Child Psychiatry & Human Development最新文献_第5页

Mediating Effects of Executive Function on the Relationship between Sleep Problems and Emotional and Behavioral Problems among Preschoolers: Physical Activity as a Protective Factor. 执行功能在学龄前儿童睡眠问题与情绪和行为问题关系中的中介作用：体育活动的保护作用

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-05-14 DOI: 10.1007/s10578-025-01849-9

Ruoyu Li, Haiyan He, Zhongpeng Niu, Wan Xiao, Jun Wu, Yang Zhou, Yongling Huang, Yuhui Wan

{"title":"Mediating Effects of Executive Function on the Relationship between Sleep Problems and Emotional and Behavioral Problems among Preschoolers: Physical Activity as a Protective Factor.","authors":"Ruoyu Li, Haiyan He, Zhongpeng Niu, Wan Xiao, Jun Wu, Yang Zhou, Yongling Huang, Yuhui Wan","doi":"10.1007/s10578-025-01849-9","DOIUrl":"https://doi.org/10.1007/s10578-025-01849-9","url":null,"abstract":"This study investigated three waves of data from the Anhui Preschool Children Cohort study, with a total of 1,987 mother-child dyads participating. The questionnaires on sleep problems (Wave 1), executive function (EF) (Wave 2), physical activity (PA) (Wave 2), and emotional and behavioral problems (EBPs) (Wave 1 & Wave 3) were assessed by the mothers of the children. Results showed that sleep problems, GEC (total executive dysfunction scores), and PA are all positively related to EBPs. After controlling for covariates, GEC partially mediated the association between sleep problems and EBPs (β = 0.015, 95%CI: 0.002-0.028). PA moderated the relationship between sleep problems and preschoolers' GEC (β = -0.06, P<0.05). These findings reveal the mediating role of executive dysfunction in the association between sleep problems and EBPs. It also highlights that targeted interventions to reduce sleep problems and increase PA could help reduce the risk of EBPs in preschoolers.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983325","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}

引用次数: 0

The Mediating Role of Emotional Dysregulation in the Relationship Between Anxious Attachment and Suicidal Behavior in Children Admitted to an Emergency Department. 情绪失调在急诊科儿童焦虑依恋与自杀行为关系中的中介作用。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-05-09 DOI: 10.1007/s10578-025-01844-0

Oryan Cohen-Bausi, Oren Shahnovsky, Liat Haruvi-Catalan, Noa Benaroya-Milshtein, Silvana Fennig, Shira Barzilay

{"title":"The Mediating Role of Emotional Dysregulation in the Relationship Between Anxious Attachment and Suicidal Behavior in Children Admitted to an Emergency Department.","authors":"Oryan Cohen-Bausi, Oren Shahnovsky, Liat Haruvi-Catalan, Noa Benaroya-Milshtein, Silvana Fennig, Shira Barzilay","doi":"10.1007/s10578-025-01844-0","DOIUrl":"https://doi.org/10.1007/s10578-025-01844-0","url":null,"abstract":"Child suicide rates and emergency department visits due to suicidal thoughts and behaviors (STB) are rising at an alarming rate globally. In the United States, suicide deaths among children aged 5-12 increased by 195% from 1990 to 2020, highlighting an urgent need for greater understanding of the underlying risk factors. Although poor parent-child relationships and child emotional dysregulation have been identified as correlates of STB, the precise mechanisms linking these factors remain insufficiently explored. This study aimed to examine the associations between insecure attachment styles (anxious and avoidant), emotional dysregulation and STB in children. Grounded in attachment theory, it was hypothesized that emotional dysregulation would mediate the relationship between insecure attachment and STB. A sample of 111 children aged 7-12, admitted to a pediatric emergency department (ED) for STB, completed self-report measures assessing attachment styles (ECR-RC), emotional dysregulation (DERS), and STB (C-SSRS). Cross-sectional mediation regression analyses revealed that emotional dysregulation significantly mediated the relationship between anxious attachment and suicidal behaviors. However, no mediation effect was found between avoidant attachment and suicidal thoughts. These findings suggest that children with anxious attachment styles are particularly vulnerable to experiencing emotional dysregulation associated with suicidal behaviors. The absence of a similar mediation effect for avoidant attachment and suicidal thoughts may point to distinct psychological pathways underlying different forms of STB. These results highlight the potential importance of targeting the parent-child relationship to enhance children's emotional regulation abilities, which may, in turn, reduce the risk of suicidal behaviors.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062620","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}

引用次数: 0

The Impact of Pediatric Obsessive-Compulsive Disorder on School Attendance and School Functioning: A Case for Supported Education. 儿童强迫症对学校出勤率和学校功能的影响：一个支持教育的案例。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-05-09 DOI: 10.1007/s10578-025-01846-y

Lorena Fernández de la Cruz, Daniel Rautio, Frida Wickberg, Cecilia Gordan, Maria Silverberg-Mörse, David Mataix-Cols

{"title":"The Impact of Pediatric Obsessive-Compulsive Disorder on School Attendance and School Functioning: A Case for Supported Education.","authors":"Lorena Fernández de la Cruz, Daniel Rautio, Frida Wickberg, Cecilia Gordan, Maria Silverberg-Mörse, David Mataix-Cols","doi":"10.1007/s10578-025-01846-y","DOIUrl":"https://doi.org/10.1007/s10578-025-01846-y","url":null,"abstract":"School-related functional impairment is common in children and adolescents with obsessive-compulsive disorder (OCD). However, little is known about the characteristics of youth with OCD who struggle in school, whether these struggles interfere with treatment outcomes, and whether treatment improves school-related function. Among 385 youth with OCD at a specialist clinic (mean age [sd] = 13.7 [2.5]; 63.1% girls), 21.6% had partial or no school attendance at intake. Among those who received specialist treatment (n = 322), clinical outcomes were similar in those with no or partial attendance vs. those with full attendance, although the latter group needed fewer treatment sessions and were less likely to take psychotropic medication. At post-treatment, 10.5% still had partial or no school attendance, and 22.8% of youths and 33.3% of parents reported significant school impairment, regardless of response status. Some youth with OCD may benefit from specific supported education and return to school strategies to complement regular evidence-based interventions.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963624","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}

引用次数: 0

Cognitive Behavioral Interventions for School Attendance Problems: A Systematic Review and Meta-analysis. 认知行为干预学校出勤问题：系统回顾与元分析。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-05-08 DOI: 10.1007/s10578-025-01847-x

Sarah Jakobsen, Katrine B Tølbøll, Mikael Thastum, Johanne J Lomholt

{"title":"Cognitive Behavioral Interventions for School Attendance Problems: A Systematic Review and Meta-analysis.","authors":"Sarah Jakobsen, Katrine B Tølbøll, Mikael Thastum, Johanne J Lomholt","doi":"10.1007/s10578-025-01847-x","DOIUrl":"https://doi.org/10.1007/s10578-025-01847-x","url":null,"abstract":"This pre-registered (#CRD42024509947) systematic review synthesized evidence on cognitive behavioral interventions (CBTs) for youths with school attendance problems (SAPs). The PsycINFO, PubMed, ERIC, and Scopus databases were searched through 1985-2024 for randomized controlled trials (RCTs), non-RCTs, and open trials (OTs) evaluating SAP-focused CBT. Data were synthesized narratively and through meta-analysis. Four RCTs and eleven OTs met eligibility criteria, including 932 youths. Meta-analyses revealed small to large uncontrolled pre- to post-intervention effects for school attendance (g = 1.02), anxiety (g = - 0.57), depression (g = - 0.66), and behavioral problems (g = - 0.40), which were maintained at follow-up. When compared to a control, CBT had a medium effect on school attendance (g = 0.44) but non-significant effects on anxiety (g = - 0.09) and depression (g = - 0.14). While the results hold promise for SAP-focused CBTs, evidence was limited by study heterogeneity, bias risks, methodological limitations, and inconsistent outcome measures, highlighting the needed for further RCTs.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974835","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}

引用次数: 0

Variations in Conduct, Attention Deficit Hyperactivity Disorder, Mood and Anxiety Disorders Among Children and Youth from Immigrant, Refugee, and Non-Immigrant Backgrounds in British Columbia, Canada: A Population-Based Study. 加拿大不列颠哥伦比亚省移民、难民和非移民背景的儿童和青少年在行为、注意缺陷多动障碍、情绪和焦虑症方面的差异：一项基于人群的研究。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-05-03 DOI: 10.1007/s10578-025-01842-2

Monique Gagné Petteni, Carly Magee, Joseph H Puyat, Martin Guhn, Katholiki Georgiades, Magdalena Janus, Anne Gadermann

{"title":"Variations in Conduct, Attention Deficit Hyperactivity Disorder, Mood and Anxiety Disorders Among Children and Youth from Immigrant, Refugee, and Non-Immigrant Backgrounds in British Columbia, Canada: A Population-Based Study.","authors":"Monique Gagné Petteni, Carly Magee, Joseph H Puyat, Martin Guhn, Katholiki Georgiades, Magdalena Janus, Anne Gadermann","doi":"10.1007/s10578-025-01842-2","DOIUrl":"https://doi.org/10.1007/s10578-025-01842-2","url":null,"abstract":"Despite growing attention to child and youth mental health, knowledge gaps exist related to how mental disorders vary for children and youth from diverse backgrounds. The purpose of the present study was to investigate how conduct, attention deficit hyperactivity disorder (ADHD), and mood/anxiety diagnoses varied by immigrant, refugee, and non-immigrant background in British Columbia, Canada. The study utilized population-based, linked administrative data for nearly half a million children and youth (N = 470,464) between 1996 and 2016 (ages 3 to 19) to examine variations in mental disorder diagnosis (defined via administrative health data records) by immigrant generation and admission category (economic, family, refugee) and the predictive/moderating effects of key socio-demographic factors (e.g., sex, socioeconomic status). Findings indicated that first- and second-generation children and youth were less likely to receive a mental disorder diagnosis compared to non-immigrant children and youth. Those in the refugee admission category had higher odds of conduct and mood/anxiety disorder diagnosis and those in the family admission category had higher odds of conduct, ADHD, and mood/anxiety disorder diagnosis (versus the economic admission category). Significant interactions revealed that sex at birth and socioeconomic status differently predicted mental disorder diagnoses for children and youth from immigrant and refugee backgrounds (versus non-immigrant). The findings contribute to a more nuanced understanding of mental disorder diagnoses for children and youth from diverse backgrounds and that well-established predictors of mental disorders for the general population (i.e., sex, SES) differ for children and youth from immigrant and refugee backgrounds.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975751","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}

引用次数: 0

Feasibility of an Unguided, Parent-Focused, Online Program for Sleep Problems in Young Children: The Lights Out Online Program. 一个无指导的、以家长为中心的、针对幼儿睡眠问题的在线项目的可行性：熄灯在线项目。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-04-23 DOI: 10.1007/s10578-025-01837-z

Caroline L Donovan, Evren Etel, Laura Uhlmann, Amy Shiels, Tamsin Joynt, Sonja March, Lisa J Meltzer, Laurie McLay, Lara J Farrell, Allison M Waters, Robert S Ware, Annie Storey

{"title":"Feasibility of an Unguided, Parent-Focused, Online Program for Sleep Problems in Young Children: The Lights Out Online Program.","authors":"Caroline L Donovan, Evren Etel, Laura Uhlmann, Amy Shiels, Tamsin Joynt, Sonja March, Lisa J Meltzer, Laurie McLay, Lara J Farrell, Allison M Waters, Robert S Ware, Annie Storey","doi":"10.1007/s10578-025-01837-z","DOIUrl":"https://doi.org/10.1007/s10578-025-01837-z","url":null,"abstract":"Sleep problems in young children are highly prevalent and place children at risk for numerous detrimental child and family outcomes. This pilot study aimed to assess the feasibility of an unguided, parent-focused, online sleep intervention, the Lights Out Online program, in terms of adherence rates, acceptability to parents, and effects on (a) child sleep, anxiety, and behaviour problems, and (b) parental self-efficacy, and parent sleep, depression, anxiety. The study was a pilot, open (uncontrolled) trial with a within-group repeated measures (baseline (T1), 12-weeks post-baseline (T2)) design. Participants were 24 parents (Mage = 36.2, SD = 4.1) of children aged 3-6 years (Mage = 4.1 years, SD = 1.1) with sleep problems. Participants completed an average of 3.58 out of 4 sessions by T2, and parents reported satisfaction with program content and presentation. A series of mixed-effects linear regression models demonstrated significant improvements in child sleep, child anxiety, child behaviour problems, parent sleep, parent anxiety and parental self-efficacy, from T1 to T2. However, significant improvements were not demonstrated for parent depression and parent stress. The results of this study should be taken with caution given the small sample size and lack of control group. However, the study provides preliminary support for the feasibility of Lights Out Online.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986492","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}

引用次数: 0

Psychometric Properties of the Metacognitions Questionnaire-30 (MCQ-30) in Older Norwegian Adolescents. 挪威老年青少年元认知问卷-30 （MCQ-30）的心理测量特征。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-04-23 DOI: 10.1007/s10578-025-01843-1

Hanne Undheim Hoff, Odin Hjemdal, Silje Steinsbekk, Henrik Nordahl

{"title":"Psychometric Properties of the Metacognitions Questionnaire-30 (MCQ-30) in Older Norwegian Adolescents.","authors":"Hanne Undheim Hoff, Odin Hjemdal, Silje Steinsbekk, Henrik Nordahl","doi":"10.1007/s10578-025-01843-1","DOIUrl":"https://doi.org/10.1007/s10578-025-01843-1","url":null,"abstract":"Dysfunctional metacognitive beliefs have been established as a transdiagnostic correlate of anxiety and depression in adults and are considered a central mechanism of persistent emotional distress according to the metacognitive model of psychological disorders. However, the importance of metacognitions for distress and emotional disorder in adolescence is far less researched, and to investigate this further there is a need for reliable and valid assessment tools. The Metacognitions Questionnaire-30 (MCQ-30) might be a suitable and valid assessment tool in adolescents with the implication that it can be used to research the role of metacognitions in youth mental health and track how metacognitions change and relate to outcomes over time from adolescence to adulthood. We therefore aimed to examine the psychometric properties of the MCQ-30 in an Upper Secondary School-sample of 494 Norwegian adolescents, aged 16- to 18-years old. A confirmatory factor analysis indicated a good fit for the proposed five-factor structure and evidence for measurement invariance was supported across sex and groups of anxiety severity. The factors showed acceptable to good internal consistency and there was support for convergent validity. In conclusion, these findings indicate that the adult version of the MCQ-30 can be applied in Norwegian adolescents from 16-years old.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992986","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}

引用次数: 0

Parent Psychological Flexibility in Pediatric Chronic Pain. 儿童慢性疼痛的家长心理弹性。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-04-19 DOI: 10.1007/s10578-025-01834-2

Joan W Hanania, Jessica B Edwards George, Christie Rizzo, Justin Manjourides, Laura Goldstein

{"title":"Parent Psychological Flexibility in Pediatric Chronic Pain.","authors":"Joan W Hanania, Jessica B Edwards George, Christie Rizzo, Justin Manjourides, Laura Goldstein","doi":"10.1007/s10578-025-01834-2","DOIUrl":"https://doi.org/10.1007/s10578-025-01834-2","url":null,"abstract":"Pediatric chronic pain is embedded within parent-youth relationships. Parent risk factors have been associated with poor functional outcomes in youth with chronic pain. Research delineating the role of parent psychological flexibility in the context of pediatric chronic pain remains limited. The study examines the influences of parental responses on youth's functional outcomes. The study aims to examine associations between parent psychological flexibility and youth's functional interference. 127 youth (66.1% female) with mixed etiology chronic pain, ranging in age from 8 to 17 years (M = 12.24; SD = 1.598), and their parent participated in the study at an interdisciplinary pediatric pain clinic and online pain peer support groups. Measures of demographic and pain characteristics, youth's functional interference, pain acceptance, and parent psychological flexibility were collected. Regression results indicated that youth's reported pain intensity [B = 3.01, SE = 0.441, p <.0005], and parent psychological flexibility [B = - 0.006, SE = 0.003, p = 0.042] were independently associated with youth's self-reported functional interference. Findings underscore how parent psychological flexibility positively impacts youth's pain related functioning. Implications highlight the need for parents' inclusion as targets for change in clinical interventions and may further optimize treatments aimed at improving the functioning of youth with pain by addressing parent psychological flexibility.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965967","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}

引用次数: 0

Child and Adolescent Suicides in Turkey (2004-2023): A Comprehensive Evaluation. 土耳其儿童和青少年自杀（2004-2023）：一项综合评估。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-04-19 DOI: 10.1007/s10578-025-01839-x

Ümit Şimşek, Tuğçen Demircan

引用次数: 0

Network Analysis of Premonitory Urges, Tic Symptoms, Obsessive-Compulsive Symptoms, and Quality of Life in Drug-Naïve Children and Adolescents with Tic Disorder. Drug-Naïve儿童和青少年抽动障碍的先兆冲动、抽动症状、强迫症状和生活质量的网络分析。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-04-16 DOI: 10.1007/s10578-025-01838-y

Xianbin Wang, Xu Hong, Yihan Ma, Hui Xu, Liping Yu, Wenyan Zhang, Zhongliang Jiang, Yonghua Cui, Ying Li

{"title":"Network Analysis of Premonitory Urges, Tic Symptoms, Obsessive-Compulsive Symptoms, and Quality of Life in Drug-Naïve Children and Adolescents with Tic Disorder.","authors":"Xianbin Wang, Xu Hong, Yihan Ma, Hui Xu, Liping Yu, Wenyan Zhang, Zhongliang Jiang, Yonghua Cui, Ying Li","doi":"10.1007/s10578-025-01838-y","DOIUrl":"https://doi.org/10.1007/s10578-025-01838-y","url":null,"abstract":"Premonitory urges (PU) in tic disorder (TD) are recognized as a crucial factor influencing tic symptoms and overall well-being. This study employs network analysis to explore the intricate relationships among PU, tic symptoms, obsessive-compulsive symptoms (OCS), and quality of life (QoL) in drug-naïve children and adolescents with TD. Participants were drug-naïve TD patients aged 6 to 16 years. All participants consented to undergo multiple accessments, including the Yale Global Tic Severity Scale (YGTSS), Premonitory Urge to Tic Scale (PUTS), Gilles de la Tourette-Quality of Life Scale (GTS-QOL), Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), and Obsessive-Compulsive Inventory-Revised (OCI-R). Network analysis was conducted using the R-package qgraph. Based on a sample of 344 TD patients, robust associations were identified between PU and tic symptoms, OCS, and QoL deficits. Centrality analysis identified ordering symptoms and obsessive thoughts as key nodes. Notable cross-scale associations were observed, such as the connections between PU and checking symptoms, as well as PU and obsessive thoughts. Bridge centrality analysis revealed that obsessive thoughts were identified as the strongest bridge symptom. PU was indirectly related to QoL in individuals with TD, while OCS exerted a direct association. Our study underscores the role of OCS in tic-related symptoms among individuals with TD. Highlighting the significant associations between PU and OCS, it emphasizes the necessity for targeted interventions to improve overall well-being.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955893","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}

引用次数: 0