Journal of Child Psychology and Psychiatry最新文献

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Association of prenatal antidepressant use with internalizing behaviors from kindergarten to adolescence. 产前抗抑郁药使用与从幼儿园到青春期的内化行为的关系。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-25 DOI: 10.1111/jcpp.70056
Amanda S Nitschke,Paramdeep Kaur,Naomi Phagau,Helena Abreu do Valle,Jeffrey N Bone,Brenda Poon,Martin Guhn,Simone N Vigod,Tim F Oberlander,Gillian E Hanley
{"title":"Association of prenatal antidepressant use with internalizing behaviors from kindergarten to adolescence.","authors":"Amanda S Nitschke,Paramdeep Kaur,Naomi Phagau,Helena Abreu do Valle,Jeffrey N Bone,Brenda Poon,Martin Guhn,Simone N Vigod,Tim F Oberlander,Gillian E Hanley","doi":"10.1111/jcpp.70056","DOIUrl":"https://doi.org/10.1111/jcpp.70056","url":null,"abstract":"BACKGROUNDTo examine, using repeated measures, whether prenatal serotonin/norepinephrine reuptake inhibitor (SRI) antidepressant exposure is associated with increased anxious behaviors at kindergarten age and anxiety and/or depression behaviors after kindergarten and into adolescence.METHODSThis population-based retrospective cohort study included all live singleton infants delivered in British Columbia, Canada between January 2001 and December 2012 with complete outcome data. Follow-up lasted until December 2022. Logistic regression models were used to estimate unadjusted and adjusted odds ratios (OR). To minimize confounding, high-dimensional propensity score adjustment and a matched discordant sibling-pair analysis were conducted.RESULTSPrenatal SRI exposure was associated with increased anxious behaviors in kindergarten (OR 1.77 [95% CI 1.59-1.97]) and anxiety and/or depression diagnostic codes in later childhood or adolescence (OR 2.09 [95% CI 1.97-2.22]). These associations attenuated but remained positive after high-dimensional propensity score adjustment; however, the associations did not remain in the conditional logistic regression of discordant sibling pairs (aORs 0.92 [95% CI 0.61-1.37] and 1.02 [95% CI 0.79-1.33]). Regardless of SRI exposure, children with high levels of anxious behaviors at kindergarten were more likely to receive anxiety and/or depression diagnostic codes later on (SRI exposed: aOR 1.59 [95% CI 1.24-2.06]; SRI unexposed: aOR 1.64 [95% CI 1.51-1.77]).CONCLUSIONSThe associations of prenatal SRI exposure with increased internalizing behaviors at kindergarten and into adolescence are likely due to shared genetics or environmental factors. Findings also suggested kindergarten as a time for targeted interventions to address developmental vulnerabilities and prevent later development of anxiety and/or depression.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"85 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134105","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}
引用次数: 0
Adolescent eating behaviours: associations with autistic and ADHD traits in childhood and the mediating role of anxiety. 青少年饮食行为:与儿童时期自闭症和多动症特征的关联以及焦虑的中介作用。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-22 DOI: 10.1111/jcpp.70051
Johanna Keller,William Polmear Locke Mandy,Moritz Herle,Virginia Carter Leno
{"title":"Adolescent eating behaviours: associations with autistic and ADHD traits in childhood and the mediating role of anxiety.","authors":"Johanna Keller,William Polmear Locke Mandy,Moritz Herle,Virginia Carter Leno","doi":"10.1111/jcpp.70051","DOIUrl":"https://doi.org/10.1111/jcpp.70051","url":null,"abstract":"BACKGROUNDAutistic individuals and individuals with ADHD are more likely to experience eating disorders, yet the reasons for this are not well understood. We investigated whether childhood neurodivergent (i.e. autistic and ADHD) traits are associated with patterns of emotional/restrained eating and externally driven eating behaviours in adolescence, whether these associations differed by sex and if they are mediated by anxiety.METHODSWe tested the association between parent-reported childhood (age 7 years) autistic and ADHD (i.e. hyperactivity/impulsivity, inattention) traits and self-reported adolescent (age 13) eating behaviours in a large population-representative prospective cohort (N = 7,572; Avon Longitudinal Study of Parents and Children). We performed multi-group longitudinal analysis stratified by sex to understand whether sex moderates' associations between neurodevelopmental traits and adolescent eating behaviours. Mediation models tested the extent to which observed associations were driven by mid-childhood (age 10) anxiety symptoms. All analyses were adjusted for child sex, child ethnicity, maternal education levels and maternal age at birth.RESULTSIndividuals who had higher childhood autistic traits were more likely to report emotional/restrained (b = 0.59, 95% CI [0.29, 0.88], p < .001, B = 0.07) and externally driven (b = 0.17, 95% CI [0.05, 0.28], p < .01, B = 0.06) eating behaviours during adolescence. Additionally, individuals with higher childhood inattention traits were more likely to report externally driven eating behaviours (b = 0.10, 95% CI [0.03, 0.19], p = .02, B = 0.05). No sex differences were identified in the associations. Mediation models suggested a significant indirect effect of anxiety for the association between autistic traits and emotional/restrained eating (b = 0.08, bootstrapped 95% CIs [0.02, 0.13]).CONCLUSIONSAutistic and ADHD traits in childhood may share some eating behaviour phenotypes in adolescence (externally driven eating), whereas others are specific to autism (emotional/restrained eating). We present evidence for the role of anxiety in underpinning the association between autistic traits and emotional/restrained eating behaviours, suggesting an important potential intervention target.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"11 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103490","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}
引用次数: 0
Mapping phenotypic and genetic relationships among irritability, depression and ADHD in adolescence using network analysis. 利用网络分析绘制青少年易怒、抑郁和ADHD之间的表型和遗传关系。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-20 DOI: 10.1111/jcpp.70040
Amy Shakeshaft,Luis C Farhat,Charlotte A Dennison,Olga Eyre,Olakunle Oginni,Michael C O'Donovan,Argyris Stringaris,Ellen Leibenluft,Guilherme V Polanczyk,Lucy Riglin,Anita Thapar
{"title":"Mapping phenotypic and genetic relationships among irritability, depression and ADHD in adolescence using network analysis.","authors":"Amy Shakeshaft,Luis C Farhat,Charlotte A Dennison,Olga Eyre,Olakunle Oginni,Michael C O'Donovan,Argyris Stringaris,Ellen Leibenluft,Guilherme V Polanczyk,Lucy Riglin,Anita Thapar","doi":"10.1111/jcpp.70040","DOIUrl":"https://doi.org/10.1111/jcpp.70040","url":null,"abstract":"BACKGROUNDIrritability is a common reason for referral to child and adolescent mental health services. However, debate exists as to whether irritability is best conceptualised and treated as a feature of mood disorder, oppositional defiant disorder or a core symptom of ADHD.METHODSWe use network analyses to examine the relationships between adolescent irritability, headstrong/hurtful ODD items, depression and ADHD phenotypes, and polygenic scores (PGS) for depression and ADHD using the Avon Longitudinal Study of Parents and Children (ALSPAC). In primary analysis, irritability, depression, headstrong/hurtful ODD items and ADHD were defined using the Development and Well-Being Assessment (DAWBA) at age 15. In secondary analysis, phenotypes were defined using the Short Mood and Feelings Questionnaire (SMFQ) and the Strengths and Difficulties Questionnaire (SDQ) ADHD and behavioural subscales at age 13. Finally, we tested for network replicability using confirmatory network analysis in the Millennium Cohort Study (MCS).RESULTSResults of network analyses using the DAWBA in ALSPAC indicated irritability was most strongly associated with headstrong/hurtful ODD items, followed by ADHD and depression. When including PGS, we observed an edge between irritability and depression PGS but not between irritability and ADHD PGS. Irritability appeared to be the primary pathway between ADHD and depression as well as between headstrong/hurtful ODD items and depression. Results were similar using SMFQ/SDQ in ALSPAC and confirmatory network analysis indicated excellent model fit in MCS.CONCLUSIONSAlthough irritability appears to be transdiagnostic, phenotypically, it was most strongly associated with headstrong/hurtful ODD items and broader behavioural problems, which favours the ICD-11 approach of including irritability as a specifier of ODD. However, irritability appeared to be a key connector between both ADHD and behavioural problems to depression; thus, is important to monitor and treat in affected youth with ADHD or behavioural problems.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"20 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145089883","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}
引用次数: 0
Have parenting programs for disruptive child behavior become less effective? 针对破坏性儿童行为的育儿计划变得不那么有效了吗?
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-18 DOI: 10.1111/jcpp.70049
Patty Leijten,G J Melendez-Torres,Sophia Backhaus,Frances Gardner,Annabeth P Groenman,Tycho J Dekkers,Barbara J van den Hoofdakker,Liina Björg Laas Sigurðardóttir,Danni Liu,Marjolein Luman,Lara Mansur,Merlin Nieterau,Saskia van der Oord,Geertjan Overbeek,Constantina Psyllou,Karen Rienks,Susanne Schulz,John R Weisz
{"title":"Have parenting programs for disruptive child behavior become less effective?","authors":"Patty Leijten,G J Melendez-Torres,Sophia Backhaus,Frances Gardner,Annabeth P Groenman,Tycho J Dekkers,Barbara J van den Hoofdakker,Liina Björg Laas Sigurðardóttir,Danni Liu,Marjolein Luman,Lara Mansur,Merlin Nieterau,Saskia van der Oord,Geertjan Overbeek,Constantina Psyllou,Karen Rienks,Susanne Schulz,John R Weisz","doi":"10.1111/jcpp.70049","DOIUrl":"https://doi.org/10.1111/jcpp.70049","url":null,"abstract":"BACKGROUNDBehavioral parenting programs have been exhaustively studied over the past five decades. We used this wealth of research to examine how estimates of parenting program effects have evolved over time, and if any time trends in effect estimates can be explained by trial, sample, or intervention characteristics.METHODSWe based our meta-analysis on a systematic search of 22 international and regional databases, gray literature, and 4 trial registries for randomized controlled trials of behavioral parenting programs.RESULTSWe identified 244 eligible trials (1,100 effect sizes; 28,916 families) from 36 countries. Parenting program effects initially reduced and then stabilized. More recent trials used more rigorous methods (e.g., more active control conditions and less risk of bias), samples that were generally older and included more girls, and evaluated interventions that on average had fewer sessions, were more often delivered by independent staff and made less use of time-out. However, none of these developments explained the initial reduction in effect size estimates during the first decades.CONCLUSIONSOur findings suggest that estimates of parenting program effects are currently stable: Effect sizes are no longer reducing but there is also no evidence of increases over time. Experimentation with the content, delivery, and personalization of parenting programs is needed to identify ways to increase program effects.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"38 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083302","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}
引用次数: 0
Psychostimulant treatment uniquely reduces left uncinate fasciculus microstructural integrity in ADHD youth with a familial risk for bipolar I disorder: a 12-week DTI study. 精神兴奋剂治疗独特地降低了具有双相I型障碍家族性风险的ADHD青年左钩叶束微结构完整性:一项为期12周的DTI研究。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-17 DOI: 10.1111/jcpp.70053
Kun Qin,Wen Chen,Du Lei,Ziyu Zhu,Maxwell J Tallman,Nanfang Pan,Lisha Zhang,Luis Rodrigo Patino,John A Sweeney,Melissa P DelBello,Robert K McNamara
{"title":"Psychostimulant treatment uniquely reduces left uncinate fasciculus microstructural integrity in ADHD youth with a familial risk for bipolar I disorder: a 12-week DTI study.","authors":"Kun Qin,Wen Chen,Du Lei,Ziyu Zhu,Maxwell J Tallman,Nanfang Pan,Lisha Zhang,Luis Rodrigo Patino,John A Sweeney,Melissa P DelBello,Robert K McNamara","doi":"10.1111/jcpp.70053","DOIUrl":"https://doi.org/10.1111/jcpp.70053","url":null,"abstract":"BACKGROUNDBipolar I disorder (BD) is associated with reduced white matter microstructural integrity in the uncinate fasciculus (UF), a primary fiber tract connecting frontolimbic systems. Although familial history for BD, attention-deficit/hyperactivity disorder (ADHD), and psychostimulants are important risk factors implicated in BD pathoetiology, their impact on UF microstructure remains poorly understood.METHODSThis diffusion tensor imaging study investigated UF microstructural integrity prior to and following 12 weeks of psychostimulant treatment in ADHD youth with ('high-risk', HR) and without ('low-risk', LR) a first-degree relative with BD. Healthy controls were included for comparative purposes. LR youth received 12-week open-label mixed amphetamine salts-extended release (MAS-XR), and HR youth were randomized to either MAS-XR or placebo (PLA). Bilateral UF fractional anisotropy (FA) and axial diffusivity (AD) were assessed using automated fiber quantification.RESULTSA total of 137 participants were included in the analyses. At baseline, there were no significant group differences in bilateral UF microstructural metrics. Following 12-week MAS-XR treatment, significant group-by-time interactions were found for left UF FA and AD between HR-MAS and LR-MAS, as well as for left UF FA between HR-MAS and HR-PLA. Specifically, left UF FA and UF AD decreased significantly in HR-MAS but remained unchanged in LR-MAS and HR-PLA groups. At week 12, left UF FA was lower in HR-MAS relative to HC but not in LR-MAS or HR-PLA. Segment-wise analyses further revealed that UF microstructural changes in the HR-MAS group were localized to the anterior segments.CONCLUSIONSThese results suggest that HR-ADHD youth are uniquely vulnerable to reductions in left UF microstructural integrity following psychostimulant treatment, suggesting potential relevance to BD pathoprogression.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"64 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071801","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}
引用次数: 0
Long-term follow-up of a randomised controlled trial of a brief home-based parenting intervention to reduce behavioural problems in young children. 一项随机对照试验的长期随访研究,以家庭为基础的短期父母干预来减少幼儿的行为问题。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-17 DOI: 10.1111/jcpp.70037
Paul Ramchandani,Jack Elkes,Victoria Cornelius,Sarah Byford,Laura Oxley,Daphne Babalis,Beth Barker,Erin Bibby,Brittney Chere,Poushali Ganguli,Sam Griffith,Zaheema Iqbal,Aiman Kamarudin,Katie Lui,Stephen Scott,Emma Tassie,Essi Viding,Christine O'Farrelly
{"title":"Long-term follow-up of a randomised controlled trial of a brief home-based parenting intervention to reduce behavioural problems in young children.","authors":"Paul Ramchandani,Jack Elkes,Victoria Cornelius,Sarah Byford,Laura Oxley,Daphne Babalis,Beth Barker,Erin Bibby,Brittney Chere,Poushali Ganguli,Sam Griffith,Zaheema Iqbal,Aiman Kamarudin,Katie Lui,Stephen Scott,Emma Tassie,Essi Viding,Christine O'Farrelly","doi":"10.1111/jcpp.70037","DOIUrl":"https://doi.org/10.1111/jcpp.70037","url":null,"abstract":"BACKGROUNDBehaviour problems are common in childhood and are associated with higher rates of mental health problems, educational and relationship difficulties throughout life. This study assessed whether a Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) has sustained benefit 6 years after delivery. It had previously been shown to reduce behavioural problems in children aged 2 and 4 years old.METHODSThe Healthy Start, Happy Start study was a 2-arm, multisite randomised clinical trial conducted in 6 NHS trusts in England. Participants (N = 300) were parents/caregivers of children (aged 12-36 months) at risk of behaviour problems. Participants were randomised to receive either VIPP-SD (n = 151) or usual care (n = 149). Those allocated to VIPP-SD were offered 6 home-based video-feedback sessions. Six-year follow-up data were collected from May 2022 to July 2023. The primary outcome was the total score on Parental Account of Children's Symptoms (PACS). The analysis used prespecified longitudinal Bayesian models to handle missing data, and findings are reported as posterior probabilities of superiority alongside treatment effect estimates with 95% credible interval.RESULTSAnalysis included 294 of the 300 participants, with 6-year primary outcome data available for 244/300 (81%) (106 girls [43%]; mean age, 8.2 years). The probability of superiority for VIPP-SD on PACS was 86%. The mean difference in the total PACS score was -1.23 (95% Cred.I [-3.34, 0.90]); d = -0.11 (95% Cred.I [-0.032, 0.09]), with fewer behavioural problems in children in the VIPP-SD group (mean [SD] score of 25.30 [9.63] vs. 26.36 [11.05]).CONCLUSIONSThis trial found a probability of 86% that VIPP-SD was superior for reducing behaviour problems in children up to 6 years later. Taken together with the earlier positive trial findings, this suggests a small enduring positive impact of a brief early intervention with potential for scaling.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"37 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071668","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}
引用次数: 0
Unraveling psychosis risk in sexual minorities: temporal dynamics of social defeat and suspiciousness in adolescence. 揭示性少数群体的精神病风险:青春期社会失败和怀疑的时间动态。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-10 DOI: 10.1111/jcpp.70042
Margaux Sageot,Robin Achterhof,Anu P Hiekkaranta,Aleksandra Lecei,Kristof Vansteeland,Inez Myin-Germeys,Ruud van Winkel
{"title":"Unraveling psychosis risk in sexual minorities: temporal dynamics of social defeat and suspiciousness in adolescence.","authors":"Margaux Sageot,Robin Achterhof,Anu P Hiekkaranta,Aleksandra Lecei,Kristof Vansteeland,Inez Myin-Germeys,Ruud van Winkel","doi":"10.1111/jcpp.70042","DOIUrl":"https://doi.org/10.1111/jcpp.70042","url":null,"abstract":"BACKGROUNDPrevious research suggests that sexual minorities are at higher risk for psychotic experiences, possibly due to repeated social defeat experiences. However, empirical research investigating this hypothesis is largely lacking. This study examined how experiences of \"feeling excluded\" and \"not belonging\" impact the prospective development of psychotic experiences in an adolescent sexual minority group, defined here as non-heterosexual attraction to others.METHODSExperience sampling method (ESM) data from 1913 Flemish adolescents (aged 11-20) in the SIGMA study were analyzed. They reported their momentary feelings of exclusion when alone, belonging when in the company of others (both operationalizations of social defeat), and suspiciousness. Multilevel linear regression models tested the bidirectional, within- and between-person associations between social defeat and suspiciousness, and the effects of sexual minority status.RESULTSLower feelings of belonging when in company significantly predicted higher suspiciousness at the next beep [95% CI: -0.03, -0.01], whereas increased feelings of exclusion when alone did not. Moreover, suspiciousness did not significantly predict feelings of exclusion and belonging at the next beep, confirming the direction of effect. Sexual minority participants reported generally lower belonging in social settings [95% CI: -0.68, -0.29] and higher suspiciousness [95% CI: 0.16, 0.57], but not higher feelings of exclusion. The interaction between social defeat and sexual minority status was not significant, indicating no differential sensitivity to social defeat experiences.CONCLUSIONSThe experience of \"not fitting in\" when in company may be the most poignant social factor increasing risk for psychotic experiences in sexual minority youth. The findings highlight the need for inclusive environments where sexual minority individuals feel supported and integrated.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"54 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026060","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}
引用次数: 0
Emotional and behavioural difficulties in gender minority compared to cisgender adolescents: identity specific findings from a contemporary national study. 与顺性青少年相比,性别少数群体的情感和行为困难:来自当代国家研究的身份特异性发现。
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-10 DOI: 10.1111/jcpp.70050
Nicholas Page,Lianna Angel,Sophie Borgia,Colleen Reynolds,Dougie Zubizarreta,Honor Young,Max R Ashton,James White
{"title":"Emotional and behavioural difficulties in gender minority compared to cisgender adolescents: identity specific findings from a contemporary national study.","authors":"Nicholas Page,Lianna Angel,Sophie Borgia,Colleen Reynolds,Dougie Zubizarreta,Honor Young,Max R Ashton,James White","doi":"10.1111/jcpp.70050","DOIUrl":"https://doi.org/10.1111/jcpp.70050","url":null,"abstract":"BACKGROUNDGender minority adolescents are more likely to report emotional and behavioural difficulties compared to their cisgender peers. However, little is known about these experiences for adolescents with specific gender minority identities.METHODSCross-sectional data were obtained from the 2021/22 Student Health and Well-being survey, a national survey of 11-16-year-olds in Wales, UK. Emotional and behavioural difficulties were measured using the Strengths and Difficulties Questionnaire. Gender identity and assigned sex at birth were self-reported. Multivariable linear regressions with robust standard errors were used to examine associations between gender identity and emotional and behavioural difficulties, adjusting for age, ethnicity, household-level affluence and correction for multiple testing.RESULTSOf the 122,766 participants, 2.0% (2,455) identified as a person with a gender minority identity. Twenty-eight gender minority identities were self-reported, with the most prevalent being transgender boy and nonbinary assigned female at birth (both 0.6%). Young people assigned female at birth comprised 80% of gender minority adolescents. In the adjusted model, emotional and behavioural difficulties were reported most frequently by people who identified as non-binary (B = 7.66, 95% CI 7.25, 8.06) and another gender identity (B = 7.86, 95% CI 7.34, 8.38), then transgender (B = 5.05, 95% CI 4.58, 5.51), when compared to cisgender adolescents. Female sex assigned at birth was associated with more reported difficulties than male sex assigned at birth for adolescents with a transgender or cisgender identity, but not a nonbinary identity.CONCLUSIONSIn this population-based study, emotional and behavioural difficulties were reported most frequently by adolescents who identified as nonbinary and another gender identity, then transgender, then cisgender. Health and educational practitioners need to be aware that emotional and behavioural difficulties differ across gender minority identities.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"72 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026056","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}
引用次数: 0
Mid-childhood developmental and behavioural outcomes in infants with a family history of autism and/or attention deficit hyperactivity disorder. 有自闭症和/或注意缺陷多动障碍家族史的婴儿的童年中期发育和行为结果
IF 7.6 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-09 DOI: 10.1111/jcpp.70048
Tony Charman,Tessel Bazelmans,Greg Pasco,Jannath Begum Ali,Mark H Johnson,Emily J H Jones,
{"title":"Mid-childhood developmental and behavioural outcomes in infants with a family history of autism and/or attention deficit hyperactivity disorder.","authors":"Tony Charman,Tessel Bazelmans,Greg Pasco,Jannath Begum Ali,Mark H Johnson,Emily J H Jones, ","doi":"10.1111/jcpp.70048","DOIUrl":"https://doi.org/10.1111/jcpp.70048","url":null,"abstract":"BACKGROUNDProspective studies of autism family history infants primarily report recurrence and predictors of autism at 3 years. Less is known about ADHD family history infants and later childhood outcomes. We characterise profiles of mid-childhood developmental and behavioural outcomes in infants with a family history of autism and/or ADHD to identify potential support needs and patterns of co-occurrence across domains.METHODSTwo hundred and sixty-three infants (51% male; N = 198 autism/ADHD family history; N = 65 no family history) were assessed at 6-12 years. A latent profile analysis (LPA) with indicator variables measuring developmental abilities (IQ, adaptive function) and behavioural traits (autism, ADHD, anxiety) identified dimensional, data-derived outcome classes.RESULTSA seven-class solution was the most robust and clinically meaningful. Two classes (27% and 23%) had typical development; two classes had high autism, ADHD, and anxiety traits-one with low IQ and adaptive function (10%) and one with average IQ but low adaptive function (13%); one class had elevated autism and ADHD but not anxiety traits (10%); and the final two classes had elevated ADHD (9%) and anxiety (8%) traits in isolation. Sex distribution was balanced across all classes. Children with autism were found in all classes but predominantly in the classes with low IQ/adaptive functioning and high behavioural traits, as well as in the class with elevated autism and ADHD traits. We found only partial continuity between membership of similarly derived 3-year LPA classes and mid-childhood LPA classes.CONCLUSIONSMany autism/ADHD family history infants develop typically. However, by mid-childhood, in addition to those with autism, others show elevated neurodevelopmental (autism, ADHD) and neuropsychiatric (anxiety) behavioural traits. Lower developmental abilities (IQ and adaptive function) are primarily seen in children with an autism diagnosis. Family history infants should be monitored through childhood, and support provided should challenges emerge.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"56 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018234","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}
引用次数: 0
Editorial: Supporting families in the first 1,000 days of life – a balancing act 社论:在生命最初的1000天里支持家庭——一种平衡的行为。
IF 7 1区 医学
Journal of Child Psychology and Psychiatry Pub Date : 2025-09-08 DOI: 10.1111/jcpp.70041
Maartje P.C.M. Luijk, Tessa J. Roseboom
{"title":"Editorial: Supporting families in the first 1,000 days of life – a balancing act","authors":"Maartje P.C.M. Luijk,&nbsp;Tessa J. Roseboom","doi":"10.1111/jcpp.70041","DOIUrl":"10.1111/jcpp.70041","url":null,"abstract":"<p>From the moment of fertilization, human development takes a phenomenal pace. In no other period of life are more biological and developmental milestones met than in the first 1,000 days after conception. All organs and systems are formed, and children start to discover the world, learn whom to trust and where to find comfort in times of distress. Evidence from biological, psychological, social and economic research shows that the environment in the first 1,000 days significantly impacts a person's ability to reach their full potential. Children who grow up in unpredictable and unsafe environments often struggle with the consequences for the rest of their lives. Investments in this critical period of human development have proven to be the most cost-effective way to improve lifelong health and well-being. Therefore, this period has gained interest both in political debate and society at large. In this contribution, we demonstrate that while the focus on the first 1,000 days is scientifically sound and historically grounded, it is time to reflect on its societal impact. We focus on its unintended negative consequences for parental well-being. Evidence for the importance of the first 1,000 days should drive collective action rather than reinforce individual blame. Parenting is not just a private matter; governments have a duty to provide parents with the resources to give their children the best start in life.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"66 10","pages":"1445-1448"},"PeriodicalIF":7.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008829","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}
引用次数: 0
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