Experience of sibling death in childhood and risk of psychiatric care in adulthood: a national cohort study from Sweden
Bereavement; Death; Grief; Sweden; Sibling
Studies have found that sibling loss is associated with an increased risk of death from external causes (i.e. suicides, accidents and homicides). Increased psychiatric health problems following bereavement could underlie such an association. We studied the influence of sibling loss during childhood on psychiatric care in young adulthood, adjusting for psychosocial covariates shared by siblings in childhood. A national cohort born in Sweden in 1973-1982 (N = 701,270) was followed prospectively until 2013. Cox proportional hazards models were used to analyse the association between sibling loss during childhood and psychiatric inpatient and outpatient care identified by the Hospital Discharge Register. After adjustment for confounders, the HRs of psychiatric care in men who experienced sibling loss were 1.17 (95% CI 1.07-1.27) while the associations turned non-significant in women after adjustment for family-related psychosocial covariates, HR 1.07 (95% CI 0.99-1.16). An increased risk was found in men bereaved in early childhood (1.22 95% CI 1.07-1.38) and adolescence (1.27 95% CI 1.08-1.48). Among women, loss of a sibling during adolescence was significantly associated with psychiatric care (1.19 95% CI 1.03-1.36). Increased psychiatric health problems following bereavement could underlie the previously found association between sibling loss and mortality from external causes. Family-related psychosocial conditions shared by siblings in childhood may account for the association between sibling death and psychiatric care in adulthood.
Rostila M; Berg L; Saarela J; Kawachi I; Hjern A
European Child & Adolescent Psychiatry
2019
<a href="http://doi.org/10.1007/s00787-019-01324-6" target="_blank" rel="noreferrer noopener">10.1007/s00787-019-01324-6</a>
The use of clonidine for severe and intractable sleep problems in children with neurodevelopmental disorders--a case series
Child; Female; Humans; Male; Severity of Illness Index; Drug Administration Schedule; adolescent; Q3 Literature Search; Antipsychotic Agents/administration & dosage/therapeutic use; Attention Deficit Disorder with Hyperactivity/complications/physiopathology; Brain/physiopathology; Clonidine/administration & dosage/therapeutic use; Developmental Disabilities/complications/physiopathology; Sleep Disorders/complications/diagnosis/drug therapy
This paper reports on the use of clonidine for the treatment of severe sleep problems associated with behavioural difficulties in children with neurodevelopmental disabilities. Data were obtained from reviewing the case notes of a series of six children with neurodevelopmental disorders of different nature and severity, presenting with problematic sleep. All children in this group showed maintained improvements in their sleep pattern following the use of clonidine with only mild side-effects reported.
2005
Ingrassia A; Turk J
European Child & Adolescent Psychiatry
2005
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Journal Article
<a href="http://doi.org/10.1007/s00787-005-0424-4" target="_blank" rel="noreferrer">10.1007/s00787-005-0424-4</a>