Papers by Anne-Claude Bernard-Bonnin
Paediatrics & Child Health
Background Bronchiolitis is the primary cause of hospitalization in children during the first yea... more Background Bronchiolitis is the primary cause of hospitalization in children during the first year of life. Respiratory support and hydration are the two pillars of management. Practice guidelines for bronchiolitis (NICE and CPS) recommend nasogastric (NG) hydration before intravenous (IV) fluids if oral hydration cannot be maintained. However, IV hydration remains the primary mode of hydration at our tertiary care pediatric centre. Objectives This is a resource stewardship project aiming to evaluate the baseline use of IV versus NG hydration in children 0-15 months hospitalized for bronchiolitis and requiring supplemental hydration. The secondary objective is to evaluate potential barriers to NG hydration for these children. Design/Methods Data was collected retrospectively for the 2017-2018 bronchiolitis season. A survey was sent to all the pediatric emergency (ED) physicians and nurses, pediatric hospitalists, ED fellows, pediatric residents and ward nurses. Results Among eligibl...
Paediatrics & Child Health
Paediatrics & Child Health
BACKGROUND A few studies suggest that children who suffered maltreatment are more at risk for vic... more BACKGROUND A few studies suggest that children who suffered maltreatment are more at risk for victimization by peers. However, there is little knowledge about factors that may influence the risk of re-victimization by peers for sexually abused (SA) children. OBJECTIVES Identify if self-blame and post-traumatic stress symptoms (PTSS) are risk factors for SA children victimization by peers. DESIGN/METHODS 376 children (248 girls and 128 boys) between 5 to 14 years of age were recruited within five centers for child and youth SA evaluation. Victimization by peers was measured with the Report Victimization Scale answered by the child, his parent and his teacher. PTSS were measured with the subscale of the Children’s Impact of Traumatic Events Scale (CITES II) and self-blame was measured with three items from the subscale guilt/blame of CITES II. Characteristics of the abuse were abstracted from the medical chart. Description of SA was done according to Russell’s classification: less se...
Paediatrics & Child Health
Paediatrics & Child Health, 1999
Journal of Trauma & Dissociation, 2016
Child sexual abuse (CSA) is associated with a host of deleterious impacts, yet little is known ab... more Child sexual abuse (CSA) is associated with a host of deleterious impacts, yet little is known about the short-term correlates in children. This study aimed to investigate the association between dissociation and sleep problems in a sample of preschool-age sexual abuse victims while controlling for potentially confounding variables, including gender, age, polytrauma, CSA characteristics, and parental distress. The sample consisted of 179 children (ages 3-6 years) and their non-offending parents. Parents completed questionnaires assessing their child's dissociative symptoms and sleep problems as well as their own level of psychological distress. Regression analyses revealed that sleep problems were significantly associated with dissociative symptoms over and above all other control variables (children's gender and age, polytrauma, and parental distress). A longer duration of sexual abuse also predicted greater dissociative symptoms in preschool children. Findings highlight the association between sleep problems and dissociation in preschool-age victims of CSA. Further research is needed to understand their impact on children's development to design appropriate treatment and prevention initiatives aimed at fostering resilience in young vulnerable children.
Journal of Traumatic Stress, 2016
Child sexual abuse (CSA) is associated with emotion regulation deficits in childhood. Parents pla... more Child sexual abuse (CSA) is associated with emotion regulation deficits in childhood. Parents play a crucial role in the development of emotion regulation in their children, especially at younger ages. Close to 50% of mothers of sexually abused children report having been sexually victimized themselves as children. They are consequently at risk of experiencing significant distress following the disclosure of sexual abuse of their child. Parents' distress could interfere with their ability to provide support and to foster development of emotion regulation in their children. The aim of the present study was to explore the relationship of parental factors (history of sexual victimization in childhood and the current level of distress) to sexually abused preschoolers' emotion regulation competencies. Emotion regulation was assessed in 153 preschoolers by their parents with the Emotion Regulation Checklist; 75 of these children were abused (14 boys); 78 were not abused (21 boys) and were part of a comparison group. Parents reported their level of distress using the Psychiatric Symptom Index. Results indicated that parental factors contributed to some dimensions of preschoolers' emotion regulation (namely displays of underregulation of emotion) above and beyond children's victimization status and gender (Cohen's ƒ(2) = .15). Identifying parental distress and history of sexual victimization as positively associated with emotional dysregulation in preschool children victims of CSA has important research and clinical implications.
OBJECTIVE To review the clinical classification of childhood diurnal enuresis, to describe the ev... more OBJECTIVE To review the clinical classification of childhood diurnal enuresis, to describe the evaluation process, and to discuss principles of management. QUALITY OF EVIDENCE An extensive literature review was performed with a MEDLINE search. Articles were selected according to date of publication, clinical relevance, and availability. Recent articles, cohort studies of at least 50 patients, and randomized clinical trials were preferred. Recent editions of classic textbooks were consulted. Evaluation and management activities discussed in this article are supported by original and relevant literature. MAIN MESSAGE Most causes of childhood diurnal enuresis can be determined by a thorough history coupled with a complete physical examination and urinalysis and culture. Supplementary investigations include ultrasonography of the kidneys and bladder to screen for neurogenic bladder and urethral obstruction. When obstruction, ectopic ureter, or bladder dysfunction is suspected, voiding cystourethrography and urodynamic studies are needed. Evaluation of neurogenic bladder includes magnetic resonance imaging of the spine. Treatment is aimed at correcting poor toilet habits, preventing or treating urinary tract infections, and using appropriate medication. CONCLUSIONS In most instances, diurnal enuresis in childhood is a benign condition with an easily identifiable cause and an excellent prognosis with time and appropriate treatment. OBJECTIF Revoir la classification clinique de l'énurésie diurne chez l'enfant, décrire le processus d'évaluation et discuter des principes de traitement. QUALITÉ DES PREUVES Revue exhaustive de la littérature scientifique dans MEDLINE. Les articles ont été sélectionnés selon la date de publication, la pertinence clinique et la disponibilité. On a accordé la préférence aux articles les plus récents, aux études de cohorte d'au moins une cinquantaine de patients et aux essais cliniques randomisés. Les volumes de référence classiques les plus récents ont été consultés. Le plan d'investigation et de traitement discuté dans cet article est appuyé par des ouvrages scientifiques originaux et pertinents. PRINCIPAUX MESSAGES Les causes les plus fréquentes de l'énurésie diurne chez l'enfant peuvent être déterminées par une anamnèse minutieuse, un examen physique complet une et une analyse et culture d'urine. Les investigations complémentaires comprennent l'échographie des reins et de la vessie afin de dépister une vessie neurogène ou une obstruction urétrale. En cas de suspicion d'obstruction, d'uretère ectopique, et de dysfonction vésicale, il faut procéder à une cystographie mictionnelle et à des études urodynamiques. L'évaluation d'une vessie neurogène est complétée par une résonance magnétique de la colonne vertébrale. Le traitement consiste à corriger les mauvaises habitudes de toilette, prévenir ou traiter les infections urinaires et utiliser la médication appropriée. CONCLUSIONS Dans la plupart des cas, l'énurésie diurne chez l'enfant est une condition bénigne de cause facilement identifiable et d'excellent pronostic avec le temps et un traitement approprié. This article has been peer reviewed. Cet article a fait l'objet d'une évaluation externe.
OBJECTIVE To propose a diagnostic and therapeutic approach to feeding problems in early childhood... more OBJECTIVE To propose a diagnostic and therapeutic approach to feeding problems in early childhood. QUALITY OF EVIDENCE Articles were retrieved through a MEDLINE search from January 1990 to December 2005 using the MeSH terms eating disorders, infant, and child. Recommended practice is based mainly on levels II and III evidence. MAIN MESSAGE Feeding problems are classified under structural abnormalities, neurodevelopmental
Canadian family physician Médecin de famille canadien, 2006
To propose a diagnostic and therapeutic approach to feeding problems in early childhood. Articles... more To propose a diagnostic and therapeutic approach to feeding problems in early childhood. Articles were retrieved through a MEDLINE search from January 1990 to December 2005 using the MeSH terms eating disorders, infant, and child. Recommended practice is based mainly on levels II and III evidence. Feeding problems are classified under structural abnormalities, neurodevelopmental disabilities, and behavioural disorders, with overlap between categories. A medical approach also needs an evaluation of diet and an assessment of the interaction between parent and child. Treating medical or surgical conditions, increasing caloric intake, and counseling about general nutrition can alleviate mild to moderate problems. More complicated cases should be referred to multidisciplinary teams. Behavioural therapy aims to foster appropriate behaviour and discourage maladaptive behaviour. Feeding problems in early childhood often have multifactorial causes and a substantial behavioural component. Fam...
Journal of Paediatrics and Child Health, 2008
Paediatrics & child health, 1999
Journal of Traumatic Stress, 2016
Child sexual abuse (CSA) is associated with emotion regulation deficits in childhood. Parents pla... more Child sexual abuse (CSA) is associated with emotion regulation deficits in childhood. Parents play a crucial role in the development of emotion regulation in their children, especially at younger ages. Close to 50% of mothers of sexually abused children report having been sexually victimized themselves as children. They are consequently at risk of experiencing significant distress following the disclosure of sexual abuse of their child. Parents' distress could interfere with their ability to provide support and to foster development of emotion regulation in their children. The aim of the present study was to explore the relationship of parental factors (history of sexual victimization in childhood and the current level of distress) to sexually abused preschoolers' emotion regulation competencies. Emotion regulation was assessed in 153 preschoolers by their parents with the Emotion Regulation Checklist; 75 of these children were abused (14 boys); 78 were not abused (21 boys) and were part of a comparison group. Parents reported their level of distress using the Psychiatric Symptom Index. Results indicated that parental factors contributed to some dimensions of preschoolers' emotion regulation (namely displays of underregulation of emotion) above and beyond children's victimization status and gender (Cohen's ƒ(2) = .15). Identifying parental distress and history of sexual victimization as positively associated with emotional dysregulation in preschool children victims of CSA has important research and clinical implications.
Archives de Pédiatrie, 1998
Child Abuse Review, 2001
... 10: 210222 (2001) DOI: 10.1002/car.688 Claire Allard-Dansereau* Department of Pediatrics Uni... more ... 10: 210222 (2001) DOI: 10.1002/car.688 Claire Allard-Dansereau* Department of Pediatrics University of Montreal Martine H ´ebert Caroline Tremblay Department of Sexology, UQAM, Montreal Anne-Claude Bernard-Bonnin Department of Pediatrics University of Montreal ...
Canadian journal of public health = Revue canadienne de santé publique
Parents of 240 children between nine months and three years of age were interviewed using a quest... more Parents of 240 children between nine months and three years of age were interviewed using a questionnaire in order to determine cariogenic feeding habits and fluoride supplementation. Mean age of weaning from the bottle was 14.6 months. After 18 months of age, children from minority ethnic groups were more frequently bottle-fed than French-Canadian children (p < .005). Giving a bottle in bed (34.6% of cases) was more often practised by less educated mothers (p = .007) or by minority ethnic groups (p = .002), and was seen as a cariogenic factor by 31% of parents. Fluoride was given in half of cases, mainly by highly educated mothers (p = .001) and was mentioned as a preventive measure by 27% of parents. Physicians should be aware of poor parental knowledge and practices of preventive dentistry, and must discuss cariogenic feeding habits and fluoride supplementation during well-baby visits.
Paediatrics & child health, 2008
The aim of the present study was to analyze predictive factors of post-traumatic stress disorder ... more The aim of the present study was to analyze predictive factors of post-traumatic stress disorder (PTSD) symptoms in school-aged girls. A group (n=67) of seven- to 12 year-old girls consulting a paediatric hospital following disclosure of sexual abuse were compared with a group (n=67) of nonabused girls. The girls answered questionnaires related to PTSD, coping, sense of hope, self-esteem, sibling relationships and perceived social support. Mothers answered questionnaires related to family relationships, family violence, perceived support given and psychological distress. The mean +/- SD age of the girls was 9+/-1.5 years. In the sexual abuse group, single-parent families were more frequent (53.7% versus 32.3%; P<0.01), mothers were less educated (10.8% versus 13.1%; P<0.0001) and socioeconomic level was lower (36.8% versus 47.9%; P<0.0001). A history of sexual abuse in childhood was reported by 50% of mothers of sexually abused children and 37% of mothers of the comparison ...
A questionnaire on the use of television was administered to the parents of 387 children aged bet... more A questionnaire on the use of television was administered to the parents of 387 children aged between 3 and 10 years. All families owned at least one television set and 57.6% of families owned two or more sets, with one in the child&#39;s bedroom in 10.6% of cases. Television was turned on all day in 16% of cases, mostly in families with low level of parental education (P less than .01). Television was on at mealtime in 54.5% of cases; 45.2% of children were watching television for between 7 to 16 hours per week, and the heavy viewers belonged to families with low levels of maternal education (P less than .05). About one third of children watched television without any interdiction set by their parents. According to age, from 28% to 40% of children watched violence on television. Parents believed that television facilitates learning (65.3%) but were concerned about violence (22.7%) and commercials (7.4%). Finally, 63.3% of parents reported that they would like to obtain more information about television use. According to this survey, many children are watching television without any limits being set by their parents and are witnessing violent scenes at an impressionable and vulnerable age. The pediatrician should include at routine office visits parental guidance on the mediation of television effects through coviewing, content discussion with children, and program selection.
PEDIATRICS, 2001
Objective. To examine the effectiveness of a home visit program to improve home safety and decrea... more Objective. To examine the effectiveness of a home visit program to improve home safety and decrease the frequency of injury in children. We examined the effects of the program on 1) parental injury awareness and knowledge; 2) the extent that families used home safety measures; 3) the rate of injury; and 4) the cost effectiveness of the intervention.
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Papers by Anne-Claude Bernard-Bonnin