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

{"title":"Neighborhood Deprivation and Adolescent Mental Health: The Protective Role of School Staffing Patterns.","authors":"Teresa G Vargas, Meghan Costello, Henning Tiemeier, Phoebe Lam, Tina Bollmann-Dodd, Jasmeen Kaur, Randi M Schuster","doi":"10.1016/j.jaac.2025.06.003","DOIUrl":"10.1016/j.jaac.2025.06.003","url":null,"abstract":"<p><strong>Objective: </strong>Schools are key for advancing adolescent well-being, yet the role of school-level factors in supporting student mental health in the context of neighborhood deprivation is unknown.</p><p><strong>Method: </strong>Students (N = 30,469, age: mean = 15.11 years, SD = 1.75 years) in 62 middle and high schools in Massachusetts completed the Substance Use and Risk Factors (SURF) Survey to assess psychiatric symptoms. Neighborhood deprivation was assessed through the census-extracted Area Deprivation Index (ADI). School-level moderators included school staffing patterns (teacher and mental health staff-to-student ratios, teaching staff increases) and characteristics that may support belonging and inclusion (school written commitment to inclusivity, proportion of teachers of shared race/ethnic minority status). Linear mixed models clustered by school examined links between neighborhood deprivation and psychiatric symptoms and tested school moderators, covarying for student age and sex as well as neighborhood density of substance retailers and crime.</p><p><strong>Results: </strong>Higher neighborhood deprivation related to higher psychiatric symptom endorsement (β values = 0.04-0.08, p<sub>FDR</sub> values <.04). Higher mental health staff ratios weakened the associations of neighborhood deprivation with anxiety and depressive symptoms (β [SE] = -0.03 [0.01], p<sub>FDR</sub> = .04), suicidal thoughts and behaviors (β [SE] = -0.03[0.01], p<sub>FDR</sub> = .04), and substance use (β [SE] = -0.04 [0.02], p<sub>FDR</sub> = .04). Interactions were not observed for other school staffing patterns or characteristics supporting belonging and inclusion.</p><p><strong>Conclusion: </strong>School mental health staffing patterns may represent a modifiable protective factor with the potential to address mental health needs in disadvantaged communities and neighborhood contexts.</p><p><strong>Study registration information: </strong>School-level protective factors for mental health distress and substance use in youth exposed to systemic neighborhood deprivation; https://osf.io/qkp25.</p><p><strong>Diversity & inclusion statement: </strong>We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure sex and gender balance in the recruitment of human participants. 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 living with a disability. One or more of the authors of this paper received support from a program designed to increase minority representation in science. While citing references scientifically relevant for this work, we also actively worked to promote sex and gender balance in our reference list. The author list of this paper includes contributors from the location and/or community where the research was","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512100","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: Convergence and Divergence Between Autism Spectrum Disorder and Obsessive-Compulsive Disorder: Genetic, Neuroimaging and Cognitive Findings","authors":"Joseph A. Pereira MD, Jeremy Veenstra-VanderWeele MD, Amandeep Jutla MD","doi":"10.1016/j.jaac.2025.06.017","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.017","url":null,"abstract":"Autism spectrum disorder (ASD) and obsessive-compulsive disorder (OCD), although distinct diagnoses, overlap in presentation and frequently co-occur. However, the relationship between them remains poorly understood. We reviewed comparative studies of ASD and OCD to identify patterns of convergence and divergence across these diagnoses at cognitive, neurobiological, and genetic levels.","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"27 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503598","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":"Making the Case for Advocacy Training in Child and Adolescent Psychiatry Residency Programs.","authors":"John P Glazer, Kailey Sultaire","doi":"10.1016/j.jaac.2025.06.013","DOIUrl":"10.1016/j.jaac.2025.06.013","url":null,"abstract":"<p><p>Advocacy: \"the act or process of supporting a cause or proposal\"¹.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506084","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":"Advocating for Advocacy in Child and Adolescent Psychiatry Residency Training","authors":"John P. Glazer MD, Kailey Sultaire BSW","doi":"10.1016/j.jaac.2025.06.013","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.013","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"23 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503599","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":"Exploring the Behavioral and Emotional Manifestation of Polygenic Risk for Psychiatric Disorders Among Schoolchildren","authors":"Silvia Alemany PhD, Rosa Bosch PhD, María Soler Artigas PhD, Judit Cabana-Domínguez PhD, Laura Vilar-Ribó PhD, Natalia Llonga MSc, Lorena Arribas BSc, Pau Carabí-Gassol MSc, Valeria Macias-Chimborazo BS, Uxue Zubizarreta-Arruti BSc, Mireia Pagerols PhD, Raquel Prat BSc, Elia Pagespetit BSc, Julia Puigbo MSc, Gemma Español-Martín MD PhD, J. Antoni Ramos-Quiroga MD PhD, Miquel Casas MD PhD, Marta Ribasés PhD.","doi":"10.1016/j.jaac.2025.06.012","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.012","url":null,"abstract":"We examined the relationships between polygenic risk scores (PRS) for psychiatric disorders and behavioral and emotional problems. In addition, we explored whether these associations differ by sex and conducted mutually adjusted models to elucidate whether different PRS independently contribute to the same outcome.","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"628 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335590","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: Racial-Ethnic Discrimination and Young People's Mental Health in Intensive Longitudinal Studies.","authors":"Yijie Wang,Qi Huang,Daeun Kim,Jiayi Liu,Sylvia Lin,Youchuan Zhang,Juan Del Toro,Sauro Civitillo","doi":"10.1016/j.jaac.2025.06.007","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.007","url":null,"abstract":"OBJECTIVEThis systematic review examined intensive longitudinal studies on racial-ethnic discrimination and mental health among adolescents and young adults. For studies that provided effect sizes, meta-analysis synthesized within-person and between-person associations separately.METHODLiterature search was conducted in November 2024 across PsycINFO and PsycArticles, Web of Science, and Pubmed. All included studies were coded by sample, context, design, measurement, and results. Study quality was also assessed. Within-person and between-person correlations were synthesized separately in a meta-regression framework using robust variance estimations.RESULTSThe systematic review identified 37 studies from 24 independent data sources (i.e., projects), 4,323 participants, and 126,864 possible data points. While discrimination was consistently related to poorer mental health at the same moment in ecological momentary assessment (EMA) studies, these associations were more mixed when examined in the next moments or in daily diary studies on the same day or next days. The meta-analysis synthesized 100 effect sizes from 22 studies (15 independent projects), 2,932 participants, and 103,160 possible data points. Discrimination was associated with poorer mental health in a small effect size at the within-person level (r = -.08) and in a small-to-moderate effect size at the between-person level (r = -.22). The associations exhibited a similar pattern for negative mental health but were not significant for positive mental health.CONCLUSIONFindings highlighted a small but meaningful within-person association between daily racial-ethnic discrimination and compromised mental health among young people. Prevention and intervention can address daily exposure to discrimination to prevent stress accumulation over time.","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"44 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335318","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":"The Critical Need for Research Examining Mental Health Risk and Protective Factors in Black Autistic Youth.","authors":"Desiree R Jones,Heather A Yarger,Elizabeth Redcay","doi":"10.1016/j.jaac.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.010","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"106 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335332","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: Reframing Risk: Antidepressant Use in Pregnancy and Offspring Mental Health.","authors":"Misty C Richards","doi":"10.1016/j.jaac.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.008","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"25 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335317","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":"Enhancing Our Training.","authors":"Justin Schreiber, Misty C Richards","doi":"10.1016/j.jaac.2025.06.001","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.001","url":null,"abstract":"<p><p>Child and adolescent psychiatrists are well trained, having completed medical school and at least 5 years of residency and fellowship. It is hard to imagine in all those days and years of training that anything could be missed, but the truth is that it is not only possible, it is expected that we will continue to need to learn even after our training ends. New research introducing novel diagnoses and treatments will continue to come out. This is why it is important to have access to journals such as JAACAP, JAACAP Open, and JAACAP Connect. Job opportunities might come up that will allow us to work with populations or in settings that we aren't used to. This might require reviewing textbooks to build knowledge essential for these new roles. Expanding a training role could necessitate not only the need to brush up on our own knowledge but also to find resources to share with our trainees. There are topics that might also not get the same level of attention as part of the requirements in child psychiatry training, such as understanding the impact of culture.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528471","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: Exploring Rare Genetic Variation in Pediatric-Onset Obsessive-Compulsive Disorder: Some Excitement and Some Uncertainty.","authors":"Dorothy E Grice","doi":"10.1016/j.jaac.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.06.009","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"17 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335316","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}