Clinical Psychology Commons^™

The Developmental Importance Of Napping In Preschool Children, Adam T. Newton

Electronic Thesis and Dissertation Repository

Most children cease napping between 2- and 5-years-old. Little is known about the predictors or outcomes related to this cessation, or the interrelation of different components of nap behavior. Four empirical studies were conducted to investigate the developmental importance of napping among preschool children.

Studies 1 and 2 used a large, longitudinal sample of Canadian children to investigate the predictors (Study 1) and outcomes (Study 2) related to early nap cessation. Early nap cessation was defined as stopping daytime sleep before three years old. In Study 1, parents reported on their own, child, and family functioning at two timepoints (0-1 …

The Relationship Between Neighbourhood-Level And Family-Level Factors And Sleep Problems Among Children And Youth, Katarina Mckenzie

Electronic Thesis and Dissertation Repository

There is little research on the effects of neighbourhood factors on child sleep outcomes. No study to date has investigated the interactive effects of neighbourhood and family socio-economic characteristics (SECs) on child sleep outcomes. This study aimed to fill this gap. Secondary data analyses were completed on two samples (children and youth) from the 2014 Ontario Child Health Study, a cross-sectional, province-wide sample of 10,802 children aged 4 to 17. Multi-level modeling was used to assess the relationship between child- (e.g., age), family- (e.g., negative parenting) and neighbourhood-level factors and their relationship to sleep outcome variables: problems falling asleep, problems …

Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson

Electronic Thesis and Dissertation Repository

Globally, anxiety disorders represent the most prevalent mental health disorders in children and youth (Polanczyk et al., 2015), with an increasing number of individuals perceiving the need for professional help (Georgiades et al., 2019). It is unclear, however, where families are seeking help from, what barriers families are facing, and what services are being provided for effective management of symptoms. Two methods were used to investigate possible treatment support models; a questionnaire identified patterns in parental help-seeking behaviours and outlined perceived barriers to professional help, while a scoping review examined key components of parent/caregiver treatment models. Findings showed that parents …

Child And Adolescent Sleep Disturbances And Psychopathology In A Mental Health Clinic Sample, Aviva Blacher

Electronic Thesis and Dissertation Repository

Sleep disturbances in children and adolescents (hereafter children) are associated with significant short-term and long-term impairments including more severe psychopathology, reduced cognitive functioning, and poorer general health. We know that children being treated in specialty mental health services are more likely to have sleep disturbances than community samples. We also know that relationships exist between sleep and psychopathology in children with specific disorders (e.g. ADHD, depression, etc.). However, few studies have investigated the relationship between sleep and psychopathology in a broad sample of children seen at mental health agencies. Both child factors and family factors may influence both sleep and …

Predictors Of Re-Accessing Mental Health Services For Children And Adolescents, Catalina Sarmiento

Electronic Thesis and Dissertation Repository

The natural history of mental health disorders suggests that a substantial number of children experience persistent or recurrent problems and may need more than 1 episode of care. However, there is a paucity of research on recurrent service use. The present study examined the rates and predictors of re-accessing community-based care. Secondary data analyses were conducted on administrative and chart review data from 5 mental health agencies in southwest, eastern, and central Ontario. Approximately a third (30%) of children who had an episode of care re-accessed services again within 4 years; the median time to re-access was 13 months. Social …

Parental Help-Seeking For Pediatric Insomnia: Where, When, And Why Do Parents Seek Help?, Adam T. Newton

Electronic Thesis and Dissertation Repository

Pediatric insomnia affects approximately 25% of children and can impact both child and parent functioning. Despite its prevalence and impact, next-to-nothing is known about help-seeking mechanism for pediatric insomnia. These mechanisms are expected to mirror models from the children’s mental health help-seeking literature. Both studies in this thesis gathered data from an online multinational project. Manuscript 1 investigated the informal, informational, and formal sources of help for pediatric insomnia and the factors that motivated parents to seek professional help. Parents utilized or expected to utilize a variety of informal (most commonly their partner, friends, or family members) and informational (most …