Research on Child and Adolescent Psychopathology最新文献_第7页

Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth. 性少数群体青少年心理治疗的潜在危害。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-07 DOI: 10.1007/s10802-024-01268-9

Caitlin M Pinciotti, Claire E Cusack, Craig Rodriguez-Seijas, Lorenzo Lorenzo-Luaces, Ilana Seager van Dyk, M Paz Galupo

{"title":"Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth.","authors":"Caitlin M Pinciotti, Claire E Cusack, Craig Rodriguez-Seijas, Lorenzo Lorenzo-Luaces, Ilana Seager van Dyk, M Paz Galupo","doi":"10.1007/s10802-024-01268-9","DOIUrl":"https://doi.org/10.1007/s10802-024-01268-9","url":null,"abstract":"Sexual and gender minority (SGM) individuals show disproportionately high rates of mental distress relative to their cisgender, heterosexual peers resulting from minority stress, or unique identity-related stressors. The majority of research on minority stress and mental health in SGM individuals has focused on adults, a notable gap given that SGM youth face unique developmental factors that intersect with identity development and availability of support resources. SGM youth therefore represent a critical population for the mental health workforce to serve competently. Mental health providers risk significant harm to their SGM youth clients if they do not understand the mechanisms underlying mental health disparities in this population. This article will review treatment practices that carry the potential for harm with SGM youth, including harms that are more overt and attempt to change SGM identities (i.e., so-called \"conversion therapies\"), and others that are more covert, such as neglecting to consider SGM identity in conceptualization and treatment (e.g., eating disorders), pathologizing SGM identity and behaviors (e.g., personality disorders, social anxiety), and reinforcing stigma related to SGM identities (e.g., obsessive-compulsive disorder). Accordingly, this article reviews each of these potential harms in detail and provides alternative recommendations for affirming and justice-based treatment for SGM youth.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792573","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}

引用次数: 0

Parental Emotion Socialization of Sadness as a Correlate for Clinical Improvement: A Longitudinal Study of Adolescents with a Range of Nonsuicidal Self-Injury. 父母对悲伤情绪的社会化与临床改善的相关性：对有各种非自杀性自伤行为的青少年进行的纵向研究》。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-09-05 DOI: 10.1007/s10802-024-01236-3

Aurora E Green, Michaelle E DiMaggio-Potter, Jessica Butts, Katherine A Carosella, Kristina M Reigstad, Lynn E Eberly, Kathryn R Cullen, Bonnie Klimes-Dougan

{"title":"Parental Emotion Socialization of Sadness as a Correlate for Clinical Improvement: A Longitudinal Study of Adolescents with a Range of Nonsuicidal Self-Injury.","authors":"Aurora E Green, Michaelle E DiMaggio-Potter, Jessica Butts, Katherine A Carosella, Kristina M Reigstad, Lynn E Eberly, Kathryn R Cullen, Bonnie Klimes-Dougan","doi":"10.1007/s10802-024-01236-3","DOIUrl":"10.1007/s10802-024-01236-3","url":null,"abstract":"Engagement in nonsuicidal self-injury (NSSI) often begins in adolescence, and commonly occurs when a person is emotionally dysregulated. Parental emotion socialization (ES) plays a key role in shaping children's emotional expression, experience, and regulation. Longitudinal work is needed to understand how links between parental ES and adolescent clinical outcomes unfold over time. In this longitudinal study (N = 118; all assigned female at birth with a range of NSSI - from none to severe; age 12-17 years, Mage = 14.98 at the first assessment), for the Time 1 (T1) and Time 2 (T2) annual assessments; adolescents reported NSSI and adolescents and parents reported depressive symptoms. Parents (primarily mothers) reported on their supportive and unsupportive ES responses to youth expressions of sadness, anger, and happiness. We examined (1) concurrent relationships across time points, (2) longitudinal models (T1 to T2 change in parental ES and its associated T1 to T2 changes in adolescent clinical outcomes), and (3) prediction models (T1 parental ES predicting changes in adolescent clinical outcomes). Concurrent associations between parental supportive ES responses to sadness and anger were inversely related to adolescent's depressive symptoms and NSSI episodes. Longitudinal analyses showed that increases in unsupportive responses to sadness correspond with increases in depressive symptoms from T1 to T2. The findings underscore the importance of examining how parents respond to their children's emotions. Next steps are to investigate potential mechanisms of risk and consider interventions that enhance adaptive responses of parents to adolescents embroiled in negative emotional states.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1873-1885"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134099","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}

引用次数: 0

Behavioral and Emotional Responding to Punishment in ADHD: Is Increased Emotionality Related to Altered Behavioral Responding? 多动症患者对惩罚的行为和情绪反应：情绪化的增加是否与行为反应的改变有关？

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-08-31 DOI: 10.1007/s10802-024-01238-1

An-Katrien Hulsbosch, Brent Alsop, Marina Danckaerts, Dagmar Van Liefferinge, Gail Tripp, Saskia Van der Oord

{"title":"Behavioral and Emotional Responding to Punishment in ADHD: Is Increased Emotionality Related to Altered Behavioral Responding?","authors":"An-Katrien Hulsbosch, Brent Alsop, Marina Danckaerts, Dagmar Van Liefferinge, Gail Tripp, Saskia Van der Oord","doi":"10.1007/s10802-024-01238-1","DOIUrl":"10.1007/s10802-024-01238-1","url":null,"abstract":"Children with ADHD are theorized to experience increased negative emotional responses to punishment, compared to typically developing (TD) children, resulting in altered behavioral responding (Amsel, 1992). However, this has not been empirically tested. The current study evaluated the effects of punishment and reward on the behavioral and emotional responding of children with and without ADHD. Fifty-three children with ADHD (64.15% boys) and 46 TD children (47.83% boys), age 6-12, completed a task in which they chose between playing two simultaneously available games. Reward was arranged symmetrically across the games; responses on one game were punished four times as often as responses on the other game. Children's negative and positive emotional expressions were assessed during task completion with facial expression coding. Results indicated both groups showed a preference for playing the less punished game. Children with ADHD took longer to respond after punishment and reward compared to TD children. Negative emotional expressions increased with time on task for those with ADHD, the opposite pattern was seen in TD children. Children with ADHD showed more positive emotional expressions overall. The effect of ADHD on increased response times after reward was statistically fully mediated by increased positive facial expressions. Findings indicate children with ADHD do not show an altered response bias under punishment compared to TD children, but their cumulative negative emotional responding may indicate problems with building frustration tolerance as hypothesized by Amsel (1992). Results are theoretically important as they suggest increased emotional responding in ADHD is associated with slower responding.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1817-1829"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112985","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}

引用次数: 0

A Pilot Controlled Trial of Relaxation Training Combined with a Video Game Reinforcing Emotional Regulation to Improve Anger Management in Children and Adolescents. 放松训练与强化情绪调节的视频游戏相结合以改善儿童和青少年愤怒管理的试点对照试验。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-10-23 DOI: 10.1007/s10802-024-01259-w

Carrie Vaudreuil, Madelaine R Abel, Yvonne Barnett, Maura DiSalvo, Dina R Hirshfeld-Becker

{"title":"A Pilot Controlled Trial of Relaxation Training Combined with a Video Game Reinforcing Emotional Regulation to Improve Anger Management in Children and Adolescents.","authors":"Carrie Vaudreuil, Madelaine R Abel, Yvonne Barnett, Maura DiSalvo, Dina R Hirshfeld-Becker","doi":"10.1007/s10802-024-01259-w","DOIUrl":"10.1007/s10802-024-01259-w","url":null,"abstract":"Untreated anger and aggression in youth confer heightened risk for subsequent psychosocial problems. However, engaging youth in treatment for anger can be difficult given barriers to accessing care and high rates of attrition. This study examined whether learning relaxation skills and practicing them using a videogame, whose operation was contingent upon keeping heart rate close to baseline levels, could help children learn to manage anger and aggression. Youth ages 7-17 with elevated levels of anger (N = 39) were randomized to receive the active video game condition or a control game that displayed heart rate but did not stop the game if heart rate became elevated. Youth underwent baseline screening, 6 treatment sessions, and follow-up assessments at 2-weeks and 3-months. Compared to the control condition, children in the active condition demonstrated significantly greater improvements in clinician-rated aggression severity (d = 1.48) and youth-rated emotion dysregulation (d = 3.46) at 2-weeks post-treatment. The active group maintained these improvements at 3-month follow-up, but no longer significantly differed from the control group. Intervention effects were nonsignificant for parent-reported emotion dysregulation and aggression. In addition, the intervention group youth, but not control group, experienced increased time with heart rate below baseline over the course of the 6 sessions. Findings suggest a promising brief intervention for reducing aggression and emotion dysregulation in children while they are waiting for longer-term outpatient therapy. Clinical Trial Registration Number: NCT03270813.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1847-1859"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509576","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}

引用次数: 0

Adolescent Emotional Reactivity in Family and School Contexts: Prospective Links to Adolescent Psychopathology. 青少年在家庭和学校环境中的情绪反应：青少年在家庭和学校环境中的情绪反应：与青少年心理病理学的前瞻性联系》。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-09-03 DOI: 10.1007/s10802-024-01241-6

Shou-Chun Chiang, Sunhye Bai

{"title":"Adolescent Emotional Reactivity in Family and School Contexts: Prospective Links to Adolescent Psychopathology.","authors":"Shou-Chun Chiang, Sunhye Bai","doi":"10.1007/s10802-024-01241-6","DOIUrl":"10.1007/s10802-024-01241-6","url":null,"abstract":"Emotional reactivity has been linked to adolescent psychopathology and mental health problems. However, limited research has investigated the distinct associations between emotional reactivity in multiple interpersonal contexts and the development of adolescent psychopathology. The current study examined emotional reactivity to interparental conflict, parent-adolescent conflict, and school problems as predictors of adolescent internalizing problems, depressive symptoms, and anxiety symptoms six months later. The sample included 139 adolescents (54% girls; Mage = 13.30, SDage = 0.73) and their parents who completed 10-day daily reports and 6-month follow-up assessments in Taiwan. Results showed that negative emotional reactivity to interparental conflict was associated with increased internalizing problems, depressive symptoms, and anxiety symptoms, after controlling for emotional reactivity to parent-adolescent conflict and school problems, outcomes at baseline, mean negative emotions, and sex. Furthermore, the associations between both positive and negative emotional reactivity to interparental conflict and adolescent anxiety symptoms was stronger for girls than boys. Findings suggested that heightened emotional reactivity to interparental conflict is a risk factor for predicting adolescent psychopathology, especially for girls' anxiety symptoms. Results highlight the importance of emotional reactivity across multiple interpersonal contexts in adolescence.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1861-1872"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120788","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}

引用次数: 0

What Emotion Regulation Strategies are Associated with a General Psychopathology Factor (p) in Adolescence? Identifying Possible Transdiagnostic Targets for Intervention. 哪些情绪调节策略与青春期的一般精神病理学因子（p）相关？确定可能的跨诊断干预目标。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI: 10.1007/s10802-024-01239-0

Siri Saugestad Helland, Emily Gabriela Vira, John Kjøbli, Espen Røysamb, Ragnhild Bang Nes, Jannike Kaasbøll, Silje Baardstu

{"title":"What Emotion Regulation Strategies are Associated with a General Psychopathology Factor (p) in Adolescence? Identifying Possible Transdiagnostic Targets for Intervention.","authors":"Siri Saugestad Helland, Emily Gabriela Vira, John Kjøbli, Espen Røysamb, Ragnhild Bang Nes, Jannike Kaasbøll, Silje Baardstu","doi":"10.1007/s10802-024-01239-0","DOIUrl":"10.1007/s10802-024-01239-0","url":null,"abstract":"Mental health problems in adolescence are increasing and there is an urgent call for transdiagnostic interventions, as most adolescents experience problems across multiple domains. Research has identified a general psychopathology factor (p) capturing the shared variance across mental health problems. In parallel, there is empirical support for the transdiagnostic nature of emotion regulation. In the current study, we explore the associations between p and emotion regulation strategies to identify which strategies may be promising targets for intervention. Data from the population-based Youth and Mental Health Study (YAMHS) (N = 2,464, mean age 13.7 years, SD 0.6) was used. The fit of different structural models of emotion regulation and psychopathology were compared, and latent factors from the final models were included in multiple regression analyses to explore the associations between p and emotion regulation strategies. A bifactor exploratory structural equation model (B-ESEM) showed best fit for modelling p. For emotion regulation strategies, an ESEM model showed best fit, including Rumination, Reactive Impulsivity, Distraction, Non-Acceptance, Problem Solving, Social Support, and Proactive Behavior. Results showed that a higher score on p was predicted by higher scores on the emotion regulation strategies Rumination (β = .38, p < .001) and Reactive Impulsivity (β = .35, p < .001), and lower scores on Problem Solving (β = -.15, p < .001). The results indicate that Rumination and Reactive Impulsivity have the strongest associations with p and may be promising targets for mental health interventions for adolescents.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1831-1846"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082050","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}

引用次数: 0

Impaired Social Attention and Cognitive Empathy in a Paediatric Sample of Children with Symptoms of Anxiety. 儿科样本中焦虑症状儿童的社交注意力和认知移情能力受损。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-09-18 DOI: 10.1007/s10802-024-01240-7

Steve Eaton, Ellie Mae Dorrans, Stephanie H M van Goozen

{"title":"Impaired Social Attention and Cognitive Empathy in a Paediatric Sample of Children with Symptoms of Anxiety.","authors":"Steve Eaton, Ellie Mae Dorrans, Stephanie H M van Goozen","doi":"10.1007/s10802-024-01240-7","DOIUrl":"10.1007/s10802-024-01240-7","url":null,"abstract":"Impairments in social cognition, in particular empathy, have been associated with childhood psychopathology, though previous investigations have yielded inconsistent results. Measures of social attention can reveal processes involved in responses to emotional stimuli and highlight deficits in empathy, or emotional biases in those with anxiety. The current study examined symptoms of anxiety, cognitive and affective empathy scores, and eye-gaze patterns in a pediatric sample of children (n = 178; 51-98 months-old) referred by their teachers for emerging psychopathology symptoms at school. We used eye-tracking metrics to capture gaze patterns during a dynamic video task designed to elicit empathic responses. Anxiety symptomology was reported by parents using the Screen for Child Anxiety Related Disorders scale (SCARED). Associations between eye-tracking variables, cognitive and affective empathy, and anxiety scores were analysed dimensionally in accordance with the Research and Domain Criteria (RDoC) framework. Higher levels of anxiety were associated with lower cognitive empathy and shorter first and total fixation durations to the eyes, across emotions (happiness, sadness, fear). No such associations were found between affective empathy and anxiety. Hierarchical multiple regression analyses revealed that across emotion conditions, first fixation duration negatively predicted anxiety scores. Our results indicate that children high in anxiety display cognitive empathy impairments and shorter attention to the eyes. These findings could inform early intervention programs for individuals at risk of developing anxiety disorders, as educating those high in anxiety on ways to identify emotions in others through changes in social attention could help to reduce anxiety.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1945-1960"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297384","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}

引用次数: 0

Positive Emotion Dysregulation and Social Impairments in Adolescents with and without ADHD. 有多动症和无多动症青少年的积极情绪失调与社交障碍。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-08-24 DOI: 10.1007/s10802-024-01237-2

Julia D McQuade, Daria Taubin, Arianna E Mordy

{"title":"Positive Emotion Dysregulation and Social Impairments in Adolescents with and without ADHD.","authors":"Julia D McQuade, Daria Taubin, Arianna E Mordy","doi":"10.1007/s10802-024-01237-2","DOIUrl":"10.1007/s10802-024-01237-2","url":null,"abstract":"Although research suggests that emotion dysregulation may underlie adolescents' social impairments, studies have focused almost exclusively on the dysregulation of negative emotions. The present study addressed this gap in the literature by examining whether behavioral manifestations of positive emotion dysregulation are also implicated. A sample of 13-18-year-old adolescents (56.8% female) with and without a childhood diagnosis of attention-deficit/hyperactivity disorder (ADHD) was used, increasing variability in impairment profiles. Adolescents self-reported behavioral difficulties related to positive emotion dysregulation (i.e., impulse control difficulties, difficulties engaging in goal-directed behavior, and non-acceptance of positive emotions), negative emotion dysregulation, and social impairments (i.e., peer rejection, friendship quality, deviant peer affiliation, aggression, and victimization); parents rated adolescent's ADHD symptoms. Regression analyses indicated that impulse control difficulties when experiencing positive emotions uniquely predicted greater conflict in the best friend relationship, deviant peer affiliation, aggression, and victimization, even when accounting for negative emotion dysregulation and current ADHD symptoms. The significant effect of impulse control difficulties on these social impairments was consistent when accounting for oppositional defiant disorder and depression symptoms and when examining the main predictors only in adolescents with childhood or adolescent clinical elevations in ADHD symptoms. These results are the first to indicate that even for adolescents with ADHD, positive emotion dysregulation, and specifically impulse control difficulties, may significantly predict social challenges.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1803-1815"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047299","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}

引用次数: 0

Development of Comorbid Alcohol Use and Depressive Symptoms During Late Adolescence: Examining the Roles of Emotion Regulation and Gender Differences. 青少年晚期合并酗酒和抑郁症状的发展：研究情绪调节和性别差异的作用

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-12-01 Epub Date: 2024-09-28 DOI: 10.1007/s10802-024-01251-4

R D Risbud, A E Guyer, R W Robins, P D Hastings

{"title":"Development of Comorbid Alcohol Use and Depressive Symptoms During Late Adolescence: Examining the Roles of Emotion Regulation and Gender Differences.","authors":"R D Risbud, A E Guyer, R W Robins, P D Hastings","doi":"10.1007/s10802-024-01251-4","DOIUrl":"10.1007/s10802-024-01251-4","url":null,"abstract":"Depression and alcohol use are highly comorbid, and often emerge during adolescence. Depressive symptoms may precede alcohol use, via the self-medication pathway, or alcohol use may precede depressive symptoms, via the alcohol induced disruption pathway. Yet little is known about other risks for developing comorbidity via either path. The present study hypothesized that poor cognitive and physiological emotion regulation (ER) are risk factors implicated in the development of comorbid depression and alcohol use during late adolescence. Participants were 229 (113 girls) Mexican-origin youth who reported on depressive symptoms and alcohol use at ages 17 (Time 1) and 19 years (Time 2). At age 17, cognitive reappraisal (CR), an adaptive ER strategy, and baseline respiratory sinus arrhythmia (RSA), a physiological index of ER capacity, were assessed. CR, RSA and gender were examined as predictors and moderators of the developing comorbidity of alcohol use and depression in cross-lagged panel models. Lower use of CR was concurrently associated with more depressive symptoms at age 17 and predicted greater depression at age 19. Age 17 alcohol use predicted age 19 depressive symptoms for boys. Lower RSA at age 17 also predicted more depressive symptoms at age 19 for boys. Neither CR nor RSA moderated the predicted relations between depression and alcohol use. Findings supported the alcohol induced disruption model of comorbidity for boys, and showed that poor cognitive and physiological ER increased risk for exacerbating depressive symptoms in late adolescence.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"1931-1943"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355720","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}

引用次数: 0

Measurement-Based Care as a Tool to Detect and Prevent Harm in Youth Psychotherapy. 将基于测量的护理作为检测和预防青少年心理治疗伤害的工具。

IF 2.9 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2024-11-26 DOI: 10.1007/s10802-024-01262-1

Elizabeth Casline, Susan Douglas, Maartje van Sonsbeek, Kelsie Okamura, Amanda Jensen-Doss

{"title":"Measurement-Based Care as a Tool to Detect and Prevent Harm in Youth Psychotherapy.","authors":"Elizabeth Casline, Susan Douglas, Maartje van Sonsbeek, Kelsie Okamura, Amanda Jensen-Doss","doi":"10.1007/s10802-024-01262-1","DOIUrl":"https://doi.org/10.1007/s10802-024-01262-1","url":null,"abstract":"Measurement-based care (MBC), the use of routine assessment to guide clinical decision-making, has the potential to significantly enhance the quality of mental health services for youth by improving the detection and prevention of harm. Concerns exist, however, that widespread efforts to implement MBC may have a negative impact on youth mental health care. We explore both perspectives by describing how MBC can be leveraged as a tool to detect and prevent harmful treatment in youth and how misapplication of MBC also has the potential to cause harm. This discussion focuses on how MBC can help therapists identify harm caused by ineffective practices (i.e., deterioration or no symptoms changes), poor client engagement (e.g., early drop-out, poor alliance), and adverse events (e.g., injury caused by treatment). We also discuss multi-level applications of aggregated MBC data to prevent harm through workforce development and organizational and health systems quality and cost of care improvement initiatives. Misapplication of MBC by failing to adhere to MBC best practices, overreliance on data above clinical judgement, providing insufficient organizational support, and using MBC data to justify cost containment are all discussed as possible sources of harm. We conclude with a discussion of future directions for research needed to advance the application of MBC to the prevention of harm in youth psychotherapy.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716751","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}

引用次数: 0