Scandinavian Journal of Child and Adolescent Psychiatry and Psychology最新文献

{"title":"Why has Attachment not moved beyond theory outside academia-and why does it matter?","authors":"Pernille Juul Darling, Richard Bowlby","doi":"10.2478/sjcapp-2026-0005","DOIUrl":"10.2478/sjcapp-2026-0005","url":null,"abstract":"<p><p>Attachment is often treated as one psychological theory among many. Yet Bowlby originally conceptualised attachment as a biologically grounded regulatory system for managing safety and threat. We argue that recovering this broader understanding may provide a unifying framework across disciplines and strengthen recognition of stable, responsive caregiving relationships as foundational to human development.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"37-38"},"PeriodicalIF":1.4,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of the Scandinavian Journal of Child and Adolescent Psychiatry and Psychology.","authors":"Ole Jakob Storebø, Sven Bölte","doi":"10.2478/sjcapp-2026-0007","DOIUrl":"https://doi.org/10.2478/sjcapp-2026-0007","url":null,"abstract":"","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"45"},"PeriodicalIF":1.4,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Descriptive Review of Nordic Clinical Practice Guidelines for Pediatric ADHD: Evaluating the Evidence Base for Methylphenidate.","authors":"Päivi Ruokoniemi","doi":"10.2478/sjcapp-2026-0006","DOIUrl":"10.2478/sjcapp-2026-0006","url":null,"abstract":"<p><strong>Background: </strong>Pediatric medication use in Attention Deficit Hyperactivity Disorder (ADHD) is rising sharply across the Nordic countries, with Iceland and Finland currently showing the highest prevalence rates. The reasons behind the cross -country differences remain unclear.</p><p><strong>Objective: </strong>To describe the level of agreement in the graded evidence base for methylphenidate - the first-line ADHD medication for children - as is available in the Nordic Clinical Practice Guidelines (CPGs) on pediatric ADHD.</p><p><strong>Method: </strong>Relevant Nordic CPGs covering ADHD medication treatment for children over 6 years-of-age were identified using strict search criteria and by visiting the Nordic CPG databases (in Nov 2025). Only the most current version of CPGs was included in the analysis and relevant links from the CPG were visited and reviewed with relevant sections adopted. All english translations were produced with the aid of large linguistic models.</p><p><strong>Results: </strong>The Icelandic CPG lacked the grading of available evidence for methylphenidate altogether. For benefits, the chosen outcomes varied and the Finnish and Norwegian CPGs graded the quality of evidence as of high quality, the Danish as moderate and the Swedish from moderate to very low. For potential harms associated with methylphenidate use, also the Norwegian CPGs lacked the grading of evidence. The Finnish CPG concluded on high to moderate quality of evidence, the Swedish on moderate to very low and the Danish only on very low quality of evidence.</p><p><strong>Conclusions: </strong>There is a low level of agreement between Nordic guidelines regarding the quality of evidence for methylphenidate in pediatric ADHD. This could contribute to the observed cross-country differences in prescribing practices. A centralized CPG development process and stronger collaboration among Nordic CPG working groups seem warranted.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"39-44"},"PeriodicalIF":1.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13351568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can transdiagnostic parent training in child psychiatry empower parents to support their children's emotional regulation? A qualitative interview study of parents' and clinicians' perspectives on Circle of Security-Parenting (COS-P).","authors":"Gitte Gaedt Møller, Lotte Kring, Aida Bikic","doi":"10.2478/sjcapp-2026-0004","DOIUrl":"10.2478/sjcapp-2026-0004","url":null,"abstract":"<p><strong>Background: </strong>Many children referred to child psychiatry show insecure attachment, indicating difficulties in the parent-child relationship. Attachment-based interventions aim to strengthen this relationship by enhancing parental sensitivity and under-standing of the child's needs. As the quality of the parent-child relationship has a profound influence on a child's overall well-being and psychopathology, it is important to explore whether increased focus on parents' relational capacity can positively affect children's psychiatric symptoms.</p><p><strong>Objective: </strong>To investigate parents' experiences of participating in an attachment-based parenting intervention, Circle of Security Parenting (COS-P), within a child and adolescent mental health services setting.</p><p><strong>Method: </strong>Qualitative semi-structured interviews were conducted with six parents participating in COS-P, alongside a focus group interview with four clinical therapists, to gain insights into their experiences with the program in a child psychiatric context. Data were analyzed using NVivo 12 and a reflexive thematic analysis approach.</p><p><strong>Results: </strong>The analysis resulted in three main themes: (i) challenges prior to COS-P, (ii) expectations of the intervention, and (iii) perceived changes following the intervention.</p><p><strong>Conclusion: </strong>Several parents reported positive changes in their interactions with their children after participating in COS-P. They described an improved understanding of their children's behavior and needs, as well as increased use of appropriate strategies to meet those needs. Additionally, most parents reported gaining insight into how difficulties in regulating their own emotions, rooted in their own childhood experiences, had been unintentionally transmitted to their children. Transdiagnostic parent training programs such as COS-P have the potential to empower parents to support their children before, during, and/or after psychiatric assessment, regardless of diagnosis.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"27-36"},"PeriodicalIF":1.4,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13265156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plasma BDNF levels in children with ADHD before and after methylphenidate treatment.","authors":"Maj-Brit Aastrøm, Signe Vangkilde, Julie Ertman Nørkær Lundsgaard, Thomas Habekost","doi":"10.2478/sjcapp-2026-0003","DOIUrl":"10.2478/sjcapp-2026-0003","url":null,"abstract":"<p><strong>Background: </strong>Brain-Derived Neurotrophic Factor (BDNF) is the most abundant neurotrophin in the central nervous system with essential roles in neurodevelopment and maintenance of healthy brain function. Accordingly, BDNF has been suggested to play a role in the pathophysiology of Attention Deficit Hyperactivity Disorder (ADHD).</p><p><strong>Objectives: </strong>To investigate whether medication-naïve children with ADHD exhibit altered plasma BDNF levels compared with healthy controls, and to examine whether methylphenidate treatment is associated with changes in plasma BDNF and clinical outcomes.</p><p><strong>Methods: </strong>In this study we measured plasma BDNF levels before and after 12 weeks of standard treatment with methylpheni-date (MPH) in 21 medication-naïve children (aged 7-12 years) with ADHD and 25 matched control children. Blood samples were drawn after an overnight fast and analyses were controlled for body mass index, pubertal status, and physical activity. Associations between plasma BDNF levels and clinical symptoms were also evaluated.</p><p><strong>Results: </strong>Baseline plasma BDNF levels were significantly higher in the patient group than in the control group and remained significantly higher in the patient group after 12 weeks of MPH treatment. Moreover, higher baseline BDNF levels predicted greater positive effects of MPH treatment as measured by parent-rated inattentive and hyperactivity symptom scores. The findings are discussed in relation to the compensation theory of BDNF for neuropathology.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"13-26"},"PeriodicalIF":1.4,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Perceived Causal Networks of Problematic Screen Time in Adolescents: The Centrality of Passive Scrolling.","authors":"Lars Klintwall, Anders Nilsson, Martin Bellander, Kristoffer Magnusson, Nitya Jayaram","doi":"10.2478/sjcapp-2026-0002","DOIUrl":"10.2478/sjcapp-2026-0002","url":null,"abstract":"<p><strong>Background: </strong>Excessive screen time in adolescents has become a growing concern, with parents seeking effective strategies to manage its impact.</p><p><strong>Objectives: </strong>To investigate parents perceived causal networks linking children's screen use, child mental health problems, and parent-related factors, as a first step toward informing parent-focused interventions.</p><p><strong>Methods: </strong>This study used the PErceived CAusal Networks (PECAN) method to explore how parents perceive causal relationships between screen-related problems and associated mental health challenges. A total of 128 parents participated (mean age 48.1 years) reporting about children aged 12-19 years (mean age 14.1 years). Each parent selected problems relevant to their child, and rated perceived causal relations among 20 predefined problem areas. These problem areas covered child behaviors and emotions, as well as contextual factors and parental behaviors and emotions.</p><p><strong>Results: </strong>Most importantly, passive scrolling emerged as the problem most frequently perceived by parents as influencing other difficulties. Further, parents of boys highlighted gaming and lack of real-life friendships as perceived to be causing other problems, while parents of girls perceived physical inactivity and sadness as central. Parents rarely perceive their own behaviors or emotions as causing child problems, with the exception of problems with setting screen time boundaries.</p><p><strong>Conclusions: </strong>These findings are relevant for the development of supportive interventions aimed at parents, suggesting passive scrolling may be an important target for future parent-focused interventions. Further, interventions might be adapted to address gender-specific concerns, providing parents with practical tools to mitigate the negative effects of excessive screen time.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"3-12"},"PeriodicalIF":1.4,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quetiapine induced severe nasal congestion - case report.","authors":"Karsten Gjessing Jensen, Kristian Andersen","doi":"10.2478/sjcapp-2026-0001","DOIUrl":"10.2478/sjcapp-2026-0001","url":null,"abstract":"<p><p>Nasal congestion is a known but likely underreported side effect of antipsychotic treatment and is not captured by most side-effect interviews or rating scales. Although usually benign, it can in some cases lead to substantial discomfort. We report a case of a young patient with quetiapine-induced nasal congestion in whom surgical intervention was avoided by switching medication.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"14 1","pages":"1-2"},"PeriodicalIF":1.4,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diversity-Friendly Initiatives: Substance or Show? The Case of Silent Clapping.","authors":"Melissa H Black, Sven Bölte","doi":"10.2478/sjcapp-2025-0014","DOIUrl":"10.2478/sjcapp-2025-0014","url":null,"abstract":"<p><strong>Background: </strong>Recently there has been a rapid adoption of initiatives driven by a desire to be inclusive of diversity. Though this is certainly positive, many strategies are implemented based on the untested hypothesis that their adoption is genuinely wanted and beneficial to those whom these approaches are designed to benefit. One area where this phenomenon is occurring is in the context of neurodivergence, where events are increasingly employing silent clapping, otherwise known as \"jazz hands\" or \"flapplause,\" in place of traditional applause, with the aim of creating more inclusive environments.</p><p><strong>Methods: </strong>We conducted an international survey to examine whether \"silent clapping\" is indeed of substance to the neurodivergent community by surveying neurodivergent (n=389) and neurotypical (n=237) individuals. We compared the perspectives of neurodivergent and neurotypical respondents on silent clapping and also examined whether endorsement of silent clapping varied among specific subgroups of the neurodivergent population.</p><p><strong>Results: </strong>Generally, both neurotypical and neurodivergent individuals perceived silent clapping similarly. However, there were mixed responses regarding the endorsement of silent clapping, and no clear consensus emerged. Autistic individuals tended to endorse silent clapping more than other neurodivergent individuals, although variability in endorsement remained. Qualitative responses reflected both support for silent clapping but also concerns about its use.</p><p><strong>Conclusions: </strong>While silent clapping is largely endorsed, we find no overwhelming support or clear consensus. Findings suggest that silent clapping may be beneficial and wanted by particular subsets of the neurodivergent community, particularly for autistic individuals, but that it can also introduce other concerns. We caution against the indiscriminate implementation of such initiatives in favor of more considered and targeted strategies. Implementation of any initiative aimed at increasing inclusion should be guided by consultation with the relevant community.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"151-161"},"PeriodicalIF":1.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12713516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of selective serotonin reuptake inhibitor (SSRI)-induced activation and manic/hypomanic switch in children and adolescents.","authors":"Ali Dadfar, Mia Ramklint, Sara von Wallenberg Pachaly","doi":"10.2478/sjcapp-2025-0011","DOIUrl":"10.2478/sjcapp-2025-0011","url":null,"abstract":"<p><strong>Background: </strong>Serotonin selective reuptake inhibitor (SSRI) - induced activation and manic/hypomanic switch in children should be defined and delimited from each other. If not, this could contribute to inappropriate treatment decisions. This systematic review aimed, therefore, to explore how SSRI - induced activation and manic/hypomanic switch in children are defined, delimited from each other, assessed, and diagnosed.</p><p><strong>Methods: </strong>The PRISMA guidelines were followed. A systematic literature search was conducted in Pubmed, Cochrane, Scopus, and PsychINFO (from 8th to 15th March 2023). Eligible studies were in English, covering a population aged six to 18 years, where the outcome was activation or manic/hypomanic switch in relation to SSRI treatment. Two blinded assessors independently screened all abstracts, and thirty articles were included. Definitions, described symptoms, assessments, and inter-rater reliability were recorded.</p><p><strong>Results: </strong>Twelve articles were categorized as activation and 18 as mania/hypomania. Eight articles presented a clear definition of activation and four of mania/hypomania. Two articles presented inter-rater/test-retest reliability. One specific instrument was used for assessment of activation. No instrument was used for assessment of mania/hypomania. Symptom overlap was found, but more symptoms of 'aggression and hostility', 'anxiety and panic', and 'suicide and self-harm' were reported in activation while more 'cognitive and thought process alterations' and 'changes in mood and emotions' were reported in mania/hypomania.</p><p><strong>Discussion/conclusion: </strong>Vague definitions, and inadequate assessments and diagnostic procedures were found. There were some differences in symptoms between activation and manic/hypomanic switch.</p><p><strong>Other: </strong>The study protocol was published on Prospero 2023, CRD42023422133.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"117-134"},"PeriodicalIF":1.4,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between cyberbullying and nonsuicidal self-injury: the mediating role of depression and anxiety.","authors":"Bernadett Frida Farkas, Dóra Győri, Dániel Komáromy, Péter Garas, Nóra Kollárovics, Lili Olga Horváth, Judit Balázs","doi":"10.2478/sjcapp-2025-0013","DOIUrl":"10.2478/sjcapp-2025-0013","url":null,"abstract":"<p><strong>Introduction: </strong>Although both nonsuicidal self-injury (NSSI) and cyberbullying (CB) are very common among adolescents, there are only a few studies examining the relationship between the two phenomena. The aim of our study was to explore the relationship between CB and NSSI, and to examine the potential mediating effects of anxiety and depression.</p><p><strong>Methods: </strong>119 Hungarian adolescents (70% female, 13-18-year-olds) were involved in the study. A self-report questionnaire about CB, the Inventory of Statements About Self-injury, and the Mini International Neuropsychiatric Interview - Kid were administered. Regression and network analysis were conducted to analyze the interrelationships among CB, NSSI, and anxiety/depression.</p><p><strong>Results: </strong>The prevalence of NSSI was significantly higher among those who were involved in CB, compared to those who were not, χ²(1) = 5.62, p = 0.02. CB and NSSI were mediated by anxiety, and anxiety disorder was directly related to NSSI. Conversely, depression was not directly related to CB, only to anxiety. Victimization was positively related to anxiety, which, in turn, was positively associated with NSSI.</p><p><strong>Conclusion: </strong>Our results draw attention to the importance of focusing on comorbid anxiety disorders and to both those who are involved in CB and those who witness CB in NSSI prevention strategies.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"139-150"},"PeriodicalIF":1.4,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}