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Lauren S. Wakschlag Megan Y. Roberts Rachel M. Flynn Justin D. Smith Sheila Krogh-Jespersen Aaron J. Kaat 《Journal of clinical child and adolescent psychology》2019,48(3):539-554
Mental disorders are the predominant chronic diseases of youth, with substantial life span morbidity and mortality. A wealth of evidence demonstrates that the neurodevelopmental roots of common mental health problems are present in early childhood. Unfortunately, this has not been translated to systematic strategies for improving population-level mental health at this most malleable neurodevelopmental period. We lay out a translational Mental Health, Earlier road map as a key future direction for prevention of mental disorder. This paradigm shift aims to reduce population attributable risk of mental disorder emanating from early life, by preventing, attenuating, or delaying onset/course of chronic psychopathology via the promotion of self-regulation in early childhood within large-scale health care delivery systems. The Earlier Pillar rests on a “science of when to worry” that (a) optimizes clinical assessment methods for characterizing probabilistic clinical risk beginning in infancy via deliberate incorporation of neurodevelopmental heterogeneity, and (b) universal primary-care-based screening targeting patterns of dysregulated irritability as a robust transdiagnostic marker of vulnerability to life span mental health problems. The core of the Healthier Pillar is provision of low-intensity selective intervention promoting self-regulation for young children with developmentally atypical patterns of irritability within an implementation science framework in pediatric primary care to ensure highest population impact and sustainability. These Mental Health, Earlier strategies hold much promise for transforming clinical outlooks and ensuring young children’s mental health and well-being in a manner that reverberates throughout the life span. 相似文献
83.
Leila H. Shayegan BA MD Candidate Maria C. Garzon MD Kimberly D. Morel MD Rachel Borlack MD Patricia M. Vuguin MD Kara G. Margolis MD Yesim Y. Demirdag MD Elaine M. Pereira MD Christine T. Lauren MD MHA 《Pediatric dermatology》2020,37(4):695-697
We report a case of a newly recognized primary immunodeficiency due to biallelic mutations in CARMIL2 manifesting as an actinic prurigo-like photodermatitis, allergic diathesis and recurrent infections in a child. We present this case to highlight a rare phenotype seen in this T-cell immunodeficiency and provide an overview of other dermatologic manifestations among published reports of this condition. 相似文献
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Mejía Anilena Bertello Lucía Gil Johany Griffith Jaravis López Ana Isabel Moreno Milena Calam Rachel 《International journal of mental health and addiction》2020,18(2):482-499
International Journal of Mental Health and Addiction - Family skills training programs (FSTPs) are the interventions of choice for the prevention of alcohol and drug use worldwide. However, the... 相似文献
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Huang Sicong He Xintong Doyle Tracy J. Zaccardelli Alessandra Marshall Allison A. Friedlander H. Maura Blaustein Rachel B. Smith Elisabeth A. Cui Jing Iannaccone Christine K. Mahmoud Taysir G. Weinblatt Michael E. Dellaripa Paul F. Shadick Nancy A. Sparks Jeffrey A. 《Clinical rheumatology》2020,39(4):1371-1372
Clinical Rheumatology - The publisher regrets that the two sections under the Results omitted inadvertently on the original published version of the above article. 相似文献
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Rachel K. Spooner Alex I. Wiesman Amy L. Proskovec Elizabeth Heinrichs‐Graham Tony W. Wilson 《Human brain mapping》2020,41(2):520-529
The ability to execute a motor plan involves spatiotemporally precise oscillatory activity in primary motor (M1) regions, in concert with recruitment of “higher order” attentional mechanisms for orienting toward current task goals. While current evidence implicates gamma oscillatory activity in M1 as central to the execution of a movement, far less is known about top‐down attentional modulation of this response. Herein, we utilized magnetoencephalography (MEG) during a Posner attention‐reorienting task to investigate top‐down modulation of M1 gamma responses by frontal attention networks in 63 healthy adult participants. MEG data were evaluated in the time–frequency domain and significant oscillatory responses were imaged using a beamformer. Robust increases in theta activity were found in bilateral inferior frontal gyri (IFG), with significantly stronger responses evident in trials that required attentional reorienting relative to those that did not. Additionally, strong gamma oscillations (60–80 Hz) were detected in M1 during movement execution, with similar responses elicited irrespective of attentional reorienting. Whole‐brain voxel‐wise correlations between validity difference scores (i.e., attention reorienting trials—nonreorienting trials) in frontal theta activity and movement‐locked gamma oscillations revealed a robust relationship in the contralateral sensorimotor cortex, supplementary motor area, and right cerebellum, suggesting modulation of these sensorimotor network gamma responses by attentional reorienting. Importantly, the validity difference effect in this distributed motor network was predictive of overall motor function measured outside the scanner and further, based on a mediation analysis this relationship was fully mediated by the reallocation response in the right IFG. These data are the first to characterize the top‐down modulation of movement‐related gamma responses during attentional reorienting and movement execution. 相似文献