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Article ; Online: Editorial: Parental Depression Does Not Impede Benefits From Behavioral Parent Training.

Bussing, Regina

Journal of the American Academy of Child and Adolescent Psychiatry

2020 Volume 59, Issue 8, Page(s) 918–919

Abstract: Behavioral parent training (BPT) programs are considered the gold standard for intervening in early-onset conduct disorders. ...

Abstract	Behavioral parent training (BPT) programs are considered the gold standard for intervening in early-onset conduct disorders.
MeSH term(s)	Adolescent ; Adult ; Attention Deficit Disorder with Hyperactivity ; Child ; Depression ; Humans ; Parent-Child Relations ; Parenting ; Parents
Language	English
Publishing date	2020-04-18
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	392535-3
ISSN	1527-5418 ; 0890-8567
ISSN (online)	1527-5418
ISSN	0890-8567
DOI	10.1016/j.jaac.2020.04.005
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Article ; Online: Editorial: Trials and Tribulations of Developing Adolescent Attention-Deficit/Hyperactivity Disorder Interventions: Digging Deep to Stay Motivated.

Bussing, Regina

Journal of the American Academy of Child and Adolescent Psychiatry

2020 Volume 60, Issue 6, Page(s) 685–687

Abstract: Attention-deficit/hyperactivity disorder (ADHD) has great public health relevance due to its high prevalence; adverse academic, social, economic, and health impacts on affected individuals and their families; and well established psychosocial and ... ...

Abstract	Attention-deficit/hyperactivity disorder (ADHD) has great public health relevance due to its high prevalence; adverse academic, social, economic, and health impacts on affected individuals and their families; and well established psychosocial and pharmacological treatment options.
MeSH term(s)	Adolescent ; Adult ; Attention Deficit Disorder with Hyperactivity/therapy ; Child ; Humans ; Prevalence
Language	English
Publishing date	2020-12-08
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	392535-3
ISSN	1527-5418 ; 0890-8567
ISSN (online)	1527-5418
ISSN	0890-8567
DOI	10.1016/j.jaac.2020.12.002
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Article ; Online: An open label pilot trial of sequential bifrontal low frequency r-TMS in the treatment of primary insomnia.

Holbert, Richard C / Carr, Brent R / Bussing, Regina

Psychiatry research

2023 Volume 324, Page(s) 115194

Abstract: This pilot study examines the therapeutic effects of bifrontal low frequency (LF) TMS on primary insomnia. In this prospective, open-label study 20 patients with primary insomnia and without major depressive disorder received 15 sequential bifrontal LF ... ...

Abstract	This pilot study examines the therapeutic effects of bifrontal low frequency (LF) TMS on primary insomnia. In this prospective, open-label study 20 patients with primary insomnia and without major depressive disorder received 15 sequential bifrontal LF rTMS stimulation sessions. By week 3, PSQI scores declined from baseline score of 12.57(sd 2.74) to 9.50 (sd 4.27), a large effects size (0.80 (CI 0.29, 1.36)), and CGI-I scores improved for 52.6% of participants. Results of this pilot indicate that the novel bifrontal LF rTMS benefitted this group of patients suffering from primary insomnia, with absence of sham control a significant study limitation.
MeSH term(s)	Humans ; Depressive Disorder, Major/therapy ; Pilot Projects ; Prefrontal Cortex/physiology ; Prospective Studies ; Sleep Initiation and Maintenance Disorders/therapy ; Transcranial Magnetic Stimulation/methods ; Treatment Outcome
Language	English
Publishing date	2023-04-09
Publishing country	Ireland
Document type	Clinical Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	445361-x
ISSN	1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
ISSN (online)	1872-7123 ; 1872-7506
ISSN	0925-4927 ; 0165-1781
DOI	10.1016/j.psychres.2023.115194
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Article ; Online: Comparing pregnancy and pregnancy outcome rates between adolescents with and without pre-existing mental disorders.

Jeon, Nakyung / Albogami, Yasser / Jung, Sun-Young / Bussing, Regina / Winterstein, Almut G

PloS one

2024 Volume 19, Issue 3, Page(s) e0296425

Abstract: Background: There are limited population-based data on the role of mental disorders in adolescent pregnancy, despite the presence of mental disorders that may affect adolescents' desires and decisions to become pregnant.: Objective: This study aimed ... ...

Abstract	Background: There are limited population-based data on the role of mental disorders in adolescent pregnancy, despite the presence of mental disorders that may affect adolescents' desires and decisions to become pregnant. Objective: This study aimed to examine the relationship between specific types of mental disorders and pregnancy rates and outcome types among adolescents aged 13-19 years, using single-year age groups. Methods: We conducted a retrospective cohort study using data from the Merative™ MarketScan Research Databases. The study population consisted of females aged 13-19 years with continuous insurance enrollment for three consecutive calendar years between 2005 and 2015. Pregnancy incidence rates were calculated both overall and within the different categories of mental disorders. The presence of mental disorders, identified through diagnosis codes, was classified into 15 categories. Pregnancy and pregnancy outcome types were determined using diagnosis and procedure codes indicating the pregnancy status or outcome. To address potential over- or underestimations of mental disorder-specific pregnancy rates resulting from variations in age distribution across different mental disorder types, we applied age standardization using 2010 U.S. Census data. Finally, multivariable logistic regression models were used to examine the relationships between 15 specific types of mental disorders and pregnancy incidence rates, stratified by age. Results: The age-standardized pregnancy rate among adolescents diagnosed with at least one mental disorder was 15.4 per 1,000 person-years, compared to 8.5 per 1,000 person-years among adolescents without a mental disorder diagnosis. Compared to pregnant adolescents without a mental disorder diagnosis, those with a mental disorder diagnosis had a slightly but significantly higher abortion rate (26.7% vs 23.8%, P-value < 0.001). Multivariable logistic regression models showed that substance use-related disorders had the highest odds ratios (ORs) for pregnancy incidence, ranging from 2.4 [95% confidence interval (CI): 2.1-2.7] to 4.5 [95% CI:2.1-9.5] across different age groups. Overall, bipolar disorders (OR range: 1.6 [95% CI:1.4-1.9]- 1.8 [95% CI: 1.7-2.0]), depressive disorders (OR range: 1.4 [95% CI: 1.3-1.5]- 2.7 [95% CI: 2.3-3.1]), alcohol-related disorders (OR range: 1.2 [95% CI: 1.1-1.4]- 14.5 [95% CI: 1.2-178.6]), and attention-deficit/conduct/disruptive behavior disorders (OR range: 1.1 [95% CI: 1.0-1.1]- 1.8 [95% CI: 1.1-3.0]) were also significantly associated with adolescent pregnancy, compared to adolescents without diagnosed mental disorders of the same age. Conclusion: This study emphasizes the elevated rates of pregnancy and pregnancy ending in abortion among adolescents diagnosed with mental disorders, and identifies the particular mental disorders associated with higher pregnancy rates.
MeSH term(s)	Female ; Humans ; Adolescent ; Pregnancy ; Pregnancy Rate ; Retrospective Studies ; Pregnancy Outcome/epidemiology ; Mental Disorders/epidemiology ; Substance-Related Disorders ; Attention Deficit Disorder with Hyperactivity
Language	English
Publishing date	2024-03-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0296425
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Early school-based screening and intervention programmes for ADHD did not improve children's outcomes at age 10.

Bussing, Regina

Evidence-based mental health

2010 Volume 13, Issue 4, Page(s) 118

Language	English
Publishing date	2010-11
Publishing country	England
Document type	Comment ; Journal Article
ZDB-ID	2009065-1
ISSN	1468-960X ; 1362-0347
ISSN (online)	1468-960X
ISSN	1362-0347
DOI	10.1136/ebmh.13.4.118
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Article: Therapeutic Horticulture as a Therapeutic Intervention in Patients Receiving Electroconvulsive Therapy (ECT) Treatment for Major Depressive Disorder.

Korah, Tessy / Morrison, Deborah / Mason, Dana / Diehl, Elizabeth R / Bussing, Regina

Cureus

2021 Volume 13, Issue 8, Page(s) e17363

Abstract: This study explored the effect of a structured therapeutic horticulture (TH) program on depression symptoms and quality of life indicators for individuals receiving inpatient electroconvulsive therapy (ECT) for major depressive disorders (MDD). Self- ... ...

Abstract	This study explored the effect of a structured therapeutic horticulture (TH) program on depression symptoms and quality of life indicators for individuals receiving inpatient electroconvulsive therapy (ECT) for major depressive disorders (MDD). Self-reported measures of depressive symptomatology (PHQ9, BDI-II) and quality of life (SF-36) were employed to compare intervention (
Language	English
Publishing date	2021-08-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.17363
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Article: The Interactive Effect of Social Capital and Duration of Migration on Suicidal Behaviors Among Rural-to-Urban Migrants in China: Evidence from a GIS/GPS-Assisted Probability Sample.

Yu, Bin / Chen, Xinguang / Cottler, Linda / Striley, Catherine / Bussing, Regina / Cook, Robert

Social indicators research

2021 Volume 154, Issue 2, Page(s) 603–622

Abstract: Suicide for rural-to-urban migrants in China presents a challenge. Social capital as a modifiable factor is associated with suicidal behaviors at different levels for different populations. This study focuses on the social capital-suicidal behavior ... ...

Abstract	Suicide for rural-to-urban migrants in China presents a challenge. Social capital as a modifiable factor is associated with suicidal behaviors at different levels for different populations. This study focuses on the social capital-suicidal behavior relationship among rural migrants with detailed social capital measures and their interaction with migration duration. Data were collected from a rural migrant sample in Wuhan, China. Outcome variable was reported suicidal ideation and attempts in the past 12 months. Social capital was measured using the Personal Social Capital Scale. Year of migration was measured as the number of years a subject migrated to the city. Multivariate logistic regression (coefficients [95%CIs]) was used for data analysis. Time of crossover for interaction was estimated as the year when the effect of social capital on a suicidal behavior revered from negative to positive. Study findings show a negative association between social capital and suicidal ideation (-1.48 [-2.86, -0.10]), but the association was not significant for suicidal attempts (-1.30 [-2.68, 0.08]) after considering the positive interaction between social capital and year of migration (0.11 [0.03, 0.19] for ideation and 0.11 [0.02, 0.19] for attempts). Similar effects were found for detailed social capital measures. The estimated time of crossover ranged from 7.0 to 14.8 years for different social capital measures. The findings of this study confirm the protective relationship between social capital and suicidal behaviors in the early years of migration among rural migrants. These findings inform suicide prevention among rural migrants by considering social capital during the first 7 to 15 years of migration.
Language	English
Publishing date	2021-01-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2018687-3
ISSN	1573-0921 ; 0303-8300
ISSN (online)	1573-0921
ISSN	0303-8300
DOI	10.1007/s11205-020-02578-3
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Article ; Online: Mental Health-Related Emergency Department Visits Among Children During The Early COVID-19 Pandemic.

Edgcomb, Juliet Beni / Benson, Nicole M / Tseng, Chi-Hong / Thiruvalluru, Rohith / Pathak, Jyotishman / Bussing, Regina / Harle, Christopher A / Zima, Bonnie T

Psychiatric research and clinical practice

2022 Volume 4, Issue 1, Page(s) 4–11

Abstract: Objective: To measure univariate and covariate-adjusted trends in children's mental health-related emergency department (MH-ED) use across geographically diverse areas of the U.S. during the first wave of the Coronavirus-2019 (COVID-19) pandemic.: ... ...

Abstract	Objective: To measure univariate and covariate-adjusted trends in children's mental health-related emergency department (MH-ED) use across geographically diverse areas of the U.S. during the first wave of the Coronavirus-2019 (COVID-19) pandemic. Method: This is a retrospective, cross-sectional cohort study using electronic health records from four academic health systems, comparing percent volume change and adjusted risk of child MH-ED visits among children aged 3-17 years, matched on 36-week (3/18/19-11/25/19 vs. 3/16/20-11/22/20) and 12-week seasonal time intervals. Adjusted incidence rate ratios (IRR) were calculated using multivariate Poisson regression. Results: Visits declined during spring-fall 2020 ( Conclusions: The early pandemic brought overall declines in child MH-ED use alongside co-occurring demographic and diagnostic shifts. Children vulnerable to missed detection during instructional disruptions experienced disproportionate declines, suggesting need for future longitudinal research in this population.
Language	English
Publishing date	2022-02-23
Publishing country	United States
Document type	Journal Article
ISSN	2575-5609
ISSN (online)	2575-5609
DOI	10.1176/appi.prcp.20210036
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Article ; Online: Use of Acute Mental Health Care in U.S. Children's Hospitals Before and After Statewide COVID-19 School Closure Orders.

Zima, Bonnie T / Edgcomb, Juliet Beni / Rodean, Jonathan / Cochran, Susan D / Harle, Christopher A / Pathak, Jyotishman / Tseng, Chi-Hong / Bussing, Regina

Psychiatric services (Washington, D.C.)

2022 Volume 73, Issue 11, Page(s) 1202–1209

Abstract: Objective: This study aimed to examine changes in child emergency department (ED) discharges and hospitalizations for primary general medical (GM) and primary psychiatric disorders; prevalence of psychiatric disorders among acute care encounters; and ... ...

Abstract	Objective: This study aimed to examine changes in child emergency department (ED) discharges and hospitalizations for primary general medical (GM) and primary psychiatric disorders; prevalence of psychiatric disorders among acute care encounters; and change in acute mental health (MH) care encounters by disorder type and, within these categories, by child sociodemographic characteristics before and after statewide COVID-19–related school closure orders. Methods: This retrospective, cross-sectional cohort study used the Pediatric Health Information System database to assess percent changes in ED discharges and hospitalizations (N=2,658,474 total encounters) among children ages 3–17 years in 44 U.S. children’s hospitals in 2020 compared with 2019, by using matched data for 36- and 12-calendar-week intervals. Results: Decline in MH ED discharges accounted for about half of the decline in ED discharges and hospitalizations for primary GM disorders (−24.8% vs. −49.1%), and MH hospitalizations declined 3.4 times less (−8.0% vs. −26.8%) in 2020. Suicide attempt or self-injury and depressive disorders accounted for >50% of acute MH care encounters before and after the statewide school closures. The increase in both ED discharges and hospitalizations for suicide attempt or self-injury was 5.1 percentage points (p<0.001). By fall 2020, MH hospitalizations for suicide attempt or self-injury rose by 41.7%, with a 43.8% and 49.2% rise among adolescents and girls, respectively. Conclusions: Suicide or self-injury and depressive disorders drove acute MH care encounters in 44 U.S. children’s hospitals after COVID-19–related school closures. Research is needed to identify continuing risk indicators (e.g., sociodemographic characteristics, psychiatric disorder types, and social determinants of health) of acute child MH care.
MeSH term(s)	Child ; Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Hospitalization/statistics & numerical data ; Hospitals, Pediatric/statistics & numerical data ; Mental Health/statistics & numerical data ; Schools/statistics & numerical data ; Patient Care/statistics & numerical data ; Mental Health Services/statistics & numerical data ; United States/epidemiology ; Communicable Disease Control/methods ; Communicable Disease Control/statistics & numerical data ; Facilities and Services Utilization/statistics & numerical data
Language	English
Publishing date	2022-05-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	1220173-x
ISSN	1557-9700 ; 1075-2730
ISSN (online)	1557-9700
ISSN	1075-2730
DOI	10.1176/appi.ps.202100582
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Article ; Online: Florida Medicaid Children's Receipt of First-Line Psychosocial Care Prior to Antipsychotic Initiation.

Shenkman, Elizabeth A / Huo, Tianyao / Li, Qian / Bussing, Regina / Forrest, Christopher B / Xu, Hongzhi / Woodard, Jennifer / Muller, Keith E

Academic pediatrics

2022 Volume 22, Issue 3S, Page(s) S100–S107

Abstract: Background and objective: First-line, nonpharmacological therapy is recommended for many pediatric mental health (MH) conditions prior to initiating antipsychotic prescription therapies. Many children do not receive these recommended services, despite ... ...

Abstract	Background and objective: First-line, nonpharmacological therapy is recommended for many pediatric mental health (MH) conditions prior to initiating antipsychotic prescription therapies. Many children do not receive these recommended services, despite the known association between antipsychotic medications and metabolic dysfunction. The main objective of this study was to quantify the association among children's MH diagnosis categories, sociodemographic characteristics and receipt of first-line psychosocial care among children in Florida Medicaid METHODS: Florida Medicaid enrollment, healthcare and pharmacy claims were used for this multivariate analysis. Children were assigned to condition clusters wherein related diagnoses were grouped into clinically relevant categories. A total of 7704 children were included in the final analysis. Results: Twenty-four percent of children in Florida Medicaid do not receive first-line, nonpharmacological psychosocial care. Age was significantly associated with not receiving psychosocial services, with older children less likely to receive. Non-Hispanic White children as well as those living in rural areas had lower odds of receiving behavioral intervention prior to initiating antipsychotics. Children with mood-disorders, behavior problems, anxiety and stress related disorders were more likely to receive first-line psychosocial care. Conclusions: This study provides an important understanding of the variability in receipt of first-line psychosocial care before antipsychotic medication initiation among children in Medicaid based on sociodemographic and MH health characteristics. These analyses can be used to develop quality improvement initiatives targeted toward children that are most vulnerable for not receiving recommended care.
MeSH term(s)	Adolescent ; Antipsychotic Agents/therapeutic use ; Child ; Florida ; Humans ; Medicaid ; Mood Disorders/drug therapy ; Psychiatric Rehabilitation ; United States
Chemical Substances	Antipsychotic Agents
Language	English
Publishing date	2022-01-28
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2483385-X
ISSN	1876-2867 ; 1876-2859
ISSN (online)	1876-2867
ISSN	1876-2859
DOI	10.1016/j.acap.2021.11.014
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