Child Psychiatry & Human Development最新文献

{"title":"Advancing in Personalization of Psychological, Indicated Preventive Interventions: A Randomized Controlled Trial in Adolescents at High-Risk of Developing Emotional Disorders.","authors":"Laura Zafra-Palomino, Luis-Joaquin Garcia-Lopez, David Jimenez-Vazquez","doi":"10.1007/s10578-026-02062-y","DOIUrl":"https://doi.org/10.1007/s10578-026-02062-y","url":null,"abstract":"<p><p>This randomized controlled trial evaluated the effectiveness of a personalized, transdiagnostic, indicated preventive intervention (PROCARE-I+) compared to its standard format (PROCARE-I) in high-risk adolescents. One hundred and thirty-nine participants were randomized to either a standard transdiagnostic, indicated preventive intervention (PROCARE-I; n = 70) or the personalized intervention with add-on modules (PROCARE-I+; n = 69). Participants were assessed at post-intervention at 6 and 7-month follow-ups (the latter, one month after receiving a booster session). Results showed significant reductions not only in anxiety and depressive symptoms, but also in emotional risk. Improvements in emotion regulation, psychological flexibility, resilience, and quality of life were also found. While both interventions were effective, the personalized PROCARE-I+ intervention revealed greater improvements over time in key outcomes. These findings suggest the potential added value of personalization in transdiagnostic, indicated prevention and its potential to enhance long-term outcomes in adolescents at high risk of developing emotional disorders.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599713","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 Longitudinal Relationship Between Social Capital and Depressive Symptoms Among Adolescents in Northwestern China: The Mediating Role of Multidimensional Resilience.","authors":"Yuqi Yan, Nan Lu","doi":"10.1007/s10578-026-02071-x","DOIUrl":"https://doi.org/10.1007/s10578-026-02071-x","url":null,"abstract":"<p><p>This study examined the impacts of family, school, and peer social capital on adolescent depressive symptoms and the mediating roles of multidimensional resilience. Two-wave longitudinal data were collected from 2,256 students in one high school in Wusu, Xinjiang Uygur Autonomous Region of China. An autoregressive model with longitudinal mediation across two waves was constructed. Results show that family social capital positively predicted subsequent intrapersonal assets and external resources (the two resilience dimensions), whereas school social capital positively predicted subsequent intrapersonal assets. Family social capital and the resilience dimensions negatively predicted depressive symptoms. Peer social capital had marginally significant adverse effects on depressive symptoms. Both dimensions of resilience significantly mediated the impacts of family social capital on depressive symptoms, and intrapersonal assets significantly mediated that of school social capital. Findings of this study underscore the importance of developing comprehensive interventions incorporating social capital and resilience to alleviate adolescent depressive symptoms.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599729","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":"Parental Accommodation and Pediatric Anxiety: Moderating Effect of Emotion Regulation.","authors":"Evan Realbuto, Bridget Feler, Megan C DuBois, Maftuna Abduganieva, Christopher A Flessner","doi":"10.1007/s10578-026-02068-6","DOIUrl":"https://doi.org/10.1007/s10578-026-02068-6","url":null,"abstract":"<p><p>Anxiety disorders are among the most common and distressing psychiatric conditions among youth. Child anxiety symptoms are impacted by a variety of factors, including parenting practices. Parental accommodation (i.e., a parent modifying their routine or facilitating avoidance to alleviate their child's anxiety) is one of the most well-established parenting practices thought to maintain anxiety in youth. Scant research, however, has explored how child emotion regulation impacts this relationship. The purpose of the present study was to evaluate whether parent-reported child emotion regulation moderated the relationship between parental accommodation and child anxiety symptom severity. Participants included parents of youth with mixed diagnostic status (i.e., some with psychiatric disorders, some healthy controls; N = 63, ages 7-17). Emotion regulation moderated the relationship between parental accommodation and child anxiety, such that among children whose parents reported higher levels of emotion regulation, accommodation more strongly predicted child anxiety. These results differed from our expectations and suggests that future research evaluating how emotion regulation impacts the accommodation-anxiety link is warranted.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599798","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":"Parent-Adolescent Informant Discrepancies and Adolescent Adjustment Outcomes: A Directional Comparison and Associations with Family Functioning.","authors":"Jiayi Ding, Si Wen","doi":"10.1007/s10578-026-02066-8","DOIUrl":"https://doi.org/10.1007/s10578-026-02066-8","url":null,"abstract":"<p><p>Informant discrepancies between parents and adolescents have been increasingly recognized as a meaningful construct with demonstrated implications for treatment outcomes in clinical populations. However, less is known about their relevance to adolescent adjustment in community samples, their domain-specific associations across internalizing and externalizing problems, and the role of family functioning in these associations. This exploratory study examined whether parent-overreporting versus adolescent-overreporting of adolescents' internalizing and externalizing problems was associated with adolescent adjustment, and whether family functioning indicators were involved in these associations. Using dyadic data from 1,696 parent-adolescent dyads in the UK Millennium Cohort Study, Wave 7, structural equation modeling was conducted to examine direct and indirect associations between discrepancy direction and adolescents' mental health problems and substance use behaviors, including smoking, binge drinking, and drug use. Four family functioning indicators were examined: parent-adolescent communication, emotional closeness, parental knowledge, and parental control. Results showed that parent-overreporting, relative to adolescent-overreporting, was associated with more favorable adolescent adjustment, but the pattern differed by discrepancy domain. Internalizing-based parent-overreporting was mainly associated with fewer mental health problems, whereas externalizing-based parent-overreporting was associated with both fewer mental health problems and lower likelihoods of smoking, binge drinking, and drug use. Communication and closeness were more consistently involved in indirect associations with mental health problems across both discrepancy domains, whereas parental knowledge was more clearly involved in indirect associations with substance use outcomes in the externalizing discrepancy model. These findings suggest that discrepancy direction provides adjustment-relevant information in community samples and that its implications depend on the problem domain assessed and the family functioning indicators considered. The study contributes to multi-informant assessment by supporting a domain-specific and relational interpretation of parent-adolescent discrepancies in adolescent psychological difficulties.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590630","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":"Executive Functioning and Conduct Problems in Youth with Prenatal Alcohol Exposure: A Scoping Review.","authors":"Patrick McFarland, Emily Villanueva, James Sanders","doi":"10.1007/s10578-026-02065-9","DOIUrl":"https://doi.org/10.1007/s10578-026-02065-9","url":null,"abstract":"<p><p>Executive functioning impairment is a core neurobehavioral feature of Fetal Alcohol Spectrum Disorders (FASD) across all diagnostic frameworks and can result from prenatal alcohol exposure (PAE). Executive functioning (EF) is also associated with conduct problems, although the precise relationship between the variables in youth with PAE remains unclear. The primary aim of this scoping review is to clarify the relationship between executive functioning and conduct problems in youth with PAE based on existing literature. The secondary aim of the scoping review is to identify gaps in existing literature, provide clinical implications, and guide future research. The scoping review was conducted in accordance with JBI methodology and reported in alignment with PRISMA-ScR guidelines. A comprehensive search was conducted by a librarian. Search terms were developed collaboratively by the research team and the librarian and were informed by a preliminary review of relevant titles and abstracts. 1038 articles were screened based on titles, abstracts, and full-text review by a second independent researcher and any discrepancies were resolved collaboratively. 10 articles met full eligibility criteria and were included in the scoping review. Based on existing literature, there is a link between PAE, EF, and conduct problems, with EF serving to mediate and moderate self-regulation, social cognition, and behavioral outcomes. However, variability in measurement and construct definition compromises comparability of findings. As such, future research is needed to increase consistency and specificity to further understand the relationship between EF and conduct problems.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590643","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":"Growing Up Rural: Rurality as a Predictor of Child Mental Health in an Australian Cohort.","authors":"Megan Galbally, Irene Bobevski, Evelyn Werner, Mathew Coleman, Vineet Padmanabhan, Andrew J Lewis","doi":"10.1007/s10578-026-02056-w","DOIUrl":"https://doi.org/10.1007/s10578-026-02056-w","url":null,"abstract":"<p><p>There is a paucity of longitudinal research comparing early-life mental health in rural and metropolitan communities. Living in rural areas is associated with limited access to specialist care, as well as additional stresses such as natural disasters. To address health disparities for rural communities it is critical to understand variance in predictors and outcomes for child mental health. Data was obtained on 595 women and their children, recruited before 20 weeks of pregnancy and followed up until their child was 3-4 years of age. Rurality was assessed using the Modified Monash Model (MM Model) with 432 children in metropolitan cities MM1, and 163 in rural communities MM2-7. Child mental health was measured using the Preschool Age Psychiatric Assessment and the Child Behavior Checklist at 3-4 years of age. This study found no differences in rates of child mental health disorders at 3-4 years. Rural mothers with untreated depression were more likely to report internalising and externalising symptoms in their children. Compared to rural families, metropolitan families were twice as likely to access childcare and kindergarten across the first 4 years. Parenting stress showed no differences, although rural children spent more time with their mother and had less screen time. While there were no significant differences in child mental health, there were differences in childcare and kindergarten attendance. Whether this occurred due to preference or access is unclear. Furthermore, children of mothers with untreated depression in rural communities had elevated symptoms suggesting vulnerability to poorer mental health.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590685","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 Framework for Predicting Neurofeedback Treatment Response in ADHD Using EEG Functional Connectivity and Genetic Algorithm-Driven Channel Selection.","authors":"Ziyue Li, Zhinuan Zhu, Dong Li, Saiyu Huang","doi":"10.1007/s10578-026-02067-7","DOIUrl":"https://doi.org/10.1007/s10578-026-02067-7","url":null,"abstract":"<p><p>In this article, we present a computational framework for predicting treatment response to neurofeedback (NF) among patients with Attention-Deficit/Hyperactivity Disorder (ADHD). The proposed framework uses functional brain connectivity analysis of electroencephalogram (EEG) signals acquired during an early-to-mid NF treatment window to classify participants as eventual responders or non-responders. The six-stage algorithm was evaluated using an open-access EEG dataset from the Mendeley Data repository comprising 60 children with ADHD aged 6-12 years. The framework includes a preprocessing pipeline designed to reduce EEG artifacts and noise. Next, spectral features, specifically of the alpha and beta frequency bands, were extracted from the noise-reduced signals. In the fourth stage, functional connectivity was estimated by calculating Phase Locking Value (PLV) between all electrode pairs, thereby quantifying inter-channel phase synchronization. The fifth stage, which is an essential stage, was dimensionality reduction to find the most discriminative features. Dimensionality reduction was achieved in a two-process manner; for the first process, statistical screening was performed using Welch's t-test with FDR correction, followed by GA-based channel selection to identify the most discriminative electrode subset. The GA analysis identified a compact six-channel subset consisting of C3, C4, Cz, Fz, Fp1, and T6 from the original 32-channel montage. In the last classification stage, the reduced feature vectors were input as part of an ensemble of machine learning classifiers to achieve classification. Model performance was evaluated using subject-wise grouped cross-validation, with the best configuration achieving an accuracy of 84.72%. These results suggest that the proposed data-driven framework may support future research on individualized NF response prediction, pending validation on independent clinical datasets.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577305","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 Developmental Role of Atypical Interoception in Youth Anxiety and Eating Disorders.","authors":"Loie M Faulkner, Cheri A Levinson, Sara J Bufferd","doi":"10.1007/s10578-026-02063-x","DOIUrl":"https://doi.org/10.1007/s10578-026-02063-x","url":null,"abstract":"<p><p>Anxiety and eating disorders are dangerous, impairing conditions that are increasingly common in youth. Etiology of anxiety and eating disorders may overlap, as both conditions may develop from avoidance of feared situations and sensations. Awareness of feared sensations is related to interoception, the ability to sense internal signals including feared sensations. Atypical interoception in the gastrointestinal domain may be a shared risk factor for anxiety and eating disorders. Gastric sensations are implicated in both eating disorders and anxiety for some individuals. Fear learning may partially explain the relationships among interoceptive deficits and anxiety and eating disorders, such that individuals begin to fear gastric sensations and associated emotional states or situations. Fear of these experiences may generalize to other experiences or sensations associated with gastric discomfort, which may eventually lead to the development of an anxiety and/or eating disorders. Identification of interoceptive deficits in youth presents opportunities for prevention and early intervention of anxiety and eating disorders before they become impairing. This review characterizes interoceptive sensitivity and its role in the onset and maintenance of anxiety and eating disorders. Atypical interoception is defined, fear learning is discussed as it relates to interoception and psychopathology, and the existing research on interoception in children and relationships among interoceptive deficits and anxiety and eating disorders is reviewed respectively. Current gaps in the existing literature are addressed by identifying a recent series of proposed conceptual models, reviewing the evidence for such models, and proposing future research to test these models in youth.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577337","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":"School Relational Environment and Adolescent Depressive Symptoms: Insights from Latent Profile and Network Analysis.","authors":"Kuo Zhang, Xiaoliu Jiang, Chenyao Wang, Suxia Liao, Xuji Jia, Sarah Gunn","doi":"10.1007/s10578-026-02061-z","DOIUrl":"https://doi.org/10.1007/s10578-026-02061-z","url":null,"abstract":"<p><p>Grounded in the bioecological model, this study examined depressive symptom profiles and their links with school relational factors (teacher-student relationships, home-school relationships, peer friendships, and bullying victimization) among 3,837 Chinese adolescents (M_age = 14.71 years; SD_age = 1.42; 51.7% female). Latent profile analysis of depressed affect, somatic and retarded activity, interpersonal problems, and lack of positive affect identified four groups: low depression risk (LDR, 68.5%), moderate depression risk with low interpersonal problems (MDR-LIP, 11.6%), moderate depression risk (MDR, 13.5%), and high depression risk (HDR, 6.5%). Network analysis revealed profile-specific edge-weight configurations. The LDR group showed a pattern broadly consistent with supportive school relationships, the MDR-LIP group showed more complex, problem-linked relational edges, and the MDR and HDR groups showed strong depressed affect-somatic activity connections. Centrality analyses further highlighted peer friendships and lack of positive affect as recurring symptom-relationship connection points. These findings support differentiated school-based support.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148519971","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":"Reducing Parental Accommodation in Neurodiverse Families: Adaptation of a Digital Single-Session Intervention.","authors":"Yufan Wang, Jenna Y Sung, Kamryn Reynolds, Jessica L Schleider, Heather J Risser","doi":"10.1007/s10578-026-02058-8","DOIUrl":"https://doi.org/10.1007/s10578-026-02058-8","url":null,"abstract":"<p><p>Families of children with neurodevelopmental disorders often face limited access to evidence-based mental health care and supports, despite a disproportionately high prevalence of co-occurring conditions, such as anxiety, among these children. This study aimed to adapt a digital single-session intervention (SSI) designed to reduce parental accommodation of child anxiety by incorporating direct feedback from parents of neurodiverse children. In December 2024, five online human-centered design workshops were conducted with six parents, who provided input on the intervention's content (e.g., clarity, relevance) and acceptability (e.g., language, confidence to make a change). Responses were systematically coded and analyzed using content analysis. Across workshops, parents emphasized the need for interventions to be practically relevant, emotionally validating, and reflective of daily caregiving experiences, where \"every day can feel like a wrestling match.\" Participants also raised concerns about the term \"accommodation,\" which carries a positive connotation within the disability communities. Based on this feedback, revisions included incorporating neurodiversity-specific examples and parenting strategies and using descriptions of rather than labeling parenting behaviors. Through lived experiences, caregiver feedback revealed important adaptations needed to enhance intervention effectiveness and acceptability. Co-designing SSIs with families has the potential to promote equitable access to evidence-based mental health care, and successful adaptations present a scalable framework for integrating SSIs into child mental health services across settings.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444722","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}