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Helen Link Egger

Adjunct Professor in the Department of Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry
Box 3454 Med Ctr, Durham, NC
2027 West Club Blvd, Durham, NC 27705

Selected Publications


Adaptive Behavior in Young Autistic Children: Associations with Irritability and ADHD Symptoms.

Journal Article J Autism Dev Disord · September 2024 Attention-deficit/hyperactivity disorder (ADHD) symptoms affect 40-60% of autistic children and have been linked to differences in adaptive behavior. It is unclear whether adaptive behavior in autistic youth is directly impacted by co-occurring ADHD sympto ... Full text Link to item Cite

Early life adversity and psychopathology in preschoolers: mechanisms and moderators.

Journal Article Eur Child Adolesc Psychiatry · June 2024 Developmental theories suggest that exposure to early life adversity (ELA) alters developing emotional response systems, predicting risk for psychopathology across the life span. The present study examines whether negative emotionality (NE), a trait-like m ... Full text Link to item Cite

Distinct Associations of Deprivation and Threat With Alterations in Brain Structure in Early Childhood.

Journal Article J Am Acad Child Adolesc Psychiatry · August 2023 OBJECTIVE: The dimensional model of adversity and psychopathology hypothesizes deprivation and threat impact distinct neurobiological pathways, such as brain structure. This hypothesis has not been examined longitudinally or in young children. This study t ... Full text Link to item Cite

Associations of preschool reactive bed-sharing with sociodemographic factors, sleep disturbance, and psychopathology.

Journal Article Child Adolesc Psychiatry Ment Health · May 17, 2023 OBJECTIVE: To advance understanding of early childhood bed-sharing and its clinical significance, we examined reactive bed-sharing rates, sociodemographic correlates, persistence, and concurrent and longitudinal associations with sleep disturbances and psy ... Full text Link to item Cite

Parental perception of mental health needs in young children.

Journal Article Child Adolesc Ment Health · November 2022 BACKGROUND: There is evidence of unmet psychiatric needs in children under 6. These young children are dependent on their parents to identify their mental health needs. This study tested child and parent associations with parent perception of young child m ... Full text Link to item Cite

Association of adversity with psychopathology in early childhood: Dimensional and cumulative approaches.

Journal Article Depress Anxiety · June 2022 BACKGROUND: The association between adversity and psychopathology in adolescents and adults is characterized by equifinality. These associations, however, have not been assessed during early childhood when psychopathology first emerges. Defining adversity ... Full text Link to item Cite

Families Matter: A Cross-Sectional Study of Parent and Child Mental Health During COVID-19 (Preprint)

Journal Article · December 23, 2021 BACKGROUNDBackground: The pandemic has disrupted all aspects of children’s lives and has increased children’s exposure to adversity and traumas known to increase the risk of mental health ... Full text Cite

Children's Beliefs about Pain: An Exploratory Analysis.

Journal Article Children (Basel) · May 27, 2021 Functional abdominal pain (FAP) is one of the most common childhood medical complaints, associated with significant distress and impairment. Little is known about how children understand their pain. Do they attribute it to personal weakness? Do they percei ... Full text Link to item Cite

Psychometric properties of the Persian version of preschool age psychiatric assessment (PAPA) for attention-deficit/hyperactivity disorder: Based on DSM-5.

Journal Article Asian J Psychiatr · April 2021 Childhood and adolescence psychiatric disorders affect subsequent stages; early diagnosis of these disorders, such as attention-deficit/hyperactivity disorder (ADHD), is necessary. There is no reliable and valid diagnostic interview for ADHD in Asian Persi ... Full text Link to item Cite

Digital Behavioral Phenotyping Detects Atypical Pattern of Facial Expression in Toddlers with Autism.

Journal Article Autism Res · March 2021 Commonly used screening tools for autism spectrum disorder (ASD) generally rely on subjective caregiver questionnaires. While behavioral observation is more objective, it is also expensive, time-consuming, and requires significant expertise to perform. As ... Full text Link to item Cite

Computer Vision Analysis for Quantification of Autism Risk Behaviors.

Journal Article IEEE Trans Affect Comput · 2021 Observational behavior analysis plays a key role for the discovery and evaluation of risk markers for many neurodevelopmental disorders. Research on autism spectrum disorder (ASD) suggests that behavioral risk markers can be observed at 12 months of age or ... Full text Link to item Cite

Cognitive impact of early separation from migrant parents: A spectrum of risk and key mechanisms in child development contexts. A commentary on Hou et al., (2020).

Journal Article Soc Sci Med · December 2020 Prolonged separation from migrant parents may lead to child development risks, despite the potential benefits from improved financial circumstances. Within the substantial literature on the health and well-being of the so-called left-behind children, the c ... Full text Link to item Cite

Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.

Journal Article Assessment · June 2020 The fifth edition of the Diagnostic and Statistical Manual (DSM) categorizes reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) as two separate disorders, and their criteria are revised. For DSED, the core symptoms focus ... Full text Link to item Cite

Author Correction: Atypical postural control can be detected via computer vision analysis in toddlers with autism spectrum disorder.

Journal Article Sci Rep · January 14, 2020 An amendment to this paper has been published and can be accessed via a link at the top of the paper. ... Full text Link to item Cite

Building digital innovation capacity at a large academic medical center

Journal Article npj Digital Medicine · December 1, 2019 Academic medical centers (AMCs) today prioritize digital innovation. In efforts to develop and disseminate the best technology for their institutions, challenges arise in organizational structure, cross-disciplinary collaboration, and creative and agile pr ... Full text Cite

Sensory Over-Responsivity: An Early Risk Factor for Anxiety and Behavioral Challenges in Young Children.

Journal Article J Abnorm Child Psychol · June 2019 Anxiety disorders are prevalent and significantly impact young children and their families. One hypothesized risk factor for anxiety is heightened responses to sensory input. Few studies have explored this hypothesis prospectively. This study had two goals ... Full text Link to item Cite

Parenting and prenatal risk as moderators of genetic influences on conduct problems during middle childhood.

Journal Article Dev Psychol · June 2019 This study examines interactions of heritable influences, prenatal substance use, and postnatal parental warmth and hostility on the development of conduct problems in middle childhood for boys and girls. Participants are 561 linked families, collected in ... Full text Link to item Cite

Computer vision analysis captures atypical attention in toddlers with autism.

Journal Article Autism · April 2019 To demonstrate the capability of computer vision analysis to detect atypical orienting and attention behaviors in toddlers with autism spectrum disorder. One hundered and four toddlers of 16-31 months old (mean = 22) participated in this study. Twenty-two ... Full text Link to item Cite

Atypical postural control can be detected via computer vision analysis in toddlers with autism spectrum disorder.

Journal Article Sci Rep · November 19, 2018 Evidence suggests that differences in motor function are an early feature of autism spectrum disorder (ASD). One aspect of motor ability that develops during childhood is postural control, reflected in the ability to maintain a steady head and body positio ... Full text Link to item Cite

Automatic emotion and attention analysis of young children at home: a ResearchKit autism feasibility study.

Journal Article NPJ Digit Med · 2018 Current tools for objectively measuring young children's observed behaviors are expensive, time-consuming, and require extensive training and professional administration. The lack of scalable, reliable, and validated tools impacts access to evidence-based ... Full text Open Access Link to item Cite

Acceptance-based interoceptive exposure for young children with functional abdominal pain.

Journal Article Behav Res Ther · October 2017 UNLABELLED: Functional abdominal pain (FAP) is a common childhood somatic complaint that contributes to impairment in daily functioning (e.g., school absences) and increases risk for chronic pain and psychiatric illness. Cognitive behavioral treatments for ... Full text Link to item Cite

Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism.

Journal Article J Pediatr · April 2017 OBJECTIVES: To assess changes in quality of care for children at risk for autism spectrum disorders (ASD) due to process improvement and implementation of a digital screening form. STUDY DESIGN: The process of screening for ASD was studied in an academic p ... Full text Link to item Cite

DIAGNOSTIC CLASSIFICATION OF MENTAL HEALTH AND DEVELOPMENTAL DISORDERS OF INFANCY AND EARLY CHILDHOOD DC:0-5: SELECTIVE REVIEWS FROM A NEW NOSOLOGY FOR EARLY CHILDHOOD PSYCHOPATHOLOGY.

Journal Article Infant Ment Health J · September 2016 The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0-5; ZERO TO THREE) is scheduled to be published in 2016. The articles in this section are selective reviews that have been under ... Full text Link to item Cite

Magnetic susceptibility of brain iron is associated with childhood spatial IQ.

Journal Article Neuroimage · May 15, 2016 Iron is an essential micronutrient for healthy brain function and development. Because of the importance of iron in the brain, iron deficiency results in widespread and lasting effects on behavior and cognition. We measured iron in the basal ganglia of you ... Full text Link to item Cite

Authors' Response.

Journal Article Pediatrics · January 2016 Full text Link to item Cite

Quantifying Risk for Anxiety Disorders in Preschool Children: A Machine Learning Approach.

Journal Article PLoS One · 2016 Early childhood anxiety disorders are common, impairing, and predictive of anxiety and mood disorders later in childhood. Epidemiological studies over the last decade find that the prevalence of impairing anxiety disorders in preschool children ranges from ... Full text Link to item Cite

Psychological and Psychosocial Impairment in Preschoolers With Selective Eating.

Journal Article Pediatrics · September 2015 OBJECTIVE: We examined the clinical significance of moderate and severe selective eating (SE). Two levels of SE were examined in relation to concurrent psychiatric symptoms and as a risk factor for the emergence of later psychiatric symptoms. Findings are ... Full text Link to item Cite

Effect of an early perinatal depression intervention on long-term child development outcomes: follow-up of the Thinking Healthy Programme randomised controlled trial.

Journal Article Lancet Psychiatry · July 2015 BACKGROUND: Perinatal depression has been linked with deleterious child development outcomes, yet maternal depression interventions have not been shown to have lasting effects on child development, and evidence is not available from countries of low or mid ... Full text Link to item Cite

Childhood somatic complaints predict generalized anxiety and depressive disorders during young adulthood in a community sample.

Journal Article Psychol Med · June 2015 BACKGROUND: Children with somatic complaints are at increased risk for emotional disorders during childhood. Whether this elevated risk extends into young adulthood - and to which specific disorders - has rarely been tested with long-term prospective-longi ... Full text Link to item Cite

Behavior and emotion modulation deficits in preschoolers at risk for bipolar disorder.

Journal Article Depress Anxiety · May 2015 BACKGROUND: Bipolar disorder (BD) is highly familial, but studies have yet to examine preschoolers at risk for BD using standardized, developmentally appropriate clinical assessment tools. We used such methods to test whether preschoolers at familial risk ... Full text Link to item Cite

Preschool anxiety disorders predict different patterns of amygdala-prefrontal connectivity at school-age.

Journal Article PLoS One · 2015 OBJECTIVE: In this prospective, longitudinal study of young children, we examined whether a history of preschool generalized anxiety, separation anxiety, and/or social phobia is associated with amygdala-prefrontal dysregulation at school-age. As an explora ... Full text Open Access Link to item Cite

A scalable app for measuring autism risk behaviors in young children: A technical validity and feasibility study

Journal Article Proceedings of the 5th EAI International Conference on Wireless Mobile Communication and Healthcare · 2015 Link to item Cite

Depressive comorbidity in preschool anxiety disorder.

Journal Article J Child Psychol Psychiatry · October 2014 BACKGROUND: The threshold for clinical relevance of preschool anxiety has recently come under increasing scrutiny in view of large variations in prevalence estimates. We studied the impact of presence/absence of additional depressive comorbidity (symptoms ... Full text Link to item Cite

Adult diagnostic and functional outcomes of DSM-5 disruptive mood dysregulation disorder.

Journal Article Am J Psychiatry · June 2014 OBJECTIVE: Disruptive mood dysregulation disorder (DMDD) is a new disorder for DSM-5 that is uncommon and frequently co-occurs with other psychiatric disorders. Here, the authors test whether meeting diagnostic criteria for this disorder in childhood predi ... Full text Link to item Cite

Perceived family impact of preschool anxiety disorders.

Journal Article J Am Acad Child Adolesc Psychiatry · April 2014 OBJECTIVE: We examined the perceived impact of child anxiety disorders on family functioning, because such impact is a key predictor of mental health service receipt. In addition, we examined the relative impact of preschool anxiety compared to that of oth ... Full text Link to item Cite

Questionnaire simplification for fast risk analysis of children's mental health

Journal Article ICASSP, IEEE International Conference on Acoustics, Speech and Signal Processing - Proceedings · January 1, 2014 Early detection and treatment of psychiatric disorders on children has shown significant impact in their subsequent development and quality of life. The assessment of psychopathology in childhood is commonly carried out by performing long comprehensive int ... Full text Cite

Depressive comorbidity in preschool anxiety disorder

Journal Article Journal of Child Psychology and Psychiatry and Allied Disciplines · January 1, 2014 Background: The threshold for clinical relevance of preschool anxiety has recently come under increasing scrutiny in view of large variations in prevalence estimates. We studied the impact of presence/absence of additional depressive comorbidity (symptoms ... Full text Cite

Preschool anxiety disorders in pediatric primary care: prevalence and comorbidity.

Journal Article J Am Acad Child Adolesc Psychiatry · December 2013 OBJECTIVE: We sought to establish prevalence rates and detail patterns of comorbidity for generalized anxiety disorder, separation anxiety disorder, and social phobia in preschool-aged children. METHOD: The Duke Preschool Anxiety Study, a screen-stratified ... Full text Link to item Cite

Prevalence, comorbidity, and correlates of DSM-5 proposed disruptive mood dysregulation disorder.

Journal Article Am J Psychiatry · February 2013 OBJECTIVE: No empirical studies on the DSM-5 proposed disruptive mood dysregulation disorder have yet been published. This study estimated prevalence, comorbidity, and correlates of this proposed disorder in the community. METHOD: Prevalence rates were est ... Full text Link to item Cite

Prevalence of psychiatric disorders in preschoolers.

Journal Article J Child Psychol Psychiatry · June 2012 BACKGROUND:   Many disorders in childhood and adolescence were already present in the preschool years. However, there is little empirical research on the prevalence of psychiatric disorders in young children. A true community study using structured diagnos ... Full text Link to item Cite

Epidemiology of psychiatric disorders in very young children in a Romanian pediatric setting.

Journal Article Eur Child Adolesc Psychiatry · October 2011 A growing literature demonstrates that early clinical intervention can reduce risks of adverse psychosocial outcomes. A first step necessary for developing early intervention services is to know the prevalence of clinical disorders, especially in systems t ... Full text Link to item Cite

The NIMH Child Emotional Faces Picture Set (NIMH-ChEFS): a new set of children's facial emotion stimuli.

Journal Article Int J Methods Psychiatr Res · September 2011 With the emergence of new technologies, there has been an explosion of basic and clinical research on the affective and cognitive neuroscience of face processing and emotion perception. Adult emotional face stimuli are commonly used in these studies. For d ... Full text Link to item Cite

Structural connectivity of the frontal lobe in children with drug-resistant partial epilepsy.

Journal Article Epilepsy Behav · May 2011 The superior longitudinal fasciculus (SLF) II and cingulum are two white matter tracts important for attention and other frontal lobe functions. These functions are often disturbed in children with drug-resistant (DR) partial epilepsy, even when no abnorma ... Full text Link to item Cite

Validity of evidence-derived criteria for reactive attachment disorder: indiscriminately social/disinhibited and emotionally withdrawn/inhibited types.

Journal Article J Am Acad Child Adolesc Psychiatry · March 2011 OBJECTIVE: This study examined the validity of criteria for indiscriminately social/disinhibited and emotionally withdrawn/inhibited reactive attachment disorder (RAD). METHOD: As part of a longitudinal intervention trial of previously institutionalized ch ... Full text Link to item Cite

The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity

Chapter · January 1, 2011 In this chapter we review the prevalence and comorbidity of anxiety disorders in general, and where possible the specifics of separation anxiety disorder (SAD), generalized anxiety disorder (GAD), specific phobias, panic, social phobia, and panic disorder. ... Full text Cite

Developmentally sensitive diagnostic criteria for mental health disorders in early childhood: the diagnostic and statistical manual of mental disorders-IV, the research diagnostic criteria-preschool age, and the diagnostic classification of mental health and developmental disorders of infancy and early childhood-revised.

Journal Article Am Psychol · 2011 As the infant mental health field has turned its focus to the presentation, course, and treatment of clinically significant mental health disorders, the need for reliable and valid criteria for identifying and assessing mental health symptoms and disorders ... Full text Link to item Cite

Longitudinal dimensionality of adolescent psychopathology: testing the differentiation hypothesis.

Journal Article J Child Psychol Psychiatry · August 2010 BACKGROUND: The differentiation hypothesis posits that the underlying liability distribution for psychopathology is of low dimensionality in young children, inflating diagnostic comorbidity rates, but increases in dimensionality with age as latent syndrome ... Full text Link to item Cite

Modification of depression by COMT val158met polymorphism in children exposed to early severe psychosocial deprivation.

Journal Article Child Abuse Negl · June 2010 OBJECTIVE: To examine the impact of the catechol-O-methyltransferase (COMT) val(158)met allele on depressive symptoms in young children exposed to early severe social deprivation as a result of being raised in institutions. METHODS: One hundred thirty six ... Full text Link to item Cite

A perilous disconnect: antipsychotic drug use in very young children.

Journal Article J Am Acad Child Adolesc Psychiatry · January 2010 Link to item Cite

Institutional rearing and psychiatric disorders in Romanian preschool children.

Journal Article Am J Psychiatry · July 2009 OBJECTIVE: There is increasing interest in the relations between adverse early experiences and subsequent psychiatric disorders. Institutional rearing is considered an adverse caregiving environment, but few studies have systematically examined its effects ... Full text Link to item Cite

Psychiatric assessment of young children.

Journal Article Child Adolesc Psychiatr Clin N Am · July 2009 In this article, the author reviews the characteristics of developmentally appropriate criteria for the identification of early childhood mental health symptoms and disorders and the key components of a comprehensive, empirically based, psychiatric assessm ... Full text Link to item Cite

Schedule for affective disorders and schizophrenia for school-age children (K-SADS-PL) for the assessment of preschool children--a preliminary psychometric study.

Journal Article J Psychiatr Res · April 2009 OBJECTIVE: To assess the psychometrics of the schedule for affective disorders and schizophrenia for school-age children present and lifetime version (K-SADS-PL) in diagnosing DSM-IV psychiatric disorders and subsyndromal symptomatology in preschool childr ... Full text Link to item Cite

An Annotated Bibliography of Evidence for Diagnostic-Specific Psychosocial and Psychopharmacological Interventions

Chapter · January 1, 2009 This chapter presents the evidence base for clinic and school-based interventions for four common childhood disorders or related symptom patterns: attention-deficit/hyperactivity disorder (ADHD), major depressive disorder (MDD), disruptive behavior disorde ... Full text Cite

Parent-reported attention-deficit/hyperactivity disorder symptomatology and sleep problems in a preschool-age pediatric clinic sample.

Journal Article J Am Acad Child Adolesc Psychiatry · September 2008 OBJECTIVE: To examine the association between attention-deficit/hyperactivity disorder symptomatology and parent-reported sleep problems among preschoolers ages 2 to 5 years. METHOD: A total of 1,073 parents of preschoolers ages 2 to 5 years attending a la ... Full text Link to item Cite

Observational Assessment of Preschool Disruptive Behavior, Part II: validity of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS).

Journal Article J Am Acad Child Adolesc Psychiatry · June 2008 OBJECTIVE: To examine the validity of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS), a new observational method for assessing preschool disruptive behavior. METHOD: A total of 327 behaviorally heterogeneous preschoolers from low-income e ... Full text Link to item Cite

Observational Assessment of Preschool Disruptive Behavior, Part I: reliability of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS).

Journal Article J Am Acad Child Adolesc Psychiatry · June 2008 OBJECTIVE: To examine the reliability of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS), a new observational method for assessing preschool disruptive behavior. METHOD: The DB-DOS is a structured clinic-based assessment designed to elicit ... Full text Link to item Cite

What do childhood anxiety disorders predict?

Journal Article J Child Psychol Psychiatry · December 2007 BACKGROUND: Few longitudinal studies of child and adolescent psychopathology have examined the links between specific childhood anxiety disorders and adolescent psychiatric disorder. In this paper we test the predictive specificity of separation anxiety di ... Full text Link to item Cite

Psychopharmacological treatment for very young children: contexts and guidelines.

Journal Article J Am Acad Child Adolesc Psychiatry · December 2007 Systematic research and practice guidelines addressing preschool psychopharmacological treatment in very young children are limited, despite evidence of increasing clinical use of medications in this population. The Preschool Psychopharmacology Working Gro ... Full text Link to item Cite

Preschool psychopathology: lessons for the lifespan.

Journal Article J Child Psychol Psychiatry · October 2007 Full text Link to item Cite

Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology.

Journal Article J Child Psychol Psychiatry · October 2007 BACKGROUND: The appropriateness of the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) nosology for classifying preschool mental health disturbances continues to be debated. To inform this debate, we investigate whether pres ... Full text Link to item Cite

Prevalence, clinical correlates, and longitudinal course of severe mood dysregulation in children.

Journal Article Biol Psychiatry · November 1, 2006 BACKGROUND: Controversy concerning the diagnosis of pediatric bipolar disorder (BD) has focused attention on children with chronic irritability and hyperarousal. This syndrome has been called the "broad BD phenotype" or severe mood dysregulation (SMD). Thi ... Full text Link to item Cite

Test-Retest Reliability of the Preschool Age Psychiatric Assessment (PAPA).

Journal Article J Am Acad Child Adolesc Psychiatry · May 2006 OBJECTIVE: To examine the test-retest reliability of a new interviewer-based psychiatric diagnostic measure (the Preschool Age Psychiatric Assessment) for use with parents of preschoolers aged 2 to 5 years. METHOD: A total of 1,073 parents of children atte ... Full text Link to item Cite

Assessment of Childhood Depression.

Journal Article Child Adolesc Ment Health · May 2006 Depression as a disorder in childhood began to be increasingly recognised in the 1970s. Epidemiologic community and clinic-based studies have characterised the prevalence, clinical course, and complications of this illness throughout childhood and adolesce ... Full text Link to item Cite

The epidemiology and diagnostic issues in preschool attention-deficit/ hyperactivity disorder: A review

Journal Article Infants and Young Children · January 1, 2006 This study aims to review the nosology and epidemiology of attention-deficit/hyperactivity disorder (ADHD) in children aged 2 through 5 years. Studies, primarily in community or pediatric clinic settings, were reviewed. In studies using DSM diagnostic crit ... Full text Cite

Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology.

Journal Article J Child Psychol Psychiatry · 2006 We review recent research on the presentation, nosology and epidemiology of behavioral and emotional psychiatric disorders in preschool children (children ages 2 through 5 years old), focusing on the five most common groups of childhood psychiatric disorde ... Full text Link to item Cite

Pharmacological management of preschool ADHD.

Journal Article J Am Acad Child Adolesc Psychiatry · January 2006 Full text Link to item Cite

Clinique

Journal Article Devenir · December 1, 2005 Full text Cite

The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity.

Journal Article Child Adolesc Psychiatr Clin N Am · October 2005 This article argues that the quality of diagnostic tools used to measure anxiety disorders in children and adolescents has improved enormously in the past few years. As a result, prevalence estimates are less erratic, understanding of comorbidity is increa ... Full text Link to item Cite

10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden.

Journal Article J Am Acad Child Adolesc Psychiatry · October 2005 OBJECTIVE: To review recent progress in child and adolescent psychiatric epidemiology in the area of prevalence and burden. METHOD: The literature published in the past decade was reviewed under two headings: methods and findings. RESULTS: Methods for asse ... Full text Link to item Cite

Defining the "disruptive" in preschool behavior: what diagnostic observation can teach us.

Journal Article Clin Child Fam Psychol Rev · September 2005 This paper presents the clinical/developmental framework underlying a new diagnostic observational tool, the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS). The special importance of observation for clinical assessment during the preschool pe ... Full text Link to item Cite

Genetic and environmental influences on temperament in the first year of life: the Puerto Rico Infant Twin Study (PRINTS).

Journal Article Twin Res Hum Genet · August 2005 Three dimensions of temperament -- difficult temperament, unadaptablility and unsociability -- were assessed in the first year of life by maternal interview in twins born in Puerto Rico during 2001 and 2002. Eight hundred and sixty-five eligible mothers (8 ... Full text Link to item Cite

Using and teaching evidence-based medicine: the Duke University child and adolescent psychiatry model.

Journal Article Child Adolesc Psychiatr Clin N Am · April 2005 Evidence-based medicine (EBM) is defined as a set of processes that facilitate the conscientious, explicit, and judicious integration of individual clinical expertise with the best available external clinical evidence from systematic research in making dec ... Full text Link to item Cite

School refusal and psychiatric disorders: a community study.

Journal Article J Am Acad Child Adolesc Psychiatry · July 2003 OBJECTIVE: To examine the association between anxious school refusal and truancy and psychiatric disorders in a community sample of children and adolescents using a descriptive rather than etiological definition of school refusal. METHOD: Data from eight a ... Full text Link to item Cite

Review of the evidence base for treatment of childhood psychopathology: internalizing disorders.

Journal Article J Consult Clin Psychol · December 2002 This article reviews the empirical literature on psychosocial, psychopharmacological, and adjunctive treatments for children between the ages of 6 and 12 with internalizing disorders. The aim of this review was to identify interventions that have potential ... Full text Link to item Cite

Stimulant treatment for children: a community perspective.

Journal Article J Am Acad Child Adolesc Psychiatry · August 2000 OBJECTIVE: To examine the use of prescribed stimulants in relation to research diagnoses of attention-deficit hyperactivity disorder (ADHD) in a community sample of children. METHOD: Data from 4 annual waves of interviews with 9- to 16-year-olds from the G ... Full text Link to item Cite

Somatic complaints and psychopathology in children and adolescents: stomach aches, musculoskeletal pains, and headaches.

Journal Article J Am Acad Child Adolesc Psychiatry · July 1999 OBJECTIVE: To examine the associations of somatic complaints with DSM-III-R-defined depression, anxiety disorders, conduct disorder, oppositional defiant disorder, and attention-deficit hyperactivity disorder in a population-based sample of children and ad ... Full text Link to item Cite

Whither psychiatric diagnosis.

Journal Article Aust N Z J Psychiatry · April 1999 OBJECTIVE: The aim of this paper is to describe the development of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), its purposes and limitations, and the psychiatric nosologies which may emerge from advances in psychiatri ... Full text Link to item Cite

Headaches and psychopathology in children and adolescents.

Journal Article J Am Acad Child Adolesc Psychiatry · September 1998 OBJECTIVE: To examine the association between chronic headaches and DSM-III-R-defined psychiatric disorders, including depression, anxiety disorders, conduct disorder, oppositional defiant disorder and attention-deficit hyperactivity disorder, in a populat ... Full text Link to item Cite

Reflections on stillness: mothers' reactions to the still-face situation.

Journal Article J Am Acad Child Adolesc Psychiatry · January 1991 The still-face procedure, in which mothers maintain a neutral face and are noninteractive with their infants, has been used to study the effects of maternal withdrawal on the mother-infant interaction. In this study, 56 mothers' reactions to their own expe ... Full text Link to item Cite