Behavioural and emotional disorders in childhood: A brief overview for paediatricians

Ogundele, Michael

doi:10.5409/wjcp.v7.i1.9

Cited by 295 publications

(231 citation statements)

References 116 publications

Supporting

Mentioning

188

Contrasting

Unclassified

Order By: Relevance

“…ODD is often expressed in the form of the child being irritable, defiant, openly hostile, negativistic and uncooperative. Due to the pattern of behaviour associated with ODD, these oppositional actions may negatively impact upon relationships at home, in school and in the wider society (Ogundele, 2018). There is an ongoing discussion about whether ODD and CD are different entities or Introduction 25 whether ODD is a forerunner of CD, which in turn may lead to Antisocial Personality Disorder.…”

Section: Oppositional Defiant Disorder (Odd)mentioning

confidence: 99%

“…Their ability to understand other people's thoughts, feelings and actions, and not least empathy, is often somewhat diminished. The degree to which the exhibited behaviour can be classified as antisocial is the major distinction between ODD and CD (Ogundele, 2018). Young children diagnosed with CD are more likely to have significantly increased mental health problems in adulthood (NICE, 2018).…”

Section: Conduct Disorder (Cd)mentioning

confidence: 99%

“…Turning to Conduct Disorder, 50% of all children receiving a diagnosis also meet the criteria for at least one other disorder, such as anxiety, PTSD or learning problems (Ogundele, 2018). ODD and ADHD show a similar, high level (≤50%) of comorbidity, as do CD and ADHD (≤33%).…”

Section: Comorbiditymentioning

confidence: 99%

“…While the exact cause of behavioural problems and disorders in preschool children remains unclear, the present consensus states that these problems are best explained in relation to a gene-environmental interaction (Ogundele, 2018). Protective and risk factors respectively increase or decrease the probability of certain outcomes.…”

Section: Protective and Risk Factorsmentioning

confidence: 99%

“…This pattern has also emerged in other studies, where few protective and several risk indicators in both the environment and personal characteristics covary with less positive prognoses for mental health (Aguiar & McWilliam, 2013;Galéra et al, 2011;Willoughby, Pek, Greenberg & Investiga-tors, 2012). At preschool age, an interplay between genes and environ-mental factors can be identified as both protective and risk factors for be-havioural problems (Ogundele, 2018). Due to the fact that children are potentially constantly changing, it is also clear that it is possible to con-sider many factors in practical work with children, which means that it is possible to influence or do something about the dynamic/changeable fac-tors.…”

Section: Risk and Protective Factorsmentioning

confidence: 99%

See 4 more Smart Citations

Identifying Patterns of Emotional and Behavioural Problems in Preschool children : Facilitating Early Detection

Gustafsson

2019

Linköping University Medical Dissertations

View full text Add to dashboard Cite

Section: Oppositional Defiant Disorder (Odd)mentioning

confidence: 99%

Section: Conduct Disorder (Cd)mentioning

confidence: 99%

Section: Comorbiditymentioning

confidence: 99%

Section: Protective and Risk Factorsmentioning

confidence: 99%

Section: Risk and Protective Factorsmentioning

confidence: 99%

See 3 more Smart Citations

Identifying Patterns of Emotional and Behavioural Problems in Preschool children : Facilitating Early Detection

Gustafsson

2019

Linköping University Medical Dissertations

View full text Add to dashboard Cite

Adenotonsillectomy for Snoring and Mild Sleep Apnea in Children

Redline,

Cook,

Chervin

et al. 2023

JAMA

View full text Add to dashboard Cite

ImportanceThe utility of adenotonsillectomy in children who have habitual snoring without frequent obstructive breathing events (mild sleep-disordered breathing [SDB]) is unknown.ObjectivesTo evaluate early adenotonsillectomy compared with watchful waiting and supportive care (watchful waiting) on neurodevelopmental, behavioral, health, and polysomnographic outcomes in children with mild SDB.Design, Setting, and ParticipantsRandomized clinical trial enrolling 459 children aged 3 to 12.9 years with snoring and an obstructive apnea-hypopnea index (AHI) less than 3 enrolled at 7 US academic sleep centers from June 29, 2016, to February 1, 2021, and followed up for 12 months.InterventionParticipants were randomized 1:1 to either early adenotonsillectomy (n = 231) or watchful waiting (n = 228).Main Outcomes and MeasuresThe 2 primary outcomes were changes from baseline to 12 months for caregiver-reported Behavior Rating Inventory of Executive Function (BRIEF) Global Executive Composite (GEC) T score, a measure of executive function; and a computerized test of attention, the Go/No-go (GNG) test d-prime signal detection score, reflecting the probability of response to target vs nontarget stimuli. Twenty-two secondary outcomes included 12-month changes in neurodevelopmental, behavioral, quality of life, sleep, and health outcomes.ResultsOf the 458 participants in the analyzed sample (231 adenotonsillectomy and 237 watchful waiting; mean age, 6.1 years; 230 female [50%]; 123 Black/African American [26.9%]; 75 Hispanic [16.3%]; median AHI, 0.5 [IQR, 0.2-1.1]), 394 children (86%) completed 12-month follow-up visits. There were no statistically significant differences in change from baseline between the 2 groups in executive function (BRIEF GEC T-scores: −3.1 for adenotonsillectomy vs −1.9 for watchful waiting; difference, −0.96 [95% CI, −2.66 to 0.74]) or attention (GNG d-prime scores: 0.2 for adenotonsillectomy vs 0.1 for watchful waiting; difference, 0.05 [95% CI, −0.18 to 0.27]) at 12 months. Behavioral problems, sleepiness, symptoms, and quality of life each improved more with adenotonsillectomy than with watchful waiting. Adenotonsillectomy was associated with a greater 12-month decline in systolic and diastolic blood pressure percentile levels (difference in changes, −9.02 [97% CI, −15.49 to −2.54] and −6.52 [97% CI, −11.59 to −1.45], respectively) and less progression of the AHI to greater than 3 events/h (1.3% of children in the adenotonsillectomy group compared with 13.2% in the watchful waiting group; difference, −11.2% [97% CI, −17.5% to −4.9%]). Six children (2.7%) experienced a serious adverse event associated with adenotonsillectomy.ConclusionsIn children with mild SDB, adenotonsillectomy, compared with watchful waiting, did not significantly improve executive function or attention at 12 months. However, children with adenotonsillectomy had improved secondary outcomes, including behavior, symptoms, and quality of life and decreased blood pressure, at 12-month follow-up.Trial RegistrationClinicalTrials.gov Identifier: NCT02562040

show abstract

Therapeutic crisis intervention for families: an investigation of caregiver perceptions and experiences

George,

Catchpole,

Skinner

et al. 2024

ANZ J of Family Therapy

View full text Add to dashboard Cite

The Therapeutic Crisis Intervention for Families (TCI‐F) program aims to equip caregivers with the knowledge, skills, and confidence to deal with crisis situations involving their children. Despite the program's global dissemination, its influence on predictors of intervention uptake and caregiver experience is not understood. We therefore sought to investigate the changes in determinants of implementation behaviour from pre‐ to post‐TCI‐F. These include knowledge, confidence, and intention to implement new strategies, beliefs about consequences that implementation would be beneficial, beliefs that change was part of one's social role, and a sense of having sufficient resources and support. In addition, we sought to understand the experiences of program participation. Caregivers who participated in TCI‐F were invited to complete questionnaires about determinants of implementation behaviour before and after the program. They were also invited to complete a questionnaire about their experiences attending TCI‐F. One hundred fifty‐five participants completed questionnaires. Significant improvements were found in all determinants of implementation behaviour. Caregivers reported improved knowledge about program strategies, a belief that this was part of their role, confidence and capability in managing crises, beliefs that implementation will be beneficial, intentions to implement learned strategies, and a sense of being provided with sufficient resources and support. Additionally, participants reported high levels of satisfaction, hope for the future, improved coping, and overall well‐being following the program. Qualitative responses supported these findings and revealed that many participants expressed a wish that the program was available sooner and that additional maintenance support was available. Findings support the use of TCI‐F and indicate that this is a promising intervention for caregivers who are struggling to cope with the crisis behaviours of their children. As this is the first published empirical investigation of TCI‐F, avenues for further research are identified.

show abstract

Behavioural and emotional disorders in childhood: A brief overview for paediatricians

Cited by 295 publications

References 116 publications

Identifying Patterns of Emotional and Behavioural Problems in Preschool children : Facilitating Early Detection

Identifying Patterns of Emotional and Behavioural Problems in Preschool children : Facilitating Early Detection

Adenotonsillectomy for Snoring and Mild Sleep Apnea in Children

Therapeutic crisis intervention for families: an investigation of caregiver perceptions and experiences

Contact Info

Product

Resources

About