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

{"title":"Editorial Board Page","authors":"","doi":"10.1016/S0890-8567(25)00127-3","DOIUrl":"10.1016/S0890-8567(25)00127-3","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 6","pages":"Page A1"},"PeriodicalIF":9.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170370","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":"Child and Youth Artwork","authors":"","doi":"10.1016/S0890-8567(25)00130-3","DOIUrl":"10.1016/S0890-8567(25)00130-3","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 6","pages":"Page A6"},"PeriodicalIF":9.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170373","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)00128-5","DOIUrl":"10.1016/S0890-8567(25)00128-5","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 6","pages":"Page A2"},"PeriodicalIF":9.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170371","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":"Antidepressant Treatment Quality of Depressed Youth: A National Evaluation of Medicaid Patients.","authors":"Cynthia A Fontanella, J Madison Hyer, Danielle L Steelesmith, John V Campo, Mary A Fristad, Jeffrey A Bridge, Susan dosReis, Guy N Brock, Mark Olfson","doi":"10.1016/j.jaac.2025.05.011","DOIUrl":"10.1016/j.jaac.2025.05.011","url":null,"abstract":"<p><strong>Objective: </strong>To examine rates of adherence to antidepressant management quality measures among youth initiating treatment for depression, and to identify demographic, clinical, and county-level factors associated with adherence.</p><p><strong>Method: </strong>This retrospective cohort study used US national Medicaid data for youth 9 to 24 years of age who were prescribed antidepressants for a new episode of major depression from January 1, 2016, to February 28, 2019 (N = 196,364). Quality measures were derived from 3 Health Effectiveness Data and Information Set (HEDIS) quality measures: (1) acute phase, the percentage of youth who remained on antidepressants for 3 months; (2) continuation phase, the percentage of youth who remained on antidepressants for 6 months; and (3) follow-up contacts, the percentage of youth who received at least 3 follow-up visits during the acute phase. Robust Poisson regression examined associations between demographic, clinical, and county-level factors and adherence.</p><p><strong>Results: </strong>Approximately half (49.6%) of the youth were adherent to acute-phase medication management and 55.2% had at least 3 follow-up visits; only 26.5% met continuation phase metrics. Older age, minoritized racial/ethnic status, and substance use disorders were associated with lower adherence. In contrast, youth with chronic medical conditions, prior use of other psychotropic medications, or in foster care had higher adherence.</p><p><strong>Conclusion: </strong>A substantial proportion of youth with depression receiving antidepressant treatment do not receive care aligned with quality measures, with notable disparities among older youth and racial/ethnic minorities. Targeted quality improvement efforts are needed to close gaps in adherence and follow-up care, particularly for underserved populations, and to promote more consistent, equitable treatment delivery.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180980","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: Physical Activity and Depression in Youth: Insights From a Longitudinal Birth Cohort Study.","authors":"Rana Elmaghraby","doi":"10.1016/j.jaac.2025.05.012","DOIUrl":"10.1016/j.jaac.2025.05.012","url":null,"abstract":"<p><p>Since the COVID-19 pandemic, there has been an exponential rise in mental health crises among youth, particularly with depressive symptoms.¹ More than 1 in 5 children and adolescents worldwide experience depressive symptoms or meet criteria for major depressive disorder,² highlighting a critical public health challenge. Although physical activity has long been considered a protective factor against depression, most published research has relied on cross-sectional or short-term studies. This editorial will review and contextualize the recent study by Steinsbekk and colleagues,³ which provides crucial insights into the dynamic relationship between physical activity and depressive symptoms by leveraging objective measures and a longitudinal, within-person analytical approach from childhood through adolescence.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180072","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":"Unveiling Disparities: The Case for Group-Specific Analyses in Child Psychiatry.","authors":"Magdalena Janecka,Candice Medina,Nina Zaks,Khaoula Ben Messaoud,Vahe Khachadourian,Lisa A Croen","doi":"10.1016/j.jaac.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.05.009","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"22 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136660","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":"Children's Mental Health Research: Giving Our Nation's Children Our Very Best.","authors":"","doi":"10.1016/j.jaac.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.05.008","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"47 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130769","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: Addressing Treatment Inequities in Youth Bipolar Disorder: Key Considerations for Improving Youth Outcomes.","authors":"Danella M Hafeman,Rachel A Vaughn-Coaxum","doi":"10.1016/j.jaac.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.05.007","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"47 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144122030","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":"Investigating the Shared and Divergent Neuroanatomical Features of Attentional Deficits in Adolescents.","authors":"Mikaela A Rowe,Daniel R Leopold,Amy K Hegarty,Laurie E Cutting,Stephen A Petrill,Lee A Thompson,Erik G Willcutt,Marie T Banich","doi":"10.1016/j.jaac.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.05.006","url":null,"abstract":"OBJECTIVECognitive disengagement syndrome (CDS), formerly known as sluggish cognitive tempo, is characterized by hypo-activity or slowed behavior, mental fogginess or confusion, excessive sleepiness, and daydreaming. CDS and the predominantly inattentive (IN) presentation of attention-deficit/hyperactivity disorder (ADHD) are frequently co-occurring though separable constructs, each associated with unique constellations of functional impairments. The current study aims to identify their shared and divergent neurobiological correlates.METHODOne hundred eighty-one adolescents (Mage=13.9, SDage=2.2) were recruited from the Colorado Learning Disabilities Research Center twin study. Relationships between attentional symptom dimensions - CDS and IN - and brain volume were examined, controlling for age, sex, and average cortical volume. Procedures were repeated in an outside sample of 292 adolescents (Mage=16.8, SDage=1.4) using a 2-item measure of CDS.RESULTSHigher levels of CDS symptoms were associated with reduced volume within left ventral parietal, temporo-parietal and temporal regions, regions which fall within the ventral attention network. CDS and IN symptoms were significantly associated with gray matter volume in portions of the dorsal attention and default mode networks in opposite directions. Higher levels of CDS symptoms were associated with reduced volume in the left superior and inferior parietal lobules and left frontal portions of the default mode network, whereas IN symptoms were positively correlated with volume in these areas. Several findings were consistent in the outside sample.CONCLUSIONResults from the current study provide novel insights into the neurobiological basis of CDS. They suggest that both CDS and IN symptoms are associated with alterations in brain systems that exert top-down attentional control, though likely for differing reasons. The current study enhances understanding of adolescent attentional deficits.","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"45 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144114267","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":"Reflections: Demystifying Hope for Children With Traumatic Brain Injury.","authors":"Brason Lee","doi":"10.1016/j.jaac.2025.05.004","DOIUrl":"https://doi.org/10.1016/j.jaac.2025.05.004","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"54 1","pages":""},"PeriodicalIF":13.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087491","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}