INTRODUCTION: Publications on prospective follow-up studies of Danish child psychiatric cohorts are scarce. Such studies are necessary in order to be able to inform patients about the natural course and prognosis of child psychiatric disorders. MATERIALS AND METHODS: Baseline data is obtained from 110 children, ie. 91 boys and 19 girls (4-13 years old) assessed in 2 child and adolescent psychiatric outpatient clinics in Denmark. As part of the baseline assessment, the children were clinically diagnosed and covered most of the child psychopathological spectrum. Baseline information included demographic data, assessment of symptom-load by means of The Child Behavior Checklist (CBCL) and a global function score. The children in the cohort were assessed once a year using the CBCL and the Teachers Report Form (TRF). RESULTS: The symptom-load is declining, although still high during the follow-up period. The decline in total behaviour problem scores was greater in the group of children diagnosed with emotional and behavioural disorders compared to those with neuropsychiatric disorders (Attention deficits and Autism spectrum disorders). CONCLUSION: In spite of the relatively small sample size, this follow-up study identifies important issues of prognostic value in this clinical child psychiatric outpatient population. The material may be useful as a 'treatment as usual' group in future clinical outcome studies.
A total of 546 children and adolescents, aged 5 to 15 years, who were admitted as in-patients to psychiatric hospitals throughout Denmark between 1970 and 1973, were followed up with regard to later readmissions and mortality. Approximately one-third of the sample had at least one readmission after the age of 18 years; there was no significant difference between male and female subjects. Probands with three selected diagnoses, namely childhood neurosis, conduct disorder and maladjustment reactions, did have a significantly greater general risk of readmission to psychiatric hospital in adulthood than the background population. In total, 24 probands (22 male, and 2 female subjects) died during the study period. Eight subjects had committed suicide. The standard mortality rate was significantly increased.
From 1953 through 1955 a total of 2364 individuals between o and 18 years were discharged from the Stockholm Child Guidance Clinics. Among these patients 125 (68 boys, 57 girls) were under the age of 3 years. A follow-up study was conducted 30 years later on this sample using records from psychiatric clinics and data from official registers of problematic behaviours. The majority of the infants when seen at the Child Guidance Clinics were judged to be mentally healthy or to have shown mild environmental reactions. However sixty per cent of these patients were identified in at least one of the registers during the follow-up period. Thus the initial evaluation was not prognostic of the future development. Boys developed mainly social maladjustment, whereas girls more often applied for psychiatric care during the follow-up. Significant prognostic factors in the 1950s were gender and parental psychiatric diagnosis.
BACKGROUND: The intention of this study was to increase the knowledge concerning the rehabilitation of women with drug problems after the birth of a child and to find out how the children developed. MATERIAL AND METHODS: A follow-up study of 31 women, former drug and alcohol abusers and their children, 19 girls and 12 boys born in 1982-1983. The first survey took place when the children were 2-3 years of age, then when they were 7-9 and at last when they were 15-17. The biological mothers, foster or adoptive mothers, the children and their teachers were interviewed. RESULTS: The women got more support and control during the pregnancy than afterwards. Most of the mothers became single. Women with the shortest drug history, a good social network and a stable partner without drug problems kept the care of their children. By the first survey (1985), seven children had been placed in foster homes, in the second (1992) two further children had been taken away from their mothers, and in the third (1999) only one third of the children were living with their biological mothers. Most of the children did well at school and in their families, had friends and leisure activities despite still living by their mothers or in foster/adoption homes. None of the youngsters had been in conflict with the law or were drug abusers, but every second teenage girl needed psychological support. Children who had been stable by their drug-free biological mothers functioned best. INTERPRETATION: Mothers with drug problems do not get sufficient attention after the delivery and when the children grow up. A supporting family should be brought in contact with mother and child after the delivery. Under special circumstances pregnancy can be a positive turning point for women with drug problems.
Little is known about how intimate partner violence (IPV) abusers perceive the effect of their violence on their children. Analyzing the attitudes and behavioral intentions of 464 partner-abusive fathers, biological fathers were found to be more likely than social fathers to express concern about the effects of their abuse on their children. However, biological fathers were no more likely than social fathers to report intentions to stop their violence or otherwise take action to mitigate the harm of IPV exposure to their children. The findings suggest that fathers' statements of concern may be poor indicators of their intentions to refrain from abusive behavior.
To assess the acceptability and face validity of the Strengths and Difficulties Questionnaire (SDQ) in Aboriginal community controlled health services (ACCHOs) located in the greater Sydney region.
A qualitative study was conducted in three ACCHOs located within the greater Sydney region in 2008-2009. A semi-structured approach was used in focus groups and small group interviews (n = 47) to elicit participants' views on the appropriateness of the SDQ and any additional issues of importance to Aboriginal child and adolescent mental health.
The SDQ was found to cover many important aspects of Aboriginal child and adolescent mental health, however, the wording of some questions was considered ambiguous and some critical issues are not explored. The peer relationships subscale did not appear to fit well with Aboriginal concepts of the relative importance of different interpersonal relationships.
Overall the SDQ was acceptable in ACCHOs in Sydney; however, changes to the wording of some questions and the response scale may be indicated to improve cultural appropriateness and clarity. A further set of issues which are not covered by any commonly used screening tools but are of critical importance to Aboriginal child and adolescent mental health should also be considered by clinicians.
In a longitudinal cohort study we investigated if children experiencing psychosocial stress and exhibiting certain psychopathological symptoms run a higher risk of having accidents than other children. In 366 children the number of hospital-treated casualties during the first 10 years of their lives was related to the physical and mental characteristics of the children and to the social conditions in their families. Boys had a higher number of accidents when one or both of the parents were known to have alcohol problems. Girls exhibiting symptoms of depression, anxiety and problems in social relationships at 4-5 years of age had more accidents than girls without such symptoms. However, the differences in accident rates were small, perhaps due to the physical environment in the housing areas and the general attitude, both aiming towards reducing childhood accidents.
Achenbach's Child Behavior Checklist (CBCL) and Teachers' Report Form (TRF) were administered to 6-12 year old school children comprising a large random community sample (n = 1200) drawn from the whole of Greece. These are the first data on the TRF in Greece and the first nation-wide data on the CBCL. Appropriate cutoff points for the behavioral problems and competence scales of both questionnaires were obtained for boys and girls. These were considerably higher than USA cutoffs for the CBCL but not for the TRF. Analysis of scores in relation to degree of urbanization showed that it was not necessary to define different cutoffs in different strata. Parents' and teachers' ratings of the same child were most highly correlated for Externalizing and Aggressive behavior for boys and for Attention problems for both sexes.