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

{"title":"Current Practices and Barriers of Family-focused Care of Patients with Severe Mental Illness and Their Children: A Survey Among Czech Psychologists and Psychiatrists.","authors":"Anna Havelková, David Havelka","doi":"10.2478/sjcapp-2025-0010","DOIUrl":"10.2478/sjcapp-2025-0010","url":null,"abstract":"<p><strong>Background: </strong>Children of parents with mental illness are known to be at risk of developing mental illnesses due to hereditary and socio-economic factors. The family-focused practice in the treatment of adult patients with severe mental illness benefits patients and their children, and can help prevent mental health problems in children of parents with mental illness. Therefore, professionals caring for adult patients must contribute to the early identification of families at risk and initiate the necessary care.</p><p><strong>Objective: </strong>This study aimed to determine the current practices of psychologists and psychiatrists in the Czech Republic-the extent to which they include parental issues and their patients' children in their treatment, how informed they are about the available support, their attitudes toward a family-focused practice, potential barriers to family-focused practice, and recommendations for improvements in care for children of parents with mental illness.</p><p><strong>Methods: </strong>A structured online questionnaire completed by 193 professionals (51.8% psychiatrists, 48.2% psychologists) working with adults with severe mental illness in various healthcare settings.</p><p><strong>Results: </strong>A large majority (95.9%) of respondents regularly asked about the parenting status of their patients and 75.1% had a positive attitude toward involving children more in treatment. Although most respondents were comfortable discussing parenting (91.2%), they only discussed parenting topics if the patients themselves brought them up. Minors were rarely invited to treatment (26.4%), usually on a one-off basis. Major barriers cited include a lack of set procedures for working with families, lack of coherence of services, lack of time, shortage of professionals to refer to, and perceived lack of training and experience.</p><p><strong>Conclusion: </strong>Although most professionals know that their patients have children and believe that children of parents with mental illness are at risk of developing problems, they are hindered by a variety of organizational and systemic barriers in implementing the family-focused approach more frequently in practice. Subject to wider expert discourse, the findings may contribute to informed policy formulation.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"103-116"},"PeriodicalIF":1.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972856","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":"Association of traditional leisure time activities during adolescence to later psychiatric morbidity in early adulthood - a systematic review.","authors":"Johanna Timonen, Mika Niemelä, Helinä Hakko, Heli Korkiamäki, Sami Räsänen","doi":"10.2478/sjcapp-2025-0009","DOIUrl":"10.2478/sjcapp-2025-0009","url":null,"abstract":"<p><p>This systematic review summarizes studies of the association between traditional leisure activity engagement in adolescence and subsequent psychiatric morbidity up to early adulthood. The literature search for the review was conducted in May 2022 and in November 2023 utilizing three electronic databases. In total, eleven studies published between 2010 and 2023 fulfilled the inclusion criteria. The results showed that active participation to leisure time activities in adolescence associated with a lower likelihood of being diagnosed with a psychiatric disorder by young adulthood. The most well-established link and strongest supporting data were found for depression, anxiety, and psychotic disorders but for other psychiatric disorders, the evidence was indicative. The findings of reviewed studies highlight the importance of socially engaging recreational activities for adolescents' long-term mental health. Additional research is required to explore the associations between different leisure activities, including solo hobbies, and different specified mental disorders.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"82-102"},"PeriodicalIF":1.0,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822848","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":"Struggling to be heard: A scoping review of user participation in ADHD mental healthcare for children and adolescents.","authors":"Elin Håkonsen Martinsen, Nina Helen Mjøsund, Anne Faugli","doi":"10.2478/sjcapp-2025-0008","DOIUrl":"10.2478/sjcapp-2025-0008","url":null,"abstract":"<p><strong>Background: </strong>Growing emphasis is placed on supporting children and adolescents with attention deficit hyperactivity disorder (ADHD) in participating in their own healthcare; however, more knowledge is needed to guide practice.</p><p><strong>Objective: </strong>To review the scientific literature on user participation and opportunities for shared decision-making involving younger people referred for ADHD in mental healthcare services, to provide recommendations for clinical practice and future research.</p><p><strong>Method: </strong>A systematic scoping review was performed. Eligibility was determined in two steps by two and three independent researchers, respectively. Data were extracted and analyzed using qualitative content analysis. The findings were synthesized across the various contexts and participation groups represented in the included studies. In all, the analysis involved three phases: preparation, organization, and reporting.</p><p><strong>Results: </strong>Of the thirty full-text papers identified, five met the inclusion criteria. Four categories and seven subcategories related to user participation and opportunities for shared decision-making involving children and adolescents with ADHD were identified. The four categories were: (1) sidelined from the start, (2) lack of information, (3) trapped in medication, and (4) growing into active decision-makers; these indicate that children with ADHD feel excluded from the diagnostic process, may have limited treatment choices, and may not be heard. This review also discovers a bias in the existing literature on user participation, with a tendency to emphasize caregivers' or clinicians' perspectives over those of the young people.</p><p><strong>Conclusions: </strong>Young people with ADHD experience they have limited opportunities to participate in their mental healthcare services. User participation and shared decision-making by young people with ADHD should be promoted in clinical practice. Accordingly, future research should explore ways to implement user participation among young people themselves when assessing and treating ADHD, not only among clinicians and caregivers.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"68-81"},"PeriodicalIF":1.4,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683360","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":"Parents' and Children's Experiences of Participation in the Family Centered Program for Problematic Gaming and Excessive Screen Use in Child and Adolescent Population.","authors":"Sabina Kapetanovic, Sophie Wilts, Marie Werner, Emma Claesdotter-Knutsson","doi":"10.2478/sjcapp-2025-0007","DOIUrl":"10.2478/sjcapp-2025-0007","url":null,"abstract":"<p><strong>Background: </strong>Screen use, including gaming and social media, has increased over the past decade, potentially having adverse effects on child development and mental health. To prevent the potential problems arising from excessive screen use (ESU) and problem gaming (PG) scholars have developed a Family centered program for PG and ESU (FAME) involving both children and at least one parent in the program. The aim of this study was to explore the experiences of children's and parents' participation in the pilot-FAME program.</p><p><strong>Method: </strong>Out of ten families who participated in the pilot-FAME, eight children (age 12-15; two girls), along with ten parents, out of which three fathers, participated in individual semi-structured interviews involving questions about a) families' perceptions of the program and b) suggestions for improvement of the program. The data were analyzed with Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Four distinct themes were constructed: Theme 1, \"Positivity regarding program\", Theme 2, \"Criticism regarding the program\", Theme 3, \"Program delivery\", and Theme 4, \"Content development\". Specifically, while the program was well-received for its group format and the peer support it facilitated, making adaptions such as incorporating more discussion and learning opportunities, along with extending the duration, would have potential to improve its delivery and feasibility.</p><p><strong>Conclusion: </strong>The pilot-FAME program shows promise in addressing the challenges associated with PG and ESU among children and their parents. With further refinements, the program could become an effective tool for supporting healthy family dynamics and screen use.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"57-67"},"PeriodicalIF":1.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310547","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 impact of attention to social information on the development of socialization in childhood.","authors":"Toru Fujioka, Hirotaka Kosaka","doi":"10.2478/sjcapp-2025-0005","DOIUrl":"10.2478/sjcapp-2025-0005","url":null,"abstract":"<p><strong>Background: </strong>Socialization and communication are complex processes. It is important to identify the factors related to their development.</p><p><strong>Objectives: </strong>This study aimed to determine how attention to social information affects the development of socialization and communication in children with typical development.</p><p><strong>Methods: </strong>We recruited 24 typically developing preschool children. Using the all-in-one eye-tracking system, Gazefinder, we measured the percentage fixation time allocated to social information depicted in movies with human faces, people, and geometry in preference paradigm movies showing these stimuli simultaneously, as well as others at Waves 1 (4.01±0.84 years), 2 (5.22±0.66 years), and 3 (6.57±0.63 years). We also used the Second Edition of the Vineland Adaptive Behavior Scales to measure socialization and communication in Waves 1-3. We then used a 3-wave cross-lagged effects model in a structural equation modeling framework to determine the impact of attention to social information on the development of socialization and communication.</p><p><strong>Results: </strong>Only the preference paradigm, movies simultaneously presenting people and geometric shapes, fulfilled the model fit criteria. The percentage of fixation times on the people region in Wave 1 affected the socialization score in Wave 2.</p><p><strong>Conclusions: </strong>Although the limitation of \"the sample size is small\" should be considered, the degree of interest in people has a strong positive influence on the development of socialization during early childhood. Attention to social information other than the preference paradigm may have been influenced by a relatively large number of factors and/or by the lesser degree of effects of the factors that strongly influenced the preference paradigm and did not fit the model criteria proposed in this study.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"44-53"},"PeriodicalIF":1.4,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250163","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":"Developmental regression associated with PTSD in children: a poorly defined and understudied phenomenon.","authors":"Abbas Alameddine","doi":"10.2478/sjcapp-2025-0006","DOIUrl":"10.2478/sjcapp-2025-0006","url":null,"abstract":"<p><p>Developmental regression (DR) is a clinically relevant phenomenon that is most recognized in neurodevelopmental disorders such as in autism spectrum disorder, but it is also described in association with psychological trauma and post-traumatic stress disorder (PTSD) in children. It is not uncommon for children with PTSD to present symptoms of DR, which manifests as a loss of recently acquired developmental skills such as toilet training or language skills. International diagnostic classifications are not consistent regarding DR nosology. There exists, however, some theoretical ground to group DR with the cluster of dissociative symptoms in PTSD. There is no agreement on how to define, classify and manage DR in PTSD due to a research gap, which require further studies.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"54-56"},"PeriodicalIF":1.4,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250162","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":"Dialectical Behavioral Therapy Skills Training for Adolescents with Attention Deficit Hyperactivity Disorder: A Pilot Study.","authors":"Irina Landin, Sean Perrin, Pia Tallberg, Jonas Borell, Peik Gustafsson","doi":"10.2478/sjcapp-2025-0003","DOIUrl":"10.2478/sjcapp-2025-0003","url":null,"abstract":"<p><strong>Background: </strong>Attention Deficit Hyperactivity Disorder (ADHD) is a commonly occurring neurodevelopmental disorder associated with impairments in numerous aspects of functioning and quality of life. There is a growing recognition that brief and effective psychosocial interventions are needed for youth with ADHD.</p><p><strong>Objective: </strong>The aim of this study was to assess the feasibility and preliminary effectiveness of a dialectical behavioral therapy-based skills training group for adolescents with ADHD in a routine clinical care setting.</p><p><strong>Methods: </strong>Ten adolescents with ADHD/ADD (Attention Deficite Disorder) commenced a 10-week training group including psychoeduction, mindfulness and other self-regulatory skills training. Primary outcomes were pre- to post-treatment changes in guardian-rated ADHD-symptoms and participant-rated quality of life. Secondary outcomes were pre- to post-treatment changes in participant-rated executive functioning, depression, anxiety, and treatment satisfaction, as well as parent/guardian-rated executive functioning. All symptom/functioning scales were administered at pre-treatment, post-treatment, and a 12-week follow-up.</p><p><strong>Results: </strong>Eight of the ten participants completed treatment, with > 80% attendance for treatment completers and high ratings for treatment satisfaction. Based on the intention-to-treat analyses, there were improvements from pre-treatment to follow-up in primary and secondary outcomes except quality of life. Based on the completer's analyses, there were improvements from pre-treatment to follow-up for guardian rated ADHD symptoms and executive functioning, depression, anxiety, and quality of life. Uncontrolled effect sizes for pre-treatment to 12-week follow-up for treatment completers were medium for inattention, executive functioning, and quality of life, and large for depression and anxiety.</p><p><strong>Conclusions: </strong>The present study suggests that the DBT-based skills group training was feasible and, for treatment completers, yielded significant improvements across a range of symptom domains and quality of life assessed at the 12-week follow-up. However, this is only an exploratory finding and could be attributed to natural improvement or regression toward the mean. Therefore, further studies are warranted.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"22-29"},"PeriodicalIF":1.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053618","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":"Supplementary scales for the school-age forms of the Achenbach System of Empirically Based Assessment rated by adolescents, parents, and teachers: Psychometric properties in German samples.","authors":"Julia Plück, Laurence Nawab, Elena Kamenetzka, Manfred Döpfner","doi":"10.2478/sjcapp-2025-0004","DOIUrl":"10.2478/sjcapp-2025-0004","url":null,"abstract":"<p><strong>Background: </strong>Based on Achenbach's school-age questionnaires, research groups have investigated supplementary scales for stress problems, obsessive-compulsive problems, sluggish cognitive tempo, positive qualities, dysregulation, autism spectrum disorders, and mania in 6-18-year-olds partly only in some of the three perspectives the Achenbach System of Empirically Based Assessment (ASEBA) provides.</p><p><strong>Objective: </strong>We aimed to evaluate these dimensions for the German-language forms and, if possible, to extend their use to further rating perspectives.</p><p><strong>Methods: </strong>The internal consistencies of the supplementary scales were examined for three types of informants (parents, adolescents, and teachers) and different samples (community sample, clinical sample, and disorder-specific subsamples). Age-and gender-specific effects are displayed as well as cross-informant correlations. Additionally, different aspects of validity were analyzed: (a) convergent/divergent validity via correlations with traditional ASEBA scales (problem scales as well as the scales oriented to the Diagnostic and Statistical Manual of Mental Disorders 5th edition); (b) discriminative validity via differences between clinical vs. community-based sample as well as disorder-specific subgroup vs. clinical sample.</p><p><strong>Results: </strong>Most of the supplementary scales showed at least acceptable internal consistency. For some scales, we found significant but rather small and informant-dependent gender and age differences. Convergent validity of the supplementary scales differed across informants. Mean differences between the supplementary scales in the clinical and the community sample as well as the diagnosis-specific subsamples were mostly significant, with predominantly large effect sizes.</p><p><strong>Conclusions: </strong>Overall, the validity and reliability of the supplementary scales differed depending on informants and subgroups. While further research is necessary before the supplementary scales are implemented in clinical practice, initial recommendations for their use are derived.</p><p><strong>Trial registration: </strong>This project was carried out as a reanalysis of the datasets upon which the German norms for the school-age versions are based (1). Therefore, the trial was not registered.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"30-43"},"PeriodicalIF":1.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990112","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":"Discriminability of the Beck Depression Inventory and its Abbreviations in an Adolescent Psychiatric Sample.","authors":"Fatemeh Seifi, Sebastian Therman, Tommi Tolmunen","doi":"10.2478/sjcapp-2025-0002","DOIUrl":"10.2478/sjcapp-2025-0002","url":null,"abstract":"<p><strong>Background: </strong>The Beck Depression Inventory (BDI) is a widely acknowledged self-report screening tool for evaluating the presence and intensity of depressive symptoms. The BDI-IA, although an older version, is highly correlated with the updated BDI-II, remains clinically valuable, and is widely used due to its free availability.</p><p><strong>Aim: </strong>This study aimed to examine the psychometric properties of the BDI-IA and compare its diagnostic accuracy with the abbreviated BDI-SF, BDI-PC, and BDI-6 versions against gold-standard research diagnoses in a representative Finnish adolescent clinical population.</p><p><strong>Methods: </strong>The participants were referred outpatient adolescents aged 13-20 years (N = 752, 73% female). We investigated structural validity with item factor analysis and evaluated the criterion validity of mean scores and factor scores with various diagnostic measures. Sample-optimal cut-offs (criterion unweighted Cohen's kappa) were estimated with a bootstrap procedure.</p><p><strong>Results: </strong>The sample-optimal cut-off for the full BDI was 19, slightly higher than that suggested by the previous literature. The abbreviations of the BDI-IA were demonstrated to be as good as the full scale in detecting depressive symptoms in all three diagnostic categorizations.</p><p><strong>Conclusion: </strong>The use of brief and user-friendly questionnaires such as the BDI-PC or BDI-6 is recommended to ensure optimal depression screening and minimize the administrative burden, especially in primary care settings where clinical decision-making and referrals often need to occur within a limited time frame.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"9-21"},"PeriodicalIF":1.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033459","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 Relationship Between Personality Inventory for DSM (PID-5) Domains and Disruptive Behavior Disorders.","authors":"Ömer Faruk Akça, Kiana Cano, Carla Sharp","doi":"10.2478/sjcapp-2025-0001","DOIUrl":"10.2478/sjcapp-2025-0001","url":null,"abstract":"<p><strong>Introduction: </strong>Previous research has demonstrated a strong relationship between personality and psychopathology. However, the relationship between the traits listed in the Alternative Model for Personality Disorders (AMPD) and Disruptive Behavior Disorders (DBD) in adolescents has not been examined in detail. This study aimed to examine the relationship between the Personality Inventory for DSM-5 (PID-5) domains and DBD symptoms in an adolescent inpatient sample.</p><p><strong>Methods: </strong>A total of 127 adolescents (71% female) aged 12-17 years (M = 15.24, SD = 1.33) were recruited from an inpatient psychiatric hospital. These participants exhibited a wide range of psychiatric disorders unresponsive to prior interventions. They completed the PID-5-Short Form, the Child Behavior Checklist (CBCL), and the Diagnostic Interview Schedule for Children - Computerized Version (DISC-IV).</p><p><strong>Results: </strong>The antagonism, disinhibition, and psychoticism domains showed significant correlations with DBD scores. Hierarchical regression models predicting total DISC-IV and CBCL scores indicated that the addition of the PID-5 Antagonism and Disinhibition scales did not provide incremental predictive validity over total DBD symptoms.</p><p><strong>Conclusion: </strong>DBD symptoms are related to psychoticism, antagonism, and disinhibition. However, total Antagonism and Disinhibition scores did not contribute additional predictive power for overall psychopathology beyond DBD scores. These findings highlight questions about the discriminant validity of the PID-5 and suggest further research into the construct validity of these domains.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"13 1","pages":"20250001"},"PeriodicalIF":1.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037533","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}