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

{"title":"Internet-Based Cognitive-Behavioral Therapy Intervention Master Your Worries With Telephone Coaching for Anxious Finnish Children Aged 10-13 Years: A Population-Based Randomized Controlled Trial.","authors":"Andre Sourander, Tarja Korpilahti-Leino, Katri Kaajalaakso, Terja Ristkari, Susanna Hinkka-Yli-Salomäki, Tiia Ståhlberg, Terhi Luntamo","doi":"10.1016/j.jaac.2024.11.024","DOIUrl":"https://doi.org/10.1016/j.jaac.2024.11.024","url":null,"abstract":"<p><strong>Objective: </strong>No previous studies have evaluated the efficacy of internet-based cognitive behavioral therapy (ICBT) among children below age 13 screened at the population level. This study was an open two parallel-group RCT, stratified by sex, that compared ICBT with telephone coaching to an educational control.</p><p><strong>Method: </strong>Altogether 465 children (mean age 11.5, SD 1.0, 71.4% girls) were randomly allocated to ICBT or psychoeducation. The 10-week ICBT included weekly digital material and exercises and weekly telephone calls. Assessments comprised child and parent reports on anxiety (Screen for Child Anxiety Related Emotional Disorders questionnaire, SCARED), impacts of anxiety, quality of life, comorbidity and parental mental health assessed at baseline and a 6-month follow-up.</p><p><strong>Results: </strong>The ICBT group yielded significantly higher improvement in primary outcomes (SCARED total scores) when compared with control group in the child reports (p=.04, Cohen's d=0.17) but not in the parent reports (p=.41, d=0.03). The ICBT group had significantly higher improvement in several secondary measures of outcome, including child-reported SCARED generalized anxiety (p=.047, d=0.09), separation anxiety (p=.004,d=0.40), social anxiety (p=.007, d=0.27), the parent-reported Strengths and Difficulties Questionnaire total score (p=.002, d=0.22), emotional difficulties (p=.02, d=0.20), hyperactivity (p=.003, d=0.19), and quality of life (p=.02, d=0.16).</p><p><strong>Conclusion: </strong>When children were screened at the population level for anxiety and enrolled in RCT study ICBT combined with telephone guidance showed efficacy in improving anxiety and quality of life. These findings are encouraging when developing early population-based intervention strategies for childhood anxiety.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365056","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":"A Systematic Review and Meta-Analysis: Child and Adolescent Healthcare Utilization for Eating Disorders During the COVID-19 Pandemic","authors":"Sheri Madigan PhD, RPsych ,&nbsp;Tracy Vaillancourt PhD ,&nbsp;Gina Dimitropoulos PhD ,&nbsp;Shainur Premji PhD ,&nbsp;Selena M. Kahlert BSc ,&nbsp;Katie Zumwalt MD, MPH, MSc ,&nbsp;Daphne J. Korczak MD, MSc ,&nbsp;Kristin M. von Ranson PhD ,&nbsp;Paolo Pador BSc (hons) ,&nbsp;Heather Ganshorn MLIS ,&nbsp;Ross D. Neville PhD","doi":"10.1016/j.jaac.2024.02.009","DOIUrl":"10.1016/j.jaac.2024.02.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To conduct a meta-analysis documenting healthcare service utilization rates for pediatric (age &lt;19 years) eating disorders during compared to before the COVID-19 pandemic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;PsycINFO, MEDLINE, Embase, and Web of Science Core Collection were searched for studies published up to May 19, 2023. Studies with pediatric visits to primary care, inpatient, outpatient, and emergency department for eating disorders before and during the pandemic were included. This preregistered review (PROSPERO CRD42023413392) was reported using PRISMA guidelines. Data were analyzed with random-effects meta-analyses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 52 studies reporting &gt;148,000 child and adolescent eating disorder–related visits to &gt;300 health settings across 15 countries were included (mean age, 12.7 years; SD = 4.1 years; 87% girls). There was strong evidence of an increase in healthcare use for eating disorders during the pandemic (rate ratio [RR] = 1.54, 95% CI = 1.38-1.71). Moderator analysis revealed larger rate increases among girls (RR = 1.48, 95% CI = 1.28-1.71) compared to boys (RR = 1.24, 95% CI = 1.06-1.45) and for adolescents (age ≥12 to 19 years) (RR = 1.53, 95% CI = 1.29-1.81) compared to children (RR = 0.87, 95% CI = 0.53-1.43). Moderator analysis demonstrated strong evidence of increased use of emergency department (RR = 1.70, 95% CI = 1.48-1.97), inpatient (RR = 1.56, 95% CI = 1.33-1.84), and outpatient (RR = 1.62, 95% CI = 1.35-1.95) services, as well as strong evidence of increased rates of anorexia nervosa (RR = 1.48, 95% CI = 1.24-1.75).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Healthcare use for pediatric eating disorders increased substantially during the COVID-19 pandemic, particularly among girls and adolescents. It is important to continue to monitor whether changes in healthcare use associated with acute pediatric mental distress are sustained beyond the COVID-19 pandemic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Plain language summary&lt;/h3&gt;&lt;div&gt;In this study, the authors analyzed data from 52 studies from 15 countries and found a significant increase in healthcare utilization for eating disorders during the COVID-19 pandemic. The study findings suggest a larger rate increase among adolescents as compared to children, in girls versus boys, and for anorexia nervosa in particular. Results also indicate increased use of emergency department, inpatient and outpatient services for eating disorders during the pandemic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study preregistration information&lt;/h3&gt;&lt;div&gt;Risk factors for eating disorders for youth during the COVID-19 pandemic; &lt;span&gt;&lt;span&gt;https://www.crd.york.ac.uk/&lt;/span&gt;&lt;svg&gt;&lt;path&gt;&lt;/path&gt;&lt;/svg&gt;&lt;/span&gt;; CRD42023413392.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Diversity &amp; Inclusion Statement&lt;/h3&gt;&lt;div&gt;One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors ","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 158-171"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022039","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":"Systematic Review and Network Meta-Analysis: Efficacy and Safety of Antipsychotics vs Antiepileptics or Lithium for Acute Mania in Children and Adolescents","authors":"Giovanni Vita MD ,&nbsp;Viktor B. Nöhles MA ,&nbsp;Giovanni Ostuzzi MD ,&nbsp;Corrado Barbui MD ,&nbsp;Federico Tedeschi PhD ,&nbsp;Fabiola H. Heuer MSc ,&nbsp;Amanda Keller BSc ,&nbsp;Melissa P. DelBello MD ,&nbsp;Jeffrey A. Welge PhD ,&nbsp;Thomas J. Blom MS ,&nbsp;Robert A. Kowatch MD, PhD ,&nbsp;Christoph U. Correll MD","doi":"10.1016/j.jaac.2024.07.920","DOIUrl":"10.1016/j.jaac.2024.07.920","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To compare second-generation antipsychotics (SGAs) and mood stabilizers (MSs) in youth with a bipolar disorder type I (BD-I) manic/mixed episode.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;A systematic PubMed/Embase/PsycInfo literature search until December 31, 2023, for randomized trials of SGAs or MSs in patients ≤18 years of age with BD-I manic/mixed episode was conducted. The study included a network meta-analysis comparing treatments regarding mania symptoms and mania response (co-primary outcomes), and secondary efficacy and tolerability outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Eighteen studies (n = 2844, mean age = 11.74, female participants = 48.0%, mean study duration = 5.4 weeks) comparing 6 SGAs (aripiprazole, asenapine, olanzapine, quetiapine, risperidone, and ziprasidone) and 4 MSs (lithium, oxcarbazepine, topiramate, and valproate) were meta-analyzed. All 6 SGAs outperformed placebo in reducing manic symptomatology, including risperidone (standardized mean difference [SMD] = −1.18, 95% CI = −0.92, −1.45, Confidence in Network Meta-Analysis [CINeMA] = moderate confidence), olanzapine (SMD = −0.77, 95% CI = −0.36, −1.18, low confidence), aripiprazole (SMD = −0.67, 95% CI = −0.33, −1.01, moderate confidence), quetiapine (SMD = −0.60, 95% CI = −0.32, −0.87, high confidence), asenapine (SMD = −0.54, 95% CI = −0.19, −0.89, moderate confidence), and ziprasidone (SMD = −0.43, 95% CI = −0.17, 0.70, low confidence), whereas no mood stabilizer outperformed placebo. Concerning mania response, risperidone (Risk ratio [RR] = 2.58, 95% CI = 1.88, 3.54, low confidence), olanzapine (RR = 2.42, 95% CI = 1.33, 3.54, very low confidence), aripiprazole (RR = 2.05, 95% CI = 1.44, 2.92, low confidence), quetiapine (RR = 1.89, 95% CI = 1.45n 2.47, moderate confidence), asenapine (RR = 1.81, 95% CI = 1.28, 2.55, very low confidence) and lithium (RR = 1.35, 95% CI = 1.00, 1.83, &lt;em&gt;p&lt;/em&gt; = .049, very low confidence) outperformed placebo, without superiority of other MSs vs placebo. Individually, risperidone was more efficacious in reducing manic symptomatology than all other comparators, except olanzapine and topiramate, yet with low/very low confidence, and was associated with increased prolactin and glucose. Pooled together, SGAs outperformed both placebo and MSs for mania symptom reduction (SMD = −0.68, 95% CI = −0.86, −0.51 and SMD = −0.61, 95% CI = −0.82, −0.40, moderate confidence), and mania response (RR = 1.85, 95% CI = 1.53, 2.24 and RR = 1.65, 95% CI = 1.33, 2.04, moderate confidence) without differences between MSs and placebo. There were no significant treatment−placebo differences for all-cause discontinuation, whereas lithium, ziprasidone, and oxcarbazepine were associated with more adverse event-related drop-outs than placebo. Most SGAs were associated with more sedation, weight gain, and metabolic issues vs placebo and MSs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;SGAs were more efficacious than placebo and MSs in t","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 143-157"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917013","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":"Life Lessons From a Fishbowl","authors":"Misty C. Richards MD, MS (Assistant Editor),&nbsp;Justin Schreiber DO, MPH (Assistant Editor)","doi":"10.1016/j.jaac.2024.11.008","DOIUrl":"10.1016/j.jaac.2024.11.008","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 301-302"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648225","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":"Bullying, Impact on Health, and Beyond: Exploring the Spectrum of Maltreatment","authors":"Bennett L. Leventhal MD ,&nbsp;Tomas J. Silber MD, MASS","doi":"10.1016/j.jaac.2024.11.012","DOIUrl":"10.1016/j.jaac.2024.11.012","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 302-303"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696322","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":"Racial–Ethnic Discrimination and Early Adolescents’ Behavioral Problems: The Protective Role of Parental Warmth","authors":"Jinjin Yan PhD ,&nbsp;Elizabeth Jelsma PhD ,&nbsp;Yijie Wang PhD ,&nbsp;Youchuan Zhang PhD ,&nbsp;Zhenqiang Zhao PhD ,&nbsp;Heining Cham PhD ,&nbsp;Margarita Alegria PhD ,&nbsp;Tiffany Yip PhD","doi":"10.1016/j.jaac.2024.03.020","DOIUrl":"10.1016/j.jaac.2024.03.020","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The purpose of the study was to investigate the association between discrimination by multiple sources (ie, teachers, students, and other adults) and early adolescents’ behavioral problems (ie, internalizing, externalizing, and attention problems), also considering the protective role of parental warmth in the association.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;Cross-sectional analyses were conducted with 3,245 early adolescents of color obtained from the Adolescent Brain Cognitive Development Study (ABCD Study) at year 1 follow-up (Y1), a large and diverse sample of children (mean age = 9.48 years) in the United States. Racially–ethnically minoritized adolescents reported sources of discrimination, parental warmth, and symptoms of psychopathology. Regression with interaction terms was conducted to investigate the associations among sources of discrimination, parental warmth, and behavioral problems among racially–ethnically minority adolescents. Sensitivity analyses were conducted to examine (1) race/ethnicity and sex/gender variations; (2) whether the associations between different sources of discrimination and behavioral problems were reliably different; and (3) effects of discrimination, parental warmth, and their interplay at Y1 in predicting adolescents’ behavioral problems at year 2 follow-up.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Early adolescents experiencing interpersonal racial–ethnic discrimination by multiple sources, including teachers, students, and other adults, reported higher levels of attention, internalizing, and externalizing problems. Parental warmth was protective for the association between interpersonal racial–ethnic discrimination and early adolescents’ behavioral problems.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Experiencing interpersonal racial–ethnic discrimination from teachers, peers, and other adults is related to heightened attention, internalizing, and externalizing problems among racially–ethnically minoritized early adolescents. Parental warmth may reduce the risk of developing behavioral problems among early adolescents who experience interpersonal racial–ethnic discrimination from students, teachers, and other adults outside of school.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Plain language summary&lt;/h3&gt;&lt;div&gt;In this cross sectional analysis of 3,245 early adolescents of color obtained from the Adolescent Brain Cognitive Development (ABCD) Study, the authors found that early adolescents experiencing interpersonal racial-ethnic discrimination from multiple sources, including teachers, students, and other adults, reported higher levels of behavioral problems (ie, internalizing, externalizing, and attention problems). Parental warmth was found to be protective for the association between interpersonal racial-ethnic discrimination and early adolescents’ behavioral problems. These findings emphasize the importance of assessing experiences of interpersonal racial-ethnic discrimination among racially-ethnically min","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 249-261"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891119","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":"Addressing the Impacts of Racism-Based Traumatic Stress on Youth","authors":"Isabella Kahhalé MS ,&nbsp;Kaela Farrise MA ,&nbsp;Akanksha Das MA ,&nbsp;Jeanne McPhee PhD ,&nbsp;Chardée A. Galán PhD ,&nbsp;Scholars for Elevating Equity and Diversity (SEED),&nbsp;Alayna Park PhD","doi":"10.1016/j.jaac.2024.03.022","DOIUrl":"10.1016/j.jaac.2024.03.022","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 92-98"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908719","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: New Insights Into the Complexities and Neurocognitive Correlates of Sleep in Adolescents with Attention-Deficit/Hyperactivity Disorder","authors":"Stephen P. Becker PhD","doi":"10.1016/j.jaac.2024.05.013","DOIUrl":"10.1016/j.jaac.2024.05.013","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 120-122"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081300","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: Measurement Properties of Patient-Reported Outcome Measures Used to Measure Depression Symptom Severity in Adolescents With Depression","authors":"Suneeta Monga MD ,&nbsp;Sorina Andrei BA ,&nbsp;Rebecka C. Quinn BSc ,&nbsp;Valeria Khudiakova BSc ,&nbsp;Riddhi Desai MSc ,&nbsp;Abiramy Srirangan BSc ,&nbsp;Sneha Patel HBSc ,&nbsp;Peter Szatmari MD, RSC ,&nbsp;Nancy J. Butcher PhD ,&nbsp;Karolin R. Krause PhD ,&nbsp;Darren B. Courtney MD ,&nbsp;Martin Offringa MD, PhD ,&nbsp;Ellen B.M. Elsman PhD","doi":"10.1016/j.jaac.2024.06.011","DOIUrl":"10.1016/j.jaac.2024.06.011","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To systematically evaluate the measurement properties of 12 patient-reported outcome measures (PROMs) used to measure depression symptom severity in adolescents with depression. Depression symptom severity was chosen as the outcome of focus given its importance as an outcome to measure in adolescents with depression across clinical trials and/or care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;MEDLINE, PsycInfo, Embase, Scopus, CINAHL, and Cochrane were searched from year of inception up to December 7, 2023. Study appraisal (ie, risk of bias), evaluation of measurement properties, and evidence synthesis followed the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines. Included studies evaluated at least 1 of 9 measurement properties as detailed in the COSMIN taxonomy within a reported sample or subgroup of youth ages 12 to 24 years, with at least 40% meeting criteria for any depressive disorder.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of the 15,560 records identified, 31 studies for 7 PROMs were included in the COSMIN appraisal. Although several PROMs have the potential to accurately measure depression symptom severity in adolescents with depression, at this time none of the PROMs can be recommended for use without further evaluative work. High-quality evidence was generally lacking, largely due to few or inconsistent findings, small sample sizes, and other methodological concerns.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This systematic review of the measurement properties of 12 PROMs used to measure depression symptom severity in adolescents with depression found that none of the PROMs can be recommended for use until further evaluative work is conducted. Clinicians and researchers should proceed with caution when using these PROMs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Plain language summary&lt;/h3&gt;&lt;div&gt;This systematic review evaluated 12 patient report outcome measures (PROMs) commonly used to measure depression symptom severity in adolescents with depression. Only 7 of these PROMs had studies to evaluate; none of them had the necessary measurement properties to indicate that they could be recommended for use or that results could be trusted. The authors suggest that more evaluative work is required to ensure the validity of the measurement properties of the tools utilized to measure depression symptom severity in adolescents with depression. This work should include engagement of youth and caregivers in evaluation of the content validity (eg, the relevance, comprehensibility, and comprehensiveness) of these PROMs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Diversity and Inclusion Statement&lt;/h3&gt;&lt;div&gt;One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. We actively worked to ","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 198-225"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995964","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: Limitations on the Predictive Validity of the Avoidant/Restrictive Food Intake Disorder Diagnosis","authors":"Hana F. Zickgraf PhD","doi":"10.1016/j.jaac.2024.08.001","DOIUrl":"10.1016/j.jaac.2024.08.001","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 117-119"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995961","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}