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Prophylactic Effect of N-Acetylcysteine in an Adolescent With Trichotillomania After Acetaminophen Overdose n -乙酰半胱氨酸对青少年对乙酰氨基酚过量后拔毛癖的预防作用
Pub Date : 2023-06-01 DOI: 10.1016/j.jaacop.2023.03.002
Michael Ferguson MD, Caroline M. Mebane MS, Abhishek Reddy MD
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引用次数: 0
Cannabis Use Is Associated With Depression Severity and Suicidality in the National Comorbidity Survey−Adolescent Supplement 大麻使用与抑郁症严重程度和自杀有关,国家合并症调查-青少年补充
Pub Date : 2023-06-01 DOI: 10.1016/j.jaacop.2023.02.002
Jesse D. Hinckley MD, PhD , Susan K. Mikulich-Gilbertson PhD , Jian-Ping He MS , Devika Bhatia MD , Jarrod M. Ellingson PhD , Brian Nguyenkhoa Vu MD , Kathleen Ries Merikangas PhD , Joseph T. Sakai MD

Objective

To investigate the association of cannabis use with major depression and suicidal behavior in adolescence.

Method

Data are from the National Comorbidity Survey−Adolescent Supplement (N = 10,123), a nationally representative survey of adolescents aged 13 to 18 years. Weighted logistic regression and ordinal regression analyses of major depression and suicidal behavior outcomes were conducted on cannabis variables, incorporating sociodemographic characteristics.

Results

Adolescents with lifetime cannabis use have 2.07 times higher odds of mild/moderate (adjusted odds ratio [aOR]; 95% CI = 1.69, 2.53) and 3.32 times higher odds of severe major depressive disorder (MDD; aOR; 95% CI = 2.31, 4.75). Cannabis use (aOR 6.90, 95% CI = 4.67, 10.19), mild/moderate MDD (aOR 4.10, 95% CI = 2.82, 5.98), and severe MDD (aOR 13.97, 95% CI = 7.59, 25.70) were associated with higher odds of suicide attempt. Past 12-month cannabis use (aOR 3.70, 95% CI = 2.16, 6.32), mild/moderate major depressive episodes (MDE) (aOR 7.85, 95% CI = 3.59, 17.17), and severe MDE (aOR 36.36, 95% CI = 13.68, 96.64) were associated with higher odds of suicide attempt. The frequency of past 12-month cannabis use was associated with higher odds of suicide attempt and with MDE severity, with higher odds among individuals who use cannabis 3 or more days than among individuals who use cannabis less frequently, suggesting a dose effect. Among cannabis users, older age of onset of cannabis use was associated with lower odds of suicidal behaviors.

Conclusion

Cannabis use is associated with higher odds of depression and depression severity in adolescence. Furthermore, depression and cannabis use are independently associated with higher odds of suicide attempt.

Diversity & Inclusion Statement

We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. We actively worked to promote sex and gender balance in our author group. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group.

目的探讨青少年严重抑郁和自杀行为与吸食大麻的关系。方法数据来自全国共病调查-青少年补充(N=10123),这是一项针对13至18岁青少年的全国代表性调查。结合社会人口学特征,对大麻变量进行了重度抑郁症和自杀行为结果的加权逻辑回归和顺序回归分析。结果终生使用大麻的青少年患轻度/中度抑郁症的几率高2.07倍(调整后的比值比[aOR];95%CI=1.69,2.53),患严重重度抑郁症(MDD;aOR;95%CI=2.31,4.75)的几率高3.32倍。使用大麻(aOR 6.90,95%CI=4.67,10.19),轻度/中度MDD(aOR 4.10,95%CI=2.82,5.98),严重MDD(aOR 13.97,95%CI=7.59,25.70)与自杀未遂的几率较高相关。过去12个月的大麻使用(aOR 3.70,95%CI=2.16,6.32)、轻度/中度重度抑郁发作(MDE)(aOR 7.85,95%CI=3.59,17.17)和重度MDE(aOR 36.36,95%CI=13.68,96.64)与自杀未遂的几率较高相关。过去12个月使用大麻的频率与自杀未遂的几率和MDE的严重程度有关,使用大麻3天或3天以上的人比使用大麻频率较低的人的几率更高,这表明存在剂量效应。在大麻使用者中,开始使用大麻的年龄越大,自杀行为的几率越低。结论大麻的使用与青春期抑郁症和抑郁症严重程度的几率较高有关。此外,抑郁症和吸食大麻与自杀未遂的几率较高独立相关。多样性&;包容性声明我们努力确保招募人类参与者时的性别和性别平衡。我们致力于在招募人类参与者时确保种族、族裔和/或其他类型的多样性。本文的作者名单包括来自研究所在地和/或社区的参与数据收集、设计、分析和/或解释工作的贡献者。这篇论文的一位或多位作者自称是科学界一个或多个历史上代表性不足的种族和/或族裔群体的成员。我们积极致力于促进作者群体中的性别和性别平衡。我们积极致力于促进将历史上在科学领域代表性不足的种族和/或族裔群体纳入我们的作者群体。
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引用次数: 3
Do Children With Attention-Deficit/Hyperactivity Disorder Symptoms Become Socially Isolated? Longitudinal Within-Person Associations in a Nationally Representative Cohort 有注意力缺陷/多动障碍症状的儿童会变得社交孤立吗?一项具有全国代表性的队列研究中的纵向人际关联
Pub Date : 2023-06-01 DOI: 10.1016/j.jaacop.2023.02.001
Katherine N. Thompson MSc , Jessica C. Agnew-Blais PhD , Andrea G. Allegrini PhD , Bridget T. Bryan MSc , Andrea Danese MD, PhD , Candice L. Odgers PhD , Timothy Matthews PhD , Louise Arseneault PhD

Objective

This study examined longitudinal associations between attention-deficit/hyperactivity disorder (ADHD) symptoms and social isolation across childhood. The study tested the direction of this association across time, while accounting for preexisting characteristics, and assessed whether this association varied by ADHD presentation, informant, sex, and socioeconomic status.

Method

Participants included 2,232 children from the Environmental Risk (E-Risk) Longitudinal Twin Study. ADHD symptoms and social isolation were measured at ages 5, 7, 10, and 12. Random-intercept cross-lagged panel models were used to assess the directionality of the association across childhood.

Results

Children with increased ADHD symptoms were consistently at increased risk of becoming socially isolated later in childhood, over and above stable characteristics (β = .05-.08). These longitudinal associations were not bidirectional; isolated children were not at risk of worsening ADHD symptoms later on. Children with hyperactive ADHD presentation were more likely to become isolated, compared with inattentive presentation. This was evident in the school setting, as observed by teachers, but not by mothers at home.

Conclusion

The study findings highlight the importance of enhancing peer social support and inclusion for children with ADHD, particularly in school settings. This study adds explanatory value beyond traditional longitudinal methods, as the results represent how individual children change over time, relative to their own preexisting characteristics.

Diversity & Inclusion Statement

We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. We actively worked to promote sex and gender balance in our author group. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.

目的本研究调查了注意力缺陷/多动障碍(ADHD)症状与儿童时期社交孤立之间的纵向关联。这项研究测试了这种关联在不同时间内的方向,同时考虑了先前存在的特征,并评估了这种关联是否因多动症的表现、信息提供者、性别和社会经济地位而异。方法参与者包括2232名来自环境风险(E-Risk)纵向双胞胎研究的儿童。在5岁、7岁、10岁和12岁时测量ADHD症状和社交孤立。随机截距交叉滞后面板模型用于评估整个儿童时期的关联方向性。结果ADHD症状加重的儿童在儿童后期社交孤立的风险持续增加,超过了稳定的特征(β=0.05-.08)。这些纵向关联不是双向的;被孤立的儿童以后没有患多动症症状恶化的风险。与注意力不集中的儿童相比,多动症表现过度活跃的儿童更容易被孤立。这一点在学校环境中很明显,正如老师们所观察到的,但在家里的母亲们却没有。结论研究结果强调了增强ADHD儿童同伴社会支持和包容的重要性,尤其是在学校环境中。这项研究在传统的纵向方法之外增加了解释价值,因为研究结果代表了儿童个体相对于自身先前存在的特征如何随着时间的推移而变化。多样性&;包容性声明我们努力确保招募人类参与者时的性别和性别平衡。我们努力确保研究问卷的编制具有包容性。这篇论文的一位或多位作者自称是科学界一个或多个历史上代表性不足的性和/或性别群体的成员。我们积极致力于促进作者群体中的性别和性别平衡。本文的作者名单包括来自研究所在地和/或社区的参与数据收集、设计、分析和/或解释工作的贡献者。
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引用次数: 2
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