Journal of Child Psychology and Psychiatry最新文献

{"title":"‘Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon","authors":"Tania Bosqui,&nbsp;Felicity L. Brown,&nbsp;Sally Farah,&nbsp;Joseph Elias,&nbsp;Maliki E. Ghossainy,&nbsp;Anas Mayya,&nbsp;Diana Abo Nakkoul,&nbsp;Bryony Walsh,&nbsp;Sarah Chreif,&nbsp;Ahmad Einein,&nbsp;Bassel Meksassi,&nbsp;Roula Abi Saad,&nbsp;Hady Naal,&nbsp;Michael Donnelly,&nbsp;Theresa S. Betancourt,&nbsp;Alan Carr,&nbsp;Eve S. Puffer,&nbsp;Estefania Hanna,&nbsp;Hasan Mansour,&nbsp;Farah Semaan,&nbsp;Rabih El Chammay,&nbsp;Mark J.D. Jordans","doi":"10.1111/jcpp.70174","DOIUrl":"10.1111/jcpp.70174","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There are no evaluated family-based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole-family interventions in low- and middle-income countries, despite consistent evidence for the impact of family support on mental health and well-being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable by non-specialists in mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an assessor-blind type I hybrid effectiveness-implementation multi-site randomized controlled trial comparing the locally developed family intervention to a waitlist control group for randomly allocated families residing in North Lebanon and Beqa’a governorates. Eligible families presented with medium-to-high risk for child protection concerns (abuse, neglect, child labor, early marriage) and had at least one adolescent aged 12–17 who demonstrated psychological distress. Outcomes at the family, caregiver, and adolescent level were measured pre- and post-intervention, and at 3-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Intent-to-treat analyses found a significant between-group effect of the intervention on adolescent-reported family functioning, caregiver mental health, and parenting. No change was found for adolescent psychological distress. Further analyses found effects on adolescent well-being for those who completed the intervention, and that father attendance was associated with better outcomes for adolescent well-being in the intervention group. No other significant moderators were found. At the 3-month follow-up for the intervention condition, family functioning and caregiver well-being significantly dropped from endline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study demonstrates mixed results for a non-specialist-delivered family-systemic intervention developed in the context of humanitarian crises in Lebanon. While the intervention did not result in benefits in adolescent-reported symptoms of psychological distress, the intervention group did show greater improvements than the control group on a number of other outcomes, showing the potential impact of working with the wider family system to support adolescents in humanitarian settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 10","pages":"1752-1765"},"PeriodicalIF":6.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148154413","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: When more science is not enough – rethinking the ‘translational dividend’ of clinical psychological science","authors":"Carlo Schuengel,&nbsp;Or Dagan","doi":"10.1111/jcpp.70223","DOIUrl":"10.1111/jcpp.70223","url":null,"abstract":"<p>To broaden and diversify the perspectives and experiences informing the editorial work for this journal, 27 affiliate editors have joined the ranks of the editorial board since 2023. They each work together with one of the 20 joint editors. As an early-career scientist practitioner who sees both papers as well as patients (Dagan) and a late-career scientist seeing papers only (Schuengel), we have worked together in handling submissions within the broad domain of clinically relevant research on young people and their families. Our editorial dialogue picks up on an earlier editorial, raising the issue of limited ‘translational dividend’ of our science. We identify structural and practical barriers that stand in the way of scientific knowledge transitioning into practice, and we conclude by considering how the subject matters in our field require intellectual humility in our research and editorial decision-making with respect to contrast with actual practice.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 10","pages":"1621-1623"},"PeriodicalIF":6.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148754338","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":"Prenatal exposure to ambient air pollution and risk of neurodevelopmental disorders in offspring: A nationwide population-based cohort study – A commentary on Oh and Song 2026","authors":"George Ayoub","doi":"10.1111/jcpp.70167","DOIUrl":"10.1111/jcpp.70167","url":null,"abstract":"<p>This commentary examines how prenatal exposure to ambient air pollution may contribute to the aetiology of neurodevelopmental disorders (NDDs). Experimental work demonstrates that gestational exposure to air pollution and micro- and nanoplastics can induce neuroinflammation, synaptic disruption and autism- or attention-related phenotypes in rodents, supporting biological plausibility for pollutant-related NDD risk. Large-scale epidemiological studies have begun to link prenatal traffic-related pollutants with cognitive delay, behavioural difficulties and increased risk of ASD and ADHD, although most data come from Western cohorts. Against this backdrop, a nationwide South Korean cohort (&gt;1.4 million births) reports that higher prenatal nitrogen dioxide and sulphur dioxide exposure is associated with increased risk of clinically diagnosed NDDs into adolescence. These findings underscore prenatal air pollution as a modifiable, population-level risk factor for child mental health.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 10","pages":"1785-1787"},"PeriodicalIF":6.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147924988","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":"Examining bidirectional associations between overprotective parenting and adolescent problem behaviors: a multiverse analysis","authors":"Nele Flamant,&nbsp;Bart Soenens,&nbsp;Henning Tiemeier,&nbsp;Joachim Waterschoot,&nbsp;Peter Prinzie","doi":"10.1111/jcpp.70166","DOIUrl":"10.1111/jcpp.70166","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research on overprotective parenting in adolescence has predominantly used cross-sectional designs, limiting attention to possible bidirectional associations between such parenting and adolescents' problem behaviors. The few longitudinal studies available have yielded mixed findings regarding the direction of effects between overprotective parenting and adolescent outcomes, which may stem from substantive and design-related choices (e.g., type of informant). The present study systematically investigated the potentially bidirectional interplay between overprotective parenting and adolescents' functioning over time using a multiverse analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used two-wave repeated-measures data with a two-year interval from the Flemish Study on Parenting, Personality, and Development (FSPPD), including 588 adolescents, both parents, and their teachers. Adolescents and their parents reported on parental overprotection. Moreover, adolescents, their parents, and teachers rated adolescents' externalizing and internalizing problem behaviors. Latent change models were estimated within a multiverse framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results provide stronger evidence that adolescents with more overprotective parents show, on average, a greater increase in problem behavior than adolescents with less overprotective parents, compared to evidence for the opposite direction of effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, these findings highlight the potential of a multiverse analysis and mainly support a directional effect of overprotective parenting on more problematic adolescent functioning within the two-year time interval studied.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 10","pages":"1649-1663"},"PeriodicalIF":6.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961566","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":"Anthropometric differences between twins at birth and their association with later cognitive performance","authors":"Robert Eves,&nbsp;Marco Deppe,&nbsp;Christian Kandler,&nbsp;Bastian Mönkediek,&nbsp;Sakari Lemola","doi":"10.1111/jcpp.70170","DOIUrl":"10.1111/jcpp.70170","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Past studies indicate significant associations between birth anthropometrics, such as relative birthweight or head circumference, and later cognitive performance. Using twin data, we investigated whether these associations are confounded by genetic and environmental factors. Additionally, we determined whether the association of within twin differences in birth anthropometrics and cognitive performance is nonlinear or moderated by factors such as zygosity or age at assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Longitudinal data from over 2000 twin pairs from the German TwinLife study were analysed using the co-twin control method. Cognitive performance was assessed at two waves, with median ages of 12 and 18 years, with <i>z</i>-standardised scores based on wave and age. Differences between twins in birthweight and head circumference <i>Z</i> scores were calculated using Fenton's size at birth chart, based on health records at birth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Within twin differences in relative birthweight were associated with differences in cognitive performance at Wave 1 (<i>β</i> = .08, <i>p</i> = .001) and did not differ by zygosity (<i>β</i> = .03, <i>p</i> = .560). However, this association was not significant when reducing the sample to twins with valid data at both waves (<i>β</i> = .05, <i>p</i> = .187). Testing for nonlinearity or for moderation by age at assessment did not improve model fit. Within twin differences in head circumference were not significantly associated with differences in cognitive performance in any analyses (smallest <i>p</i> = 0.365).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>After controlling for confounding due to genetics or the shared environment, conditions in the womb, as indexed by relative birthweight, is associated with later cognition. This association is not stronger in younger individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 10","pages":"1692-1700"},"PeriodicalIF":6.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.70170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004029","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":"Research Review: Emotion regulation in individuals with intellectual disability – an integrative review","authors":"Emily F. Ferguson,&nbsp;Heather J. Nuske,&nbsp;Antonio Y. Hardan,&nbsp;James J. Gross","doi":"10.1111/jcpp.70177","DOIUrl":"10.1111/jcpp.70177","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Across diverse populations, there is growing evidence that emotion regulation is central to healthy adaptation. Much is known about emotion regulation processes in typically developing populations, but comparatively very little is known about how these processes unfold in individuals with intellectual disability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This integrative review advances understanding of emotion regulation in intellectual disability within a clinical framework. We first synthesize research on affective and behavioral functioning across the heterogeneous intellectual disability population. We then apply the <i>process model of emotion regulation</i> to examine how differences in cognition, language, and executive functioning shape regulation capacities. Particular attention is given to the distinction between self-focused strategies used by individuals to regulate their own emotions, and other-focused, interpersonal strategies (i.e. caregiver-mediated support), which may play a particularly critical role for individuals with intellectual disability across the lifespan. Finally, we discuss implications for clinical practice, including interventions for promoting healthy emotion regulation in intellectual disability within the process model framework and recommendations for family-centered approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>By integrating empirical evidence with a widely used theoretical model, this review establishes a foundation for conceptualizing emotion regulation in intellectual disability and for improving interventions that support emotional well-being in this underserved population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"67 10","pages":"1766-1784"},"PeriodicalIF":6.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148147574","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":"Variants of limited prosocial emotions among adolescent boys with conduct disorder.","authors":"Thomas Cassart, Melina Nicole Kyranides, Vincent Bégin, Frédéric Declercq, Stijn Vandevelde, Olivier F Colins","doi":"10.1111/jcpp.70225","DOIUrl":"https://doi.org/10.1111/jcpp.70225","url":null,"abstract":"<p><strong>Background: </strong>Studies that used complex statistical analyses provided some evidence to support the utility of differentiating between variants of callous-unemotional (CU) traits. Yet, no study has tried to identify these variants using a method that closely resembles applied clinical work. This study, therefore, tested if these variants can be found in individuals with DSM-5 defined conduct disorder (CD) and DSM-5 defined CU traits.</p><p><strong>Methods: </strong>Participants were 288 male adolescents (M_age = 16.94) with a CD diagnosis. Using a diagnostic interview to assess the DSM-5 CU specifier (\"with limited prosocial emotions (LPE)\") and a well-established self-report anxiety questionnaire, participants were assigned to mutually exclusive groups, including groups that were low in anxiety (CD + LPE - ANX or \"primary variant\"; n = 145) or high in anxiety (CD + LPE + ANX or \"secondary variant\"; n = 27). These two groups were compared in individual and environmental characteristics as measured via questionnaire measures and experimental tasks.</p><p><strong>Results: </strong>Relative to the CD + LPE - ANX group, the CD + LPE + ANX group scored higher on psychopathic trait dimensions, affective empathy, depressive symptoms, negative urgency, bodily awareness of emotions, emotional maltreatment, and sexual abuse. No group differences emerged in antisocial behavior, aggression, emotion recognition accuracy, and treatment engagement.</p><p><strong>Conclusions: </strong>Findings tentatively suggest that self-reported anxiety can be used to identify variants of youth who have CD and LPE diagnoses and that the CD + LPE + ANX captures a group of youth with multiple and complex needs.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148872262","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":"Multimethod examination of change in autistic preschoolers' emotion dysregulation in the context of parenting stress intervention","authors":"Rachel M. Fenning, Jessie B. Northrup, Jason K. Baker, Carla A. Mazefsky, Cameron L. Neece","doi":"10.1111/jcpp.70226","DOIUrl":"https://doi.org/10.1111/jcpp.70226","url":null,"abstract":"Background Many autistic preschoolers experience heightened emotion dysregulation and rely heavily on parents for co‐regulatory support, which may be compromised by elevated parenting stress. Methods We examined secondary outcomes of a randomized trial (ClinicalTrials.gov – NCT03459625) to assess downstream effects of parent stress‐reduction interventions (MBSR vs. Psychoeducational Support) on emotion dysregulation in autistic children with diverse developmental and behavioral profiles ( <jats:italic>N</jats:italic> = 117). We also explored cross‐method, cross‐context correspondence between parent report of children's regulatory tendencies and observational ratings derived from independent and dyadic parent–child problem‐solving tasks. Results Parent‐reported child dysregulation and observed dyadic dysregulation decreased significantly across groups, with reduced parenting stress predicting decreased parent‐reported dysregulation. Conversely, observed child independent dysregulation remained relatively stable. Meaningful multimethod associations were identified. Conclusions Results suggest important collateral benefits of parenting stress reduction during the sensitive postdiagnostic period and highlight the sensitivity and utility of parent‐reported and observed dyadic dysregulation as trial outcomes, including the new Emotion Dysregulation Inventory‐Young Child. Implications for conceptualization and measurement of emotion dysregulation in autism are discussed, as are considerations for optimizing environmental supports.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"6 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842935","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":"Rising autism identification in England, 2016–2024: evidence from England's School Census","authors":"David Frayman, William Mandy","doi":"10.1111/jcpp.70209","DOIUrl":"https://doi.org/10.1111/jcpp.70209","url":null,"abstract":"Background Since the 1990s, rates of autism spectrum disorder (henceforth ‘autism’) diagnosis have increased dramatically. To understand if this growth is ongoing, and to understand the changing profile and needs of those with an autism diagnosis, we investigated time trends (2016–2024) in: (a) the number and proportion of UK school pupils identified as autistic; and (b) the characteristics of these autistic pupils, in terms of their age, sex, ethnicity, socio‐economic position and co‐occurring needs. Methods The study used annual data from the School Census (2016–2024) in England, covering 8–8.5 million pupils in each census year. Autism was identified as a pupil having a recorded autism‐specific special educational need or disability (SEND). Results The prevalence of identified autism grew rapidly, from 1.5% in 2016 to 3.3% in 2024. During this time, the male‐to‐female ratio of autistic pupils fell from 4.9‐to‐1 to 2.8‐to‐1, and the proportion of autistic pupils with an identified intellectual disability fell from 15.1% to 8.7%. Across the study timeframe, autistic pupils were more likely to be White British and from an economically deprived background. We found evidence of ‘locked in’ future increases in prevalence from the movement of cohorts up the school system. Conclusions As indexed by SEND data, rates of autism diagnosis in England continue to grow, in part driven by greater recognition of girls and those without intellectual disability. These findings highlight the need for forward planning to meet the growth and evolving profile of people with autism‐related needs, in education and beyond.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"186 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148767529","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":"Treating parents with ADHD and their children ( TPAC ): a hybrid effectiveness‐implementation, randomized controlled trial","authors":"Andrea Chronis‐Tuscano, Nadia Bounoua, Christina M. Danko, Daniel Almirall, Joyce H.L. Lui, Donna Marschall, Daria Taubin, Hong N.T. Bui, Nicholas P. Marsh, Lisa Efron, Julia Dorfman, Nicole E. Lorenzo, Melissa Dvorsky, Ian M. Bennett, Shireen M. Atabaki, Adelaide S. Robb","doi":"10.1111/jcpp.70222","DOIUrl":"https://doi.org/10.1111/jcpp.70222","url":null,"abstract":"Background Attention‐Deficit/Hyperactivity Disorder (ADHD) is highly heritable; thus, parents and children frequently experience ADHD‐related impairments. Parent ADHD is associated with poorer developmental and treatment outcomes for children with ADHD, in part due to executive functioning and emotion regulation difficulties that interfere with parenting and treatment follow‐through. Few studies have evaluated multi‐modal, family‐based approaches that directly address both parent ADHD and parenting to ultimately improve child outcomes. Methods We compared a telehealth‐delivered, integrated behavioral parent training program (I‐BPT) alone or preceded by a parent stimulant medication titration (PSM + I‐BPT) for parents with ADHD ( <jats:italic>N</jats:italic> = 120; 25% fathers; 27% Black/African‐American; 11% Hispanic) and their 3–8‐year‐old, stimulant‐naïve children. I‐BPT dually targeted parenting and parent ADHD and was implemented by providers in urban pediatric clinics. Trial registration: <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"http://clinicaltrials.gov\">ClinicalTrials.gov</jats:ext-link> identifier NCT04240756; <jats:italic>Treating Parents with ADHD and Their Young Children</jats:italic> Via <jats:italic>Telehealth: a Hybrid Type I Effectiveness‐Implementation Trial</jats:italic> . Registered at <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"https://clinicaltrials.gov/study/NCT04240756?utm_source=chatgpt.com\">https://clinicaltrials.gov/study/NCT04240756</jats:ext-link> on 01/21/2020. Results Children whose parents received PSM + I‐BPT showed significantly steeper declines in <jats:italic>Clinical Global</jats:italic> Impressions ratings than those receiving I‐BPT alone ( <jats:italic>d =</jats:italic> 0.37; <jats:italic>p</jats:italic> = .001). Parents receiving PSM + I‐BPT also demonstrated faster reductions in their own CGI‐S ratings ( <jats:italic>d</jats:italic> = 0.33) and reported greater improvements in inconsistent discipline ( <jats:italic>d</jats:italic> = 0.22) and positive parenting ( <jats:italic>d</jats:italic> = 0.24). Self‐reported punitive parenting and observed parenting behaviors improved similarly across I‐BPT groups. Conclusions PSM + I‐BPT led to benefits on parent and child clinical severity and targeted parenting skills compared to I‐BPT without parental ADHD medication; broader parenting improvements occurred across both I‐BPT conditions. Addressing parent ADHD pharmacologically may enhance the effectiveness of parenting interventions for multiplex ADHD families.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"131 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148767530","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}