Yifan Zhang, Zijuan Ma, Wanyi Chen, Dongfang Wang, Fang Fan
{"title":"Network Analysis of Health-related Behaviors, Insomnia, and Depression Among Urban Left-behind Adolescents in China.","authors":"Yifan Zhang, Zijuan Ma, Wanyi Chen, Dongfang Wang, Fang Fan","doi":"10.1007/s10578-023-01607-9","DOIUrl":"10.1007/s10578-023-01607-9","url":null,"abstract":"<p><p>Mental health of urban left-behind adolescents (LBA) is a public issue of growing concern. This study aims to examine the symptom level associations among multiple health-related behaviors, insomnia, and depression in urban LBA. Data on a sample of urban LBA aged 11-19 (N = 3,601) from the Adolescent Mental Health Survey in Shenzhen, China, were used. Health-related behaviors (i.e., Internet use, physical inactivity, social jetlag, smoking, and alcohol consumption), insomnia, and depressive symptoms were assessed using a self-administered questionnaire. Graphical Gaussian Model (GGM) was used to describe key bridging nodes in an undirected network. Directed Acyclic Graph (DAG) was used to construct a directed network and estimate the most likely causal associations among behaviors/symptoms. In the undirected network, Internet use was identified as the key bridging node most strongly associated with insomnia and depression. Two other key bridging nodes include difficulty initiating sleep and appetite change. In the directed network, anhedonia emerged as the most pivotal symptom, which could cause insomnia symptoms and behavioral changes, either directly, or through triggering other depressive symptoms, such as low energy and appetite change. These findings have implications for understanding the occurrence and maintenance process of health-related behaviors, insomnia, and depression in urban LBA. In practice, Internet use should be considered a priority in targeting multiple health behavior interventions. Meanwhile, early screening and treatment for anhedonia are of great significance as well.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"844-855"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111947","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}
Dafne Galí, Eduard Forcadell, Mireia Primé-Tous, Olga Puig, Sara Lera-Miguel
{"title":"Cool Kids: Cognitive Behavioral Therapy in a Spanish Sample of Children and Adolescents with Anxiety Disorders.","authors":"Dafne Galí, Eduard Forcadell, Mireia Primé-Tous, Olga Puig, Sara Lera-Miguel","doi":"10.1007/s10578-023-01579-w","DOIUrl":"10.1007/s10578-023-01579-w","url":null,"abstract":"<p><p>Anxiety disorders (ADs) negatively impact functioning and life quality. Studies on cognitive behavioral therapy (CBT) have demonstrated its short- and long-term efficacy. Cool Kids (CK) is a 10-session CBT-based group program administered to participants with ADs aged 7-17 years and their parents, and it has demonstrated efficacy compared with control groups. This study analyzes the effectiveness of CK in a clinical cohort of Spanish children and adolescents with ADs. CK was offered to 57 patients with AD and their caregivers at the Hospital Clínic, Barcelona. In all global registered measures, the results demonstrated a reduction of symptoms and their interference in daily functioning. Moreover, a significant improvement was observed in participants who completed more sessions. Thus, CK reduced the severity of anxiety and its interference over individual and family functioning.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"751-757"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162248","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}
Haoxian Ye, Chunling Chen, Shiying Chen, Nan Jiang, Zifan Cai, Yixin Liu, Yunyi Li, Yike Huang, Wanqing Yu, Ruiyan You, Haiping Liao, Fang Fan
{"title":"Profiles of Intolerance of Uncertainty Among 108,540 Adolescents: Associations with Sociodemographic Variables and Mental Health.","authors":"Haoxian Ye, Chunling Chen, Shiying Chen, Nan Jiang, Zifan Cai, Yixin Liu, Yunyi Li, Yike Huang, Wanqing Yu, Ruiyan You, Haiping Liao, Fang Fan","doi":"10.1007/s10578-023-01603-z","DOIUrl":"10.1007/s10578-023-01603-z","url":null,"abstract":"<p><p>Intolerance of uncertainty (IU) is widely considered a transdiagnostic risk and maintaining factor for psychiatric disorders. However, little is known about the overall nature and profile of IU among adolescents. This study aims to investigate the profiles of IU among Chinese adolescents and explore their associations with sociodemographic characteristics and mental health problems. A sample of 108,540 adolescents provided data on IU, sociodemographic characteristics, and mental health via an online platform. Latent profile analysis revealed three profiles: Low IU, Medium IU, and High IU. Girls, older adolescents, and those with specific sociodemographics were more likely to belong to the \"High IU\" profile. Furthermore, the \"High IU\" profile was associated with the highest risk of several mental health problems. These findings provided valuable information for early prevention and intervention strategies targeting IU and highlighted the importance of IU-based interventions for mental health among adolescents.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"715-727"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10499729","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":"Effects of Symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) on Academic Performance and Educational Attainment.","authors":"Sampo Seppä, Anu-Helmi Halt, Tanja Nordström, Tuula Hurtig","doi":"10.1007/s10578-023-01598-7","DOIUrl":"10.1007/s10578-023-01598-7","url":null,"abstract":"<p><p>The aim of this longitudinal population-based cohort study was to examine the effects of ADHD and ODD symptoms in adolescence on academic performance at age 16, and on educational attainment by the age of 32. The population studied here was the Northern Finland Birth Cohort 1986 (NFBC1986). The participants were classified into four groups: those with symptoms of ADHD, ODD, ADHD + ODD, and a control group. Early academic performance at the age of 16 years was based on the Joint Application Register for Secondary Education, and eventual educational attainment was derived from the registers of Statistics Finland and included information recorded up to 2018. Although symptoms of pure ODD had a negative effect on academic performance at school relative to the control group, this effect was weaker than that of pure ADHD symptoms. The ADHD + ODD group, both males and females, had the greatest deficits of all in educational attainment in adulthood and failed to progress to an institution of higher education as often as the control group. Symptoms of ODD in adolescent females predicted educational attainment in adulthood that extended no further than the compulsory comprehensive school level. The results remained statistically significant after adjustment for the educational level of the parents of the subjects, family type, and any psychiatric disorders (other than ADHD or ODD). The findings provide valuable information on the pervasive effects of co-occurring symptoms of ADHD and ODD that persist into adulthood.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"696-703"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141279","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}
Hayley J Goldenthal, Karen Gouze, Jaclyn Russo, Tali Raviv, Carmen Holley, Colleen Cicchetti
{"title":"Potentially Traumatic Events, Socioemotional and Adaptive Functioning: Associations with Self-Regulatory Skills in a Community Sample of Primarily Black and Latinx 3-5-year-olds.","authors":"Hayley J Goldenthal, Karen Gouze, Jaclyn Russo, Tali Raviv, Carmen Holley, Colleen Cicchetti","doi":"10.1007/s10578-023-01595-w","DOIUrl":"10.1007/s10578-023-01595-w","url":null,"abstract":"<p><p>Early childhood is a heightened risk period for exposure to potentially traumatic events (PTEs) and a critical period for the development of foundational self-regulatory competencies that have potential cascading effects on future socioemotional functioning. This cross-sectional study examined associations between PTE exposure and socioemotional and adaptive functioning, and self-regulatory skills, in a community-based sample of 280 primarily Black and Latinx 3-5-year-olds. Results supported direct relations between PTE exposure and socioemotional and adaptive functioning. Attentional regulation was associated with PTEs and internalizing behaviors, externalizing behaviors, and adaptive behaviors. There was also a significant association of emotional regulation on the relationship between PTEs and internalizing and externalizing behaviors, but not adaptive functioning. Findings have implications for early intervention and educational and public policy, including the importance of scaffolding the development of self-regulatory skills among preschoolers with high PTE exposure.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"669-682"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135645","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}
David S Bennett, Jourdon Robinson, Margaret W Sullivan, Michael Lewis
{"title":"Neglect and Behavior Problems in Early Childhood: A Test of Indirect Effects Through Emotion Knowledge.","authors":"David S Bennett, Jourdon Robinson, Margaret W Sullivan, Michael Lewis","doi":"10.1007/s10578-025-01851-1","DOIUrl":"https://doi.org/10.1007/s10578-025-01851-1","url":null,"abstract":"<p><p>Neglected children are at-risk for behavior problems, although the processes by which such problems develop are poorly understood. We examined whether Emotion Knowledge (EK) mediated the relationship between neglect and young children's behavior problems. In a community sample (N = 127), neglect history was assessed at 4.0 years using Child Protective Services records (44% neglected); at 4.5 years children completed an EK assessment (expression recognition; expression labeling; and situational knowledge); and at 6- to 7-years teachers rated children's behavior problems on the Teacher Report Form. Neglect predicted greater total behavior problems (r = .227, p =.035), while the EK composite predicted fewer total behavior problems (r =-.383, p <.001). Neglect did not predict EK (r =-.162, p =.069) nor were indirect effects significant at the 95% credible interval in Bayesian mediation models. While significant mediation was not identified, findings suggest that early screening of EK skills and implementation of interventions to enhance such skills could help to prevent the onset or worsening of behavior problems among young children.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191586","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}
Andrea E Spencer, Tierney P McMahon, Ren Mondesir, Nadia Garriga-Cerni, Meera Savage, Madeline C Smith, J Krystel Loubeau, Jennifer Sikov, Imme Kobayashi, Jasleen Singh, Rohan Dayal, Valeria Ladino, Christina Borba, Arvin Garg, Michael Silverstein
{"title":"\"The Way the System is Working Out, It's Not Working at All\": Parent Perspectives on Social Determinants of Health and ADHD Symptoms in Preschoolers.","authors":"Andrea E Spencer, Tierney P McMahon, Ren Mondesir, Nadia Garriga-Cerni, Meera Savage, Madeline C Smith, J Krystel Loubeau, Jennifer Sikov, Imme Kobayashi, Jasleen Singh, Rohan Dayal, Valeria Ladino, Christina Borba, Arvin Garg, Michael Silverstein","doi":"10.1007/s10578-025-01840-4","DOIUrl":"https://doi.org/10.1007/s10578-025-01840-4","url":null,"abstract":"<p><p>Adverse social determinants of health (SDH) are associated with higher risk for ADHD and worse prognosis. Understanding the reason for this association is critical for planning interventions to reduce inequities in ADHD outcomes. To answer this question, we conducted a qualitative study with parents of preschoolers aged 3-5 years old with ADHD symptoms, recruited from a safety net hospital, to understand their perspectives on the relationship between SDH and ADHD symptoms. Nineteen parents (53% Black, 26% Latine, 16% White; median income $32,500) completed in-depth interviews, and the data was analyzed using thematic analysis. Parents described bidirectional relationships between three main themes: (1) unmet social needs, (2) child ADHD symptoms, and (3) parent stress. Our findings suggest that early intervention to address unmet social needs in the child's environment and support parent mental health could be tested to improve symptom trajectories in preschoolers with emerging ADHD.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186683","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}
Danique A M van den Hanenberg, Hilde D Schuiringa, Marcel A G van Aken, Barbara J De Clercq, Odilia M Laceulle, Paul T van der Heijden
{"title":"The Mediating Role of Interpersonal Relationships in the Link Between Maladaptive Personality Traits and Quality of Life in Referred Youth.","authors":"Danique A M van den Hanenberg, Hilde D Schuiringa, Marcel A G van Aken, Barbara J De Clercq, Odilia M Laceulle, Paul T van der Heijden","doi":"10.1007/s10578-025-01860-0","DOIUrl":"https://doi.org/10.1007/s10578-025-01860-0","url":null,"abstract":"<p><p>Youth with maladaptive personality traits often experience diminished quality of life (QoL) as well as difficulties in interpersonal relationships. The present study aims to investigate the mediating role of perceived social support and conflicts with parents in the link between maladaptive personality traits and QoL. The sample consists of 110 youth referred to outpatient treatment (M<sub>age</sub> = 21.3 years; range<sub>age</sub>= 16-29 years) from a mental health institute in the Netherlands who filled out various questionnaires. Results indicate that youth with higher levels of negative affectivity, detachment, and psychoticism experience a lower level of QoL. Additionally, higher levels of negative affectivity, detachment, disinhibition, antagonism, and psychoticism are related to less perceived social support from father, which in turn is associated with lower perceived QoL. In other words, social support from father was a significant mediator and accounted for 18% up to 94.4% of the variance of the direct effect. However, social support from mother and conflicts with both parents are not significant mediators. Findings demonstrate that the direct association between maladaptive personality traits and QoL is, to a substantial extent, explained by social support from father. Therefore, it is important to investigate interpersonal relations separately for father and mother.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172857","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":"Lifetime Contacts with Child Welfare Services among Children and Adolescents with ADHD: A Population-Based Registry Study.","authors":"Ashmita Chaulagain, Tarjei Widding-Havneraas, Ingvild Lyhmann, Anne Halmøy, Ingvar Bjelland, Arnstein Mykletun","doi":"10.1007/s10578-025-01857-9","DOIUrl":"https://doi.org/10.1007/s10578-025-01857-9","url":null,"abstract":"<p><p>Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents often face challenges that may lead to contact with child welfare services (CWS). However, there is a lack of studies addressing this issue. This study assessed the rate and association between ADHD and different types of CWS contact compared to the general population. We also examined whether individual and parental characteristics were associated with CWS contact among children and adolescents with ADHD. We employed a longitudinal research design and examined an 18-year age trajectory for a cohort of 8,051 children and adolescents aged 5 to 18 years diagnosed with ADHD between 2009 and 2011, linking several Norwegian nationwide registries. Descriptive statistics and logistic regression analysis assessed rate and association between ADHD and CWS contact. Chi-square tests and t-tests examined associations between individual and parental characteristics and CWS contact among those with ADHD. Children and adolescents with ADHD had considerably higher rate of any CWS contacts (32.7%) compared to the general population (6.1%). ADHD was significantly associated with both out-of-home placement (aOR = 7.3, 95% CI: 5.2-10.2) and supportive interventions (aOR = 6.3, 95% CI: 5.1-7.7). Among those with ADHD, comorbid conduct disorder and a criminal record were significantly associated with CWS contact compared to those without CWS contact. Additionally, they were more likely to have unmarried parents and parents with lower income and educational level. These findings provide novel insight into the relationship between ADHD and contact with CWS. Future research should examine the impact of clinical and behavioral treatment of ADHD on contact with CWS.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157199","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}
Huiling Zhou, Shuxuan Wang, Yunhan Lin, Huaibin Jiang, Jiamei Lu
{"title":"Harsh Parenting and Problematic Smartphone Use: The Chain Mediating Effects of Attention to Negative Information and Social Anxiety.","authors":"Huiling Zhou, Shuxuan Wang, Yunhan Lin, Huaibin Jiang, Jiamei Lu","doi":"10.1007/s10578-025-01859-7","DOIUrl":"https://doi.org/10.1007/s10578-025-01859-7","url":null,"abstract":"<p><p>Harsh parenting has been shown to be associated with problematic smartphone use among adolescents. However, few studies have explored the relationship between harsh parenting and problematic smartphone use through a dual-system framework that integrates both emotional and cognitive processing. We aim to investigate the serial mediation effects of attention to negative information and social anxiety in the relationship between harsh parenting and problematic smartphone use among adolescents. The study involved 276 adolescents (mean age = 13.93; SD = 0.82; 42.4% boys) from two middle schools in southeastern China. We assessed harsh parenting, attention to negative information, social anxiety and problematic smartphone use over three waves at three-month intervals. The result show that attention to negative information (T2) serve as independent mediator between harsh parenting (T1) and problematic smartphone use (T3). Also, attention to negative information (T2) and social anxiety (T2) serve as chain mediators between harsh parenting (T1) and problematic smartphone use (T3). However, the direct effect of harsh parenting (T1) on social anxiety (T2) was not significant. These findings suggest that attention to negative information and social anxiety serve as key cognitive and emotional mechanisms linking harsh parenting to problematic smartphone use in adolescents.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136030","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}