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Video Abstract: Beyond initial screening: One-year follow-up of adolescents with internalizing problems on the Pediatric Symptom Checklist

Video Author: Juliana M. Holcomb
Published on: 11.18.2020

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.

  Official Journal of the
Society for Developmental and Behavioral Pediatrics
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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: 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.
Creator: Jennifer A. Mautone, PhD, ABPP
Duration: 4:04
This video provides an overview of our recent study focused on a strengths-based approach to behavioral health screening in pediatric primary care.
Creator: Karli V. Treyvaud et al & NHMRC Centre of Research Excellence in Newborn Medicine
Duration: 4:50
Discussion of a research study examining post-traumatic stress symptoms of mothers and fathers across the first two years after the very preterm birth of their child. Mothers and fathers completed questionnaires at three time points, and we assessed change in post-traumatic stress symptoms over time as well as whether medical or social risk factors were associated with symptoms. Implications for future predictive research and clinical support are discussed.
Creator: Rachael Coakley, PhD, Carolina Donado, PhD
Duration: 7:18
This study evaluates differences in how mothers and fathers perceive and respond to their adolescents’ chronic pain before and after The Comfort Ability Program (CAP), a one-day cognitive-behavioral intervention. Our research findings suggest that mothers and fathers have different thoughts and responses to their adolescents’ pain at baseline. Participating in CAP may help to align their thinking and promote more adaptive parent responses, reinforcing the value of including both parents in pediatric treatment for chronic pain. For more information about the program, please visit: thecomfortability.com
Creator: Robert Eves
Duration: 4:59
Adults born preterm are at risk of attention problems. However, it is currently unclear as to why these problems come about. In this study of two prospective longitudinal cohorts, the BLS and EPICure, the attention problems and potential predictive factors of preterms and controls were assessed. Results highlighted the roles of executive functioning and general cognitive functioning in why preterms display more attention problems than controls, an important finding for potential interventions. Additionally, it highlighted the disparity between self-report, parent-report and experimenter ratings for attention problems with evidence that preterms do not believe themselves to have problems with attention
Creator: Rachel Morgan and Linda Prudente
Duration: 4:30
School-age children with ADHD participated in an 8-week after-school Tai-Chi that showed robust reductions in core ADHD symptoms of hyperactivity, impulsivity, and inattention after the mindful movement training. Reductions were also seen in associated features including emotion dysregulation and symptoms of ODD. These children also showed robust improvements on an objective assessment of developmental motor control, and these objective improvements in motor control were significantly associated with improvements in subjective parent ratings of ADHD behavior. This suggests that motor control may be a biomarker that could be targeted by the mindful movement intervention to improve behavior in children with ADHD.
Creator: Marissa E. Yingling, PhD, MSW
Duration: 7:49
This video illustrates a study that assessed progress of the Healthy People 2020 objective to increase the proportion of children with autism spectrum disorder (ASD) who receive treatment by 48 months old and that examined the relationship between predisposing, enabling, and need factors and age of initial treatment receipt. Authors used data from the National Survey of Children’s Health, 2016-2017 (N=1333). The HP2020 objective to enroll 57.6% of 8-year-old children with ASD in treatment by 48 months old was not met (40.9%). Findings indicate social inequities and significant differences by provider type and state mandate.
Creator: Libby Matile Milkovich
Duration: 3:08
Phones interrupt in-person interactions. Problematic phone users likely have increased interruptions due to their addiction-like behaviors towards their phones. Child behavior can reflect the quality of in-person, caregiver-child interactions. To explore child behavior and caregiver problematic phone use, we surveyed caregivers of children about their problematic phone use and their perception of their child’s mealtime behavior. Higher ratings of child problematic mealtime behavior were associated with higher symptoms of caregiver problematic phone use. Although the study does not show causality, caregiver-child interactions are bidirectional thus possibly allowing for future child problematic behavioral interventions to address caregiver problematic phone use.
Creator: Christina Buysse, MD and Susanne Martin-Herz, MD, PhD
Duration: 5:00
This video describes the methods and findings of the Rapid Developmental Evaluation (RDE) model, a co-located Developmental-Behavioral Pediatrics (DBP) program within a primary care pediatrics Federally Qualified Health Center. Results of the project suggest that co location of developmental-behavioral pediatricians in pediatric primary care clinics can provide high quality DBP care, decrease time to first developmental assessment, and decrease time to referral for Early Intervention services. It is also well-received by primary care clinicians and enables many families to access specialty care in their medical home without traveling to tertiary referral centers.
Creator: Gerald Giesbrecht and Lianne Tomfohr-Madsen
Duration: 3:29
Video abstract for Parental use of “cry out” in a community sample during the first year of infant life, where we discuss associations between using delayed response to crying and associations with infant-maternal attachment and maternal sensitivity.
Creator: Eunju Lee and Catherine Kramer
Duration: 4:00
This video explains kinship care and describes a study on the well-being of children in informal kinship care. Survey data were matched with child welfare administrative records. Findings indicate that 75% of children had known involvement with Child Protective Services (CPS). Higher numbers of CPS cases were associated with both poorer physical and emotional health outcomes. The authors argue for better recognition of the trauma and the unmet health care needs of these children. The pediatric community should be aware that children raised by kin without a parent have an increased risk for mental health issues.