Accepted for Publication: August 10, 2011.
Author Contributions: Dr Hamden and Mr Mazariegos contributed equally to this work. Drs Hamdan, Melhem, and Brent had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Hamdan, Melhem, and Brent. Acquisition of data: Hamdan, Melhem, Walker Payne, and Brent. Analysis and interpretation of data: Hamdan, Mazariegos, Melhem, Porta, Walker Payne, and Brent. Drafting the manuscript: Hamdan and Brent. Critical revision of the manuscript for important intellectual content: Hamdan, Mazariegos, Melhem, Porta, Walker Payne, and Brent. Statistical Analysis: Hamdan, Mazariegos, Melhem, Porta, and Brent. Obtaining funding: Hamdan, Melhem, and Brent. Administrative, technical, and material support: Hamdan, Walker Payne, and Brent. Study supervision: Hamdan, Melhem, Walker Payne, and Brent.
Financial Disclosure: Dr Brent has received research support from the National Institute of Mental Health, receives royalties from Guilford Press, and serves as an editor for UpToDate Psychiatry.
Funding/Support: This study work was supported by an R01 grant (MH65368, Dr Brent), a K01 grant (MH077930, Dr Melhem), and a T32 grant (MH18951, Dr Brent) from the National Institute of Mental Health, and by the Binational Commission of Exchange Visitor Country, US Department of State (Fulbright Scholars) (Dr Hamdan).
Role of Sponsors: The National Institute of Mental Health did not participate in the design and conduct of the study; in the collection, management, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript.
Additional Contributions: Emily Hogan, MS, and William McKenna, BS (Western Psychiatric Institute and Clinic), assisted in the acquisition of data for this study, for which they received compensation. We thank the families for their participation.