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Irritability in adolescence: Prevalence and clinical correlates
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196 Mo-P-1013
Psychological strengths and difficulties of adolescents D. Backovic a,∗ , N. Djerkovic b , M. Cirkovic c Belgrade University, Faculty of Medicine, School of Medicine, Institute of Hygiene and Medical Ecology, Belgrade, Serbia b Institute for psycho-physiological disorders and speech pathology Cvetko Brajovic, Belgrade, Serbia c Public Health Centre Vozdovac, Belgrade, Serbia ∗ Corresponding author.
a
Introduction.– Psychological strengths and difficulties are operationalized by Goodman’s Strength and Difficulties Questionnaire (SDQ), which has proven to be a good measure of the adjustment and psychopathology of children and youth. Objective.– The aim of this research is to assess the psychological strengths and difficulties of adolescents from 11–17 years of age. Method.– The study included 248 children divided into two age groups (11–14 and 15–17), who filled in the self-reported version of the SDQ. They did not previously seek help from mental health professionals. Results.– Older group of adolescents showed higher levels of all tested difficulties except peer problems, but also a higher level of pro-social behaviour. Higher levels of emotional symptoms were determined in female examinees, as well as higher pro-social behaviour. A significant difference between two age groups was established mainly within the female sex (boys differed significantly only regarding hyperactivity). Also, a significant difference between the sexes was established within the older age group, but not within the younger group. Conclusion.– A possible explanation of the observed differences can lie in the assumption that older, particularly female adolescents are more open and expressive when assessing their own psychological difficulties, as well as their pro-social behaviour. http://dx.doi.org/10.1016/j.neurenf.2012.04.125
S143
Methods.– The analysis was based on the databank of the Taiwan Education Panel Survey released by the Academia Sinica, with a representative sample of 17,731 7th graders and 14,659 11th graders. All 32,390 responders were categorized into 4 groups (uninvolved, bully-victim, conduct, bully-victim/conduct) according to sample selection criteria. The associations of demographic factors and psychosocial adjustment with bully/conduct status were examined with multinomial logistic regression. Severities of emotional symptoms among different groups were compared using one-way ANOVA. Results.– The number and prevalence rates of bully-victimization, conduct behaviors, and concurrent bully-victimization with conduct behavior were 1284 (4%), 7757 (23.9%), and 1258 (3.9%) respectively. The uninvolved students were 22,081 (68.2%). Males were more likely than females to be in all the 3 groups: bully-victimization (4.4% vs. 3.5%), misconduct (30.4% vs. 17.7) and bully-victim/conduct (6.0% vs. 1.9%). The frequency of bullyvictimization was higher among seventh graders compared to 11th graders (5.0% vs. 2.8%), and that of conduct behaviors was higher among 11th graders than 7th graders (33.0% vs. 16.4%). Involvement in bully-victimization or misconduct were associated with more severe emotional symptoms, with the highest severity noted in the bully-victim/conduct group (P < 0.001). Psychosocial maladjustment including increased alcohol or cigarette use, increased impulsive acts, and negative perception of school were all significantly associated with the 3 groups involved in bully-victimization and misconduct (all P < 0.001). Conclusion.– Bullying and misconduct were highly prevalent among Taiwanese youth and were significantly associated with emotional problem and psychosocial maladjustment. Considering the potential long-term negative outcomes, further investigation and early intervention are of paramount importance for the students at risk. http://dx.doi.org/10.1016/j.neurenf.2012.04.127
Mo-P-1014
Mo-P-1016
Irritability in adolescence: Prevalence and clinical correlates
Poor academic performance among adolescents with epilepsy in Kaduna, northern Nigeria: A case-control study
M. Mulraney a,∗ , J. Quek b , T. Whelan b , B. Tonge b , G.A. Melvin a Centre for developmental psychiatry and psychology, Monash University, Notting Hill, Australia b School of psychology and psychiatry, Monash University, Clayton, Australia ∗ Corresponding author.
F.T. Nuhu a,∗ , T.L. Sheikh a , A.J. Yusuf b , G.O. Oju a Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria b Psychiatry, Ahmadu Bello University, Zaria, Nigeria ∗ Corresponding author.
a
a
It has been suggested that irritability is merely a marker of general psychological distress however others have found it is associated with “distress” disorders (i.e. depression and generalised anxiety disorder) but not with fear based disorders. This research aimed to determine if irritability should be considered a marker of general distress or if it has specific clinical associations with anxiety and depressive symptoms in a normal sample of adolescents. Participants were 232 adolescents (103 boys) aged 11 to 18 who completed the Affective Reactivity Index, the Reynolds Adolescents Depression Scale-2, and the Screen for Child Anxiety Related Emotional Disorders. As expected, irritability was associated with depressive and generalised anxiety symptoms. Contrary to expectations irritability was also associated with separation anxiety and negatively associated with social anxiety. Irritability thus has specific clinical associations and is not simply an indicator of general distress.
Aim.– To assess the academic performance of adolescents with epilepsy (AWE) and explore the determinants of poor performance in a Northern Nigerian setting. Method.– The sociodemographic/clinical characteristics of 77 consecutive AWE attending the outpatient clinic of the Federal Neuropsychiatric Hospital, Kaduna between March and September 2010 and the sociodemographic characteristics of 76 age and sex-matched controls were recorded. Information concerning school attendance and academic performance were obtained from participants and their caregivers. Results.– The mean ages of the subjects and controls were 15.1 ± 2.1 and 14.7 ± 1.7 years respectively, mean duration of illness was 6.1 ± 4.6 years, mean seizure-free period was 16.8 ± 15.6 weeks, 46 (59.7%) subjects and 12 (15.8%) controls had declined academic performance (P value < 0.001). Long duration of illness, short seizure-free period and missing school were associated with poor academic performance (P value < 0.05). Conclusion.– Poor academic performance is common among AWE and is associated with early onset, poor seizure control and missing school.
http://dx.doi.org/10.1016/j.neurenf.2012.04.126
http://dx.doi.org/10.1016/j.neurenf.2012.04.128 Mo-P-1015
Bully and conduct behaviors among high school students in Taiwan: Prevalence and analysis of associated emotional and psychosocial adjustment
C. Lan , C.C. Liu ∗ , Y. Chen Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan ∗ Corresponding author. Objectives.– To determine the prevalence rates and the associations with indicators of emotional and psychosocial adjustment of bully-victimization and misconduct among Taiwanese youth.
Mo-P-1017
Validity evidences for the youth self-report in Brazil M.M. Rocha ∗ , E.F.M. Silvares Clinical Psychology, University of Sao Paulo, São Paulo, Brazil ∗ Corresponding author.
The possibility of adequate cross-cultural comparison is increased when similar standardized assessment methods are used. The aim of this study was to validate the Youth Self-Report (YSR) for assessing Brazilian youths, in order
Psychological strengths and difficulties of adolescents D. Backovic a,∗ , N. Djerkovic b , M. Cirkovic c Belgrade University, Faculty of Medicine, School of Medicine, Institute of Hygiene and Medical Ecology, Belgrade, Serbia b Institute for psycho-physiological disorders and speech pathology Cvetko Brajovic, Belgrade, Serbia c Public Health Centre Vozdovac, Belgrade, Serbia ∗ Corresponding author.
a
Introduction.– Psychological strengths and difficulties are operationalized by Goodman’s Strength and Difficulties Questionnaire (SDQ), which has proven to be a good measure of the adjustment and psychopathology of children and youth. Objective.– The aim of this research is to assess the psychological strengths and difficulties of adolescents from 11–17 years of age. Method.– The study included 248 children divided into two age groups (11–14 and 15–17), who filled in the self-reported version of the SDQ. They did not previously seek help from mental health professionals. Results.– Older group of adolescents showed higher levels of all tested difficulties except peer problems, but also a higher level of pro-social behaviour. Higher levels of emotional symptoms were determined in female examinees, as well as higher pro-social behaviour. A significant difference between two age groups was established mainly within the female sex (boys differed significantly only regarding hyperactivity). Also, a significant difference between the sexes was established within the older age group, but not within the younger group. Conclusion.– A possible explanation of the observed differences can lie in the assumption that older, particularly female adolescents are more open and expressive when assessing their own psychological difficulties, as well as their pro-social behaviour. http://dx.doi.org/10.1016/j.neurenf.2012.04.125
S143
Methods.– The analysis was based on the databank of the Taiwan Education Panel Survey released by the Academia Sinica, with a representative sample of 17,731 7th graders and 14,659 11th graders. All 32,390 responders were categorized into 4 groups (uninvolved, bully-victim, conduct, bully-victim/conduct) according to sample selection criteria. The associations of demographic factors and psychosocial adjustment with bully/conduct status were examined with multinomial logistic regression. Severities of emotional symptoms among different groups were compared using one-way ANOVA. Results.– The number and prevalence rates of bully-victimization, conduct behaviors, and concurrent bully-victimization with conduct behavior were 1284 (4%), 7757 (23.9%), and 1258 (3.9%) respectively. The uninvolved students were 22,081 (68.2%). Males were more likely than females to be in all the 3 groups: bully-victimization (4.4% vs. 3.5%), misconduct (30.4% vs. 17.7) and bully-victim/conduct (6.0% vs. 1.9%). The frequency of bullyvictimization was higher among seventh graders compared to 11th graders (5.0% vs. 2.8%), and that of conduct behaviors was higher among 11th graders than 7th graders (33.0% vs. 16.4%). Involvement in bully-victimization or misconduct were associated with more severe emotional symptoms, with the highest severity noted in the bully-victim/conduct group (P < 0.001). Psychosocial maladjustment including increased alcohol or cigarette use, increased impulsive acts, and negative perception of school were all significantly associated with the 3 groups involved in bully-victimization and misconduct (all P < 0.001). Conclusion.– Bullying and misconduct were highly prevalent among Taiwanese youth and were significantly associated with emotional problem and psychosocial maladjustment. Considering the potential long-term negative outcomes, further investigation and early intervention are of paramount importance for the students at risk. http://dx.doi.org/10.1016/j.neurenf.2012.04.127
Mo-P-1014
Mo-P-1016
Irritability in adolescence: Prevalence and clinical correlates
Poor academic performance among adolescents with epilepsy in Kaduna, northern Nigeria: A case-control study
M. Mulraney a,∗ , J. Quek b , T. Whelan b , B. Tonge b , G.A. Melvin a Centre for developmental psychiatry and psychology, Monash University, Notting Hill, Australia b School of psychology and psychiatry, Monash University, Clayton, Australia ∗ Corresponding author.
F.T. Nuhu a,∗ , T.L. Sheikh a , A.J. Yusuf b , G.O. Oju a Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria b Psychiatry, Ahmadu Bello University, Zaria, Nigeria ∗ Corresponding author.
a
a
It has been suggested that irritability is merely a marker of general psychological distress however others have found it is associated with “distress” disorders (i.e. depression and generalised anxiety disorder) but not with fear based disorders. This research aimed to determine if irritability should be considered a marker of general distress or if it has specific clinical associations with anxiety and depressive symptoms in a normal sample of adolescents. Participants were 232 adolescents (103 boys) aged 11 to 18 who completed the Affective Reactivity Index, the Reynolds Adolescents Depression Scale-2, and the Screen for Child Anxiety Related Emotional Disorders. As expected, irritability was associated with depressive and generalised anxiety symptoms. Contrary to expectations irritability was also associated with separation anxiety and negatively associated with social anxiety. Irritability thus has specific clinical associations and is not simply an indicator of general distress.
Aim.– To assess the academic performance of adolescents with epilepsy (AWE) and explore the determinants of poor performance in a Northern Nigerian setting. Method.– The sociodemographic/clinical characteristics of 77 consecutive AWE attending the outpatient clinic of the Federal Neuropsychiatric Hospital, Kaduna between March and September 2010 and the sociodemographic characteristics of 76 age and sex-matched controls were recorded. Information concerning school attendance and academic performance were obtained from participants and their caregivers. Results.– The mean ages of the subjects and controls were 15.1 ± 2.1 and 14.7 ± 1.7 years respectively, mean duration of illness was 6.1 ± 4.6 years, mean seizure-free period was 16.8 ± 15.6 weeks, 46 (59.7%) subjects and 12 (15.8%) controls had declined academic performance (P value < 0.001). Long duration of illness, short seizure-free period and missing school were associated with poor academic performance (P value < 0.05). Conclusion.– Poor academic performance is common among AWE and is associated with early onset, poor seizure control and missing school.
http://dx.doi.org/10.1016/j.neurenf.2012.04.126
http://dx.doi.org/10.1016/j.neurenf.2012.04.128 Mo-P-1015
Bully and conduct behaviors among high school students in Taiwan: Prevalence and analysis of associated emotional and psychosocial adjustment
C. Lan , C.C. Liu ∗ , Y. Chen Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan ∗ Corresponding author. Objectives.– To determine the prevalence rates and the associations with indicators of emotional and psychosocial adjustment of bully-victimization and misconduct among Taiwanese youth.
Mo-P-1017
Validity evidences for the youth self-report in Brazil M.M. Rocha ∗ , E.F.M. Silvares Clinical Psychology, University of Sao Paulo, São Paulo, Brazil ∗ Corresponding author.
The possibility of adequate cross-cultural comparison is increased when similar standardized assessment methods are used. The aim of this study was to validate the Youth Self-Report (YSR) for assessing Brazilian youths, in order