European Child & Adolescent Psychiatry最新文献

{"title":"Children's mental health symptoms over three decades (1993-2022): a comparison of population-based cross-sectional samples.","authors":"Ophélie A Collet, Massimiliano Orri, Cédric Galéra, Brett D Thombs, Marie Claude Geoffroy, Ofélie Trudeau-Ferrin, Danielle Buch, Frank Vitaro, Michel Boivin, Richard E Tremblay, Sylvana M Côté","doi":"10.1007/s00787-025-02854-y","DOIUrl":"https://doi.org/10.1007/s00787-025-02854-y","url":null,"abstract":"<p><p>Concerns have been raised about an increase in children's mental health symptoms over the past 30 years, including after COVID-19 lockdowns. Yet, few studies have investigated variations over generations, while considering sex and socioeconomic status. We aimed to address this gap by comparing mental health symptoms (emotional distress, impulsivity/hyperactivity/inattention, disruptive behaviours) reported by classroom teachers of 11-year-olds in three population-based, prospective, representative cohorts in Quebec, Canada. Analyses included 1665 (83%) of the Quebec Longitudinal Study of Kindergarten Children, in 1993; 1305 (62%) of the Quebec Longitudinal Study of Child Development, 2009; and 3871 (100%) of the Quebec Survey of Child Development in Kindergarten, 2022; ~50% boys. Teacher-rated symptoms on the validated Social Behavior Questionnaire showed higher scores of emotional distress and impulsive/hyperactive/inattentive symptoms in 2022 than 2009, and higher in 2009 than 1993 (very small-to-small effect sizes: Cohen's d 0.12 and 0.26 for emotional distress, 0.06 and 0.25 for impulsive/hyperactive/inattentive symptoms, respectively; P < 0.001). Disruptive behaviour symptoms scored lower in 2022 than 2009, though higher in 2009 than 1993, with very small effect sizes (Cohen's d: -0.15 and 0.09, respectively). Boys presented more impulsive/hyperactive/inattentive and disruptive behaviour symptoms than girls; girls showed more emotional distress than boys. Children from economically disadvantaged households (lowest 20% of income distribution) presented higher symptoms rates than advantaged children. These findings provide novel and timely evidence about variations in children's mental health symptom rates over three decades, underscoring the need for preventive interventions as early as elementary school, tailored differentially for boys and socioeconomically disadvantaged children.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145112066","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}

{"title":"Parental education level and ADHD diagnosis in childhood and adolescence: the moderating roles of gender, age, and family history of ADHD.","authors":"Lotta Volotinen, Hanna Remes, Pekka Martikainen, Niina Metsä-Simola","doi":"10.1007/s00787-025-02852-0","DOIUrl":"https://doi.org/10.1007/s00787-025-02852-0","url":null,"abstract":"<p><p>Low parental education has been suggested as a risk factor for attention-deficit hyperactivity disorder (ADHD), but the associations may differ by gender and age, as boys are diagnosed more often and earlier than girls. Parental education might also not predict offspring ADHD diagnosis similarly if parents themselves have ADHD. We examined how maternal and paternal education level predicts offspring ADHD diagnosis at ages 4-17 and whether these associations are modified by gender, age (4-12 vs. 13-17), and family history of ADHD (biological parent and/or full sibling vs. none). We used data on 419,152 individuals born in Finland between 1994 and 2003, identified ADHD diagnosis from national registers with first clinical diagnosis or ADHD medication purchase, and estimated incidence rate ratios (IRR) in Poisson regression. Compared to tertiary education, basic parental education predicted a higher than twofold likelihood of ADHD diagnosis in offspring (maternal IRR 2.17, 95% confidence interval 2.07-2.28; paternal 2.36, 2.26-2.48). The likelihood was about threefold in childhood and twofold or less in adolescence, and mostly similar for boys and girls. Among those with family history of ADHD, the associations were weaker in childhood (highest IRR 1.85, 1.30-2.64) and negligible in adolescence. These findings suggest that low parental education is more strongly associated with an increased likelihood of offspring ADHD diagnosis in childhood than adolescence and in families without an identified history of ADHD. Improving diagnostic processes may help ensure appropriate access to diagnosis and care at any age, irrespective of parental education level and family history of ADHD.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079883","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}

{"title":"Correction: Addiction profile is associated with suicidal behavior and repetition of non-suicidal self injury: a latent profile analysis study in a schooled adolescents.","authors":"María Arqueros, Iván Perez-Diez, Adriana Garcia-Ramos, Wala Ayad-Ahmed, Alberto Sanchez, Alejandro de la Torre-Luque","doi":"10.1007/s00787-025-02866-8","DOIUrl":"10.1007/s00787-025-02866-8","url":null,"abstract":"","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074698","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}

{"title":"Involuntary psychiatric hospitalisation of children and adolescents: a retrospective analysis of Athens public prosecutor's office for minors records.","authors":"Christina Anna Stylianidou, Athanasios Douzenis, Ioanna Giannopoulou","doi":"10.1007/s00787-025-02821-7","DOIUrl":"10.1007/s00787-025-02821-7","url":null,"abstract":"<p><p>This retrospective study examines emergency involuntary psychiatric admission procedures for minors in Athens (2018-2022), using case records accessed through collaboration between the 'postgraduate Master's programme at the Medical School of Athens and the Public Prosecutor's Office for Minors Athens. Findings indicate a 37.9% increase in involuntary psychiatric examination cases post-pandemic (p <.01), though the 20.9% rise in involuntary admissions was not statistically significant (p =.140). Analysis of 2019-2021 dataset reveals that most cases handled by the prosecutor involved boys (69.4%) and minors aged ≥ 16 years (54.9%). Involuntary psychiatric examination was ordered in 92.2% of requests and conducted in Child and Adolescent Psychiatry (CAP) Units (54.7%) or Adult Psychiatry (AP) Units (45%). Involuntary admissions occurred in 44.4% of cases, significantly more in AP Units (74.4%) than CAP Units (23.8%). Psychiatric evaluation in an AP Unit (OR = 5.52, p =.001), prior contact with mental health services (OR = 2.22, p =.016), and older age (OR = 1.32, p =.005) were significantly associated with involuntary hospitalisation. Findings highlight the need to expand access to child and adolescent mental health services. Addressing systemic gaps in care could reduce reliance on judicial pathway to care and foster a more preventive and supportive approach to youth mental health.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063687","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}

{"title":"Prevalence and risk factors of suicidal ideation amongst unaccompanied young refugees: a machine learning approach.","authors":"Jacob Keller, Jenny Eglinsky, Maike Garbade, Elisa Pfeiffer, Paul L Plener, Rita Rosner, Thorsten Sukale, Cedric Sachser","doi":"10.1007/s00787-025-02828-0","DOIUrl":"https://doi.org/10.1007/s00787-025-02828-0","url":null,"abstract":"<p><strong>Background: </strong>Suicidality is a major public health concern worldwide. Evidence on the prevalence and risk factors of suicidality amongst unaccompanied young refugees (UYRs), a population already at risk for mental health disorders, is scarce.</p><p><strong>Methods: </strong>Given the complexity of individual risk factor constellations influencing suicidality, machine learning (ML) methods offer a statistical approach that can detect complex relations within the data. Four ML classifiers, (logistic regression (LR), random forest (RF), support vector machines (SVM), and extreme gradient boosting (XGB)) were trained on a dataset of n = 623 UYRs (M_age=16.77, SD = 1.34, range: 12-21), retrieved from the large-scale randomized controlled trial Better Care to predict suicidal ideation. Features used in the classifiers were age, gender, asylum status, having contact with the family, and whether parents are alive as well as clinically elevated post-traumatic stress symptoms (PTSS), depressive symptoms and past suicide attempts. The classifiers were then tested on the independent dataset of n = 94 UYRs (M_age=16.31, SD = 2.03, range: 5-21) retrieved from the screening tool porta project to examine their predictive performance.</p><p><strong>Results: </strong>The prevalence of past-week suicidal ideation in the combined sample of N = 717 was 18.13%. All classifiers yielded good predictive performance (accuracy 0.734-0.840, sensitivity 0.857, AUC 0.853-0.880). The most relevant features were past suicide attempts, PTSS and depressive symptoms as risk factors, and having a living mother as protective factor.</p><p><strong>Conclusions: </strong>Suicidal ideation is prevalent amongst UYRs, and using ML approaches, the classifiers were able to classify roughly 85% of the cases with suicidal ideation in the past week correctly as suicidal. Building on the findings of this study, screening for suicidality could be further improved by implementing ML classifiers in the assessment to highlight potential at risk cases early, and suitable interventions be developed.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039474","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}

{"title":"Comment on: \"Maternal nut and fish consumption during pregnancy and child risky decision-making at 11 years old\".","authors":"Aysegul Tonyali","doi":"10.1007/s00787-025-02857-9","DOIUrl":"https://doi.org/10.1007/s00787-025-02857-9","url":null,"abstract":"","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029133","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}

{"title":"Impact of maternal stress and COVID-19 exposure during pregnancy on offspring neurodevelopment: signature cohort 12 month follow-up.","authors":"Nathalia Garrido-Torres, Andrés Román-Jarrín, Julia Rider, María Alemany-Navarro, Blake A Gibson, Bea de-Felipe, Alberto Pérez-Gómez, Lucas Cerrillos, Cristina Duque-Sánchez, Luis Alameda, Ezequiel Ruiz-Mateos, Miguel Ruiz-Veguilla, Benedicto Crespo-Facorro","doi":"10.1007/s00787-025-02848-w","DOIUrl":"https://doi.org/10.1007/s00787-025-02848-w","url":null,"abstract":"<p><p>The COVID-19 pandemic brought unprecedented global challenges. Amid the crisis, the potential impact of COVID-19 exposure on the neurodevelopment of offspring born to infected mothers emerged as a critical concern. This is a prospective cohort study of pregnant women and their offspring enrolled in the Signature project at Hospital Universitario Virgen del Rocio in Seville, Spain, between 01/01/2024 and 08/31/2022. Participants were subsequently classified into SARS-CoV-2 exposed (mild or severe COVID-19) and non-exposed groups. Maternal stress was assessed through the Perceived Stress Scale; offspring neurodevelopment was screened through Ages & Stages Questionnaire, 3rd Edition (ASQ-3) at 6 months and 12 months. Association between COVID-19 severity and neurodevelopmental outcomes were analyzed with univariate and multivariate analysis. The cohort included 689 women categorized into three distinct groups based on COVID-19 severity: non-infected mothers (N = 277), mothers with mild COVID-19 (N = 358), and mothers with severe COVID-19 (N = 54). The reference category for the odds ratio (OR) analyses was the non-infected group. In utero exposure to mild or severe COVID-19, as well as maternal stress, was not significantly associated with risk of developmental concern in any ASQ-3 subdomain at 12-month follow-up. This study highlights the need for further research with longer follow-up periods to better understand the potential long-term impact of prenatal COVID-19 exposure on offspring neurodevelopment.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029119","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}

{"title":"The hidden pandemic: changes in outpatient mental health care among French children and adolescents.","authors":"Zaba Valtuille, Vincent Trebossen, Naim Ouldali, Michael Huguet, Hugo Peyre, Richard Delorme, Florentia Kaguelidou","doi":"10.1007/s00787-025-02847-x","DOIUrl":"https://doi.org/10.1007/s00787-025-02847-x","url":null,"abstract":"<p><p>The COVID-19 pandemic significantly worsened mental health (MH) challenges among young people. We aimed to assess changes in mental health-related outpatient care before and after the onset of the pandemic. In this nationwide cross-sectional study, we retrieved visits to general practitioners (GP) resulting in the coding of a MH disorder and/or the prescribing of any psychotropic medication for children aged 6 to 17 years, from January 1, 2016 to May 31, 2022 in France. Interrupted time series analysis of monthly rates of MH-related outpatient visits (per 100,000) was conducted to assess changes in trends overall and by age and sex group (girls/boys- 6 to 11 years; girls/boys- 12 to 17 years). Rate ratios (RR) were also calculated to compare estimated rates after the pandemic onset with expected rates. In total, 5,271,958 MH-related outpatient visits were analyzed. We noted an immediate decrease of the outpatient visit rate by 30.8% in the initial pandemic period (March-May 2020). Hereafter, visit rates increased by 0.4% per month, eventually exceeding expected levels by 6% overall. Notably, outpatient visit rates for adolescent girls (12-17 years) rose 20% above expected levels, while rates for younger girls (6-11 years) declined by 6%. Trends remained stable for other age-sex groups. These findings indicate a persistent increase in outpatient mental healthcare use in children, especially adolescent girls, more than two years after the pandemic onset. Future research should explore the factors contributing to the increased mental health burden in adolescent girls and the potential resilience observed in boys.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023040","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}

{"title":"Duration effects of micronutrients in children with ADHD: Randomised controlled trial vs. Open-Label extension.","authors":"Adarsh Chand, Kathryn Darling, Julia J Rucklidge","doi":"10.1007/s00787-025-02841-3","DOIUrl":"10.1007/s00787-025-02841-3","url":null,"abstract":"<p><p>A 10-week randomised controlled trial (RCT) showed efficacy of micronutrients in improving symptoms associated with Attention-Deficit/Hyperactivity Disorder (ADHD). This study investigated duration effects of micronutrient treatment through the open label (OL) phase and document the micronutrient effect on those initially allocated to placebo. Children aged 7-12 years randomized to micronutrients or placebo for 10 weeks (RCT), then received 10 weeks OL, creating two groups: placebo first then micronutrients (P-M) or micronutrients in both phases (M-M). Assessments included measures of ADHD, emotional dysregulation and Clinical-Global-Impression-Improvement (CGI-I). Of the 93 children enrolled in RCT, 78 (83.9%) completed OL; 37 in P-M and 41 in M-M. For those initially assigned to placebo, CGI-I responders significantly increased from 32.4% in the RCT to 64.9% in OL (p = .002); those who took micronutrients for 20 weeks increased from 46.3% (end-of-RCT) to 63.4% responders (end-of-OL) but this was not significant (p = .065). Over half of children were treatment responders at end-of-OL, based on 30% reduction in ADHD symptoms from baseline, both from parent (61.5%) and clinician (53.8%) report. Pre-post effect sizes within both groups were significant and very large for all measures, with no significant group differences at end of OL. There were no differences in side effects. Both groups showed significant increases in height over time. This study supports micronutrients as a viable treatment option for ADHD with acute changes maintained and improved over a further 10-week period, with the placebo group catching up to those exposed to micronutrients for full trial duration.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947396","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}

{"title":"Indirect associations between adolescent ADHD and/or oppositional defiant disorder symptoms and adult incomes: the mediating roles of education and co-occurring psychiatric disorders.","authors":"Sampo Seppä, Sanna Huikari, Marko Korhonen, Tanja Nordström, Tuula Hurtig, Anu-Helmi Halt","doi":"10.1007/s00787-025-02842-2","DOIUrl":"https://doi.org/10.1007/s00787-025-02842-2","url":null,"abstract":"<p><p>This longitudinal, population-based cohort study examines the direct and indirect associations between adolescent Attention-Deficit/Hyperactivity Disorder (ADHD) and/or Oppositional Defiant Disorder (ODD) symptoms and adult incomes. Moving beyond a simple direct link, our model explores how ADHD and/or ODD symptoms indirectly affect the accumulation of human, social, and health capital, which in turn may affect productivity and income. The population was drawn from members of the Northern Finland Birth Cohort 1986 (NFBC1986) who had ADHD and ODD symptoms assessed at age 16 using the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviours (SWAN) scale. The results indicate a significant indirect negative effect of adolescent ADHD and ADHD + ODD symptoms on adult incomes. This effect was most pronounced in males with ADHD + ODD, who experienced a 25% income reduction via human capital (education) and an 18% reduction via health capital (presence of psychiatric disorders other than ADHD or ODD). Social capital did not mediate the association. The model was adjusted for work experience, white-collar status, marital status, parenthood, self-rated health, educational attainments of the participants' parents and family type during adolescence. Notably, no direct effect of adolescent ADHD and/or ODD symptoms on adult incomes was observed. These findings highlight the potential of educational and healthcare investments to reduce the income disparities associated with ADHD and ODD symptoms in the general population.</p>","PeriodicalId":11856,"journal":{"name":"European Child & Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947469","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}