Research on Child and Adolescent Psychopathology最新文献

{"title":"Longitudinal Relationship between Shame, Loneliness, and Nonsuicidal Self-injury Among Chinese Adolescents.","authors":"Cheng Chen, Zhihao Yan, Zhuoyan Xia, Qingsong Sang","doi":"10.1007/s10802-026-01502-6","DOIUrl":"10.1007/s10802-026-01502-6","url":null,"abstract":"<p><p>This study aimed to examine the longitudinal associations and co-developmental trajectories between shame, loneliness, and nonsuicidal self-injury, as well as the mediating role of loneliness in the relationship between shame and nonsuicidal self-injury among Chinese adolescents. A total of 664 adolescents (42.02% male; mean age 13.82 years) from Anhui Province, China, were assessed at three time points over 12 months. Latent growth modeling and cross-lagged panel model were employed to examine longitudinal relationships and co-developmental trajectories. Latent growth modeling indicated that both the intercept (initial levels) and the slope (rate of change) of shame and loneliness were significantly associated with the corresponding intercept and slope of nonsuicidal self-injury over the study period. Cross-lagged panel model analyses revealed that shame and loneliness at each time point were significantly associated with the subsequent nonsuicidal self-injury. Moreover, loneliness mediated the longitudinal association between shame and nonsuicidal self-injury: shame at Time 1 was significantly associated with loneliness at Time 2, which was in turn associated with nonsuicidal self-injury at Time 3. The findings highlight the longitudinal contributions of shame and loneliness to the development of nonsuicidal self-injury among adolescents and identify loneliness as an important mediator in the pathway from shame to nonsuicidal self-injury. These findings enhance understanding of nonsuicidal self-injury mechanisms in Eastern cultural contexts and provide implications for targeted interventions addressing shame and loneliness to prevent adolescent nonsuicidal self-injury.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance-only Social Anxiety as a Distinct Clinical Profile: Evidence from Obsessive Beliefs, Alexithymia, and Cognitive Flexibility in Adolescent Girls with Social Anxiety Disorder.","authors":"Makbule Esen Öksüzoğlu, Nagihan Özer, H Berna Deveci̇oğlu, Hande Günal Okumuş","doi":"10.1007/s10802-026-01505-3","DOIUrl":"10.1007/s10802-026-01505-3","url":null,"abstract":"<p><p>Social anxiety disorder (SAD) in adolescent girls is clinically heterogeneous, yet the cognitive and emotional processes distinguishing performance-based, interaction-based, and combined presentations remain poorly characterized. In this case-control study, 219 adolescent girls aged 12-18 years were recruited from four child and adolescent psychiatry outpatient clinics and assigned, via K-SADS-PL-guided diagnostic evaluation, to four groups: performance anxiety only (SA - PA+; n = 52), social interaction anxiety only (SA + PA-; n = 50), combined social interaction and performance anxiety (SA + PA+; n = 67), and healthy controls (n = 50). Groups were compared on clinician-rated severity, social anxiety symptoms, obsessive beliefs (OBQ-44), alexithymic traits (TAS-20), and cognitive flexibility (CFI). A gradient boosting classifier, complemented by a sensitivity analysis excluding direct severity indicators, examined whether the three clinical phenotypes remained distinguishable beyond overall symptom load. Clinician-rated global severity (CGI-S) did not differ across the clinical groups, whereas the three presentations diverged across multiple cognitive-emotional domains, with large omnibus effects (ε² = 0.16-0.25). The SA - PA+ group showed lower obsessive beliefs and relatively preserved cognitive flexibility; the SA + PA- group was distinguished by reduced flexibility in generating alternative interpretations; the SA + PA+ group showed elevated alexithymic traits, longer illness duration, and the highest rate of previous psychiatric referral. Gradient boosting classified the three clinical groups with high cross-validated accuracy (0.96; macro-F1 = 0.96), decreasing only modestly when severity indicators were excluded (0.93). Performance-only, interaction-only, and combined SAD presentations reflect partially distinct cognitive-emotional profiles rather than a single severity gradient, which may inform assessment, case formulation, and treatment planning.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Vicious Cycle Between Parental Psychological Control and Depressive Symptoms Among Chinese Early Adolescents: Highlighting the Mediating Role of Positivity and Sex Differences.","authors":"Ling Ding, Haisen Yang, Juanjuan Zhang","doi":"10.1007/s10802-026-01503-5","DOIUrl":"10.1007/s10802-026-01503-5","url":null,"abstract":"<p><p>Although the reciprocal association between psychologically controlling parenting and adolescent depressive symptoms has been well documented, less is known about the psychological mechanisms that may explain this dynamic process, particularly from a positive developmental perspective. Drawing on positive orientation theory, the present study examined whether positivity mediated the bidirectional within-person associations between parental psychological control and depressive symptoms, and whether these processes differed by sex. A sample of 4,254 Chinese early adolescents (55.5% boys; M_age = 10.93 years, SD = 0.72, range = 10-13 years) participated in a four-wave longitudinal study with six-month intervals. Random-intercept cross-lagged panel models (RI-CLPMs) revealed reciprocal within-person associations between parental psychological control and depressive symptoms in the total sample, as well as among both boys and girls. In the total sample and among girls, positivity partially mediated the bidirectional associations between parental psychological control and depressive symptoms. However, among boys, the mediating effect was not supported. These findings highlight a vicious cycle between psychologically controlling parenting and adolescent depressive symptoms and identify positivity as an important, sex-specific mechanism underlying this process. The results also suggest that interventions aimed at enhancing positivity may be particularly beneficial for disrupting maladaptive parent-adolescent dynamics and reducing depressive symptoms among Chinese early adolescents.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a Novel Eye Gaze Shift Task in Autism Assessment: A Pilot Study.","authors":"Adam Blancher, Michelle Yetman, Michael McGill, Tryphena Jenkins","doi":"10.1007/s10802-026-01498-z","DOIUrl":"10.1007/s10802-026-01498-z","url":null,"abstract":"<p><p>Eye gaze is a fundamental component of social communication and is frequently evaluated during Autism Spectrum Disorder (ASD) assessments. Although behavioral assessments of ASD frequently include observations of eye gaze, relatively few standardized tasks are designed to specifically elicit gaze-related social communication in response to an ambiguous social cue. This pilot study examined the feasibility and preliminary diagnostic utility of the Eye Gaze Shift Task (EGST). Data from 58 children (29 ASD; 29 non-ASD) who completed the ADOS-2 Module 1 were analyzed. The EGST was administered concurrently during comprehensive clinical evaluations and scored independently using a standardized 4-point observational hierarchy modeled after the ADOS-2 hierarchy of presses. Chi-square and receiver operating characteristic (ROC) analyses were conducted to examine the relationship between EGST performance and final clinical diagnosis. EGST performance was significantly associated with ASD diagnosis, χ²(1, N = 58) = 68.95, p < 0.001, with a very large effect size (V = 0.93). ROC analyses demonstrated excellent diagnostic discrimination (AUC = 0.989, 95% CI [0.97-1.00]). Using a cutoff score of ≥ 2, the EGST demonstrated 100.0% sensitivity, 89.7% specificity, and overall classification accuracy was 94.8%. Findings provide preliminary evidence that the EGST may be a feasible, brief, standardized observational task that may complement existing ASD assessment procedures by providing additional information regarding eye gaze behavior in children over 31 months of age. Replication of these findings with larger and more diverse samples is recommended.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negative and Positive Emotion Reactivity and Regulation in Adolescents: A Multimethod Investigation of Associations With Depressive Symptoms.","authors":"Heleen Goemaere, Jolien Braet, Sandra Verbeken, Laurence Claes, Caroline Braet","doi":"10.1007/s10802-026-01501-7","DOIUrl":"10.1007/s10802-026-01501-7","url":null,"abstract":"<p><p>Although emotion reactivity and regulation have been linked to depressive symptoms in adolescents, prior research has largely examined these constructs in isolation and focused predominantly on negative emotions. This study addresses these gaps by simultaneously investigating reactivity and recovery (as an index of emotion regulation) across both negative and positive emotional contexts. Using a multimethod design, we assessed self-reported negative and positive emotion and respiratory sinus arrhythmia (RSA) in adolescents (N = 110; 12-18 years; M_age = 13.60, SD_age = 1.83; 65.5% girls) who participated in a laboratory film-based task eliciting sadness, fear, and happiness, each followed by a recovery phase. Manipulation checks showed successful emotion reactivity at the self-report level. Self-reports also indicated effective recovery after the negative inductions, whereas positive emotion was not maintained after the positive induction. At the physiological level, RSA increased during the sadness induction and during recovery from the fear induction. Correlation analyses showed that higher depressive symptoms were associated with heightened self-reported negative emotion across all emotion conditions, but not with reduced positive emotion. Multilevel analyses revealed no significant interactions between depressive symptoms and reactivity or recovery for self-reported emotion or RSA. Although this study provides initial multimethod evidence on emotion reactivity and recovery in adolescence and their associations with depressive symptoms, future research should refine measurements of emotion reactivity and recovery, and replicate these findings in samples with a broader range of depressive symptoms or in clinical populations.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the Silence: A Qualitative Analysis of Suicide Risk among Black Adolescents.","authors":"Mallory Raya Cotton, Alphamarru Jabbie, Kennedy M Balzen, Danielle R Busby, Ryan M Hill, Chadi Calarge, Jennifer L Brown, Carla Sharp","doi":"10.1007/s10802-026-01497-0","DOIUrl":"10.1007/s10802-026-01497-0","url":null,"abstract":"<p><p>Suicide among Black adolescents, relative to any other racial or ethnic group, is rising at an accelerated pace, underscoring a pressing public mental health concern. Understanding the underlying causes would benefit from expanding culturally specific frameworks of suicide in Black youth. Because Black youth's perspectives of suicide have been largely neglected, Cultural Consensus Modeling (CCM), a multi-phase, inductive approach, was employed in the present investigation to characterize shared cultural beliefs about suicide in Black adolescents between the ages of 11 and 18 years. The purpose of the present study was to specifically present findings from Phase 3 of parent CCM study, which includes in-depth, qualitative interviews. A sample of N = 21 Black youth were interviewed to gather descriptive perspectives of the shared cultural beliefs about factors contributing to suicidal ideation. Thematic analysis of qualitative interviews identified five themes: 1) Internalized Racism and Devaluation, 2) Perceived Pressure to Succeed, 3) Isolation and Exclusion due to Bullying, 4) Stigma and Invalidation of Mental Health Problems in the Black Community, and 5) Hopelessness. By elucidating cultural beliefs of suicide, this work may inform advancements in culturally relevant prevention and intervention efforts to address increasing suicide rates among Black youth.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Off-Time Puberty in Autism Spectrum Disorder and ADHD: A Scoping Review of Pubertal Timing, Social Cognition, and Psychopathological Risk.","authors":"Berkan Sahin","doi":"10.1007/s10802-026-01488-1","DOIUrl":"10.1007/s10802-026-01488-1","url":null,"abstract":"<p><p>Off-time pubertal development defined as pubertal onset or progression deviating meaningfully from age- and sex-matched normative expectations confers heightened risk for internalizing and externalizing psychopathology during adolescence. Children and adolescents with neurodevelopmental disorders (NDDs), including autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD), carry pre-existing impairments in theory of mind (ToM) the capacity to represent and respond to the mental states of others that substantially compromise their capacity to navigate the increasingly complex social demands that puberty introduces. Evidence indicates that ASD is associated with elevated rates of precocious puberty and altered pubertal tempo, and that ADHD in females is linked to earlier pubertal onset with consequent internalizing symptom exacerbation; yet the mechanisms connecting pubertal timing, ToM impairment, and psychopathological risk in these populations have not been systematically reviewed. This scoping review, guided by the PRISMA extension for Scoping Reviews (PRISMA-ScR), synthesises evidence from 19 studies (2016-2026) examining pubertal timing in ASD and ADHD, the neurobiological mechanisms linking puberty to social cognition, and the clinical and psychopathological consequences of their convergence. We identify three mechanisms through which off-time puberty and pre-existing ToM impairment interact: (1) demand-capacity mismatch amplification, (2) masking and camouflaging under elevated social load, and (3) physical-cognitive developmental asynchrony. No primary studies have directly examined the moderating role of ToM on the puberty-psychopathology relationship in NDD populations, representing a critical research gap. We propose a dual-vulnerability framework and outline research priorities for future longitudinal and intervention studies in this underserved population.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement Equivalence of an ADHD Screening Tool Across Diverse Racial and Ethnic Children.","authors":"Ashlyn W W A Wong, Patrick K Goh, Brad J Nakamura, Grace S Mellor, Kyle Matsunaka, Yiyuan Xu","doi":"10.1007/s10802-026-01499-y","DOIUrl":"10.1007/s10802-026-01499-y","url":null,"abstract":"<p><p>Despite prior work evidencing racial and ethnic differences in parent-reported ratings of ADHD symptoms, there is limited work suggesting that these reflect true differences rather than a product of nonequivalent measurement properties in screening tools. The current study aimed to further explore this using the Strengths and Difficulties Questionnaire Hyperactivity-Inattention Subscale (SDQ-HI; Goodman, 1997) by first analyzing its factor structure and subsequently assessing for measurement invariance and latent mean differences. Participants were parents of 6,673 children aged 4-17 years (M_age = 11.10 years, SD = 4.06) from the 2019 National Health Interview Survey. The sample was inclusive of White, Hispanic/Latinx, Black, and Asian children. A series of confirmatory factor analyses (CFAs) was used to establish the factor structure of the parent-reported version of the SDQ-HI and determine configural invariance across racial and ethnic groups. The alignment optimization approach was then employed to examine measurement invariance and compare latent means between groups. Initial results using data from the full sample indicated that a two-factor structure fit best. Additionally, the SDQ-HI was deemed invariant across races and ethnicities, except for threshold differences in restless and overactive behaviors between Hispanic/Latinx and White children. Asian children, on average, were rated as having lower levels of inattention compared to all other racial and ethnic groups. Findings from this study supported the use of the SDQ-HI as a screening tool across racial and ethnic groups and provided important implications for considering cultural influences toward parents' approaches to rating ADHD behaviors.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who Benefits More in Group-Based and Individual Telehealth Parenting Programs: Moderators and Distal Child Outcomes among Military Families.","authors":"Carlie J Sloan, Qiyue Cai, Abigail H Gewirtz","doi":"10.1007/s10802-026-01496-1","DOIUrl":"10.1007/s10802-026-01496-1","url":null,"abstract":"<p><p>Telehealth has emerged as a feasible means for delivering evidence-based parenting interventions, but studies of which families benefit from individual telehealth versus traditional in-person groups, as well as long-term effects for children, are lacking. In this comparative effectiveness trial, 166 military families were randomized to the individual telehealth or in-person group-based ADAPT intervention. Moderated mediation models tested whether baseline parent and child factors moderated the impact of delivery format on parenting at a one-year follow-up and whether parenting changes mediated child adjustment changes at a two-year follow-up. Both mothers and fathers who perceived intitially lower child maladjustment problems showed greater gains following the in-person group condition as opposed to the telehealth condition. Fathers with higher initial mental health risk and perceived child maladjustment problems showed greater gains in the individual telehealth condition as opposed to the in-person group condition. Improvements in mothers' parenting were associated with reductions in child internalizing and externalizing symptoms at two-year follow-up. Findings may guide tailored intervention delivery and scale-up of ADAPT and related programs.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Picture is Worth How Many Words? The Impact of Visual Cues on the Story Retelling of Children with and without ADHD.","authors":"Hend Samniya, Ricky Haneda, Gail Tripp","doi":"10.1007/s10802-026-01494-3","DOIUrl":"https://doi.org/10.1007/s10802-026-01494-3","url":null,"abstract":"<p><p>Children with attention deficit hyperactivity disorder (ADHD) evidence poorer language skills than their neurotypical (NT) peers, including their narrative (storytelling) abilities. Available narrative studies include a circumscribed number of variables, with limited attention to the effect of task demands on performance. We compared the story retelling skills of children with and without ADHD under different memory loads. Ninety-six 8-12-year-old children, 50 meeting DSM-5-TR criteria for ADHD (54.9% boys) and 46 NT children (39.1% boys) completed a story retelling task under two conditions, i.e., with and without visual story cues. The children's stories were coded across a range narrative dimensions, with performance compared across groups and conditions. Children with ADHD produced less complete and coherent stories that included higher rates of dysfluencies and linguistic errors than NT children. Across groups, performance was better in the presence of visual story cues, with larger effects for the ADHD group on some variables. Findings highlight the extent of narrative production difficulties in children with ADHD and the positive effects of visual cues. Given the importance of narrative skills for communication and social interactions, their inclusion in the comprehensive assessment of children with ADHD is recommended.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}