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  • 1
    Online Resource
    Online Resource
    Disentangling symptoms of externalizing disorders in children using multiple measures and informants.
    American Psychological Association (APA) ; 2021
    In:  Psychological Assessment Vol. 33, No. 11 ( 2021-11), p. 1065-1079
    Details
    In: Psychological Assessment, American Psychological Association (APA), Vol. 33, No. 11 ( 2021-11), p. 1065-1079
    Type of Medium: Online Resource
    ISSN: 1939-134X , 1040-3590
    URL: Article
    DOI: 10.1037/pas0001053
    Language: English
    Publisher: American Psychological Association (APA)
    Publication Date: 2021
    detail.hit.zdb_id: 2069587-1
    SSG: 5,2
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  • 2
    Online Resource
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    The co-occurrence of Attention-Deficit/Hyperactivity Disorder and mathematical difficulties: An investigation of the role of basic numerical skills
    Elsevier BV ; 2021
    In:  Research in Developmental Disabilities Vol. 112 ( 2021-05), p. 103881-
    Details
    In: Research in Developmental Disabilities, Elsevier BV, Vol. 112 ( 2021-05), p. 103881-
    Type of Medium: Online Resource
    ISSN: 0891-4222
    URL: Article
    DOI: 10.1016/j.ridd.2021.103881
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 1500714-5
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  • 3
    Online Resource
    Online Resource
    Familial Factors Associated With Symptom Severity in Children and Adolescents With ADHD: A Meta-Analysis and Supplemental Review
    SAGE Publications ; 2023
    In:  Journal of Attention Disorders Vol. 27, No. 2 ( 2023-01), p. 124-144
    Details
    In: Journal of Attention Disorders, SAGE Publications, Vol. 27, No. 2 ( 2023-01), p. 124-144
    Abstract: Both genetic and environmental factors contribute to the development of ADHD, but associations between risk factors and ADHD symptom severity in affected children remain unclear. This systematic review and meta-analysis synthesizes evidence on the association between familial factors and symptom severity in children with ADHD (PROSPERO CRD42020076440). Method: PubMed and PsycINFO were searched for eligible studies. Results: Forty-three studies ( N = 11,123 participants) were meta-analyzed. Five additional studies ( N = 2,643 participants) were considered in the supplemental review. Parenting stress ( r = .25), negative parenting practices ( r = .19), broken parental partnership ( r = .19), critical life events ( r = .17), parental psychopathologies ( r = .14–.16), socioeconomic status ( r = −.10), and single-parent family ( r = .10) were significantly associated with ADHD symptom severity. Conclusion: These results suggest that psychosocial familial factors show small but significant associations with symptom severity in children with ADHD. Implications are discussed.
    Type of Medium: Online Resource
    ISSN: 1087-0547 , 1557-1246
    URL: Article
    DOI: 10.1177/10870547221132793
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2188086-4
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  • 4
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    Predicting delinquent behavior in young adults with a childhood diagnosis of ADHD: results from the Cologne Adaptive Multimodal Treatment (CAMT) Study
    Springer Science and Business Media LLC ; 2022
    In:  European Child & Adolescent Psychiatry Vol. 31, No. 4 ( 2022-04), p. 553-564
    Details
    In: European Child & Adolescent Psychiatry, Springer Science and Business Media LLC, Vol. 31, No. 4 ( 2022-04), p. 553-564
    Abstract: The aim of this study was to investigate which factors predict lifetime reports of delinquent behavior in young adults who had received adaptive multimodal treatment of attention-deficit/hyperactivity disorder (ADHD) starting at ages 6–10 years. Participants were reassessed 13–24 years ( M  = 17.6, SD = 1.8) after they had received individualized ADHD treatment in the Cologne Adaptive Multimodal Treatment Study (CAMT). Their behavior was classified as non-delinquent ( n  = 34) or delinquent ( n  = 25) based on self-reports regarding the number of police contacts, offenses, and convictions at follow-up. Childhood variables assessed at post-intervention (e.g., externalizing child behavior problems, intelligence, and parenting behavior) that were significantly associated with group membership were entered as possible predictors of delinquency in a Chi-squared automatic interaction detector (CHAID) analysis. Delinquent behavior during adolescence and adulthood was best predicted by (a) meeting the symptom count diagnostic criteria for conduct disorder (CD) according to parent ratings, in combination with a nonverbal intelligence of IQ ≤ 106 at post-intervention, and (b) delinquent behavior problems (teacher rating) at post-intervention. The predictor variables specified in the CHAID analysis classified 81% of the participants correctly. The results support the hypothesis that a childhood diagnosis of ADHD is only predictive of delinquent behavior if it is accompanied by early conduct behavior problems. Low nonverbal intelligence was found to be an additional risk factor. These findings underline the importance of providing behavioral interventions that focus on externalizing behavior problems to children with ADHD and comorbid conduct problems.
    Type of Medium: Online Resource
    ISSN: 1018-8827 , 1435-165X
    URL: Article
    DOI: 10.1007/s00787-020-01698-y
    RVK:
    XA 10000
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 1463026-6
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  • 5
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    The importance of familial risk factors in children with ADHD: direct and indirect effects of family adversity, parental psychopathology and parenting practices on externalizing symptoms
    Springer Science and Business Media LLC ; 2022
    In:  Child and Adolescent Psychiatry and Mental Health Vol. 16, No. 1 ( 2022-12-02)
    Details
    In: Child and Adolescent Psychiatry and Mental Health, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2022-12-02)
    Abstract: Children experiencing unfavorable family circumstances have an increased risk of developing externalizing symptoms. The present study examines the direct, indirect and total effects of family adversity, parental psychopathology, and positive and negative parenting practices on symptoms of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children with ADHD. Methods Data from 555 children ( M  = 8.9 years old, 80.5% boys) who participated in a multicenter study on the treatment of ADHD (ESCAschool) were analyzed using structural equation modeling (SEM). Results The SEM analyses revealed that (a) family adversity and parental psychopathology are associated with both child ADHD and ODD symptoms while negative parenting practices are only related to child ODD symptoms; (b) family adversity is only indirectly associated with child ADHD and ODD symptoms, via parental psychopathology and negative parenting practices; (c) the detrimental effect of negative parenting practices on child ADHD and ODD symptoms is stronger in girls than in boys (multi-sample SEM); (d) there are no significant associations between positive parenting practices and child ADHD or ODD symptoms. Conclusions Family adversity, parental psychopathology, and negative parenting practices should be routinely assessed by clinicians and considered in treatment planning. Trial registration (18th December 2015): German Clinical Trials Register (DRKS) DRKS00008973.
    Type of Medium: Online Resource
    ISSN: 1753-2000
    URL: Article
    DOI: 10.1186/s13034-022-00529-z
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2379599-2
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  • 6
    Online Resource
    Online Resource
    Cognitive-behavioral teletherapy for children and adolescents with mental disorders and their families during the COVID-19 pandemic: a survey on acceptance and satisfaction
    Springer Science and Business Media LLC ; 2022
    In:  Child and Adolescent Psychiatry and Mental Health Vol. 16, No. 1 ( 2022-12)
    Details
    In: Child and Adolescent Psychiatry and Mental Health, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2022-12)
    Abstract: The COVID-19 pandemic is challenging for health care systems around the world. Teletherapy (psychotherapy conducted via videoconference) for children and adolescents offers a promising opportunity not only to provide treatment during social distancing restrictions but also to reduce treatment barriers that might prevent families from seeking care independent of the pandemic. Therefore, it is highly important to examine the implementation and especially the acceptance of and satisfaction with teletherapy. Methods Therapists of 561 patients and parents of 227 patients (total 643 patients) aged 3–20 years treated at a university outpatient unit rated their experiences with teletherapy. Results Following the outbreak of COVID-19, 73% of the patients switched from face-to-face treatment to teletherapy. Both therapists and parents were mainly satisfied with teletherapy and did not report negative impacts on treatment satisfaction or the therapeutic relationship. Stress from COVID-19, age, gender, duration of treatment, psychosocial functioning, and psychopathology were associated with satisfaction, but correlations were low. Sixty-six percent of parents and 53% of therapists intended to use teletherapy in the future. Conclusions Teletherapy during the COVID-19 pandemic was well accepted by both parents and therapists. Certain patient characteristics were related to satisfaction. Trial registration The study was retrospectively registered in the German Clinical Trials Register (DRKS00028639).
    Type of Medium: Online Resource
    ISSN: 1753-2000
    URL: Article
    DOI: 10.1186/s13034-022-00494-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2379599-2
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  • 7
    Online Resource
    Online Resource
    Children with Attention-Deficit/Hyperactivity Disorder Grown Up: An 18-Year Follow-Up after Multimodal Treatment
    SAGE Publications ; 2021
    In:  Journal of Attention Disorders Vol. 25, No. 13 ( 2021-11), p. 1801-1817
    Details
    In: Journal of Attention Disorders, SAGE Publications, Vol. 25, No. 13 ( 2021-11), p. 1801-1817
    Abstract: ADHD treatment has positive effects on behavioral symptoms and psychosocial functioning, but studies that follow children treated for ADHD into adulthood are rare. Method: This follow-up study assessed symptom severity and functional outcomes of adults ( n = 70) who had received individualized ADHD treatment in the Cologne Adaptive Multimodal Treatment (CAMT) Study at ages 6 to 10 years. Results: Despite symptomatic improvement, participants reported poorer educational and occupational outcomes than expected (e.g., currently unemployed: 17%). They had also been in contact with the justice system more often than expected (e.g., lifetime convictions: 33%) and were impaired on health-related outcomes (e.g., substance use problems: 15%). Several social outcomes were favorable (e.g., long-term relationship/married: 63%). Conclusion: Compared to the general population or norm samples, CAMT participants had a higher relative risk ( RR) of functional impairments, demonstrating the need for continued support for a substantial proportion of the young adults.
    Type of Medium: Online Resource
    ISSN: 1087-0547 , 1557-1246
    URL: Article
    DOI: 10.1177/1087054720948133
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2188086-4
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  • 8
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    Online Resource
    The Accuracy of Retrospective Recall of Childhood ADHD: Results from a Longitudinal Study
    Springer Science and Business Media LLC ; 2021
    In:  Journal of Psychopathology and Behavioral Assessment Vol. 43, No. 2 ( 2021-06), p. 413-426
    Details
    In: Journal of Psychopathology and Behavioral Assessment, Springer Science and Business Media LLC, Vol. 43, No. 2 ( 2021-06), p. 413-426
    Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a childhood-onset condition that may continue into adulthood. When assessing adult patients, clinicians usually rely on retrospective reports of childhood symptoms to evaluate the age-of-onset criterion. Since inaccurate symptom recall may impede the diagnosis and treatment of ADHD, knowledge about the factors influencing retrospective reports is needed. This longitudinal study investigated (a) the accuracy of retrospective symptom ratings by adult participants with a childhood diagnosis of ADHD (self-ratings) and parents or significant others (proxy ratings), and (b) the influence of current ADHD symptom severity and ADHD-associated impairments on retrospective symptom ratings. Participants ( N  = 55) were members of the Cologne Adaptive Multimodal Treatment (CAMT) study who had been referred and treated for ADHD in childhood and were reassessed in adulthood (average age 27 years). Participants’ retrospective self-ratings were substantially lower than, and did not correlate with, parents’ ADHD symptom ratings provided at study entry, while retrospective symptom ratings provided by proxy respondents correlated moderately with parents’ childhood ratings. In addition, participants were more likely to underreport childhood symptoms (79%) and more frequently denied the presence of three or more childhood symptoms (17%) compared to proxy respondents (65% underreporting, 10% false-negative recall). Proxy respondents’ symptom recall was best predicted by childhood ADHD, while participants’ symptom recall was best predicted by current ADHD symptom severity. ADHD-associated impairments were not correlated with symptom recall after controlling for childhood ADHD. Together, these findings suggest a recall bias in adult patients and question the validity of retrospective reports, even in clinical samples.
    Type of Medium: Online Resource
    ISSN: 0882-2689 , 1573-3505
    URL: Article
    DOI: 10.1007/s10862-020-09852-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2479581-1
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  • 9
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    Online Resource
    Satisfaction with videoconference-delivered CBT provided as part of a blended treatment approach for children and adolescents with mental disorders and their families during the COVID-19 pandemic: A follow-up survey among caregivers and therapists
    SAGE Publications ; 2023
    In:  Journal of Telemedicine and Telecare
    Details
    In: Journal of Telemedicine and Telecare, SAGE Publications
    Abstract: Psychotherapy delivered via videoconferencing (teletherapy) was a well-accepted treatment option for children and adolescents during the early phases of the COVID-19 pandemic. Information on the long-term satisfaction with teletherapy in routine clinical practice is missing. Methods Caregivers (parents) and psychotherapists of n  =  228 patients (4–20 years) treated in a university outpatient clinic completed a follow-up survey on satisfaction with videoconference-delivered cognitive-behavioral treatment (CBT). The follow-up survey (T2) was conducted about 1 year after initial assessment of treatment satisfaction in 2020 (T1). Results At follow up, therapists reported that 79% of families had received teletherapy as part of a blended treatment approach including in-person and videoconference delivery of CBT. Wilcoxon tests revealed that satisfaction with teletherapy was stable over time. In addition, parent ratings of the impact of teletherapy on treatment satisfaction and the therapeutic relationship did not change over time. Therapists’ ratings of the impact of teletherapy on the therapeutic relationship with the caregiver were more negative at T2 compared to T1. Satisfaction with teletherapy was higher for patients with less pandemic-related stress, less externalizing behavior problems, and older age (all r  〈  .35). Conclusion The high level of satisfaction with teletherapy for children and adolescents treated in routine clinical practice reported in 2020 was maintained after social distancing regulations were eased in 2021. Teletherapy provided as part of a blended treatment approach is a well-accepted method of treatment delivery for youths with mental health problems. The study was registered in the German Clinical Trials Register (DRKS00028639).
    Type of Medium: Online Resource
    ISSN: 1357-633X , 1758-1109
    URL: Article
    DOI: 10.1177/1357633X231157103
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2007700-2
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  • 10
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    Effectiveness of videoconference-delivered psychotherapy for children, adolescents, and their parents: A meta-analysis of randomized controlled trials
    SAGE Publications ; 2023
    In:  Journal of Telemedicine and Telecare
    Details
    In: Journal of Telemedicine and Telecare, SAGE Publications
    Abstract: Over the last years, videoconference-delivered psychotherapy (VCP) has found its way into clinical practice. This meta-analysis is the first to evaluate the effectiveness of VCP for children and adolescents with a mental disorder and their parents. Methods A systematic literature search was performed to identify randomized controlled trials (RCTs) that compared the effectiveness of VCP for youths with a mental disorder to a control condition. Twelve studies were included. Two reviewers independently extracted data and rated study quality. Results Effect size estimates for measures of children's symptoms of mental disorders were large for comparison between VCP and waitlist (posttreatment: Hedges's g = −1.26, k = 5) and negligible for comparisons between VCP and in-person treatment (posttreatment: g = 0.00, k = 6; follow-up: g = −0.05, k = 3). Similarly, effect size estimates for measures of children's functional impairments were large for comparison between VCP and waitlist (posttreatment: g = −1.10, k = 3) and negligible for comparisons between VCP and in-person treatment (posttreatment: g = −0.23, k = 3; follow-up: g = 0.04, k = 2). VCP more effectively reduced symptoms in children with an internalizing disorder ( g = −0.88, k = 5) compared to externalizing disorders ( g = 0.25, k = 2) or tic disorders ( g = −0.08, k = 3). Discussion The results provide preliminary evidence that VCP is an effective treatment for youths with a mental disorder and their parents. VCP was equally effective as in-person treatment in reducing children's symptoms and functional impairments. Limitations include the limited number of RCTs and incomplete reporting of methodological features.
    Type of Medium: Online Resource
    ISSN: 1357-633X , 1758-1109
    URL: Article
    DOI: 10.1177/1357633X231199784
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2007700-2
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