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Characteristics of child-adolescent onset binge eating in a national representative sample of women
S136
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S127–S139
social skills and 41.9% in academic performance. 55.9% received treatment with methylphenidate with a good response. Conclusions.– SCT construct is associated to a clinic subgroup of high psychopathology de gree and high comorbidity rate. The association with ADHD reaches ¾ of cases with good response to treatment with methylphenidate. http://dx.doi.org/10.1016/j.neurenf.2012.04.094 We-O-44
Can deficits in executive functions explain the link between attention-deficit/hyperactivity disorder and peer relationship problems? W. Tseng a,∗ , S.S. Gau b a Institute of Child Development, University of Minnesota, Minneapolis/MN, USA b Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan ∗ Corresponding author.
ved. The short-term and long-term effects were different among three types of ADHD. http://dx.doi.org/10.1016/j.neurenf.2012.04.096
Eating and feeding disorders We-O-46
Children and adolescents with eating disorders and comorbid depression or anxiety E.K. Hughes a,∗ , A. Goldschmidt b , Z. Labuschagne b , K. Loeb c , D. Le Grange a,b a Centre for Adolescent Health/dept of Paediatrics, Royal Children’s Hospital/University of Melbourne, Parkville, Australia b University of Chicago, Chicago, USA c Fairleigh Dickenson University/Mount Sinai School of Medicine, New Jersey, USA ∗ Corresponding author.
Using a sample (aged 12.87 ± 1.51 years) of 295 youth with ADHD (85.42% boys) and 173 school controls without ADHD (71.10% boys), this study examined if deficits in executive functions (EF) can explain the link between ADHD status and peer relationship problems. EFs were assessed by the subtests from the Cambridge neuropsychological test automated battery (i.e., spatial working memory, intradimensional/extradimensional shifts, and stockings of Cambridge). Results indicated that ADHD youth with peer problems committed more errors and used less effective strategies in the spatial working memory task; required more moves to solve the problems, had fewer problems solved, and had shorter initial thinking time in the stockings of Cambridge; and made more errors in the intradimensional/extradimensional shifts than ADHD youth without peer problems and non-ADHD controls without peer problems. These findings suggest that deficits in EF may be responsible for peer difficulties that are often experienced by youth with ADHD.
Studies of individuals with eating disorders (ED) have reported high rates of comorbid depression and anxiety. Comorbidity can complicate diagnosis, particularly when the temporal onset of symptoms is unclear. Some research also suggests that comorbidity impedes engagement in treatment and contributes to poorer prognosis. It is not clear, however, how individuals with ED and comorbid depression/anxiety differ from those without comorbidity with regard to sociodemographic and clinical characteristics. This study examined a clinical sample of children and adolescents with ED: 136 had no comorbid conditions, 30 had comorbid anxiety disorders, 62 had comorbid mood disorders and 25 had both anxiety and mood disorders. Those with a mood disorder were found to be similar to those with both mood and anxiety disorders with these two subgroups having a more complex presentation compared to those with comorbid anxiety or no comorbidity. Findings will be presented and discussed with regard to potential clinical implications.
http://dx.doi.org/10.1016/j.neurenf.2012.04.095
http://dx.doi.org/10.1016/j.neurenf.2012.04.097
We-O-45
We-O-47
School based study of comprehensive intervention for children with ADHD
Characteristics of child-adolescent onset binge eating in a national representative sample of women
Z. Wu Center on the Child and Adolescent Psychology, Shanghai Academy of Educational Science, Shanghai, China
a
Objective.– Explore the short-term and long-term effects of comprehensive intervention to Attention-Deficit/hyperactivity-Disorder (ADHD) children. Methods.– By Children strengths and Difficulties Questionnaire and K-SADSPL Scale, 117 ADHD children were diagnosed through two circle surveys from 4500 children in 10 primary schools, 2 to 4 grade, in shanghai. They were distributed to comprehensive intervention groups, medical therapy group and control group according to their own willing. The comprehensive intervention lasted 8 weeks and included behavior modification and self-management (once a week), group game consultation (once a week, 30 mins per time), parents training (once a week, 30 mins per time, in Salon form) and medical therapy (if necessary). School psychologists, clinical psychologists, teacher and parents were involved intervention. Pretest-posttest design was used and also tested the long-term effects 6 months later in the hyperactivity symptom, behavior and emotional problem, the difficulty in daily life, the level of adaptive behavior and self-esteem. Results.– Comprehensive intervention group is more effectively improved (P < .05) the hyperactivity symptom, reduced the difficulty in daily life, adaptive behavior, highly enhanced the lever of self-esteem of children with ADHD only in short-term effect. Through the parents training salon, they increased the knowledge of ADHD, knew the methods to help their child in daily life, and the score of ADHD Questionnaire was raised (P < .05), and could last long time. That was means the degree of coordinate from parents was effectively impro-
No prior studies have examined age of 1st binge using a national representative sample of women, so we examined age of 1st binge and its clinical correlates using data generated from the National Women’s Study (N = 3006). Subjects who endorsed ever binge eating (N = 707, 23.5%) were divided into 2 groups: – child/adolescent onset (CO)-age of 1st binge was < 18 yrs; – adult onset (AO)-age of 1st binge was > 18 yrs. We hypothesized that CO binge eating would be associated with greater: – likelihood of developing bulimia nervosa (BN) and binge eating disorder (BED); – severity of BN/BED; – history of trauma; – psychiatric comorbidity. Of the 707 (23.5%) who ever endorsed binge eating, 212 reported CO (30%) and 495 (70%) reported AO. Although AO binge eating was more common, CO binge eating was associated with higher prevalence rates of lifetime BN, greater severity of BN, and higher rates of molestation, physical assault, PTSD, suicidality, substance abuse, EtOH abuse/dependence and smoking.
T.D. Brewerton a,∗ , S.J. Rance b Psychiatry and Behavioral Sciences, Medical University of South Carolina, Mt. Pleasant/SC, USA b Psychology, College of Charleston, Charleston/SC, USA ∗ Corresponding author.
http://dx.doi.org/10.1016/j.neurenf.2012.04.098
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S127–S139
social skills and 41.9% in academic performance. 55.9% received treatment with methylphenidate with a good response. Conclusions.– SCT construct is associated to a clinic subgroup of high psychopathology de gree and high comorbidity rate. The association with ADHD reaches ¾ of cases with good response to treatment with methylphenidate. http://dx.doi.org/10.1016/j.neurenf.2012.04.094 We-O-44
Can deficits in executive functions explain the link between attention-deficit/hyperactivity disorder and peer relationship problems? W. Tseng a,∗ , S.S. Gau b a Institute of Child Development, University of Minnesota, Minneapolis/MN, USA b Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan ∗ Corresponding author.
ved. The short-term and long-term effects were different among three types of ADHD. http://dx.doi.org/10.1016/j.neurenf.2012.04.096
Eating and feeding disorders We-O-46
Children and adolescents with eating disorders and comorbid depression or anxiety E.K. Hughes a,∗ , A. Goldschmidt b , Z. Labuschagne b , K. Loeb c , D. Le Grange a,b a Centre for Adolescent Health/dept of Paediatrics, Royal Children’s Hospital/University of Melbourne, Parkville, Australia b University of Chicago, Chicago, USA c Fairleigh Dickenson University/Mount Sinai School of Medicine, New Jersey, USA ∗ Corresponding author.
Using a sample (aged 12.87 ± 1.51 years) of 295 youth with ADHD (85.42% boys) and 173 school controls without ADHD (71.10% boys), this study examined if deficits in executive functions (EF) can explain the link between ADHD status and peer relationship problems. EFs were assessed by the subtests from the Cambridge neuropsychological test automated battery (i.e., spatial working memory, intradimensional/extradimensional shifts, and stockings of Cambridge). Results indicated that ADHD youth with peer problems committed more errors and used less effective strategies in the spatial working memory task; required more moves to solve the problems, had fewer problems solved, and had shorter initial thinking time in the stockings of Cambridge; and made more errors in the intradimensional/extradimensional shifts than ADHD youth without peer problems and non-ADHD controls without peer problems. These findings suggest that deficits in EF may be responsible for peer difficulties that are often experienced by youth with ADHD.
Studies of individuals with eating disorders (ED) have reported high rates of comorbid depression and anxiety. Comorbidity can complicate diagnosis, particularly when the temporal onset of symptoms is unclear. Some research also suggests that comorbidity impedes engagement in treatment and contributes to poorer prognosis. It is not clear, however, how individuals with ED and comorbid depression/anxiety differ from those without comorbidity with regard to sociodemographic and clinical characteristics. This study examined a clinical sample of children and adolescents with ED: 136 had no comorbid conditions, 30 had comorbid anxiety disorders, 62 had comorbid mood disorders and 25 had both anxiety and mood disorders. Those with a mood disorder were found to be similar to those with both mood and anxiety disorders with these two subgroups having a more complex presentation compared to those with comorbid anxiety or no comorbidity. Findings will be presented and discussed with regard to potential clinical implications.
http://dx.doi.org/10.1016/j.neurenf.2012.04.095
http://dx.doi.org/10.1016/j.neurenf.2012.04.097
We-O-45
We-O-47
School based study of comprehensive intervention for children with ADHD
Characteristics of child-adolescent onset binge eating in a national representative sample of women
Z. Wu Center on the Child and Adolescent Psychology, Shanghai Academy of Educational Science, Shanghai, China
a
Objective.– Explore the short-term and long-term effects of comprehensive intervention to Attention-Deficit/hyperactivity-Disorder (ADHD) children. Methods.– By Children strengths and Difficulties Questionnaire and K-SADSPL Scale, 117 ADHD children were diagnosed through two circle surveys from 4500 children in 10 primary schools, 2 to 4 grade, in shanghai. They were distributed to comprehensive intervention groups, medical therapy group and control group according to their own willing. The comprehensive intervention lasted 8 weeks and included behavior modification and self-management (once a week), group game consultation (once a week, 30 mins per time), parents training (once a week, 30 mins per time, in Salon form) and medical therapy (if necessary). School psychologists, clinical psychologists, teacher and parents were involved intervention. Pretest-posttest design was used and also tested the long-term effects 6 months later in the hyperactivity symptom, behavior and emotional problem, the difficulty in daily life, the level of adaptive behavior and self-esteem. Results.– Comprehensive intervention group is more effectively improved (P < .05) the hyperactivity symptom, reduced the difficulty in daily life, adaptive behavior, highly enhanced the lever of self-esteem of children with ADHD only in short-term effect. Through the parents training salon, they increased the knowledge of ADHD, knew the methods to help their child in daily life, and the score of ADHD Questionnaire was raised (P < .05), and could last long time. That was means the degree of coordinate from parents was effectively impro-
No prior studies have examined age of 1st binge using a national representative sample of women, so we examined age of 1st binge and its clinical correlates using data generated from the National Women’s Study (N = 3006). Subjects who endorsed ever binge eating (N = 707, 23.5%) were divided into 2 groups: – child/adolescent onset (CO)-age of 1st binge was < 18 yrs; – adult onset (AO)-age of 1st binge was > 18 yrs. We hypothesized that CO binge eating would be associated with greater: – likelihood of developing bulimia nervosa (BN) and binge eating disorder (BED); – severity of BN/BED; – history of trauma; – psychiatric comorbidity. Of the 707 (23.5%) who ever endorsed binge eating, 212 reported CO (30%) and 495 (70%) reported AO. Although AO binge eating was more common, CO binge eating was associated with higher prevalence rates of lifetime BN, greater severity of BN, and higher rates of molestation, physical assault, PTSD, suicidality, substance abuse, EtOH abuse/dependence and smoking.
T.D. Brewerton a,∗ , S.J. Rance b Psychiatry and Behavioral Sciences, Medical University of South Carolina, Mt. Pleasant/SC, USA b Psychology, College of Charleston, Charleston/SC, USA ∗ Corresponding author.
http://dx.doi.org/10.1016/j.neurenf.2012.04.098