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Prat R, Puig-Ribera A, Pagerols M, Español-Martín G, Rivas C, Autet A, Tàpies P, Martín AC, Casas M, Bosch R. Patterns of Physical Activity of Adolescents With ADHD in the School Context: A Cross-Sectional Study for Clinical Practice. J Atten Disord 2024; 28:1210-1224. [PMID: 38622866 DOI: 10.1177/10870547241246688] [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] [Indexed: 04/17/2024]
Abstract
OBJECTIVES To describe the daily Physical Activity (PA) patterns of adolescents with Attention-deficit/hyperactivity disorder (ADHD), to analyze the differences in terms of PA patterns between adolescents with ADHD and those without ADHD, and to study the factors associated with achieving the daily PA recommendations. METHODS The sample was composed of 778 adolescents who provided complete information on their PA patterns through the Physical Activity Questionnaire for Adolescents (PAQ-A). Of these, 97 had ADHD according to DSM-5 criteria. RESULTS The results show that being a girl or being of foreign origin and having ADHD have an impact on the achievement of the recommended amount of daily PA. CONCLUSIONS When promoting PA in adolescents with ADHD within the school environment, it is necessary to consider different domains and specific contexts of a school day, paying special attention to girls and adolescents with ADHD of immigrant origin.
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Affiliation(s)
- Raquel Prat
- Hospital Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
- University of Vic-Central University of Catalonia, IRIS-CC, Vic, Spain
| | - Anna Puig-Ribera
- University of Vic-Central University of Catalonia, IRIS-CC, Vic, Spain
| | - Mireia Pagerols
- Hospital Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
- Universitat de Barcelona, Spain
| | | | - Cristina Rivas
- Hospital Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
| | | | - Pere Tàpies
- Consorci Hospitalari de Vic, Catalunya, Spain
| | | | - Miquel Casas
- Hospital Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
- Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Rosa Bosch
- Hospital Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Barcelona, Spain
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Martin E, Cao M, Schulz KP, Hildebrandt T, Sysko R, Berner LA, Li X. Distinct Topological Properties of the Reward Anticipation Network in Preadolescent Children With Binge Eating Disorder Symptoms. J Am Acad Child Adolesc Psychiatry 2024:S0890-8567(24)00120-5. [PMID: 38461893 DOI: 10.1016/j.jaac.2024.02.015] [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: 08/04/2023] [Revised: 02/01/2024] [Accepted: 03/01/2024] [Indexed: 03/12/2024]
Abstract
OBJECTIVE Few studies have considered the neural underpinnings of binge eating disorder (BED) in children, despite clinical and subclinical symptom presentation occurring in this age group. Symptom presentation at this age is of clinical relevance, as early onset of binge eating is linked to negative health outcomes. Studies in adults have highlighted dysfunction in the frontostriatal reward system as a potential candidate for binge eating pathophysiology, although the exact nature of such dysfunction is currently unclear. METHOD Data from 83 children (mean age 9.9 years, SD = 0.60) with symptoms of BED (57% girls) and 123 control participants (mean age 10.0 years, SD = 0.60) (52% girls) were acquired from the 4.0 baseline release of the Adolescent Brain Cognitive Development Study. Task-based graph theoretic techniques were used to analyze data from anticipation trials of the monetary incentive delay task. Network and nodal properties were compared between groups. RESULTS The BED-S group showed alterations in topological properties associated with the frontostriatal subnetwork, such as reduced nodal efficiency in the superior frontal gyrus, nucleus accumbens, putamen, and in normal sex-difference patterns of these properties, such as diminished girls-greater-than-boys pattern of betweenness-centrality in nucleus accumbens observed in controls. CONCLUSION Distinct network properties and sex-difference patterns in preadolescent children with BED-S suggest dysregulation in the reward system compared to those of matched controls. For the first time, these results quantify this dysregulation in terms of systems-level properties during anticipation of monetary reward and significantly inform the early and sex-related brain markers of BED symptoms.
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Affiliation(s)
- Elizabeth Martin
- Icahn School of Medicine at Mount Sinai, New York, New Jersey; New Jersey Institute of Technology, Newark, New Jersey
| | - Meng Cao
- New Jersey Institute of Technology, Newark, New Jersey
| | - Kurt P Schulz
- Icahn School of Medicine at Mount Sinai, New York, New Jersey
| | - Tom Hildebrandt
- Icahn School of Medicine at Mount Sinai, New York, New Jersey
| | - Robyn Sysko
- Icahn School of Medicine at Mount Sinai, New York, New Jersey
| | - Laura A Berner
- Icahn School of Medicine at Mount Sinai, New York, New Jersey
| | - Xiaobo Li
- New Jersey Institute of Technology, Newark, New Jersey.
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Mendoza RR, Convertino AD, Blashill AJ. A longitudinal study of potentially traumatic events and binge-purge eating disorder onset in children. Appetite 2024; 193:107132. [PMID: 37995848 DOI: 10.1016/j.appet.2023.107132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 11/13/2023] [Accepted: 11/17/2023] [Indexed: 11/25/2023]
Abstract
Although the association between childhood trauma and subsequent binge-purge spectrum eating disorders (BP-EDs) is established in adult samples, little is known about the temporal association between potentially traumatic life events and BP-ED onset in children. Using longitudinal data from the U.S.-nationwide Adolescent Brain Cognitive Development (ABCD) study with children aged 9-10 at baseline, logistic regression with complex sampling assessed the longitudinal association of exposure to potentially traumatic events (PTEs) at baseline and meeting BP-ED criteria one year later. Children exposed to PTEs prior to baseline had 1.91 times greater odds of being diagnosed with a BP-ED one year later (95% CI: 1.26 - 2.90; p = .004), compared to those who had not experienced a PTE. The current study extends previous cross-sectional research to show a significant temporal association between childhood PTEs before ages 9-10 and the subsequent onset of BP-EDs one year later. Future research should consider specific timing of PTE exposure as well as examining children diagnosed with restrictive eating disorders.
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Affiliation(s)
- Rebecca R Mendoza
- Department of Psychology, College of Sciences, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, USA
| | - Alexandra D Convertino
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, USA
| | - Aaron J Blashill
- Department of Psychology, College of Sciences, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, USA; San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, USA.
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Makino T, Suzuki F, Nishiyama T, Ishibashi S, Nakamichi H, Iida T, Shimada S, Tomari S, Imanari E, Higashi T, Fukumoto S, Kurata S, Mizuno Y, Kimura T, Kuru Y, Morimoto T, Kosaka H. Psychometrics of the kiddie schedule for affective disorders and schizophrenia present and lifetime version for DSM-5 in Japanese outpatients. Int J Methods Psychiatr Res 2023; 32:e1957. [PMID: 36593592 DOI: 10.1002/mpr.1957] [Citation(s) in RCA: 1] [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: 05/17/2022] [Revised: 10/30/2022] [Accepted: 12/17/2022] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVE The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) is a widely used semi-structured diagnostic interview in child and adolescent psychiatry. However, the psychometric properties of its updated version, the K-SADS-PL for DSM-5, have scarcely been examined, especially for criterion validity. This study was designed to examine the inter-rater reliability, criterion validity and construct validity of the K-SADS-PL for DSM-5 in 137 Japanese outpatients. METHODS Two of 12 experienced clinicians independently performed the K-SADS interview for each patient in a conjoint session, and the resulting consensus diagnosis was compared with a "best-estimate" diagnosis made by two of eight experienced clinicians using all available information for the patient. RESULTS The inter-rater reliability was excellent, as shown by κ > 0.75 for all disorders, with the exception of current separation anxiety disorder. The criterion validity was fair to good, as shown by κ > 0.40 for all disorders, with the exception of current and lifetime agoraphobia. The construct validity was also good, as shown by theoretically expected associations between the K-SADS-PL diagnoses and subscales of the child behavior checklist. CONCLUSION The K-SADS-PL for DSM-5, now available in Japanese, generates valid diagnoses in child and adolescent psychiatry.
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Affiliation(s)
- Takuya Makino
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
- Division of Developmental Higher Brain Functions, United Graduate School of Child Development, University of Fukui, Eiheiji, Japan
| | - Futoshi Suzuki
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
| | - Takeshi Nishiyama
- Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Saeko Ishibashi
- Faculty of Nursing Science, Tsuruga Nursing University, Tsuruga, Japan
- Integrated and Advanced Medical Course, Graduate School of Medical Sciences, University of Fukui, Eiheiji, Japan
| | - Hidetaka Nakamichi
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
| | - Tomoko Iida
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
| | - Shoko Shimada
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Division of Developmental Higher Brain Functions, United Graduate School of Child Development, University of Fukui, Eiheiji, Japan
| | - Shinji Tomari
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
| | - Eiji Imanari
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
| | - Takuma Higashi
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
| | - Shintaro Fukumoto
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
| | - Sawa Kurata
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Division of Developmental Higher Brain Functions, United Graduate School of Child Development, University of Fukui, Eiheiji, Japan
| | - Yoshifumi Mizuno
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Division of Developmental Higher Brain Functions, United Graduate School of Child Development, University of Fukui, Eiheiji, Japan
| | - Takuma Kimura
- Department of Child Studies, Nagoya Management Junior College, Owariasahi, Japan
| | - Yukiko Kuru
- Medical Education Center, Aichi Medical University School of Medicine, Nagakute, Japan
| | - Takeshi Morimoto
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
| | - Hirotaka Kosaka
- Research Center for Child Mental Development, University of Fukui, Eiheiji, Japan
- Department of Child and Adolescent Psychological Medicine, University of Fukui Hospital, Eiheiji, Japan
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
- Division of Developmental Higher Brain Functions, United Graduate School of Child Development, University of Fukui, Eiheiji, Japan
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Restrepo-Mejía SF, Valencia-Echeverry J, Zapata-Ospina JP, Aguirre-Acevedo DC, Lopez-Jaramillo C, Palacio-Ortiz JD. Comparison of the neurocognitive profile of the children of parents with bipolar disorder and controls: A transnational cross-sectional study. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2023; 52:320-327. [PMID: 37981470 DOI: 10.1016/j.rcpeng.2021.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 07/13/2021] [Indexed: 11/21/2023]
Abstract
INTRODUCTION Studies that have compared the cognitive alterations of the children of parents with bipolar disorder (CPBD) versus the children of control parents (CCP), present heterogeneous results due to the studies' methodological differences, the age of the population studied, and the lack of standardisation of the measures used for the different neurocognitive domains. The objective was to compare the neurocognitive profile of CPBD versus CCP to observe if there are differences that could be proposed as possible endophenotypes of BD. RESULTS A total of 107 individuals (51 CPBD, and 56 CCP) with ages between 6 and 16 (mean, 12.2±2.80) years of age were evaluated. Seventy-four point five percent of the CPBD group had some disorder compared to 67.9% of the CCP group. Tests such as letter-F phonemic verbal fluency, letter-S phonemic verbal fluency, overall F-A-S phonemic verbal fluency, story recall and retrieval, and Wisconsin perseverative errors showed a difference with a small effect size, but with a high degree of uncertainty. CONCLUSIONS The CPBD did not have differences in their neurocognitive profile in comparison with CCP. Both groups have a high prevalence of psychopathology, which is a factor that could explain the lack of differences in neurocognitive performance.
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Affiliation(s)
- Sara Fernanda Restrepo-Mejía
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Johanna Valencia-Echeverry
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | | | - Carlos Lopez-Jaramillo
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Juan David Palacio-Ortiz
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
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Smith KE, Wang WL, Mason TB. Facets of impulsivity and reward in relation to binge-eating disorder course of illness among children: findings from the Adolescent Brain Cognitive Development study. J Child Psychol Psychiatry 2023; 64:1056-1066. [PMID: 36951577 PMCID: PMC10860341 DOI: 10.1111/jcpp.13789] [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: 01/31/2023] [Indexed: 03/24/2023]
Abstract
BACKGROUND The present study examined facets of impulsivity and reward sensitivity [as measured by the UPPS-P Impulsive Behavior Scale and Behavioral Activation and Behavioral Inhibition Scales (BIS/BAS)] as multivariable predictors of subsequent binge-eating disorder (BED) course of illness in middle childhood. METHODS The current sample included children aged 9-10 years (N = 9,438) who took part in the baseline and 1-year follow-up assessments of the Adolescent Brain Cognitive Development (ABCD) study. BED course was operationalized as those who never developed BED or subthreshold BED (SBED) ('control'), were diagnosed with BED/SBED at year 1 but not baseline ('developers'), were diagnosed with BED/SBED at baseline but not year 1 ('remitters'), or were diagnosed with BED/SBED at both times ('maintainers'). RESULTS Higher baseline BIS/BAS reward responsivity scores were related to the greater likelihood of belonging to the maintainer group relative to the control and remitter groups (ORs1.12-1.19). Regarding covariates, higher baseline body mass index percentile and internalizing symptoms were related to the greater likelihood of BED development, remittance, and maintenance compared to the control group (ORs = 1.04-1.14); no variables were uniquely related to BED development. Exploratory analyses showed that the likelihood of belonging to the maintainer group compared to the control group was greatest at higher levels of negative urgency in combination with high reward responsivity. CONCLUSIONS Heightened reward responsivity may convey risk for poorer BED course in children, while emotional disorder symptomatology may act as a more general risk and maintenance factor for BED.
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Affiliation(s)
- Kathryn E Smith
- Department of Psychiatry and Behavioral Sciences, University of Southern California, Los Angeles, CA, USA
| | - Wei-Lin Wang
- Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA
| | - Tyler B Mason
- Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA
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Abstract
BACKGROUND Although the prevalence rates of preadolescent eating disorders (EDs) are on the rise, considerably less is known about the correlates and treatment of EDs in this age group. Clarifying the epidemiology of EDs in preadolescent children is a necessary first step to understand the nature and scope of this problem in this age group. METHODS Analysis of data collected in the ABCD Study release 2.0.1. The ABCD cohort was a population-based sample that consisted of 11 721 children ages 9-10 years. Measures included reports of a lifetime and current mental disorders determined using a diagnostic interview for DSM-5 disorders, sociodemographic factors, and psychiatric treatment utilization. RESULTS The lifetime prevalence of EDs was 0.95%. Being Black, multiracial, having unmarried parents, and family economic insecurity were significant predictors for developing an ED. Among psychiatric conditions, the major depressive disorder was most robustly associated with EDs in both cross-sectional and temporal analyses. Only 47.40% of children who had a lifetime ED received some type of psychiatric treatment. EDs were not a significant predictor of psychiatric treatment utilization after accounting for sex, sexual orientation, parent marital status, economic insecurity, and all other psychiatric diagnoses. CONCLUSIONS Despite increasing prevalence rates of preadolescent EDs, the current findings suggest that the majority of children with these disorders remain untreated. Devoting increased attention and resources to reaching families of children with EDs with the least means for receiving care, and screening for EDs in children with depression, may be important steps for reducing this unmet need.
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Affiliation(s)
| | - Rachel Y. Levin
- Massachusetts General Hospital
- Department of Psychiatry, Harvard Medical School
| | - Richard T. Liu
- Massachusetts General Hospital
- Department of Psychiatry, Harvard Medical School
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Diagnostic instruments for the assessment of disruptive mood dysregulation disorder: a systematic review of the literature. Eur Child Adolesc Psychiatry 2023; 32:17-39. [PMID: 34232390 PMCID: PMC9908712 DOI: 10.1007/s00787-021-01840-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 06/28/2021] [Indexed: 10/20/2022]
Abstract
Disruptive mood dysregulation disorder (DMDD) involves non-episodic irritability and frequent severe temper outbursts in children. Since the inclusion of the diagnosis in the DSM-5, there is no established gold-standard in the assessment of DMDD. In this systematic review of the literature, we provide a synopsis of existing diagnostic instruments for DMDD. Bibliographic databases were searched for any studies assessing DMDD. The systematic search of the literature yielded K = 1167 hits, of which n = 110 studies were included. The most frequently used measure was the Kiddie Schedule for Affective Disorders and Schizophrenia DMDD module (25%). Other studies derived diagnostic criteria from interviews not specifically designed to measure DMDD (47%), chart review (7%), clinical diagnosis without any specific instrument (6%) or did not provide information about the assessment (9%). Three structured interviews designed to diagnose DMDD were used in six studies (6%). Interrater reliability was reported in 36% of studies (ranging from κ = 0.6-1) while other psychometric properties were rarely reported. This systematic review points to a variety of existing diagnostic measures for DMDD with good reliability. Consistent reporting of psychometric properties of recently developed DMDD interviews, as well as their further refinement, may help to ascertain the validity of the diagnosis.
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Dun Y, Li QR, Yu H, Bai Y, Song Z, Lei C, Li HH, Gong J, Mo Y, Li Y, Pei XY, Yuan J, Li N, Xu CY, Lai QY, Fu Z, Zhang KF, Song JY, Kang SM, Sun L, Wang YF, Yang L, Cao QJ. Reliability and validity of the Chinese version of the kiddie-schedule for affective disorders and schizophrenia-present and lifetime version DSM-5 (K-SADS-PL-C DSM-5). J Affect Disord 2022; 317:72-78. [PMID: 36029880 DOI: 10.1016/j.jad.2022.08.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 05/01/2022] [Accepted: 08/21/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND As the Diagnostic and Statistical Manual of Mental Disorders fifth version (DSM-5) was published, the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime version (K-SADS-PL) was modified to adapt the new version (K-SADS-PL DSM-5). We translated it to Chinese (K-SADS-PL-C DSM-5) and described its reliability and validity. METHODS A total of 154 groups of 6 to 18-year-old children and their guardians were included. Trained interviewers interviewed subjects using the K-SADS-PL-C DSM-5. Interrater reliability was assessed by audio recording. Parent-reported scales, like child behavior checklist (CBCL), the Chinese version of Swan-son Nolan and Pelham, version IV scale-parent form (SNAP-IV), social responsiveness scale (SRS-1), and children-reported scales like depression self-rating scale for children (DSRSC) and the screen for child anxiety related emotional disorders (SCARED) were used to examine the validity of depressive disorder, ADHD, ASD, and ODD. RESULTS The K-SADS-PL-C DSM-5 had fair to excellent interrater (0.537-1.000) and test-retest (0.468-0.885) reliability of affective disorder and neurodevelopment disorder. The convergent validity of affective disorder and neurodevelopment disorder was good, and their divergent validity was acceptable. LIMITATIONS i) Clinical questionnaires were insensitive in classifying disorders and had limitations in derived diagnoses. ii) Samples only came from clinical environment, iii) covered limited disease species, and iv) were small. CONCLUSION The K-SADS-PL-C DSM-5 can support reliable and valid diagnoses for children with affect, neurodevelopmental, and behavioral disorders in China.
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Affiliation(s)
- Yue Dun
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Qiu-Rong Li
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Hui Yu
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Yu Bai
- Yan'an Third People's Hospital, Yan'an 716000, China
| | - Zhao Song
- Children's Hospital of Chongqing Medical University, Chongqing 400014, China
| | - Chi Lei
- Guangyuan Mental Health Center, Guangyuan 628000, China
| | - Hong-Hua Li
- Department of Developmental and Behavioral Pediatrics, The First Hospital of Jilin University, Changchun 130021, China
| | - Jun Gong
- Department of Endocrine, Jiangxi Children's Hospital, Nanchang 330006, China
| | - Yun Mo
- Child Psychiatry Department, The Second Hospital of Guizhou, Guiyang 550001, China
| | - Yan Li
- Traditional Chinese Medical Hospital of Xinjiang Uygur Autonomous Region, Urumchi 830001, China
| | - Xu-Yao Pei
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Jing Yuan
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Na Li
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Chen-Yang Xu
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Qing-Yuan Lai
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Zhao Fu
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Kang-Fuxi Zhang
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Jia-Yao Song
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Si-Min Kang
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Li Sun
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Yu-Feng Wang
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Li Yang
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China.
| | - Qing-Jiu Cao
- Peking University Sixth Hospital, Beijing 100191, China; Peking University Institute of Mental Health, Beijing 100191, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China.
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10
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Convertino AD, Blashill AJ. Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10. J Child Psychol Psychiatry 2022; 63:519-526. [PMID: 34225382 DOI: 10.1111/jcpp.13484] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/28/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND Eating disorders exhibit high comorbidity with other psychiatric disorders, most notably mood, substance use, and anxiety disorders. However, most studies examining psychiatric comorbidity are conducted in adolescents and adults. Therefore, the comorbidity among children living with eating disorders is unknown. The aim of this study was to characterize co-occurring psychiatric disorders with eating disorders in a US sample of children aged 9-10 years old utilizing the Adolescent Brain Cognitive Development study. METHODS The analytic sample included 11,718 children aged 9-10 years. Anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorder subtype diagnoses were examined. Statistical analyses were conducted using complex sampling. Odds ratios and 95% confidence intervals were calculated comparing the likelihood of being diagnosed for a psychiatric disorder when having an eating disorder, as compared to children without an eating disorder, children diagnosed with major depressive disorder, and children diagnosed with posttraumatic stress disorder using binary logistic regression. RESULTS Co-occurring psychiatric disorders were substantially higher in children with eating disorders as compared to children without eating disorders, but not as compared to children diagnosed with major depressive disorder or posttraumatic stress disorder. The most common comorbidities for the eating disorder group were anxiety disorders (71.4%), attention deficit/hyperactivity disorder (47.9%), disruptive/impulse control disorders (45.0%), mood disorders (29.6%), and obsessive-compulsive disorder (28.8%), largely in line with previous research. CONCLUSIONS This study extends prior research finding high rates of comorbidity in eating disorders, specifically with anxiety, mood, and disruptive/impulse control disorders. Clinicians assessing for psychiatric disorders should be aware that eating disorders can occur in children 9 and 10 years old and are associated with severe comorbidity. Referrals for specialty mental health care should be considered.
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Affiliation(s)
- Alexandra D Convertino
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
| | - Aaron J Blashill
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.,Department of Psychology, San Diego State University, San Diego, CA, USA
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11
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Smith KE, Mason TB. Psychiatric comorbidity associated with weight status in 9 to 10 year old children. Pediatr Obes 2022; 17:e12883. [PMID: 35048539 PMCID: PMC9040467 DOI: 10.1111/ijpo.12883] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 08/09/2021] [Accepted: 09/01/2021] [Indexed: 12/19/2022]
Abstract
BACKGROUND Paediatric overweight and obesity (OW/OB) constitute a serious public health concern. Given that psychological problems may be key contributors to the onset and maintenance of paediatric obesity, the present study examined past and current psychiatric comorbidities across the weight spectrum during middle childhood among a nationally representative sample. METHODS Participants were 11 708 9- to 10-year-old children (31.6% with OW/OB) and their caregivers who participated in the first wave of data collection in the Adolescent Brain Cognitive Development (ABCD) study. Logistic regressions were used to examine the association between weight status (i.e., underweight, healthy weight, OW, OB) and likelihood of current/past psychiatric diagnoses. RESULTS Compared to healthy weight children, those with OW/OB were more likely to have current/past major depressive disorder and binge eating disorder. Relative to healthy weight children, those with OB were more likely to have prior separation anxiety disorder, current specific phobia and oppositional defiant disorder; those with OW were more likely to have PTSD; and those with underweight were more likely to have ADHD. CONCLUSIONS Results suggest cross-sectional associations among negative emotionality, binge eating, and OW/OB, and highlight the need for ongoing prospective research to investigate directionality of associations and mechanisms of effects.
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Affiliation(s)
- Kathryn E. Smith
- Department of Psychiatry and Behavioral Sciences, University of Southern California, Los Angeles, CA
| | - Tyler B. Mason
- Department of Preventive Medicine, University of Southern California, Los Angeles, CA
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12
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de la Peña FR, Rosetti MF, Palacio JD, Palacios-Cruz L, Ulloa RE. Limited Prosocial Emotions in a Clinical Population of Children and Adolescents: Proposal for Core and Ancillary Characteristics. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2022; 67:289-294. [PMID: 33787362 PMCID: PMC9099082 DOI: 10.1177/07067437211004893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Limited prosocial emotions (LPE) has been recently incorporated into international classifications as a specifier for conduct disorder in the DSM-5 and for all disruptive behavioural disorders in the ICD-11. The aims of the current work were to determine (a) the accuracy of each of the characteristics used to assess the LPE specifier and (b) whether the manner in which symptoms group together supports the idea of LPE having core characteristics. METHOD Trained clinicians conducted interviews and determined LPE characteristics using responses from 74 parent/guardian and child/adolescent participants. RESULTS The distribution of LPE characteristics among those participants with LPE (n = 13) was compared to those with only one LPE characteristic (n = 11). The proposal of callous lack of empathy (CLE) and shallow deficient affect (SDA) as core characteristics was supported by strong associations with the presence of the LPE specifier, larger specificity, and sensitivity indices than those for unconcerned about performance and lack of remorse or guilt, as well as by a robust aggregation in a latent class analysis. CONCLUSIONS CLE and SDA could be considered as core characteristics of LPE in children and adolescents.
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Affiliation(s)
| | - Marcos F Rosetti
- 42584Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico.,61738Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Juan David Palacio
- 161932Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Lino Palacios-Cruz
- 42584Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Rosa Elena Ulloa
- 544147Hospital Psiquiátrico Infantil Dr. Juan N. Navarro, Mexico City, Mexico
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13
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Zareian B, Anderl C, LeMoult J, Galea LAM, Prior JC, Rights JD, Ross CJ, Ge S, Hayward AC, Chen FS. Assessing the role of adolescent hormonal contraceptive use on risk for depression: a 3-year longitudinal study protocol. BMC Womens Health 2022; 22:48. [PMID: 35197045 PMCID: PMC8864455 DOI: 10.1186/s12905-022-01623-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 02/09/2022] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND The incidence of depression in human females rises steadily throughout adolescence, a critical period of pubertal maturation marked by increasing levels of gonadal hormones including estrogens and progesterone. These gonadal hormones play a central role in social and emotional development and may also contribute to the increased occurrence of depression in females that begins in early adolescence. In this study, we examine whether and how introducing synthetic estrogen and progestin derivatives through the use of combined hormonal contraceptives (CHC), affects adolescent females' risk for developing depression. We further assess potential links between CHC use and alterations in stress responses and social-emotional functioning. METHODS Using a longitudinal cohort design, we will follow a sample of adolescent females over the span of three years. Participants will be assessed at three time points: once when they are between 13 and 15 years of age, and at approximately 18 and 36 months after their initial assessment. Each time point will consist of two online sessions during which participants will complete a clinical interview that screens for key symptoms of mental health disorders, along with a series of questionnaires assessing their level of depressive symptoms and history of contraceptive use. They will also complete a standardized social-evaluative stress test and an emotion recognition task, as well as provide saliva samples to allow for assessment of their circulating free cortisol levels. DISCUSSION In this study we will assess the effect of CHC use during adolescence on development of Major Depressive Disorder (MDD). We will control for variables previously found to or proposed to partially account for the observed relationship between CHC use and MDD, including socioeconomic status, age of sexual debut, and CHC-related variables including age of first use, reasons for use, and its duration. In particular, we will discover whether CHC use increases depressive symptoms and/or MDD, whether elevated depressive symptoms and/or MDD predict a higher likelihood of starting CHC, or both. Furthermore, this study will allow us to clarify whether alterations in stress reactivity and social-emotional functioning serve as pathways through which CHC use may result in increased risk of depressive symptoms and/or MDD.
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Affiliation(s)
- Bita Zareian
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Christine Anderl
- Department of Psychology, University of British Columbia, Vancouver, Canada.,Leibniz-Institut für Wissensmedien, Tübingen, Germany
| | - Joelle LeMoult
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Liisa A M Galea
- Department of Psychology, University of British Columbia, Vancouver, Canada.,Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, Canada
| | - Jerilynn C Prior
- Centre for Menstrual Cycle and Ovulation Research, Endocrinology and Metabolism, University of British Columbia, Vancouver, Canada.,BC Women's Health Research Institute, Vancouver, Canada.,School of Population and Public Health, University of British Columbia, Vancouver, Canada.,Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada
| | - Jason D Rights
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Colin J Ross
- BC Children's Hospital Research Institute, Vancouver, Canada.,Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada
| | - Sabrina Ge
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Annie C Hayward
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Frances S Chen
- Department of Psychology, University of British Columbia, Vancouver, Canada.
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14
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Estrada-Jaramillo S, Quintero-Cadavid CP, Andrade-Carrillo R, Gómez-Cano S, Erazo-Osorio JJ, Zapata-Ospina JP, Aguirre-Acevedo DC, Valencia-Echeverry J, López-Jaramillo C, Palacio-Ortiz JD. Do Children of Patients with Bipolar Disorder have a Worse Perception of Sleep Quality? REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2022; 51:25-34. [PMID: 35210211 DOI: 10.1016/j.rcpeng.2022.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Accepted: 06/17/2020] [Indexed: 06/14/2023]
Abstract
INTRODUCTION The offspring of bipolar parents (BO) is a high-risk population for inheriting the bipolar disorder (BD) and other early clinical manifestations, such as sleep disturbances. OBJECTIVE To compare the presence of psychiatric disorders and sleep disturbances of BO versus offspring of control parents (OCP). METHODS A cross-sectional analytical study was conducted that compared BO versus OCP. The participants were assessed using valid tools to determine the presence of psychiatric symptoms or disorders. The "Sleep Evaluation Questionnaire" and "School Sleep Habits Survey" were used to determine sleep characteristics and associated factors. Sleep records (7-21 days) were also obtained by using an actigraphy watch. RESULTS A sample of 42 participants (18 BO and 24 OCP) was recruited. Differences were found in the presentation of the psychiatric disorder. The BO group showed a higher frequency of major depression disorder (MDD; P = .04) and Disruptive Mood Dysregulation Disorder (DMDD; P = .04). The OCP group showed a higher frequency of Attention Deficit and Hyperactivity Disorder (ADHD; P = .65), and Separation Anxiety Disorder (SAD; P = .46). Differences were also found in sleep by using subjective measurements. Compared to the OCP group, BO had a worse perception of quality of sleep (P = .02), a higher frequency of nightmares (P = .01), a shorter total sleep time, and a higher sleep latency. Nevertheless, no differences were found between groups in the actigraphy measurements. CONCLUSIONS The BO group had a higher frequency of Mood Disorders, and at the same time a higher number of sleep disturbances in the subjective measurements. It is possible that there is an association between mood symptoms, sleep disturbances, and coffee intake. No differences were found in the sleep profile by using actigraphy.
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Affiliation(s)
- Santiago Estrada-Jaramillo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Claudia Patricia Quintero-Cadavid
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Rommel Andrade-Carrillo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Sujey Gómez-Cano
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Juan Jose Erazo-Osorio
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | | | - Daniel Camilo Aguirre-Acevedo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Instituto de Investigación Médica, Universidad de Antioquia, Medellín, Colombia
| | - Johana Valencia-Echeverry
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Carlos López-Jaramillo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Juan David Palacio-Ortiz
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia.
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15
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Eraso-Osorio JJ, Palacio-Ortiz JD, Quintero-Cadavid CP, Estrada-Jaramillo S, Andrade-Carrillo R, Gómez-Cano S, Garcia-Valencia J, Aguirre-Acevedo DC, Duque-Rios PA, Valencia-Echeverry J, López-Jaramillo C. High risk for psychiatric disorders in bipolar offspring. A four years prospective study. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2021; 50:273-284. [PMID: 34815013 DOI: 10.1016/j.rcpeng.2020.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Accepted: 01/30/2020] [Indexed: 06/13/2023]
Abstract
UNLABELLED Bipolar disorder (BD) has a large hereditary component. It is a disorder that begins in early adulthood, but about which it has been described a premorbid period preceding the onset of BD. During this herald expression psychiatric disorders and symptoms, such as depressive, manic, psychotic, anxious and others, may appear. OBJECTIVE To determine the psychopathological profile of a Bipolar Offspring (BO) group compared with the Community Control Offspring (CCO) group, and its evolution over time, including subthreshold symptoms and mental disorders. METHODS We conducted an observational mixed cohort study, with a prospective design. We included subjects from six to 30 years of age, from the region of Antioquia, Colombia. A total of 131 subjects from the risk group BO and 150 subjects from the CCO group were evaluated through validated psychiatric diagnostic interviews (K-SADS-PL and DIGS) at baseline and at 4 years follow up. All interviews were carried out by a staff blind to parent diagnoses. Follow-up assessment were complete in 72% of the offspring. Forty-two subjects were excluded as they surpassed the age of 30 years, and only 46 subjects were not followed (change of address or did not consent to participate). RESULTS Compared with the CCO group, the BO group had a higher frequency of affective disorder, psychotic disorder, externalizing disorders and use of the psychoactive substances during both assessments at time 1 and 2. The magnitude of the differences between the groups increased when they reach time 2. The BO group had a greater risk for presenting subthreshold symptoms and definitive psychiatric disorders, such as affective disorders, psychotic disorders and externalizing disorders. In addition, the BO group had a younger age of onset for psychoactive substances consumption. CONCLUSION During the follow-up period, the BO group had a higher risk of presenting mental disorders compared with the CCO group. The most relevant symptoms and disorders that could precede the onset of BD were depressive, bipolar not otherwise specified, psychotic and substance use.
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Affiliation(s)
- Juan Jose Eraso-Osorio
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Juan David Palacio-Ortiz
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia.
| | - Claudia Patricia Quintero-Cadavid
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Santiago Estrada-Jaramillo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Rommel Andrade-Carrillo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Sujey Gómez-Cano
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | | | - Daniel Camilo Aguirre-Acevedo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Institute of Medical Research, University of Antioquia, Medellín, Colombia
| | - Paula Andrea Duque-Rios
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Johanna Valencia-Echeverry
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia
| | - Carlos López-Jaramillo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
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16
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Restrepo-Mejía SF, Valencia-Echeverry J, Zapata-Ospina JP, Aguirre-Acevedo DC, Lopez-Jaramillo C, Palacio-Ortiz JD. Comparison of the Neurocognitive Profile of the Children of Parents with Bipolar Disorder and Controls: a Transnational Cross-Sectional Study. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2021; 52:S0034-7450(21)00139-6. [PMID: 34561104 DOI: 10.1016/j.rcp.2021.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 07/13/2021] [Indexed: 06/13/2023]
Abstract
INTRODUCTION Studies that have compared the cognitive alterations of the children of parents with bipolar disorder (CPBD) versus the children of control parents (CCP), present heterogeneous results due to the studies' methodological differences, the age of the population studied, and the lack of standardisation of the measures used for the different neurocognitive domains. The objective was to compare the neurocognitive profile of CPBD versus CCP to observe if there are differences that could be proposed as possible endophenotypes of BD. RESULTS A total of 107 individuals (51 CPBD, and 56 CCP) with ages between 6 and 16 (mean, 12.2±2.80) years of age were evaluated. Seventy-four point five percent of the CPBD group had some disorder compared to 67.9% of the CCP group. Tests such as letter-F phonemic verbal fluency, letter-S phonemic verbal fluency, overall F-A-S phonemic verbal fluency, story recall and retrieval, and Wisconsin perseverative errors showed a difference with a small effect size, but with a high degree of uncertainty. CONCLUSIONS The CPBD did not have differences in their neurocognitive profile in comparison with CCP. Both groups have a high prevalence of psychopathology, which is a factor that could explain the lack of differences in neurocognitive performance.
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Affiliation(s)
- Sara Fernanda Restrepo-Mejía
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Johanna Valencia-Echeverry
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | | | | | - Carlos Lopez-Jaramillo
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Juan David Palacio-Ortiz
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
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17
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Estrada-Jaramillo S, Quintero-Cadavid CP, Andrade-Carrillo R, Gómez-Cano S, Eraso-Osorio JJ, Zapata-Ospina JP, Aguirre-Acevedo DC, Valencia-Echeverry J, López-Jaramillo C, Palacio-Ortiz JD. Do Children of Patients with Bipolar Disorder have a Worse Perception of Sleep Quality? REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2020; 51:S0034-7450(20)30071-8. [PMID: 33735036 DOI: 10.1016/j.rcp.2020.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Revised: 03/07/2020] [Accepted: 06/17/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION The offspring of bipolar parents (BO) is a high-risk population for inheriting the bipolar disorder (BD) and other early clinical manifestations, such as sleep disturbances. OBJECTIVE To compare the presence of psychiatric disorders and sleep disturbances of BO versus offspring of control parents (OCP). METHODS A cross-sectional analytical study was conducted that compared BO versus OCP. The participants were assessed using valid tools to determine the presence of psychiatric symptoms or disorders. The "Sleep Evaluation Questionnaire" and "School Sleep Habits Survey" were used to determine sleep characteristics and associated factors. Sleep records (7-21 days) were also obtained by using an actigraphy watch. RESULTS A sample of 42 participants (18 BO and 24 OCP) was recruited. Differences were found in the presentation of the psychiatric disorder. The BO group showed a higher frequency of major depression disorder (MDD; P=.04) and Disruptive Mood Dysregulation Disorder (DMDD; P=.04). The OCP group showed a higher frequency of Attention Deficit and Hyperactivity Disorder (ADHD; P=.65), and Separation Anxiety Disorder (SAD; P=.46). Differences were also found in sleep by using subjective measurements. Compared to the OCP group, BO had a worse perception of quality of sleep (P=.02), a higher frequency of nightmares (P=.01), a shorter total sleep time, and a higher sleep latency. Nevertheless, no differences were found between groups in the actigraphy measurements. CONCLUSIONS The BO group had a higher frequency of Mood Disorders, and at the same time a higher number of sleep disturbances in the subjective measurements. It is possible that there is an association between mood symptoms, sleep disturbances, and coffee intake. No differences were found in the sleep profile by using actigraphy.
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Affiliation(s)
- Santiago Estrada-Jaramillo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Claudia Patricia Quintero-Cadavid
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Rommel Andrade-Carrillo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Sujey Gómez-Cano
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Juan Jose Eraso-Osorio
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | | | - Daniel Camilo Aguirre-Acevedo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Instituto de Investigación Médica, Universidad de Antioquia, Medellín, Colombia
| | - Johanna Valencia-Echeverry
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
| | - Carlos López-Jaramillo
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia
| | - Juan David Palacio-Ortiz
- Research Group in Psychiatry (GIPSI), Departmento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Programa de Trastornos del Ánimo, Fundación Hospital San Vicente, Medellín, Colombia.
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18
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Eraso-Osorio JJ, Palacio-Ortiz JD, Quintero-Cadavid CP, Estrada-Jaramillo S, Andrade-Carrillo R, Gómez-Cano S, Garcia-Valencia J, Aguirre-Acevedo DC, Duque-Rios PA, Valencia-Echeverry J, López-Jaramillo C. High Risk for Psychiatric Disorders in Bipolar Offspring. A Four Years Prospective Study. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2020; 50:S0034-7450(20)30048-2. [PMID: 33735023 DOI: 10.1016/j.rcp.2020.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 11/16/2019] [Accepted: 01/30/2020] [Indexed: 10/24/2022]
Abstract
Bipolar disorder (BD) has a large hereditary component. It is a disorder that begins in early adulthood, but about which it has been described a premorbid period preceding the onset of BD. During this herald expression psychiatric disorders and symptoms, such as depressive, manic, psychotic, anxious and others, may appear. OBJECTIVE To determine the psychopathological profile of a Bipolar Offspring (BO) group compared with the Community Control Offspring (CCO) group, and its evolution over time, including subthreshold symptoms and mental disorders. METHODS We conducted an observational mixed cohort study, with a prospective design. We included subjects from six to 30 years of age, from the region of Antioquia, Colombia. A total of 131 subjects from the risk group BO and 150 subjects from the CCO group were evaluated through validated psychiatric diagnostic interviews (K-SADS-PL and DIGS) at baseline and at 4 years follow up. All interviews were carried out by a staff blind to parent diagnoses. Follow-up assessment were complete in 72% of the offspring. Forty-two subjects were excluded as they surpassed the age of 30 years, and only 46 subjects were not followed (change of address or did not consent to participate). RESULTS Compared with the CCO group, the BO group had a higher frequency of affective disorder, psychotic disorder, externalizing disorders and use of the psychoactive substances during both assessments at time 1 and 2. The magnitude of the differences between the groups increased when they reach time 2. The BO group had a greater risk for presenting subthreshold symptoms and definitive psychiatric disorders, such as affective disorders, psychotic disorders and externalizing disorders. In addition, the BO group had a younger age of onset for psychoactive substances consumption. CONCLUSION During the follow-up period, the BO group had a higher risk of presenting mental disorders compared with the CCO group. The most relevant symptoms and disorders that could precede the onset of BD were depressive, bipolar not otherwise specified, psychotic and substance use.
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Affiliation(s)
- Juan Jose Eraso-Osorio
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Juan David Palacio-Ortiz
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia.
| | - Claudia Patricia Quintero-Cadavid
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Santiago Estrada-Jaramillo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Rommel Andrade-Carrillo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Sujey Gómez-Cano
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | | | - Daniel Camilo Aguirre-Acevedo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Institute of Medical Research, University of Antioquia, Medellín, Colombia
| | - Paula Andrea Duque-Rios
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
| | - Johanna Valencia-Echeverry
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia
| | - Carlos López-Jaramillo
- Member of the Research Group in Psychiatry (GIPSI), Department of Psychiatry, Faculty of Medicine, University of Antioquia, Medellín, Colombia; Mood Disorder Program, Hospital San Vicente Foundation, Medellín, Colombia
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de la Peña FR, Villavicencio LR, Palacio JD, Félix FJ, Larraguibel M, Viola L, Ortiz S, Rosetti M, Abadi A, Montiel C, Mayer PA, Fernández S, Jaimes A, Feria M, Sosa L, Rodríguez A, Zavaleta P, Uribe D, Galicia F, Botero D, Estrada S, Berber AF, Pi-Davanzo M, Aldunate C, Gómez G, Campodónico I, Tripicchio P, Gath I, Hernández M, Palacios L, Ulloa RE. Validity and reliability of the kiddie schedule for affective disorders and schizophrenia present and lifetime version DSM-5 (K-SADS-PL-5) Spanish version. BMC Psychiatry 2018; 18:193. [PMID: 29898698 PMCID: PMC6001018 DOI: 10.1186/s12888-018-1773-0] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Accepted: 06/05/2018] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND There are various language adaptations of the Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime Version (K-SADS-PL). In order to comply with the changes in DSM classification, the Spanish edition of the interview was in need of update and evaluation. METHODS K-SADS-PL was adapted to correspond to DSM-5 categories. All clinicians received training, and a 90% agreement was reached. Patients and their parents or guardians were interviewed and videotaped, and the videos were exchanged between raters. Factor analysis was performed and inter-rater reliability was calculated only in the case of diagnoses in which there were more than five patients. RESULTS A total of 74 subjects were included. The Factor Analysis yielded six factors (Depressive, Stress Hyperarousal, Disruptive Behavioral, Irritable Explosive, Obsessive Repetitive and Encopresis), representing 72% of the variance. Kappa values for inter-rater agreement were larger than 0.7 for over half of the disorders. CONCLUSIONS The factor structure of diagnoses, made with the instrument was found to correspond to the DSM-5 disorder organization. The instrument showed good construct validity and inter-rater reliability, which makes it a useful tool for clinical research studies in children and adolescents.
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Affiliation(s)
- Francisco R. de la Peña
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Lino R. Villavicencio
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Juan D. Palacio
- 0000 0000 8882 5269grid.412881.6Psychiatry Department, School of Medicine, Antioquia University, Medellin, Colombia
| | | | - Marcela Larraguibel
- 0000 0004 0385 4466grid.443909.3Psychiatry Universitary Clinic, School of Medicine, Autonomous University of Chile, Santiago de Chile, Chile
| | - Laura Viola
- 0000000121657640grid.11630.35Department of Pediatric Psychiatry, Childrens’ Hospital La Española, School of Medicine, Uruguay University, Montevideo, Uruguay
| | - Silvia Ortiz
- 0000 0001 2159 0001grid.9486.3National Autonomous University of Mexico, Mexico City, Mexico
| | - Marcos Rosetti
- 0000 0001 2159 0001grid.9486.3National Autonomous University of Mexico, Mexico City, Mexico
| | - Andrea Abadi
- 0000 0004 0608 3193grid.411168.bInstitute of Cognitive and Translational Neuroscience, INECO Fundation, Favaloro University, Buenos Aires, Argentina
| | - Cecilia Montiel
- 0000 0001 2168 1114grid.411267.7Zulia University, Maracaibo, Venezuela ,grid.441493.fCenter for Postgraduate Studies, Latin University of Panama, Panama City, Panama
| | - Pablo A. Mayer
- Childrens’ Psychiatry Hospital Juan N. Navarro, Mexico City, Mexico
| | - Sofía Fernández
- 0000000121657640grid.11630.35Department of Pediatric Psychiatry, Childrens’ Hospital La Española, School of Medicine, Uruguay University, Montevideo, Uruguay
| | - Aurora Jaimes
- 0000 0001 2159 0001grid.9486.3National Autonomous University of Mexico, Mexico City, Mexico
| | - Miriam Feria
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Liz Sosa
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Andrés Rodríguez
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Patricia Zavaleta
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Daniela Uribe
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Frinne Galicia
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Diana Botero
- 0000 0000 8882 5269grid.412881.6Psychiatry Department, School of Medicine, Antioquia University, Medellin, Colombia
| | - Santiago Estrada
- 0000 0000 8882 5269grid.412881.6Psychiatry Department, School of Medicine, Antioquia University, Medellin, Colombia
| | | | - Macarena Pi-Davanzo
- 0000 0004 0385 4466grid.443909.3Psychiatry Universitary Clinic, School of Medicine, Autonomous University of Chile, Santiago de Chile, Chile
| | - Consuelo Aldunate
- 0000 0004 0385 4466grid.443909.3Psychiatry Universitary Clinic, School of Medicine, Autonomous University of Chile, Santiago de Chile, Chile
| | - Gabriela Gómez
- 0000000121657640grid.11630.35Department of Pediatric Psychiatry, Childrens’ Hospital La Española, School of Medicine, Uruguay University, Montevideo, Uruguay
| | - Ivannah Campodónico
- 0000000121657640grid.11630.35Department of Pediatric Psychiatry, Childrens’ Hospital La Española, School of Medicine, Uruguay University, Montevideo, Uruguay
| | - Paula Tripicchio
- 0000 0004 0608 3193grid.411168.bInstitute of Cognitive and Translational Neuroscience, INECO Fundation, Favaloro University, Buenos Aires, Argentina
| | - Ignacio Gath
- 0000 0004 0608 3193grid.411168.bInstitute of Cognitive and Translational Neuroscience, INECO Fundation, Favaloro University, Buenos Aires, Argentina
| | - Manuel Hernández
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Lino Palacios
- 0000 0004 1776 9908grid.419154.cAdolescents’ Clinic, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Rosa E. Ulloa
- Childrens’ Psychiatry Hospital Juan N. Navarro, Mexico City, Mexico
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