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

{"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}

{"title":"Normative reference interval for youths on the Difficulties in Emotion Regulation Scale (DERS).","authors":"Christine Lykke Thoustrup, Markus Harboe Olsen","doi":"10.2478/sjcapp-2024-0014","DOIUrl":"10.2478/sjcapp-2024-0014","url":null,"abstract":"<p><strong>Background: </strong>The Difficulties in Emotion Regulation Scale (DERS) is widely used in both clinical and non-clinical research to assess emotional regulation difficulties. To guide interpretation of scores, establishing thresholds for normative DERS scores is informative. However, despite its widespread use, to date no study has provided such threshold for youths. This literature review aimed to fill this gap by examining the 90% reference interval for the DERS in youths aged 11-19 years.</p><p><strong>Methods: </strong>We conducted a systematic search on PubMed (MEDLINE) on 12 March 2024, to identify studies reporting DERS-36 total scores (DERS-T) in youths aged 11-19 years from either community-based populations or healthy volunteers.</p><p><strong>Results: </strong>A total of 34 studies were included; 20 studies included community-based participants (n = 6,960), while the remaining 14 studies included healthy volunteers (n = 766), resulting in a total of 7,726 participants. The 90% reference interval for DERS-T from all included participants had a threshold of 121.8 normative emotion regulation in youths.</p><p><strong>Conclusion and significance: </strong>This threshold is considerably higher than DERS-T scores reported in most clinical studies and a substantial variation in reference intervals across studies is observed. We identify five main methodological factors related to the DERS-36 and discuss their potential impact on the validity, reliability, and generalizability of findings. Given the DERS-T range of 36-180, we conclude that the 90% reference interval derived from our review is not sufficiently robust to guide clinical or scientific interpretations. Our work is not exhaustive, and further research is needed to validate and test the reliability of this reference interval.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"12 1","pages":"20240014"},"PeriodicalIF":1.4,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923658","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 Spanish version of the Level of Personality Functioning Scale - Brief Form 2.0 (LPFS-BF 2.0): Psychometric evaluation in adolescents who have suffered from parental abuse and neglect and a community sample.","authors":"Kennedy M Balzen, Carla Sharp, Erne Unzurruzaga, Ane Eguren, Luis Pérez","doi":"10.2478/sjcapp-2024-0012","DOIUrl":"10.2478/sjcapp-2024-0012","url":null,"abstract":"<p><p>Given shifts to dimensional models of personality pathology and a growing consensus that personality disorder (PD) often onsets during adolescence, there is a need for validated measures of PD in adolescents. Level of Personality Functioning (LPF) is particularly relevant for the identification of emerging personality dysfunction in adolescents given its ability to capture developmental discontinuity as metacognitive capacities in self- and interpersonal-functioning emerge. However, no studies as of yet have validated a measure of LPF in a sample of Spanish-speaking adolescents. In addition, no study has evaluated whether LPF associates with status as victim of parental neglect vs. community adolescents. A total of 570 Spanish-speaking adolescents between the ages of 11 and 18 (<i>n</i> = 168 with a history of parental neglect, <i>n</i> = 402 from a community sample) completed the briefest form of LPF, the LPFS-BF 2.0. Results from the confirmatory factor analysis revealed adequate fit of a unidimensional model, and invariance analyses suggested measurement invariance across gender and age (early versus late adolescents). Internal consistency was adequate, and convergent validity was supported through negative correlations of the LPFS-BF 2.0 with empathy and reflective function, and positive associations with alexithymia. Contrary to expectations, total scores on the LPFS-BF 2.0 did not distinguish adolescents with a history of parental neglect and adolescents from a community sample. Overall, results support the Spanish translation of the LPFS-BF 2.0 as a valid measure for use in adolescents.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"12 1","pages":"20240012"},"PeriodicalIF":1.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883154","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":"Long-Term Outcomes of Adolescent Outpatient Treatment for Substance Use Problems: Exploring the Co-occurrence of Mental Health and Substance Use Problems.","authors":"Karin Boson, Mats Anderberg, Peter Wenneberg, Sabina Vlasman, Sabina Kapetanovic, Mikael Dahlberg","doi":"10.2478/sjcapp-2024-0013","DOIUrl":"10.2478/sjcapp-2024-0013","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with substance use problems (SUP) constitute a group expected to face increased mental health problems (MHP). SUP can exacerbate mental health issues while also serving as a coping mechanism. Understanding the interplay between psychological, substance-related, and social factors is crucial for shaping effective interventions for this demographic. This article presents a three-year follow-up study with adolescents who had outpatient treatment for SUP, focusing on MHP and psychiatric conditions.</p><p><strong>Objective: </strong>This study aims to determine the prevalence of ongoing SUP and MHP in adolescents who received outpatient treatment at a specialized substance use clinic three years post-treatment initiation. Additionally, it seeks to explore psychosocial risk factors distinguishing adolescents with solely MHP from those with both MHP and persistent SUP (co-occurring problems) three years post-treatment initiation.</p><p><strong>Method: </strong>The study utilizes a longitudinal design, combining structured interview data at intervention onset with national register data at one- and three-years post-treatment initiation. A total of 451 adolescents participated, with 29% females and a median age of 17 years. Descriptive statistics and gender distribution of outcome groups are presented, alongside logistic regressions to assess the predictive value of risk factors for psychiatric conditions, substance use, and co-occurring conditions.</p><p><strong>Results: </strong>Nearly three-quarters of enrolled youth show no ongoing SUP, and one-third exhibit indications of MHP three years after treatment initiation. Risk factors diverge when distinguishing adolescents with MHP from those with co-occurring problems at the three-year mark post-treatment. School problems, depression, female gender, and low primary drug use increase the likelihood of solely exhibiting MHP.</p><p><strong>Conclusions: </strong>Integrated outpatient clinics like Maria clinics could play a crucial role in early detection and management of both SUP and MHP. The findings offer hope, suggesting positive outcomes regarding substance use even for individuals with heavy risk loads or severe SUP.</p>","PeriodicalId":42655,"journal":{"name":"Scandinavian Journal of Child and Adolescent Psychiatry and Psychology","volume":"12 1","pages":"20240013"},"PeriodicalIF":1.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883140","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}