Journal of Child Psychology and Psychiatry最新文献

{"title":"Editorial: Sleep privilege – research and clinical recommendations for when sleep cannot be optimal","authors":"Alice M. Gregory, Allison G. Harvey, Roz Shafran","doi":"10.1111/jcpp.70000","DOIUrl":"https://doi.org/10.1111/jcpp.70000","url":null,"abstract":"Sleep has historically been undervalued, with its significance in public health and child development often disregarded. More recently, there has been immense and growing public interest in sleep. Guidelines emphasise the amount and quality of sleep that we should obtain. However, some people, and notably parents and caregivers of children and youth, and particularly those with special needs, are not able to achieve this and are becoming distressed and worried. Whereas some people have ‘sleep privilege’ in that they are able to sleep under optimal circumstances and conditions, others do not. Here we offer six research and clinical recommendations for this important yet underconsidered area.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"8 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515202","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":"Mother-preschooler RSA synchrony and self-regulation as antecedents of developmental psychopathology in early childhood.","authors":"Longfeng Li,Sara Such,Erika Lunkenheimer","doi":"10.1111/jcpp.70001","DOIUrl":"https://doi.org/10.1111/jcpp.70001","url":null,"abstract":"BACKGROUNDWe examined whether mother-preschooler respiratory sinus arrhythmia (RSA) synchrony and self-regulation, as potential biological antecedents of developmental psychopathology, interacted to shape children's later behavior problems directly and indirectly via harsh parenting.METHODSMother-preschooler dyads (N = 135; 53% female) were oversampled for familial risk. Mother-rated harsh parenting and child behavior problems at ages 3 and 4 years were modeled as latent change scores across ages. Age 3 mother-child RSA synchrony was estimated with multilevel modeling as the concurrent effects of maternal RSA on child RSA during a challenging parent-child task. Age 3 child and maternal RSA self-regulation were measured as mean RSA during a resting task.RESULTSMore positive RSA synchrony with children with stronger individual RSA self-regulation predicted greater decreases in harsh parenting. In contrast, more positive RSA synchrony with children with weaker RSA self-regulation predicted greater increases in harsh parenting. In turn, greater increases in harsh parenting were related to greater increases in children's externalizing problems.CONCLUSIONSThis study illustrates that individual differences in RSA self-regulation influence how parent-child RSA synchrony shapes developmental psychopathology over time and adds to prior research showing that parent-child coregulation patterns may be adaptive or maladaptive depending on the protective or risk-related qualities of the corresponding persons or context.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"21 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144488307","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":"Research Review: Are sampling biases masking long-term effects of hormonal contraceptive use in adolescence on risk for depression?","authors":"Frances S Chen,Bita Zareian,Marisa A Nelson,Nina Edwards,Christine Anderl","doi":"10.1111/jcpp.14180","DOIUrl":"https://doi.org/10.1111/jcpp.14180","url":null,"abstract":"BACKGROUNDGrowing evidence suggests that the use of hormonal contraceptives (HCs) during adolescence may be linked to an increased risk for depression. This review examines major inconsistencies that have been reported regarding this relationship, and in particular, how the common practice of combining 'never users' and 'former users' of HCs in analyses obscures patterns that are detectable when these groups are analyzed separately.METHODSA review was conducted of research examining the relationship between HC use and depression to determine what data-analytic choices were commonly made by individual researchers. Specifically, we assessed whether the past history of HC use had been accounted for in each reported analysis.RESULTSThe majority of papers published between 2013 and 2022 did not account for the former use of HCs. These papers reported mixed findings regarding the relationship between HC use and depression. In contrast, the subset of papers that did account for former use of HCs, or otherwise explicitly addressed common biases affecting the interpretation of observational data, revealed a more consistent relationship between HC use and depression, particularly for those who began using HCs during adolescence.CONCLUSIONWe conclude that there is consistent evidence of a relationship between adolescent HC use and long-term risk for depression and offer several recommendations to help ensure that future work in this area will yield consistent, interpretable findings. Although this paper focuses primarily on HCs and depression, many of the analytical approaches and recommendations outlined within it are also relevant to research on the side effects of other drugs and medications.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"44 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328677","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":"Correction to 'Health, behavior, and social outcomes among offspring of parents with criminal convictions: a register-based study from Sweden'.","authors":"","doi":"10.1111/jcpp.14183","DOIUrl":"https://doi.org/10.1111/jcpp.14183","url":null,"abstract":"","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"14 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311584","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":"Impact of a Pediatric Mental Health Crisis Service in the emergency department on hospital resource utilization: an interrupted time series analysis.","authors":"Vineet Padmanabhan,Cayla A Bellagarda,Laura Dondzilo,Sarah MacDonald,Alexander Hegarty,Michelle Morris,Zamia Pedro","doi":"10.1111/jcpp.14182","DOIUrl":"https://doi.org/10.1111/jcpp.14182","url":null,"abstract":"BACKGROUNDLengthening waitlists, reduced outpatient care availability, and increased numbers of children experiencing mental health (MH) crises have strained emergency departments (EDs). EDs facilitate access to immediate intervention and triage to acute services but are often underresourced and undertrained to manage the unique needs of mental health crises. The combination of demand, complexity, and resources required encouraged the development of specialized mental health crisis services. In 2021, CAMHS Crisis Connect (CCC) was established at Perth Children's Hospital and aims to improve patient flow, reduce hospital resource utilization, and improve the experience of children experiencing crises.METHODSThe aim of the current study is to examine a pediatric crisis intervention service in a West Australian context. We implement interrupted time series analyses (ITS), a quasi-experimental statistical methodology allowing us to make causal interpretations of CCC impact on hospital resource utilization.RESULTSThe key effect here is the substantial reduction in presentations and re-presentations to ED and inpatient wards that are sustained across the long term and directly attributable to CCC. However, there is an increasing length of stay in ED and the very small and potentially not clinically meaningful reduction in inpatient bed occupancy, which requires further investigation.CONCLUSIONSOur results support specialized, multi-faceted crisis care programs in ED to ensure accessibility of acute, intensive care for those with severe and complex needs, supporting the journey for children who may be more effectively managed in community and outpatient settings.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"15 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144320202","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":"Predictors of Environmental Sensitivity in Syrian refugee children.","authors":"Andrew K May, Demelza Smeeth, Fiona McEwen, Elie Karam, Michael Pluess","doi":"10.1111/jcpp.14178","DOIUrl":"https://doi.org/10.1111/jcpp.14178","url":null,"abstract":"<p><strong>Background: </strong>Although more prone to psychopathology on average, refugee children differ in their response to adversity. Growing evidence attributes some of these individual differences to varying levels of Environmental Sensitivity - the extent to which children perceive and process contextual influences. However, there is limited knowledge of how Environmental Sensitivity is developmentally influenced, particularly in the refugee setting.</p><p><strong>Methods: </strong>Here, we investigated whether individual-, family- and community-level predictors (psychosocial and genetic) were associated with self-reported Environmental Sensitivity and its subscales (measured using the 12-item Highly Sensitive Child Scale). Participants were a subsample (n = 1,409) from a cohort of Syrian refugee children and their biological mothers, recruited from informal tented settlements in Lebanon. Multivariate adaptive regression spline models were fitted to identify the best selection from over 40 available predictors.</p><p><strong>Results: </strong>Twelve predictors of Environmental Sensitivity emerged, with the five most commonly selected being maternal behavioural control, human insecurity, positive home experiences, maternal anxiety and child-reported child abuse, the latter three of which were also suggested to predict changes in sensitivity over a 12-month period. Some predictors such as maternal PTSD, war exposure and bullying showed a non-linear, V-shape relationship with sensitivity. All effect sizes, however, were small.</p><p><strong>Conclusions: </strong>Our findings suggest that both highly supportive and highly adverse contextual factors associate with greater childhood Environmental Sensitivity, in line with current theorising. Despite previous suggestive evidence, we did not find that polygenic scores for autism and attention deficit hyperactivity disorder predicted sensitivity. Further research into predictors of Environmental Sensitivity is encouraged, as this may help with improved assessment of the trait in children.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256922","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":"Predictive and incremental validity of adolescent callous-unemotional traits: longitudinal prediction of antisocial and social outcomes in early adulthood.","authors":"Erin P Vaughan, Paul J Frick, James V Ray, Laura C Thornton, Tina D Wall Myers, Emily L Robertson, Toni M Walker, Laurence Steinberg, Elizabeth Cauffman","doi":"10.1111/jcpp.14181","DOIUrl":"https://doi.org/10.1111/jcpp.14181","url":null,"abstract":"<p><strong>Background: </strong>Callous-unemotional (CU) traits were recently added as a diagnostic specifier for disruptive behavior disorders, largely due to their prognostic utility. However, past longitudinal research has yielded mixed results when investigating associations between CU traits and long-term outcomes, particularly when controlling for the individual's level of antisocial behavior.</p><p><strong>Methods: </strong>The current study investigated the longitudinal predictive utility of CU traits in a sample of 1,216 adolescents involved in the juvenile justice system who were followed for 7 years after their first arrest. Growth models of CU traits throughout adolescence were used to predict a variety of young adult outcomes (e.g., aggression, financially-motivated crime, and social impairment) while controlling for the trajectory of antisocial behavior throughout adolescence.</p><p><strong>Results: </strong>Results indicated that adolescent CU traits predicted a variety of antisocial and social outcomes. While several of these associations were no longer significant after accounting for antisocial behavior, CU traits incrementally predicted several early adulthood outcomes (e.g., more arrests, greater aggression, lower quality relationships with friends and romantic partners) when controlling for both the level and degree of change in antisocial behavior.</p><p><strong>Conclusions: </strong>Results support that CU traits are clinically useful when identifying risk for problematic outcomes and highlight the need for effective intervention for youth with elevated CU traits.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256921","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":"Dynamics of depression symptoms in adolescents during three types of psychotherapy and post-treatment follow-up.","authors":"Madison Aitken, Sharon A S Neufeld, Clement Ma, Ian M Goodyer","doi":"10.1111/jcpp.14175","DOIUrl":"https://doi.org/10.1111/jcpp.14175","url":null,"abstract":"<p><strong>Background: </strong>According to the network theory of mental disorders, psychopathology emerges from symptoms that causally influence one another and create interconnections and feedback loops that maintain atypical mental states. Analysis of symptom networks during and following psychotherapy may provide clues to some of the mechanisms through which change occurs. Youth with depression are an important population in which to better understand psychotherapy mechanisms because current evidence-based interventions for this population show only modest effects.</p><p><strong>Methods: </strong>Participants were adolescents with major depressive disorder (N = 465; ages 11-17; 75% female) in a randomized controlled trial comparing cognitive behavioral therapy, short-term psychoanalytical psychotherapy, and brief psychosocial intervention (IMPACT, ISRCTN83033550). Eleven self-reported depression symptoms were used to compute two longitudinal networks: (1) treatment phase, using baseline, 6 and 12 weeks data; and (2) follow-up phase, using 36, 52, and 86 weeks data.</p><p><strong>Results: </strong>During the treatment phase, all depression symptoms were interconnected. Symptoms of insomnia and fatigue showed the highest outstrength centrality (ability to predict other symptoms over time). In contrast, few symptoms were interconnected during the post-treatment phase except worthlessness, which had the highest outstrength centrality. Allowing network parameters to differ across the three treatment types improved model fit during the treatment phase and revealed that symptoms with the highest outstrength centrality varied by treatment type.</p><p><strong>Conclusions: </strong>Individual symptoms may make key contributions to subsequent depressive psychopathology in adolescents. Longitudinal network analysis reveals that insomnia and fatigue predict other symptoms, allowing for consideration of specific mechanisms associated with depression treatment. The findings further suggest that negative cognitions about the self may emerge as a central putative cognitive vulnerability in those with a history of depression. Our exploratory findings also suggest that the three therapies (cognitive behavioral therapy, short-term psychoanalytical psychotherapy, and brief psychosocial intervention) may have achieved equifinality in part through different mechanisms.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256920","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":"Research Review: Conceptualizing and measuring ‘problem behavior’ in early intervention autism research – a project AIM secondary systematic review","authors":"Kristen Bottema‐Beutel, Ruoxi Guo, Jessica Hinson‐Wiliams, Yueyang Shen, Shannon LaPoint, Tiffany Woynaroski, Micheal Sandbank","doi":"10.1111/jcpp.14177","DOIUrl":"https://doi.org/10.1111/jcpp.14177","url":null,"abstract":"BackgroundSome autistic children exhibit behavior that caregivers, clinicians, and researchers consider problematic. However, there is little consensus about the types of behaviors that should be treated as a problem and reduced via intervention. In autism intervention research, problem behaviors range from inherently harmful behaviors such as aggression and self‐injury to nonnormative but not harmful behaviors associated with autism such as repetitive movements. Likewise, there are a variety of conceptualizations and measurement practices used to assess these behaviors.MethodsIn this secondary systematic review of group‐design, nonpharmacological intervention studies for autistic children up to age eight, we explore researchers' conceptualizations of problem behavior and measurement systems to assess problem behavior. We defined problem behavior as any outcome where behaviors were targeted for reduction or elimination. A coding scheme was applied to 102 studies that met inclusion criteria for the secondary review. All studies were double coded by two independent coders.ResultsSixty‐two percent of studies described reducing behavior as a primary or secondary purpose of the study and/or intervention, 33% gave a rationale for targeting behaviors for reduction, and 28% offered a conceptualization of the behavior(s) they targeted. Only 8% offered a conceptual definition. The most common measures were ‘off‐the‐shelf’ measures that had undergone at least some previous validation beyond interrater reliability and that involved parent reports. For the 10 most common assessment measures, two were validated along six different validation dimensions in autistic populations. All but one full scale or subscale measured behaviors that were nonnormative but not inherently harmful, or a mix of behaviors that were inherently harmful and that were nonnormative but not inherently harmful.ConclusionsIntervention researchers should provide clear definitions and rationales for targeting behaviors for reduction via intervention and should develop refined measurement tools for assessing these behaviors in collaboration with the autistic community.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"13 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192926","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":"Gaze behavior, facial emotion processing, and neural underpinnings: A comparison of adolescents with autism spectrum disorder and conduct disorder.","authors":"Antonia Tkalcec,Alessandro Baldassarri,Alex Junghans,Vithusan Somasundaram,Willeke M Menks,Lynn V Fehlbaum,Réka Borbàs,Nora Raschle,Gudrun Seeger-Schneider,Bettina Jenny,Susanne Walitza,David M Cole,Philipp Sterzer,Francesco Santini,Evelyn Herbrecht,Ana Cubillo,Christina Stadler","doi":"10.1111/jcpp.14172","DOIUrl":"https://doi.org/10.1111/jcpp.14172","url":null,"abstract":"BACKGROUNDFacial emotion processing deficits and atypical eye gaze are often described in individuals with autism spectrum disorder (ASD) and those with conduct disorder (CD) and high callous unemotional (CU) traits. Yet, the underlying neural mechanisms of these deficits are still unclear. The aim of this study was to investigate if eye gaze can partially account for the differences in brain activation in youth with ASD, with CD, and typically developing youth (TD).METHODSIn total, 105 adolescent participants (NCD = 39, NASD = 27, NTD = 39; mean age = 15.59 years) underwent a brain functional imaging session including eye tracking during an implicit emotion processing task while parents/caregivers completed questionnaires. Group differences in gaze behavior (number of fixations to the eye and mouth regions) for different facial expressions (neutral, fearful, angry) presented in the task were investigated using Bayesian analyses. Full-factorial models were used to investigate group differences in brain activation with and without including gaze behavior parameters and focusing on brain regions underlying facial emotion processing (insula, amygdala, and medial prefrontal cortex).RESULTSYouth with ASD showed increased fixations on the mouth compared to TD and CD groups. CD participants with high CU traits tended to show fewer fixations to the eye region compared to TD for all emotions. Brain imaging results show higher right anterior insula activation in the ASD compared with the CD group when angry faces were presented. The inclusion of gaze behavior parameters in the model reduced the size of that cluster.CONCLUSIONSDifferences in insula activation may be partially explained by gaze behavior. This implies an important role of gaze behavior in facial emotion processing, which should be considered for future brain imaging studies. In addition, our results suggest that targeting gaze behavior in interventions might be potentially beneficial for disorders showing impairments associated with the processing of emotional faces. The relation between eye gaze, CU traits, and neural function in different diagnoses needs further clarification in larger samples.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"83 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146039","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}