{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:39:57Z","timestamp":1770741597870,"version":"3.49.0"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T00:00:00Z","timestamp":1547510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,1,27]],"date-time":"2019-01-27T00:00:00Z","timestamp":1548547200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"ACTION"},{"name":"European Union Seventh Framework Program","award":["602768"],"award-info":[{"award-number":["602768"]}]}],"content-domain":{"domain":["europsy-journal.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0924933800009214_abs1\" sec-type=\"other\"><jats:title>Background:<\/jats:title><jats:p>Severe behavioural problems (SBPs) in childhood are highly prevalent, impair functioning, and predict negative outcomes later in life. Over the last decade, clinical practice guidelines for SBPs have been developed across Europe to facilitate the translation of scientific evidence into clinical practice. This study outlines the results of an investigation into academic experts\u2019 perspectives on the current prevalence, implementation, and utility of clinical guidelines for SBPs in children aged 6\u201312 across Europe.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800009214_abs2\" sec-type=\"methods\"><jats:title>Methods:<\/jats:title><jats:p>An online semi-structured questionnaire was completed by 28 psychiatry and psychology experts from 23 countries.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800009214_abs3\" sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>Experts indicated that approximately two thirds of the included European countries use at least an unofficial clinical document such as textbooks, while nearly half possess official guidelines for SBPs. Experts believed that, although useful for practice, guidelines\u2019 benefits would be maximised if they included more specific recommendations and were implemented more conscientiously. Similarly, experts suggested that unofficial clinical documents offer a wide range of treatment options to individualise treatment from. However, they stressed the need for more consistent, evidence-based clinical practices, by means of developing national and European clinical guidelines for SBPs.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800009214_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions:<\/jats:title><jats:p>This study offers a preliminary insight into the current successes and challenges perceived by experts around Europe associated with guidelines and documents for SBPs, acting as a stepping stone for future systematic, in-depth investigations of guidelines. Additionally, it establishes experts\u2019 consensus for the need to develop official guidelines better tailored to clinical practice, creating a momentum for a transition towards European clinical guidelines for this population.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2018.12.009","type":"journal-article","created":{"date-parts":[[2019,1,15]],"date-time":"2019-01-15T16:56:43Z","timestamp":1547571403000},"page":"1-9","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Awareness and perceptions of clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe: A qualitative survey with academic experts"],"prefix":"10.1017","volume":"57","author":[{"given":"Alexandra-Raluca","family":"Gatej","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audri","family":"Lamers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lieke","family":"van Domburgh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matty","family":"Crone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terje","family":"Ogden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Rijo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eeva","family":"Aronen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Barroso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorret I.","family":"Boomsma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Vermeiren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,1,15]]},"reference":[{"key":"S0924933800009214_bib0180","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007047"},{"key":"S0924933800009214_bib0045","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2011.02509.x"},{"key":"S0924933800009214_bib0150","first-page":"510","article-title":"Member checking: can benefits be gained similar to group therapy?","volume":"17","author":"Harper","year":"2012","journal-title":"Qual Rep"},{"key":"S0924933800009214_bib0090","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2017.01.016"},{"key":"S0924933800009214_bib0220","first-page":"i7","article-title":"European clinical guidelines for hyperkinetic disorder\u2013first upgrade","volume":"13","author":"Taylor","year":"2004","journal-title":"Eur Child"},{"key":"S0924933800009214_bib0100","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-8"},{"key":"S0924933800009214_bib0035","first-page":"719","volume":"3","author":"Dodge","year":"2006","journal-title":"Aggression and antisocial behaviour in youth"},{"key":"S0924933800009214_bib0215","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.1.18"},{"key":"S0924933800009214_bib0235","first-page":"1","article-title":"Executive attention and empathy-related responses in boys with oppositional defiant disorder or conduct disorder, with and without comorbid anxiety disorder","author":"Pijper","year":"2018","journal-title":"Child Psychiatry Hum Dev"},{"key":"S0924933800009214_bib0175","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"S0924933800009214_bib0055","unstructured":"[11] American Psychiatric Association, Of M, Disorders M Diagnostic and statistical manual of mental disorders: DSM-5 [Internet]. 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