Research on Child and Adolescent Psychopathology最新文献_第9页

Weight Stigma in the Development, Maintenance, and Treatment of Eating Disorders: A Case Series Informing Implications for Research and Practice. 饮食失调症的发展、维持和治疗过程中的体重羞辱：为研究和实践提供启示的案例系列。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2024-11-01 DOI: 10.1007/s10802-024-01260-3

Rachel Kramer, Catherine R Drury, Sarah Forsberg, Lindsey D Bruett, Erin E Reilly, Sasha Gorrell, Simar Singh, Lisa Hail, Kimberly Yu, Rachel M Radin, Jessica Keyser, Daniel Le Grange, Erin C Accurso, Kathryn M Huryk

{"title":"Weight Stigma in the Development, Maintenance, and Treatment of Eating Disorders: A Case Series Informing Implications for Research and Practice.","authors":"Rachel Kramer, Catherine R Drury, Sarah Forsberg, Lindsey D Bruett, Erin E Reilly, Sasha Gorrell, Simar Singh, Lisa Hail, Kimberly Yu, Rachel M Radin, Jessica Keyser, Daniel Le Grange, Erin C Accurso, Kathryn M Huryk","doi":"10.1007/s10802-024-01260-3","DOIUrl":"10.1007/s10802-024-01260-3","url":null,"abstract":"Weight-centric health practices are based on the principle that excess weight predicts chronic disease, informing a growing sociopolitical movement to address an \"obesity epidemic.\" This hyper-focus on preventing obesity may contribute to weight stigma (i.e., the devaluation and discrimination of individuals based on body size) and other iatrogenic outcomes for youth, including the development and maintenance of eating disorders (EDs). Current evidence-based treatments for EDs include language and practices that may reinforce fears of fatness, body shame, and unhealthy dietary restriction without guidance on addressing weight stigma. Here, we present case examples from three adolescent patients across ED presentations and body sizes to (1) elucidate the role of weight stigma in ED development, (2) highlight the ubiquity and harms of weight stigma within ED treatments, and (3) outline thoughtful protocol adaptations to avoid further harm and facilitate recovery. We conclude with a call for immediate action to advance research characterizing the harms of weight-centric approaches in existing ED interventions to reduce the risk of iatrogenic effects on youth with EDs and advance weight-inclusive approaches to ED treatment.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"747-760"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562883","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

Potential Harms of Responding to Youth Suicide Risk in Schools. 学校应对青少年自杀风险的潜在危害。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2024-10-25 DOI: 10.1007/s10802-024-01261-2

Erik J Reinbergs, Lora Henderson Smith, Josephine S Au, Marisa E Marraccini, Sarah A Griffin, Megan L Rogers

{"title":"Potential Harms of Responding to Youth Suicide Risk in Schools.","authors":"Erik J Reinbergs, Lora Henderson Smith, Josephine S Au, Marisa E Marraccini, Sarah A Griffin, Megan L Rogers","doi":"10.1007/s10802-024-01261-2","DOIUrl":"10.1007/s10802-024-01261-2","url":null,"abstract":"The potential harms related to interventions for adults with suicide-related risk, particularly hospitalization, have been well documented. Much less work has focused on the potential harms related to interventions with youth struggling with suicidal thoughts and behaviors. Young people are most likely to receive mental health services in schools, which are recognized as meaningful sites for effective suicide prevention work. However, no overviews have conceptualized the potential harms to youth when schools engage in ineffective suicide prevention efforts. In this article, we discuss three prominent overlapping areas of potential harms: (1) privacy-related, (2) relationship-related, and (3) mental health-related. We then discuss key factors thought to influence the development and maintenance of these potential harms. We conclude by noting ways in which school-based mental health providers may attempt to reduce unintentional harms in this area, with an overarching goal of helping support school mental health providers and the youth they serve.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"785-799"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509597","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

When Attempts to Help Backfire: Psychosocial Interventions that May Inadvertently Prolong Anxiety Among Youth. 当试图帮助适得其反：心理社会干预可能无意中延长青少年的焦虑。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2025-04-26 DOI: 10.1007/s10802-025-01317-x

Erin E Dunning, Anika N Khan, Emily M Becker-Haimes, Andrew G Guzick

{"title":"When Attempts to Help Backfire: Psychosocial Interventions that May Inadvertently Prolong Anxiety Among Youth.","authors":"Erin E Dunning, Anika N Khan, Emily M Becker-Haimes, Andrew G Guzick","doi":"10.1007/s10802-025-01317-x","DOIUrl":"10.1007/s10802-025-01317-x","url":null,"abstract":"Anxiety disorders are among the most common and impairing mental health conditions in children and adolescents. Although exposure-focused cognitive behavioral therapy (CBT) is a well-established treatment for this population based on decades of psychological science, many available psychosocial interventions are not based on this strong empirical foundation. In some cases, interventions for youth with anxiety disorders have the potential to maintain anxiety in the long run. Grounded in a well-developed cognitive-behavioral theoretical frame, this commentary aimed to discuss popular and emerging psychosocial interventions for anxious youth that may inadvertently prolong anxiety. We argue that (1) although the availability of gold-standard CBT (with an adequate focus on exposure therapy) appears to be increasing, it continues to be difficult to access for many youth, (2) several available interventions prescribe avoidance-based strategies that do not enable a child to experience self-efficacy building and corrective learning experiences related to their fears or anxieties, thereby potentially maintaining anxiety in the long-run, and (3) several available interventions are not based in any clear, empirically-supported theoretical frame or evidence base, and thus have unclear benefits for anxiety. In a time when there is increasing alarm about anxiety disorders among youth, building systems that can support tried-and-true interventions based on strong science is of utmost importance. Future research, intervention deployment, and policy efforts should pay more attention to the harms that could arise from psychosocial interventions.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"639-653"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004609","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

High vs. Low Intensity Behavior Therapy Delivered to Adolescents with ADHD: Potential Adverse Long-Term Effects on Substance Use Outcomes. 为患有多动症的青少年提供高强度行为疗法与低强度行为疗法：对药物使用结果的潜在长期不利影响》。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2024-10-14 DOI: 10.1007/s10802-024-01254-1

Megan Kelley, Margaret H Sibley, Stefany J Coxe, Hana Basu, Samantha M Margherio, Steven W Evans, Frances L Wang

{"title":"High vs. Low Intensity Behavior Therapy Delivered to Adolescents with ADHD: Potential Adverse Long-Term Effects on Substance Use Outcomes.","authors":"Megan Kelley, Margaret H Sibley, Stefany J Coxe, Hana Basu, Samantha M Margherio, Steven W Evans, Frances L Wang","doi":"10.1007/s10802-024-01254-1","DOIUrl":"10.1007/s10802-024-01254-1","url":null,"abstract":"Individuals with ADHD are at risk for substance use initiation in adolescence and escalation to problematic use in adulthood. Little is known about the impact of psychosocial ADHD treatment on substance use. Based on existing theory, both therapeutic (i.e., through reducing symptoms and impairments) and iatrogenic effects (i.e., through improved social functioning) of psychosocial treatment for ADHD on adolescent substance use initiation are plausible. A primarily ethnic/racial minority sample (~ 95% Latinx or Black) of rising ninth grade students with ADHD (n = 106) were randomly assigned to receive high intensity (i.e., Summer Treatment Program-Adolescent, parent training, and school consultation) or lower intensity (parent training, organization skills training, and school consultation) intervention the summer before entering high school. Participants were followed four-years post-baseline and substance use was documented. Analyses tested treatment effects on substance use initiation (alcohol and/or marijuana) and mediators of main effects. After controlling for covariates, participants assigned to HI (37.5%) were significantly more likely than LI (18.6%) to initiate substance use by end of high school, indicating an iatrogenic effect of HI treatment. No significant mediators were detected. Post-hoc exploration of moderators suggested that youth with elevated Posttraumatic Stress Disorder (PTSD) symptoms may have experienced a benefit of HI treatment on substance use whereas youth without elevated PTSD symptoms experienced iatrogenic effects. Large, well-powered, samples should examine moderated mediational models to better understand who is most risk for iatrogenic effects of ADHD psychosocial treatment and why. Clinicians delivering psychosocial treatment to adolescents with ADHD should monitor for potential iatrogenic effects.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"701-713"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476693","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

Navigating Through the Darkness: An Exploratory Study Unraveling the Experience of Hospitalization of Adolescents and Their Caregivers Amid Suicidal Presentations. 在黑暗中航行：一项探索性研究揭示了青少年及其照顾者在自杀表现中的住院经历。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2025-03-07 DOI: 10.1007/s10802-025-01299-w

Samantha Salem, Marisa E Marraccini, Jeremy L Grove, David B Goldston, Cari Pittleman, Christina M Cruz, Amanda C Tow, Juliana L Vanderburg, Brandon A Knettel

{"title":"Navigating Through the Darkness: An Exploratory Study Unraveling the Experience of Hospitalization of Adolescents and Their Caregivers Amid Suicidal Presentations.","authors":"Samantha Salem, Marisa E Marraccini, Jeremy L Grove, David B Goldston, Cari Pittleman, Christina M Cruz, Amanda C Tow, Juliana L Vanderburg, Brandon A Knettel","doi":"10.1007/s10802-025-01299-w","DOIUrl":"10.1007/s10802-025-01299-w","url":null,"abstract":"Suicide prevention and treatment guidelines for pediatric patients often mirror adult strategies. Distinguishing itself from other pediatric specialties, when a child is psychiatrically hospitalized, the child is typically separated from their family, despite the impact and possible ramifications of familial separation. This exploratory study explores the perceived impact of inpatient psychiatric treatment, through patient and caregiver narratives, aiming to enhance mental health treatment approaches. Focusing on the experience of 19 adolescent and parent dyads, we conducted thematic analysis of their interviews. Participants highlighted their hospital experience across two key categories: emergency department and hospitalization experience, including personal and social impacts of their stay. Findings are explored in the context of the helpfulness-harmfulness paradox and suggest that understanding these experiences from both adolescent and caregiver perspectives can inform improvements in psychiatric treatment practices. Despite limited research on optimal practices for acute psychiatric episodes, this study underscores the importance of considering the broader familial and emotional impacts of hospitalization.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"801-815"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574161","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

Considering Historical Context, Current Societal Trends, and Implications for Understanding Harm in Youth Mental Health Treatment: A Broader Lens to the Primum Non Nocere Special Issue. 考虑到历史背景，当前的社会趋势，以及对理解青少年心理健康治疗危害的影响：从更广泛的角度来看待首要非焦点特刊。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2025-04-30 DOI: 10.1007/s10802-025-01324-y

Wendy K Silverman, Samuel D Spencer

{"title":"Considering Historical Context, Current Societal Trends, and Implications for Understanding Harm in Youth Mental Health Treatment: A Broader Lens to the Primum Non Nocere Special Issue.","authors":"Wendy K Silverman, Samuel D Spencer","doi":"10.1007/s10802-025-01324-y","DOIUrl":"10.1007/s10802-025-01324-y","url":null,"abstract":"Potential for harm or non-beneficence in psychological treatments remains understudied compared to questions of benefit or efficacy, especially in youth populations. Further study is critical for upholding the ethical mandate to both maximize salutary outcomes and minimize harm/non-beneficence. In the present special issue, authors of target articles incisively delineate parameters of harm and associated clinical strategies for measuring and addressing it, along with recommendations for research advancing understanding of harm in youth mental health treatment. In this commentary, we synthesize key points across the articles and offer future directions for advancing knowledge on treatment harm. First, we provide historical context that includes the origins of the concept of Primum non nocere, its initial linkages with clinical psychology, and controversies relating to the scientific study of psychotherapy. Second, we leverage lessons learned from the evidence-based treatment movement to advance the study of harm. We suggest that research aimed at advancing understanding harm in youth treatment ought to transpire concurrently with research examining putative benefits of such interventions, including a deliberate focus on mechanisms and moderators of both benefit and harm. Third, we identify several contemporary societal trends relevant to our understanding of harm, including current skepticism of science and proliferation of pseudoscientific interventions. We conclude by discussing implications for furthering knowledge of potential harms in youth mental health treatment across the domains of theory, research, and dissemination. We hope this special issue and commentary stimulate further thought and research in this heretofore understudied area.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"817-830"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048385","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

Clinical Considerations for Integrating Ethical Principles of Beneficence in the Development of Evidence-Based Interventions: The case of Pediatric Misophonia. 在开发基于证据的干预措施过程中纳入有益伦理原则的临床考虑因素：小儿失音症案例。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2024-09-13 DOI: 10.1007/s10802-024-01247-0

Samuel D Spencer, Julie M Petersen, Rebecca L Schneider, Andrew G Guzick, Joseph F McGuire

{"title":"Clinical Considerations for Integrating Ethical Principles of Beneficence in the Development of Evidence-Based Interventions: The case of Pediatric Misophonia.","authors":"Samuel D Spencer, Julie M Petersen, Rebecca L Schneider, Andrew G Guzick, Joseph F McGuire","doi":"10.1007/s10802-024-01247-0","DOIUrl":"10.1007/s10802-024-01247-0","url":null,"abstract":"Misophonia is a condition involving decreased tolerance and intense responses to specific sounds, often those that are human-generated and repetitive in nature. Misophonia frequently onsets during childhood and is associated with significant distress, impairment, and diminished quality of life. While misophonia research remains nascent and no definitive practice guidelines exist at present, extant studies offer several promising potential avenues in intervention development for adults with misophonia. However, such research is comparatively limited for youth. Before widespread adoption of promising treatments, it is important to consider the potential for harm or non-beneficence that may arise from the mis-informed application of such treatments. In this article, we identify several potential pitfalls within intervention development for pediatric misophonia and provide recommendations to circumvent them. To that end, we focus on the following three topic areas: (a) challenges arising when psychological mechanisms are not considered in intervention development, (b) importation of a cognitive-behavior therapy (CBT) framework for obsessive-compulsive spectrum disorders without nuanced tailoring to misophonia, and (c) neglecting to include individuals with lived experience in the process of intervention development research. Considering these key areas within misophonia intervention development will be critical for upholding beneficence and minimizing harm in treatment of misophonia across the lifespan.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"625-637"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297383","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

Potential for Harm in the Treatment of Pediatric Obsessive-Compulsive Disorder: Pitfalls and Best Practices. 治疗小儿强迫症的潜在危害：陷阱与最佳实践》。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2024-10-23 DOI: 10.1007/s10802-024-01258-x

Erika S Trent, Elizabeth C Lanzillo, Andrew D Wiese, Samuel D Spencer, Dean McKay, Eric A Storch

{"title":"Potential for Harm in the Treatment of Pediatric Obsessive-Compulsive Disorder: Pitfalls and Best Practices.","authors":"Erika S Trent, Elizabeth C Lanzillo, Andrew D Wiese, Samuel D Spencer, Dean McKay, Eric A Storch","doi":"10.1007/s10802-024-01258-x","DOIUrl":"10.1007/s10802-024-01258-x","url":null,"abstract":"Pediatric obsessive-compulsive disorder (OCD) can be debilitating and chronic unless treated early with efficacious intervention. The past several decades of intervention research have identified cognitive-behavioral therapy (CBT) with exposure and response/ritual prevention (ERP) as the first-line, evidence-based psychological intervention for pediatric OCD. Yet, many youths with OCD unfortunately remain inadequately treated. In well-meaning but misguided efforts to treat this complex disorder, clinicians holding misconceptions about ERP may fail to apply evidence-based treatments, misapply generic CBT techniques and ERP principles, or turn to non-evidence-based interventions. Potentially harmful treatments may worsen symptoms, while ineffective treatments can waste resources, impede patient access to efficacious treatment, and weaken public confidence in psychotherapy. The overarching goals of this review paper are to describe potentially harmful and ineffective practices in the treatment of pediatric OCD and to offer recommendations aligned with evidence-based practice. First, we dispel common misconceptions about ERP that may underlie its underuse among clinicians. We then describe potentially harmful and ineffective interventions for pediatric OCD, starting with misapplication of generic CBT techniques and ERP principles. We also identify non-evidence-based treatments for pediatric OCD that have limited conceptual or empirical foundations. Finally, we conclude with recommendations for clinicians who treat pediatric OCD, intervention researchers, training programs across mental health-related disciplines, and policymakers.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"729-745"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509596","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 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub 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":"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":"655-668"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","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

Ethical Considerations in Substance Use Treatment for Youth: Assessing Clinical Practices and Policy Frameworks for Potential Harm. 青少年药物使用治疗中的伦理考虑：评估临床实践和政策框架的潜在危害。

IF 2.4 2区心理学

Research on Child and Adolescent Psychopathology Pub Date : 2025-05-01 Epub Date: 2024-12-16 DOI: 10.1007/s10802-024-01274-x

Katherine R Shircliff, Caroline Cummings, Nicholas C Borgogna

{"title":"Ethical Considerations in Substance Use Treatment for Youth: Assessing Clinical Practices and Policy Frameworks for Potential Harm.","authors":"Katherine R Shircliff, Caroline Cummings, Nicholas C Borgogna","doi":"10.1007/s10802-024-01274-x","DOIUrl":"10.1007/s10802-024-01274-x","url":null,"abstract":"The current conceptual review highlights considerations surrounding the potential for non-beneficence and undue coercion within the practices of psychologists and other clinicians providing substance use treatment for youth. The potential for nonbeneficence and undue coercion is assessed at three key stages of treatment for youth with substance use disorders (SUDs): the informed consent process, maintaining confidentiality, and treatment planning. We explore these concerns as they relate to the ethical principles of psychologists as outlined by the American Psychological Association (American Psychological Association [APA], 2017), as well as pertinent state and national legislative guidelines. The paper culminates in actionable recommendations to resolve these inconsistencies in practice and emphasizes opportunities for professionals at all career stages to engage in ethical policy initiatives. These endeavors aim to reduce potential for undue coercion and nonbeneficence from psychologists treating youth with substance use disorders and to elucidate beneficial treatment pathways for youth navigating substance use challenges.","PeriodicalId":36218,"journal":{"name":"Research on Child and Adolescent Psychopathology","volume":" ","pages":"771-784"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829519","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