Child Psychiatry & Human Development最新文献

{"title":"The Empathy Hierarchy: Unique Associations of Childhood Callous Unemotional Traits and Autism Spectrum Disorder Symptoms.","authors":"Lily Chen, Bryan Neo, Georgette E Fleming, Silvana Kaouar, Campbell McDonogh, Jessica Henery, Helen Gu, Brandon Le, Sarah Gardiner, Eva R Kimonis","doi":"10.1007/s10578-026-02104-5","DOIUrl":"https://doi.org/10.1007/s10578-026-02104-5","url":null,"abstract":"<p><p>Child conduct problems commonly co-occur with callous-unemotional (CU) traits and autism spectrum disorder (ASD), which are both associated with empathy deficits; however, their unique associations are poorly understood because few studies consider the high overlap between CU traits and ASD. This study addressed this knowledge gap by investigating the unique associations between CU traits and ASD symptoms, and components of empathy (attention to others' distress, emotion recognition, understanding emotional states, empathic responding), and differences between children classified into clinical groups (conduct problems with and without CU traits and ASD) and typically developing children. Parents reported on their child's psychopathology symptoms and empathy, and children completed laboratory tasks measuring empathy components. Results indicated that ASD symptoms, but not CU traits, were uniquely associated with emotion recognition deficits. Meanwhile, CU traits were uniquely associated with reduced empathic responding, and this relationship was exacerbated with ASD symptoms. Theoretical and clinical implications are discussed.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Reciprocal Associations between Parental Child‑oriented Perfectionism, Negative Attribution, and Social Anxiety in Chinese Adolescents: A Five‑wave RI‑CLPM Study.","authors":"Jing Wang, Zhijing Xin, Ziyun Jiang, Mingzhong Wang","doi":"10.1007/s10578-026-02106-3","DOIUrl":"https://doi.org/10.1007/s10578-026-02106-3","url":null,"abstract":"<p><p>While existing research has documented parental perfectionism on adolescent social anxiety, relatively little attention has been paid to the longitudinal reciprocal associations among parental child‑oriented perfectionism (COP), parental negative attribution, and adolescents' social anxiety. This study tracked 2228 Chinese adolescents (baseline M_age = 12.95 ± 0.79 years, 46.3% girls) with five waves of measurements over three years. Using the Random Intercept Cross-Lagged Panel Model (RI-CLPM) to disentangle within-person and between-person effects, results indicated stable reciprocal links between parental negative attribution and adolescent's social anxiety across both genders at the within-person level. Parental negative attribution predicted COP with distinct gender-specific patterns: Fathers' negative attribution showed reciprocal associations with their own and maternal COP for daughters but only unidirectionally predicted maternal COP for sons; mothers' negative attribution had reciprocal links with paternal COP for daughters and unidirectionally predicted their own COP for both genders. Adolescent's gender served as a key moderator of these dynamic relationships. These findings clarify gender-differentiated mechanisms and provide key insights for developing targeted, gender-sensitive intervention strategies to alleviate adolescent social anxiety.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Existing in a Battle Zone - The Lived Experience of Adolescents Subjected to Hospital Compulsory Care Due to Severe Anorexia Nervosa.","authors":"Hanna Henningsson, Anna Forsberg, Sophia Eberhard, Björn Axel Johansson, Olof Rask","doi":"10.1007/s10578-026-02101-8","DOIUrl":"https://doi.org/10.1007/s10578-026-02101-8","url":null,"abstract":"<p><p>When untreated, anorexia nervosa is a life-threatening and disabling condition with the second highest mortality rate of all psychiatric disorders. In this study we undertook an in-depth exploration of adolescent girls' experience of inpatient compulsory care due to severe anorexia nervosa, aiming to better understand the complexity of the disorder and facilitate improvements in care standards. We used Lindseth and Norberg's phenomenological hermeneutic approach and conducted in-depth interviews with seven girls with a mean age of 15.3 years who had experienced inpatient psychiatric care in a Swedish context for severe anorexia nervosa. Data analysis took place in three steps: naïve reading, structural analysis and finally comprehensive understanding. The participants experienced a power struggle involving battles on four different fronts, namely fighting against healthcare professionals, the eating disorder, fellow patients and parents. Compulsory inpatient care due to severe starvation included surveillance, weight control and supervised meal situations. In this phase of the illness the girls described being approached as an eating disorder rather than a person, often feeling deprived of their human dignity, inherent value and responsibility for their actions. The fight against the eating disorder was difficult, starting in denial and efforts to understand the condition. The inner perspectives on inpatient care for anorexia nervosa raise clinical considerations encompassing patient empowerment and counselling, psychosocial therapy, guiding while in hospital and patients' differing ways of learning about their illness. There is a risk that girls with anorexia nervosa are approached as a disorder during compulsory care, thus hampering person-centred processes. The perception of fighting a multi-front battle makes inpatient care extremely challenging for patients, parents and caregivers. Nevertheless, reconciliation is possible, despite the sufferings described during the compulsory care phase of the disorder.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Gain in Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder (ARFID) with and Without Autism.","authors":"Cathrine Terese Lien, Nicola Reichel, Nadia Micali, Mette Bentz","doi":"10.1007/s10578-025-01810-w","DOIUrl":"10.1007/s10578-025-01810-w","url":null,"abstract":"<p><p>Health-threatening underweight and poor growth is a frequent consequence of Avoidant restrictive food intake disorder (ARFID) and should be a priority for treatment in children and adolescents (young people, YP). Coexisting autism is more prevalent in YP with ARFID than in YP with other eating disorders. Treatment studies are still sparse for ARFID, and it is not known whether treatment response is lower in those with coexisting autism, as it is documented in other eating disorders. In this study we examined if family-based treatment for ARFID (FBT-ARFID) was associated with weight gain in underweight young people (YP) with ARFID and if coexisting autism affected weight gain. A clinical naturalistic prospective case series of 33 YP aged 6.3-18 years with ARFID presentations and underweight were offered a manualized FBT-ARFID with weight monitoring. We examined changes in body weight between start and end of treatment in those with and without diagnosed coexisting autism. The majority of participants (N = 26, 79%) had a weight gain between 1 and 15 kg, whereas 7 YP (21%) had a stable body weight between start and end of treatment (differences between - 0.6 kg and + 0.9 kg). At the group level, weight gain was statistically significant between start and end (Median = 3.9 kg (4.0, -0.6 -15.1) z = 4.491, p <.001). There was no significant difference in weight gain between participants with (N = 14, 42%) and without (N = 19, 58%) coexisting autism. Participants had a significant weight gain at the group level, suggesting that FBT-ARFID is associated with weight gain in the majority of underweight ARFID patients, both with and without coexisting autism. However, a subgroup may need additional interventions in order to secure weight rehabilitation.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1532-1537"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Positive Childhood Experiences (PCEs): A Systematic Review of Longitudinal Studies.","authors":"Kannan Kallapiran, Shuichi Suetani, Vanessa Cobham, Valsamma Eapen, James Scott","doi":"10.1007/s10578-024-01807-x","DOIUrl":"10.1007/s10578-024-01807-x","url":null,"abstract":"<p><p>Positive Childhood Experiences (PCEs) may mitigate the negative outcomes resulting from Adverse Childhood Experiences (ACEs). To date, most PCE research has used cross-sectional or retrospective designs. PubMed, EMBASE, Cochrane, PsychINFO, CINAHL, and Scopus were searched in May 2024 for longitudinal studies that examined the impact of cumulative PCEs. Eight publications from five longitudinal studies with a total of 16,451 participants were included. Three studies focused only on adolescent outcomes. PCEs were associated with reduced rates of depression, substance use, delinquent behavior, risky sexual behavior, persistent insomnia, and lower inflammatory markers. Cumulative PCEs in childhood may moderate the impact of ACEs, potentially playing an important role in reducing the risk for mental disorders and other adverse outcomes later in life.PROSPERO (ID: CRD42022384775).</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1565-1580"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No Way Out? Cognitive Rigidity and Depressive Symptoms Associated with Suicidal Thoughts and Behaviors in Autistic Youth.","authors":"Morganne Reid, Ann Clawson, Allison Ratto, Brendan A Rich","doi":"10.1007/s10578-024-01791-2","DOIUrl":"10.1007/s10578-024-01791-2","url":null,"abstract":"<p><p>Research has found increased premature mortality among autistic individuals, with suicide being one of the most common causes of premature death in autistic youth. This study aimed to fill literature gaps related to suicidal thoughts and behaviors (STB) in autistic youth by exploring the clinical predictors of suicidal ideation (SI) and suicidal and/or self-injurious behavior (SSIB) in 404 autistic youth from a clinic database. Consistent with prior literature, STB were elevated in autistic youth compared to general population rates. Self-reported suicidal ideation and behaviors were increased in autistic youth assigned female at birth. Caregivers reported greater SI in older autistic youth as compared to younger youth. Logistic regression analyses showed that elevated depressive symptoms and greater cognitive rigidity significantly increased the likelihood of SI in autistic youth. Results have important implications for understanding factors that increase the risk for suicidal ideation and behaviors in autistic youth and informing the development of responsive interventions.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1331-1340"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training Community Clinicians in Implementing CBT-ERP for Youth with OCD: A Pilot Study in Australian Community Mental Health Services.","authors":"J I Racz, I E Perkes, A Bialocerkowski, K M Dyason, J R Grisham, M L McKenzie, L J Farrell","doi":"10.1007/s10578-024-01805-z","DOIUrl":"10.1007/s10578-024-01805-z","url":null,"abstract":"<p><p>This pilot study evaluated the outcomes associated with a training workshop in cognitive-behavioural therapy with exposure and response prevention (ERP) for youth with obsessive-compulsive disorder (OCD) aimed at improving clinicians' capabilities and motivations. Questionnaires and role-plays were completed by 17 Australian clinicians working across community youth (i.e., child and adolescent) mental health services. Knowledge, beliefs, and confidence in using ERP, and adherence delivering it improved at post-training. At 6-month follow-up improvements in beliefs were not maintained, while competence delivering ERP improved. At pre-training, participants utilised ERP significantly less than they intended to. At follow-up, the proportion of time clinicians intended to dedicate to and self-reported time spent implementing ERP was unchanged relative to pre-training, and the intention-behaviour gap remained. Overall, training was associated with improvements in implementation capabilities, but the association with improvements in motivations and behaviour was less clear. Future research should explore the impact of implementation opportunities and develop strategies to support training.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1478-1489"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Psychometric Evaluation of the Parenting Anxious Kids Rating Scale (PAKRS-PR) in a Sample of Families with Clinically Anxious Children.","authors":"Maria C DiFonte, Kimberly S Sain, David F Tolin","doi":"10.1007/s10578-024-01793-0","DOIUrl":"10.1007/s10578-024-01793-0","url":null,"abstract":"<p><p>The Parenting Anxious Kids Rating Scale-Parent Report (PAKRS-PR) measures five types of anxiogenic parenting. The present study aimed to extend the previous psychometric evaluation of the PAKRS-PR to a treatment-seeking sample and examine sensitivity to change over 15 sessions of cognitive behavioral therapy. The sample included 383 parent-child dyads presenting to treatment at a specialty outpatient clinic. Cronbach's α was acceptable for the PAKRS-PR Total scale and several subscales, although the Accommodation/Beliefs and Warmth/Support subscales were in the unacceptable/questionable range. Convergent validity was found to be mixed with the closest relationship between anxiety severity and the Accommodation/Beliefs, Warmth/Support, and Conflict PAKRS-PR subscales. Additionally, the PAKRS-PR Total score and subscales changed significantly throughout treatment, but were not associated with treatment response or child- or clinician-rated treatment outcome measures. Overall, the current findings demonstrate some support for the psychometric properties of the PAKRS-PR; however, further refinement of the PAKRS-PR at the item-level is recommended to further strengthen the measure.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1352-1361"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 10-year Longitudinal Study: The Relationship between Adverse Childhood Experiences, Mental Health Indicators, and Binge Eating Symptoms among Emerging Adults.","authors":"Ashlyn Schwartz, Marie C Navarro, Réda Salamon","doi":"10.1007/s10578-024-01788-x","DOIUrl":"10.1007/s10578-024-01788-x","url":null,"abstract":"<p><p>Although binge eating symptoms (BE) can contribute to worsened mental and physical health, little is known about factors associated with binge eating across the lifespan, hindering prevention and treatment. To investigate if there is an association between adverse childhood experiences (ACEs), adolescent and adult mental health conditions, and BE symptoms among young adults. One hundred and thirty-one junior high-school students participated in a series of assessments and 10 years later, 100 of these individuals participated in a follow-up assessment. Linear regression models were performed to estimate the association between ACEs, adolescent and emerging adult self-esteem, depression, and anxiety symptoms, and emerging adult BE symptoms. Among the sample, 26% had 1 ACEs, 18% had 2 ACEs, and 41% had ≥ 3ACEs. After adjusting for age, sex, and current mental health, there was a positive association between ACEs and increased levels of BE symptoms (β = 0.37, SE = 0.19, CI=(0.03; 0.7), p =.0485). Higher levels of emerging adult depression and anxiety symptoms (β = 0.02, SE = 0.01, CI=(0.01; 0.04), p =.0020) but not self-esteem (β = 0.04, SE = 0.05, CI=(-0.06; 0.14,) p =.4253), were associated with BE symptoms. Parental mental health, a parent experiencing a mental illness during the participant's childhood, was the only individual ACE associated with BE symptoms (β = 0.84, SE = 0.40, CI = 0.04, 1.64, p =.0409). Cumulative ACEs and emerging adult anxiety and depression symptoms were associated with BE symptoms. Findings indicate that ACEs, anxiety, and depression symptoms contribute to BE symptoms, highlighting the importance of screening for ACEs and mental health conditions. Persons struggling with BE symptoms may have co-occurring conditions, of which a traditional treatment for BE may not suffice.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1312-1320"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of a Self-Report Measure of Overprotective Parenting: The Parental Overprotection Measure (POM).","authors":"Ronald M Rapee, Susan L Edwards, Shabana Mabood, Justin Y A Freeman","doi":"10.1007/s10578-024-01801-3","DOIUrl":"10.1007/s10578-024-01801-3","url":null,"abstract":"<p><p>There are few psychometrically sound measures of overprotection designed for the caregiver and focusing largely on overt behaviours and actions. The Parental Overprotection Measure (POM) was developed for research with preschool aged children and has been used in a range of research projects and translated into several languages. However, its full psychometric properties have not previously been reported. The aim of the current paper was to evaluate the psychometric properties of the original, English-language version of the POM. Mothers (N = 288) of children aged between 36 and 71 months completed the POM along with measures assessing validity. A subsample (n = 86) also repeated the POM after approximately 5 weeks. Exploratory factor analysis of the present sample, did not show very clear factor structure and we therefore recommend use of the full scale at this stage. However, two, potentially interpretable factors related to restriction and comfort. Reliability for both factors and the total was strong (alphas and omegas .74 to .90) and the (sub)scales all showed good retest reliability (.72 to .75). Correlations with other measures of overprotection were moderate for the total and restriction scales but smaller for comfort and the two subscales correlated differently from each other with other aspects of parenting. The total and restriction subscale correlated moderately with child anxiety but the comfort subscale failed to relate significantly. Overall, the POM shows solid psychometric properties and could be used as a self-report measure of caregiver overprotection.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"1445-1452"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}