ORCID Profile
0000-0002-4498-0202
Current Organisations
Murdoch Children's Research Institute
,
University of Melbourne
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Publisher: Springer Science and Business Media LLC
Date: 31-08-2022
DOI: 10.1007/S10826-022-02390-2
Abstract: Irritability, characterised by anger, frustration, and emotional dysregulation, is a common transdiagnostic symptom associated with child and adolescent referrals to mental health services and is associated with significant negative outcomes. Despite this, little is known about the link between irritability and the broader family environment. The present study described parental and family dysfunction in families of 51 children and adolescents (aged 6 to 15 years) with severe irritability referred to Victorian public mental health services. Further, we aimed to explore the associations between children’s irritability, parent functioning (parental distress and parental irritability), and family dysfunction. Child irritability was measured on the Affective Reactivity Index (ARI) and was obtained from participating children and their primary parent/caregiver (90% mothers). Participants psychiatric diagnoses were obtained using the Development and Well-Being Assessment through an interview with parents who also provided ratings of their own distress (Kessler 6), irritability (ARI), and family dysfunction (McMaster Family Assessment Device). We found high rates of family dysfunction (80%) and 39% of parents reported moderate to high psychological distress. Higher self-reported irritability was moderately associated with lower family dysfunction. All other relationships examined were non-significant. Findings suggest a complex relationship between severe childhood irritability and parental and family functioning with implications for treatment discussed.
Publisher: SAGE Publications
Date: 14-12-2022
Abstract: The present study examined the impact of Attention Deficit Hyperactivity Disorder (ADHD) on core educational outcomes in two large community cohorts of Australian school children. Academic (reading and numeracy) and non-academic (school engagement, attendance, peer victimization, and parental expectations) outcomes were compared between children with ADHD, subthreshold ADHD, and controls when children were in grade 5 (M age = 10.5). Data were drawn from the Longitudinal Study of Australian Children birth cohort (LSAC Both subthreshold ADHD and ADHD groups had poorer outcomes on all measures, with medium effects sizes. Differences were not evident between subthreshold ADHD and ADHD groups. Educational outcomes examined in this study highlight the educational risk for upperprimary school children with ADHD or subthreshold ADHD, in comparison to their peers. Monitoring these outcomes is necessary to inform policy, practice, and intervention.
Publisher: SAGE Publications
Date: 24-04-2021
Abstract: Objective: Examine in idual factors associated with peer victimization (PV) in adolescents with attention-deficit/hyperactivity disorder (ADHD) and to examine the association between PV and educational outcomes. Method: Participants were 121 adolescents ( M age = 13.62, SD = 1.03 89% boys) with diagnosed ADHD. Using path analysis, we tested whether general adolescent factors (ADHD symptoms, comorbid autism spectrum disorder, cognitive and social functioning, and age) were associated with experiences of PV, and associations between PV and academic outcomes. Results: Deficits in working memory (WM) and peer relationship problems were weakly and moderately associated with PV, respectively. PV was in turn was associated with adolescents’ attitudes about school, academic competence, and academic achievement. Conclusion: Adolescents with poor social skills and/or WM difficulties who have ADHD may be particularly vulnerable to being victimized by peers. Failure to identify and manage PV during early adolescence may be connected to poor educational outcomes.
Publisher: Wiley
Date: 18-01-2023
DOI: 10.1111/JCPP.13752
Abstract: Understanding the unmet needs of healthcare consumers with attention‐deficit/hyperactivity disorder (ADHD) (in iduals with ADHD and their caregivers) provides critical insight into gaps in services, education and research that require focus and funding to improve outcomes. This review examines the unmet needs of ADHD consumers from a consumer perspective. A standardised search protocol identified peer‐reviewed studies published between December 2011 and December 2021 focusing on consumer‐identified needs relating to ADHD clinical care or research priorities. 1,624 articles were screened with 23 studies that reviewed examining the needs of ADHD consumers from Europe, the U.K., Hong Kong, Iran, Australia, the U.S.A. and Canada. Consumer‐identified needs related to: treatment that goes beyond medication (12 studies) improved ADHD‐related education/training (17 studies) improved access to clinical services, carer support and financial assistance (14 studies) school accommodations/support (6 studies) and ongoing treatment efficacy research (1 study). ADHD consumers have substantial unmet needs in clinical, psychosocial and research contexts. Recommendations to address these needs include: improving access to and quality of multimodal care provision incorporating recovery principles into care provision fostering ADHD health literacy and increasing consumer participation in research, service development and ADHD‐related training/education.
Publisher: SAGE Publications
Date: 26-03-2021
DOI: 10.1177/10870547211003671
Abstract: This review aimed to understand the broader community’s attitudes toward ADHD, which could facilitate public health interventions to improve outcomes for in iduals with ADHD. A standardized protocol identified peer-reviewed studies focusing on attitudes of broader community s les, published from January 2014 to February 2020 (inclusive). A total of 1,318 articles were screened and 10 studies were included, examining attitudes of broader community s les from Australia, Sweden, Germany, Finland, Korea, Indonesia, and the United States. Findings revealed that broader community s les displayed varying degrees of ADHD-related knowledge, negative attitudes (that ADHD is over-diagnosed that pharmacological treatment is not acceptable that those with ADHD are more likely to exhibit poor behavior), and a desire for maintaining social distance from in iduals with ADHD. Findings suggest that community attitudes are generally negative toward those with ADHD. Targeted mental health literacy could provide an important avenue for improving the broader community’s attitudes toward those with ADHD.
Publisher: Elsevier BV
Date: 2020
Publisher: Elsevier BV
Date: 09-2021
Publisher: SAGE Publications
Date: 21-07-2022
DOI: 10.1177/10870547221112941
Abstract: Previous studies at child and youth mental health services (CYMHS) suggest that children with ADHD have poorer outcomes compared to those with other diagnoses. This study investigates this in more detail. Children with ADHD were compared to those with ASD and those with emotional disorders, on routinely collected outcomes at CYMHS in Australia ( N = 2,513) and the Netherlands ( N = 844). Where the emotional disorders group reached a similar level of emotional symptoms at the end-of-treatment as the ADHD and ASD groups, the latter two groups still had higher scores on ADHD and ASD symptoms (attention and peer problems). The poorer outcomes were mainly explained by higher severity at baseline. In Australia, an ADHD and/or ASD diagnosis also independently contributed to worse outcomes. Those with neurodevelopmental disorders within both countries had poorer outcomes than those with emotional disorders. Services should aim to optimize treatment to ensure best possible outcomes.
No related grants have been discovered for Nardia Zendarski.