Predictors of Functional Impairment in Children and Adolescents

Ezpeleta, Lourdes; Granero, Roser; Osa, Núria de la; Guillamón, Noemí

doi:10.1017/s0021963099005946

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…As children get older, psychological symptoms are more distressful. Studies about impairment have previously reported that psychological disorders are more severe in adolescents than in children (Ezpeleta, Granero, de la Osa, & Guillamon, 2000). Furthermore, it seems from our results that adolescents suffer from more severe disorders that cause them more discomfort relative to children, or else they are better able to identify this feeling.…”

Section: Discussionsupporting

confidence: 45%

Assessment of Distress Associated to Psychopathology in Children and Adolescents

Ezpeleta

Reich

Granero

2009

Escritos Psicología

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The aim of this paper was to study the distress associated to psychopathology in children and adolescents. The sample included 330 children aged 8 to 17 years attending outpatient mental health services of the public network in Barcelona (Spain) assessed using a structured diagnostic interview. A substantial part of children brought to treatment suffered distress associated to internalizing and externalizing psychological symptoms. Psychological distress was most frequent among girls and among adolescents, and was more frequently reported by children and adolescents than by their parents. It was also a marker of perception of need of psychological help, and it was significantly related to diagnosis, subthreshold conditions and functional impairment. Individual symptoms of depression, dysthymia, generalized anxiety disorder and oppositional defiant disorder were most associated with psychological distress. Given the potential importance of subjective distress as well as impairment for the identification and definition of psychopathology and planning of treatment, diagnostic assessment should include questions related to distress.

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Section: Discussionsupporting

confidence: 45%

Assessment of Distress Associated to Psychopathology in Children and Adolescents

Ezpeleta

Reich

Granero

2009

Escritos Psicología

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“…It comprises 54 items to assess nine dimensions including: general activity level; sleep activity; approach/withdrawal; flexibility/rigidity; mood; sleep rhythmicity; eating rhythmicity; daily rhythmicity; and task orientation (Windle & Lerner, 1986 The DOTS-R has demonstrated sound psychometric characteristics across age groups, including pre-school children (Windle & Lerner, 1986). Although not tested for reliability and validity in Australia, testing in several countries provides evidence of cross-cultural validity (Ezpeleta, Granero, de la Õ sa, & Guillamon, 2000;Koot, 1991;Mednick, Hocevar, Schulsinger, & Baker, 1996).…”

Section: Sleep Rhythmicitymentioning

confidence: 99%

A model for predicting behavioural sleep problems in a random sample of Australian pre‐schoolers

Hall

Zubrick

Silburn

et al. 2007

Infant and Child Development

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Behavioural sleep problems (childhood insomnias) can cause distress for both parents and children. This paper reports a model describing predictors of high sleep problem scores in a representative population-based random sample survey of non-Aboriginal singleton children born in 1995 and 1996 (1085 girls and 1129 boys) in Western Australia. Longitudinal repeated data were collected up to age 4 years by caregiver report. Children's sleep rhythmicity levels in their first year, as well as conflicted and lax parenting in their second year, predicted higher scores on the sleep problem scale from the Child Behaviour Checklist/2-3 in the children's third year. Higher scores on the sleep problem scale in the children's third year predicted higher scores on the aggressive behaviour subscale of the Child Behaviour Checklist/ 4-16. The results support a model in which sleep problems mediated the relationship between parental conflict and aggressive behaviour, even when controlling for maternal depression, which has been associated with children's aggressive behaviour.The most common sleep disorders among pre-school children are childhood insomnias or behavioural sleep problems, characterized by inability to settle to sleep, repeated waking with demands for parental attention, and waking early in the morning (Stores, 1996). Behavioural sleep problems can have a profound effect on children and their families. When Lam, Hiscock, and Wake (2003) compared children with and without current sleep problems they found that children with sleep problems had significantly higher mean scores on the *Correspondence to:

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“…Functional impairment and mental health problems thus conceptually are closely linked, and empirically a range of child mental health problems have been found to serve as risk factors for functional impairment [7–9]. In fact, functional impairment often has been found to be a stronger predictor of service utilization than the mental health symptoms themselves, and ultimately it is an independent construct [10]. This is true in part because other factors (e.g., medical problems) have been found to predict child functional impairment independent of mental health problems, significant functional impairment occurs among children with relatively low levels of mental health symptoms [11,12], and functional impairment predicts other service usage (e.g., special education) in addition to health service usage, independently of mental health problems [6].…”

Section: Introductionmentioning

confidence: 99%

Functional impairment and mental health functioning among Vietnamese children

Dang

Weiss

Trung

2015

Soc Psychiatry Psychiatr Epidemiol

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Purpose Functional impairment is a key indicator of need for mental health services among children and adolescents, often a stronger predictor of service usage than mental health symptoms themselves. Functional impairment may be of particular importance in low and middle income countries (LMIC) because of its potential to focus policy on treatment of child mental health problems which is generally given low priority in LMIC. However, few studies have assessed functional impairment in LMIC. The present study assessed rates of functional impairment among children in Vietnam, as a case example of an LMIC, as well as effects of other risk/protective factors of particular relevance to LMIC (e.g., whether the family lived in an urban or rural area; family structure variables such as grandparents living with the family). Methods 1,314 parents of children 6–16 years old from 10 Vietnamese provinces were interviewed. Results The overall rate of functional impairment among Vietnamese children was 20%, similar to rates in high income countries such as Germany and the United States, suggesting that LMIC status may not be associated with dramatic increases in functional impairment in children. Functional impairment was significantly greater among mental health cases than non-cases, with increases of over 550% associated with mental health caseness. A number of other risk factors (e.g., marital status) had smaller but significant effects. Conclusions Mental health problems are a major but not the sole contributor to functional impairment among Vietnamese children. The pragmatic significance of this research lies in its potential to affect public awareness and policy related to child mental health in LMIC.

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Predictors of Functional Impairment in Children and Adolescents

Cited by 5 publications

References 18 publications

Assessment of Distress Associated to Psychopathology in Children and Adolescents

Assessment of Distress Associated to Psychopathology in Children and Adolescents

A model for predicting behavioural sleep problems in a random sample of Australian pre‐schoolers

Functional impairment and mental health functioning among Vietnamese children

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