Many children with autism spectrum disorder (ASD) experience high levels of anxiety. However, inconsistencies between parent and child reports may complicate the assessment of anxiety in this population.

The aim of this study is to investigate discrepancies between parent and self-reported anxiety among children with high functioning ASD.

Children aged between 8 and16 years with high functioning ASD, followed in the outpatient unite of child psychiatry at the University Hospital of Monastir, Tunisia and their parents, were invited to complete the Arabic version of the Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD). The ASC-ASD is a 24-item questionnaire with six sub-scales, designed specifically for the assessment of anxiety symptomatology in children with ASD. A total score of ≥ 20 indicate significant levels of anxiety.

We recruited 66 children and their parents. The mean age was 10 years old. High rates of anxiety were found: children’s reports revealed that 70% of them present anxiety and 60 % were coated anxious by parent’s reports. Performance Anxiety, Uncertainty and Social Anxiety were the most frequent types of anxiety reported by both parents and children. We did not find a significant difference between the parents and children rating of anxiety except for the apprehension subscale.

This is one of the first studies to compare between parent and self-reported anxiety among children with ASD using an autism-specific measure of anxiety. No discrepancies have been found between parents and children report, however others studies are needed to investigate discrepancies in children with severe ASD.

It is known that children with hyperactive-impulsive disorder have deficit in executive abilities. It is important to search for effective approaches for developing executive abilities in children with this disorder.

The goal of this study was to reveal effect of yoga training on executive abilities in 8-9 years of age children with hyperactive-impulsive disorder. We compared the efficacy of two methods of training (yoga training vs. conventional motor exercises) in a randomized controlled pilot study.

18 children with hyperactive-impulsive disorder at the age of 8-9 years were included and randomly assigned to treatment conditions according to a 2×2 crossover design. Children from intervention group participated in 12 weeks of yoga training that included body-oriented activity and breathing exercises. To assess the executive functions we used 3 subtests from NEPSY (Auditory Attention and Response Set, Visual Attention, Statue). Effects of training were analyzed by means of an ANOVA for repeated measurements.

The ANOVA has revealed (p<.05) that for all used subtests (Auditory Attention and Response Set, Visual Attention, Statue) the yoga training was superior to the conventional motor training, with effect sizes in the medium-to-high range (0.43-0.88).

The findings from this pilot study suggest that yoga training have positive effect on executive abilities in children with hyperactive-impulsive disorder. It influences predominantly the selective and sustained attention, inhibition, monitoring, and self-regulation. However, it is necessary to do further research into the impact of yoga exercises on the prevention and treatment of hyperactive-impulsive disorder in children.

School bullying is a serious problem among tunisian children and adolesent. In our every day practice, we see a considerable number of suicide attempts among bullying victims. Our study tries to provide more information on this phenomenon, in order to organize efficient preventtion measures.

Measuring the prevalence of bullying victimization in the town of Sousse-Tunisia Comparing the prevalence found through a validated measurement tool and a closed end question

It is a cross-sectional study among a sample of 1127 adolescents, aged 12 to 17 years old. The adolescents were divided in two groups the first group, composed of 527 adolescents, answered a closed end (yes/no) question “Have you been a victim of Bullying”; the second group, composed of 600 adolescents, responded to the “adolescent peer relation instrument”.

The first group was composed of 48% of boys and 52% of girls with a mean age of 13,24 ± 0,96. The second group was composed of 50% of boys and 50% of girls with a mean age of 13.76 ±1.37. We found a bullying victimization prevalence of 11% for the first group versus 95.1% for the second group. For both groups we didn’t find a significant difference in the prevalence of bullying victimization according to sociodemographic factors except the higher family income that was associates to less bullying victimisation for the first group (p=0,04)

The high prevalence of bullying victimization we found using a validated measurement is alarming in terms of the urgency of interventions to prevent bullying in schools.

Bullying is a serious problem for school youth. It is prevalent across the elementary and secondary school years and it has serious consequences for both bullies and victims.

The aim of this study was to investigate the relationship between self-esteem and bullying behavior.

We conducted a cross-sectional study including children enrolled in two high schools in Sousse, Tunisia. The students were asked to complete two questionnaires: the Adolescent Peer Relations Instrument witch is a multidimensional scale designed to assess bullying involvement both as target and perpetrator and the Rosenberg self-esteem scale.

We recruited 600 adolescent. The mean age of our population was 13.76 ±1.37 and the sex ratio was 1. More than 95% of adolescent who reported that they had been victims of bullying had a very low self-esteem comparing to those who stated that they had never been bullied (4.4%). Our results have also shown that bullies had a lower self-esteem than children who had not bullied others.

We found that both victims and bullies tend to have low self-esteem. Our findings could help to understand better the role that individual characteristics and personal qualities such as self-esteem play on bullying, and provide the scientific knowledge to develop successful strategies to prevent this phenomenon.

Adolescent suicide and suicide attempts (SA) present a complex and multifactorial problem that deserves special attention. Identifying particularities of suicidal behavior in this age group is essential in order to identify suffering adolescents.

To determine the characteristics of adolescent suicide attempts compared to those of adults.

It was a retrospective study carried out on a clinical population who consult in the psychiatry department at the Gabes regional hospital during the period from January 1st, 2020 to September 30, 2020. Sociodemographic and clinical data of the patients as well as their family dynamics, their education, their personal and family history, characteristics of the SA and psychiatric symptoms preceding the act were assessed. We compared two subgroups: patients aged 10 to 19, and those aged 20 and over.

278 suicide patients were included. 101 of them were adolescents (10 -19 years), of which 89 (88.11%) were female. Mean age of suicidal adolescents was 16.5 years. They were mostly living with their families (92.07%). Intentional drug ingestion was more common in adolescents (81.1%) than in adults (40%). Adolescent suicide attempts were correlated with a conflictual family environment (p=0.04), exposure to mistreatment (p=0.001), the absence of underlying mental disorders (p<10-3), the presence of academic difficulties (p<10-3) and the presence of a precipitating factor such as family conflict (p<10-3) or school failure (p= 0.004).

A good knowledge of the particularities of suicidal behavior in adolescents is preliminary to support an effective preventive measure targeting both family and school environment

Adolescence can manifest different in norm and in illness. It’s important to find common characteristics of adaptation with different types of ontogenesis, or leading manifestations of disease

Three adolescence (boys&girls) sample: normal – 22, middle age 16, cardio pathology – 7, middle age 16, psychopathology – 12, middle age 15

Direct self-esteem by Dembo-Rubinstein (DR) test and indirect self-esteem by color attitude test by Etkind (CAT), Structure of Temperament Questionnaire (STQ-77), Buss-Perry Aggression Questionnaire (BPAQ).

Significant differences (criteria Kruskal–Wallis) were obtained on scales BRAQ “Hostility” (H= 8.430, p<0.015), “Common aggression” (H= 8.347, p<0.015), STQ-77 “Physical Endurance” (H= 9.895, p<0.007), “Physical Tempo” (H= 8.579, p<0.014), “Social Endurance” (H= 7.902, p<0.019), “Social Tempo” (H= 7.736, p<0.021), “Plasticity” (H= 7.797, p<0.020), “Self-confidence” (H= 7.157, p<0.028), “Neuroticism” (H= 8.179, p<0.017); gaps DR-CAT for scales “Health” (H= 12.330, p<0.002), “Happiness” (H= 7.296, p<0.026). Pearson correlation coefficient between STQ-77, BRAQ and Gaps DR-CAT found in normal group: Gap DR-CAT “Health” – STQ-77 “Physical Endurance” (r=-.508, p<0.05), Gap DR-CAT “Smart” - STQ-77 “Intellectual Endurance” (r=-.521, P<0.05), Gap DR-CAT “Happiness” – BRAQ “Hostility” (r=.528, p<0.05), Gap DR-CAT “Happiness” - STQ-77 “Impulsivity” (r=.432, p<0.05), “Neuroticism” (r=.539,p<0.01). Correlation was founded in cardio pathology group: Gap DR-CAT “Smart” – BRAQ “Physical aggression” (r=.857, p<0.05), “Anger” (r=.842,p<0.05), “Common aggression” (r=.860,p<0.05), Gap DR-CAT “Happiness” – BRAQ “Physical aggression” (r=.826,p<0.05), “Anger” (r=.773,p<0.05), “Common Aggression” (r=.787,p<0.05). For psychopathology wasn’t found correlations.

Comparative study of personality traits of adolescents with different types of ontogenesis (normotypical, mental, cardio pathology) is important for evaluating their adaptation and determining targets of psychotherapeutic work.

Because emotional symptoms are common in attention-deficit/hyperactivity disorder (ADHD) patients and associate with much morbidity, some consider it to be a core feature rather than an associated trait.

Assess the possibility that symptoms of emotional dysregulation should be considered as core diagnostic feature of ADHD.

It’s a cross sectional study, including 60 children with ADHD and 60 children without ADHD ranging from 6 to 19 years of age (mean age 10.43 years). We defined moderate emotional dysregulation if a child had an aggregate cut-off score of ˃180 on the Anxiety/Depression, Aggression, and Attention scales of the CBCL and severe emotionaldysregulation if a child had an aggregate cut-off score of ˃ 210. This profile was selected because of its conceptual congruence with the clinical concept of emotionaldysregulation.

Sixty-three percent of children with ADHD had a severe emotional dysregulation versus 12% of controls (P˂0.001). Emotional dysregulation was associated with elevated rates of hyperactivity and impulsivity : Ninety-six percent of the children with hyperactivity-impulsivity, according to the Conners scale, had emotional dysregulation. With a significant correlation between emotional dysregulation and hyperactivity-impulsivity (p = 0.001). Also all children with attentional disorders exhibited emotional dysregulation and a significant correlation between emotional dysregulation and inattention has been found in both groups (p=0.000).

Emotional dysregulation is now known to play a causal role regarding ADHD symptomatology. It should therefore be included in future theoretical models of ADHD, as well as in clinical practice when identifying the major impairments in this diagnostic group and when deciding therapeutic strategies.

Handwriting disorder is commonly observed in Developmental Coordination Disorder (DCD) (87-88%) and is often noted in children with high Intellectual Quotient (HIQ).Two mainly pure DCD subtypes: ideomotor-DCD (IM), visuospatial/or visuoconstructional-DCD (VSC) and a mixed subtype (MX) were identified in the literature but nothing is known regarding IQ and dysgraphia.

To refine the specific clinical features of dysgraphia related to DCD subtypes regarding IQ levels.

Neurovisual, neuropsychological, neuropsychomotor functions, and handwriting performances of 38 children (6-to-12 years-old: mean 9y, SD 2.7) diagnosed with DCD (DSM-5 criteria) were collected. Two matched groups were analyzed according to their IQ: 19 (TC) typical children (IQ=90-110) and 19 HIQ children (IQ> 120).

IQ scores were not significantly associated with dysgraphia. There isa significant difference between TC vs HIQ with a lower rate of IM-DCD respectively 11% vs 5% (p=.035) and 68% vs 37% for VSC-DCD (p=.03) but 21% vs 58% in MX-DCD (p=.41). Dysgraphia was significantly more present in TC group with MX-DCD and in HIQ with VSC-DCD. A negative correlation between Kho’s’ cubes test failure (p=.006), visual-spatial memory (p=.05) and VSC-DCD was noted in HIQ group. The deficit of visual spatial memory was significantly related to dysgraphia in HIQ children (p=.01) associated to visual gnosis impairment (p=.03).

Dysgraphia was significantly found with VSC-DCD subgroup in FIQ>120 with specific features of visual perception disorders suggesting more involvement of the right cortex. These results suggest that VSC-DCD in HIQ could be a neurovisual impairment rather than a pure VSC-DCD.

The prevalence of ASD is 1 for every 59 children, an increase of 15%, referring to 2012. Studies supported the formulation of laws and guidance documents by the State in Brazil. Each location has found ways to meet their demands seeking to guarantee the needs of these users in public health services, whether through the Psychosocial Care Centers or the Rehabilitation Centers, healthcare clinics suggested by the Ministry of Health for the service to these users.

The general objective of this study is to characterize the psychosocial care network in Brazil, in order to verify whether these principles are considered in the line of care for ASD.

A public service evaluation questionnaire was applied to analyze the users’ perception on the care network effectiveness.

There is lack of communication, matrix support or articulation and highlight that the construction of physical spaces does not always translate into an integrated intersectoral treatment. The articulation between the services and referrals involved could contribute to greater treatment control of this demand.

Reflecting on the study, we consider that a network based on case severity care would be considerably more efficient, since the individual could use the services according to the demand present at the time. This proposal would create more humanized, personalized, assertive services, without financial waste, and would serve the system by guaranteeing the rights of integrality, universality and mainly of equity of these users within SUS.

While coronavirus disease 2019 (COVID-19) spreads across the globe, many countries have closed schools to ensure physical distancing to slow transmission and ease the burden on health systems. Concerns regarding Coronavirus Disease 2019 (COVID-19) school closures often increase stress levels in parents.

This study examined whether higher levels of parental concerns were associated with children’s problematic behaviors and other factors during COVID-19-related primary school closures.

Participants were 217 parents who responded to a web-based questionnaire covering parental concerns, subjective stress, and depression; children’s sleep patterns, behavioral problems, and changes in activity level after COVID-19; previously received mental health services; and media usage during the online-only class period from community center in Suwon city.

The number of parental concerns was associated with children’s behavioral problem index (BPI) score (Pearson correlation 0.211, p < 0.01), sleep problems (0.183, p < 0.01), increased smartphone usage (0.166, p < 0.05), increased TV usage (0.187, p < 0.01), parents’ subjective stress levels (0.168, p < 0.05), and parental depression (0.200, p < 0.01). In families with children who previously received mental health services, the children reportedly suffered from more sleep and behavioral problems but not increased media usage, and parents noted more stress and depression. Parental concerns are related to family factors such as change of caregiver, no available caregiver, decreased household income, and recent adverse life events.

Ongoing monitoring of mental health at risky group and multiple support systems should be considered for parents having difficulty in caring their children.

Internet is an important sphere of activity in children 7-11 years old (Finkelhor et al., 2014; Li et al., 2015; Nasi, Koivusilta, 2013) creating a sphere of possible mental health risks (Livingstone et al., 2011). Neurocognitive deficiency could increase these risks online due to control and change replies and activities online.

The aim was to study relationship between neurocognitive functioning in children 7-11 years old and their self-appraisals online and offline.

50 children 7-11 years old (primary school in Russia, 25 males and 25 females) participated in neuropsychological observation (Akhutina, 2016) and filled Dembo-Rubinstein scales of self-appraisals both for Internet and offline (used descriptors: healthy, happy, clever, kind, confident, independent, Cronbach’s alpha=.63-.65).

Difficulties in the functions of programming and control, serial organization, auditory-speech processing are related to better self-appraisals online (r=.30-.35, p<.01) but not offline. Difficulties in functions of the right hemisphere are more strongly related to online self-appraisals (r=.51) than to offline self-appraisals (r=.31). Adjusting for offline self-appraisals, serial organization, auditory-speech processing and functions of the right hemisphere predict difference in offline and online self-appraisals (ΔR²=6.6-13.0%, p<.05).

Neurocognitive deficiency in children 7-11 years old could lead to unrealistic appraisals of themselves online but not offline increasing probability of problem behavior in the Internet. Study is supported by the Russian Foundation for Basic Research, project 19-29-14181mk.

Study was supported by the Russian Foundation for Basic Research, project 19-29-14181mk. There are no other significant relationships.

When depression is comorbid with tuberculosis, it will lead to decreased quality of life, lack of adherence to anti-Tb drugs, progression to MDRTB and will end in death with mortality from the disease.

We aimed to study the association of Tuberculosis and depressive disorders in children aged 7-18 years compared to non-tuberculosis diseases and their correlation. We hypothesized that depression will be significantly more common in patients with tuberculosis than in non-TB patients, who served as a control.

A prospective observational case-type study for a period of 2 years, 2018-2020. The patients included in the study are patients diagnosed and treated in the Child Pneumology Department of the Pneumoftiziology Hospital “Sfantul Spiridon” Galati and in the TB Dispensaries in Galati County divided into the study group consisting of patients diagnosed with Tuberculosis and the control group of patients without a diagnosis of Tuberculosis or other previous chronic disease. For the diagnosis of depression in the case of the two groups, we used the CDI questionnaire (Depression Inventory for children).

Out of 100 children with TB, 68% had depression compared to the control group, which showed that only 9% had depression.

Depression can affect all parts of a child’s life, including behavior, appetite, energy levels, sleep patterns, relationships, and academic performance. We observe a wide range of symptoms in the group of children with tuberculosis compared to the control group.

Borderline Personality Disorder (BPD) is an impairing disorder with distinct features such as instability in self-image, relationships and affect. Considering the developmental nature of BPD, borderline features are not rarely exhibited in adolescence. These features tend to be associated with depression and suicide ideation, as well as with a negative self-to-self relationship. Self-compassion has been consistently identified as a positive attitude with oneself when experiencing suffering.

The aim of the current study was to explore the role of self-compassion in the relationship between borderline features and suicide ideation, when controlled depressive symptoms.

Sample was composed by 665 adolescents (58.5% females and 41.5% males), with a mean of 15.54 years of age (SD = 1.52), who completed self-report questionnaires. Data was analyzed using SPSS (version 23) and PROCESS Macro.

showed that girls presented higher borderline features and suicide ideation and lower self-compassion compared to boys. The moderation model explained 66% of suicide ideation, with gender and depression as covariates. The interaction of borderline features and self-compassion had a unique and significant effect on suicide ideation, when controlled depression and gender. Adolescents with higher levels of borderline features and lower self-compassion presented significantly higher suicide ideation, compared to those with higher self-compassion.

These findings suggest that developing self-compassion in adolescents with evident borderline features might attenuate their tendency to think about committing suicide.

The importance of clinical diagnosis of autism spectrum disorders (ASD) in childhood is due to the timely detection of ASD and the appropriate early start of patient care, depending on the form of ASD. The experience of multidisciplinary collaboration between medical psychologists and clinicians in child psychiatric practice allows us to more accurately determine the depth and severity of autistic manifestations, determine the dynamics of child development, and provide personalized effective care.

Develop diagnostic, clinical and psychological approaches to the diagnosis of ASD.

Clinical-psychopathological, clinical-dynamic, clinical-catamnestic, and psychological methods were used. 254 patients aged 4-17 years (average – 7.3 years) with different forms of ASD were examined.

From the clinical and pathopsychological positions, profiles of six main forms of ASD are identified. Each of the selected profiles corresponds to a specific type of cognitive dysontogenezis. A distorted view of cognitive dysontogenezis in Asperger’s syndrome (F84. 5) and childhood autism dysontogenetic (F84.0). Distorted or deficient types of cognitive dysontogenezis in children’s psychosis (F84. 02). Deficient type of cognitive dysontogenezis in Kanner syndrome (F84. 01). Defecating type of cognitive dysontogenezis in atypical autism syndromal (F84. 11), deficient and regressive-defecating types of cognitive dysontogenezis in atypical child psychosis (F84.12).

A three-dimensional model is obtained that allows the most accurate diagnosis of various forms of ASD and the development of personalized routes for patient care and rehabilitation, taking into account the type of cognitive dysontogenezis and based on the zone of the child’s immediate development.

The familial financial situation and its perception can be an important factor in the subjective well-being of adolescents, affecting their physical health and psychological state.

To identify the correlation between the perception of the familial financial situation, the physical health and various aspects of the psychological state of adolescents were self-assessed.

The study involved 506 adolescents (217 males and 289 females) aged 14 to 18 years (M=16.46; SD=1.07). We analyzed the relationship between participants’ assessment of their family’s financial situation, its changes over the past three years, and the adolescents’ self-report on their physical health, stress experiences, and feelings of happiness.

Perception of the financial situation (r=0.316;p<0.001) and assessment of its changes (r=0.217;p<0.001) are directly related to the self-assessment of physical health for the entire sample, as well as separately for boys and girls. For the entire sample, there were no links between the perception of the financial situation and the experience of stress and happiness. However, the study of relationships with gender as an independent variable showed that in boys, the financial situation score is associated with feeling happy (r=0.189;p=0.005), and in girls, an inverse relationship was found between the perception of a worsening financial situation and the experience of stress (r=-0.242;p<0.001).

The perception of the financial situation by adolescents affects the self-assessment of physical health by both boys and girls, but affects different aspects of the psychological state, depending on gender. The research was supported by the Russian Science Foundation, with the grant 15-18-00109.

Modern teenagers spend most of their lives on social networks and the Internet, meeting various needs. At the same time, more detailed research is needed on how specific Internet use affects various aspects of the psychological state.

The objective is to identify how the main goals of Internet use by adolescents are related to their subjective safety on the Internet and self-assessment of health.

The study involved 480 participants from 15 to 18 years old. We analyzed the main reasons for respondents’ use of the Internet (7 main goals were highlighted) and uncovered the relationship between the main goals of Internet use, self-assessment of health and subjective safety on the Internet.

Adolescents who identified communication (t = -2.450, p=0.015) and shopping and receiving services as their main goals for using the Internet rated their health as significantly worse (t = -3.170, p = 0.002). Young men who use the Internet more often as a source of information feel significantly less secure on the Internet (t = -2.237, p=0.026), as do those who use the Internet more often to expand communication in social networks (t = -2.040, p=0.043). For girls, the goals of using the Internet and the sense of subjective security on the Internet were not significantly related.

Using the Internet to communicate, buy and receive services, and search for information can negatively affect the assessment of own health and subjective safety, especially among young people. The research was supported by the Russian Science Foundation, with the grant 15-18-00109.

Bullying consists in acts of intentional and repeated physical or psychological violence, completed by an individual or a group of individuals, provoking pain, distress and shame. Currently, it is considered a serious problem with health implications in adolescents. Shame is a self-conscious, multifaceted and socially focused emotion that relates to a negative self-assessment.

The study aim was to investigate the mediating role of Shame in the relationship between Bullying and Self-harm and Suicide Ideation in Portuguese adolescents.

346 adolescents (58.4% girls), aged 15.32±1.193 from public and private schools (9th to 12th grades) in Coimbra, answered the validated Portuguese versions of the Bullying Questionnaire, the Other as Shame Scale for Adolescents and the Self-Harm and Suicidal Ideation Questionnaire. For data analysis the SPSS 26 and Macro Process (Hayes 2020) was used.

Bullying Victimization had a prevalence of 18.78%. Girls and boys significantly differ in Bullying Victimisation, Self-Harm, Suicidal Ideation and Shame mean scores (all p<.05). In girls, Bullying Victimisation was correlated with Shame and Suicidal Ideation. The mediation analysis showed that, in girls, Shame partially mediated the relationship between Bullying and Suicidal Ideation (p<.001). We didn’t find these results in boys.

Bullying is a global problem that needs to be addressed. Adolescents of today are the adults of tomorrow. In a physical growth and mental maturation phase, it is urgent to avoid disruptors which lead to psychopathology. Our results corroborate that Shame can be a harmful factor in Bullying with deleterious consequences in adolescents.

Adolescence is a life period with considerable biological, psychological and social changes. Quality of life is a complex and multifactorial construct that necessarily encompasses the adolescent’s mental well-being. Some life habits like sleep, sport practice and screen time can be either risk factors or protective factors, influencing the quality of life and mental health.

To investigate the role of sleep habits, sport practice and screen time in quality of life, and psychological distress in a Portuguese adolescent girl sample.

409 girls, mean aged 13.51±2.298, from public and private schools in Coimbra answered questions about sleep time, sport practice and screen time habits; the Portuguese versions of the Quality of Life Questionnaire (reduced version) and theAnxiety, Depression and Stress Scale. SPSS 26 was used.

Girls mentioned to sleep 8,2 hours/night during the week and 9,4 hours/night at the weekend. They spend 1,5 hours/day during the week and 1,8 hours/day at the weekend with Screens. They spend 2,1 hours/ week in Sport Practice. Quality of Life was positive correlated with Sleep Time and negative correlated with Screen Time, Anxiety, Depression and Stress (all p<.05). Multiple regression analysis showed that Screen Time, Anxiety and Depression were all significant predictors of Quality of life in girls (p<0,05).

Our findings show that Screen Time is related with poor Quality of Life in girls. These results suggest the importance of addressing Screen Time and Psychological Distress in adolescent girls during adolescent health care consults.

Autism spectrum disorders encompass a heterogeneous group of neurodevelopmental disorders. Autism may be accompanied by other mental and neurological disorders. Comorbidity in autism is the rule rather than the exception (as reflected in DSM-5).

To study comorbidity in patients with childhood autism and hyperkinetic disorder.

Surveyed 102 patients aged 6–7 years who had infantile psychosis before the age of 3 years (F84.02), comorbid with hyperkinetic disorder (F90.0). Methods: clinical, psychological and psychometric (CARS, PEP, bfcrs, CGI, CPRS-R:S (parents’ form)).

In the surveyed patients, the autism level was 46 points according to CARS. Manifestations of hyperkinetic disorder in patients with F84.02 are found in 72%, which is associated with the severity of catatonic arousal (BFCRS 36 points). The cognitive development of the examined children is characterized by a combination of advancing, normative and delayed levels of development, depending on the type of cognitive dysontogenesis. Low indicators are revealed in involuntary attention, fine motor skills and hand-eye coordination. In patients with F84.02, a secondary hyperkinetic disorder forms upon exit from severe catatonia.

Excessive motor activity is combined with impulsiveness and impaired attention in the period of remission. The use of a complex of clinical and psychodiagnostic techniques aimed at assessing voluntary and involuntary attention provides additional data for the diagnosis of ASD and hyperkinetic disorders.

There is evidence that maternal perinatal depression is associated with adverse neurodevelopmental and mental health outcomes in children. No study has yet examined the association between maternal depressive symptoms during pregnancy and the postpartum period and the risk of oppositional-defiant disorder (ODD) in children and adolescents.

This study aimed to investigate whether there is an association between perinatal depressive symptoms and the risk of ODD in offspring from age 7 to 15 years.

We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based prospective birth cohort study in the UK. Offspring ODD at the age of 7, 10, 13 and 15 years were assessed by using parental reports the Development and Well-Being Assessment (DAWBA). We applied Generalized Estimating Equation (GEE) modelling to examine associations across the four time points.

Maternal postnatal depressive symptoms were associated with more a two-fold increased risk of ODD overall. Third trimester depressive symptoms (measured at 32 weeks of gestation) increased risk of ODD by 72%. Offspring of mothers who had depressive symptoms both during pregnancy and in the first year of postpartum period have a four-fold increased risk of ODD over time (adjusted OR = 3.59 (1.98-6.52).

Offspring of mothers with perinatal depressive symptoms are at an increased risk of developing behavioural disorders.