6.67 PREDICTORS OF ADHD DIAGNOSIS AMONG SCHOOL-AGE CHILDREN WITH ATTENTION PROBLEMS IN PRIMARY CARE

2019 ◽  
Vol 58 (10) ◽  
pp. S292-S293
Author(s):  
Jennifer Sikov ◽  
Tithi D. Baul ◽  
Arvin Garg ◽  
Andrea Spencer
Keyword(s):  
Primary Care ◽  
Attention Problems ◽  
School Age Children ◽  
School Age ◽  
Adhd Diagnosis

scholarly journals The Relationship Between Social Risks and the Mental Health of School-Age Children in Primary Care

2020 ◽  
Vol 20 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Andrea E. Spencer ◽  
Tithi D. Baul ◽  
Jennifer Sikov ◽  
William G. Adams ◽  
Yorghos Tripodis ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
School Age Children ◽  
School Age ◽  
Social Risks ◽  
The Relationship

Deficient Emotional Self-Regulation in Preschoolers With ADHD: Identification, Comorbidity, and Interpersonal Functioning

2016 ◽  
Vol 23 (8) ◽  
pp. 887-899 ◽  
Author(s):  
Maria Grazia Melegari ◽  
Roberto Sacco ◽  
Barbara Manzi ◽  
Elena Vittori ◽  
Antonio M. Persico
Keyword(s):  
Child Behavior Checklist ◽  
Rating Scales ◽  
Self Regulation ◽  
Attention Problems ◽  
Incidence Rates ◽  
Preschool Age ◽  
Interpersonal Functioning ◽  
School Age Children ◽  
School Age ◽  
Psychiatric Interview

Objective: This study aims to develop an age-adjusted Child Behavior Checklist- (CBCL) and Teacher Report Form (TRF)-based method for the detection of deficient emotional self-regulation (DESR) in preschoolers with ADHD and to assess its incidence, comorbidities, and consequences on interpersonal functioning. Method: Eighty-six ADHD preschoolers and 104 controls were assessed using CBCL, TRF/1½ to 5, Psychiatric Interview With Preschool Age Psychiatric Assessment, Leiter-R, and ADHD rating scales. Results: Greatest sensitivity and specificity were obtained applying slightly lower threshold scores compared with school-age children (CBCL: Anxiety/Depression [A/D] ≥ 59, Attention Problems [AP] ≥ 60, Aggression Behaviors [AB] ≥ 58; TRF: A/D ≥ 59, AP ≥ 60, AB ≥ 60). DESR was detected in 33/86 (38.4%) and in 16/54 (29.6%) ADHD preschoolers versus 2/104 (1.9%) controls using CBCL and TRF, respectively. DESR is associated with significantly greater comorbidity and impairment in interpersonal functioning. Conclusion: Among ADHD preschoolers, DESR (a) requires lower CBCL and TRF threshold scores for detection, compared with school-age children, (b) displays similar incidence rates, and (c) is associated with enhanced psychiatric comorbidity and interpersonal difficulties.

scholarly journals Parental perspectives regarding primary-care weight-management strategies for school-age children

2014 ◽  
Vol 12 (2) ◽  
pp. 326-338 ◽  
Author(s):  
Christy Boling Turer ◽  
Megha Mehta ◽  
Richard Durante ◽  
Fatima Wazni ◽  
Glenn Flores
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Management Strategies ◽  
School Age Children ◽  
School Age ◽  
Parental Perspectives

scholarly journals Whooping cough in school age children presenting with persistent cough in UK primary care after introduction of the preschool pertussis booster vaccination: prospective cohort study

BMJ ◽  
2014 ◽  
pp. g3668 ◽  
Author(s):  
Kay Wang ◽  
Norman K Fry ◽  
Helen Campbell ◽  
Gayatri Amirthalingam ◽  
Timothy G Harrison ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Clinical Research ◽  
Prospective Cohort ◽  
Whooping Cough ◽  
Booster Vaccination ◽  
School Age Children ◽  
School Age ◽  
Pertussis Infection ◽  
Persistent Cough

Objective To estimate the prevalence and clinical severity of whooping cough (pertussis) in school age children presenting with persistent cough in primary care since the introduction and implementation of the preschool pertussis booster vaccination. Design Prospective cohort study (November 2010 to December 2012). Setting General practices in Thames Valley, UK. Participants 279 children aged 5 to 15 years who presented in primary care with a persistent cough of two to eight weeks’ duration. Exclusion criteria were cough likely to be caused by a serious underlying medical condition, known immunodeficiency or immunocompromise, participation in another clinical research study, and preschool pertussis booster vaccination received less than one year previously. Main outcome measures Evidence of recent pertussis infection based on an oral fluid anti-pertussis toxin IgG titre of at least 70 arbitrary units. Cough frequency was measured in six children with laboratory confirmed pertussis. Results 56 (20%, 95% confidence interval 16% to 25%) children had evidence of recent pertussis infection, including 39 (18%, 13% to 24%) of 215 children who had been fully vaccinated. The risk of pertussis was more than three times higher (21/53; 40%, 26% to 54%) in children who had received the preschool pertussis booster vaccination seven years or more previously than in those who had received it less than seven years previously (20/171; 12%, 7% to 17%). The risk of pertussis was similar between children who received five and three component preschool pertussis booster vaccines (risk ratio for five component vaccine 1.14, 0.64 to 2.03). Four of six children in whom cough frequency was measured coughed more than 400 times in 24 hours. Conclusions Pertussis can still be found in a fifth of school age children who present in primary care with persistent cough and can cause clinically significant cough in fully vaccinated children. These findings will help to inform consideration of the need for an adolescent pertussis booster vaccination in the United Kingdom. Study registration UK Clinical Research Network portfolio ID 8361.

The DiViSA’s Predictive Validity by Age: An Objective Online Test of Attention

2015 ◽  
Vol 18 ◽  
Author(s):  
J. Santacreu ◽  
M. A. Quiroga
Keyword(s):  
Predictive Validity ◽  
School Achievement ◽  
Attention Problems ◽  
School Age Children ◽  
School Age ◽  
Typical Development ◽  
Commission Errors ◽  
Online Test ◽  
Group 4 ◽  
Task Organization

AbstractThe purpose of this study was to analyze the DiViSA’s predictive validity in school-age children. To do so, two groups of school-age children were compared: one with low school achievement (N = 1,174), and one with typical development (N = 1,426). The obtained results show that: (1) in all grades, children with poor school performance exhibited lower levels of attention and task organization, greater hastiness, and made more commission errors; (2) the combination of variables that best differentiated between groups was not the same in all grades; (3) level of organization improved with age in the low-school-achievement group, and did not in the typical-development group; (4) the data regarding sensitivity (81% to 93%) and specificity (79% to 90%), for the first time computed for each grade separately, support the test’s predictive validity in the grades we evaluated. The discussion focuses on the DiViSA test’s usefulness in diagnosing attention problems. It is the first computerized test to include separate scores for: (a) how children complete the task (organization) and (2) the source of their errors (distraction or hastiness).

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