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  1 / 18497 MEDLINE  
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[PMID]:29406626
[Au] Autor:Rollins JA
[Ti] Título:Spanking revisited.
[So] Source:Pediatr Nurs;42(4):162, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos do Comportamento Infantil/psicologia
Punição/psicologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Relações Pais-Filho
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  2 / 18497 MEDLINE  
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[PMID]:28459276
[Au] Autor:Pinquart M
[Ad] Endereço:Philipps University.
[Ti] Título:Associations of parenting dimensions and styles with externalizing problems of children and adolescents: An updated meta-analysis.
[So] Source:Dev Psychol;53(5):873-932, 2017 May.
[Is] ISSN:1939-0599
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present meta-analysis integrates research from 1,435 studies on associations of parenting dimensions and styles with externalizing symptoms in children and adolescents. Parental warmth, behavioral control, autonomy granting, and an authoritative parenting style showed very small to small negative concurrent and longitudinal associations with externalizing problems. In contrast, harsh control, psychological control, authoritarian, permissive, and neglectful parenting were associated with higher levels of externalizing problems. The strongest associations were observed for harsh control and psychological control. Parental warmth, behavioral control, harsh control, psychological control, autonomy granting, authoritative, and permissive parenting predicted change in externalizing problems over time, with associations of externalizing problems with warmth, behavioral control, harsh control, psychological control, and authoritative parenting being bidirectional. Moderating effects of sampling, child's age, form of externalizing problems, rater of parenting and externalizing problems, quality of measures, and publication status were identified. Implications for future research and practice are discussed. (PsycINFO Database Record
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Transtornos do Comportamento Infantil/psicologia
Comportamento Infantil/psicologia
Relações Pais-Filho
Poder Familiar/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1037/dev0000295


  3 / 18497 MEDLINE  
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[PMID]:27774638
[Au] Autor:Hoytema van Konijnenburg EMM; van der Lee JH; Teeuw AH; Lindeboom R; Brilleslijper-Kater SN; Sieswerda-Hoogendoorn T; van Goudoever JB; Lindauer RJL; aftERcare-group
[Ad] Endereço:Department of Pediatrics, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
[Ti] Título:Psychosocial problems of children whose parents visit the emergency department due to intimate partner violence, substance abuse or a suicide attempt.
[So] Source:Child Care Health Dev;43(3):369-384, 2017 05.
[Is] ISSN:1365-2214
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: High levels of maltreatment are found in children who are identified because their parents visit the emergency department due to partner violence, substance abuse or suicide attempt. However, it is unknown if these children experience psychosocial problems. This study aims to assess their levels of post-traumatic stress, anxiety, depression, behavioural problems and health-related quality of life. METHODS: A cross-sectional study was conducted in six hospitals. All consecutive families of which a parent visited the emergency department due to partner violence, substance abuse or suicide attempt between 1 July 2012 and 1 March 2014 with children aged 1.5-17 years were approached for participation. Parents and children aged 8 years and older filled out questionnaires measuring post-traumatic stress [13-item version of Children's Revised Impact of Event Scale (CRIES-13)], anxiety, depression (Revised Child Anxiety and Depression Scale), behavioural problems [Child Behavior Checklist (CBCL) and Youth Self-Report (YSR)] and health-related quality of life (PedsQL). Scores of participants were compared with reference data obtained in children in similar age ranges from representative Dutch community samples (CRIES-13, Revised Child Anxiety and Depression Scale, PedsQL and CBCL) and to a normed cutoff score (CRIES-13). RESULTS: Of 195 eligible families, 89 (46%) participated in the study. Participating children did not score different from community children, both on child-reported and parent-reported instruments. Standardized mean differences of total sum scores were 0 (CRIES-13 and CBCL 1.5-5), 0.1 (YSR), 0.2 (CBCL 6-18) and -0.3 (PedsQL) and not statistically different from community children. Thirty-five percent of the participating children scored above the cutoff score on the CRIES-13, indicating post-traumatic stress disorder, but this difference was not statistically significant from community children (mean difference 8%; 95% CI -4-22%). CONCLUSIONS: We found no differences in psychosocial problems between children whose parents visited the emergency department due to partner violence, substance abuse or suicide attempt and children from community samples. Because 35% of the children scored in the range of post-traumatic stress disorder, we advise healthcare providers to pay attention to post-traumatic stress symptoms.
[Mh] Termos MeSH primário: Transtornos do Comportamento Infantil/diagnóstico
Filho de Pais Incapacitados/psicologia
Serviço Hospitalar de Emergência
Pais
Maus-Tratos Conjugais/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos Relacionados ao Uso de Substâncias/psicologia
Tentativa de Suicídio/psicologia
[Mh] Termos MeSH secundário: Adolescente
Sintomas Afetivos
Criança
Transtornos do Comportamento Infantil/psicologia
Pré-Escolar
Estudos Transversais
Serviço Hospitalar de Emergência/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Masculino
Países Baixos/epidemiologia
Escalas de Graduação Psiquiátrica
Qualidade de Vida
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1111/cch.12419


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[PMID]:28460329
[Au] Autor:Crowe K; McKay D
[Ad] Endereço:Fordham University, USA. Electronic address: Kcrowe3@fordham.edu.
[Ti] Título:Efficacy of cognitive-behavioral therapy for childhood anxiety and depression.
[So] Source:J Anxiety Disord;49:76-87, 2017 Jun.
[Is] ISSN:1873-7897
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:A review of meta-analyses of cognitive-behavioral therapy (CBT) for childhood anxiety and depression was conducted. A total of 36 meta-analyses were identified that met inclusion criteria for this review. In most cases, medium-to-large effect sizes for treatment reduction were observed when CBT was compared to non-active control conditions. Small-to-medium effects were observed when CBT was compared to active control treatments. The available meta-analyses generally did not examine, or data were not sufficient to evaluate, potential moderators of outcome, differential effects for parental involvement, or changes in quality of life or functional outcomes associated with treatment. Accordingly, while CBT should be broadly considered an effective treatment approach for childhood anxiety and depression, additional research is warranted in order to establish guidelines for service delivery for complicating factors in client presentation.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/terapia
Terapia Cognitiva/métodos
Transtorno Depressivo/terapia
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/psicologia
Criança
Transtornos do Comportamento Infantil/terapia
Transtorno Depressivo/psicologia
Seres Humanos
Pais
Qualidade de Vida
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  5 / 18497 MEDLINE  
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[PMID]:28464309
[Au] Autor:Berg AT; Altalib HH; Devinsky O
[Ad] Endereço:Ann & Robert H Lurie Children's Hospital of Chicago, Northwestern-Feinberg School of Medicine, Chicago, Illinois, U.S.A.
[Ti] Título:Psychiatric and behavioral comorbidities in epilepsy: A critical reappraisal.
[So] Source:Epilepsia;58(7):1123-1130, 2017 07.
[Is] ISSN:1528-1167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Psychiatric and behavioral disorders are important aspects of epilepsy and have received increasing attention in the last several years. The literature upon which most of the field relies contains some biases that must be carefully examined and resolved in future studies. First, in the pediatric epilepsy literature, many reports find that children with epilepsy have high levels of behavioral and psychiatric disorders when compared to appropriate controls. Most of these studies rely on parent-proxy completed instruments to assess these behavioral endpoints. Parents' reports are not objective but reflect parents' reactions and emotions. Increasing evidence suggests inherent biases in proxy reports and highlights the need to assess children directly. Second, periictal phenomena may be mischaracterized as underlying mood disorders. Third, many studies report elevated levels of psychiatric morbidity before and after the diagnosis of epilepsy, suggesting an inherent relation between the two types of disorders. Psychogenic nonepileptic seizures, while widely recognized as posing a diagnostic dilemma in the clinic, may account for some of these research findings. Diagnostic errors between epilepsy and psychogenic nonepileptic seizures need careful consideration when evaluating studies demonstrating associations between psychiatric disorders and epilepsy or poorer seizure control in association with psychiatric disorders in people who have epilepsy. Mental health concerns are important for everyone. An accurate, undistorted understanding of the relation between mental health disorders and epilepsy is essential to ensure appropriate therapy and to avoid unnecessary and potentially harmful treatments and common misconceptions.
[Mh] Termos MeSH primário: Transtornos do Comportamento Infantil/diagnóstico
Transtornos do Comportamento Infantil/epidemiologia
Epilepsia/diagnóstico
Epilepsia/epidemiologia
Transtornos Mentais/diagnóstico
Transtornos Mentais/epidemiologia
Transtornos Somatoformes/diagnóstico
Transtornos Somatoformes/epidemiologia
[Mh] Termos MeSH secundário: Viés
Criança
Comorbidade
Diagnóstico Diferencial
Projetos de Pesquisa Epidemiológica
Seres Humanos
Transtornos do Humor/diagnóstico
Transtornos do Humor/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1111/epi.13766


  6 / 18497 MEDLINE  
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[PMID]:27776561
[Au] Autor:Mina TH; Lahti M; Drake AJ; Räikkönen K; Minnis H; Denison FC; Norman JE; Reynolds RM
[Ad] Endereço:University BHF Centre for Cardiovascular Sciences, Queen's Medical Research Institute, University of Edinburgh,Edinburgh, Scotland,UK.
[Ti] Título:Prenatal exposure to very severe maternal obesity is associated with adverse neuropsychiatric outcomes in children.
[So] Source:Psychol Med;47(2):353-362, 2017 Jan.
[Is] ISSN:1469-8978
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Prenatal maternal obesity has been linked to adverse childhood neuropsychiatric outcomes, including increased symptoms of attention deficit hyperactivity disorder (ADHD), internalizing and externalizing problems, affective disorders and neurodevelopmental problems but few studies have studied neuropsychiatric outcomes among offspring born to very severely obese women or assessed potential familial confounding by maternal psychological distress. METHOD: We evaluated neuropsychiatric symptoms in 112 children aged 3-5 years whose mothers had participated in a longitudinal study of obesity in pregnancy (50 very severe obesity, BMI ⩾40 kg/m2, obese class III and 62 lean, BMI 18.5-25 kg/m2). The mothers completed the Conners' Hyperactivity Scale, Early Symptomatic Syndrome Eliciting Neurodevelopmental Clinical Examination Questionnaire (ESSENCE-Q), Child's Sleep Habits Questionnaire (CSHQ), Strengths and Difficulties Questionnaire (SDQ), and Child Behavior Checklist (CBCL) to assess child neuropsychiatric symptoms. Covariates included child's sex, age, birthweight, gestational age, socioeconomic deprivation levels, maternal age, parity, smoking status during pregnancy, gestational diabetes and maternal concurrent symptoms of anxiety and depression assessed using State Anxiety of Spielberger State-Trait Anxiety Index (STAI) and General Health Questionnaire (GHQ), respectively. RESULTS: Children exposed to prenatal maternal very severe obesity had significantly higher scores in the Conners' Hyperactivity Scale; ESSENCE-Q; total sleep problems in CSHQ; hyperactivity, conduct problems and total difficulties scales of the SDQ; higher externalizing and total problems, anxious/depressed, aggressive behaviour and other problem syndrome scores and higher DSM-oriented affective, anxiety and ADHD problems in CBCL. Prenatal maternal very severe obesity remained a significant predictor of child neuropsychiatric problems across multiple scales independent of demographic factors, prenatal factors and maternal concurrent symptoms of anxiety and depression. CONCLUSIONS: Prenatal maternal very severe obesity is a strong predictor of increased neuropsychiatric problems in early childhood.
[Mh] Termos MeSH primário: Transtornos de Deficit da Atenção e do Comportamento Disruptivo/epidemiologia
Transtornos do Comportamento Infantil/epidemiologia
Obesidade/epidemiologia
Efeitos Tardios da Exposição Pré-Natal/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Assistência ao Convalescente
Transtornos de Deficit da Atenção e do Comportamento Disruptivo/etiologia
Transtornos do Comportamento Infantil/etiologia
Pré-Escolar
Feminino
Seres Humanos
Obesidade/complicações
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1017/S0033291716002452


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[PMID]:29093038
[Au] Autor:Gentile DA; Bailey K; Bavelier D; Brockmyer JF; Cash H; Coyne SM; Doan A; Grant DS; Green CS; Griffiths M; Markle T; Petry NM; Prot S; Rae CD; Rehbein F; Rich M; Sullivan D; Woolley E; Young K
[Ad] Endereço:Department of Psychology, Iowa State University, Ames, Iowa; dgentile@iastate.edu.
[Ti] Título:Internet Gaming Disorder in Children and Adolescents.
[So] Source:Pediatrics;140(Suppl 2):S81-S85, 2017 Nov.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The American Psychiatric Association recently included Internet gaming disorder (IGD) as a potential diagnosis, recommending that further study be conducted to help illuminate it more clearly. This paper is a summary of the review undertaken by the IGD Working Group as part of the 2015 National Academy of Sciences Sackler Colloquium on Digital Media and Developing Minds. By using measures based on or similar to the IGD definition, we found that prevalence rates range between ∼1% and 9%, depending on age, country, and other sample characteristics. The etiology of IGD is not well-understood at this time, although it appears that impulsiveness and high amounts of time gaming may be risk factors. Estimates for the length of time the disorder can last vary widely, but it is unclear why. Although the authors of several studies have demonstrated that IGD can be treated, no randomized controlled trials have yet been published, making any definitive statements about treatment impossible. IGD does, therefore, appear to be an area in which additional research is clearly needed. We discuss several of the critical questions that future research should address and provide recommendations for clinicians, policy makers, and educators on the basis of what we know at this time.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Comportamento Aditivo/psicologia
Comportamento Infantil/psicologia
Internet/utilização
Jogos de Vídeo/efeitos adversos
Jogos de Vídeo/psicologia
[Mh] Termos MeSH secundário: Adolescente
Comportamento Aditivo/diagnóstico
Comportamento Aditivo/epidemiologia
Criança
Transtornos do Comportamento Infantil/diagnóstico
Transtornos do Comportamento Infantil/epidemiologia
Transtornos do Comportamento Infantil/psicologia
Manual Diagnóstico e Estatístico de Transtornos Mentais
Seres Humanos
Internet/tendências
Jogos de Vídeo/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1542/peds.2016-1758H


  8 / 18497 MEDLINE  
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[PMID]:28982961
[Au] Autor:Fetene DM; Betts KS; Alati R
[Ad] Endereço:School of Public HealthUniversity of Queensland, Brisbane, Australia d.fetene@uq.edu.au.
[Ti] Título:MECHANISMS IN ENDOCRINOLOGY: Maternal thyroid dysfunction during pregnancy and behavioural and psychiatric disorders of children: a systematic review.
[So] Source:Eur J Endocrinol;177(5):R261-R273, 2017 Nov.
[Is] ISSN:1479-683X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Maternal thyroid dysfunction during pregnancy may lead to persistent neurodevelopmental disorders in the offspring appearing in later life. This study aimed to review the available evidence concerning the relationship between maternal thyroid status during pregnancy and offspring behavioural and psychiatric disorders. METHODS: Systematic electronic database searches were conducted using PubMed, Embase, PsycNET, Scopus, Google Scholar and Cochrane library. Studies including gestational thyroid dysfunction as the exposure and offspring behavioural and psychiatric disorders as the outcome were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed and, after thorough screening by two independent reviewers, 13 articles remained eligible for inclusion in this study. RESULTS: Indicators of maternal thyroid dysfunction, including low and high thyroid hormone level and autoimmune thyroiditis, during early pregnancy, were found to be associated with several offspring behavioural and psychiatric disorders such as attention deficit hyperactivity disorder (ADHD), autism, pervasive developmental problems, externalising behaviour, in addition to epilepsy and seizure. The majority of associations were found with low maternal thyroid hormone level. CONCLUSION: Maternal thyroid function during pregnancy, particularly hypothyroidism, is associated with behavioural and psychiatric disorders in children. Further studies are needed with a capacity to adjust for a fuller range of confounding factors.
[Mh] Termos MeSH primário: Transtornos do Comportamento Infantil/epidemiologia
Saúde Materna
Complicações na Gravidez/epidemiologia
Efeitos Tardios da Exposição Pré-Natal/epidemiologia
Doenças da Glândula Tireoide/epidemiologia
[Mh] Termos MeSH secundário: Criança
Transtornos do Comportamento Infantil/sangue
Transtornos do Comportamento Infantil/diagnóstico
Feminino
Seres Humanos
Gravidez
Complicações na Gravidez/sangue
Complicações na Gravidez/diagnóstico
Efeitos Tardios da Exposição Pré-Natal/sangue
Efeitos Tardios da Exposição Pré-Natal/diagnóstico
Doenças da Glândula Tireoide/sangue
Doenças da Glândula Tireoide/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1530/EJE-16-0860


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[PMID]:28916534
[Au] Autor:Shinnar RC; Shinnar S; Cnaan A; Clark P; Dlugos D; Hirtz DG; Hu F; Liu C; Masur D; Weiss EF; Glauser TA; Childhood Absence Epilepsy Study Group
[Ad] Endereço:From Montefiore Medical Center (R.C.S., S.S., D.M., E.F.W.), Albert Einstein College of Medicine, Bronx, NY; George Washington University (A.C.), Washington, DC; Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine (P.C., C.L., T.A.G.), OH; The Children'
[Ti] Título:Pretreatment behavior and subsequent medication effects in childhood absence epilepsy.
[So] Source:Neurology;89(16):1698-1706, 2017 Oct 17.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To characterize pretreatment behavioral problems and differential effects of initial therapy in children with childhood absence epilepsy (CAE). METHODS: The Child Behavior Checklist (CBCL) was administered at baseline, week 16-20, and month 12 visits of a randomized double-blind trial of ethosuximide, lamotrigine, and valproate. Total problems score was the primary outcome measure. RESULTS: A total of 382 participants at baseline, 310 participants at the week 16-20 visit, and 168 participants at the month 12 visit had CBCL data. At baseline, 8% (95% confidence interval [CI] 6%-11%) of children with CAE had elevated total problems scores (mean 52.9 ± 10.91). At week 16-20, participants taking valproic acid had significantly higher total problems (51.7 [98.3% CI 48.6-54.7]), externalizing problems (51.4 [98.3% CI 48.5-54.3]), attention problems (57.8 [98.3% CI 55.6-60.0]), and attention-deficit/hyperactivity problems (55.8 [98.3% CI 54.1-57.6]) scores compared to participants taking ethosuximide (46.5 [98.3% CI 43.4-49.6]; 45.8 [98.3% CI 42.9-48.7]; 54.6 [98.3% CI 52.4-56.9]; 53.0 [98.3% CI 51.3-54.8]). Lack of seizure freedom and elevated week 16-20 Conner Continuous Performance Test confidence index were associated with worse total problems scores. At month 12, participants taking valproic acid had significantly higher attention problems scores (57.9 [98.3% CI 55.6-60.3]) compared to participants taking ethosuximide (54.5 [95% CI 52.1-56.9]). CONCLUSIONS: Pretreatment and ongoing behavioral problems exist in CAE. Valproic acid is associated with worse behavioral outcomes than ethosuximide or lamotrigine, further reinforcing ethosuximide as the preferred initial therapy for CAE. CLINICALTRIALSGOV IDENTIFIER: NCT00088452. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that for children with CAE, valproic acid is associated with worse behavioral outcomes than ethosuximide or lamotrigine.
[Mh] Termos MeSH primário: Anticonvulsivantes/uso terapêutico
Transtornos do Comportamento Infantil/etiologia
Epilepsia Tipo Ausência/complicações
Epilepsia Tipo Ausência/tratamento farmacológico
[Mh] Termos MeSH secundário: Adolescente
Lista de Checagem
Criança
Transtornos do Comportamento Infantil/diagnóstico
Transtornos do Comportamento Infantil/tratamento farmacológico
Pré-Escolar
Estudos Cross-Over
Método Duplo-Cego
Eletroencefalografia
Etossuximida/uso terapêutico
Feminino
Seguimentos
Seres Humanos
Masculino
Testes Neuropsicológicos
Avaliação de Resultados (Cuidados de Saúde)
Triazinas/uso terapêutico
Ácido Valproico/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anticonvulsants); 0 (Triazines); 5SEH9X1D1D (Ethosuximide); 614OI1Z5WI (Valproic Acid); U3H27498KS (lamotrigine)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170917
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004514


  10 / 18497 MEDLINE  
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[PMID]:28860132
[Au] Autor:Thomas R; Abell B; Webb HJ; Avdagic E; Zimmer-Gembeck MJ
[Ad] Endereço:Centre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia; and rthomas@bond.edu.au.
[Ti] Título:Parent-Child Interaction Therapy: A Meta-analysis.
[So] Source:Pediatrics;140(3), 2017 Sep.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Parent-child interaction therapy (PCIT) is effective at reducing children's externalizing behavior. However, modifications are often made to PCIT, and it is not known whether these impact effectiveness. OBJECTIVE: To systematically review and meta-analyze the effects of PCIT on child externalizing behaviors, considering modifications, study design, and bias. DATA SOURCES: We searched PubMed, PsycINFO, Education Resources Information Center, Sociological Abstracts, and A+ Education. STUDY SELECTION: We selected randomized controlled or quasi-experimental trials. DATA EXTRACTION: We analyzed child externalizing and internalizing behaviors, parent stress, parent-child interactions, PCIT format, and study design and/or characteristics. RESULTS: We included 23 studies (1144 participants). PCIT was superior to control for reducing child externalizing (standardized mean difference [SMD]: -0.87, 95% confidence interval [CI]:-1.17 to -0.58). PCIT studies that required skill mastery had significantly greater reductions in externalizing behavior than those that did not (Mastery: SMD: -1.09, 95% CI: -1.44 to -0.73; Nonmastery: SMD: -0.51,95% CI: -0.85 to -0.17, = .02). Compared with controls, PCIT significantly reduced parent-related stress (mean difference [MD]: -6.98, 95% CI: -11.69 to -2.27) and child-related stress (MD: -9.87, 95% CI: -13.64 to -6.09). Children in PCIT were observed to be more compliant to parent requests (SMD: 0.89, 95% CI: 0.50 to 1.28) compared with controls. PCIT effectiveness did not differ depending on session length, location (academic versus community settings), or child problems (disruptive behaviors only compared with disruptive behavior and other problems). LIMITATIONS: Results for parent-child observations were inconsistently reported, reducing the ability to pool important data. CONCLUSIONS: PCIT has robust positive outcomes across multiple parent-reported and observed parent-child interaction measures, and modifications may not be required even when implemented in diverse populations.
[Mh] Termos MeSH primário: Terapia Comportamental
Transtornos do Comportamento Infantil/terapia
Relações Pais-Filho
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Poder Familiar/psicologia
Estresse Psicológico/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170902
[St] Status:MEDLINE



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