5 results on '"Hagstrøm, Julie"'
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2. Frequency and types of emotional dysregulation in referrals to child and adolescent mental health services.
- Author
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Ellehauge, Emilie, Thoustrup, Christine, Nielsen, Mette Nørgaard, Pagsberg, Anne Katrine, and Hagstrøm, Julie
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CHILD mental health services ,MENTAL health services ,AGE distribution ,MENTAL health facilities ,HELP-seeking behavior - Abstract
Introduction: Emotional dysregulation (ED) is a transdiagnostic phenomenon that has received increased attention, because of its potential ability to explain the development and maintenance of various psychiatric disorders. The identification of ED may serve as a potential target for both preventive and treatment interventions, however, the frequency of transdiagnostic ED among children and adolescents has not previously been evaluated. Our aim was to evaluate the frequency and types of ED in accepted and rejected referrals to the Child and Adolescent Mental Health Center (CAMHC), Mental Health Services, Copenhagen, Denmark, regardless of psychiatric status and across diagnoses. We aimed to evaluate how often ED would be a leading cause in seeking professional help, and whether children with ED not directly reflecting symptoms of known psychopathology would have higher rejection rates than children with more distinct symptoms of psychopathology. Finally, we assessed associations between sex and age with various types of ED. Methods: We examined ED in a retrospective chart review of referrals of children and adolescents aged 3–17 years to the CAMHC between August 1st, 2020, and August 1st, 2021. We ranked problems described in the referral as primary, secondary, and tertiary depending on severity. Further, we examined group differences in the frequency of ED in accepted versus rejected referrals, as well as group differences in types of ED in age and sex distributions, and diagnoses occurring with specific types of ED. Results: ED was present in 62.3% of the 999 referrals and was assessed as the primary issue in twice as many rejected referrals (11.4%) compared to accepted referrals (5.7%). Boys were significantly more often described with externalizing and internalizing behavior (55.5% vs. 31.6%; 35.1% vs. 26.5%) as well as incongruent affect (10.0% vs. 4.7%), whereas girls were more often described with depressed mood (47.5% vs. 38.0%) and self‐harm (23.8% vs. 9.4%). The frequency of different types of ED varied with age. Conclusion: The present study is the first to evaluate the frequency of ED in children and adolescents referred to mental health services. The study offers insights into the high frequency of ED and the associations between ED and subsequent diagnoses, which may prove to be a method of early identification of risk of psychopathology. Our findings suggest that ED may rightly be considered a transdiagnostic factor, independent of specific psychiatric disorders, and that an ED‐centered as opposed to diagnosis‐specific approach to assessment, prevention, and treatment could target transversal symptoms of psychopathology in a more holistic manner. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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3. Emotion regulation in 7-year-old children with familial high risk for schizophrenia or bipolar disorder compared to controls – The Danish High Risk and Resilience Study – VIA 7, a population-based cohort study.
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Spang, Katrine Søborg, Hagstrøm, Julie, Ellersgaard, Ditte, Christiani, Camilla, Hemager, Nicoline, Burton, Birgitte Klee, Greve, Aja Neergaard, Rohr, Kirsten, Gantriis, Ditte, Mors, Ole, Nordentoft, Merete, Obel, Carsten, Plessen, Kerstin Jessica, Møllegaard Jepsen, Jens Richardt, Thorup, Anne A. E., and Vangkilde, Signe
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SCHIZOPHRENIA risk factors , *GENETICS of schizophrenia , *GENETICS of bipolar disorder , *ACTIVITIES of daily living , *RISK assessment , *CHILD Behavior Checklist , *PATHOLOGICAL psychology , *DESCRIPTIVE statistics , *RESEARCH funding , *EMOTION regulation , *LONGITUDINAL method - Abstract
Objectives: Emotion regulation is a predictor of overall life outcome. Problems of emotion regulation are associated with multiple psychiatric disorders and could be a potential treatment target for improving well-being and functioning. Children at familial high risk of severe mental illness have a markedly increased risk of various psychopathology and constitute a group at significant risk of emotion regulation problems. Investigations of emotion regulation in children at familial high risk of severe mental illness are sparse. Methods: We applied an instrument for assessing emotion regulation, the Tangram Emotion Coding Manual (TECM), to a population-based cohort of 522 7-year-old children born to parents diagnosed with either schizophrenia or bipolar disorder and matched controls. The TEC-M is an ecologically valid, clinician-rated observational test measure of spontaneous emotion regulation. We aimed to compare emotion regulation between risk groups and to investigate associations between emotion regulation and psychopathology and daily life functioning, and between emotion regulation and an acknowledged questionnaire-based dysregulation profile. Results: In this early developmental phase, we found no between group differences in emotion regulation. We found a significant but weak negative association between emotion regulation and both child psychopathology and the presence of a dysregulation profile on the Child Behavior Checklist and a weak positive association between emotion regulation and current level of functioning. Conclusions: These findings contribute to the understanding of emotion regulation in familial high-risk children and further studies of emotion regulation in children at familial high risk of severe mental illness are warranted. [ABSTRACT FROM AUTHOR]
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- 2022
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4. An observational study of emotion regulation in children with Tourette syndrome.
- Author
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Hagstrøm, Julie, Spang, Katrine S., Vangkilde, Signe, Maigaard, Katrine, Skov, Liselotte, Pagsberg, Anne Katrine, Jepsen, Jens Richardt Møllegaard, and Plessen, Kerstin Jessica
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SCIENTIFIC observation , *SELF-control , *TOURETTE syndrome , *ATTENTION-deficit hyperactivity disorder , *SEVERITY of illness index , *DESCRIPTIVE statistics , *EMOTION regulation , *PARENT-child relationships , *DATA analysis software - Abstract
Background: Explosive outbursts occur in 25%–70% of children with Tourette syndrome (TS) and may cause more distress than the tics themselves. Previous studies have indicated that a comorbid diagnosis of attention‐deficit/hyperactivity disorder (ADHD) is associated with emotional dysregulation in TS; however, this relationship has almost exclusively been studied using parent‐reported questionnaires. Methods: We examined emotion regulation (ER) with an observational measure in 150 medication‐naïve children aged 7–12 allocated to four groups: Forty‐nine children with TS, 23 children with ADHD, 16 children with TS + ADHD, and 62 typically developing controls. We assessed participants' ER ability, as well as parent–child interactions in the context of a complex puzzle task, and coded the observed behavior with the Tangram Emotion Coding Manual (TEC‐M). We examined group differences in ER, as well as associations between ER and severity of symptoms pertaining to TS and ADHD. Results: Children with TS did not differ from controls in their ER ability. However, children with ADHD and TS + ADHD had more problems with ER than those with TS only and controls. Finally, parents of children with ADHD displayed more tension during the experimental task. ER ability was not associated with tic severity nor premonitory urges; however, better ER ability was associated with less severe symptoms of ADHD. Conclusions: This study is the first to evaluate ER with an observational, clinician‐rated measure in a controlled social setting in children with TS. Our findings support earlier questionnaire‐based studies by showing impaired ER in children with TS + ADHD, but not in children with TS without comorbidity. These findings inform our understanding of the phenomenology of emotional dysregulation in TS and the role of comorbid disorders. [ABSTRACT FROM AUTHOR]
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- 2021
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5. The Puzzle of Emotion Regulation: Development and Evaluation of the Tangram Emotion Coding Manual for Children.
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Hagstrøm, Julie, Spang, Katrine S., Christiansen, Bianca Munkebo, Maigaard, Katrine, Vangkilde, Signe, Esbjørn, Barbara Hoff, Jepsen, Jens Richardt Møllegaard, and Plessen, Kerstin Jessica
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TEST validity ,INTER-observer reliability ,TEST reliability ,DISCRIMINANT analysis ,EMOTIONS ,COGNITIVE Abilities Test - Abstract
The ability to regulate one's emotions is crucial to engaging successfully in social contexts. Difficulties in emotion regulation are seen in multiple psychiatric disorders, prompting an increased interest in the concept. Suitable methods for assessing emotion regulation, however, are lacking. In this study, we investigated the interrater and intrarater reliability, construct validity, and content validity of a new observational method for evaluating children's emotion regulation abilities (a complex puzzle task) in a sample of 62 children without psychiatric disorders and 23 children with attention-deficit/hyperactivity disorder (ADHD) aged 7–12, using intra-class correlation coefficients for the reliability analyses and Spearman's rank-order correlations for analyses of convergent and discriminant validity. A panel of experts examined the content validity of the test, and Mann–Whitney U -tests were used to investigate the ability of the test to differentiate the non-clinical group from the ADHD group. Results showed a high level of interrater and intrarater reliability of the test. There was mixed evidence for convergent and discriminant validity as expected due to the novelty and experimental nature of the test, making it difficult to compare with questionnaire-based measures. Content validity analysis was satisfactory, and the group comparison showed that the test differentiated the groups on the primary outcome measure. Overall, the measure demonstrated high feasibility and satisfactory psychometric properties. The generic nature of the test makes it suitable for use across psychiatric disorders and age groups with potential relevance in both research and clinical settings [ABSTRACT FROM AUTHOR]
- Published
- 2019
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