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Affiliation(s)
| | - Roya Kelishadi
- Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Kioumars Beshlideh
- Department of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
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Depressive Symptoms and the Link with Academic Performance among Rural Taiwanese Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082778. [PMID: 32316516 PMCID: PMC7254188 DOI: 10.3390/ijerph17082778] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 04/15/2020] [Accepted: 04/15/2020] [Indexed: 11/21/2022]
Abstract
Previous studies reflect a high prevalence of depressive symptoms among Taiwanese adolescents (ages 13–18), but there is an absence of literature related to the risk of depression of children in Taiwan (ages 6–12), particularly among potentially vulnerable subgroups. To provide insight into the distribution of depressive symptoms among children in rural Taiwan and measure the correlation between academic performance, we conducted a survey of 1655 randomly selected fourth and fifth-grade students at 92 sample schools in four relatively low-income counties or municipalities. Using the Center for Epidemiological Studies-Depression Scale (CES-D) we assessed the prevalence of depressive symptoms in this sample, in addition to collecting other data, such as performance on a standardized math test as well as information on a number of individual and household characteristics. We demonstrate that the share of children with clinically significant symptoms is high: 38% of the students were at risk of general depression (depression score ≥ 16) and 8% of the students were at risk of major depression (depression score > 28). The results of the multivariate regression and heterogeneous analysis suggest that poor academic performance is closely associated with a high prevalence of depressive symptoms. Among low-performing students, certain groups were disproportionately affected, including girls and students whose parents have migrated away for work. Results also suggest that, overall, students who had a parent who was an immigrant from another country were at greater risk of depression. These findings highlight the need for greater resource allocation toward mental health services for elementary school students in rural Taiwan, particularly for at-risk groups.
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Khamis V. How can gender affect psychopathology in Lebanese school-age children? PSYCHOLOGY IN THE SCHOOLS 2018. [DOI: 10.1002/pits.22119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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Ling Y, He Y, Wei Y, Cen W, Zhou Q, Zhong M. Intrinsic and extrinsic goals as moderators of stress and depressive symptoms in Chinese undergraduate students: A multi-wave longitudinal study. BMC Psychiatry 2016; 16:138. [PMID: 27170095 PMCID: PMC4864938 DOI: 10.1186/s12888-016-0842-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Accepted: 05/03/2016] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Studies in western countries have examined the specific vulnerability hypothesis of Dykman's theory of goal-orientation predispositions to depression through two-time point designs. The purpose of this prospective longitudinal study was to investigate the moderating effects of intrinsic and extrinsic goals on stress and depressive symptoms in Chinese undergraduate students. METHODS A total of 462 undergraduate students [46% female; mean age, 19.06 (range, 17-22) years] completed self-reported measures assessing intrinsic and extrinsic goals, depressive symptoms, and the occurrence of social and academic hassles. Every 3 months over the subsequent 12 months, the undergraduate students completed measures assessing depressive symptoms and the occurrence of daily hassles. RESULTS Results of hierarchical linear modeling analyses indicated that undergraduate students with low levels of intrinsic goals reported greater depressive symptoms following the occurrence of social and academic hassles than did those with high levels of such goals. However, undergraduate students with high levels of extrinsic goals did not report greater depressive symptoms following the occurrence of social and academic hassles than did those possessing low levels. CONCLUSIONS These findings suggest that intrinsic goals can protect undergraduate students experiencing high levels of social and academic hassles from depressive symptoms. The study findings provide new insight into the course of depressive symptoms among undergraduate students, and offer psychologist and psychiatrists ways to protect individuals from depressive symptoms by building up intrinsic goals.
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Affiliation(s)
- Yu Ling
| | - Yushu He
| | - Yong Wei
| | - Weihong Cen
| | - Qi Zhou
| | - Mingtian Zhong
- Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou, 510631, P. R. China.
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Essau CA, Olaya B, Pasha G, Pauli R, Bray D. Iranian adolescents' ability to recognize depression and beliefs about preventative strategies, treatments and causes of depression. J Affect Disord 2013; 149:152-9. [PMID: 23481607 DOI: 10.1016/j.jad.2013.01.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2012] [Revised: 01/21/2013] [Accepted: 01/21/2013] [Indexed: 11/18/2022]
Abstract
BACKGROUND Since depression often has its onset during adolescence, knowledge about adolescents' ability to recognize depression and their beliefs about preventative strategies, treatments, and causes of depression are of importance. METHODS A total of 1984 adolescents, aged 12-17 years, participated in this study. They were recruited from 16 urban and suburban schools in Ahvaz City, Iran by cluster sampling. Participants were presented with a vignette depicting depression that was developed by Jorm and colleagues. RESULTS About half of the adolescents were able to correctly recognize depression. In terms of dealing with the depression depicted by the character in the vignette, older compared to younger participants, thought it best to ignore the individual or keep him/her busy. Younger adolescents were more likely to believe that depression was the result of god's will and a physical illness, whereas older adolescents tended to consider depression as resulting from the way in which people were raised, and from the normal ups and downs of life. Older, compared to younger adolescents, tended to endorse the preventative value of "not using marijuana" and "never drinking alcohol in excess". LIMITATIONS Since a hypothetical vignette was used, the findings may not truly reflect the real life experience of depression. The sample was drawn from a single region in Iran. CONCLUSIONS Given adolescents' relatively limited knowledge about depression and their beliefs about the causes and preventative strategies, there is fertile ground for health promotion in Iran.
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Affiliation(s)
- Cecilia A Essau
- Department of Psychology, University of Roehampton, Whitelands College, London, UK.
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