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Stewart SL, Semovski V, Lapshina N. Adolescent Inpatient Mental Health Admissions: An Exploration of Interpersonal Polyvictimization, Family Dysfunction, Self-Harm and Suicidal Behaviours. Child Psychiatry Hum Dev 2024; 55:963-974. [PMID: 36315373 PMCID: PMC11245427 DOI: 10.1007/s10578-022-01450-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 09/19/2022] [Accepted: 09/22/2022] [Indexed: 11/03/2022]
Abstract
The mental health system is impacted by extreme delays in the provision of care, even in the face of suicidal behaviour. The failure to address mental health issues in a timely fashion result in a dependence on acute mental health services. Improvement to the mental health care system is impacted by the paucity of information surrounding client profiles admitted to inpatient settings. Using archival data from 10,865 adolescents 12-18 years of age (Mage = 14.87, SDage = 1.77), this study aimed to examine the characteristics of adolescents admitted to psychiatric inpatient services in Ontario, Canada. Multivariate binary logistic regression revealed that adolescents reporting interpersonal polyvictimization, greater family dysfunction and higher risk of suicide and self-harm had a greater likelihood of an inpatient mental health admission. The interRAI Child and Youth Mental Health assessment can be used for care planning and early intervention to support adolescents and their families before suicide risk is imminent.
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Affiliation(s)
- Shannon L Stewart
- Faculty of Education, The University of Western Ontario, 1137 Western Road, N6G 1G7, London, ON, Canada
| | - Valbona Semovski
- Faculty of Education, The University of Western Ontario, 1137 Western Road, N6G 1G7, London, ON, Canada.
| | - Natalia Lapshina
- Faculty of Education, The University of Western Ontario, 1137 Western Road, N6G 1G7, London, ON, Canada
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2
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Robin M, Surjous L, Belbèze J, Bonnardel L, Varlet M, Silva J, Lamothe J, Essadek A, Falissard B, Cohen D, Corcos M. Influence of at-risk family interactions on the course of psychiatric care in adolescence. Eur Child Adolesc Psychiatry 2024:10.1007/s00787-023-02330-5. [PMID: 38305891 DOI: 10.1007/s00787-023-02330-5] [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: 06/08/2023] [Accepted: 11/28/2023] [Indexed: 02/03/2024]
Abstract
Dysparenting, referring to inappropriate parental attitudes, is a vulnerability factor for mental disorders during adolescence and a therapeutic leverage, yet clinicians lack reliable tools to assess it in daily clinical practice. Moreover, the effect of this dysparenting on the amount of psychiatric care remains unclear. The Family and Care study aims to develop the at-risk family interactions and levers (ARFIL) scale, a comprehensive 30-item clinical scale, and to assess in a cross-sectional design, the impact of these at-risk family interactions on the care of adolescents (n = 425) hospitalized in psychiatry and aged 13-19 years old. Factorial analysis shows that the ARFIL scale consists of three main dimensions associated with cohesion/conflicts, love/hostility, and autonomy/control with good psychometric properties. Multivariate regressions show that the ARFIL intensity score predicts the duration of hospital care, regardless of age, gender, medical severity on admission, assessed by the Global Assessment of Functioning scale, the presence of maltreatment and psychiatric diagnoses. Moreover, the ARFIL diversity score (number of items present regardless of their severity) predicts both the number and duration of hospitalizations. At-risk family interactions are a determining dimension of psychiatric adolescent care, and the ARFIL scale could constitute a valuable tool, not only for holistic evaluation and treatment, but also for prevention.
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Affiliation(s)
- M Robin
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France.
- Paris-Saclay University, UVSQ, INSERM U1178, Team PsyDev, Villejuif, France.
- Paris Descartes University, Sorbonne Paris Cité, Paris, France.
| | - L Surjous
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
- Paris Descartes University, Sorbonne Paris Cité, Paris, France
| | - J Belbèze
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
- Paris Descartes University, Sorbonne Paris Cité, Paris, France
| | - L Bonnardel
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
| | - M Varlet
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
| | - J Silva
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
| | - J Lamothe
- Group for Research and Intervention on Children's Social Adjustment (GRISE), Sherbrooke, Québec, Canada
| | - A Essadek
- Interpsy Laboratory, University of Lorraine, Nancy, France
| | - B Falissard
- Paris-Saclay University, UVSQ, INSERM U1178, Team PsyDev, Villejuif, France
- AP-HP, Hôpital Cochin, Maison de Solenn, Paris, France
| | - D Cohen
- Department of Child and Adolescent Psychiatry, Sorbonne Université, Hôpital Pitié-Salpêtrière, Paris, France
| | - M Corcos
- Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
- Paris Descartes University, Sorbonne Paris Cité, Paris, France
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3
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Zurita-Ortega F, Alonso-Vargas JM, Puertas-Molero P, González-Valero G, Ubago-Jiménez JL, Melguizo-Ibáñez E. Levels of Physical Activity, Family Functioning and Self-Concept in Elementary and High School Education Students: A Structural Equation Model. CHILDREN (BASEL, SWITZERLAND) 2023; 10:163. [PMID: 36670713 PMCID: PMC9856633 DOI: 10.3390/children10010163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 01/10/2023] [Accepted: 01/12/2023] [Indexed: 01/18/2023]
Abstract
In the adolescent population there is great concern about low levels of physical activity and low levels of family awareness of the benefits of physical exercise on physical and mental health. This study aims to determine the influence of physical activity levels, family functioning and self-concept in primary and secondary school students, as well as to develop a structural equation model as a function of weekly physical activity time. A descriptive, cross-sectional, comparative study was conducted on whether students engage in more than three hours of physical activity per week. To collect the data, instruments validated by the scientific community were used, such as the Adaptability, Partnership, Growth, Affection, and Resolve family questionnaire (APGAR) and the self-concept questionnaire form 5. The results show that those students who engage in more than 3 h of physical activity per week have higher levels of family functioning than those who do not meet this sport criterion. In addition, physically active students show higher scores on all dimensions of self-concept than those who practice less than 3 h of physical activity per week. Finally, as a conclusion, it can be affirmed that the amount of physical activity practice brings benefits to student's mental health.
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Affiliation(s)
| | - José Manuel Alonso-Vargas
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain
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Hwang P, Ipekian L, Jaiswal N, Scott G, Amirali EL, Hechtman L. Family functioning and mental wellbeing impairment during initial quarantining for the COVID-19 pandemic: A study of Canadian families. CURRENT PSYCHOLOGY 2022; 42:1-13. [PMID: 35035192 PMCID: PMC8743689 DOI: 10.1007/s12144-021-02689-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/29/2021] [Indexed: 12/02/2022]
Abstract
Quarantine measures imposed due to COVID-19 have negatively impacted individual wellbeing. However, the research on the factors impacting mental health and functioning of families is limited. The current study explores socio-economic and demographic factors that mediate poor family functioning, anxiety, and depressive symptoms in response to quarantine measures in Canadian parents and children. 254 Canadian families completed an online questionnaire capturing demographic information and mental wellbeing of individuals and of the whole family. Family functioning was assessed using the Family Assessment Device General Functioning subscale (FAD-GF), and individual mental wellbeing was measured with the Generalized Anxiety Disorder screener (GAD-7) and Patient Health Questionnaire (PHQ-9). Generalized linear models and logistic regression were used to model socio-demographic impacts on outcome variables. Problematic family functioning was found in 78.5% of families with a high proportion of parents reporting above-threshold symptoms of anxiety (62.9%) and depression (73.4%). Many children also reported above-threshold symptoms of anxiety (54.6%) and depression (70.7%). Family functioning was impacted by parent and child age, parental employment status and pre-existing conditions for children. Anxiety and depression experienced by parents and children was increased in families with parents aged <45, household income<$100,000 pre-existing psychiatric conditions, or having a child aged >5 years. These findings show that most Canadian families observed in this study experienced above threshold symptoms of anxiety, depression and poor family functioning. Our study provides an initial step towards identifying characteristics of at-risk families and targeting interventions to mediate negative effects of quarantining.
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Affiliation(s)
- Philippe Hwang
- Department of Child Psychiatry, The Montreal Children’s Hospital, Research Institute of the McGill University Health Centre, Room A04.4205, 1001 Boulevard Décarie, Montréal, QC H4A 3J1 Canada
| | - Lara Ipekian
- Department of Child Psychiatry, The Montreal Children’s Hospital, Research Institute of the McGill University Health Centre, Room A04.4205, 1001 Boulevard Décarie, Montréal, QC H4A 3J1 Canada
| | - Nikhil Jaiswal
- Department of Child Psychiatry, The Montreal Children’s Hospital, Research Institute of the McGill University Health Centre, Room A04.4205, 1001 Boulevard Décarie, Montréal, QC H4A 3J1 Canada
| | - Gabie Scott
- Department of Child Psychiatry, The Montreal Children’s Hospital, Research Institute of the McGill University Health Centre, Room A04.4205, 1001 Boulevard Décarie, Montréal, QC H4A 3J1 Canada
| | - Evangelina Lila Amirali
- Department of Child Psychiatry, The Montreal Children’s Hospital, Research Institute of the McGill University Health Centre, Room A04.4205, 1001 Boulevard Décarie, Montréal, QC H4A 3J1 Canada
| | - Lily Hechtman
- Department of Child Psychiatry, The Montreal Children’s Hospital, Research Institute of the McGill University Health Centre, Room A04.4205, 1001 Boulevard Décarie, Montréal, QC H4A 3J1 Canada
- Department of Child and Adolescent Psychiatry, McGill University, Montreal, Canada
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du Mortier JAM, Remmerswaal KCP, Batelaan NM, Visser HAD, Twisk JWR, van Oppen P, van Balkom AJLM. Predictors of Intensive Treatment in Patients With Obsessive-Compulsive Disorder. Front Psychiatry 2021; 12:659401. [PMID: 33912087 PMCID: PMC8072047 DOI: 10.3389/fpsyt.2021.659401] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 03/11/2021] [Indexed: 12/02/2022] Open
Abstract
Background: Few studies have investigated which patients with obsessive-compulsive disorder (OCD) do not recover through regular cognitive behavior therapy or pharmacotherapy and subsequently end up in intensive treatment like day treatment or inpatient treatment. Knowing the predictors of intensive treatment in these patients is significant because it could prevent intensive treatment. This study has identified predictors of intensive treatment in patients with OCD. Methods: Using 6-year longitudinal data of the Netherlands Obsessive Compulsive Disorder Association (NOCDA), potential predictors of intensive treatment were assessed in patients with OCD (n = 419). Intensive treatment was assessed using the Treatment Inventory Costs in Patients with Psychiatric Disorders (TIC-P). Examined potential predictors were: sociodemographics, and clinical and psychosocial characteristics. Logistic Generalized Estimating Equations was used to estimate to what extent the various characteristics (at baseline, 2- and 4-year assessment) predicted intensive treatment in the following 2 years, averaged over the three assessment periods. Results: Being single, more severe comorbid depression, use of psychotropic medication, and a low quality of life predicted intensive treatment in the following 2 years. Conclusions: Therapists should be aware that patients with OCD who are single, who have more severe comorbid depression, who use psychotropic medication, and who have a low quality of life or a drop in quality of life are at risk for intensive treatment. Intensive treatment might be prevented by focusing regular treatment not only on OCD symptoms but also on comorbid depression and on quality of life. Intensive treatment might be improved by providing extra support in treatment or by adjusting treatment to impairments due to comorbid depressive symptoms or a low quality of life.
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Affiliation(s)
| | - Karin C P Remmerswaal
- Amsterdam UMC, Vrije Universiteit, Department of Psychiatry, Amsterdam Public Health Institute and GGZ inGeest Specialized Mental Health Care, Amsterdam, Netherlands
| | - Neeltje M Batelaan
- Amsterdam UMC, Vrije Universiteit, Department of Psychiatry, Amsterdam Public Health Institute and GGZ inGeest Specialized Mental Health Care, Amsterdam, Netherlands
| | | | - Jos W R Twisk
- Amsterdam UMC, Vrije Universiteit, Epidemiology and Biostatistics, Amsterdam, Netherlands
| | - Patricia van Oppen
- Amsterdam UMC, Vrije Universiteit, Department of Psychiatry, Amsterdam Public Health Institute and GGZ inGeest Specialized Mental Health Care, Amsterdam, Netherlands
| | - Anton J L M van Balkom
- Amsterdam UMC, Vrije Universiteit, Department of Psychiatry, Amsterdam Public Health Institute and GGZ inGeest Specialized Mental Health Care, Amsterdam, Netherlands
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Melguizo-Ibáñez E, Viciana-Garófano V, Zurita-Ortega F, Ubago-Jiménez JL, González-Valero G. Physical Activity Level, Mediterranean Diet Adherence, and Emotional Intelligence as a Function of Family Functioning in Elementary School Students. CHILDREN (BASEL, SWITZERLAND) 2020; 8:6. [PMID: 33374312 PMCID: PMC7823491 DOI: 10.3390/children8010006] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 12/16/2020] [Accepted: 12/22/2020] [Indexed: 12/21/2022]
Abstract
(1) Background: Family is considered as one of the most important elements for the transmission of healthy habits that improve the lives of students. For this reason, the present study aims to describe the degree of family functionality, emotional intelligence, Mediterranean diet adherence, and extra-curricular physical activity engagement. A further aim is to perform a correlational analysis between these variables. (2) Methods: To this end, an ad hoc questionnaire was used, alongside the APGAR, KIDMED, and Trait Meta Mood Scale (TMMS-24). (3) Results: Finally, the data suggest that a high percentage of students need to improve their diet. Further, students reporting severe family dysfunction showed worse outcomes. Thus, levels of emotional clarity were lower when family functionality was poor. Poor diet quality was also associated with lower emotional attention, with Mediterranean diet adherence being positively related to emotional clarity and repair, as well as normal family functionality. (4) Conclusions: Boys showed higher levels of adherence to the Mediterranean diet adherence, while girls reported higher family functionality. Thus, compliance with the minimum recommendations for physical activity engagement was associated with adequate adherence to the Mediterranean diet. The importance of diet for obtaining an optimal physical condition, adequate emotional state, and family functionality is highlighted.
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Affiliation(s)
| | | | | | - José Luis Ubago-Jiménez
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain; (E.M.-I.); (V.V.-G.); (F.Z.-O.); (G.G.-V.)
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