Emotional problems in preschool and school-aged children with neurodevelopmental disorders in Spain: EPINED epidemiological project.

Autor: Morales-Hidalgo P; Research Group on Nutrition and Mental Health (NUTRISAM), Research Center for Behavioral Assessment (CRAMC), Department of Psychology, University Rovira i Virgili, Tarragona, Spain; Psychology and Education Studies, Universitat Oberta de Catalunya (UOC), Barcelona, Spain; Interdisciplinary Research Network for the PROmotion of Mental Health and Wellness EMocional in Young People (Red PROEM), Spain., Voltas-Moreso N; Research Group on Nutrition and Mental Health (NUTRISAM), Research Center for Behavioral Assessment (CRAMC), Department of Psychology, University Rovira i Virgili, Tarragona, Spain; Interdisciplinary Research Network for the PROmotion of Mental Health and Wellness EMocional in Young People (Red PROEM), Spain; Serra Húnter Fellow, University Rovira i Virgili, Spain., Hernández-Martínez C; Research Group on Nutrition and Mental Health (NUTRISAM), Research Center for Behavioral Assessment (CRAMC), Department of Psychology, University Rovira i Virgili, Tarragona, Spain., Canals-Sans J; Research Group on Nutrition and Mental Health (NUTRISAM), Research Center for Behavioral Assessment (CRAMC), Department of Psychology, University Rovira i Virgili, Tarragona, Spain; Interdisciplinary Research Network for the PROmotion of Mental Health and Wellness EMocional in Young People (Red PROEM), Spain. Electronic address: josefa.canals@urv.cat.
Jazyk: angličtina
Zdroj: Research in developmental disabilities [Res Dev Disabil] 2023 Apr; Vol. 135, pp. 104454. Date of Electronic Publication: 2023 Feb 16.
DOI: 10.1016/j.ridd.2023.104454
Abstrakt: Background: Children with neurodevelopmental disorders (NDD) are often at risk of developing emotional problems.
Aims and Methods: The co-occurrence of anxiety and depression with ASD and/or ADHD was determined by exploring the association with children's clinical and neuropsychological functioning and their parent's mental health. To this end, we assessed 295 preschoolers (PRE; 4-5 years old) and 486 school-aged children (SCH; 10-11 years old) in Tarragona, Spain. NDD diagnoses were based on DSM-5. Emotional problems were assessed using Achenbach's scales.
Results: Emotional problems (PRE: 36%-78%; SCH: 32%-81%) were more common and more severe in participants with NDD than in controls and children in the ASD + ADHD school-aged group were the most affected. In ADHD, emotional problems were associated with more severe symptoms of attention deficit (PRE) and hyperactivity/impulsivity (SCH). In ASD + ADHD, emotional problems showed a trend of association with more severe ASD repetitive behaviours and impaired working memory, whereas in ASD were associated with greater overall ASD severity.
Conclusions and Implications: Children with NDD are vulnerable to emotional problems, which become more prevalent and interfering with age. Early detection and intervention aimed at tackling emotional problems can improve NDD prognosis.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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