Journal of Child Psychology and Psychiatry最新文献

{"title":"Do psychological interventions in childhood and adolescence prevent later mental illness? A commentary on Vassard et al. (2026)","authors":"Ian Kelleher","doi":"10.1111/jcpp.70206","DOIUrl":"https://doi.org/10.1111/jcpp.70206","url":null,"abstract":"Early intervention in youth mental health has long been assumed to confer long‐term benefits, altering developmental trajectories and reducing risk of later mental disorders. The 3‐year follow‐up of the Mind My Mind (MMM) trial challenges these assumptions. The MMM transdiagnostic cognitive behavioural therapy (CBT) intervention led to clinically meaningful improvements at the end of treatment and at short‐term follow‐up. Its superiority over management as usual, however, was not sustained at 3 years, and rates of subsequent specialist psychiatric diagnosis did not differ between the MMM and control groups. These findings highlight that effective psychological intervention in youth does not necessarily alter longer‐term mental health trajectories. Prevention science in youth mental health must move beyond equating early treatment with durable change and instead clarify the mechanisms and targets required to alter developmental trajectories toward serious mental illness.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"27 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148596287","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 study of indirect genetic effects reveals the nature of the home environment - a commentary on Mathias Valstad et al. (2026).","authors":"Conor V Dolan, Alexandra Starr","doi":"10.1111/jcpp.70208","DOIUrl":"https://doi.org/10.1111/jcpp.70208","url":null,"abstract":"<p><p>Valstad et al. (2026) presented important methodological advances in the study of indirect genetic effects in developmental psychology and psychiatry. By combining genetically informative family designs with measured genetic data, they addressed how sibling interaction and genetic nurture may contribute to developmental outcomes such as attention-deficit/hyperactivity disorder (ADHD) and educational performance. Their work highlights the importance of disentangling direct genetic effects from indirect genetic effects that arise through family relationships and shared environments. We discuss the conceptual implications of these processes for developmental psychology and psychopathology, and emphasize the interpretational challenges associated with correlated genetic and environmental influences. We note that heterogeneity in developmental processes may complicate statistical modeling approaches designed to estimate indirect genetic effects.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148617603","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":"Emotional problems and dysregulation in children/youth with ADHD : predictive and moderating effects in a randomized controlled trial of methylphenidate and neurofeedback","authors":"Amelie Bohner, Hilario Blasco‐Fontecilla, Tomas Ros, Eric Acquaviva, Yohan Attal, Tobias Banaschewski, Sarah Baumeister, Elisa Bousquet, Aurore Bussalb, Marie Delhaye, Richard Delorme, Renate Drechsler, Allison Goujon, Alexander Häge, Louis Mayaud, Konstantin Mechler, Caroline Menache, Olivier Revol, Friederike Tagwerker, Susanne Walitza, Anna Maria Werling, Stéphanie Bioulac, Daniel Brandeis, Diane Purper‐Ouakil, Anna Kaiser","doi":"10.1111/jcpp.70205","DOIUrl":"https://doi.org/10.1111/jcpp.70205","url":null,"abstract":"Background Children and adolescents with Attention‐Deficit/Hyperactivity Disorder (ADHD) often show increased emotional dysregulation (ED) and internalizing emotional problems (iEP). However, the predictive and moderating role of these emotional difficulties in the treatment of ADHD—particularly regarding pharmacological (methylphenidate, MPH) and non‐pharmacological approaches (neurofeedback at home, NF@home)—remains understudied. This study aims to evaluate the effectiveness of MPH and NF@home in reducing iEP/ED in children with ADHD and to assess the predictive role of iEP/ED and neuropsychological executive function (EF) measures in treatment outcomes. Methods The per‐protocol sample included 146 children (7–13 years) diagnosed with ADHD (inattentive or combined type). iEP was measured with the Strengths and Difficulties Questionnaire (SDQ), ED via a dysregulation profile, and EF using the BRIEF and Continuous Performance Test (CPT). ADHD symptoms were assessed using the ADHD Rating Scale IV. Participants were randomized to either the MPH group ( <jats:italic>n</jats:italic> = 59) or the NF group ( <jats:italic>n</jats:italic> = 87), which included NF <jats:sub>SMR</jats:sub> ( <jats:italic>n</jats:italic> = 72) and NF <jats:sub>TBR</jats:sub> ( <jats:italic>n</jats:italic> = 15), based on individual Theta/Beta‐Ratio (TBR). Mixed‐model analyses considered symptom severity at baseline, age, gender, IQ, and study center as covariates. Results All intervention groups showed significant changes in iEP, but with different effects regarding parent (NF <jats:sub>SMR</jats:sub> : <jats:italic>d</jats:italic> = −0.396, 95% CI [−0.574, −0.217]; NF <jats:sub>TBR</jats:sub> : <jats:italic>d</jats:italic> = −0.367, 95% CI [−0.747, 0.013]; MPH: <jats:italic>d</jats:italic> = −0.409, 95% CI [−0.603, −0.215]) and teacher ratings (NF <jats:sub>SMR</jats:sub> : <jats:italic>d</jats:italic> = −0.211, 95% CI [−0.405, −0.017]; NF <jats:sub>TBR</jats:sub> : <jats:italic>d</jats:italic> = −0.639, 95% CI [−1.06, −0.222]; MPH: <jats:italic>d</jats:italic> = −0.142, 95% CI [−0.340, 0.056]). There was no between‐intervention effect, supported by non‐inferiority analyses. For ED, we also found significant effects for all interventions; however, significantly more pronounced effects were obtained for MPH. Moreover, both prediction models indicated a limited predictive value. Conclusions The findings suggest non‐inferiority of NF versus MPH treating iEP within an ADHD sample. However, due to limited predictive value, no clear clinical guidance can yet be drawn regarding personalized treatment recommendations. Further studies are needed to confirm and extend these findings.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"24 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148595582","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":"Avoidance habit learning after recovery from anorexia nervosa: An fMRI study","authors":"Clara M. Breier, Julius Hennig, Joseph A. King, Daniel Geisler, Arne Doose, Ilka Boehm, Maria Seidel, Tung Anh Nguyen, Katharina Zwosta, Veit Roessner, Uta Wolfensteller, Hannes Ruge, Stefan Ehrlich","doi":"10.1111/jcpp.70204","DOIUrl":"https://doi.org/10.1111/jcpp.70204","url":null,"abstract":"Background Anorexia Nervosa (AN) has been linked to altered self‐regulatory control processes and maladaptive habitual avoidance behavior. Both goal‐directed and habit systems may be relevant to AN, in which restrictive eating behavior can appear highly deliberate and increasingly automatic over time. A previous fMRI study identified behavioral and neural markers hinting at heightened self‐regulatory control (‘overcontrol’) during an avoidance habit task in acutely underweight adolescents and young women with AN. Extending this research to recovered individuals with a history of AN (recAN), we aimed to clarify whether these findings persist and can be seen as trait vulnerabilities. Methods A sample of 40 recAN and 40 pairwise age‐matched healthy control (HC) participants carried out a three‐phase experimental paradigm including (1) training of goal‐directed response‐outcome behavior, (2) training of avoidance stimulus–response pairings, and (3) a test of habitual response interference. Our fMRI analysis strategy focused on capturing training‐related changes in neural activity related to reinforcement learning processes. Results Analyses of main effects of task confirmed expected behavioral and fMRI results. However, unlike previous findings of greater activation in frontoparietal control regions in young acutely underweight patients with AN during the establishment of avoidance behavior and of higher task performance, all behavioral task measures, region‐of‐interest fMRI, and follow‐up whole‐brain analyses yielded no group differences between recAN and HC. Conclusions Our findings of intact avoidance habit learning after recovery from AN suggest that correlates of overcontrol previously observed in acutely underweight individuals with AN may reflect state‐dependent rather than persistent trait markers of the disorder.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"251 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148459323","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":"Cognitive reappraisal modulates neural responses to aversive sensory stimulation in autistic youth","authors":"Urvi T. Shah, Karrin Evans, Megan Banchik, Apurva Chaturvedi, Sapna Ramappa, Katie Wong, Jennifer A. Silvers, Shulamite A. Green","doi":"10.1111/jcpp.70202","DOIUrl":"https://doi.org/10.1111/jcpp.70202","url":null,"abstract":"Background Sensory over‐responsivity (SOR) is highly prevalent and impairing in autism spectrum disorder (ASD). SOR has been associated with sensory‐limbic hyperresponsivity and reduced prefrontal top‐down regulation during sensory stimulation. There are few evidence‐based treatments for SOR, but cognitive reappraisal, an emotion regulation strategy, has been shown to reduce negative feelings through activation of frontal brain regions. The current study examined whether reappraisal changes neural reactivity to aversive sensory stimulation in autistic compared to typically developing (TD) children. Methods Forty‐seven ASD and 45 age/IQ‐matched TD youth aged 8–15 years participated in fMRI while experiencing aversive tactile stimulation on their arm and alternately focused either on how the stimulus made them feel (‘React’), or how they would describe the stimuli objectively (‘Reappraise’). Aversiveness ratings were provided after each stimulus. Parents reported on participants' SOR severity. Results Autistic youth showed reduced activation in sensory cortical regions during Reappraisal compared to React. Reappraisal also resulted in increased dorsomedial prefrontal cortex activation, with a trend toward more increases in the TD group but no significant group differences. Despite these reappraisal‐related neural changes across both groups, only TD youth showed a reduction in aversiveness ratings for Reappraisal compared to React. Among ASD youth, higher SOR was associated with fewer decreases in sensory cortices but greater increases in frontal regions during Reappraisal compared to React. Older ASD youth also showed increased activity in the ventral prefrontal cortex during Reappraisal. Conclusions Results suggest that cognitive reappraisal modulates neural responses during sensory processing and, more specifically, may reduce hyperactivity in sensory cortical regions previously shown to be associated with SOR. However, individual differences such as age and SOR severity may affect the extent to which top‐down cognitive processes are uniquely engaged during reappraisal.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"38 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440796","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 longitudinal relationship among physical activity, social competence, and psychosomatic comorbidity patterns in adolescents: a cross‐lagged panel analysis","authors":"Xinmeng Guo, Nuo Yi, Xinxin Lai, Xiangren Yi, Xiaosheng Dong","doi":"10.1111/jcpp.70193","DOIUrl":"https://doi.org/10.1111/jcpp.70193","url":null,"abstract":"Background Adolescents frequently experience psychosomatic comorbidities, yet longitudinal, bidirectional relationships among physical activity (PA), social competence (SC), and psychosomatic comorbidity (PC: mental health and sleep duration) remain underexplored in large non‐Western samples. This study examined how PA and SC mutually influence PC over time and tested whether SC mediates the PA‐PC link in Chinese high school students. Methods Data came from the National Adolescent Health Survey (China) collected from 2020 to 2023, matching participants by name at one‐year intervals. The analytic sample ( <jats:italic>n</jats:italic> = 9,680; 51.2% female, mean age = 15.89 ± 1.06 years) completed validated measures. We tested measurement invariance, then estimated a two‐wave cross‐lagged panel model controlling for age, gender, residence, and only‐child status. SC mediation was assessed via the product of cross‐lagged paths with 1,000‐sample bootstrap. Multiple‐group SEM examined gender invariance. Results All measurement models achieved scalar invariance. Cross‐lagged paths indicated PA₁ → SC <jats:sub>2</jats:sub> ( <jats:italic>β</jats:italic> = 0.041, <jats:italic>p</jats:italic> &lt; .001), PA₁ → SD <jats:sub>2</jats:sub> ( <jats:italic>β</jats:italic> = 0.018, <jats:italic>p</jats:italic> &lt; .05), and PA₁ → MH <jats:sub>2</jats:sub> ( <jats:italic>β</jats:italic> = −0.023, <jats:italic>p</jats:italic> &lt; .05). SC₁ → MH <jats:sub>2</jats:sub> ( <jats:italic>β</jats:italic> = −0.034, <jats:italic>p</jats:italic> &lt; .01). MH₁ → PA <jats:sub>2</jats:sub> ( <jats:italic>β</jats:italic> = −0.038, <jats:italic>p</jats:italic> &lt; .001), and SD₁ → PA <jats:sub>2</jats:sub> ( <jats:italic>β</jats:italic> = 0.014, <jats:italic>p</jats:italic> &lt; .05). Indirect effect PA₁ → SC <jats:sub>2</jats:sub> → PC <jats:sub>2</jats:sub> was significant (standardized = −0.001; 95% CI [−0.003, −0.001]). Gender group comparison showed no significant differences (Δ <jats:italic>χ</jats:italic> <jats:sup>2</jats:sup> (5) = 8.10, <jats:italic>p</jats:italic> = .16). Conclusions PA and PC exert reciprocal influences in adolescents, with higher PA predicting improved SC, better SD, and reduced MH, while psychosomatic distress undermines subsequent PA and SC. SC partially mediates PA's protective effects on comorbidity, with equivalent patterns across genders. Interventions combining PA and social‐skills training may disrupt the vicious cycle of adolescent PC.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"445 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148415600","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 association between 24-hr movement patterns and self-harm incidence in adolescence.","authors":"Siyi Huang,Jiameng Cui,Qida He,Shahmir H Ali,Qi Wang,G Neil Thomas,Linyan Li","doi":"10.1111/jcpp.70199","DOIUrl":"https://doi.org/10.1111/jcpp.70199","url":null,"abstract":"BACKGROUNDSelf-harm is a pressing public health issue, particularly among adolescents. Physical activity is associated with reduced self-harm among youths, but evidence is limited. Most studies rely on self-reported measures and are primarily focused on moderate-to-vigorous physical activity (MVPA), often overlooking the role of light-intensity physical activity (LIPA). To address these gaps, we investigated the prospective associations between accelerometer-measured 24-hr movements and subsequent self-harm in adolescents.METHODSThis prospective cohort investigation analysed 2,016 children from the UK Millennium Cohort Study using data from the age 7 years survey (MCS4) when accelerometers were introduced (mean age = 7.23 years, SD = 0.25). Accelerometer-measured duration of MVPA, LIPA, sedentary behaviour (SB), and sleep were analysed. Self-harm behaviours were assessed via validated self-report questionnaires at ages 14 and 17 years, and subsequently, the associations examined using logistic and compositional data models.RESULTSAmong 2,016 participants (48.6% female), 548 self-harm cases occurred during 18,696 person-years of follow-up, with a median follow-up duration of 8.5 years (cumulative incidence = 27.2%). LIPA was inversely associated with self-harm (OR 0.76, 95% CI: 0.65-0.88). This association was stronger in compositional models (OR 0.23, 95% CI: 0.11-0.47). MVPA showed a significant non-linear, inverted U-shaped association with self-harm (p for non-linearity = .02). The risk peaked at approximately 1.2 hr/day and decreased substantially at levels exceeding 1.7 hr/day, while SB and sleep were not significantly associated with self-harm. Stratified analyses confirmed robustness.CONCLUSIONSOur findings reveal a pronounced inverse association between LIPA and self-harm, along with a non-linear association for MVPA. These results support 24-hr movement guidelines that emphasise activity transitions over isolated targets and highlight LIPA's role in early prevention strategies.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"12 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148408575","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":"Directionality of longitudinal associations between frontostriatal structural connectivity and depressive symptoms in adolescent girls","authors":"Marjolein E.A. Barendse,&nbsp;Chris J. Machle,&nbsp;Rogier Kievit,&nbsp;Jennifer H. Pfeifer","doi":"10.1111/jcpp.70127","DOIUrl":"10.1111/jcpp.70127","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individual differences in the structure and function of the frontostriatal reward network have been related to depression. However, there is a strong need for prospective, longitudinal studies aiming to understand the role of frontostriatal networks in depression in a developmental context. We aimed to examine bidirectional associations between structural connectivity in the frontostriatal reward network and depressive symptoms in adolescent girls, as well as to determine to what extent the directionality and strength of these associations are dependent on age or pubertal stage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>About 596 observations from 174 adolescent girls (up to 4 time points per person, ages 10–17) were included. Depressive symptoms were measured with the Center for Epidemiological Studies-Depression scale for Children and pubertal stage with the Pubertal Development Scale and the Tanner Stage Line Drawings. Probabilistic tractography was done on diffusion-weighted imaging scans to obtain average fractional anisotropy from ventral striatum to orbitofrontal cortex and ventral striatum to ventromedial prefrontal cortex tracts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Linear mixed-effects models showed that frontostriatal connectivity was not associated with subsequent change in depressive symptoms. Depressive symptoms were also not associated with subsequent change in frontostriatal connectivity. Depressive symptoms increased with age and pubertal stage, but the association with connectivity did not vary with age or pubertal stage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This suggests previously reported cross-sectional associations might not pertain to developmental effects in girls. Future research should examine prospective associations between frontostriatal functional connectivity and depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 8","pages":"1361-1370"},"PeriodicalIF":6.6,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147350579","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":"Editorial: Integrating multilevel environmental influences on child brain development","authors":"Divyangana Rakesh,&nbsp;Alexis Brieant,&nbsp;Katie A. McLaughlin","doi":"10.1111/jcpp.70187","DOIUrl":"10.1111/jcpp.70187","url":null,"abstract":"<p>Environmental influences on child brain development operate across multiple levels of context, including family, neighbourhood and broader structural environments. While developmental cognitive neuroscience has generated substantial evidence linking proximal experiences to neurodevelopment, neighbourhood and especially macrolevel structural influences remain less well-integrated into prevailing models. In this editorial, we argue for a multilevel developmental framework that considers the independent and interactive effects of environmental factors across contexts and how their influence changes over development. We highlight evidence that proximal, neighbourhood and structural conditions each contribute to neurodevelopment and that their effects are often interdependent. Advancing the field will require greater integration across levels of analysis to better understand how environments shape brain and behaviour development.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 8","pages":"1221-1223"},"PeriodicalIF":6.6,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262476","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":"Longitudinal associations between violence exposure and adolescent conduct problems in a high-adversity, South African setting","authors":"Susan Swingler,&nbsp;Qing Han,&nbsp;Alexis E. Cullen,&nbsp;Stefani du Toit,&nbsp;Sarah Skeen,&nbsp;Jane Barlow,&nbsp;Mark Tomlinson","doi":"10.1111/jcpp.70132","DOIUrl":"10.1111/jcpp.70132","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Violence exposure is a well-established risk factor for adolescent conduct problems, yet longitudinal research in high-adversity, low- and middle-income countries (LMICs) remains limited. This study investigated whether early adolescent violence exposure predicts concurrent and longer-term conduct problems, and explored potential bidirectional associations and sex differences in a peri-urban South African community with high rates of poverty and violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were drawn from the Thula Sana birth cohort (<i>n</i> = 357; 51.5% female), a longitudinal intervention study in Khayelitsha, South Africa. Adolescents were assessed at early (ages 12–14) and late adolescence (ages 16–19). Violence exposure was measured using adolescent self-report. Conduct problems were measured using adolescent and caregiver report in early adolescence and adolescent self-report in late adolescence. Multiple linear regressions tested cross-sectional associations, and cross-lagged panel models examined longitudinal and bidirectional associations, adjusting for contextual adversity and intervention status. Missing data were addressed using multiple imputation, and findings were confirmed through sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Violence exposure was associated with higher concurrent conduct problems in early adolescence (β = .15–.19, <i>p</i> &lt; .01) and predicted higher conduct problems in late adolescence (β = .12–.14, <i>p</i> &lt; .05). The reverse pathway, from conduct problems to subsequent violence exposure, was not significant (β = .08–.11, <i>p</i> &gt; .05). Interaction analyses did not provide evidence that associations differed by sex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Violence exposure in early adolescence represents a prospective risk factor for conduct problems in a high-adversity South African setting. Findings highlight the importance of early, contextually grounded violence prevention and the need for further research to test sex-specific pathways and inform the development of gender-responsive intervention strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 8","pages":"1244-1253"},"PeriodicalIF":6.6,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146153677","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}