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

{"title":"Transdermal Asenapine for Agitation and Irritability in a Child With Complete Intravenous Dependence","authors":"Julia N. Stimpfl MD , Katherine C. Soe MD","doi":"10.1016/j.jaac.2024.07.913","DOIUrl":"10.1016/j.jaac.2024.07.913","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 89-91"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878948","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: Interpersonal Racial–Ethnic Discrimination and Psychopathology in the ABCD Cohort","authors":"Kara S. Bagot MD","doi":"10.1016/j.jaac.2024.08.002","DOIUrl":"10.1016/j.jaac.2024.08.002","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 114-116"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995960","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: Paternal Anxiety and Children’s Anxiety and Related Symptoms: An Overlooked Risk Factor","authors":"Jeffrey R. Strawn MD , Tara S. Peris PhD","doi":"10.1016/j.jaac.2024.10.004","DOIUrl":"10.1016/j.jaac.2024.10.004","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 108-110"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142431100","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: Paternal Anxiety and the Emotional and Behavioral Outcomes in Their Offspring","authors":"Francesca Zecchinato MSc , Yasmin I. Ahmadzadeh PhD , Jana M. Kreppner PhD , Peter J. Lawrence PhD","doi":"10.1016/j.jaac.2024.04.005","DOIUrl":"10.1016/j.jaac.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><div>Anxiety disorders are highly prevalent worldwide; however, the literature lacks a meta-analytic quantification of the risk posed by fathers’ anxiety for offspring development. This systematic review and meta-analysis aimed to provide a comprehensive estimate of the magnitude of the association between paternal anxiety and emotional and behavioral problems of offspring.</div></div><div><h3>Method</h3><div>In February 2022, Web of Science, Ovid (Embase, MEDLINE, PsycINFO), Trip Database, and ProQuest were searched to identify all quantitative studies that measured anxiety in fathers and emotional and/or behavioral outcomes in offspring. No limits were set for offspring age, publication language, or publication year. Summary estimates were extracted from the primary studies. Meta-analytic random-effects 3-level models were used to calculate correlation coefficients. Quality was assessed using the Newcastle-Ottawa Scale. The study protocol was preregistered with PROSPERO (CRD42022311501) and adhered to PRISMA reporting guidelines.</div></div><div><h3>Results</h3><div>Of 11,746 records identified, 98 were included in the meta-analysis. Small but significant associations were found between paternal anxiety and offspring emotional and behavioral problems overall (<em>r</em> = 0.16, 95% CI [0.13, 0.19]) and behavioral (<em>r</em> = 0.19, 95% CI [0.13, 0.24]), emotional (<em>r</em> = 0.15, 95% CI [0.12, 0.18]), anxiety (<em>r</em> = 0.13, 95% CI [0.11, 0.16]), and depression (<em>r</em> = 0.13, 95% CI [0.03, 0.23]) problems. Some significant moderators were identified.</div></div><div><h3>Conclusion</h3><div>Paternal mental health is associated with offspring development, and the offspring of fathers with anxiety symptoms or disorders are at increased risk of negative emotional and behavioral outcomes, in line with the principles of multifinality and pleiotropy. The substantial heterogeneity among studies and the overrepresentation of White European American groups in this literature highlight the need for further research.</div></div><div><h3>Plain language summary</h3><div>In this meta-analysis of 98 studies and ∼55,000 unique participants, the authors examined the associations between fathers’ anxiety and offspring mental health difficulties. The study found small but significant associations between paternal anxiety and offspring emotional and behavioral problems (Pearson r ranging between .13 and .19). Findings from the study highlight the importance of paternal mental health in offspring development, with paternal anxiety associated with a generalized offspring vulnerability to psychopathology. The results of the study are limited by the heterogeneity among studies and overrepresentation of White European American groups highlighting the need for further research.</div></div><div><h3>Clinical guidance</h3><div><ul><li><span>•</span><span><div>Clinicians should take into account fathers’ anxiety when treating children with","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 172-197"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866567","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":"Task–Rest Reconfiguration Efficiency of the Reward Network Across Adolescence and Its Association With Early Life Stress and Depressive Symptoms","authors":"Yoonji Lee PhD Candidate , Justin P. Yuan PhD Candidate , Anderson M. Winkler MD, DPhil , Katharina Kircanski PhD , Daniel S. Pine MD , Ian H. Gotlib PhD","doi":"10.1016/j.jaac.2024.04.018","DOIUrl":"10.1016/j.jaac.2024.04.018","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescents face significant changes in many domains of their daily lives that require them to flexibly adapt to changing environmental demands. To shift efficiently among various goals, adolescents must reconfigure their brains, disengaging from previous tasks and engaging in new activities.</div></div><div><h3>Method</h3><div>To examine this reconfiguration, we obtained resting-state and task-based functional magnetic resonance imaging (fMRI) scans in a community sample of 164 youths. We assessed the similarity of functional connectivity (FC) of the reward network between resting state and a reward-processing state, indexing the degree of reward network reconfiguration required to meet task demands. Given research documenting relations among reward network function, early life stress (ELS), and adolescent depression, we examined the association of reconfiguration efficiency with age across adolescence, the moderating effect of ELS on this association, and the relation between reconfiguration efficiency and depressive symptoms.</div></div><div><h3>Results</h3><div>We found that older adolescents showed greater reconfiguration efficiency than younger adolescents and, furthermore, that this age-related association was moderated by the experience of ELS.</div></div><div><h3>Conclusion</h3><div>These findings suggest that reconfiguration efficiency of the reward network increases over adolescence, a developmental pattern that is attenuated in adolescents exposed to severe ELS. In addition, even after controlling for the effects of age and exposure to ELS, adolescents with higher levels of depressive symptoms exhibited greater reconfiguration efficiency, suggesting that they have brain states at rest that are more strongly optimized for reward processing than do asymptomatic youth.</div></div><div><h3>Plain language summary</h3><div>Adolescents face significant changes in many domains of their lives which requires them to flexibly adapt and reconfigure their brains to disengage from previous tasks and engage in new activities. In this study of a sample of 164 youth aged 9 to 20, the authors found an age-related increase in the reconfiguration efficiency of the reward network, which was pronounced in older adolescents exposed to severe early life stress. In addition, the study findings indicate that adolescents with higher levels of depressive symptoms showed greater reconfiguration efficiency, suggesting that their brains may be more optimized for processing rewards even at rest compared to their peers without any symptoms.</div></div><div><h3>Diversity & Inclusion Statement</h3><div>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. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a m","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 290-300"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327567","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: Patient-Reported Outcome Measures in Child and Adolescent Psychiatry and Related Care","authors":"Theodore A. Petti MD, MPH , Boris Lorberg MD, MBA , Raman Baweja MD, MS","doi":"10.1016/j.jaac.2024.11.006","DOIUrl":"10.1016/j.jaac.2024.11.006","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 111-113"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643798","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":"Bright Kids Who Couldn’t Care Less: How to Rekindle Your Child’s Motivation","authors":"Shweta Vadlamani MD, Mohsin Khan MD","doi":"10.1016/j.jaac.2024.11.011","DOIUrl":"10.1016/j.jaac.2024.11.011","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 303-304"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696323","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: Grappling With the Relationships of Attention-Deficit/Hyperactivity Disorder and Obesity.","authors":"L Eugene Arnold","doi":"10.1016/j.jaac.2025.01.027","DOIUrl":"10.1016/j.jaac.2025.01.027","url":null,"abstract":"<p><p>In this issue of the Journal, Reed and colleagues¹ explore the intersection of 2 important public health problems: overweight/obesity and attention-deficit/ hyperactivity disorder (ADHD), both having a high population prevalence and tending to start in childhood. They analyzed data cross-sectionally and longitudinally from a UK birth cohort of 7,908 youth, including 442 with ADHD by either actual diagnosis or parent-rated threshold score. This epidemiologic ADHD prevalence was comparable to those in other countries, although the actual diagnosis rate was lower. They added a cross-lagged longitudinal perspective to previous reports showing a small association of obesity with ADHD, especially in adults. Their clinically important findings include the following. (1) Both disorders are associated with slightly lower birth weight, presumably reflecting a generally less favorable gestation. (2) The shift from underweight to overweight for those with ADHD occurred in preschool years, at 3 to 5 years of age. (3) ADHD symptom severity predicted overweight: for girls, \"higher ADHD symptoms at ages 7, 11, and 14 predicted higher body mass index (BMI) at 11, 14, and 17, respectively.\" For boys, higher ADHD symptoms at age 11 predicted higher BMI at 14 years. (4) Girls had earlier onset of obesity/overweight (not necessarily a higher rate than boys with ADHD). These have numerous clinical and research implications cutting across many areas of inquiry.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080487","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: When the Kids at School Look Like Me: Who Benefits and in What Ways?","authors":"Gail A Edelsohn","doi":"10.1016/j.jaac.2025.01.023","DOIUrl":"10.1016/j.jaac.2025.01.023","url":null,"abstract":"<p><p>Farid and Dunham's 1939 classic psychiatric epidemiologic study of schizophrenia and psychosis in Chicago found that overall White individuals generally had lower psychiatric admission rates for psychosis than Black individuals; however, that was not the case for primarily Black areas in the city.¹ In these areas, White individuals had remarkably high admission rates and Black individuals had unusually low rates. A review of 20th century studies also found an association between ethnic density and rates of schizophrenia, and proposed reduced exposure to prejudice and increased social support as underlying mechanisms.² The ethnic density hypothesis puts forward that racial/ethnic minority groups have better mental health in spaces with relatively more individuals who share the same racial or ethnic background. A contemporary study found that ethnoracial minoritized youth at clinical high risk for psychosis who grew up in neighborhoods with high ethnic congruence had a higher likelihood of remission at the 2-year follow up.³.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080497","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: Cross-Cultural Assessment: Concepts, Methods, and Application.","authors":"Andres J Pumariega","doi":"10.1016/j.jaac.2025.01.021","DOIUrl":"10.1016/j.jaac.2025.01.021","url":null,"abstract":"<p><p>Our field has increasingly recognized the importance of culture in the process of clinical care of children, youth, and their families. This includes accounting for the role of cultural and linguistic differences in clinical assessment. The AACAP Practice Parameter for Cultural Competence in Child and Adolescent Psychiatric Practice recommends in Principle 4 that clinicians \"should apply knowledge of cultural differences in developmental progression, idiomatic expressions of distress, or symptomatic presentation for different disorders to the clinical formulation and diagnosis.\"¹^(p1105) In the DSM-5-TR outline for Cultural Formulation, the American Psychiatric Association² recommends that clinicians consider the patient's cultural conceptualization of illness (ie, the influence of cultural beliefs on experience, expression of symptoms, including cultural syndromes and idioms of distress, explanatory models of illness, emotional norms, perceived severity, meaning of distressing experiences, and methods of coping). These factors need to be addressed not only in clinical assessment, but also in the construction, selection, and application of systematic assessment tools. These factors are additionally important in any cross-national or cross-cultural study of psychopathology. However, they are rarely adequately addressed in most large-scale studies of psychopathology or treatment outcome.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080477","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}