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  • 1
    Online Resource
    Online Resource
    Sleep Problems in Children With Attention-Deficit/Hyperactivity Disorder : Prevalence and the Effect on the Child and Family
    American Medical Association (AMA) ; 2008
    In:  Archives of Pediatrics & Adolescent Medicine Vol. 162, No. 4 ( 2008-04-01), p. 336-
    Details
    In: Archives of Pediatrics & Adolescent Medicine, American Medical Association (AMA), Vol. 162, No. 4 ( 2008-04-01), p. 336-
    Type of Medium: Online Resource
    ISSN: 1072-4710
    URL: Article
    DOI: 10.1001/archpedi.162.4.336
    Language: English
    Publisher: American Medical Association (AMA)
    Publication Date: 2008
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  • 2
    Online Resource
    Online Resource
    Mental health difficulties across childhood and mental health service use: findings from a longitudinal population-based study
    Royal College of Psychiatrists ; 2020
    In:  The British Journal of Psychiatry Vol. 217, No. 1 ( 2020-07), p. 364-369
    Details
    In: The British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 217, No. 1 ( 2020-07), p. 364-369
    Abstract: Over the past 20 years the prevalence of child and adolescent mental disorders in high-income countries has not changed despite increased investment in mental health services. Insufficient contact with mental health services may be a contributing factor; however, it is not known what proportion of children have sufficient contact with health professionals to allow delivery of treatment meeting minimal clinical practice guidelines, or how long children experience symptoms prior to receiving treatment. Aims To investigate the level of mental healthcare received by Australian children from age 4 years to 14 years. Method Trajectories of mental health symptoms were mapped using the Strengths and Difficulties Questionnaire. Health professional attendances and psychotropic medications dispensed were identified from linked national Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme records. Results Four trajectories of mental health symptoms were identified (low, high-decreasing, moderate-increasing and high-increasing). Most children with mental health symptoms had few MBS mental health attendances, and only a minority received care meeting study criteria for minimally adequate treatment. Children in the high-increasing and moderate-increasing trajectories were more likely to access care, yet there was no evidence of improvement in symptoms. Conclusions It is important that children and adolescents with mental health problems receive treatment that meets minimal practice guidelines. Further research is needed to identify the quality of care currently provided to children with mental health difficulties and how clinicians can be best funded and supported to provide care meeting minimal practice guidelines. Declaration of interests None.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    URL: Article
    DOI: 10.1192/bjp.2019.32
    RVK:
    XA 10000
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2020
    detail.hit.zdb_id: 2021500-9
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  • 3
    Online Resource
    Online Resource
    Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial
    Springer Science and Business Media LLC ; 2019
    In:  BMC Psychiatry Vol. 19, No. 1 ( 2019-12)
    Details
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2019-12)
    Abstract: Up to 60% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) meet diagnostic criteria for at least one anxiety disorder, including Social, Generalized and/or Separation Disorder. Anxiety in children with ADHD has been shown to be associated with poorer child and family functioning. Small pilot studies suggest that treating anxiety in children with ADHD using cognitive-behavioral therapy (CBT) has promising benefits. In a fully powered randomized controlled trial (RCT), we aim to investigate the efficacy of an existing CBT intervention adapted for children with ADHD and comorbid anxiety compared with usual care. Methods This RCT is recruiting children aged 8–12 years ( N  = 228) from pediatrician practices in Victoria, Australia. Eligibility criteria include meeting full diagnostic criteria for ADHD and at least one anxiety disorder (Generalized, Separation or Social). Eligible children are randomized to receive a 10 session CBT intervention (Cool Kids) versus usual clinical care from their pediatrician. The intervention focuses on building child and parent skills and strategies to manage anxiety and associated impairments including cognitive restructuring and graded exposure. Minor adaptations have been made to the delivery of the intervention to meet the needs of children with ADHD including increased use of visual materials and breaks between activities. The primary outcome is change in the proportion of children meeting diagnostic criteria for an anxiety disorder at 5 months randomization. This will be assessed via diagnostic interview with the child’s parent (Anxiety Disorders Interview Schedule for Children V) conducted by a researcher blinded to intervention condition. Secondary outcomes include a range of child (e.g., anxiety symptoms, ADHD severity, behavior, quality of life, sleep, cognitive functioning, school attendance) and parent (e.g., mental health, parenting behaviors, work attendance) domains of functioning assessed at 5 and 12 months post-randomization. Outcomes will be analyzed using logistic and mixed effects regression. Discussion The results from this study will provide evidence on whether treating comorbid anxiety in children with ADHD using a CBT approach leads to improvements in anxiety and/or broader functional outcomes. Trial registration This trial was prospectively registered: Current Controlled Trials ISRCTN59518816 ( 10.1186/ISRCTN59518816 ). The trial was first registered 29/9/15 and last updated 15/1/19.
    Type of Medium: Online Resource
    ISSN: 1471-244X
    URL: Article
    DOI: 10.1186/s12888-019-2276-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2050438-X
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  • 4
    Online Resource
    Online Resource
    Impact of a behavioral intervention, delivered by pediatricians or psychologists, on sleep problems in children with ADHD: a cluster‐randomized, translational trial
    Wiley ; 2019
    In:  Journal of Child Psychology and Psychiatry Vol. 60, No. 11 ( 2019-11), p. 1230-1241
    Details
    In: Journal of Child Psychology and Psychiatry, Wiley, Vol. 60, No. 11 ( 2019-11), p. 1230-1241
    Abstract: We have demonstrated the efficacy of a brief behavioral intervention for sleep in children with ADHD in a previous randomized controlled trial and now aim to examine whether this intervention is effective and cost‐effective when delivered by pediatricians or psychologists in community settings. Methods Translational, cluster‐randomized trial of a behavioral intervention versus usual care from 19th January, 2015 to 30th June, 2017. Participants ( n  = 361) were children aged 5–13 years with ADHD and parent report of a moderate/severe sleep problem who met criteria for American Academy of Sleep Medicine criteria for chronic insomnia disorder, delayed sleep–wake phase disorder, or were experiencing sleep‐related anxiety. Participants were randomized at the level of the pediatrician ( n  = 61) to intervention ( n  = 183) or usual care ( n  = 178). Families in the intervention group received two consultations with a pediatrician or a psychologist covering sleep hygiene and tailored behavioral strategies. Results In an intention‐to‐treat analysis, at 3 and 6 months respectively, the proportion of children with moderate to severe sleep problems was lower in the intervention (28.0%, 35.8%) compared with usual care group (55.4%, 60.1%; 3 month: risk ratio (RR): 0.51, 95% CI 0.37, 0.70, p   〈  .001; 6 month: RR: 0.58; 95% CI 0.45, 0.76, p   〈  .001). Intervention children had improvements across multiple Children's Sleep Habits Questionnaire subscales at 3 and 6 months. No benefits of the intervention were observed in other domains. Cost‐effectiveness of the intervention was AUD 13 per percentage point reduction in child sleep problem at 3 months. Conclusions A low‐cost brief behavioral sleep intervention is effective in improving sleep problems when delivered by community clinicians. Greater sample comorbidity, lower intervention dose or insufficient clinician supervisions may have contributed to the lack benefits seen in our previous trial.
    Type of Medium: Online Resource
    ISSN: 0021-9630 , 1469-7610
    URL: Issue
    URL: Article
    DOI: 10.1111/jcpp.v60.11
    DOI: 10.1111/jcpp.13083
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 1470297-6
    SSG: 5,2
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  • 5
    Online Resource
    Online Resource
    Health‐related quality of life of children with low language from early childhood to adolescence: results from an Australian longitudinal population‐based study
    Wiley ; 2021
    In:  Journal of Child Psychology and Psychiatry Vol. 62, No. 3 ( 2021-03), p. 349-356
    Details
    In: Journal of Child Psychology and Psychiatry, Wiley, Vol. 62, No. 3 ( 2021-03), p. 349-356
    Abstract: Low language abilities are known to be associated with significant adverse long‐term outcomes. However, associations between low language and health‐related quality of life (HRQoL) are unclear. We aimed to (a) examine the association between low language and HRQoL from 4 to 13 years and (b) classify the children’s trajectories of HRQoL and language and examine the association between language and HRQoL trajectories. Methods Data were from an Australian community‐based cohort of children. HRQoL was measured at ages 4–13 years using the parent‐reported Pediatric Quality of Life Inventory 4.0. Language was assessed using the Clinical Evaluation of Language Fundamentals (CELF)‐Preschool 2nd edition at 4 years and the CELF‐4th edition at 5, 7 and 11 years. Multivariable linear regression and mixed effect modelling were used to estimate cross‐sectional and longitudinal associations between low language and HRQoL from 4 to 13 years. A joint group‐based trajectory model was used to characterize associations between HRQoL and language trajectories over childhood. Results Children with low language had substantially lower HRQoL than children with typical language from 4 to 13 years. Higher language scores were associated with better HRQoL, particularly in social and school functioning. Three HRQoL trajectories were identified: stable‐high (51% of children), reduced with slow decline (40%) and low with rapid decline (9%). Children with low language were less likely to follow a stable‐high HRQoL trajectory (40%) while 26% and 34% followed the reduced with slow decline and low with rapid decline trajectories, respectively. Conclusions Children with low language experienced reduced HRQoL from 4 to 13 years. More than half had declining trajectories in HRQoL highlighting the need to monitor these children over time. Interventions should not only aim to improve children’s language ability but also address the wider functional impacts of low language.
    Type of Medium: Online Resource
    ISSN: 0021-9630 , 1469-7610
    URL: Issue
    URL: Article
    DOI: 10.1111/jcpp.v62.3
    DOI: 10.1111/jcpp.13277
    RVK:
    XA 10000
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 1470297-6
    SSG: 5,2
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  • 6
    Online Resource
    Online Resource
    Service use in children aged 6–8 years with attention deficit hyperactivity disorder
    BMJ ; 2016
    In:  Archives of Disease in Childhood Vol. 101, No. 2 ( 2016-02), p. 161-165
    Details
    In: Archives of Disease in Childhood, BMJ, Vol. 101, No. 2 ( 2016-02), p. 161-165
    Abstract: This study investigated prevalence, types and predictors of professional service use in families of children identified with attention deficit hyperactivity disorder (ADHD) in the community. Design Setting: children with ADHD were identified through 43 schools using parent and teacher screening questionnaires (Conners 3 ADHD Index) followed by case confirmation using the Diagnostic Interview Schedule for Children Version IV. Parents completed a survey about professional service use in the last 12 months. Main outcome measures : data on variables potentially associated with service use were collected from parents (interview and questionnaires), teachers (questionnaires) and children (direct assessment). Logistic regression was used to examine predictors of service use in univariate and multivariable analyses. Results The sample comprised 179 children aged 6–8 years with ADHD. Over one-third (37%) had not received professional services in the last 12 months. The strongest predictors of service use were older child age (adjusted OR=3.0, 95% CI 1.0 to 8.9, p=0.05), and the degree to which the child's behaviour impacted on the family (adjusted OR=2.0, 95% CI 1.3 to 3.3, p=0.007), after controlling for ADHD subtype and severity, externalising comorbidities, academic achievement and parent-reported impairment. Conclusions A substantial proportion of children with ADHD are not accessing professional services. Our findings suggest that the child's age and the impact of the child's behaviour on the family are the strongest predictors of service use. Given the demonstrated benefits from various interventions in ADHD, there is a need to improve case identification and referral for services.
    Type of Medium: Online Resource
    ISSN: 0003-9888 , 1468-2044
    URL: Article
    DOI: 10.1136/archdischild-2015-309520
    Language: English
    Publisher: BMJ
    Publication Date: 2016
    detail.hit.zdb_id: 1481191-1
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  • 7
    Online Resource
    Online Resource
    Language and social-emotional and behavioural wellbeing from 4 to 7 years: a community-based study
    Springer Science and Business Media LLC ; 2018
    In:  European Child & Adolescent Psychiatry Vol. 27, No. 7 ( 2018-7), p. 849-859
    Details
    In: European Child & Adolescent Psychiatry, Springer Science and Business Media LLC, Vol. 27, No. 7 ( 2018-7), p. 849-859
    Type of Medium: Online Resource
    ISSN: 1018-8827 , 1435-165X
    URL: Article
    DOI: 10.1007/s00787-017-1079-7
    RVK:
    XA 10000
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 1463026-6
    SSG: 5,2
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  • 8
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    Online Resource
    Longitudinal patterns of white matter fibre density and morphology in children are associated with age and pubertal stage
    Elsevier BV ; 2020
    In:  Developmental Cognitive Neuroscience Vol. 45 ( 2020-10), p. 100853-
    Details
    In: Developmental Cognitive Neuroscience, Elsevier BV, Vol. 45 ( 2020-10), p. 100853-
    Type of Medium: Online Resource
    ISSN: 1878-9293
    URL: Article
    DOI: 10.1016/j.dcn.2020.100853
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2572271-2
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  • 9
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    Online Resource
    Sleeping sound with autism spectrum disorder (ASD): study protocol for an efficacy randomised controlled trial of a tailored brief behavioural sleep intervention for ASD
    BMJ ; 2019
    In:  BMJ Open Vol. 9, No. 11 ( 2019-11), p. e029767-
    Details
    In: BMJ Open, BMJ, Vol. 9, No. 11 ( 2019-11), p. e029767-
    Abstract: Sleep problems are a characteristic feature of children with autism spectrum disorder (ASD) with 40% to 80% of children experiencing sleep difficulties. Sleep problems have been found to have a pervasive impact on a child’s socio-emotional functioning, as well as on parents’ psychological functioning. The Sleeping Sound ASD project aims to evaluate the efficacy of a brief behavioural sleep intervention in reducing ASD children’s sleep problems in a fully powered randomised controlled trial (RCT). Intervention impact on child and family functioning is also assessed. Methods and analysis The RCT aims to recruit 234 children with a diagnosis of ASD, aged 5–13 years, who experience moderate to severe sleep problems. Participants are recruited from paediatrician clinics in Victoria, Australia, and via social media. Families interested in the study are screened for eligibility via phone, and then asked to complete a baseline survey online, assessing child sleep problems, and child and family functioning. Participants are then randomised to the intervention group or treatment as usual comparator group. Families in the intervention group attend two face-to-face sessions and a follow-up phone call with a trained clinician, where families are provided with individually tailored behavioural sleep strategies to help manage the child’s sleep problems. Teacher reports of sleep, behavioural and social functioning are collected, and cognitive ability assessed to provide measures blind to treatment group. The primary outcome is children’s sleep problems as measured by the Children’s Sleep Habits Questionnaire at 3 months post-randomisation. Secondary outcomes include parent and child quality of life; child social, emotional, behavioural and cognitive functioning; and parenting stress and parent mental health. Cost-effectiveness of the intervention is also evaluated. Ethics and dissemination Findings from this study will be published in peer-reviewed journals and disseminated at national and international conferences, local networks and online. Trial registration number I SRCTN14077107 (ISRCTN registry dated on 3 March 2017).
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2019-029767
    Language: English
    Publisher: BMJ
    Publication Date: 2019
    detail.hit.zdb_id: 2599832-8
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  • 10
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    Online Resource
    Influence of birth month on the probability of Western Australian children being treated for ADHD
    Wiley ; 2017
    In:  Medical Journal of Australia Vol. 207, No. 6 ( 2017-09), p. 268-268
    Details
    In: Medical Journal of Australia, Wiley, Vol. 207, No. 6 ( 2017-09), p. 268-268
    Type of Medium: Online Resource
    ISSN: 0025-729X , 1326-5377
    URL: Issue
    URL: Article
    DOI: 10.5694/mja2.2017.207.issue-6
    DOI: 10.5694/mja17.00134
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2035730-8
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