Nergis Eyüpoğlu, İpek Süzer Gamlı, Oğuz Bilal Karakuş, İbrahim Adak, Ediz Eyüpoğlu, Rabia Sevcan Karaaslan
{"title":"Sensory Processing and Performance-Based Executive Functioning in Adolescent Obsessive Compulsive Disorder: An Integrated Assessment.","authors":"Nergis Eyüpoğlu, İpek Süzer Gamlı, Oğuz Bilal Karakuş, İbrahim Adak, Ediz Eyüpoğlu, Rabia Sevcan Karaaslan","doi":"10.1007/s10802-026-01468-5","DOIUrl":"10.1007/s10802-026-01468-5","url":null,"abstract":"<p><p>Prior research in pediatric OCD has addressed sensory processing characteristics and executive functions (EF), typically within separate lines of investigation. This study examined the interrelationships among OCD symptom severity, sensory processing characteristics, and performance-based EF in adolescents with OCD and assessed whether sensory processing and symptom severity are associated with executive outcomes. One hundred adolescents aged 12-18 years meeting DSM-5 criteria exclusively for OCD were assessed. Symptom severity was measured with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), sensory processing with the Adolescent/Adult Sensory Profile (AASP), and EF with the Wisconsin Card Sorting Test (WCST), Stroop Color-Word Test (SCWT), Children's Color Trails Test (CCTT), and Verbal Fluency Tests (VFT). Associations were examined using bivariate correlations and multivariate linear regression models. CY-BOCS Total scores were moderately correlated with AASP Sensory Sensitivity and Sensory Avoiding, and weakly with Low Registration. Greater OCD symptom severity was associated with poorer WCST performance and longer CCTT-2 completion time, whereas no significant associations emerged with Stroop completion times or VFTs. In regression models, higher CY-BOCS Total scores were independently associated with poorer WCST indices and longer CCTT-2 completion time, whereas AASP subscales were not independently associated with executive outcomes. These findings suggest that sensory processing characteristics are associated with OCD symptom severity and that OCD symptom severity is independently linked to cognitive flexibility-related EF performance in adolescents with OCD. Further longitudinal and case-control studies including healthy and clinical comparison groups are needed to determine the direction, specificity, and clinical significance of these associations.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036263","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}
Sara Pieters, William J Burk, Helen Klip, Carolina de Weerth, Malindi van der Mheen, Gabry W Mies, Emilie M A van Tetering, Anne-Marie van den Hoek, Wendy J M A van Summeren, Wouter Staal, Tinca J C Polderman
{"title":"Perinatal Risk Factors, Allergic Conditions and Psychosocial Problems in Children and Adolescents with Mental Health Problems.","authors":"Sara Pieters, William J Burk, Helen Klip, Carolina de Weerth, Malindi van der Mheen, Gabry W Mies, Emilie M A van Tetering, Anne-Marie van den Hoek, Wendy J M A van Summeren, Wouter Staal, Tinca J C Polderman","doi":"10.1007/s10802-026-01465-8","DOIUrl":"10.1007/s10802-026-01465-8","url":null,"abstract":"<p><p>Immune-related problems have been implicated in mental health disorders, yet their role in youth remains unclear. This study examined (a) the prevalence of perinatal risk factors and allergic conditions in youth receiving psychiatric care, (b) the association between these risks, and (c) their combined impact on psychosocial functioning. Participants included 2,193 children and adolescents (ages 6-17; M = 11.52, SD = 3.35). Parent-reported questionnaires assessed perinatal risks, allergic conditions, and psychosocial symptoms. Perinatal risks were reported in 31% and allergic conditions in 20% of the sample. No significant association emerged between the two risk domains. However, allergic conditions were linked to elevated internalizing symptoms. For externalizing symptoms, an effect of allergic conditions was only found in those with perinatal risks. Findings support the immuno-psychiatry framework, indicating that allergic conditions, particularly in combination with early-life risk, may contribute to psychosocial difficulties in clinically referred youth. Implications for early intervention are discussed.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13212645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036241","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}
Antonia L Boulton, Georgette E Fleming, Ashneeta H Prasad, Kelly A Kershaw, Eva R Kimonis
{"title":"Testing the Acceptability, Feasibility, and Preliminary Efficacy of an Internet-delivered Positive Classroom Management Training (iPCMT) for Elementary School Educators.","authors":"Antonia L Boulton, Georgette E Fleming, Ashneeta H Prasad, Kelly A Kershaw, Eva R Kimonis","doi":"10.1007/s10802-026-01453-y","DOIUrl":"10.1007/s10802-026-01453-y","url":null,"abstract":"<p><p>Conduct problems emerge early in childhood and can lead to severe maladjustment across the lifespan if not appropriately managed. These problems are highly prevalent in school settings, yet educators reportedly struggle to manage them. When conduct problems co-occur with callous-unemotional (CU) traits, risk for severe, persistent disruptive behavior and academic underachievement increases, necessitating targeted management strategies. The current study evaluated a brief internet-delivered positive classroom management training (iPCMT), informed by the principles and strategies of home- and school-implemented parent management training programs, including those targeting CU traits. Of the 275 elementary school educators that were randomly assigned to either the Immediate-iPCMT condition (n = 137) or the Waitlist Control condition (n = 138), 228 educators (Mean age = 40.22, 86.1% female-identifying) were included in the final intent-to-treat analyses. At post-intervention, the final educator sample showed significant improvement in their knowledge of conduct problems, but this gain was not maintained for the 28.1% of educators who participated in the 5-week follow-up. Educators who nominated a disruptive student also reported significant decreases in student-educator conflict, but no significant improvements in student-educator closeness, student conduct problems, or student CU traits. Acceptability and feasibility ratings among participants who completed iPCMT were high, but there was a high overall attrition rate. Although iPCMT requires further refinement to increase participant retention and effectiveness, it may serve as a starting point for further research on developing educators' knowledge of heterogeneous conduct problems. More research is also needed to test the effects of iPCMT in the longer-term, with multi-method outcome measures.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875881","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}
He Zhao, Tiejun Kang, Nan Guo, Xinli Li, Chenguang Du, Shifeng Li, Xiaobin Ding
{"title":"Emotion Dysregulation as a Longitudinal Mediator between Depressive Symptoms and Non-Suicidal Self-Injury in Adolescents: Insights from a Random Intercept Cross-Lagged Panel Model.","authors":"He Zhao, Tiejun Kang, Nan Guo, Xinli Li, Chenguang Du, Shifeng Li, Xiaobin Ding","doi":"10.1007/s10802-026-01460-z","DOIUrl":"10.1007/s10802-026-01460-z","url":null,"abstract":"<p><p>Non-suicidal self-injury (NSSI) is a significant public health concern among adolescents. Yet, the longitudinal mechanisms linking depressive symptoms to NSSI—particularly the role of emotion dysregulation and potential sex differences—remain insufficiently understood. This study examined whether difficulties in emotion regulation (DER) serve as a within-person mediator in the longitudinal association between depressive symptoms and NSSI, and whether this indirect pathway differs between male and female adolescents. We analyzed three-wave longitudinal data collected from 1,555 Chinese adolescents (Mage = 13.97 ± 1.53; 47.85% girls) at six-month intervals. A Random Intercept Cross-Lagged Panel Model (RI-CLPM) was employed to disentangle within-person fluctuations from stable between-person differences, thereby providing a rigorous test of temporal dynamics. The results revealed a significant temporally ordered mediation pathway at the within-person level: increases in depressive symptoms predicted subsequent elevations in emotion dysregulation, which in turn predicted an increased risk of NSSI. Notably, multi-group analyses indicated that this indirect effect was significant only among female adolescents; for males, no significant mediation was observed. These findings identify emotion dysregulation as a key, sex-specific mechanism through which depressive symptoms translate into NSSI behavior over time, with a small but meaningful indirect effect (β = 0.03) at the within-person level. The results underscore the importance of targeting emotion regulation skills in interventions for adolescents with depressive symptoms, and suggest that sex-informed approaches may enhance the efficacy of prevention and early intervention efforts for NSSI.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821738","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}
Anna M Compton, Sarah E Maylott, Anna M Zhou, Kira Wright, Nicolette C Molina, Madeleine Bruce, Alec Westover, K Lee Raby, Sheila Crowell, Elisabeth Conradt
{"title":"Prenatal Emotion Dysregulation, Respiratory Sinus Arrhythmia, and Mindfulness Predict tTddler Socioemotional Development.","authors":"Anna M Compton, Sarah E Maylott, Anna M Zhou, Kira Wright, Nicolette C Molina, Madeleine Bruce, Alec Westover, K Lee Raby, Sheila Crowell, Elisabeth Conradt","doi":"10.1007/s10802-026-01454-x","DOIUrl":"10.1007/s10802-026-01454-x","url":null,"abstract":"<p><p>Socioemotional skills are essential for healthy development, shaping emotional health, interpersonal functioning, and long-term academic success. Disruptions in socioemotional development can emerge as early as infancy and may have lasting consequences. This study examined how prenatal maternal emotion dysregulation, assessed via self-report and respiratory sinus arrhythmia (RSA), related to toddler socioemotional outcomes at 18 months, and whether maternal mindfulness, measured via everyday mindful attention and awareness, moderated these associations. Participants were 385 mother-toddler dyads from a longitudinal study on maternal emotion dysregulation. Toddler socioemotional outcomes were assessed at 18 months through parent report. We tested associations between maternal emotion dysregulation and toddler outcomes, with mindfulness examined as a moderator. Findings suggest that higher self-reported maternal emotion dysregulation is associated with toddler socioemotional difficulties (i.e., internalizing, externalizing, and dysregulation), while higher prenatal baseline RSA predicts greater toddler competence. Additionally, maternal mindfulness moderated these associations, amplifying the positive association between prenatal RSA and toddler competence and the negative association between self-reported prenatal emotion dysregulation and competence. These findings underscore the critical role of maternal well-being during pregnancy and highlight that prenatal mindful attention and awareness plays a role in toddler socioemotional development.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783780","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":"Mother-Child Dyadic Emotional Responses in Everyday Life: Moderation by Maternal Depressive Symptoms and Child Negative Emotionality.","authors":"Xin Feng, Qingqing Yang, Yihui Gong","doi":"10.1007/s10802-026-01462-x","DOIUrl":"10.1007/s10802-026-01462-x","url":null,"abstract":"<p><p>Although emotion socialization during preschool years is well studied, how mother-child mutual emotional responses unfold in naturalistic contexts remains largely unknown. This pilot study examined within-dyad associations between children’s emotion expressions and maternal socialization behaviors, and the moderating effects of maternal depressive symptoms and child negative emotionality. Forty mother-child dyads participated (42.5% girls; Mage = 5.16 years). Across two consecutive weekend days, mothers completed ecological momentary assessments 12 times, reporting children’s positive and negative emotion expressions, the intensity of child peak negative expressions, and their own emotion coaching (EC) and emotion dismissing (ED) behaviors. Children’s peak negative emotion was associated with mothers’ use of EC and ED, and the peak negative emotion and EC link was moderated by child negative emotionality. Maternal EC/ED also predicted children’s subsequent positive and/or negative emotion expressions, and the association between maternal ED and child negative expressions was further moderated by maternal depressive symptoms or child negative emotionality. Using an ecologically valid, real-time assessment approach, this study explored how the mother-child emotion socialization process unfolds in everyday life. Findings highlight the negative impact of maternal ED on children’s emotional experiences and highlight the potential value of early interventions targeting parental ED behaviors.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783789","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 Person-Centred Approach to Adolescent Emotion Regulation Motives, Strategies, and Perceived Efficacies.","authors":"Greg Vukets, Paul E Jose","doi":"10.1007/s10802-026-01461-y","DOIUrl":"10.1007/s10802-026-01461-y","url":null,"abstract":"<p><p>The present research utilised the new Process of Emotion Regulation Measure (PERM) to assess emotion regulation motives, selected strategies, and perceived efficacies in a longitudinal community sample of 951 adolescents. We conducted Latent Profile Analyses (LPA) to identify distinct emotion regulation styles and random intercept-latent transition analysis (RI-LTA) to reveal rates of stability and change of profile membership over time. Both LPA and RI-LTA suggested the optimal profile solution was constituted by five emotion regulation profiles: hypo-regulating, hyper-regulating, adaptive, maladaptive, and normative. Each profile evidenced a unique relationship to mental health outcomes, both concurrently and longitudinally. Valenced emotion regulation patterns (evident in the adaptive and maladaptive groups) appeared to manifest the strongest relationships with adolescent mental health. As expected, maladaptive emotion regulation styles were related to poorer wellbeing outcomes, and adaptive emotion regulation styles were related to better wellbeing outcomes. Using a hypo- or hyper-regulating style appeared to influence deviations from the norm for negative outcomes such as anxiety and depression, but they had a minimal influence on positive outcomes such as optimism and resilience. RI-LTA exhibited a general trend toward adaptiveness and showed that unhelpful emotion regulation styles were considerably more transient than helpful emotion regulation styles over a five-month period. Our findings underscore the importance of utilising process-based measures and person-centered analyses when studying adolescent emotion regulation.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783774","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":"Neural Response to Reward and Pathological Personality Dimensions in Adolescent and Young Adult Females.","authors":"Mohan Li, Brady D Nelson","doi":"10.1007/s10802-026-01459-6","DOIUrl":"10.1007/s10802-026-01459-6","url":null,"abstract":"<p><p>The reward positivity (RewP), an event-related potential component that indexes reinforcement learning and reward sensitivity, has been associated with both depressive and anxiety disorders—as well as risk and course—during adolescence. However, few studies have examined whether the RewP is associated with transdiagnostic dimensions that might explain similar results across different disorders, symptoms, and traits. In a sample of adolescent and young adult females, the present study attempted to replicate an existing hierarchical structure of internalizing psychopathology and examined the relationship between neural response to reward and multiple psychopathology dimensions. A sample of 153 16–24-year-old assigned-sex females (age M = 20.7, 81.7% White/Caucasian) completed a computerized reward task while we recorded electroencephalography to measure the RewP and the self-report Comprehensive Assessment of Traits relevant to Personality Disorder. We first conducted a confirmatory factor analysis to replicate a higher-order model of psychopathology. We next employed structural equation modeling to examine the relationship between the RewP and both higher-order (negative emotionality, detachment) and lower-order (traits) dimensions of psychopathology. A larger RewP was associated with greater higher-order negative emotionality, which accounted for the relationships between the RewP and lower-order traits. The RewP was not associated with higher-order detachment, but a more blunted RewP was associated with greater lower-order emotional detachment. Age did not moderate any relationships between the RewP and pathological personality. The neural response to reward demonstrates discriminant relationships with negative emotionality and detachment dimensions in adolescent and young adult females.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783767","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":"Independent and Interactive Associations of Encopresis and Attention-Deficit/Hyperactivity Disorder in Children on Emotional-Behavioral Symptoms, Executive Functioning, and Avoidant/Restrictive Food Intake-Related Symptoms.","authors":"Makbule Esen Öksüzoğlu, Hande Günal Okumuş, Nagihan Özer, Hilal Subaşı","doi":"10.1007/s10802-026-01463-w","DOIUrl":"10.1007/s10802-026-01463-w","url":null,"abstract":"<p><p>In this multicenter, cross-sectional case–control study, we examined the independent and interactive associations of encopresis and attention-deficit/hyperactivity disorder (ADHD) with emotional-behavioral symptoms, executive functioning, and avoidant/restrictive food intake-related symptoms in children. The sample included 148 children aged 5–10 years assigned to four groups: healthy controls (n = 31), ADHD-only (n = 60), encopresis-only (n = 31), and encopresis plus ADHD (n = 26). Diagnoses were established using clinician-administered semi-structured interviews, and parent-report measures assessed emotional-behavioral symptoms, executive functioning, and eating-related symptoms. Across analyses, impairment followed a graded pattern, with the encopresis plus ADHD group showing the highest level of impairment (H = 89.84, p < 0.001). Emotional symptoms and internalizing problems were most pronounced in the encopresis-only and comorbid groups (p < 0.001). Fear-based eating behaviors were significantly elevated in the comorbid group (H = 25.00, p < 0.001). Executive functioning impairments also followed a graded pattern, with the greatest dysfunction in the comorbid group (p < 0.001). After additional adjustment for Clinical Global Impression-Severity, encopresis × ADHD interaction effects remained significant for emotional symptoms (β = 3.227, p = 0.011) and fear-based eating (β = 3.196, p = 0.033). Children with co-occurring encopresis and ADHD showed the most severe cross-sectional clinical profile, highlighting the importance of assessing emotional symptoms, executive functioning, and fear-based eating in this subgroup.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783782","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":"Developmentally Tailored Telehealth-Delivered Cognitive-Behavioural Therapy for Adolescents with Body Dysmorphic Disorder: A Multiple Baseline Design.","authors":"Cassie H Lavell, Ella L Oar, Ronald M Rapee","doi":"10.1007/s10802-026-01452-z","DOIUrl":"10.1007/s10802-026-01452-z","url":null,"abstract":"<p><p>There is a paucity of research on the treatment of adolescent body dysmorphic disorder (BDD). Cognitive-behavioural therapy (CBT) has shown initial promise, yet many adolescents do not recover and face significant barriers in accessing treatment. The current study examined the acceptability and preliminary efficacy of developmentally tailored telehealth-delivered CBT for adolescents with BDD, using a single-case, nonconcurrent, multiple baseline design. Recruited from a broader study of correlates of BDD, 22 adolescents were eligible and were offered treatment. Sixteen (12 to 16 years; n = 5 boys) enrolled and were randomised to a one-, two- or three-week baseline period. Primary outcomes, assessed at post-treatment and again at 2-month follow-up, included BDD diagnostic status and symptom severity. Secondary outcomes included insight, functional impairment, comorbidity, anxiety, and depression. Acceptability and feasibility were examined by measuring participants’ treatment satisfaction, as well as examining drop-out rates. Seven participants dropped out of the study early, while 8 completed the 12-session treatment, and 1 completed 9 sessions. Among the treated sample, treatment satisfaction was high. BDD severity remained stable throughout the baseline and tended to improve following CBT. At post-treatment, 66.7% of the treated sample (37.5% of the total enrolled) participants were treatment responders, and 55.6% (31.3% enrolled) were still responders at 2-month follow-up. Significant reductions on most secondary outcomes were also observed. However, most participants remained symptomatic following treatment, and many dropped out early in treatment. Future studies are much needed to improve outcomes for adolescents with BDD.</p>","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":"54 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718074","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}