Psychiatric Disorders in Iranian Children and Adolescents: Application of the Kiddie-sads-present and Lifetime Version (K-sads-pl)

Mohammadi, Mohammad Reza; Ahmadi, Nastaran; Salmanian, Maryam; Arman, Soroor; Dastjerdi, Javad Khoshhal; Ghanizadeh, Ahmad; Alavi, Asif; Malek, Ayyoub; Gharibeh, H. Fathzadeh; Moharreri, Fatemeh; Hebrani, Paria; Motavallian, Ali

doi:10.1016/s0924-9338(15)30544-7

Cited by 4 publications

(8 citation statements)

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“…To date, there has been no report on seizure prevalence in pediatric patients with COVID-19; however, seizures were more common in this study in comparison to the normative rate of the general population (13% in our study vs. 3% -5.5% in the Iranian population) (23). Anxiety/mood manifestations were more common in the present study compared to Mohammadi et al's study, and the prevalence of depressive disorders and SAD in Iranian children and adolescents were 1.4% and 1.53%, respectively (24).…”

Section: Discussioncontrasting

confidence: 78%

Neuropsychiatric Manifestations of COVID-19 in Hospitalized Pediatrics: A Multicenter Cross-sectional Study

Zahed

Karimzadeh²,

Wissow

et al. 2023

Arch Pediatr Infect Dis

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Background: The large proportion of coronavirus disease 2019 (COVID-19) patients has been associated with a large number of neuropsychiatric manifestations. Despite the high prevalence of COVID-19, few studies have examined such manifestations, especially in children and adolescents. Objectives: This study investigated neuropsychiatric manifestations in hospitalized children and adolescents admitted for COVID-19 infection in Iran. Methods: This prospective observational study included admitted children and adolescents (4 - 18 years old) diagnosed with COVID-19 infection, pediatric neurologists, child and adolescent psychiatrists, and infectious disease specialists, and assessed 375 infected patients during August and December 2021. Results: Of the 375 patients, 176 (47%) were female, with a mean age of 9.0 ± 3.39 years. Psychiatric and neurological manifestations were reported in 58 (15.5%) and 58 (15.5%) patients, respectively. The most prevalent psychiatric disorders were separation anxiety disorder (SAD) (5.1%), major depressive disorder (MDD) (3.5%), generalized anxiety disorder (GAD) (2.7%), insomnia (2.4%), and oppositional defiant disorder (ODD) (2.4%). Regarding neurological complications, seizures were the most prevalent (13.1%), followed by encephalitis (1.9%), transverse myelitis (0.3%), acute ischemic stroke (0.3%), and Guillain-Barre syndrome (0.3%). There was no significant relationship between the duration of COVID-19 infection (P = 0.54) and ICU admission (P = 0.44) with the emergence of psychiatric symptoms. Conclusions: The most prevalent neurologic and psychiatric complications among children and adolescents with COVID-19 infection were seizures and the symptoms of anxiety/mood disorders, respectively.

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Section: Discussioncontrasting

confidence: 78%

Neuropsychiatric Manifestations of COVID-19 in Hospitalized Pediatrics: A Multicenter Cross-sectional Study

Zahed

Karimzadeh²,

Wissow

et al. 2023

Arch Pediatr Infect Dis

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“…It is sensitive to clinically important change, and its total score represents the mix of problems that children and youths often present in primary care. The Farsi version of the parent SDQ for younger children has been validated against the Farsi Child Behavior Checklist and the Kiddie Schedule for Affective Disorders and Schizophrenia present and lifetime version …”

Section: Methodsmentioning

confidence: 99%

“…The Farsi version of the parent SDQ for younger children has been validated against the Farsi Child Behavior Checklist 17 and the Kiddie Schedule for Affective Disorders and Schizophrenia present and lifetime version. 18…”

Section: Primary Outcomementioning

confidence: 99%

Effect of General Practitioner Training in a Collaborative Child Mental Health Care Program on Children’s Mental Health Outcomes in a Low-Resource Setting

et al. 2023

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ImportanceIntegrated care for children is rarely studied, especially in low- and middle-income countries, where generalists often provide mental health care.ObjectivesTo explore the effect of adding a child and youth component to an existing adult collaborative care program on mental health outcomes and receipt of care.Design, Setting, and ParticipantsThis cluster randomized trial was conducted within an adult collaborative care program in Tehran, Iran. General practitioners (GPs), their 5- to 15-year-old patients, and patients’ parents were included. Children and youths coming for routine medical visits who scored greater than the cutoff on the Strengths and Difficulties Questionnaire (SDQ) were followed up for 6 months. The study was conducted from May 2018 to October 2019, and analysis was conducted from March 2020 to August 2021.InterventionsGPs were randomized to either a 2.5-day training on managing common child mental health problems (intervention) or refresher training on identification and referral (control).Main Outcomes and MeasuresPrimary outcome was change in SDQ total problems score; secondary outcomes included discussion of psychosocial issues by the GPs and receipt of mental health care during the follow-up period.ResultsOverall, 49 GPs cared for 389 children who scored greater than the cutoff on the SDQ (216 children in intervention group, 173 in control group). Patients’ mean (SD) age was 8.9 (2.9) years (range, 5 to 15 years), and 182 (47%) were female patients. At 6 months, children in the intervention group had greater odds of receiving mental health care during the study (odds ratio [OR], 3.0; 95% CI, 1.1 to 7.7), parents were more likely to report that intervention GPs had discussed parent (OR, 2.1; 95% Cl, 1.1 to 3.8) and child (OR, 2.0; 95% Cl, 0.9 to 4.8) psychosocial issues, and intervention GPs were more likely to say they had provided counseling (OR, 1.8; 95% Cl, 1.02 to 3.3). However, there was no greater improvement in SDQ scores among children seen by intervention vs control GPs. Adjusted for clustering within GP, the variables used for balanced allocation (practice size, practice ownership, and study wave), and the other variables associated with change in SDQ scores over time, there was not a significant time-treatment interaction at either the 3- or 6-month follow-up points (linear combination of coefficients for intervention, 0.57 [95% CI, –1.07 to 2.22] and –0.08 [95%CI, –1.76 to 1.56], respectively). In a subgroup of GPs with practices composed of 50% or more children, children seen by intervention GPs improved to a significantly greater extent (–3.6 points; 95% CI, –6.7 to –0.46 points; effect size d = 0.66; 95% CI, 0.30 to 1.01) compared with those seen by control GPs.Conclusions and RelevanceIn this cluster randomized trial, GP training on managing common child mental health problems did not demonstrate greater improvement in child SDQ scores. Child mental health training for GPs in collaborative care can improve children’s access to mental health care, but prior experience working with children and their families may be required for GPs to use a brief training in a way that improves child outcomes.Trial RegistrationClinicalTrials.gov Identifier: NCT03144739

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“…The results indicated that in the self-report form of SDQ 34% of subjects had psychiatric problems, analyzing the parent form of SDQ showed that 67.7% of participants had psychiatric problems too [12]. Mohammadi et al (2016) investigated the prevalence of psychiatric disorders in children and adolescents in Iran. 9636 children and adolescents aged 6-18 years old were selected from five provinces.…”

Section: Introductionmentioning

confidence: 99%

“…The highest prevalence related to oppositional defiant disorder (ODD). Among the all provinces Mashhad and Tehran had the highest prevalence of ODD [13]. The aim of our study was to identify the prevalence rate of psychiatric disorders and their comorbidity among children and adolescents in Razavi Khorasan province in order to planning and developing psychiatric services.…”

Section: Introductionmentioning

confidence: 99%

A survey of Psychiatric Disorders and Their Comorbidities in Children and Adolescents

Heydari Yazdi,

Eslamzadeh,

Mohammadi

et al. 2023

GMJ

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Background: This community-based study aimed to investigate the psychiatric disorders and their comorbidities according to the kind of psychiatric disorders. Frequency of demographic factors and the prevalence of total psychiatric disorders in term of demographic charactheristics were obtained too. Materials and Methods: The present study focused on 1028 children and adolescent aged 6 to 18 years old across the Razavi Khorasan province by random sampling. The subjects included 496 boys and 532 girls from three age groups (6-9 years, 10-14 years and 15-18 years). Eight clinical psychologists trained to complete the Persian version of K-SADS-PL (Kiddie-SADS present and life time version). This scale measures five diagnostic appendixes of psychiatric disorders. Demographic data of participants were collected too. The data were recorded into the SPSS version 16. The relationship between psychiatric disorders and demographic factors deliberate by descriptive analysis and 95% confidence interval. Results: The total rate of psychiatric disorders among children and adolescent was estimated as 20.5%, elimination disorders with a rate of 12.9% was the most prevalent disorder in the subjects. The lowest prevalence belongs to psychotic disorder and bulimia nervosa (0.1%). Of participants with mood disorders about 71.4% have behavioral disorders too. Anxiety disorders also commonly occurred in person with mood disorders. The comparison of ORs and their 95% confidence interval revealed that there is a significant difference for total psychiatric disorder among boys and girls (OR=0.6 for girls; 95% CI: 0.44-0.82). The rate of total psychiatric disorders in rural and urban areas was 14.9% and 21.1% respectively. Conclusion: With attention to the high prevalence of psychiatric disorders among children and adolescents, itâ€™s necessary that healthcare officials pay more attention to reinforcement of mental health care. [GMJ.2020;9:e1714]

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Psychiatric Disorders in Iranian Children and Adolescents: Application of the Kiddie-sads-present and Lifetime Version (K-sads-pl)

Cited by 4 publications

References 0 publications

Neuropsychiatric Manifestations of COVID-19 in Hospitalized Pediatrics: A Multicenter Cross-sectional Study

Neuropsychiatric Manifestations of COVID-19 in Hospitalized Pediatrics: A Multicenter Cross-sectional Study

Effect of General Practitioner Training in a Collaborative Child Mental Health Care Program on Children’s Mental Health Outcomes in a Low-Resource Setting

A survey of Psychiatric Disorders and Their Comorbidities in Children and Adolescents

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