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Video Abstract: Parental Misattribution of Environmental Stress Reaction Symptoms to Autism

Video Author: Randall Phelps, M.D., Ph.D.
Published on: 11.18.2020

A high proportion of children with history of trauma present for autism assessment whose presentation does not fit autism and fits well with trauma and stressor related disorder (TSRD). We found a tendency for parents seeking developmental diagnostic consultation to attribute to autism behavioral symptoms related to environmental stress. Current low levels of TSRD awareness prevent children who have experienced trauma from obtaining the therapies they need. We hope to raise awareness of TSRDs, with a goal of encouraging consistent screening for TSRDs in developmental diagnostic clinics, to promote advocacy for the development of appropriate services for children with TSRDs.

  Official Journal of the
Society for Developmental and Behavioral Pediatrics
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Creator: Mateusz Faltyn
Duration: 4:05
This video describes our recent study published in the Journal of Developmental & Behavioral Pediatrics titled “Exploring Links Between Prenatal Adversity and Adolescent Psychiatric Risk in a Canadian Population-Based Sample”. The current study utilized data from the 2014 Ontario Child Health study (or OCHS), a province-wide study of 10,802 children and adolescents and their families in Ontario, Canada to examine whether exposure to prenatal maternal health problems are associated with an increasing risk of psychiatric risk in adolescents.
Creator: Kim Fatica, University Hospitals Cleveland Medical Center
Duration: 3:13
The subspecialty of Developmental-Behavioral Pediatrics (DBP) is relatively young with the first board certification in 2002. The aim of our study was to define DBP by the clinical practice as reported by DBPs in AAP surveys of DBPs in 1998 and 2015. The amount of time for a new and a return visit remained stable. But, in 2015, fewer DBPs were caring for children with physical disabilities, failure to thrive, and other disorders. More than 80% of DBPs in both surveys evaluated children with ASD, ADHD, and developmental delays solidifying them as the defining focus of the field.
Creator: Nicole T. Baumer
Duration: 4:54
Scientific advances have led to a better understanding of neurobiological differences in Down syndrome. As new research efforts target cognitive functioning and core functional deficits, we sought to explore parent attitudes about research efforts to enhance cognition and factors that impact willingness to participate in clinical drug trial research. Our findings highlight the complexity of issues that influence parent attitudes, and have broader implications for the field of neurodevelopmental disabilities. Findings reflect the importance of incorporating parent perspectives and values in research direction and design.
Creator: Linda Charmaraman, Youth, Media, & Wellbeing Research Lab, Wellesley Centers for Women, Wellesley College
Duration: 4:41
We conducted a survey of 11 to 14 year-olds using body dissatisfaction measures related to social media use. 19% reported social media-related body dissatisfaction (SMBD). Participants’ most common concerns included not being thin enough, not attractive enough, and disliking body shape, hair, and face. Results from ANCOVA analyses showed those reporting SMBD checked their social media more frequently, had higher rates of depressive symptoms, online social anxiety, found it harder to make new friends, and were more socially isolated. Those who followed celebrities checked social media more frequently and were more likely to have depressive symptoms and online social anxiety.
Creator: Tuba Çelen Yoldaş
Duration: 4:01
The Parents’ Evaluation of Developmental Status (PEDS) and the Ages and Stages Questionnaire (ASQ) are commonly used developmental screening tools in pediatric practice worldwide. This study compared the screening results of the PEDS and the ASQ in children with a wide range of ages. The actual agreement between the tests was 74% with a concordance represented by Cohen’s κ of 0.422 in the total sample. The agreement was higher in children aged 25 to 48 months than for the other ages. The use of such parent-completed developmental tools should be encouraged for universal screening.
Creator: Brianna Natale
Duration: 5:06
This study aimed to prospectively examine associations between early-life family socioeconomic risk and both child BMI and vocabulary at age 4, as well as the potential mediating contribution of breastfeeding duration. In a large Norwegian cohort, greater family socioeconomic risk was significantly related to poorer child vocabulary but was unrelated to child BMI. In addition, breastfeeding duration was found to mediate the association between family socioeconomic risk and child vocabulary. These results suggest that breastfeeding is a viable target for promoting child vocabulary, especially among families at socioeconomic risk.
Creator: Allison Zoromski, PhD
Duration: 4:22
To explore the relationship between ADHD symptoms and impairments we did a retrospective analysis of parent and teacher ratings of symptoms and impairment from the Vanderbilt Rating Scales using a national sample of children between the ages of 5-12. Overall, our findings showed a pattern in which specific ADHD symptoms are associated with specific areas of ADHD-related impairment and this pattern converged across parent- and teacher-ratings.
Creator: Yonit Lax
Duration: 5:18
This video describes a cross-sectional study using data from the 2016 National Survey of Children’s Health on ADHD severity, after-school activities (ASA), and two domains of school functioning among children with ADHD: missed days from school and calls home from school. This study found that ASA participation is associated with decreased ADHD severity and reduced school absenteeism. Efforts to optimize ADHD outcomes should consider engaging children and adolescents in ASA.
Creator: Dana Vertsberger
Duration: 3:26
Infants’ sleeping patterns can influence parents’ sleep and their well-being. Infants’ sleeping problems can evoke negative emotions from their parents, due to the influence it has on parents’ lives. In a longitudinal design, we followed infants and their parents from 9 to 18 months. Children’s sleeping problems at 9 months predicted an increase in mothers’ (but not fathers’) negativity at 18 months. Parents’ negativity was not associated with infants’ sleep problems.
Creator: Juliana M. Holcomb
Duration: 4:21
Standard-setting organizations recommend screening adolescents for depression routinely and endorse the parent-completed, Pediatric Symptom Checklist's internalizing subscale (PSC-17P-INT) for this purpose. This study assessed the feasibility of screening electronically, prevalence of PSC-17P-INT risk, and rates of subsequent behavioral health service utilization in a sample of pediatric outpatients. Results showed that over two years, most patients (93.9%) were screened at both visits, those who screened at-risk were more likely to receive behavioral health services than those who screened negative but that for almost two-thirds of all positives, depression risk persisted into the second year, supporting the need for routine screening.
Creator: Randall Phelps, M.D., Ph.D.
Duration: 5:19
A high proportion of children with history of trauma present for autism assessment whose presentation does not fit autism and fits well with trauma and stressor related disorder (TSRD). We found a tendency for parents seeking developmental diagnostic consultation to attribute to autism behavioral symptoms related to environmental stress. Current low levels of TSRD awareness prevent children who have experienced trauma from obtaining the therapies they need. We hope to raise awareness of TSRDs, with a goal of encouraging consistent screening for TSRDs in developmental diagnostic clinics, to promote advocacy for the development of appropriate services for children with TSRDs.
Creator: Marya Rana
Duration: 1:52
Our study investigated the role of maternal mental health and family factors in discrepancies between mothers’ ratings of their adolescents’ psychosocial issues and adolescents’ ratings of their own problems. We measured associations between family factors such as adolescent age and sex, maternal age, parental levels of education, maternal IQ, and number of children in the home. Using data from a longitudinal public health study in Chile, we found that poor maternal mental health, and none of the family factors, was consistently related to larger discrepancies between maternal and adolescent ratings. This relationship was strongest in ratings of adolescents’ internalizing problems.
Creator: Katelyn Rossow
Duration: 4:38
Despite limited prior pediatric evidence, multiple genes are commonly included on pharmacogenomic panels to guide risperidone prescribing in children. This study examined the association between several genes (ABCB1, ABCG2, CYP2D6, CYP3A4, CYP3A5, DRD2, DRD3, HTR2A, and HTR2C) and risperidone adverse events. In our cohort, only two genes, CYP2D6 and HTR2A showed an association with pediatric risperidone adverse events. Thus, more data is needed before utilizing pharmacogenomic data to guide risperidone prescribing in pediatric patients.
Creator: Bahar Bingoler Pekcici
Duration: 4:52
Nearly four decades after its foundation in high income countries, the field of Developmental-Behavioral Pediatrics (DBP) is now also emerging in low and middle-income countries (LMICs). Ankara (AU) and Inonu University (IU) DBP Divisions established in 2000 and 2009 respectively, have been the pioneering institutions for DBP in Turkey. In this study we aimed to ascertain the referral volume, sources, trends and factors affecting these trends in these centers. The majority of referrals were from the pediatric clinics. The NBR models showed that referral volume increased significantly in both centers yearly and showed a significant relationship between referral trends and the establishment of DBP subspecialty at AU but not in IU. This study brings innovation as for the first time it is reporting on referral trends in DBP centers in a LMIC.
Creator: Lindsay Olson
Duration: 4:49
Video DescriptionNote: This description is indexed by the journal search engine, please be as descriptive as possible; can accept HTML if sponsor wants to place a logo or image file Socioeconomic factors account for variability in language skills in preschoolers with autism spectrum disorders
Creator: Kate Wallis, MD, MPH
Duration: 4:43
We describe our study that investigated referrals made in response to a positive developmental screen in primary care pediatrics. We asked whether disparities exist in which referrals are made or if referral varied by sex or among children from different racial, ethnic, and income backgrounds. Using data on screening and referral from the large primary care network at the Children’s Hospital of Philadelphia, which screens children at 15, 18, 24 and 30 month visits with the survey of wellbeing in young children (SWYC), we found that 43% of children were not referred to early intervention after a positive screen.
Creator: Hikmat Chmait
Duration: 4:41
Twin-twin transfusion syndrome (TTTS) is a severe pregnancy complication of monochorionic twins that results in discordant in utero environments for each genetically identical twin. The aim of this study was to test for differences in temperament between former donor and recipient twins. Parents of dual twin survivors aged 3-7 years who underwent in utero laser surgery for TTTS were surveyed using the Very Short Form of the Child Behavioral Questionnaire (VSF-CBQ). There were no statistically significant differences between the twins. Despite varied in utero environments, no temperament differences between donor/recipient twins were found for the population as a whole.
Creator: Christine Drew
Duration: 4:56
We used semi-structured qualitative interviews with parents and service providers to better understand the barriers parents experience when obtaining services for their children with disabilities though state programs. We found that parents experienced emotional and system navigation barriers. Service providers reported that parents lacked information about services and that the process was arduous. Parents also reported barriers once services were initiated such as finding qualified personal support workers and the burdensome paperwork required. We created a solutions toolkit for the state and other organizations to undertake to increase consumer satisfaction and uptake of these life changing services for families.
Creator: Leandra Godoy
Duration: 5:10
This video describes our study, Pediatric Provider Experiences with Implementation of Routine Mental Health Screening
Creator: Jesse L. Coe
Duration: 4:27
This study evaluated the intergenerational indirect effects of maternal childhood experiences on infant development through maternal scaffolding behaviors. Participants included 295 low-income mothers and their infants who were assessed prenatally and at 6 and 12 months postpartum. Results indicated that mothers who perceived their own mothers as highly supportive in childhood were more likely to engage in scaffolding behaviors with their infants, who in turn made greater developmental progress (e.g., showed less risk for developmental delay) at 12 months postpartum. Maternal adverse childhood experiences (ACEs) were not associated with parenting or infant developmental progress.