Tag Archives: Kids Health

University of Wisconsin – Madison study: Gender differences in depression appear at age 12

30 Apr

Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.
http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

It is important to diagnose and intervene early when an individual exhibits signs of depression.

Science Daily reported in Gender differences in depression appear at age 12:

An analysis just published online has broken new ground by finding gender differences in both symptoms and diagnoses of depression appearing at age 12.
The analysis, based on existing studies that looked at more than 3.5 million people in more than 90 countries, confirmed that depression affects far more females than males.
The study, published by the journal Psychological Bulletin, should convince doubters that depression largely, but not entirely, affects females, says co-author Janet Hyde, a professor of psychology and gender and women’s studies at the University of Wisconsin-Madison.
“We found that twice as many women as men were affected. Although this has been known for a couple of decades, it was based on evidence far less compelling than what we used in this meta-analysis. We want to stress that although twice as many women are affected, we don’t want to stereotype this as a women’s disorder. One-third of those affected are men.”
The gender gap was evident in the earliest data studied by co-authors Hyde; Rachel Salk, now a postdoctoral fellow in psychiatry at the University of Pittsburgh School of Medicine; and Lyn Abramson, a professor of psychology at UW-Madison. “The gap was already present at age 12, which is earlier than previous studies have found,” says Hyde. We used to think that the gender difference emerged at 13 to 15 years but the better data we examined has pushed that down to age 12.”
The gender difference tapers off somewhat after adolescence, “which has never been identified, but the depression rate is still close to twice as high for women,” Hyde says.
Puberty, which occurs around age 12 in girls, could explain the onset, Hyde says. “Hormonal changes may have something to do with it, but it’s also true that the social environment changes for girls at that age. As they develop in puberty, they face more sexual harassment, but we can’t tell which of these might be responsible.”
Although the data did not cover people younger than 12, “there are processes going on at 11 or 12 that are worth thinking about, and that matters in terms of intervening,” Hyde says. “We need to start before age 12 if we want to prevent girls from sliding into depression. Depression is often quite treatable. People don’t have to suffer and face increased risk for the many related health problems.”
The results described averages across the nations covered in the study, Hyde says, but similar results emerged from the studies focusing on the United States….. https://www.sciencedaily.com/releases/2017/04/170427130629.htm

Citation:

Gender differences in depression appear at age 12
Date: April 27, 2017
Source: University of Wisconsin-Madison
Summary:
A new analysis has broken new ground by finding gender differences in both symptoms and diagnoses of depression appearing at age 12.
Journal Reference:
1. Rachel H. Salk, Janet S. Hyde, Lyn Y. Abramson. Gender Differences in Depression in Representative National Samples: Meta-Analyses of Diagnoses and Symptoms.. Psychological Bulletin, 2017; DOI: 10.1037/bul0000102

Here is the press release from University of Wisconsin – Madison:

Analysis: Gender differences in depression appear at age 12

April 27, 2017 By David Tenenbaum
– See more at: http://news.wisc.edu/analysis-gender-differences-in-depression-appear-at-age-12/#sthash.LW4qASXy.dpuf

An analysis just published online has broken new ground by finding gender differences in both symptoms and diagnoses of depression appearing at age 12.
The analysis, based on existing studies that looked at more than 3.5 million people in more than 90 countries, confirmed that depression affects far more females than males.

The study, published by the journal Psychological Bulletin, should convince doubters that depression largely, but not entirely, affects females, says co-author Janet Hyde, a professor of psychology and gender and women’s studies at the University of Wisconsin–Madison.

“We found that twice as many women as men were affected. Although this has been known for a couple of decades, it was basd on evidence far less compelling than what we used in this meta-analysis. We want to stress that although twice as many women are affected, we don’t want to stereotype this as a women’s disorder. One-third of those affected are men.”

The gender gap was evident in the earliest data studied by co-authors Hyde; Rachel Salk, now a postdoctoral fellow in psychiatry at the University of Pittsburgh School of Medicine; and Lyn Abramson, a professor of psychology at UW–Madison. “The gap was already present at age 12, which is earlier than previous studies have found,” says Hyde. We used to think that the gender difference emerged at 13 to 15 years but the better data we examined has pushed that down to age 12.”

The gender difference tapers off somewhat after adolescence, “which has never been identified, but the depression rate is still close to twice as high for women,” Hyde says.

Puberty, which occurs around age 12 in girls, could explain the onset, Hyde says. “Hormonal changes may have something to do with it, but it’s also true that the social environment changes for girls at that age. As they develop in puberty, they face more sexual harassment, but we can’t tell which of these might be responsible.”
Although the data did not cover people younger than 12, “there are processes going on at 11 or 12 that are worth thinking about, and that matters in terms of intervening,” Hyde says. “We need to start before age 12 if we want to prevent girls from sliding into depression. Depression is often quite treatable. People don’t have to suffer and face increased risk for the many related health problems.”
The results described averages across the nations covered in the study, Hyde says, but similar results emerged from the studies focusing on the United States.
The UW–Madison researchers looked at both diagnoses of major depression, and at symptom measure of depression, Hyde says. “Symptoms are based on self-reported measures — for example, ‘I feel blue most of the time’ — that do not necessarily meet the standard for a diagnosis of major depression. To meet the criteria for major depression, the condition must be evaluated much more rigorously.”
The researchers looked at the relationship between depression and gender equity in income. Surprisingly, nations with greater gender equity had larger gender differences — meaning women were disproportionately diagnosed with major depression. “This was something of the opposite of what was expected,” says Hyde. “It may occur because, in more gender-equitable nations, women have more contact with men, and therefore compare themselves to men, who don’t express feelings of depression because it doesn’t fit with the masculine role.”

Curiously, no relationship in either direction appeared for depression symptoms.
Despite the prevalence of and growing concern about depression, “this was the first meta-analysis on gender differences in depression,” Hyde says. “For a long while, I wondered why nobody had done this, but once I got into it, I realized it’s because there is too much data, and nobody had the courage to plow through it all. We did, and it took two years.”
– See more at: http://news.wisc.edu/analysis-gender-differences-in-depression-appear-at-age-12/#sthash.LW4qASXy.dpuf

See, School psychologists are needed to treat troubled children https://drwilda.com/2012/02/27/school-psychologists-are-needed-to-treat-troubled-children/
Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

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Tulane University study: Don’t want to raise a psychopath? Be sensitive to a child’s distress

9 Dec

Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

Jyoti Madhusoodanan and Nature magazine reported in the Scientific American article, Stress Alters Children’s Genomes:

Growing up in a stressful social environment leaves lasting marks on young chromosomes, a study of African American boys has revealed. Telomeres, repetitive DNA sequences that protect the ends of chromosomes from fraying over time, are shorter in children from poor and unstable homes than in children from more nurturing families…
http://www.scientificamerican.com/article/stress-alters-childrens-genomes/?WT.mc_id=SA_Facebook

Not only are the child’s gene’s altered, but there are behavioral indications of the stress being felt by the child.

Science Daily reported in Don’t want to raise a psychopath? Be sensitive to a child’s distress:

How do you stop a child, especially one who has experienced significant adversity, from growing up to be a psychopath? Responsive, empathetic caregiving — especially when children are in distress — helps prevent boys from becoming callous, unemotional adolescents, according to a new Tulane University study of children raised in foster care.

The research, which was published in the Journal of the American Academy of Child and Adolescent Psychiatry, is the first to show that an intervention can prevent the precursors to psychopathy. The destructive condition affects approximately 1 percent of the population and is characterized by callous interpersonal interactions and lack of guilt or empathy.

Researchers measured levels of callous-unemotional behavior in 12-year-olds from the Bucharest Early Intervention Project, a cohort of children abandoned in Romanian orphanages in the early 2000s and followed longitudinally ever since. Half of these children were placed in high-quality foster care as toddlers, while others grew up in institutional care. Researchers compared their results with children who had never been orphans. The study is led by Dr. Charles H. Zeanah from Tulane, Nathan A. Fox from the University of Maryland, and Charles A. Nelson from Harvard Medical School.

Overall, children reared in orphanages had significantly higher levels of callous-unemotional traits compared to children who had never been institutionalized. Boys placed in foster care had lower levels of callous-unemotional traits than those who did not receive the intervention. What explained the difference? Researchers observed children with their caregivers as toddlers and found that the more sensitive caregivers were to a young child’s distress, the less callous and more empathic the boys were in adolescence.

Lead author Kathryn Humphreys, a who conducted the study as a postdoctoral fellow in infant mental health at Tulane, says the findings can help child welfare advocates target and support specific caregiver behaviors when reaching out to families.

“If we can intervene early to help kids in their development, it not only helps them but also the broader society,” she says. “The best way to do that is making sure children are placed in homes with responsive caregivers and helping caregivers learn to be more responsive to their child’s needs.” Don’t want to raise a psychopath? Be sensitive to a child’s distress: New study is the first to show that an intervention can prevent the precursors to psychopathy

Citation

Don’t want to raise a psychopath? Be sensitive to a child’s distress  New study is the first to show that an intervention can prevent the precursors to psychopathy

Date:        December 3, 2015

Source:   Tulane University

Summary:

How do you stop a child, especially one who has experienced significant adversity, from growing up to be a psychopath? Responsive, empathetic caregiving — especially when children are in distress — helps prevent boys from becoming callous, unemotional adolescents, according to a new study of children raised in foster care.

Journal Reference:

  1. Kathryn L. Humphreys, Lucy McGoron, Margaret A. Sheridan, Katie A. McLaughlin, Nathan A. Fox, Charles A. Nelson, Charles H. Zeanah. High-Quality Foster Care Mitigates Callous-Unemotional Traits Following Early Deprivation in Boys: A Randomized Controlled Trial. Journal of the American Academy of Child & Adolescent Psychiatry, 2015; 54 (12): 977 DOI: 10.1016/j.jaac.2015.09.010

Here is the press release from Tulane University:

Don’t want to raise a psychopath? Be sensitive to a child’s distress

December 3, 2015

Keith Brannon
Phone: 504-862-8789
kbrannon@tulane.edu

How do you stop a child, especially one who has experienced significant adversity, from growing up to be a psychopath? Responsive, empathetic caregiving – especially when children are in distress – helps prevent boys from becoming callous, unemotional adolescents, according to a new Tulane University study of children raised in foster care.

The research, which was published in the Journal of the American Academy of Child and Adolescent Psychiatry, is the first to show that an intervention can prevent the precursors to psychopathy.

Researchers measured levels of callous-unemotional behavior in 12-year-olds from the Bucharest Early Intervention Project, a cohort of children abandoned in Romanian orphanages in the early 2000s and followed longitudinally ever since. Half of these children were placed in high-quality foster care as toddlers, while others grew up in institutional care. Researchers compared their results with children who had never been orphans. The study is led by Dr. Charles H. Zeanah from Tulane, Nathan A. Fox from the University of Maryland, and Charles A. Nelson from Harvard Medical School.

Overall, children reared in orphanages had significantly higher levels of callous-unemotional traits compared to children who had never been institutionalized. Boys placed in foster care had lower levels of callous-unemotional traits than those who did not receive the intervention. What explained the difference? Researchers observed children with their caregivers as toddlers and found that the more sensitive caregivers were to a young child’s distress, the less callous and more empathic the boys were in adolescence.

Lead author Kathryn Humphreys, a who conducted the study as a postdoctoral fellow in infant mental health at Tulane, says the findings can help child welfare advocates target and support specific caregiver behaviors when reaching out to families.

“If we can intervene early to help kids in their development, it not only helps them but also the broader society,” she says. “The best way to do that is making sure children are placed in homes with responsive caregivers and helping caregivers learn to be more responsive to their child’s needs.”                                                                                                    Tulane University – Don’t want to raise a psychopath? Be sensitive to a child’s distress                           http://tulane.edu/news/releases/how-to-prevent-raising-a-psychopath.cfm

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

GAO report: Children’s mental health services are lacking

https://drwilda.com/2013/01/12/gao-report-childrens-mental-health-services-are-lacking/

Schools have to deal with depressed and troubled children

https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

University of Cambridge study: Saliva test may detect depression in kids

https://drwilda.com/2014/02/23/university-of-cambridge-study-saliva-test-may-detect-depression-in-kids/

Study: Some of the effects of adverse stress do not go away

https://drwilda.com/2012/11/09/study-some-of-the-effects-of-adverse-stress-do-not-go-away/

American Psychological Association: Kids too stressed out to be healthy

https://drwilda.com/2014/02/12/american-psychological-association-kids-too-stressed-out-to-be-healthy/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©

http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©

http://drwildareviews.wordpress.com/

Dr. Wilda ©

https://drwilda.com/

 

Northwestern University School of Medicine study: Concussions and female middle school students

2 Aug

According to Michelle Healy of USA Today, 1.35 million youths a year have serious sports injuries http://www.usatoday.com/story/news/nation/2013/08/06/injuries-athletes-kids-sports/2612429/ Among those injuries are concussions. Kids Health has some great information about concussions at their site:

What Is a Concussion and What Causes It?
The brain is made of soft tissue and is cushioned by spinal fluid. It is encased in the hard, protective skull. When a person gets a head injury, the brain can move around inside the skull and even bang against it. This can lead to bruising of the brain, tearing of blood vessels, and injury to the nerves. When this happens, a person can get a concussion — a temporary loss of normal brain function.
Most people with concussions recover just fine with appropriate treatment. But it’s important to take proper steps if you suspect a concussion because it can be serious.
Concussions and other brain injuries are fairly common. About every 21 seconds, someone in the United States has a serious brain injury. One of the most common reasons people get concussions is through a sports injury. High-contact sports such as football, boxing, and hockey pose a higher risk of head injury, even with the use of protective headgear.
People can also get concussions from falls, car accidents, bike and blading mishaps, and physical violence, such as fighting. Guys are more likely to get concussions than girls. However, in certain sports, like soccer, girls have a higher potential for concussion.http://kidshealth.org/teen/safety/first_aid/concussions.html#a_What_Is_a_Concussion_and_What_Causes_It_

https://drwilda.com/2012/03/06/dont-ignore-concussions/
See, Update: Don’t ignore concussions https://drwilda.com/2012/05/20/update-dont-ignore-concussions/
More studies are pointing to the risks of girls playing contact sports.

Science Daily reported in Middle-school girls continue to play soccer with concussion symptoms:

Concussions are common among middle-school girls who play soccer, and most continue to play with symptoms, according to a study by John W. O’ Kane, M.D., of the University of Washington Sports Medicine Clinic, Seattle, and colleagues.
Sports-related concussions account for 1.6 to 3.8 million injuries in the United States annually, including about 50,000 soccer-related concussions among high school players. Injury-tracking systems for younger players are lacking so they are largely unstudied, according to the study background.
Using an email survey and interviews, the authors evaluated the frequency and duration of concussions in young female soccer players, as well as whether the injuries resulted in stopping play and seeking medical attention. Their study included 351 soccer players (ages 11 to 14 years) from soccer clubs in the Puget Sound region of Washington.
Among 351 players, there were 59 concussions with 43,742 athletic exposure hours. Concussion symptoms can include memory loss, dizziness, drowsiness, headache and nausea. Cumulative concussion incidence was 13 percent per season with an incidence of 1.2 per 1,000 athletic exposure hours. Symptoms lasted a median four days (average 9.4 days). Heading the ball accounted for 30.5 percent of concussions. Most players (58.6 percent) continued to play with symptoms, with almost half (44.1 percent) seeking medical attention, according to the results.
The authors note that the rate of 1.3 concussions per 1,000 athletic exposure hours was higher than what has been reported in other studies of girls soccer at the high school and college levels…. http://www.sciencedaily.com/releases/2014/01/140120173456.htm

Another study from Northwestern School of Medicine, Concussion and Female Middle School Athletes focuses on girls. Coaches and parents must be alert to signs of concussion. WebMD has a good description of what a concussion is and the signs of concussion http://www.webmd.com/brain/tc/traumatic-brain-injury-concussion-overview

Citation:

From The JAMA Network | August 01, 2014
Concussion and Female Middle School Athletes FREE ONLINE FIRST
Cynthia LaBella, MD1
[+] Author Affiliations
JAMA. Published online August 01, 2014. doi:10.1001/jama.2014.6668
Text Size: A A A
Article
References
JAMA Pediatrics
Concussion Among Female Middle-School Soccer Players
John W. O’Kane, MD; Amy Spieker, MPH; Marni R. Levy, BS; Moni Neradilek, MS; Nayak L. Polissar, PhD; Melissa A. Schiff, MD, MPH
Importance Despite recent increased awareness about sports concussions, little research has evaluated concussions among middle-school athletes.
Objectives To evaluate the frequency and duration of concussions in female youth soccer players and to determine if concussions result in stopping play and seeking medical care.
Design, Setting, and Participants Prospective cohort study from March 2008 through May 2012 among 4 soccer clubs from the Puget Sound region of Washington State, involving 351 elite female soccer players, aged 11 to 14 years, from 33 randomly selected youth soccer teams. Of the players contacted, 83.1% participated and 92.4% completed the study.
Main Outcomes and Measures Concussion cumulative incidence, incidence rate, and description of the number, type, and duration of symptoms. We inquired weekly about concussion symptoms and, if present, the symptom type and duration, the event resulting in symptom onset, and whether the player sought medical attention or played while symptomatic.
Results Among the 351 soccer players, there were 59 concussions with 43 742 athletic exposure hours. Cumulative concussion incidence was 13.0% per season, and the incidence rate was 1.2 per 1000 athletic exposure hours (95% CI, 0.9-1.6). Symptoms lasted a median of 4.0 days (mean, 9.4 days). Heading the ball accounted for 30.5% of concussions. Players with the following symptoms had a longer recover time than players without these symptoms: light sensitivity (16.0 vs 3.0 days, P = .001), emotional lability (15.0 vs 3.5 days, P = .002), noise sensitivity (12.0 vs 3.0 days, P = .004), memory loss (9.0 vs 4.0 days, P = .04), nausea (9.0 vs 3.0 days, P = .02), and concentration problems (7.0 vs 2.0 days, P = .02). Most players (58.6%) continued to play with symptoms, with almost half (44.1%) seeking medical attention.
Conclusions and Relevance Concussion rates in young female soccer players are greater than those reported in older age groups, and most of those concussed report playing with symptoms. Heading the ball is a frequent precipitating event. Awareness of recommendations to not play and seek medical attention is lacking for this age group.
JAMA Pediatr. 2014;168(3):258-264. doi:10.1001/jamapediatrics.2013.4518.

Parents must be alert to what is happening with the children when they participate in athletic events and activities.

Resources:

Concussions http://kidshealth.org/teen/safety/first_aid/concussions.html#a_What_Is_a_Concussion_and_What_Causes_It_

Concussion http://www.emedicinehealth.com/concussion/article_em.htm

Concussion – Overview http://www.webmd.com/brain/tc/traumatic-brain-injury-concussion-overview

Related :

Study: Effects of a concussion linger for months https://drwilda.com/2012/12/13/study-effects-of-a-concussion-linger-for-months/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Canadian study: Teens who have suffered a concussion at higher risk for bullying and suicide

16 Apr

Kids Health has some great information about concussions at their site:

What Is a Concussion and What Causes It?
The brain is made of soft tissue and is cushioned by spinal fluid. It is encased in the hard, protective skull. When a person gets a head injury, the brain can move around inside the skull and even bang against it. This can lead to bruising of the brain, tearing of blood vessels, and injury to the nerves. When this happens, a person can get a concussion — a temporary loss of normal brain function.
Most people with concussions recover just fine with appropriate treatment. But it’s important to take proper steps if you suspect a concussion because it can be serious.
Concussions and other brain injuries are fairly common. About every 21 seconds, someone in the United States has a serious brain injury. One of the most common reasons people get concussions is through a sports injury. High-contact sports such as football, boxing, and hockey pose a higher risk of head injury, even with the use of protective headgear.
People can also get concussions from falls, car accidents, bike and blading mishaps, and physical violence, such as fighting. Guys are more likely to get concussions than girls. However, in certain sports, like soccer, girls have a higher potential for concussion.
http://kidshealth.org/teen/safety/first_aid/concussions.html#a_What_Is_a_Concussion_and_What_Causes_It_
https://drwilda.com/2012/03/06/dont-ignore-concussions/
See, Update: Don’t ignore concussions https://drwilda.com/2012/05/20/update-dont-ignore-concussions/

Bryan Toporek reported in the Education Week article, Once-Concussed Teenagers Found to Be at Higher Risk for Bullying, Suicide:

Teenagers who have suffered a traumatic brain injury such as a concussion are twice as likely to be bullied and roughly three times as likely to attempt suicide compared to those who haven’t, according to a new study published online today in the open-access journal PLOS ONE.
The study drew upon data from the 2011 Ontario Student Drug Use and Health Survey, which contains responses from nearly 9,300 students between grades 7 and 12 in 181 publicly funded schools across Ontario. Questions about traumatic brain injuries were added to the OSDUHS for the first time in 2011 and were answered by a subsample of 4,816 students.
The teenagers were asked whether they had ever suffered a head injury that resulted in them being unconscious for at least five minutes or required at least one night’s stay in a hospital. Just under 20 percent of the students involved in the study had suffered at least one head injury that met either of those qualifications….
http://blogs.edweek.org/edweek/schooled_in_sports/2014/04/once-concussed_teenagers_found_to_be_at_higher_risk_for_bullying_suicide.html

Citation:

Research Article
Suicidality, Bullying and Other Conduct and Mental Health Correlates of Traumatic Brain Injury in Adolescents
Gabriela Ilie mail,
Robert E. Mann,
Angela Boak,
Edward M. Adlaf,
Hayley Hamilton,
Mark Asbridge,
Jürgen Rehm,
Michael D. Cusimano
Published: April 15, 2014
•DOI: 10.1371/journal.pone.0094936

Objective
Our knowledge on the adverse correlates of traumatic brain injuries (TBI), including non-hospitalized cases, among adolescents is limited to case studies. We report lifetime TBI and adverse mental health and conduct behaviours associated with TBI among adolescents from a population-based sample in Ontario.
Method and Findings
Data were derived from 4,685 surveys administered to adolescents in grades 7 through 12 as part of the 2011 population-based cross-sectional Ontario Student Drug Use and Health Survey (OSDUHS). Lifetime TBI was defined as head injury that resulted in being unconscious for at least 5 minutes or being retained in the hospital for at least one night, and was reported by 19.5% (95%CI:17.3,21.9) of students. When holding constant sex, grade, and complex sample design, students with TBI had significantly greater odds of reporting elevated psychological distress (AOR = 1.52), attempting suicide (AOR = 3.39), seeking counselling through a crisis help-line (AOR = 2.10), and being prescribed medication for anxiety, depression, or both (AOR = 2.45). Moreover, students with TBI had higher odds of being victimized through bullying at school (AOR = 1.70), being cyber-bullied (AOR = 2.05), and being threatened with a weapon at school (AOR = 2.90), compared with students who did not report TBI. Students with TBI also had higher odds of victimizing others and engaging in numerous violent as well as nonviolent conduct behaviours.
Conclusions
Significant associations between TBI and adverse internalizing and externalizing behaviours were found in this large population-based study of adolescents. Those who reported lifetime TBI were at a high risk for experiencing mental and physical health harms in the past year than peers who never had a head injury. Primary physicians should be vigilant and screen for potential mental heath and behavioural harms in adolescent patients with TBI. Efforts to prevent TBI during adolescence and intervene at an early stage may reduce injuries and comorbid problems in this age group…. http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0094936
Here is the press release from St. Michael’s Hospital:
Teenagers who have had a concussion also have higher rates of suicide attempts, being bullied and high-risk behavior, study finds
Toronto, April 15, 2014
Teenagers who have suffered a traumatic brain injury such as a concussion are at “significantly greater odds” of attempting suicide, being bullied and engaging in a variety of high risk behaviours, a new study has found.
They are also more likely to become bullies themselves, to have sought counselling through a crisis help-line or to have been prescribed medication for anxiety, depression or both, said Dr. Gabriela Ilie, lead author of the study and a post-doctoral fellow at St. Michael’s Hospital.
They have higher odds of damaging property, breaking and entering, taking a car without permission, selling marijuana or hashish, running away from home, setting a fire, getting into a fight at school or carrying or being threatened by a weapon, she said in a paper published today in the journal PLOS ONE.
Dr. Ilie said the study provides the first population-based evidence demonstrating the extent of the association between TBI and poor mental health outcomes among adolescents.
“These results show that preventable brain injuries and mental health and behavioural problems among teens continue to remain a blind spot in our culture,” Dr. Ilie said. “These kids are falling through the cracks.”
The data used in the study was from the 2011 Ontario Student Drug Use and Health Survey developed by the Centre for Addiction and Mental Health. The survey, one of the longest ongoing school surveys in the world, contains responses from almost 9,000 students from Grades 7-12 in publicly funded schools across Ontario. The OSDUHS began as a drug use survey, but is now a broader study of adolescent health and well-being. Questions about traumatic brain injury were added to the survey for the first time in 2011.
“We know from a previous study based on OSDUHS data that as many as 20 per cent of adolescents in Ontario said they have experienced a traumatic brain injury in their lifetime,” said Dr. Robert Mann, senior scientist at CAMH and director of the OSDUHS. “The relationship between TBI and mental health issues is concerning and calls for greater focus on prevention and further research on this issue.”
Dr. Ilie said the teenage years are already a turbulent time for some, as they try to figure out who they are and what they want to be. Since a TBI can exacerbate mental health and behavioural issues, she said primary physicians, schools, parents and coaches need to be vigilant in monitoring adolescents with TBI.
In addition, she said many TBI experienced by youth occur during sports and recreational pursuits, and are largely preventable through use of helmets and the elimination of body checking in hockey.
The study found that adolescents who had suffered a TBI sometime in their life had twice the odds of being bullied at school or via the Internet and almost three times the odds of attempting suicide or being threatened at school with a weapon compared to those without a TBI.
This research was funded by a Canadian Institute of Health Research Team Grant in Traumatic Brain Injury and Violence and by the Ontario Neurotrauma Foundation. Additional funding was obtained from a grant from AUTO21, a member of the Networks of Centres of Excellence program that is administered and funded by the Natural Sciences and Engineering Research Council, the Social Sciences and Humanities Research Council, in partnership with Industry Canada, and ongoing funding support from the Ontario Ministry of Health and Long-Term Care.
About St. Michael’s Hospital
St. Michael’s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future health care professionals in 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael’s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.
Media contacts
For more information, or to arrange an interview with Dr. Sievenpiper, contact:
Leslie Shepherd
Manager, Media Strategy
416-864-6094
shepherdl@smh.ca
About CAMH
The Centre for Addiction and Mental Health (CAMH) is Canada’s largest mental health and addiction teaching hospital, as well as one of the world’s leading research centres in its field. CAMH combines clinical care, research, education, policy development and health promotion to help transform the lives of people affected by mental health and addiction issues. CAMH is fully affiliated with the University of Toronto, and is a Pan American Health Organization/World Health Organization Collaborating Centre. For more information, please visit http://www.camh.ca.
For more information on OSDUHS or to interview Dr. Mann, please contact:
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http://www.camh.ca

The Sports Concussion Institute has some great information about concussions http://www.concussiontreatment.com/concussionfacts.html

People must take concussions very seriously.

Resources:

Concussions
http://kidshealth.org/teen/safety/first_aid/concussions.html#a_What_Is_a_Concussion_and_What_Causes_It_

Concussion http://www.emedicinehealth.com/concussion/article_em.htm

Concussion – Overview http://www.webmd.com/brain/tc/traumatic-brain-injury-concussion-overview

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

University of California, San Francisco study identifies most common reasons for children’s mental health hospitalizations

23 Mar

Moi wrote about troubled children in Schools have to deal with depressed and troubled children: Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.
Schools are developing strategies to deal with troubled kids…. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

One strategy in helping children to succeed is to recognize and treat depression.

How Common Is Depression In Children?

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical, cognitive, emotional/affective, and motivational well-being, no matter their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in self-destructive ways and/or have a sense of hopelessness.
Prevalence and Risk Factors
While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:
* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression http://www.healthyplace.com/depression/children/recognizing-symptoms-of-depression-in-teens-and-children/

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression.

How to Recognize Depression In Your Child?

MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.
Signs and symptoms of depression in children include:

* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite — either increased or decreased
* Changes in sleep — sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to
treatment
* Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests
* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide
Not all children have all of these symptoms. In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol,
especially if they are over the age of 12. http://www.onhealth.com/depression_in_children/article.htm

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Science Daily reported in the article, Study identifies most common, costly reasons for mental health hospitalizations for kids:

Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis led by UCSF Benioff Children’s Hospital.
The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
“This is the first paper to give a clear picture of the mental health reasons kids are admitted to hospitals nationally,” said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children’s Hospital and lead author. “Mental health hospitalizations have been increasing in kids, up 24% from 2007-2010. Mental health is a priority topic for national quality measures, which are intended to help improve care for all kids.”
The study will be published in the April issue of the journal Pediatrics.
More than 14 million children and adolescents in the United States have a diagnosable mental health disorder, yet little is known about which specific mental health diagnoses are causing children to be hospitalized. In the study, researchers found that depression, bipolar disorder and psychosis are the most common and expensive primary diagnoses for pediatric admissions.
“We now know through our analysis of cost and frequency which diagnoses are the most relevant,” said Bardach. “Next, we need to define what the optimal care is for children with these conditions so that hospitals can consistently deliver the best care for every child, every time.”
Using two national databases — Kids’ Inpatient Database and Pediatric Health Information System — the researchers looked at all hospital discharges in 2009 for patients aged three to 20 years old to determine the frequency of hospitalizations for primary mental health diagnoses. They compared the mental health hospitalizations between free-standing children’s hospitals and hospitals that treat both adults and children, to assess if there was a difference in frequency of diagnoses.
The study found that hospitalizations for children with primary mental health diagnoses were more than three times more frequent at general hospitals than free standing children’s hospitals, which the researchers say could indicate that general hospitals have a greater capacity to deliver inpatient psychiatric care than free-standing children’s hospitals…. http://www.sciencedaily.com/releases/2014/03/140317084531.htm

Citation:

Study identifies most common, costly reasons for mental health hospitalization

Date: March 17, 2014

Source: University of California, San Francisco

Summary:
Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis. The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
Journal Reference:
1.Naomi S. Bardach, Tumaini R. Coker, Bonnie T. Zima, J. Michael Murphy, Penelope Knapp, Laura P. Richardson, Glenace Edwall, and Rita Mangione-Smith. Common and Costly Hospitalizations for Pediatric Mental Health Disorders. Pediatrics, March 2014 DOI: 10.1542/peds.2013-3165

Here is the press release from the University of San Francisco:

Study Identifies Most Common, Costly Reasons for Mental Health Hospitalizations for Kids
By Juliana Bunim on March 13, 2014
Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis led by UCSF Benioff Children’s Hospital.
The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
“This is the first paper to give a clear picture of the mental health reasons kids are admitted to hospitals nationally,” said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children’s Hospital and lead author. “Mental health hospitalizations have been increasing in kids, up 24% from 2007-2010. Mental health is a priority topic for national quality measures, which are intended to help improve care for all kids.”
The study will be published in the April issue of the journal Pediatrics.
More than 4 million children and adolescents in the United States have a diagnosable mental health disorder, yet little is known about which specific mental health diagnoses are causing children to be hospitalized. In the study, researchers found that depression, bipolar disorder and psychosis are the most common and expensive primary diagnoses for pediatric admissions.
“We now know through our analysis of cost and frequency which diagnoses are the most relevant,” said Bardach. “Next, we need to define what the optimal care is for children with these conditions so that hospitals can consistently deliver the best care for every child, every time.”
Using two national databases – Kids’ Inpatient Database and Pediatric Health Information System – the researchers looked at all hospital discharges in 2009 for patients aged three to 20 years old to determine the frequency of hospitalizations for primary mental health diagnoses. They compared the mental health hospitalizations between free-standing children’s hospitals and hospitals that treat both adults and children, to assess if there was a difference in frequency of diagnoses.
The study found that hospitalizations for children with primary mental health diagnoses were more than three times more frequent at general hospitals than free standing children’s hospitals, which the researchers say could indicate that general hospitals have a greater capacity to deliver inpatient psychiatric care than free-standing children’s hospitals.
At both kinds of hospitals, the most common mental health diagnoses were similar (depression, bipolar disorder, and psychosis), which the researchers say supports the creation of diagnosis-specific quality measures for all hospitals that admit children.
Depression accounted for 44.1 percent of all pediatric primary mental health admissions, with charges of $1.33 billion dollars, based on the billing databases used in the study. Bipolar was the second most common diagnosis accounting for 18.1 percent and $702 million, followed by psychosis at 12.1 percent and $540 million.
“These are costly hospitalizations, and being hospitalized is a heavy burden for families and patients. Prevention and wellness is a huge part of the Affordable Care Act, along with controlling costs by delivering great care,” said Bardach. “This study helps us understand that mental health is a key priority. The long term goal is not only to improve hospital care for these kids, but also to understand how to effectively optimize mental health resources in the outpatient world.”
Co-authors include Tumaini Coker, MD, MBA and Bonnie Zima, MD, MPH, both of UCLA; J. Michael Murphy, EdD, Massachusetts General Hospital Boston; Penelope Knapp, MD, UC Davis; Laura Richardson, MD, MPH and Rita Mangione-Smith, MD, MPH, both of the University of Washington School of Medicine, Seattle; and Glenace Edwall, PsyD, PhD, MPP, Minnesota State Health Access Data Assistance Center.
The study was supported by the Agency for Healthcare Research and Quality and the National Institute for Children’s Health and Human Development.
UCSF Benioff Children’s Hospital creates an environment where children and their families find compassionate care at the forefront of scientific discovery, with more than 150 experts in 50 medical specialties serving patients throughout Northern California and beyond. The hospital admits about 5,000 children each year, including 2,000 babies born in the hospital.

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

GAO report: Children’s mental health services are lacking
https://drwilda.com/2013/01/12/gao-report-childrens-mental-health-services-are-lacking/

Schools have to deal with depressed and troubled children:
https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Yale University study: Left-handed people more likely to have psychotic disorders such as schizophrenia

3 Nov

Science Daily reported in the article, Lefties More Likely to Have Psychotic Disorders Such as Schizophrenia:

Being left-handed has been linked to many mental disorders, but Yale researcher Jadon Webb and his colleagues have found that among those with mental illnesses, people with psychotic disorders like schizophrenia are much more likely to be left-handed than those with mood disorders like depression or bipolar syndrome. 1 The new study is published in the October-December 2013 issue of the journal SAGE Open. About 10% of the U.S. population is left-handed. When comparing all patients with mental disorders, the research team found that 11% of those diagnosed with mood disorders such as depression and bipolar disorder are left-handed, which is similar to the rate in the general population. But according to Webb, a child and adolescent psychiatry fellow at the Yale Child Study Center with a particular interest in biomarkers of psychosis, “a striking of 40% of those with schizophrenia or schizoaffective disorder are left-handed….” Webb and his colleagues studied 107 individuals from a public outpatient psychiatric clinic seeking treatment in an urban, low-income community. The research team determined the frequency of left-handedness within the group of patients identified with different types of mental disorders. The study showed that white patients with psychotic illness were more likely to be left-handed than black patients. “Even after controlling for this, however, a large difference between psychotic and mood disorder patients remained,” said Webb. What sets this study apart from other handedness research is the simplicity of the questionnaire and analysis, said Webb. Patients who were attending their usual check-ups at the mental health facility were simply asked “What hand do you write with?” “This told us much of what we needed to know in a very simple, practical way,” said Webb. “Doing a simple analysis meant that there were no obstacles to participating and we had a very high participation rate of 97%. Patients dealing with serious symptoms of psychosis might have had a harder time participating in a more complicated set of questions or tests. By keeping the survey simple, we were able to get an accurate snapshot of a hard-to-study subgroup of mentally ill people — those who are often poverty-stricken with very poor family and community support.” http://www.sciencedaily.com/releases/2013/10/131031125319.htm?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+sciencedaily+%28ScienceDaily%3A+Latest+Science+News%29

Citation:

Journal Reference:
1. J. R. Webb, M. I. Schroeder, C. Chee, D. Dial, R. Hana, H. Jefee, J. Mays, P. Molitor. Left-Handedness Among a Community Sample of Psychiatric Outpatients Suffering From Mood and Psychotic Disorders. SAGE Open, 2013; 3 (4) DOI: 10.1177/2158244013503166

Here is the Yale University press release:

By Karen N. Peart
October 31, 2013
Being left-handed has been linked to many mental disorders, but Yale researcher Jadon Webb and his colleagues have found that among those with mental illnesses, people with psychotic disorders like schizophrenia are much more likely to be left-handed than those with mood disorders like depression or bipolar syndrome.
The new study is published in the October-December 2013 issue of the journal SAGE Open. About 10% of the U.S. population is left-handed. When comparing all patients with mental disorders, the research team found that 11% of those diagnosed with mood disorders such as depression and bipolar disorder are left-handed, which is similar to the rate in the general population. But according to Webb, a child and adolescent psychiatry fellow at the Yale Child Study Center with a particular interest in biomarkers of psychosis, “a striking of 40% of those with schizophrenia or schizoaffective disorder are left-handed.”
“In general, people with psychosis are those who have lost touch with reality in some way, through hallucinations, delusions, or false beliefs, and it is notable that this symptom constellation seems to correlate with being left-handed,” said Webb. “Finding biomarkers such as this can hopefully enable us to identify and differentiate mental disorders earlier, and perhaps one day tailor treatment in more effective ways.” Webb and his colleagues studied 107 individuals from a public outpatient psychiatric clinic seeking treatment in an urban, low-income community. The research team determined the frequency of left-handedness within the group of patients identified with different types of mental disorders.
The study showed that white patients with psychotic illness were more likely to be left-handed than black patients. “Even after controlling for this, however, a large difference between psychotic and mood disorder patients remained,” said Webb. What sets this study apart from other handedness research is the simplicity of the questionnaire and analysis, said Webb. Patients who were attending their usual check-ups at the mental health facility were simply asked “What hand do you write with?” “This told us much of what we needed to know in a very simple, practical way,” said Webb. “Doing a simple analysis meant that there were no obstacles to participating and we had a very high participation rate of 97%.
Patients dealing with serious symptoms of psychosis might have had a harder time participating in a more complicated set of questions or tests. By keeping the survey simple, we were able to get an accurate snapshot of a hard-to-study subgroup of mentally ill people — those who are often poverty-stricken with very poor family and community support.”
Other authors on the study include Mary I. Schroeder, Christopher Chee, Deanna Dial, Rebecca Hana, Hussam Jefee, Jacob Mays, and Patrick Molitor. Citation: Sage Open vol. 3 no. 4 2158244013503166 (October-December 2013)

For interesting facts about left-handed people http://facts.randomhistory.com/facts-about-left-handedness.html

A 2011 Wall Street Journal article, The Health Risks of Being Left-Handed, highlighted some of the potential challenges faced by lefties:

On average there is no significant difference in IQ between righties and lefties, studies show, belying popular perceptions. There is some evidence that lefties are better at divergent thinking, or starting from existing knowledge to develop new concepts, which is considered an element of creativity. And left-handed people have salaries that on average are about 10% lower than righties, according to recent research performed at Harvard University that analyzed large income data bases, although findings of some earlier studies were mixed.
Left-handedness appears to be associated with a greater risk for a number of psychiatric and developmental disorders. While lefties make up about 10% of the overall population, about 20% of people with schizophrenia are lefties, for example. Links between left-handedness and dyslexia, ADHD and some mood disorders have also been reported in research studies. The reasons for this aren’t clear. Scientists speculate it could be related to a concept known as brain lateralization.
The brain has two halves. Each performs primarily separate, specialized functions, such as language processing, which mainly takes place in the left hemisphere. There is lots of communication between the hemispheres. Typically in right-handers, the brain’s left side is dominant. But this tendency doesn’t hold up with lefties, as scientists previously believed. Some 70% of lefties rely on the left hemisphere for their language centers, a key brain function, says Metten Somers, a psychiatrist and researcher who studies brain lateralization at Utrecht University Medical Center in the Netherlands. This doesn’t appear to present problems, scientists say. The other 30% of lefties appear to exhibit either a right-dominant or distributed pattern, Dr. Somers says. They may be more prone to impaired learning or functioning, and at greater risk for brain disorders, he says. Hemisphere dominance is typical and more efficient. Symmetry, in which neither side is dominant, is believed linked to disorders, researchers say. People with schizophrenia, for instance, exhibit more symmetrical activation of their brain hemispheres than those without the disorder, studies show.
In a 2008 study, Alina Rodriguez, a psychology professor at Mid Sweden University in Östersund who studies handedness, brain development and ADHD, found that left- or mixed-handedness in children was linked to a greater risk of difficulty with language as well as ADHD symptoms. In another study published last year in Pediatrics, involving nearly 8,000 Finnish children, Dr. Rodriguez found that mixed-handedness rather than left-handedness was linked to ADHD symptoms. And knowing that a child was mixed-handed and had ADHD symptoms at age 8 helped predict much more accurately than just knowing they had symptoms at that age whether the child would continue to have symptoms at age 16. (What happens when people are forced to switch from writing with their dominant hand to the other isn’t well known, experts say.) Research that suggests that there is a link between favoring the left hand and an increased risk of bipolar disorder and ADHD, among other conditions. Emily Nelson has details on Lunch Break.
One reason that not more is known about lefties is that many studies of how the brain works prohibit left-handers from participating because their brain wiring is known to be different, says Robin Nusslock, a psychology professor at Northwestern University in Evanston, Ill., who uses neuroimaging to study mood disorders.
Lefties have an advantage in sports such as tennis, fencing and baseball, when up against a righthanded competitor, but not in noninteractive sports such as gymnastics. A potential pathway between prenatal stress and brain wiring could be cortisol, the body’s main stress hormone, which can interfere with brain development, says Carsten Obel, a professor at the public-health department at Aarhus University in Denmark who has conducted research on the prenatal environment and risk of disease. Cortisol is able to pass over the placenta barrier to influence the baby.
Several studies show that stressful life events, such as the death of a loved one or job loss, during pregnancy increase the risk of having non-right-handed children. In one study of 834 Danish mothers and their 3-year-old children, Dr. Obel and his colleagues found that mothers who reported multiple stressful events during their third trimester of pregnancy and experienced distress were more than three times as likely to have a mixed-handed child, 17% compared with 5%, according to the 2003 paper published in Developmental Medicine & Child Neurology. Another large study followed 1,700 Swedish mothers and children until the kids were 5 years old. It found that mothers with depressive symptoms or who underwent stressful life events while pregnant were more likely to have left- or mixed-handed children. The work was published by Dr. Rodriguez and her colleagues in 2008 in the Journal of Child Psychology and Psychiatry. Experts suggest that left- and mixed-handedness could be used as a risk factor for possible psychiatric or developmental conditions, along with behavioral difficulties, such as having a hard time in school. The presence of such risk factors could prompt early evaluation for those conditions, they say. http://online.wsj.com/news/articles/SB10001424052970204083204577080562692452538

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world

Related:

GAO report: Children’s mental health services are lacking https://drwilda.com/2013/01/12/gao-report-childrens-mental-health-services-are-lacking/

Schools have to deal with depressed and troubled children: https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Concussions: American Academy of Pediatrics issued recommendations for “return to learn” checklists

27 Oct

Moi wrote in Don’t ignore concussions:
Kids Health has some great information about concussions at their site:

What Is a Concussion and What Causes It?
The brain is made of soft tissue and is cushioned by spinal fluid. It is encased in the hard, protective skull. When a person gets a head injury, the brain can move around inside the skull and even bang against it. This can lead to bruising of the brain, tearing of blood vessels, and injury to the nerves. When this happens, a person can get a concussion — a temporary loss of normal brain function.
Most people with concussions recover just fine with appropriate treatment. But it’s important to take proper steps if you suspect a concussion because it can be serious.
Concussions and other brain injuries are fairly common. About every 21 seconds, someone in the United States has a serious brain injury. One of the most common reasons people get concussions is through a sports injury. High-contact sports such as football, boxing, and hockey pose a higher risk of head injury, even with the use of protective headgear.
People can also get concussions from falls, car accidents, bike and blading mishaps, and physical violence, such as fighting. Guys are more likely to get concussions than girls. However, in certain sports, like soccer, girls have a higher potential for concussion.http://kidshealth.org/teen/safety/first_aid/concussions.html#a_What_Is_a_Concussion_and_What_Causes_It_

https://drwilda.com/2012/03/06/dont-ignore-concussions/
See, Update: Don’t ignore concussions https://drwilda.com/2012/05/20/update-dont-ignore-concussions/

Jan Hoffman reported in the New York Times article, Concussions and the Classroom:

Because of heightened awareness about the hazards of sports-related concussions, many states have implemented standards determining when an injured student may resume playing contact sports. But only a few states have begun to address how and when a student should resume classwork.
On Sunday the American Academy of Pediatrics issued recommendations for “return to learn” checklists to alert doctors, school administrators and parents to potential cognitive and academic challenges to students who have suffered concussions.
“They’re student athletes, and we have to worry about the student part first,” said Dr. Mark E. Halstead, the lead author of “Returning to Learning Following a Concussion,” a clinical report in this week’s Pediatrics.
For adolescents prone to risk-taking behaviors, concussions are not just the nasty by-products of sports. Dr. Halstead, an assistant professor in pediatric sports medicine at Washington University, recently treated a 15-year-old girl whose concussion came not from a soccer match, but because “she was running backwards in a school hallway and cracked heads with someone.”
The academy emphasized that research about recovery protocols and cognitive function is scant: There is no established rest-until-recovered timeline. The new recommendations are based on expert opinions and guidelines developed by the Rocky Mountain Youth Sports Medicine Institute in Denver.
Doctors generally recommend that a student with a concussion rest initially, to give the brain time to heal. That may mean no texting, video games, computer use, reading or television. But there’s a big question mark about the timing and duration of “cognitive rest.” Experts have not identified at what point mental exertion impedes healing, when it actually helps, and when too much rest prolongs recovery. Although many doctors are concerned that a hasty return to a full school day could be harmful, this theory has not yet been confirmed by research.
The student’s pediatrician, parents and teachers should communicate about the incident, the recommendations said, and be watchful for when academic tasks aggravate symptoms such as headaches, dizziness, sensitivity to light and difficulty concentrating. The academy acknowledged that case management must be highly individualized: “Each concussion is unique and may encompass a different constellation and severity of symptoms.”
Most students have a full recovery within three weeks, the article said. But if the recovery seems protracted, specialists should be consulted.
Many school officials do not realize they can make simple accommodations to ease the student’s transition back to the classroom, the academy said.
To alleviate a student’s headaches, for example, schedule rests in the school nurse’s office; for dizziness, allow extra time to get to class through crowded hallways; for light sensitivity, permit sunglasses to be worn indoors. Students accustomed to 45-minute classes might only be able to sit through 30 minutes at the outset, or attend school for a half-day.
“Parents need to follow up with schools and make sure plans are being followed,” Dr. Halstead said…. http://well.blogs.nytimes.com/2013/10/27/concussions-and-the-classroom/?ref=education&_r=0

Citation:

From the American Academy of Pediatrics
Clinical Report
Returning to Learning Following a Concussion
1. Mark E. Halstead, MD, FAAP,
2. Karen McAvoy, PsyD,
3. Cynthia D. Devore, MD, FAAP,
4. Rebecca Carl, MD, FAAP,
5. Michael Lee, MD, FAAP,
6. Kelsey Logan, MD, FAAP,
7. Council on Sports Medicine and Fitness, and Council on School Health
Abstract
Following a concussion, it is common for children and adolescents to experience difficulties in the school setting. Cognitive difficulties, such as learning new tasks or remembering previously learned material, may pose challenges in the classroom. The school environment may also increase symptoms with exposure to bright lights and screens or noisy cafeterias and hallways. Unfortunately, because most children and adolescents look physically normal after a concussion, school officials often fail to recognize the need for academic or environmental adjustments. Appropriate guidance and recommendations from the pediatrician may ease the transition back to the school environment and facilitate the recovery of the child or adolescent. This report serves to provide a better understanding of possible factors that may contribute to difficulties in a school environment after a concussion and serves as a framework for the medical home, the educational home, and the family home to guide the student to a successful and safe return to learning.

Here is the press release:

After a Concussion Students May Need Gradual Transition Back to Academics
10/27/2013
American Academy of Pediatrics offers new guidance on “returning to learning” after concussion
ORLANDO, Fla. — A concussion should not only take a student athlete off the playing field – it may also require a break from the classroom, according to a new clinical report from the American Academy of Pediatrics (AAP).
In the clinical report, “Returning to Learning Following a Concussion,” released Sunday, Oct. 27 at the AAP National Conference & Exhibition in Orlando, the AAP offers guidance to pediatricians caring for children and adolescents after suffering a concussion.
“Students appear physically normal after a concussion, so it may be difficult for teachers and administrators to understand the extent of the child’s injuries and recognize the potential need for academic adjustments,” said Mark Halstead, MD, FAAP, a lead author of the clinical report. “But we know that children who’ve had a concussion may have trouble learning new material and remembering what they’ve learned, and returning to academics may worsen concussion symptoms.”
Dr. Halstead will deliver a plenary address on concussion injuries at 10:30 a.m. ET Oct. 27 at the Orange County Convention Center. A news briefing on the new clinical report will immediately follow. Reporters interested in covering either event should check in at the press room, W203B.
Research has shown that a school-aged student usually recovers from a concussion within three weeks. If symptoms are severe, some students may need to stay home from school after a concussion. If symptoms or mild or tolerable, the parent may consider returning him or her to school, perhaps with some adjustments. Students with severe or prolonged symptoms lasting more than 3 weeks may require more formalized academic accommodations.
The AAP recommends a collaborative team approach to help a student recovering from a concussion. This team should consist of the child or adolescent’s pediatrician, family members and individuals at the child’s school responsible for both the student’s academic schedule and physical activity. Detailed guidance on returning to sports and physical activities is contained in the 2010 AAP clinical report, “Sport-Related Concussion in Children and Adolescents.”
A symptom checklist can help evaluate what symptoms the student is experiencing, and how severe they are.
“Every concussion is unique and symptoms will vary from student to student, so managing a student’s return to the classroom will require an individualized approach,” said Dr. Halstead. “The goal is to minimize disruptions to the student’s life and return the student to school as soon as possible, and as symptoms improve, to increase the student’s social, mental and physical activities.”
Because relatively little research has been conducted on how concussion affects students’ learning, the AAP based its report primarily on expert opinion and adapted it from a concussion management program developed at the Rocky Mountain Hospital for Children, Center for Concussion in Denver, Colo. The AAP calls for further research on the effects and role of cognitive rest after concussion to improve understanding of the best ways to help a student recovering from a concussion.
Information for parents about returning to learning after a concussion also will be available on HealthyChildren.org (starting Oct. 27).
###
The American Academy of Pediatrics is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit http://www.aap.org.

Parents must be alert to what is happening with the children when they participate in athletic events and activities.

Resources:

Concussions
http://kidshealth.org/teen/safety/first_aid/concussions.html#a_What_Is_a_Concussion_and_What_Causes_It_

Concussion
http://www.emedicinehealth.com/concussion/article_em.htm

Concussion – Overview
http://www.webmd.com/brain/tc/traumatic-brain-injury-concussion-overview

Related :

Study: Effects of a concussion linger for months
https://drwilda.com/2012/12/13/study-effects-of-a-concussion-linger-for-months/

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