Child Psychiatry & Human Development最新文献_第7页

A Pilot Trial of SPACE (Supportive Parenting for Anxious Childhood Emotions) in Autism. 空间（支持性育儿对儿童焦虑情绪）在自闭症中的试点试验。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-06-23 DOI: 10.1007/s10578-023-01555-4

Shir Rozenblat, Yaara Shimshoni, Eli R Lebowitz, Michal Perez, Judah Koller

{"title":"A Pilot Trial of SPACE (Supportive Parenting for Anxious Childhood Emotions) in Autism.","authors":"Shir Rozenblat, Yaara Shimshoni, Eli R Lebowitz, Michal Perez, Judah Koller","doi":"10.1007/s10578-023-01555-4","DOIUrl":"10.1007/s10578-023-01555-4","url":null,"abstract":"Family accommodation describes changes parents make to their behavior, intended to alleviate their child's distress, which stems from a psychopathology. In anxiety, studies show that accommodation alleviates distress in the short term but is associated with increased symptom severity, greater functional impairment, poorer treatment outcomes, increased caregiver burden and disruption to family functioning longitudinally. Research shows high prevalence of family accommodation of anxiety in autism. While the most common treatments for anxiety in autism are cognitive-behavior therapy and pharmacology, research is limited and other approaches must be considered. Supportive Parenting for Anxious Childhood Emotions (SPACE) is a parent-based, manualized treatment for anxiety targeting family accommodation, which has been found to be acceptable and efficacious in treating childhood anxiety. This pilot trial examined the feasibility, acceptability, treatment-satisfaction, and preliminary efficacy of SPACE for anxiety in autism. Parents of 15 autistic children (ages 6-10 years) with at least average cognitive abilities exhibiting high levels of anxiety participated in 13 weekly sessions of SPACE. Feasibility and acceptability were assessed through enrollment, attrition rates, and adverse events. Of 26 eligible families, 22 (84.62%) elected to participate, 15 of whom (68.18%) completed treatment. Parents rated the treatment as highly satisfactory. Anxiety symptom severity and family accommodation were significantly reduced following treatment, with 86.66% of participants showing reliable change post-treatment, and this reduction was preserved at 2-month follow-up. This study provides preliminary evidence that SPACE is feasible, acceptable, satisfactory, and produces improvement in anxiety in the autistic population.Trial registration number: NCT04747262 Date of registration: February 10, 2021.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"249-263"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10035841","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

Mental Health and Psychosocial Status in Mothers of Children with Attention Deficit Hyperactivity Disorder (ADHD): Differences by Maternal ADHD Tendencies : Mental Health and Psychosocial Status in Mothers of ADHD Children. 注意缺陷多动障碍(ADHD)儿童母亲的心理健康和社会心理状况:母亲ADHD倾向的差异:ADHD儿童母亲的心理健康和社会心理状况

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-04-12 DOI: 10.1007/s10578-023-01532-x

Tatsuro Marumoto, Takafumi Monma, Yukinori Sawae, Fumi Takeda

{"title":"Mental Health and Psychosocial Status in Mothers of Children with Attention Deficit Hyperactivity Disorder (ADHD): Differences by Maternal ADHD Tendencies : Mental Health and Psychosocial Status in Mothers of ADHD Children.","authors":"Tatsuro Marumoto, Takafumi Monma, Yukinori Sawae, Fumi Takeda","doi":"10.1007/s10578-023-01532-x","DOIUrl":"10.1007/s10578-023-01532-x","url":null,"abstract":"This study clarified differences in mental health, psychosocial status, and mental health-related factors among mothers of ADHD children between those with and without maternal ADHD tendencies from data of 149 mothers of children with ADHD through an online survey. Mothers with ADHD tendencies had poorer mental health, lower education, more ADHD children, and more parenting stressor of \"inadequate understanding of the child's disorder from others\" than mothers without ADHD tendencies. Their mental health was poorer especially in younger and in those who had more parenting stressors of \"difficulties in understanding the child and coping with the child's needs\" and \"inadequate understanding of the child's disorder from others.\" Mental health in mothers without ADHD tendencies was related to a variety of parenting stressors and severe ADHD symptoms in the child. Therefore, assessing maternal ADHD tendencies may be necessary to consider effective individualized support measures for mothers of ADHD children.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"34-42"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9277242","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

Estimating the Efficacy of CBT for Children on the Autism Spectrum Using a Home-Based Video Assessment of Autism-Related Solitary Behavior. 使用基于家庭的自闭症相关孤立行为视频评估CBT对儿童自闭症谱系的疗效。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 DOI: 10.1007/s10578-025-01812-8

Samara M Wolpe, Ingrid S Tien, Jeffrey J Wood

{"title":"Estimating the Efficacy of CBT for Children on the Autism Spectrum Using a Home-Based Video Assessment of Autism-Related Solitary Behavior.","authors":"Samara M Wolpe, Ingrid S Tien, Jeffrey J Wood","doi":"10.1007/s10578-025-01812-8","DOIUrl":"https://doi.org/10.1007/s10578-025-01812-8","url":null,"abstract":"While laboratory and school playground-based independent evaluator (IE) rated measures of intervention outcome have been used in some clinical trials for autistic individuals (Dawson Pediatrics 125:e17-e23, 2010), IE ratings of children's behavior in their home environments are virtually nonexistent in published clinical trials in autism. In the present study, IE-rated measure of children's social isolation in the home setting pre and post intervention is utilized to evaluate treatment effects from a cognitive behavioral therapy (CBT) treatment for school-aged children on the autism spectrum (Wood et al. J Consult Clin Psychol 89:110-125, 2021). Twenty-nine of the 68 families of participants from a CBT intervention for autistic youth (Wood et al. J Consult Clin Psychol 89:110-125, 2021) who recorded home-based videos at pre-treatment also did so at post-treatment. Two measures were used by IEs to rate pre- and post-treatment home video recordings on children's social isolation (Children's Household-Environment Engagement Rating Scale; CHEERS, (Wood et al. Br J Clin Psychol, 2024) and Social Interaction Rating Scale (SIRS; Ruble et al. Topics Early Childhood Special Educ). Children in the CBT condition had a statistically significantly greater decline in CHEERS Solitary scores than did children in the Enhanced Standard Community Treatment (ESCT) condition. An increase in SIRS Responsive Parenting scores from pre- to post-treatment was statistically significantly linked with a decrease in Solitary scores. This study suggests that CBT-based interventions may be able to facilitate a positive impact on children's social engagement in their home environment. This study provides an informative lens for considering the contextual validity of interventions for autistic children with IE-rated measures.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074061","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 Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations. 儿童感觉过度反应和焦虑症状在家庭住宿发展中的作用。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-05-23 DOI: 10.1007/s10578-023-01547-4

Ayelet Ben-Sasson, Tamar Y Podoly, Eli R Lebowitz

{"title":"The Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations.","authors":"Ayelet Ben-Sasson, Tamar Y Podoly, Eli R Lebowitz","doi":"10.1007/s10578-023-01547-4","DOIUrl":"10.1007/s10578-023-01547-4","url":null,"abstract":"Sensory over-responsivity (SOR) is linked with elevated anxiety and reduced family wellbeing. Family accommodation of anxiety relates with greater symptom severity and reduced intervention outcome. This study examined the contribution of child SOR and co-occurring anxiety symptoms to family accommodation and its consequences. Ninety families of typically developing children (ages 4-13 years), completed an online survey including the Sensory Profile 2, Screen for Child Anxiety Related Emotional Disorders (SCARED), and Family Accommodation Sensory Scale (FASENS). FASENS scores include frequency of accommodation, child impact, and family impact.Children with elevated anxiety symptoms had significantly higher sensory and FASENS scores. Stepwise linear regression indicated that only SOR symptoms significantly predicted the frequency of sensory family accommodation, while both SOR and anxiety symptoms predicted the impact of family accommodation upon child and family well-being.Both SOR and anxiety symptoms in children predict the impact of sensory family accommodations on child and family well-being.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"134-141"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9504879","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

Pediatric Bipolar Disorder: A Practical Guide for Clinicians. 儿科双相情感障碍：临床医生实用指南。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-04-25 DOI: 10.1007/s10578-023-01534-9

Camille Hours

引用次数: 0

Parent Management Training Augmentation to Address Coercive and Disruptive Behavior in Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder. 加强家长管理培训，以解决儿童强迫症认知行为治疗中的强迫和破坏行为。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-05-20 DOI: 10.1007/s10578-023-01543-8

David A Schuberth, Robert J McMahon, John R Best, Katherine McKenney, Robert Selles, S Evelyn Stewart

{"title":"Parent Management Training Augmentation to Address Coercive and Disruptive Behavior in Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder.","authors":"David A Schuberth, Robert J McMahon, John R Best, Katherine McKenney, Robert Selles, S Evelyn Stewart","doi":"10.1007/s10578-023-01543-8","DOIUrl":"10.1007/s10578-023-01543-8","url":null,"abstract":"Coercive and disruptive behaviors commonly interfere with cognitive-behavioral therapy (CBT) trials among youths with obsessive-compulsive disorder (OCD). Although evidence supports parent management training (PMT) for reducing disruptive behavior, no group-based PMT interventions exist for OCD-related disruptive behaviors. We studied feasibility and effectiveness of group-based adjunctive PMT among non-randomized, OCD-affected families receiving family-based group CBT. Linear mixed models estimated treatment effects across OCD-related and parenting outcomes at post-treatment and 1-month follow-up. Treatment response for 37 families receiving CBT + PMT (Mage = 13.90) was compared to 80 families receiving only CBT (Mage = 13.93). CBT + PMT was highly accepted by families. Families who received CBT + PMT had improved disruptive behaviors, parental distress tolerance, and other OCD-related outcomes. OCD-related outcomes did not significantly differ between groups. Results support CBT + PMT as effective treatment for pediatric OCD that may not provide incremental benefits beyond CBT alone. Future research should determine feasible and effective ways to incorporate key PMT components into CBT-based interventions.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"111-125"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9490636","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

Pilot Study of Self-Distancing Augmentation to Exposure Therapy for Youth Anxiety. 自我疏离增强暴露疗法治疗青少年焦虑症的初步研究。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-05-26 DOI: 10.1007/s10578-023-01540-x

Emily L Bilek, Allison E Meyer, Rachel Tomlinson, Carol Chen

{"title":"Pilot Study of Self-Distancing Augmentation to Exposure Therapy for Youth Anxiety.","authors":"Emily L Bilek, Allison E Meyer, Rachel Tomlinson, Carol Chen","doi":"10.1007/s10578-023-01540-x","DOIUrl":"10.1007/s10578-023-01540-x","url":null,"abstract":"This pilot examines a self-distancing augmentation to exposure. Nine youth with anxiety (ages 11-17; 67% female) completed treatment. The study employed a brief (eight session) crossover ABA/BAB design. Exposure difficulty, engagement with exposure, and treatment acceptability were examined as primary outcome variables. Visual inspection of plots indicated that youth completed more difficult exposures during augmented exposure sessions [EXSD] than classic exposure sessions [EX] by therapist- and youth-report and that therapists reported higher youth engagement during EXSD than EX sessions. There were no significant differences between EXSD and EX on exposure difficulty or engagement by therapist- or youth-report. Treatment acceptability was high, although some youth reported that self-distancing was \"awkward\". Self-distancing may be associated with increased exposure engagement and willingness to complete more difficult exposures, which has been linked to treatment outcomes. Future research is needed to further demonstrate this link, and link self-distancing to outcomes directly.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"153-165"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10212740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9544659","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}

引用次数: 0

'Excessive and Unreasonable': The Relation Between Clinical Insight and Clinical Correlates and Treatment Outcomes in Obsessive-Compulsive Disorder Across the Life Course. “过度与不合理”：强迫症终生临床认知、临床相关因素与治疗结果的关系。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-06-03 DOI: 10.1007/s10578-023-01548-3

Joshua S Steinberg, Sarah H Morris, Sara R Jaffee

引用次数: 0

Welcoming 2025: Striving for Improved Treatment Access. 迎接 2025 年：努力改善治疗机会。

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 DOI: 10.1007/s10578-024-01783-2

Eric A Storch, Josh Cheng

引用次数: 0

Risk for Depressive Symptoms Among Adolescents with a History of Adversity: Unique Role of Stress Appraisals. 有逆境经历的青少年抑郁症状的风险：压力评估的独特作用

IF 2.3 3区医学

Child Psychiatry & Human Development Pub Date : 2025-02-01 Epub Date: 2023-05-26 DOI: 10.1007/s10578-023-01538-5

Megan M Davis, Divya M Surabhi, Eva H Telzer, Karen D Rudolph

{"title":"Risk for Depressive Symptoms Among Adolescents with a History of Adversity: Unique Role of Stress Appraisals.","authors":"Megan M Davis, Divya M Surabhi, Eva H Telzer, Karen D Rudolph","doi":"10.1007/s10578-023-01538-5","DOIUrl":"10.1007/s10578-023-01538-5","url":null,"abstract":"Lifetime social adversity predicts elevated depressive symptoms in adolescence. However, most adversity-exposed youth do not develop depression, highlighting the importance of examining risk and protective factors. The present study leveraged a multi-method approach, incorporating self-report, interview, and independent coding to examine whether appraisals of recent stressors moderate the effect of social adversity on depressive symptoms in 81 adolescent girls (Mage = 16.30 years, SD = .85). We utilized semi-structured interviews of lifetime adversity and recent stressors and semi-structured interviews and self-reports of depressive symptoms. Stress appraisals were calculated by regressing youths' subjective estimations of event stressfulness and dependence on estimations of independent coders. Lifetime social adversity predicted elevated depressive symptoms more strongly in girls who appraised interpersonal events as more stressful and dependent on their actions, providing insight into individual differences in depressive symptoms in adversity-exposed adolescents.","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":"166-176"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9527253","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