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Tan L, Jones M. Hyped-up or meditate: A scoping review of mindfulness-based group interventions for adolescents with attention deficit hyperactivity disorder. Clin Child Psychol Psychiatry 2024:13591045241272835. [PMID: 39118240 DOI: 10.1177/13591045241272835] [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] [Indexed: 08/10/2024]
Abstract
The objective of this scoping review is to evaluate the effectiveness of mindfulness training in improving functioning in adolescents (aged 12-19 years) diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). Previous research has demonstrated that psychological interventions improve functioning in a myriad of domains for individuals diagnosed with ADHD, such as attention training, interpersonal relationships, and social skills. Mindfulness-based interventions (MBI) are indicated as an intervention in attention training. It maybe argued that group based MBI programmes should begin early, for children and adolescents at a time that is critical in their development. Methods and reporting are in line with the PRISMA extension for scoping reviews, the protocol is preregistered in the (Open Science Framework register). The study outcomes included attention, impulsivity, and relationships of adolescents with ADHD. Findings demonstrated preliminary evidence for the use of group-based mindfulness interventions with adolescents continues to be nascent. Although studies reported positive results, the evidence of its effectiveness for adolescents with ADHD is inconclusive, due to limited studies available and the limitations of the study design. This scoping review provides a panorama of MBI for ADHD adolescents.
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Affiliation(s)
- Lucy Tan
- Clinical Psychology, James Cook University, Singapore
| | - Maria Jones
- Department of Health Psychology, RCSI University of Medicine and Health Sciences, Ireland
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2
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Chodavadia P, Teo I, Poremski D, Fung DSS, Finkelstein EA. Healthcare utilization and costs of singaporean youth with symptoms of depression and anxiety: results from a 2022 web panel. Child Adolesc Psychiatry Ment Health 2023; 17:60. [PMID: 37170138 PMCID: PMC10173927 DOI: 10.1186/s13034-023-00604-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 04/14/2023] [Indexed: 05/13/2023] Open
Abstract
BACKGROUND There is evidence that the prevalence of depression and anxiety among youth is increasing and that these factors contribute to high healthcare costs and poor school performance. The goal of this study is to provide up-to-date estimates of the prevalence and economic burden of depression and anxiety among youth in Singapore. METHODS Using an existing web panel, 991 parents filled out the PHQ-4 screener on behalf of 1,515 youth. 104 of these parents whose children (ages 4 to 21) had symptoms consistent with depression or anxiety filled out a full survey with questions on mental health symptoms, school absences, school performance, and healthcare utilization. The survey was fielded between April and June 2022. Publicly available prices were used to estimate the cost associated with the observed rates of health service use. FINDINGS Based on parental responses, 11.7% (95% CI:10.2 - 13.5%) of youth had symptoms consistent with depression and 12.8% (95% CI:11.2 - 14.6%) had symptoms consistent with anxiety. In total, 16.2% (95% CI:14.5 - 18.3%) were reported to have symptoms consistent with at least one of these conditions. These youths missed an average of 190 (95% CI: 126-254) hours of school per year due to their mental health conditions and parents reported that school and daily activities performance was significantly degraded. Per capita annual healthcare costs averaged S$10,250 (95% CI: 7,150-13,350), with 64% of youth receiving emergency or inpatient services. In aggregate, annual costs associated with these conditions were estimated to be S$1.2 billion (95% CI:S$1.1bn - S$1.4bn). INTERPRETATION Even with significant potential for underreporting, these results reveal concerning rates of Singaporean youth with symptoms consistent with depression or anxiety, many of whom remain untreated. Results also reveal the short-term economic burden caused by these symptoms and hint at longer-term consequences resulting from poor school performance. This study should represent a call to action for Singapore to address poor mental health among youth.
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Affiliation(s)
- Parth Chodavadia
- Duke University School of Medicine, 8 Searle Center Drive, Durham, NC, 27705, USA
| | - Irene Teo
- Lien Centre for Palliative Care, Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore
| | | | | | - Eric A Finkelstein
- Duke University School of Medicine, 8 Searle Center Drive, Durham, NC, 27705, USA.
- Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore.
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Kaku SM, Sibeoni J, Basheer S, Chang JPC, Dahanayake DMA, Irarrazaval M, Lachman JM, Mapayi BM, Mejia A, Orri M, Jui-Goh T, Uddin MS, Vallance I. Global child and adolescent mental health perspectives: bringing change locally, while thinking globally. Child Adolesc Psychiatry Ment Health 2022; 16:82. [PMID: 36345001 PMCID: PMC9640779 DOI: 10.1186/s13034-022-00512-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 08/03/2022] [Indexed: 11/09/2022] Open
Abstract
Child and adolescent mental health (CAMH) are a global priority. Different countries across the globe face unique challenges in CAMH services that are specific to them. However, there are multiple issues that are also similar across countries. These issues have been presented in this commentary from the lens of early career CAMH professionals who are alumni of the Donald J Cohen Fellowship program of the IACAPAP. We also present recommendations that can be implemented locally, namely, how promoting mental health and development of children and adolescents can result in better awareness and interventions, the need to improve quality of care and access to care, use of technology to advance research and practices in CAMH, and how investing in research can secure and support CAMH professionals and benefit children and adolescents across the globe. As we continue to navigate significant uncertainty due to dynamic circumstances globally, bolstering collaborations by "bringing change locally, while thinking globally" are invaluable to advancing global CAMH research, clinical service provision, and advancement of the field.
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Affiliation(s)
- Sowmyashree Mayur Kaku
- Centre for Advanced Research and Excellence in Autism and Developmental Disorders (CAREADD), St. John's Medical College Hospital and St. John's Research Institute, Bangalore, India.
| | - Jordan Sibeoni
- Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hopital Centre, Cedex, France ,grid.508487.60000 0004 7885 7602ECSTRRA Team, UMR-1153, Université de Paris, Inserm, Paris, France
| | - Salah Basheer
- grid.513003.4Department of Psychiatry, Iqraa International Hospital and Research Centre, Kozhikode, Kerala India
| | - Jane Pei-Chen Chang
- grid.411508.90000 0004 0572 9415Child Psychiatry Division, Department of Psychiatry, College of Medicine, China Medical University Hospital, Taichung, Taiwan
| | | | - Matias Irarrazaval
- Millenium Institute for Research in Depression and Personality, Santiago, Chile
| | - Jamie M Lachman
- grid.4991.50000 0004 1936 8948Department of Social Policy and Intervention, University of Oxford, Oxford, UK
| | - Boladale Moyosore Mapayi
- grid.10824.3f0000 0001 2183 9444Mental health, Obafemi Awolowo University, Ile Ife, Osun State Nigeria
| | - Anilena Mejia
- grid.5379.80000000121662407Division of Psychology of Mental Health, The University of Manchester, Manchester, UK
| | - Massimiliano Orri
- grid.412078.80000 0001 2353 5268Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute, McGill University, Montreal, QC Canada
| | - Tze Jui-Goh
- grid.414752.10000 0004 0469 9592Department of Developmental Psychiatry, Institute of Mental Health, Buangkok Green, Singapore
| | - Md Saleh Uddin
- grid.440425.30000 0004 1798 0746Jeffrey Cheah School of Medicine and Health Sciences, Monash University (Malaysia campus), Bandar Sunway, Malaysia
| | - Inge Vallance
- grid.4991.50000 0004 1936 8948Department of Social Policy and Intervention, University of Oxford, Oxford, UK
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Shaligram D, Bernstein B, DeJong SM, Guerrero APS, Hunt J, Jadhav M, Ong SH, Robertson P, Seker A, Skokauskas N. "Building" the Twenty-First Century Child and Adolescent Psychiatrist. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2022; 46:75-81. [PMID: 35119681 PMCID: PMC8815291 DOI: 10.1007/s40596-022-01594-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Accepted: 01/18/2022] [Indexed: 06/14/2023]
Affiliation(s)
| | | | - Sandra M DeJong
- Cambridge Health Alliance/Harvard Medical School, Cambridge, MA, USA
| | | | - Jeffrey Hunt
- Alpert Medical School of Brown University, Providence, RI, USA
| | - Mandar Jadhav
- American Psychiatric Association Foundation, Washington, DC, USA
| | - Say How Ong
- Institute of Mental Health, Singapore, Singapore
| | | | - Asilay Seker
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
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Chia MS, Wong JYY, Chan IPM, Ng KC. What matters to patients: Parental and caregiver opinions on International Consortium for Health Outcomes Measurements overall health outcomes for children in Singapore. PROCEEDINGS OF SINGAPORE HEALTHCARE 2021. [DOI: 10.1177/2010105820979324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background: Health in children is multifaceted. More than just the absence of disease, good child health also comprises psychological well-being and social functioning. In paediatrics, optimal health care is a partnership between caregivers and doctors. Value-based medicine strengthens this partnership. Monitoring and tracking these patient-reported outcomes using validated measurement tools in a life-course manner helps us to understand and ultimately improve overall child health better. Objectives: This study aimed to assess parental opinions in Singapore on recommended outcome measures and approach recommended by the International Consortium for Health Outcomes Measurements (ICHOM) Overall Pediatric Health (OPH) working group. Methods: An international working group comprising 25 experts in paediatric health was formed under the auspices of ICHOM. Through a series of literature reviews, patient focus groups and open review periods, a set of health outcomes and case-mix variables was proposed, with the aim of improving paediatric care globally. Parents and caregivers were invited to participate in this survey from around the world, including from the USA, UK, Colombia and Singapore. The survey covered domains that were included in the ICHOM OPH Standard Set. An international anonymised online patient validation survey tool online survey was initiated to evaluate caregiver opinions of these proposed ICHOM OPH outcomes, and this was conducted from November 2019 to January 2020. Singapore participated in this caregiver survey on overall paediatric health outcomes. Of the 270 respondents in this ICHOM OPH consumer international open review online survey, 160 were from Singapore. We report here a cross-sectional study with data from the Singapore group of respondents. Results: Of the 160 responses from Singapore, 73.8% had no more than two children, and 38.8% of caregivers had children between 0 and 5 years old. In general, 76.9% of caregivers were satisfied with the health care that they received, and 60% of caregivers had had between one and four health-care appointments in the last 12 months. Assessment was done on a scale of 1 to 9, with importance defined as a score of ⩾7. All outcome measures were ranked to be important, with an overall mean score of 7.9 on a scale ranging from 1 to 9. Development was assessed as being the most important ( M=8.34±0.93), and sexual health was assessed as being the least important ( M=7.09±1.71). Almost all respondents felt that the list of ICHOM-recommended outcomes proposed was complete. Parents and caregivers in Singapore placed development and mental health as the most important across all age groups surveyed. They felt that the framework provided by the ICHOM OPH working group was adequate in addressing their concerns. Most parents and caregivers were satisfied with the health care they had received. Conclusion: Child health is a continuum that requires longitudinal attention from both the family and the clinician, and should take a life-course approach, utilising validated measurement tools to monitor and track key parameters. Parents and caregivers in Singapore place high importance on their child’s development and mental functioning. While there has been much community effort on development and mental functioning in children, more can be done in these two areas and to increase the emphasis and awareness on sex education both within the home and in schools. A framework for evaluating children during follow-up clinic visits would be helpful in continuing longitudinal care of children to provide holistic care and to improve adult health in the long term, guided by the framework set down by the ICHOM OPH standard set. As we recognise and embrace the importance not just of health care but the health of the next generation, we will need to use validated measurement tools to monitor and track these importance parameters in the journey of our children, so that we can identify and improve these outcomes in a timely manner.
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Affiliation(s)
- Moira Suyin Chia
- Department of Paediatrics, KK Women’s and Children’s Hospital, Singapore
| | | | | | - Kee Chong Ng
- Division of Medicine, KK Women’s and Children’s Hospital, Singapore
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Pat Fong RS. Reflections of a cross cultural experience. Asian J Psychiatr 2020; 49:101632. [PMID: 30795974 DOI: 10.1016/j.ajp.2019.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 02/01/2019] [Accepted: 02/07/2019] [Indexed: 11/24/2022]
Affiliation(s)
- Roselyne Shirley Pat Fong
- Child and Adolescent Mental Wellness Service, Department of Psychological Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore.
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Hirota T, Guerrero A, Sartorius N, Fung D, Leventhal B, Ong SH, Kaneko H, Apinuntavech S, Bennett A, Bhoomikumar J, Cheon KA, Davaasuren O, Gau S, Hall B, Koren E, van Nguyen T, Oo T, Tan S, Tateno M, Thikeo M, Wiguna T, Wong M, Zheng Y, Skokauskas N. Child and adolescent psychiatry in the Far East: A 5-year follow up on the Consortium on Academic Child and Adolescent Psychiatry in the Far East (CACAP-FE) study. Psychiatry Clin Neurosci 2019; 73:84-89. [PMID: 30471156 DOI: 10.1111/pcn.12800] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 10/25/2018] [Accepted: 11/20/2018] [Indexed: 11/29/2022]
Abstract
AIM Data pertaining to child and adolescent psychiatry (CAP) training systems are limited as extant research has mostly been derived from one-time data collection. This 5-year follow-up survey collects updated information on CAP training systems in the Far East, allowing for the tracking of system changes over the past 5 years. METHODS Data were obtained from 18 countries, or functionally self-governing areas, in the Far East, 17 of which were also included in the original study. An online questionnaire was completed by leading CAP professionals in each country. Questions were expanded in the present study to capture the contents of CAP training. RESULTS When compared to data from the original study, there has been progress in CAP training systems in the last 5 years. Specifically, there has been an increase in the number of countries with CAP training programs and national guidelines for the training. In addition, the number of CAP departments/divisions affiliated with academic institutions/universities has increased. Findings from 12 of 18 countries in the present study provide data on clinical contents. All informants of the present study reported the need for more child and adolescent psychiatrists and allied professionals. CONCLUSION Despite progress in CAP training systems over the last 5 years, the need for more professionals in child and adolescent mental health care in all the relevant areas in this region have yet to be adequately addressed. Continued national efforts and international collaborations are imperative to developing and sustaining new CAP training systems while facilitating improvements in existing programs.
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Affiliation(s)
- Tomoya Hirota
- Department of Psychiatry, University of California San Francisco, San Francisco, USA
| | - Anthony Guerrero
- Department of Psychiatry, University of Hawai'i at Mānoa John A. Burns School of Medicine, Honolulu, USA
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
| | - Daniel Fung
- Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
| | - Bennett Leventhal
- Department of Psychiatry, University of California San Francisco, San Francisco, USA.,Department of Psychiatry, Division of Child and Adolescent Psychiatry, Yonsei University College of Medicine, Seoul, South Korea
| | - Say H Ong
- Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
| | - Hitoshi Kaneko
- Department of Psychology, Center for Developmental Clinical Psychology and Psychiatry, Nagoya University, Aichi, Japan
| | | | - Abang Bennett
- Department of Psychiatry, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei
| | | | - Keun-Ah Cheon
- Department of Psychiatry, Division of Child and Adolescent Psychiatry, Yonsei University College of Medicine, Seoul, South Korea
| | - Oyunsuren Davaasuren
- Department of Mental Health, Schools of Medicine, Mongolian National University of Medical Science, Ulaanbaatar, Mongolia
| | - Susan Gau
- Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
| | - Brian Hall
- Global and Community Mental Health Research Group, Faculty of Social Sciences, University of Macau, Macau
| | - Evgeny Koren
- Moscow Research Institute of Psychiatry, Moscow, Russia
| | - Tuan van Nguyen
- Department of Psychiatry, Hanoi Medical University, Hanoi, Vietnam
| | - Tin Oo
- Department of Mental Health, University of Medicine - 1 Yangon, Yangon, Myanmar
| | - Susan Tan
- ParkCity Medical Centre, Kuala Lumpur, Malaysia
| | - Masaru Tateno
- Tokiwa Child Development Center, Sapporo, Japan.,Department of Neuropsychiatry, Sapporo Medical University, School of Medicine, Sapporo, Japan
| | - Manivone Thikeo
- Faculty of Post Graduate Studies in Medicine and Public Health, University of Health Science, Vientiane, Lao People's Democratic Republic
| | - Tjhin Wiguna
- Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.,Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
| | - Mark Wong
- Mindflow Child & Family Psychological Development Centre, Shatin, Hong Kong
| | - Yi Zheng
- Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Norbert Skokauskas
- Faculty of Medicine, Centre for Child and Youth Mental Health and Child Protection, Norwegian University of Science and Technology, Trondheim, Norway
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Ong SH. Comment on: Deliberate self-harm in adolescents. Singapore Med J 2015; 56:530. [PMID: 26451057 DOI: 10.11622/smedj.2015141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Say How Ong
- Department of Child and Adolescent Psychiatry, Institute of Mental Health, KK Women's and Children's Hospital, Singapore ; Child and Adolescent Mental Wellness Service, Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore.
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