Journal of the American Academy of Child and Adolescent Psychiatry最新文献

{"title":"Editorial: Sensory Features and Restricted and Repetitive Behaviors in Autism Spectrum Disorder.","authors":"Denis G Sukhodolsky","doi":"10.1016/j.jaac.2026.10.010","DOIUrl":"https://doi.org/10.1016/j.jaac.2026.10.010","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.6,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortgage Lending Risk Maps From the 1930s Influence the Prevalence of Youth Mental Health Problems in the Modern Era.","authors":"S Alexandra Burt, L Bayavuya Moyakhe, Logan A Gillenwater, Kelly L Klump, Amber L Pearson","doi":"10.1016/j.jaac.2026.10.002","DOIUrl":"10.1016/j.jaac.2026.10.002","url":null,"abstract":"<p><strong>Objective: </strong>Historical mortgage lending policies and practices serve as a key foundation of modern-day socioeconomic systems. Few of these structural legacies have been as powerful as those for 20^th century mortgage lending risk maps - often referred to as redlining. Although extant studies have identified mental health disparities among residents of formerly redlined neighborhoods, the legacies of greenlined or otherwise positively designated neighborhoods are largely unknown. This represents a key gap in the literature, as efforts to illuminate the historical legacies of these maps must also include the ways in which they may have cemented concentrated advantage and prosperity.</p><p><strong>Method: </strong>The current study sought to fill this gap in a population-based sample of 20,222 children and adolescents in 10,111 families, recruited via birth records into the Michigan State University Twin Registry. We fitted a series of multilevel models to illuminate the full legacy of 20^th century mortgage lending risk maps for youth mental health in the 21^st century.</p><p><strong>Results: </strong>Multilevel models indicated that, as expected, youth residing in formerly redlined neighborhoods (those designated as \"hazardous\") exhibited more symptomatology than youth residing in other types of neighborhoods. However, the most prominent and persistently observed differences were found for youth in formerly greenlined neighborhoods (those designated as \"best\"), who exhibited substantially better mental health than youth residing in any other type of neighborhood. What's more, the effects of greenlining persisted even when controlling for neighborhood and familial socioeconomic factors, indicating that these variables do not account for the observed effects.</p><p><strong>Conclusion: </strong>Such findings serve to further highlight both the unfair legacies of disadvantage and the entrenched legacies of prosperity wrought by historical mortgage lending risk maps.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting Parental Risk Factors for Children's Anxiety: A Factorial Randomized Trial with Three Intervention Components.","authors":"Karen Rienks, Elske Salemink, Patty Leijten","doi":"10.1016/j.jaac.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.jaac.2026.10.001","url":null,"abstract":"<p><strong>Objective: </strong>Parent-focused interventions have the potential to reduce parental risk factors for children's anxiety. We tested three theoretically distinct intervention components, targeting distinct parental risk factors, to improve understanding of the role of these factors in children's anxiety, and to guide intervention program development.</p><p><strong>Method: </strong>We used a 12-week factorial experiment with random allocation to any possible combination and order of three single-session online components: (1) reducing family accommodation, (2) increasing parental empathetic responses, and (3) cognitive restructuring for parental maladaptive cognitions. Assessments took place at baseline (T₀), after the first component (T₂), after all components (T₆), and at follow-up (T₁₂). Our primary outcome was parent-reported child anxiety at T₂. We used intention-to-treat regression-based ANCOVA models.</p><p><strong>Results: </strong>The components did not reduce parent-reported anxiety at T₂, but the empathetic responding component improved parental empathic responding at all timepoints and parent-reported anxiety at T₆ and T₁₂. The family accommodation component improved family accommodation at T₂, but this effect disappeared once parents received additional components. The cognitive restructuring component did not produce any effects.</p><p><strong>Conclusion: </strong>Online, single-session components did not reduce parent-reported anxiety at the primary timepoint, and most outcomes did not change. Nevertheless, components targeting parental empathic responding and family accommodation can meaningfully change parental risk factors for children's anxiety. Targeting empathetic responses seems most promising for reducing children's anxiety. These findings may contribute to the development of more precise parent-focused interventions for children's anxiety.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"48.2 Beyond the Clinic: Innovating Systems-Based Care for Children, Adolescents, and Young Adults With Intellectual Developmental Disorder","authors":"Jennifer McLaren","doi":"10.1016/j.jaac.2026.07.313","DOIUrl":"https://doi.org/10.1016/j.jaac.2026.07.313","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"35 1","pages":"S71"},"PeriodicalIF":13.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149150112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"1.63 Physician Visit Duration and Comprehensive Mental Health Care in Pediatric Outpatient Psychiatry Visits: A National Ambulatory Medical Care Survey Analysis","authors":"Maithri Goud,Mahesh Vasudevan","doi":"10.1016/j.jaac.2026.08.097","DOIUrl":"https://doi.org/10.1016/j.jaac.2026.08.097","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"407 1","pages":"S225"},"PeriodicalIF":13.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149150123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"46.4 The Impact of Sex on Symptom Dimension, Age of Onset, and Clinical Timelines in Pediatric OCD","authors":"Kelly N. Banneyer,Manja Lund","doi":"10.1016/j.jaac.2026.07.1242","DOIUrl":"https://doi.org/10.1016/j.jaac.2026.07.1242","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"466 1","pages":"S424"},"PeriodicalIF":13.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149150127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"55.1 Biosocial Model of Borderline Personality Disorder: An Asset for Psychoeducation and Treatment Formulation","authors":"Sinclaire M. O'Grady","doi":"10.1016/j.jaac.2026.07.345","DOIUrl":"https://doi.org/10.1016/j.jaac.2026.07.345","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"54 1","pages":"S81-S82"},"PeriodicalIF":13.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149150135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"18.3 Treating Severe School Refusal in Residential Settings","authors":"Kalyani Samudra MD","doi":"10.1016/j.jaac.2026.07.170","DOIUrl":"10.1016/j.jaac.2026.07.170","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"65 10","pages":"Page S29"},"PeriodicalIF":9.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"17.3 Pediatrics Northwest: Integrating Community Health Workers Into Pediatric Primary Care Settings","authors":"Lisa Hepburn PhD","doi":"10.1016/j.jaac.2026.07.165","DOIUrl":"10.1016/j.jaac.2026.07.165","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"65 10","pages":"Page S27"},"PeriodicalIF":9.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"11.3 Clinical Integration of Advanced Practice Practitioners in a Partial Hospitalization Program","authors":"Joyce Chen MD","doi":"10.1016/j.jaac.2026.07.136","DOIUrl":"10.1016/j.jaac.2026.07.136","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"65 10","pages":"Page S18"},"PeriodicalIF":9.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}