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

{"title":"Registered Report: Clinical and cognitive mediators underlying subsequent depression in individuals with ADHD: a developmental approach.","authors":"Eglė Padaigaitė-Gulbinienė, Gemma Hammerton, Jon Heron, Olga Eyre, Giorgia Michelini, Alexandra Wilson-Newman, Clara S Garavini, Thalia C Eley, Anita Thapar, Lucy Riglin","doi":"10.1016/j.jaac.2025.03.023","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.03.023","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788475","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":"When the Physician Becomes an Author.","authors":"Justin Schreiber, Misty C Richards","doi":"10.1016/j.jaac.2025.03.022","DOIUrl":"10.1016/j.jaac.2025.03.022","url":null,"abstract":"<p><p>This month's Media Forum features 2 authors who are also physicians. In medical school, residency, and fellowship, we are rarely taught how to write. There might be a focus on how to write a scientific journal article, but seldom is there any discussion about how to write a full book, especially a novel. Those who do write either have had previous experiences or learn on their own how to write and how to get published. This limits the number of physicians who feel comfortable sharing their experience through writing. There are many ways in which this writing can occur, such as through books, blog posts, letters to the editor in one's local paper, and so much more. Writing can not only be a way to teach, but it can serve as advocacy for our patients, reducing stigma and providing a more realistic view of what the needs of our families are. Many who do write share how it can be fulfilling and fun. It is important to remember that there is no perfect age or level of training to write, either. You can share your experiences as a trainee or reflect on aspects of your career during retirement. Hopefully, this month's Media Forum can serve as an inspiration for child psychiatrists that to be able to write is not out of reach. There are some really interesting stories and experiences to share with colleagues, patients, and families.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772610","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":"Council Page","authors":"","doi":"10.1016/S0890-8567(25)00010-3","DOIUrl":"10.1016/S0890-8567(25)00010-3","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 4","pages":"Page A2"},"PeriodicalIF":9.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705120","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":"Editorial: Translation Please: How Well Do Trauma-Focused Psychotherapies Really Work For Pediatric Posttraumatic Stress Disorder?","authors":"Erin Neill, Ryan J Herringa","doi":"10.1016/j.jaac.2025.03.021","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.03.021","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772609","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":"Editorial Board Page","authors":"","doi":"10.1016/S0890-8567(25)00009-7","DOIUrl":"10.1016/S0890-8567(25)00009-7","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 4","pages":"Page A1"},"PeriodicalIF":9.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child and Youth Artwork","authors":"","doi":"10.1016/S0890-8567(25)00012-7","DOIUrl":"10.1016/S0890-8567(25)00012-7","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 4","pages":"Page A8"},"PeriodicalIF":9.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705122","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":"Pragmatic Indicated Prevention and Early Intervention for Disordered Eating: A Randomized Controlled Trial of Media Smart Targeted Internet Program in Youth.","authors":"Simon M Wilksch, Anne O'Shea, Ross Crosby, Rachel Lawson, Tracey D Wade","doi":"10.1016/j.jaac.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.02.017","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated three new features of Media Smart Targeted (MST), an 8-module internet, self-guided, indicated prevention and early intervention for disordered eating (DE): a broader audience; optimal rate of program delivery; impact on social media (SM) behaviours.</p><p><strong>Method: </strong>Participants (N=555, 13-25 years of any gender from Australia/New Zealand) were randomized to: MST-Flexible (MST-F: user accesses modules at own rate, n=184); MST-Standard (MST-S: weekly module release, n=187); and control (body image tips, n=184). Primary (Eating Disorder Examination-Questionnaire [EDE-Q] Global and DE diagnostic status), secondary (DE risk factors) and tertiary (SM) outcome measures were completed at baseline, post-program, 6- and 12-month follow-up.</p><p><strong>Results: </strong>A total of 52.2% of participants randomized to MST-F or MST-S accessed their intervention. Modified intent-to-treat analyses (n=378) included these participants (MST-F = 109; MST-S = 84) and all controls (n=184) showed MST-F participants were more likely to complete each module and full program than MST-S participants. More favourable outcomes for EDE-Q Global were reported in the MST-F condition than control. MST-F and MST-S participants with baseline DE were 94% and 92% respectively less likely than controls to meet DE criteria at any point from post-program onwards (n=36). Compared to controls, the MST-F condition experienced significant improvements for regular eating, clinical impairment, internalization and SM behaviours, including reduced: appearance comparisons; following of appearance-based influencers; use of TikTok; and fewer SM accounts.</p><p><strong>Conclusion: </strong>Whilst self-guided, internet interventions have lower completion rates and more modest effects than face-to-face indicated prevention programs, MST-F can be delivered at-scale, with low-cost and greater flexibility in target audience, to achieve meaningful reductions in DE risk, symptoms and SM behaviours.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753294","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":"Study Preregistration: Typologies and Phenotypes of Youth Suicide Decedents.","authors":"Elijah W Hale, Rachel L Johnson, Tyler Cohan, Kimberly Kelsay, Joel Stoddard","doi":"10.1016/j.jaac.2025.03.020","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.03.020","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743136","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":"Systematic Review and Meta-Analysis: Predictors of Relapsing, Recurrent, and Chronic Depression in Young People.","authors":"Scott D Tagliaferri, Laura K M Han, Muskan Khetan, Joshua Nguyen, Connie Markulev, Simon Rice, Susan M Cotton, Michael Berk, Enda M Byrne, Debra Rickwood, Christopher G Davey, Peter Koval, Aswin Ratheesh, Patrick D McGorry, Mario Alvarez-Jimenez, Lianne Schmaal","doi":"10.1016/j.jaac.2025.03.019","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.03.019","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Youth depression disrupts the social and vocational transition into adulthood. Most depression burden is caused by recurring or chronic episodes. Identifying young people at risk for relapsing, recurring, or chronic depression is critical. We systematically reviewed and meta-analyzed the literature on prognostic factors for relapsing, recurrent, and chronic depression in young people.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;We searched the literature up (MEDLINE, PsycINFO, CINAHL, Embase, CENTRAL, WHO ICTRP, ClinicalTrials.gov, bioRxiv, MedRxiv) to 06 March 2024 and included cohort studies and randomized trials that assessed any prognostic factor for relapse, recurrence, or chronicity of depression in young people (aged 10-25 years at baseline) with a minimum of a three-month follow-up. We assessed individual study risk of bias of using the QUIPS tool and the certainty of evidence via the GRADE approach. We conducted random effects meta-analyses with Hartung-Knapp-Sidik-Jonkman adjustment when three or more estimates on the same prognostic factor were available. Qualitative synthesis was conducted to identify promising prognostic factors that could not be meta-analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Seventy-six reports of 46 studies (unique cohorts or trials) were included that tested 388 unique prognostic factors in 7,488 young people experiencing depression. Majority of the reports were at high risk of bias (87%). We conducted 22 meta-analyses on unadjusted, and seven on adjusted, prognostic factors of a poor course trajectory (i.e., combined relapse, recurrence, and chronicity). Female sex (adjusted; OR[95%CI]: 1.49 [1.15, 1.93], p=0.003), higher severity of depressive symptoms (unadjusted; SMD[95%CI]: 0.53 [0.33, 0.73], p&lt;0.001), lower global functioning (unadjusted; SMD[95%CI]: -0.35 [-0.60, -0.10], p=0.005), more suicidal thoughts and behaviors (unadjusted; SMD[95%CI]: 0.52 [0.03, 1.01], p=0.045), and longer sleep-onset latency (unadjusted; MD[95%CI]: 6.96 [1.48, 12.44] minutes, p=0.013) at baseline predicted a poor course trajectory of depression. The certainty of the evidence was overall very low to moderate. Promising prognostic factors that could not be meta-analyzed included relational/interpersonal factors (friend relationships and family relationships/structure).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our findings demonstrate the prognostic value of demographic and clinical factors for poor course trajectories of depression in young people. More research is needed to confirm the potential value of relational/interpersonal factors in predicting poor depression course. Limitations of the literature include the high risk of bias of included studies, which indicates that future studies should include large sample sizes and wider diversity of prognostic markers (e.g., genetic and neurobiological) in multivariable models. The critical next step is to combine the identified prognostic factors and evaluate their clinical ","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743143","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":"Symptoms of Depression, Physical Activity, and Sedentary Time: Within-Person Relations From Age 6 to 18 in a Birth Cohort.","authors":"Silje Steinsbekk, Joakim Skoog, Lars Wichstrøm","doi":"10.1016/j.jaac.2025.03.018","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.03.018","url":null,"abstract":"<p><strong>Objective: </strong>To examine the within-person relations between objectively measured physical activity and clinically assessed symptoms of depressive disorders from childhood to late adolescence.</p><p><strong>Method: </strong>Seven waves of biennially collected data from a Norwegian birth-cohort (n=873; 53% girls) followed from age 6-18 were employed. Accelerometers were used to assess total physical activity, moderate-to vigorous physical activity, and sedentary time, and symptoms of depression were assessed by semi-structured psychiatric interviews. Mediators (athletic self-esteem, body image, sports participation) were captured by questionnaires. Random Intercept Cross-Lagged Panel Models were estimated to test the within-person relations and their potential mediators.</p><p><strong>Results: </strong>From ages 14 to 16 and 16 to 18 years, significant within-person relations were found: Declined levels of total physical activity (PA) and moderate-to vigorous physical activity (MVPA) predicted more symptoms of depression (PA: 14-16 y: β=-.08; 16-18 y: β=-.09; MVPA: 14-16 y β=-.10; 16-18 y; β=-.07). These relations were not evident at earlier ages. From ages 10 to 12 and 14 to 16 years, an increased number of depressive symptoms predicted decreased levels of physical activity (PA: 10-12 y: β=-.10; 14-16; β=-.14: MVPA: 10-12 y: β=-.10; 14-16y: β=-.17). We found no evidence for within-person relations between sedentary time and depressive symptoms, and no significant sex differences or mediations were found.</p><p><strong>Conclusion: </strong>Individuals who increase their physical activity levels from middle to late adolescence, are less likely to develop symptoms of depression compared to what they otherwise would. Thus, in this age period, physical activity may protect against depressive symptoms.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743140","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}