Journal of the Korean Academy of Child and Adolescent Psychiatry最新文献

{"title":"Global Perspectives on Adolescent Suicide and Self-Harm: Findings and Insights From the ASCAPAP Grand Forum.","authors":"Miae Oh, Ji Sun Hong, Hee Jeong Yoo","doi":"10.5765/jkacap.260019","DOIUrl":"10.5765/jkacap.260019","url":null,"abstract":"<p><p>Adolescent suicide and self-harm have become pressing global public health crises. At the 2026 Asian Society of Child and Adolescent Psychiatry and Allied Professions Grand Forum on Suicide and Self-Harming Behavior in Adolescents Worldwide, researchers, clinicians, and policymakers from multiple countries presented current evidence and field experiences. This study synthesizes the forum's major presentations and discussions in the thematic areas. The forum emphasizes that South Korea continues to report one of the highest adolescent suicide rates among Organisation for Economic Co-operation and Development (OECD) countries and that suicide-related behaviors and non-suicidal self-injury have reached concerning levels across Asia. The cross-national evidence presented at the forum indicated a marked post-pandemic increase in adolescent suicide attempts and self-harm, with a disproportionate burden on adolescents and young women. The speakers further emphasized that aggregate national statistics could obscure the heightened risk faced by the most vulnerable subgroups. Major risk factors included psychiatric comorbidities, diminished sense of belonging, social media use, algorithm-driven content exposure, and socioeconomic disparities in healthcare access. The forum emphasized that for many adolescents, self-harm reflected not a wish to die but an attempt to escape overwhelming psychological pain. Proposed solutions centered on a paradigm shift toward primary prevention, integrated school-government-professional systems incorporating AI-based early warning, the \"Safety by Design\" principle for social media, community-based safe spaces, and strengthening families and communities. Adolescent suicide prevention is not solely a medical issue but a collective societal responsibility that requires international collaboration.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"167-176"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116252","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":"\"Just Right\" Perceptions and Obsessive-Compulsive Symptoms in Tourette Syndrome and Chronic Tic Disorder: Implications for Tourettic Obsessive-Compulsive Disorder.","authors":"Seok-Hyun Nam, Taewon Park","doi":"10.5765/jkacap.260022","DOIUrl":"10.5765/jkacap.260022","url":null,"abstract":"<p><strong>Objectives: </strong>Perceptions that something is not \"just right\" and feelings of incompleteness are forms of premonitory urges that extend beyond simple bodily sensations; they involve subjective interpretations of those sensations and may therefore be regarded as mental phenomena. These phenomena may precede tics but can also trigger compulsive behaviors. Investigating these phenomena is essential for understanding intermediate clinical phenotypes between tic disorders and obsessive-compulsive disorder (OCD).</p><p><strong>Methods: </strong>We retrospectively reviewed the medical records of 71 patients older than 10 years with tic disorders who attended the department of psychiatry at a hospital. Clinical assessments included the Korean versions of the Premonitory Urge for Tics Scale, Yale Global Tic Severity Scale, and (Children's) Yale-Brown Obsessive-Compulsive Scale.</p><p><strong>Results: </strong>Among patients with Tourette syndrome, 71.21% reported experiencing \"just right\" perceptions. Both the frequency and severity of \"just right\" perceptions were significantly greater in patients with tic disorders and comorbid OCD (n=8) than in those without comorbid OCD (n=63). In addition, the severity of premonitory urges showed a significant correlation with the severity of obsessive-compulsive symptoms.</p><p><strong>Conclusion: </strong>\"Just right\" perceptions are not only an intrinsic characteristic of tic disorders but are also associated with repetitive behaviors in OCD. These results provide preliminary clinical support for Tourettic OCD as an intermediate phenotype between tic disorders and OCD.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"199-208"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116281","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":"Acceptance and Commitment Group Therapy for Problematic Gaming in Adolescents: A Randomized Controlled Trial.","authors":"Zahra Ibadina, Nining Febriyana, Margarita Maria Maramis, Royke Tony Kalalo","doi":"10.5765/jkacap.260017","DOIUrl":"10.5765/jkacap.260017","url":null,"abstract":"<p><strong>Objectives: </strong>Internet Gaming Disorder (IGD) is associated with emotional distress and functional impairment in adolescents. This study evaluated the effectiveness of Acceptance and Commitment Group Therapy (ACGT) in reducing problematic gaming symptoms and associated depression, anxiety, and stress among high school students.</p><p><strong>Methods: </strong>In this randomized controlled trial, 40 adolescents with problematic gaming symptoms, identified using a prespecified 7-item Game Addiction Scale (GAS-7) screening threshold of ≥14, were randomly assigned to either ACGT (n=20) or a control group (n=20). Participants in the intervention group received eight weekly sessions of ACGT, whereas the control group received no structured intervention. Outcomes were assessed at baseline, post-intervention, and three-month follow-up using GAS-7 and the Depression Anxiety Stress Scale-Youth version.</p><p><strong>Results: </strong>Participants who received the intervention demonstrated reductions in problematic gaming symptoms that were maintained at follow-up. The median GAS-7 scores decreased from 16.5 at baseline to 11.0 post-intervention and 11.5 at the three-month follow-up, whereas scores increased in the control group (all p<0.001). In the adjusted analyses, a significant \"treatment group×baseline GAS-7\" interaction was observed at both post-intervention (F[1,33]=10.36; p=0.003) and follow-up (F[1,33]=6.79; p=0.014), indicating that between-group differences varied according to baseline problematic gaming severity. Secondary emotional outcomes were exploratory and should be interpreted with caution.</p><p><strong>Conclusion: </strong>A group-based intervention that incorporated Acceptance and Commitment Therapy was associated with a sustained reduction in problematic gaming symptoms among adolescents. These findings support the need for further evaluation of this approach in larger randomized trials with active control conditions and diagnostic confirmation of IGD.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"219-227"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116264","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":"Beyond Symptoms: Relationships, Participation, and Real-World Functioning in Child and Adolescent Psychiatry.","authors":"Jung-Woo Son","doi":"10.5765/jkacap.260038","DOIUrl":"https://doi.org/10.5765/jkacap.260038","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"165-166"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116246","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":"Family Dynamics and Interdependent Happiness in Northern Vietnamese Adolescents: The Mediating Role of Children's Participation Rights and Family Cohesion.","authors":"Dao Lan Huong, Nguyen Thi Minh Hang","doi":"10.5765/jkacap.260012","DOIUrl":"10.5765/jkacap.260012","url":null,"abstract":"<p><strong>Objectives: </strong>To examine family-based correlates of interdependent happiness among Vietnamese adolescents and to test the mediating role of children's participation rights in the association between family cohesion and well-being.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 664 adolescents in Northern Vietnam. Standardized instruments measured family cohesion, parenting behaviors, parental psychological control, family quality of life, children's participation rights, and interdependent happiness. Data were analyzed using Pearson correlations, ordinary least squares (OLS) multiple linear regression, and Hayes' PROCESS mediation analysis (Model 4, 5000 bootstrap samples), controlling for participant gender and economic conditions.</p><p><strong>Results: </strong>Adolescents reporting stronger family cohesion and greater participation rights tended to experience higher levels of interdependent happiness. In the fully adjusted OLS regression model, family cohesion (β=0.207, p<0.001) and participation rights (β=0.199, p< 0.001) were among the strongest significant family-related correlates of interdependent happiness. The overall model explained 33.6% of the variance in interdependent happiness (R²=0.336, p<0.001). In contrast, parental psychological control and parenting behaviors were not independently associated with happiness after controlling for other predictors. Mediation analysis indicated a significant indirect pathway from family cohesion to interdependent happiness through participation rights (indirect effect=0.086, 95% bootstrap confidence interval [0.044, 0.134]), highlighting the importance of adolescents' involvement in family decision-making processes.</p><p><strong>Conclusion: </strong>Adolescent happiness in Vietnam is concurrently linked to emotional cohesion and participatory autonomy within the domestic sphere. Family-based well-being initiatives should emphasize both family connectedness and the active involvement of adolescents in family decision-making processes.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"186-198"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116241","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":"Anxiety as a Mediator Between Childhood Trauma and Social Competence Among Adolescents and Young Adults.","authors":"Khadija Fatima, Sadia Niazi, Anam Yousaf, Saba Ghayas, Anam Khan","doi":"10.5765/jkacap.260013","DOIUrl":"10.5765/jkacap.260013","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine anxiety as a statistical mediator of the association between childhood trauma and social competence among adolescents and young adults. It also aimed to examine whether the proposed model varies across adolescents and young adults.</p><p><strong>Methods: </strong>The study sample consisted of 300 participants, including adolescents (n=150) and young adults (n=150). Participants were recruited through purposive sampling from educational institutions and community settings in the Sargodha District. The age range of the patients was limited to 15-30 years. A cross-sectional survey design was employed. The translated versions of the Depression Anxiety and Stress Scale, Childhood Trauma Questionnaire, and Social Competence Scale were used to assess anxiety, childhood trauma, and social competence, respectively. Maximum likelihood estimation in IBM SPSS Amos was used to test the proposed statistical mediation model.</p><p><strong>Results: </strong>The results indicated that childhood trauma was positively associated with anxiety and negatively associated with social competence among adolescents and young adults. Anxiety statistically mediated the association between childhood trauma and social competence, suggesting a significant but small indirect association rather than a causal pathway. Given the cross-sectional design, the findings should be interpreted as associations and not as evidence of temporal or causal relationships. Exploratory multigroup analyses suggested that structural associations may differ across age groups, with comparatively stronger associations observed among adolescents. However, because formal measurement invariance has not been established, these between-group differences should be interpreted with caution.</p><p><strong>Conclusion: </strong>The results highlight the importance of the early identification of trauma-related anxiety and the need for school-, university-, and community-based interventions that strengthen emotional regulation, coping skills, and social competence.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"177-185"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116305","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":"Real-World Functional Gains in Thai Children With Attention-Deficit/Hyperactivity Disorder: A 24-Month Naturalistic Study.","authors":"Sirinadda Punyapas, Tidarat Puranachaikere, Preechaya Chaiyasingh, Sirinda Chanpen, Chanvit Pornnoppadol","doi":"10.5765/jkacap.260016","DOIUrl":"10.5765/jkacap.260016","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the 24-month longitudinal trajectories of symptom severity and functional impairment in children diagnosed with attention-deficit/hyperactivity disorder (ADHD).</p><p><strong>Methods: </strong>This longitudinal observational study recruited newly diagnosed children aged 6-12 years from a child and adolescent outpatient clinic. Baseline and subsequent follow-up assessments (6, 12, 18, and 24 months) used the Weiss Functional Impairment Rating Scale-Parent Report to evaluate functional impairment, Thai ADHD Screening Scale to measure ADHD symptoms, and Positive Parenting Questionnaire to assess parenting practices. Comprehensive clinical data capturing treatment compliance, adverse effects, and psychiatric comorbidities were integrated using the Clinical Tracer Plus for ADHD framework.</p><p><strong>Results: </strong>Among 48 participants (median age=8.0 years; 83.8% male), linear mixed-effects model analysis revealed that by 24 months, overall ADHD symptoms, functional impairment (d=-0.79), and school difficulties (d=-1.02) significantly decreased, along with improvements in risky (d=-0.41) and social (d=-0.47) behaviors. Although the family and life skills domains improved, these changes were not significant. The child's self-concept domain remained unchanged.</p><p><strong>Conclusion: </strong>Although treatment effectively mitigates core ADHD symptoms and drives significant functional gains, recovery follows domain-specific trajectories. This variability highlights the need to complement standard symptom management with multidisciplinary interventions. Incorporating targeted psychological support and parent management training is essential for modifying negative self-schemas, supporting family dynamics, and translating clinical stability into sustained real-world autonomy.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 4","pages":"209-218"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128480","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":"From the Mechanisms and Neurobiology to Treatment of Tic Disorders, Including Tourette Syndrome.","authors":"Yukiko Kano","doi":"10.5765/jkacap.260021","DOIUrl":"10.5765/jkacap.260021","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 3","pages":"125-126"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13320040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370352","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":"Contemporary Perspectives on Neurobiology and Treatment of Tic Disorders: A Narrative Review.","authors":"Junghan Lee","doi":"10.5765/jkacap.260015","DOIUrl":"10.5765/jkacap.260015","url":null,"abstract":"<p><p>Tic disorders are neurodevelopmental conditions characterized by involuntary movements and vocalizations. Recent technological advancements and deeper clinical insights have driven progress in both the neurobiology and treatment paradigms of these disorders. This narrative review provides a comprehensive synthesis of contemporary perspectives, bridging upstream pathophysiological mechanisms with downstream therapeutic modalities. From a pathophysiological perspective, the classic model of cortico-striato-thalamo-cortical circuit dysfunction has significantly expanded into a system-level network. Emerging evidence highlights the critical involvement of cerebellar pathways in tic generation, abnormal insular and somatosensory processing underlying premonitory urges, and intricate neuroendocrine cascades that modulate stress and prepubertal symptom exacerbation. By mirroring these complex biological mechanisms, contemporary treatment strategies are moving toward tailored, mechanism-based interventions. Evidence-based behavioral therapies, led by comprehensive behavioral interventions for tics, remain the first-line options. Pharmacotherapies are reserved for patients with significant functional impairment, whereas novel targeted agents, such as ecopipam, and innovative neuromodulation modalities, including adaptive deep brain stimulation, offer promising avenues for circuit-specific modulation. Thus, integrating advanced neurobiological frameworks with expanding therapeutic alternatives underscores the definitive shift toward precision medicine in tic management.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 3","pages":"127-134"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13319921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370260","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":"Associations Between Sports-Based After-School Activities, Cognitive Ability, Physical Health, Problematic Internet Use, Psychosocial Health, and Health-Related Behaviors Among Indonesian Adolescents.","authors":"Rizky Nurulfa, Aija Klavina, Csaba Melczer","doi":"10.5765/jkacap.260007","DOIUrl":"10.5765/jkacap.260007","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare cognitive ability, physical (motor proficiency and fitness), and psychosocial (depressive symptoms and quality of life) outcomes between adolescents participating in extracurricular sports (ES) and non-sports (NS) and to examine predictors of problematic Internet use (PIU).</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 433 Indonesian adolescents (ES=239, 49.0% males; NS=194, 52.1% males). Standardized measures included the Problematic and Risky Internet Use Screening Scale for PIU, Raven's Standard Progressive Matrices for cognitive ability, Bruininks-Oseretsky Test-2 for motor proficiency, the Indonesian Student Physical Fitness Test, the Youth Quality of Life-Short Form for quality of life, and the Patient Health Questionnaire-Adolescent Version for depression. Group differences were analyzed using the Mann-Whitney test. Spearman's correlations were used to assess associations between variables, and linear regression was used to identify predictors of PIU.</p><p><strong>Results: </strong>ES adolescents showed significantly higher cognitive ability, motor proficiency, physical fitness, and quality of life and lower PIU and depressive symptoms than the NS groups (all p<0.001). PIU positively correlated with depression and negatively correlated with motor proficiency, physical fitness, cognitive ability, and quality of life. The regression analyses identified depression as a strong positive predictor of PIU, whereas cognitive ability, motor proficiency, physical fitness, and quality of life were significant negative predictors, explaining the substantial variance in PIU.</p><p><strong>Conclusion: </strong>Adolescents participating in ES demonstrated higher cognitive, physical (motor proficiency and fitness), and psychosocial outcomes (depressive symptoms and quality of life) than NS participants. Depression was positively associated with PIU, whereas motor proficiency, fitness, cognitive ability, and quality of life were inversely associated with PIU.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"37 3","pages":"151-164"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13319920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370334","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}