Child Psychiatry & Human Development最新文献

{"title":"Family Adaptation in Families with Autistic Members: A Scoping Review and Thematic Synthesis of Relational Systems, Context, and Development.","authors":"Sebastian Trew, Douglas H Russell","doi":"10.1007/s10578-026-02023-5","DOIUrl":"https://doi.org/10.1007/s10578-026-02023-5","url":null,"abstract":"<p><p>This scoping review synthesizes empirical research on how autistic family members shape family dynamics across relational subsystems, cultural contexts, and developmental stages. A comprehensive search conducted in January 2025 across five databases using the SPIDER framework yielded 102 studies analysed through convergent integrated three-stage thematic analysis informed by family systems theory. Five interconnected themes emerged: family identity reconstruction and role adaptation; emotional climate and communication patterns; cultural, societal, and structural contexts; pathways to resilience and positive adaptation; and developmental trajectories across the lifespan. These themes were integrated into an interpretive conceptual model in which communication emerged as a cross-cutting relational process, family adaptation unfolded across developmental time, and contextual conditions shaped which adaptive pathways were more or less available. Across studies, adaptive flexibility was a recurring feature of more positively adapting families, and caregiver mental health, especially maternal mental health in a mother-dominated evidence base, appeared closely linked to family emotional climate. A dedicated analysis reinterprets findings through a neurodiversity-informed lens, proposing foundational shifts toward investigating family adaptation with rather than to autism. Critically, autistic perspectives remain largely absent: of the 102 included studies, only five included autistic self-report as a primary data source. Future research must centre autistic voices, employ integrated longitudinal designs, and address structural barriers supporting equitable family systems.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834386","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":"From Disruption to Connection: A Family-Based Practice Model for Enhancing Relationships in Families of Autistic Adolescents.","authors":"Sebastian Trew, Wenn Lawson","doi":"10.1007/s10578-026-02021-7","DOIUrl":"https://doi.org/10.1007/s10578-026-02021-7","url":null,"abstract":"<p><p>Research examining family relationships in families with autistic members remains limited, and integrative frameworks that translate evidence into family focused practice are scarce. Existing interventions often prioritise individual symptom management rather than strengthening family relationships and connectedness. This article presents an evidence informed practice model designed to enhance relationships and connectedness in families of autistic adolescents, grounded in systems theory. The model draws on qualitative research with 44 participants from 18 families, including autistic adolescents, parents and siblings. Family relationship experiences and dynamics were explored, with seven key findings informing the conceptual framework and practice model. Disruptive factors such as stress, conflict, caregiver burden and challenges in relating contributed to withdrawal and disconnection, while connective factors including communication, teamwork, routines and shared positive experiences supported bonding. The practice model comprises six elements and is guided by ten principles across family structure, roles, communication and adaptive patterns. This model addresses gaps in holistic family support and offers practitioners evidence informed, family centred strategies that build on strengths while addressing relational challenges.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834416","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":"Feasibility, Acceptability, and Preliminary Effectiveness of a Remote Parent Training in Exposure Therapy for Youth Specific Phobia.","authors":"Imogene G Calteaux, Emily C Hutchinson, David L Neumann, Lara J Farrell","doi":"10.1007/s10578-026-02014-6","DOIUrl":"https://doi.org/10.1007/s10578-026-02014-6","url":null,"abstract":"<p><p>Specific phobias (SPs) in childhood are common, impairing, and treatable, yet access to gold-standard exposure therapy remains limited. Parent-led interventions delivered via telehealth may help overcome these barriers. This pilot study examined the feasibility, acceptability, and preliminary effectiveness of a co-designed, brief, group-based parent-training program in exposure therapy for SP of dogs, delivered via videoconference. Three families (children: M age = 7.33 years, SD = 0.58) completed three parent group videoconference sessions plus two boosters, and outcomes were assessed at post-treatment and at a 1-month follow up. Feasibility was excellent, with 100% retention; acceptability was supported by high satisfaction ratings and positive qualitative feedback. Clinician severity ratings of SP decreased significantly across time-points, parent-rated target symptoms declined, and all children met reliable change at post-treatment and 1-month follow-up based on their primary SP CSR. In regards to diagnostic remission (CSR < 4), rates were 33% at post-treatment, increasing to 67% at 1-month follow-up. Preliminary outcome analyses using non-parametric tests, suggested large effects for increased global functioning (CGAS), decreased parent-reported anxiety (SCAS-P) and child dysfunctional phobic beliefs, with stable child self-report anxiety (SCAS-C). Parent confidence in managing their child's SP improved, but not significantly. Findings support further evaluation of this potentially scalable model in larger controlled trials to determine efficacy.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834380","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":"Prenatal and Postnatal Exposure to Tobacco and Cannabis and Child Aggression at Early School Age: Role of Early Maternal Sensitivity.","authors":"Stephanie A Godleski, Madison R Kelm, Rina D Eiden","doi":"10.1007/s10578-026-02020-8","DOIUrl":"https://doi.org/10.1007/s10578-026-02020-8","url":null,"abstract":"<p><p>Prenatal tobacco exposure has been linked to higher child physical aggression; however, limited research examines predictors of both relational and physical aggression beginning in the prenatal period. We tested a conceptual model that included hypothesized direct and indirect pathways from prenatal substance exposure to early school age aggression via continued postnatal substance exposure throughout infancy and early childhood. We also examined the potential buffering effect of maternal sensitivity across early childhood and the additive effect of combined prenatal and postnatal exposure. The sample included 262 mother-child dyads (140 boys). Results supported the hypothesized paths from prenatal tobacco-cannabis co-exposure to early school age physical aggression and postnatal cannabis exposure to relational aggression. Maternal sensitivity across infancy and toddlerhood was protective in the development of both relational and physical aggression in the context of prenatal tobacco-cannabis co-exposure.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763942","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":"Cross-Lagged Panel Network Analysis Between Internet Addiction and Depression: Gender and Mid-Late Adolescent Differences.","authors":"Wei Jin, Jinwei Gai, Shiyu Sun, Wendan Chen, Ying Wang, Mengdan Luo, Linhui Liu, Ye Zhang, Ke Zhao, Lan Hong, Guohua Zhang","doi":"10.1007/s10578-026-02022-6","DOIUrl":"https://doi.org/10.1007/s10578-026-02022-6","url":null,"abstract":"<p><p>Although increasing evidence links internet addiction (IA) with depressive symptoms in adolescents, the temporal dynamics between specific symptoms, especially across developmental stages and genders, remains insufficiently understood. This study aimed to examine the dynamic longitudinal relations between IA and depression at the symptom level and to characterize how these relations evolve from mid- to late-adolescence. A total of 2,864 Chinese adolescents (49.2% males; aged 12-18 years) participated in this study. Depressive symptoms and IA were assessed using the Center for Epidemiologic Studies-Depression (CES-D) scale and the 8-item Internet Addiction Diagnostic Questionnaire (IAD-DQ-8) scale at two time points. Cross-lagged panel network (CLPN) analysis was conducted to examine longitudinal symptom-to-symptom relations between IA and depression. Across the overall network, escape use (I8), negative affect (D2), and loss of interest (D3) emerged as key bridge nodes. In mid-adolescence, risking friends or opportunities (I6) negatively predicted depressive symptoms, with unsigned In-BEI concentrated on negative affect (D2) and loss of interest (D3). In late-adolescence, concealment of use (I7) and escape use (I8) formed the most prominent pathways, with In-BEI centered on somatic (D1) and interpersonal difficulties (D4). Males showed greater sensitivity to somatic (D1), preoccupation (I1), and escape use (I8), whereas females were more sensitive to interpersonal difficulties (D4), irritability (I4), and concealment of use (I7). Symptom-level links between IA and depression differed by developmental stage and gender. Mid-adolescents showed approach-oriented use driven by reward and mood regulation, suggesting structured management of internet use with diversified offline activities. Late adolescents exhibited escape-driven, distress-regulating use, calling for interventions that address stress sources rather than impose blanket restrictions. For males, enhancing self-control and preventing overuse are key, whereas for females, strengthening real-life interpersonal ties is crucial.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763889","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":"The Application of Bronfenbrenner's Bio-ecological Model in Children and Young People's Mental Health Research: A Rapid Review.","authors":"Elena D Dimova, Katie Roddick, Simon C Hunter, Lea Delfmann, Antony Morgan, Kerri McPherson, Candace Currie, Kareena McAloney-Kocaman, Bryan McCann, John H McKendrick","doi":"10.1007/s10578-026-02019-1","DOIUrl":"https://doi.org/10.1007/s10578-026-02019-1","url":null,"abstract":"<p><p>Concerns over the mental health of children and young people (CYP) continue to grow as rates of poorer mental health increase globally. To gain an understanding of the complex array of determinants of CYP mental health, Bronfenbrenner's bioecological model can be used to provide a conceptual framework to organise and analyse evidence, which can then be used to inform mental health policy and interventions. This rapid review brings together the published evidence on the use of Bronfenbrenner's bioecological model to understand and address the mental health of CYP. We searched Web of Science and PsychINFO to identify published studies. We grouped studies based on the system levels (e.g., micro-, macro-) before exploring the ways in which 'interactions' between and within model levels were examined. Thirty-four studies were included, with all studies focusing on micro-level factors and most also considering factors affecting mental health at the individual level. The impact of factors at exo-, macro- and chrono- levels were much less frequently addressed. Among the 34 studies, quantitative, statistical modelling was used to explore interactions between variables within the micro-system in six studies and between variables at different levels in thirteen studies. More than half of the quantitative studies did not examine statistical interactions. Among the qualitative studies, presenting issues were often discussed which could reflect interactions between systems. Existing literature applying Bronfenbrenner's bioecological model to understating CYP's mental health outcomes has focused predominantly on individual and micro level factors. There is a need for research to consider all systems of the model.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763924","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":"Silent Suicidal Ideation: Low Rates of Disclosure Among Children and Adolescents Who Attempt Suicide.","authors":"Natsumi Matsunari, Katsunaka Mikami, Yoko Suzuki, Shunya Takase, Norimasa Sawaguchi, Yuichi Onishi, Yuki Takahashi, Yoshinori Sasaki, Noa Tsujii, Natsuru Watanabe, Masahide Usami, Kenji Yamamoto","doi":"10.1007/s10578-026-02008-4","DOIUrl":"https://doi.org/10.1007/s10578-026-02008-4","url":null,"abstract":"","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763881","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":"Correction: Parental Psychological Distress and Perceived Child Externalizing Behaviors: Examining Mediators and Bidirectional Effects.","authors":"Abigail J Anderson, Christina M Rodriguez, James M Henson","doi":"10.1007/s10578-026-02009-3","DOIUrl":"https://doi.org/10.1007/s10578-026-02009-3","url":null,"abstract":"","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763926","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":"Bidirectional Relationships Between Parenting Styles and Preschoolers' Sensory Processing Sensitivity.","authors":"Yuming Lu, Qianwen Liu, Zhenhong Wang","doi":"10.1007/s10578-026-02015-5","DOIUrl":"https://doi.org/10.1007/s10578-026-02015-5","url":null,"abstract":"<p><p>This study explored the bidirectional relationship between parenting styles and three specific dimensions of sensory processing sensitivity (SPS; i.e., low sensory threshold, LST; ease of excitation, EOE; and aesthetic sensitivity, AES) in preschoolers using a cross-lagged panel model with one-year intervals. The Chinese versions of the Parenting Style and Dimension Questionnaire (PSDQ-C) and the Highly Sensitive Child Scale (HSC-C) were administered to primary caregivers of 448 Chinese preschoolers (M_age = 4.62, SD = 0.60 at T1) to assess parenting styles and preschoolers' SPS. The results indicated that authoritative parenting at T1 significantly predicted preschoolers' AES and LST at T2; however, its influence on preschoolers' EOE was not significant. Conversely, EOE at T1 negatively predicted authoritative parenting at T2, but preschoolers' AES and LST at T1 did not significantly predict authoritative parenting at T2. Additionally, authoritarian parenting was not found to be longitudinally related to specific dimensions of SPS. The findings highlight the reciprocal influences between different SPS dimensions and family environments in early childhood.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728767","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":"Internal Validity of the French Version of the PARDI-AR-Q and Subtypes Analysis Among Children and Adolescents.","authors":"Bérengère Rubio, Natalie Rigal","doi":"10.1007/s10578-026-02005-7","DOIUrl":"https://doi.org/10.1007/s10578-026-02005-7","url":null,"abstract":"<p><p>Although avoidant/restrictive food intake disorder (ARFID) has been included in the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013) as a distinct eating disorder category, research on ARFID remains scarce in France, primarily due to a lack of a French tool to assess its diagnosis. The objectives of this study were to provide a validated French-language assessment tool for ARFID and to examine the distribution of different ARFID subtypes (food avoidance based on sensory sensitivity, lack of interest in eating, fear of aversive consequences) in French children and adolescents, in the overall sample and by individuals' characteristics (i.e., age, gender). Using a translation and back-translation procedure, a French version of the PARDI-AR-Q was administered to 119 parents of children and adolescents with ARFID aged 2 to 16 years. Psychometric analyses supported the existence of the three subtypes with satisfactory internal consistency. Younger children had higher Sensory sensitivity and Lack of interest scores compared to older, while no sex differences were observed for the three subtypes. Hierarchical cluster analysis identified five ARFID profiles (two pure and three combined). These findings support the availability of a reliable French-language instrument for ARFID diagnosis and underscore the importance of recognizing mixed presentations to inform early detection and tailored clinical interventions.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716285","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}