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

{"title":"Child and Youth Artwork","authors":"","doi":"10.1016/S0890-8567(24)02042-2","DOIUrl":"10.1016/S0890-8567(24)02042-2","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 3","pages":"Page A8"},"PeriodicalIF":9.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488199","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":"Interoceptive Exposure Impacts Food-Cue Extinction in Adolescents With Low-Weight Eating Disorders: An fMRI Study.","authors":"Kurt P Schulz, Robyn Sysko, Jin Fan, Thomas B Hildebrandt","doi":"10.1016/j.jaac.2024.12.013","DOIUrl":"https://doi.org/10.1016/j.jaac.2024.12.013","url":null,"abstract":"<p><strong>Objective: </strong>This randomized controlled study tested the effect of interoceptive exposure on anterior insula function and connectivity for the extinction of palatable and rotten food-cue associations in female adolescents with low weight eating disorders (LWED).</p><p><strong>Method: </strong>Thirty-nine female adolescents with LWED and 19 matched controls performed a food-related conditioning paradigm during functional magnetic resonance imaging (fMRI). Adolescents with LWED were then randomized to six sessions of either interoceptive exposure (n = 18) or family-based (n = 21) treatment, followed by a second fMRI. Whole brain activation and insula-driven connectivity for the extinction of palatable and rotten food-cue associations were compared between groups and changes over treatment were compared between the two therapies.</p><p><strong>Results: </strong>Adolescents with LWED exhibited diminished bilateral anterior insula activation for the extinction of palatable food-cue associations compared to controls (T_1,55 = 3.9-4.1, p values < .001; Hedges g = 0.47-0.55). Brief interoceptive exposure treatment increased left anterior insula activation for the extinction of palatable food-cue associations (T_1,37 = 5.10, p <.001; Hedges g = 1.59) and non-significantly improved palatability ratings for these associations during extinction compared to family-based treatment (β = -1.492, p =.087). There were no effects of group or therapy on connectivity or activation for rotten food-cue associations.</p><p><strong>Conclusion: </strong>These results suggest that targeting food avoidance in female adolescents with LWED using interoceptive exposure engages anterior insula regions that mediate the visceral sensation of disgust and may underlie the resistance to extinction. The findings present a window into possible pathophysiological mechanisms of anorexia nervosa and other LWED.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523850","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 Triangle of Conflict: Applications of a Core Intervention From Manualized Psychodynamic Psychotherapy.","authors":"Timothy Rice, Michael A Shapiro, Leon Hoffman","doi":"10.1016/j.jaac.2025.02.007","DOIUrl":"10.1016/j.jaac.2025.02.007","url":null,"abstract":"<p><p>The accessibility of manualized youth psychodynamic psychotherapies^1-3 facilitates their use in hospital-based and community clinic settings. Implementation of their component interventions within a single patient encounter can expand their utility throughout the hospital, including in emergency departments, pediatric floors, and partial hospitalization and inpatient psychiatry services. Here, we share a core intervention drawn from one of these manualized works, Regulation Focused Psychotherapy for Children (RFP-C),² named the Triangle of Conflict.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483380","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":"Ebola Virus Disease and Pediatric Mental Health: Long-Term Mediating Effects of Caregiver Mental Health.","authors":"Thomas M Crea, Oladoyin Okunoren, Elizabeth K Klein, K Megan Collier, Melissa McTernan, Stephen Sevalie, Bailah Molleh, Yusuf Kabba, Abdulai Kargbo, Joseph Bangura, Henry Gbettu, Donald S Grant, Robert J Samuels, Stewart Simms, Stacy Drury, John S Schieffelin, Theresa S Betancourt","doi":"10.1016/j.jaac.2025.02.006","DOIUrl":"10.1016/j.jaac.2025.02.006","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Previous research suggests that adult survivors of Ebola virus disease (EVD) experience mental health problems following their infection. This study examines long-term mental health consequences of EVD for child survivors, and those affected by EVD but not themselves infected, compared to controls. This study also examines the mediating effects of caregiver mental health on children's mental health outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Using a case-control study design, we recruited 663 children and adolescents (\"children\" throughout; aged 10-17 years) and their caregivers at 2 time points, from 6 geographically diverse districts in Sierra Leone. Our analytic sample included 217 EVD-infected children, 206 EVD-affected children (ie, children who were not themselves infected but someone in their household was infected), 230 control children, and 1 caregiver per child (N = 653). Using a structural equation model, we examined the mediating effects of caregiver anxiety and depression at time 1 on the relationship between study condition and children's prosocial behaviors and behavioral difficulties at time 2, controlling for child's age, sex, household wealth, urban vs rural residential environment, and district.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;EVD-infected and -affected children were more likely to demonstrate behavioral difficulties compared to controls. Caregiver depression mediated the relationship between being affected by EVD and children's behavioral problems. Caregiver anxiety mediated the relationship between being EVD affected and children's prosocial behaviors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The mental health consequences of EVD are long-lasting for EVD child survivors and those affected, as well as caregivers. Policy and programmatic responses need to account for the heightened vulnerability introduced not only to survivors after an infectious disease outbreak, but to their families and household members.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Diversity & inclusion statement: &lt;/strong&gt;We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. Diverse cell lines and/or genomic datasets were not available. 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 promote sex and gender balance in our author group. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote sex an","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483439","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":"Navigating the Rollercoaster Ride of Adolescence.","authors":"Misty C Richards, Justin Schreiber","doi":"10.1016/j.jaac.2025.02.005","DOIUrl":"10.1016/j.jaac.2025.02.005","url":null,"abstract":"<p><p>Adolescence is often likened to a rollercoaster-a thrilling ride filled with unpredictable highs, sudden drops, and daring twists and turns. For some teenagers, this metaphor becomes even more poignant as they navigate the challenges of burgeoning mood disorders and substance use disorders. These struggles can amplify the turbulence of adolescence, making the ride feel overwhelming not just for the teens experiencing it, but also for the families and caregivers supporting them. This Media Forum reviews 2 resources for adolescents and transitional-aged youth, one focusing on adolescents with bipolar disorder and the other on youth addictive disorders. Much like the twists and turns of a rollercoaster, young patients suffering from these conditions, along with the communities and systems who support them, require resilience, understanding, and strategic navigation. By exploring the parallels between the emotional upheavals of adolescence and the dynamic forces of a rollercoaster, one can see the importance of safety, communication, and embracing some amount of chaos to help teens find their way back home.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476643","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":"What About Life Skills? Tailoring Interventions for Autism and Beyond.","authors":"Elaine B Clarke, Amie Duncan, Catherine Lord","doi":"10.1016/j.jaac.2024.12.012","DOIUrl":"10.1016/j.jaac.2024.12.012","url":null,"abstract":"<p><p>Nearly 50 years of research have carefully documented daily living skills (DLS) deficits in individuals with autism spectrum disorder, which emerge early in life, appear to persist across development, and seem to affect people across this very heterogeneous condition.¹ The terminology and measures used to quantify life skills challenges vary across conditions, but such deficits are also common in people with intellectual disability, attention-deficit/hyperactivity disorder, internalizing and externalizing disorders, and schizophrenia and related psychotic disorders.² Though deficits in life skills are not a diagnostic criterion for autism, they should be a focus of support and treatment across the life span.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472522","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":"Climate Mental Health Disparities: A Biopsychosociocultural Perspective.","authors":"Deepika Shaligram, Amber Acquaye, Joshua R Wortzel, Sandra M DeJong","doi":"10.1016/j.jaac.2024.12.011","DOIUrl":"10.1016/j.jaac.2024.12.011","url":null,"abstract":"<p><p>Climate change (CC) is a global public health crisis. The historical exploitation of natural resources by colonial powers has accelerated CC such that the top 1% of global greenhouse gas emitters had carbon footprints greater than 50 tons of CO₂ each. This figure is more than 1,000 times greater than those of the bottom 1% of emitters,¹ Furthermore, disparities in greenhouse gas emissions across income groups are considerable. CC amplifies extant socioeconomic and health inequities, and acts as a threat multiplier with a disproportionate impact on marginalized and vulnerable populations. Children, especially those experiencing structural discrimination, are disproportionately vulnerable. Over 85% of the burden of CC is borne by children under the age of 5 years. Children's immature physiology, greater time spent outdoors, increased exposure to air, food, water per unity body weight, and dependence on caregivers make them more vulnerable to the effects of CC.² Here, we frame climate mental health as a biopsychosociocultural problem within extant inequitable socioeconomic and health structures, and offer recommendations for clinicians.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468346","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":"Utilizing the Complex Racial Trauma Framework to Understand Trauma Symptoms in Racially Minoritized Youth.","authors":"Quentin Reynolds, Tre D Gissandaner, Laura Mufson, Cristiane S Duarte","doi":"10.1016/j.jaac.2025.02.004","DOIUrl":"10.1016/j.jaac.2025.02.004","url":null,"abstract":"<p><p>Traumatic experiences related to one's racial identity, common among Black, Indigenous, and People of Color (BIPOC) in the United States and other countries, have not been well conceptualized in relation to psychiatric disorders. In recent years, the definition of trauma exposure has evolved to go beyond a single exposure and to incorporate complex traumatic experiences into the conceptualization and treatment of mental illness. This change is reflected in the creation of clinical diagnoses such as complex posttraumatic stress disorder (C-PTSD) and the proposed developmental trauma disorder (DTD). This letter makes the argument that the complex racial trauma (CoRT) theoretical framework proposed by Cénat¹ provides solutions for expanding the conceptualization by marrying the notions of racial traumatic experiences and complex traumatic experiences. The CoRT framework offers a model that incorporates the effects of traumatic exposure on critical periods of psychosocial development and their accumulation throughout a lifetime, while also appreciating the social and cultural contexts that are crucial for understanding the experiences of BIPOC pediatric patients. This approach provides a novel structure to help minoritized youth counteract the mental health effects of systems of oppression by improving identification and treatment of mental health disorders and facilitating engagement from minoritized children and adolescents in mental health interventions.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408776","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":"Marian A. Swope, MD (1947-2024).","authors":"Jonathan J Shepherd, Catherine Martin","doi":"10.1016/j.jaac.2025.01.036","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.01.036","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531231","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: Making the Case of Universal Mental Health Screening in Schools.","authors":"J Corey Williams","doi":"10.1016/j.jaac.2025.01.035","DOIUrl":"10.1016/j.jaac.2025.01.035","url":null,"abstract":"<p><p>As the most common provider of child mental health services,¹ schools are well positioned to be the most powerful lever for improving the prevention and treatment of mental health disorders in children and adolescents. As one component of a comprehensive school-based mental health program (ie, also referred to as Multi-Tiered Systems of Support [MTSS]),² universal mental health screening can play several critical roles: identifying students in urgent need of attention, identifying at-risk students, monitoring the effects of school-wide interventions, as well as providing valuable psychoeducation to caregivers.³.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382663","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}