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Italian Journal of Pediatrics May 2024Febrile seizures (FS) are commonly perceived by healthcare professionals as a self-limited condition with a generally 'benign' nature. Nonetheless, they frequently lead... (Review)
Review
Febrile seizures (FS) are commonly perceived by healthcare professionals as a self-limited condition with a generally 'benign' nature. Nonetheless, they frequently lead to pediatric consultations, and their management can vary depending on the clinical context. For parents and caregivers, witnessing a seizure can be a distressing experience, significantly impacting their quality of life. In this review, we offer an in-depth exploration of FS management, therapeutic interventions, and prognostic factors, with the aim of providing support for physicians and enhancing communication with families. We conducted a comprehensive literature search using the PubMed and Web of Science databases, spanning the past 50 years. The search terms utilized included "febrile seizure," "complex febrile seizure," "simple febrile seizure," in conjunction with "children" or "infant." Only studies published in English or those presenting evidence-based data were included in our assessment. Additionally, we conducted a cross-reference search to identify any additional relevant data sources. Our thorough literature search resulted in a compilation of references, with carefully selected papers thoughtfully integrated into this review.
Topics: Humans; Seizures, Febrile; Child; Infant; Practice Guidelines as Topic; Anticonvulsants; Prognosis
PubMed: 38735928
DOI: 10.1186/s13052-024-01666-1 -
Frontiers in Psychology 2023Humans have an irresistible inclination to coordinate actions with others, leading to species-unique forms of cooperation. According to the highly influential Shared... (Review)
Review
Empirical challenges from the comparative and developmental literature to the Shared Intentionality Theory - a review of alternative data on recursive mind reading, prosociality, imitation and cumulative culture.
Humans have an irresistible inclination to coordinate actions with others, leading to species-unique forms of cooperation. According to the highly influential Shared Intentionality Theory (SITh), human cooperation is made possible by shared intentionality (SI), typically defined as a suite of socio-cognitive and motivational traits for sharing psychological states with others, thereby enabling individuals to engage in joint action in the mutually aware pursuit of shared goals. SITh theorises that SI evolved as late as 400,000 years ago, when our ancestors (in particular, ) turned to a kind of food procurement that obligatorily required joint coordinated action. SI is, thus, hypothesized to be absent in other extant species, including our closest genetic relatives, the nonhuman great apes ("apes"). According to SITh, ape psychology is exclusively driven by individualistic motivations, as opposed to human psychology which is uniquely driven by altruistic motivations. The evolutionary scenario proposed by SITh builds on a series of findings from socio-cognitive research with apes and human children, and on the assumption that abilities expressed early in human development are human universals, unlikely to have been shaped by socio-cultural influences. Drawing on the primatological and developmental literature, we provide a systematic - albeit selective - review of SITh-inconsistent findings concerning psychological and behavioural traits theorised to be constitutive of SI. The findings we review pertain to all three thematic clusters typically addressed in SITh: (i) recursive mind reading; (ii) prosociality; (iii) imitation and cumulative culture. We conclude that such alternative data undermine two core SITh claims: the late evolutionary emergence of SI and the radical divide between ape and human psychology. We also discuss several conceptual and methodological limitations that currently hamper reliable comparative research on SI, in particular those engendered by Western-centric biases in the social sciences, where an overreliance on Western samples has promoted the formulation of Western-centric conceptualisations, operationalisations and methodologies.
PubMed: 37901066
DOI: 10.3389/fpsyg.2023.1157137 -
Children (Basel, Switzerland) Dec 2023This study aimed to determine, through a systematic review, the relationship between Reactive Attachment Disorder (RAD) and the presence of psychopathology in children... (Review)
Review
This study aimed to determine, through a systematic review, the relationship between Reactive Attachment Disorder (RAD) and the presence of psychopathology in children and adolescents, and to determine the existence of differences in terms of internalising and externalising psychological problems between the RAD group and groups with other disorders or with typical development. Following the PRISMA methodology, a search was carried out in the Web of Science, PubMed and Scopus databases. The search yielded 770 results, of which only 25 met the inclusion criteria. The results indicate a relationship between the presence of RAD and/or disinhibited social engagement disorder (DSED), with the presence of internalising and externalising problems. These difficulties are more present in children with RAD compared to children without personal difficulties, or children with DSED, children with autism, children with intellectual disabilities or children with hyperactivity. It can be concluded that the presence of RAD has negative consequences on the mental health of children and adolescents, with these being greater in the inhibited group than in the disinhibited group, and with respect to children with autism or hyperactivity.
PubMed: 38136094
DOI: 10.3390/children10121892 -
Trauma, Violence & Abuse Oct 2023Research has suggested highly elevated levels of interpersonal trauma (IPT) among parents with intellectual disabilities (ID), and that such experiences may contribute...
Research has suggested highly elevated levels of interpersonal trauma (IPT) among parents with intellectual disabilities (ID), and that such experiences may contribute to the caregiving and child developmental problems often seen in this population. Conflicting results have however been reported, and there is no systematic review on this matter. This study therefore systematically reviewed the empirical evidence concerning (a) prevalence of IPT among parents with ID, and links with (b) caregiving-relevant and (c) child developmental outcomes, in accordance with the PRISMA 2020 guidelines. Searches were conducted in MEDLINE, CINAHL, PsycINFO, and PTSDpubs. Peer-reviewed empirical articles reporting exposure to any form of systematically assessed IPT (unspecified IPT, physical, sexual, and emotional abuse, neglect, prolonged childhood separations from caregivers, witnessing abuse in the family) among parents with ID were included, yielding a final selection of 20 studies. Findings consistently indicated markedly elevated levels of IPT among parents with ID, with a majority (>50%) having experienced some form of IPT. Estimates for both unspecified and specific forms were typically higher than corresponding estimates in other groups at elevated risk, and than meta-analytical general population estimates in comparable countries. Findings regarding caregiving-relevant outcomes were mixed but indicated links with adverse outcomes, particularly regarding parental mental health. Reports pertaining to child developmental outcomes were scant and inconsistent. We highlight important limitations in the extant literature and provide directions for future research and clinical practice.
Topics: Child; Humans; Child Abuse; Intellectual Disability; Parents
PubMed: 36062575
DOI: 10.1177/15248380221119237 -
Journal of Affective Disorders Aug 2023Over the past 16 years, we have developed a 'Meta-analytic Research Domain' (MARD) of all randomized trials of psychological treatments of depression. A MARD is a... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Over the past 16 years, we have developed a 'Meta-analytic Research Domain' (MARD) of all randomized trials of psychological treatments of depression. A MARD is a living systematic review of a research field, that cannot be otherwise covered by one (network) meta-analysis and includes multiple PICOs. In this paper we give an overview of the findings of this MARD.
METHODS
A narrative review of the results of the 118 meta-analyses on psychotherapies for depression that were published within our MARD.
RESULTS
Most research has been conducted on cognitive-behavioral therapy (CBT), but several other psychotherapies are also effective, with few differences between therapies. They can be effectively delivered in individual, group, telephone and guided self-help format and are effective in many different target groups and across different age groups, although the effects are significantly smaller in children and adolescents. Psychotherapies have comparable effects as pharmacotherapy at the short term but are probably more effective at the longer term. Combined treatment is more effective than either psychotherapy or pharmacotherapy alone at the short, but also at the longer term.
LIMITATIONS
We did not summarize all published meta-analyses (protocols, methodological studies) and have not compared our results to those found in other meta-analyses on comparable subjects.
CONCLUSION
Psychotherapies can contribute considerably to a reduction of the disease burden of depression. MARDs are an important next step in the aggregation of knowledge from randomized controlled trials in psychological treatments of depression as well as in other healthcare sectors.
Topics: Child; Adolescent; Humans; Depression; Psychotherapy; Cognitive Behavioral Therapy; Combined Modality Therapy; Network Meta-Analysis
PubMed: 37178828
DOI: 10.1016/j.jad.2023.05.011 -
Human Nature (Hawthorne, N.Y.) Mar 2024Receiving social support from community and extended family has been typical for mothers with infants in human societies past and present. In non-industrialised...
Receiving social support from community and extended family has been typical for mothers with infants in human societies past and present. In non-industrialised contexts, infants of mothers with extended family support often have better health and higher survival through the vulnerable infant period, and hence shared infant care has a clear fitness benefit. However, there is scant evidence that these benefits continue in industrialised contexts. Better infant health and development with allocare support would indicate continued evolutionary selection for allocare. The research reported here used multiple logistic regression analysis to test whether a lack of family and other social support for mothers was associated with an increased risk of developmental delay in 9-month-old infants in the UK Millennium Cohort (analysis sample size, 15,696 infants). Extended family-based childcare during work hours and more maternal time spent with friends were the most influential kin and social support variables: infants of mothers with kin-based childcare versus all other childcare arrangements had a lower risk of developmental delay (OR = 0.61, 95% CIs: 0.46-0.82). Infants of mothers who spent no time with friends when compared with those who saw friends every day had double the odds of delay. Greater paternal involvement in infant care was associated with a lower odds of developmental delay. In conclusion, shared care of infants and social support for mothers may influence fitness-related traits in industrialised societies rather than being factors that influenced selection only in the past and in societies which retain close kin networks and a strong local community focus.
Topics: Humans; Infant; Developmental Disabilities; Female; Social Support; Male; United Kingdom; Mothers; Child Development; Adult; Infant Care
PubMed: 38353866
DOI: 10.1007/s12110-024-09468-4 -
Current Psychiatry Reports Nov 2023Unstable relationships are a core feature of borderline personality disorder (BPD). Impairments in trust processes (i.e., appraisal and learning regarding others'... (Review)
Review
PURPOSE OF REVIEW
Unstable relationships are a core feature of borderline personality disorder (BPD). Impairments in trust processes (i.e., appraisal and learning regarding others' trustworthiness) can subserve interpersonal problems associated with BPD, but the determinants, mechanisms, consequences, and variations in trust impairments among individuals with BPD remain poorly characterized. Thus, a better understanding of such impairments could help target interventions that address the interpersonal problems of individuals with BPD beyond emotion dysregulation, impulsivity, and aggression.
RECENT FINDINGS
We conducted a pre-registered systematic review of empirical studies on trust processes and BPD features (k = 29). Results are organized around a heuristic model of trust processes in BPD comprising the following stages: developmental factors, prior beliefs and dispositions, situation perception, emotional states, trust appraisal, behavioral manifestations, and trust learning. Based on the synthesis of the findings, we recommended directions for future research and clinical assessment and intervention, such as managing trust during the early stages of therapy and considering improvements in trust processes as a central mechanism of change in treating individuals with BPD.
Topics: Humans; Trust; Interpersonal Relations; Borderline Personality Disorder; Emotions; Aggression
PubMed: 37889465
DOI: 10.1007/s11920-023-01468-y -
Clinical Ethics Dec 2023This analysis is about practical living bioethics and how law, ethics and sociology understand and respect children's consent to, or refusal of, elective heart surgery....
BACKGROUND
This analysis is about practical living bioethics and how law, ethics and sociology understand and respect children's consent to, or refusal of, elective heart surgery. Analysis of underlying theories and influences will contrast legalistic bioethics with living bioethics. In-depth philosophical analysis compares social science traditions of positivism, interpretivism, critical theory and functionalism and applies them to bioethics and childhood, to examine how living bioethics may be encouraged or discouraged. Illustrative examples are drawn from research interviews and observations in two London paediatric cardiac units. This paper is one of a series on how the multidisciplinary cardiac team members all contribute to the complex mosaic of care when preparing and supporting families' informed consent to surgery.
RESULTS
The living bioethics of justice, care and respect for children and their consent depends on theories and practices, contexts and relationships. These can all be undermined by unseen influences: the history of adult-centric ethics; developmental psychology theories; legal and financial pressures that require consent to be defined as an adult contract; management systems and daily routines in healthcare that can intimidate families and staff; social inequalities. Mainstream theories in the clinical ethics literature markedly differ from the living bioethics in clinical practices.
CONCLUSION
We aim to contribute to raising standards of respectful paediatric bioethics and to showing the relevance of virtue and feminist ethics, childhood studies and children's rights.
PubMed: 38024810
DOI: 10.1177/14777509221091086 -
PloS One 2023Images have been shown to consistently differ in terms of their memorability in healthy adults: some images stick in one's mind while others are forgotten quickly....
Images have been shown to consistently differ in terms of their memorability in healthy adults: some images stick in one's mind while others are forgotten quickly. Studies have suggested that memorability is an intrinsic, continuous property of a visual stimulus that can be both measured and manipulated. Memory literature suggests that important developmental changes occur throughout adolescence that have an impact on recognition memory, yet the effect that these changes have on image memorability has not yet been investigated. In the current study, we recruited adolescents ages 11-18 (n = 273, mean = 16) to an online visual memory experiment to explore the effects of developmental changes throughout adolescence on image memorability, and determine if memorability findings in adults can be generalized to the adolescent age group. We used the online experiment to calculate adolescent memorability scores for 1,000 natural images, and compared the results to the MemCat dataset-a memorability dataset that is annotated with adult memorability scores (ages 19-27). Our study finds that memorability scores in adolescents and adults are strongly and significantly correlated (Spearman's rank correlation, r = 0.76, p < 0.001). This correlation persists even when comparing adults with developmentally different sub-groups of adolescents (ages 11-14: r = 0.67, p < 0.001; ages 15-18: r = 0.60, p < 0.001). Moreover, the rankings of image categories by mean memorability scores were identical in both adolescents and adults (including the adolescent sub-groups), indicating that broadly, certain image categories are more memorable for both adolescents and adults. Interestingly, however, adolescents experienced significantly higher false alarm rates than adults, supporting studies that show increased impulsivity and reward-seeking behaviour in adolescents. Our results reveal that the memorability of images remains consistent across individuals at different stages of development. This consistency aligns with and strengthens prior research, indicating that memorability is an intrinsic property of images. Our findings open new pathways for applying memorability studies in adolescent populations, with profound implications in fields such as education, marketing, and psychology. Our work paves the way for innovative approaches in these domains, leveraging the consistent nature of image memorability across age groups.
Topics: Adult; Adolescent; Humans; Memory; Recognition, Psychology; Memory Disorders
PubMed: 38117776
DOI: 10.1371/journal.pone.0295940 -
Missouri Medicine 2023Historically, the field of child psychiatry has lagged behind the field of general psychiatry in terms of research innovations and the availability of empirically...
Historically, the field of child psychiatry has lagged behind the field of general psychiatry in terms of research innovations and the availability of empirically supported treatment modalities. However, over the last two decades there has been increasing interest in and research focused on the developmental origins of mental disorders examining both neurobiological and psychosocial etiologies.1 This has catalyzed the field leading to advances in understanding the developmental psychopathology of mental disorders and the generation of novel early interventions that have shown significant promise.2-4 Further, catalyzing this effort is new data demonstrating the powerful impact of psychosocial forces on neurodevelopment. New methodologies and discoveries in the basic areas of early childhood developmental psychology have led to a greater appreciation for the emotional and cognitive sophistication of children in the first three years of life. Advances in methods to understand preverbal children's emotional and attentional responses (through measures of eye gaze and suck for example) as well as observational methods to glean a variety of mental health relevant behaviors early in life (e.g. behavioral inhibition, pro-social behaviors and social motivation) have further elucidated and validated these capacities. In addition, measures of neural function using electroencephalogram and evoked response potentials (EEG/ERP) and functional magnetic resonance imaging (fMRI) as early as the neonatal period, with many analysis methods developed at WUSTL, have further informed this domain providing new insight into early brain and behavioral relationships as well as how intervention impact brain function.5-7.
Topics: Child; Infant, Newborn; Humans; Child, Preschool; Child Psychiatry; Mental Disorders; Brain
PubMed: 37609473
DOI: No ID Found