European Child & Adolescent Psychiatry最新文献_第2页

From child sexual abuse to psychiatric diagnoses and complex trauma in adolescence. 从儿童性虐待到青春期的精神诊断和复杂创伤。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-28 DOI: 10.1007/s00787-025-02682-0

Marine Rousset, Aziz Essadek, Maurice Corcos, Marion Robin

{"title":"From child sexual abuse to psychiatric diagnoses and complex trauma in adolescence.","authors":"Marine Rousset, Aziz Essadek, Maurice Corcos, Marion Robin","doi":"10.1007/s00787-025-02682-0","DOIUrl":"https://doi.org/10.1007/s00787-025-02682-0","url":null,"abstract":"CSA (Childhood Sexual Abuse) represents a major health issue, however its detection in daily psychiatric practice is remains challenging. In adolescents, CSA often takes a back seat to diagnostic and behavioral issues such as suicide attempts and BPD (Borderline Personality Disorder), with which it is frequently associated. Additionally, confusion persists between the perspective of complex trauma and conventional psychiatric diagnoses. This study aimed to compare clinical features of hospitalized adolescents with a history of CSA, to a control group, in order to identify clinical predictors of CSA and of suicidal attempts. The secondary objective was to describe the overlap between PTSD (Post Traumatic Stress Disorder) and BPD, according to cumulative adversity. This study included 425 adolescents aged 13 to 19 years, who were hospitalized in a psychiatric unit. Among these adolescents, 107 had a history of CSA. The findings indicate that CSA plays a significant role in the psychopathology of adolescents. CSA was found to be associated with PTSD, BPD (OR = 1.9, p < 0.01), self-harm (OR = 1.8, p < 0.05), addictive disorders (OR = 1.87, p < 0.05), and parental neglect (p < 0,001). Suicide attempts were also significantly correlated with sexual abuse (OR = 1.78, p < 0.05). Moreover, the combination of factors such as female gender, the presence of BPD, and substance dependence was found to increase the likelihood of a history of sexual abuse in these adolescents by 14.8 times. These findings contribute to the early detection of sexual violence and its consequences, providing valuable insights for healthcare professionals. Additionally, they support the reinforcement of preventive initiatives.","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Prefrontal-hippocampal pathways underlying adolescent resilience. 前额叶-海马通路是青少年恢复力的基础。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-28 DOI: 10.1007/s00787-025-02704-x

Luqing Wei, Zhengdong Wu, Qi Xia, Chris Baeken, Guo-Rong Wu

{"title":"Prefrontal-hippocampal pathways underlying adolescent resilience.","authors":"Luqing Wei, Zhengdong Wu, Qi Xia, Chris Baeken, Guo-Rong Wu","doi":"10.1007/s00787-025-02704-x","DOIUrl":"https://doi.org/10.1007/s00787-025-02704-x","url":null,"abstract":"The prefrontal-hippocampal pathways are integral to memory suppression, facilitating positive and adaptative responses following traumatic events. However, the role of these circuits in promoting resilience among adolescents remains largely unknown. This study used structural similarity analysis of MRI-based gray matter volume (GMV) to map connectivity networks centered on the hippocampus, investigating whether structural similarity between prefrontal regions and hippocampus were related to resilience in a cohort of 145 adolescents. Additionally, spatial correlation analyses of resilience-related structural similarity network and neurotransmitter distribution maps were conducted to identify molecular adaptations within prefrontal-hippocampal circuits associated with resilience. The results showed that higher resilience levels were correlated with stronger structural similarity between the prefrontal areas (i.e., middle frontal gyrus and orbitofrontal cortex) and hippocampus. Furthermore, the serotonergic neurotransmitter system, which modulates neural oscillations in prefrontal-hippocampal pathways, appears to be associated with resilience. The current findings suggest that structural and molecular adaptations within prefrontal-hippocampal circuits, which are implicated in the suppression of intrusive, unwanted memories, may foster resilience in young people. These insights advance our knowledge of the neurobiological markers of resilience, paving the way for more targeted and effective therapeutic interventions to bolster resilience and mitigate adverse outcomes in developmental populations.","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Effects of social skills training on social responsiveness of people with Autism spectrum disorder: a systematic review with meta-analysis. 社交技能培训对自闭症谱系障碍患者社交反应能力的影响：系统回顾与荟萃分析。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-28 DOI: 10.1007/s00787-025-02697-7

Marcos Vinicio Anchieta, Nelson Torro-Alves, Égina Karoline Gonçalves da Fonsêca, Flávia de Lima Osório

{"title":"Effects of social skills training on social responsiveness of people with Autism spectrum disorder: a systematic review with meta-analysis.","authors":"Marcos Vinicio Anchieta, Nelson Torro-Alves, Égina Karoline Gonçalves da Fonsêca, Flávia de Lima Osório","doi":"10.1007/s00787-025-02697-7","DOIUrl":"https://doi.org/10.1007/s00787-025-02697-7","url":null,"abstract":"Social skills training (SST) is a widely proposed intervention to address social impairments in autism spectrum disorder (ASD). SST employs a series of activities aiming to enhance pro-social behaviors. A promising approach to evaluate SST's effects lays on social responsiveness (SR) indicators, which are related to the capacity to respond appropriately to social stimuli. Despite the widespread use of SST, there are no integrative studies evaluating its effects on the SR of ASD people. We performed a systematic review with meta-analysis investigating the effects of SSTs in SR indicators of individuals with ASD. PRISMA guidelines were considered to search through EMBASE, PubMed, PsycINFO, and Scopus without timeframes or language restrictions. Randomized controlled trials (RCTs) were included only. Jamovi (version 1.6) was used to perform the meta-analysis with the standardized mean difference (SMD) between pre and post-intervention scores (∆) as the outcome measure. Twenty-seven papers composed the review and 25 the meta-analysis. The population was predominantly male (80%), with a mean age of 13.03 years. Interventions were mostly conducted in group settings. Meta-analysis indicated the set of interventions as capable of improving SR indicators of ASD people (SMD = 0.57 (CI 95% 0.46-0.67; p < 0.0001). Although our findings cannot support PEERS program as quantitatively superior to other programs, its methodological consistency, treatment adherence and involvement of parents are noteworthy. SST appears to be a viable, versatile, and easily implementable intervention to improve SR of individuals with ASD.","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Maternal attitudes and child mental health across cultures: a European /Chinese comparison. 跨文化的母亲态度和儿童心理健康：欧洲/中国的比较。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-27 DOI: 10.1007/s00787-025-02699-5

Viviane Kovess-Masfety, Nathalie Touma, Guoli Yan, Huifang Yin, Dietmar Goelitz, Adina Bitfoi, Sigita Lesinskiene, Zlatka Mihova, Roy Otten, Guangming Xu

{"title":"Maternal attitudes and child mental health across cultures: a European /Chinese comparison.","authors":"Viviane Kovess-Masfety, Nathalie Touma, Guoli Yan, Huifang Yin, Dietmar Goelitz, Adina Bitfoi, Sigita Lesinskiene, Zlatka Mihova, Roy Otten, Guangming Xu","doi":"10.1007/s00787-025-02699-5","DOIUrl":"https://doi.org/10.1007/s00787-025-02699-5","url":null,"abstract":"This study sought to identify factors associated with parenting across Western Europe, Eastern Europe and China countries, and determine whether the associations between parental attitudes and child's mental health differ across countries. This cross-sectional study included mothers and their children. European data were drawn from the School Child Mental Health in Europe study, conducted in the Netherlands, Germany, Lithuania, Bulgaria and Romania, including 4104 dyads. Chinese data were collected from the Dongli District of Tianjin, including 1000 dyads. Parental attitudes were auto reported using Parenting Scale and Parent Behavior and Attitude Questionnaire. Children's mental health was auto reported using the Dominic Interactive. Parenting vary across cultures and impact children's mental health differently. Whatever the parental attitudes, the main determinants were related to family configuration, parental well-being and place of residence. Some associations were culture-specific: parent's distress associated with laxness, over-reactivity and low autonomy-promoting attitudes in Europe. Single parenting correlated with low autonomy-promoting attitudes in China but low caring in Western Europe. Urban parents exhibited less laxness and low caring in Eastern Europe. The impact on children's mental health also varied: over-reactivity was linked to internalized and externalized disorders in Western Europe, verbosity associated with internalized and externalized disorders in China, and low caring was linked to externalized disorders in Eastern Europe. Parental diverse attitudes are associated with different children mental health problems; these associations are not identical in the different regions emphasizing the need to tailor existing supporting parental interventions with a culturally sensitive approach.","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 exercise interventions on core symptoms of 3-12-year-old children with autism spectrum disorder: a systematic review and network meta-analysis. 运动干预对3-12岁自闭症谱系障碍儿童核心症状的影响：系统综述和网络荟萃分析

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-25 DOI: 10.1007/s00787-025-02696-8

Liu Zhang, Chi Zhang, Xin Yuan, Yuelong Ji

{"title":"The impact of exercise interventions on core symptoms of 3-12-year-old children with autism spectrum disorder: a systematic review and network meta-analysis.","authors":"Liu Zhang, Chi Zhang, Xin Yuan, Yuelong Ji","doi":"10.1007/s00787-025-02696-8","DOIUrl":"https://doi.org/10.1007/s00787-025-02696-8","url":null,"abstract":"Exercise interventions targeting Fundamental Movement Skills (FMS) represent a critical approach for mitigating functional impairments in children with autism spectrum disorder (ASD). This study, for the first time, based on motor development theory, employed a Network Meta-analysis (NMA) to examine the effects of four types of exercise interventions-Isolation of Fundamental Movement Skills (FMS-I), Combination of Fundamental Movement Skills (FMS-C), Fine Motor Movement (FMM), and Specialized Movement Skills (SMS)-on the core symptoms of ASD in children aged 3-12, including social communication deficits and stereotyped and repetitive behaviors. Five electronic databases were systematically searched up to May 22, 2024. Included studies compared exercise interventions with control groups and assessed at least one core symptom of ASD. Study quality and evidence certainty were evaluated using the Risk of Bias tools (RoB 2.0, ROBINS-I) and the Confidence in Network Meta-Analysis (CINeMA) framework. Data analysis was performed via Stata 17.0 software. The systematic review included 26 studies encompassing 878 children, with 19 studies eligible for NMA. Ranking probabilities indicated that FMS-I emerged as the most promising intervention for addressing social communication deficits (SMD: -0.99, 95%CI: -1.46 to -0.52; SUCRA: 86.9%) and stereotyped and repetitive behaviors (SMD: -2.73, 95% CI: -3.76 to -1.70; SUCRA: 100%). The FMS-C showed potential for enhancing overall features (SMD: -0.90; 95%CI: -1.32 to -0.49; SUCRA: 74.7%). To conclude, exercise interventions should be grounded in FMS, transitioning from isolated movements to integrated actions, to enhance the overall behavior of children with ASD.","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Comment on "temporal and spatial variability of large-scale dynamic brain networks in ASD". 对“ASD大尺度动态脑网络的时空变异性”的评论。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-21 DOI: 10.1007/s00787-025-02695-9

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

From haze to horizon: epigenetic research and artificial intelligence in child and adolescent psychiatry. 从阴霾到地平线：儿童和青少年精神病学的表观遗传学研究和人工智能。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-20 DOI: 10.1007/s00787-025-02686-w

Yulia Golub, Antje Wulff, Torsten Plösch

引用次数: 0

Correction: Treatment failure in persistent tic disorders: an expert clinicians' consensus-based definition. 更正：持续性抽动障碍的治疗失败：专家临床医生基于共识的定义。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-20 DOI: 10.1007/s00787-024-02633-1

Davide Martino, Irene Malaty, Kirsten Müller-Vahl, Elaheh Nosratmirshekarlou, Tamara M Pringsheim, David Shprecher, Christos Ganos

引用次数: 0

The distribution of frequent perceived loneliness and its association with suicidal behaviors in adolescents: a school-based study across 93 countries/territories. 青少年频繁感知孤独的分布及其与自杀行为的关系：一项横跨93个国家/地区的基于学校的研究

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-20 DOI: 10.1007/s00787-025-02698-6

Wanting Hu, Boyu Li, Xinger Li, Shengyu Luo, Zhongzhi Xu, Jinghua Li, Weiqing Chen, Vivian Yawei Guo

{"title":"The distribution of frequent perceived loneliness and its association with suicidal behaviors in adolescents: a school-based study across 93 countries/territories.","authors":"Wanting Hu, Boyu Li, Xinger Li, Shengyu Luo, Zhongzhi Xu, Jinghua Li, Weiqing Chen, Vivian Yawei Guo","doi":"10.1007/s00787-025-02698-6","DOIUrl":"https://doi.org/10.1007/s00787-025-02698-6","url":null,"abstract":"Adolescent loneliness is prevalent and poses a significant risk for youth mental health. This study aimed to estimate the global prevalence and distribution of frequent perceived loneliness in adolescents and its associations with suicidal ideation, planning, and attempts. We analyzed data from the Global School-based Student Health Survey (GSHS) across 93 countries/territories (2003-2021) for adolescents aged 11-18. Weighted prevalence of frequent perceived loneliness was estimated for each country/territory, with pooled prevalence calculated by sex, age, WHO regions, and economic groups. Binary logistic regressions were employed to assess the associations between loneliness perception and suicidal behaviors in each country/territory, with overall estimates derived by random-effects meta-analysis. Among 388,093 adolescents included, 13.2% (95% CI 12.2-14.3%) reported frequent perceived loneliness, with the lowest observed in Europe (North Macedonia and Tajikistan) at 4.6% (95% CI 1.1-8.1%) and the highest in the Eastern Mediterranean at 16.1% (95% CI 14.7-17.6%). Girls and older adolescents had higher prevalence of frequent perceived loneliness. Frequent perceived loneliness was significantly associated with increased odds of suicidal ideation (overall OR: 2.41, 95% CI 2.25-2.58), planning (overall OR: 2.06, 95% CI 1.92-2.21), and attempts (overall OR: 2.08, 95% CI 1.95-2.20). These associations were consistent across most countries/territories, sexes, age, regions, and economic groups. These findings highlight frequent perceived loneliness in adolescents as a global public health concern strongly linked to suicidal behaviors, underscoring the urgent need for targeted interventions to address loneliness and its mental health consequences.","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Correction: Concerns about Nyquist et al., published 15 July 2024. 更正：对奈奎斯特等人的担忧，发表于2024年7月15日。

IF 6 2区医学

European Child & Adolescent Psychiatry Pub Date : 2025-03-19 DOI: 10.1007/s00787-025-02668-y

David R Banos, Alma Marstein, Monica Patrascu, Anine Hartmann, Janne Bromseth, Max Korbmacher

引用次数: 0