Journal of Child and Adolescent Mental Health最新文献

{"title":"Game-based interventions: A qualitative exploration of strategies to develop social and emotional skills for teenagers with adverse childhood experiences.","authors":"Lauren Baney, Alison Greene, Catherine Sherwood-Laughlin, Brandon Crawford","doi":"10.2989/17280583.2026.2680875","DOIUrl":"https://doi.org/10.2989/17280583.2026.2680875","url":null,"abstract":"<p><strong>Background: </strong>Adverse childhood experiences (ACEs) are a form of childhood trauma that can negatively impact children's development and health throughout their life span. Experiencing any ACE as a child could jeopardise the optimal development and health of children, particularly negatively affecting their social and emotional well-being. Literature regarding childhood trauma frequently indicates the need for more interventions.</p><p><strong>Objective: </strong>This study aims to explore strategies that promote social and emotional skill development, which can be incorporated into a therapeutic board game.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 15 mental health professionals experienced in working with youth and ACEs. The interview guide was based on the social cognitive theory as a conceptual framework, as it has been proven effective in interventions focusing on increasing knowledge of health topics and teaching and developing skills. Reflexive thematic analysis was used.</p><p><strong>Results: </strong>Results are presented in three themes, including (i) personal and cognitive factors: using both scenario-based and discussion prompts, (ii) behaviour factors: incorporating guided practice and enactive mastery, and (iii) environmental factors: promoting healthy relationships as a social norm. These findings suggest that therapeutic games can be developed and structured to effectively address the needs of those who have experienced ACEs.</p><p><strong>Conclusion: </strong>Future studies should prioritise the creation of innovative therapeutic approaches that are tailored to the unique needs of teenagers with ACEs, to provide support and skills development.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From vulnerability to resilience: Pathways to adolescent depression.","authors":"Lulëjete Prekazi, Voltisa Gjergji","doi":"10.2989/17280583.2026.2689952","DOIUrl":"https://doi.org/10.2989/17280583.2026.2689952","url":null,"abstract":"<p><strong>Background: </strong>Adolescent depression is a significant public health concern shaped by contextual and cultural factors.</p><p><strong>Objective: </strong>This study examined the prevalence of depressive symptoms among adolescents in Kosovo and explored associations between early adversity, current stress, coping strategies, and perceived social support.</p><p><strong>Method: </strong>A cross-sectional study was conducted with 2 106 adolescents aged 13 to 18 years, using validated self-report measures of depression, early adversity, stress, coping, and perceived social support.</p><p><strong>Results: </strong>Nearly half of participants (48.3%) reported depressive symptoms, with higher rates among girls. Early adverse experiences within the family-submission, devaluation, and threat-were associated with higher depressive symptoms, with submission emerging as the most prominent correlate. Coping strategies showed differentiated patterns. Specifically, problem-focused coping was associated with lower depressive symptoms. In contrast, avoidant coping and maladaptive aspects of emotion-focused coping were associated with higher symptoms, highlighting variability within emotion-focused processes. Current stress was independently associated with depressive symptoms and amplified associations between early adversity and depression. Perceived social support from family, peers, and significant others showed context-dependent patterns, reflecting both protective and conditional associations across stressors and relational contexts.</p><p><strong>Conclusion: </strong>These findings underscore the central role of early experiences of submission within the family in adolescent depression and highlight the importance of coping processes, particularly the potentially maladaptive role of certain emotion-focused strategies in resource-constrained contexts. Results support the stress proliferation framework and highlight the need for culturally sensitive, trauma-informed interventions that strengthen problem-focused coping, enhance effective use of social support, and address early-life adversity.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety and its associated factors among high school adolescents in a rural area of Bangladesh.","authors":"Mohammad Rezaul Karim, Mohibbul Haque, Shadman Sakib Choudhury, Rabeya Kabir, Sumaiya Khan, Meherun Nahar Munni, Abul Masud Md Nurul Karim, Md Abdullah Saeed Khan","doi":"10.2989/17280583.2025.2547887","DOIUrl":"10.2989/17280583.2025.2547887","url":null,"abstract":"<p><p><i>Background:</i> Adolescence is marked by profound developmental changes in an individual with an increased risk of developing various mental health illnesses. Previous studies have explored anxiety and its correlates among urban adolescents in Bangladesh. This study aimed to explore the magnitude of anxiety and its associated factors among adolescents attending school in rural areas of the country.<i>Method:</i> A cross-sectional study was conducted among adolescents (aged 10 to 19 years, mean = 15.9 years, SD = 1.12 years; male = 61.15%) attending high schools in a Southern district of Bangladesh between August and December 2022. A pre-tested semi-structured questionnaire was used for data collection via face-to-face interviews. A total of 260 adolescents were included.<i>Results:</i> Overall, participants suffered from minimal (38.08%), mild (39.62%), moderate (17.69%), and severe (4.62%) anxiety symptoms. Female sex (Adjusted Odds Ratio [aOR]: 4.94, 95% Confidence Interval [CI]: 1.75 - 13.94), less than six hours sleep duration (aOR: 3.81, 95% CI: 1.49 - 9.74), unsatisfactory sleep quality (aOR: 3.25, 95% CI: 1.20 - 8.85), more than two hours of daily usage of social media (aOR: 3.53; 95% CI: 1.15 - 10.85), and academic performance being not good (aOR: 3.30; 95%CI: 1.07 - 10.17) were independent determinants of moderate-to-severe anxiety symptoms.<i>Conclusion:</i> This study revealed crucial determinants of anxiety among adolescents. Policymakers should address these factors to prevent the development of anxiety and support the healthy mental growth of teens in the country.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"52-67"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping and psychological well-being: Investigating the relations between specific coping strategies, anxiety, and depression among adolescents in a South African township.","authors":"Busisiwe S Hlatshwayo, Lauren G Wild","doi":"10.2989/17280583.2025.2535702","DOIUrl":"10.2989/17280583.2025.2535702","url":null,"abstract":"<p><p><i>Background:</i> Coping strategies are important in the development and prevention of mental health problems in adolescents. However, there is a paucity of research investigating the links between specific coping strategies and mental health in at-risk adolescents from socioeconomically vulnerable communities in South Africa.<i>Objective:</i> This study aimed to determine whether specific coping strategies predicted anxiety and/or depression among South African adolescents living in an impoverished township.<i>Method</i>: Data were collected from 415 adolescents from two secondary schools in Etwatwa, Gauteng, using a cross-sectional survey design. Adolescents ranged in age from 15 to 19 years (mean = 16.09 years, SD = 1.03 years), and 70% identified as female. Participants completed the Brief Coping Orientation to Problems Experienced Inventory, the 10-item Centre for Epidemiologic Studies Depression scale, and the 7-item Generalized Anxiety Disorder scale.<i>Results:</i> Prevalence rates of depression and anxiety were high, with girls reporting significantly more symptoms than boys. Hierarchical multiple regression analyses indicated that using substances, behavioural disengagement, and self-blame predicted more symptoms of both anxiety and depression among adolescents. Denial was associated with more symptoms of anxiety, while venting was associated with more symptoms of depression.<i>Conclusion:</i> While longitudinal research is recommended to determine the direction of effects, the findings of this study suggest that interventions targeting maladaptive coping strategies may help to prevent emotional distress among vulnerable adolescents.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"26-41"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early psychotherapeutic interventions for posttraumatic stress responses in children and adolescents: A scoping review.","authors":"Emilia Robinson, Chloe Chapman, Faith Orchard, Clare Dixon, Mary John","doi":"10.2989/17280583.2025.2581754","DOIUrl":"10.2989/17280583.2025.2581754","url":null,"abstract":"<p><p><i>Background:</i> Exposure of children and young people to potentially traumatic events is common. There is a need for increased access to early interventions following a potentially traumatic event.<i>Objective:</i> This review aimed to identify early psychotherapeutic interventions which attempted to decrease posttraumatic stress responses and/or reduce the risk of developing persistent posttraumatic stress disorder.<i>Method:</i> We included papers that outlined a psychotherapeutic intervention delivered to children and young people in the acute (within 1 month) and early-post-trauma period (2 to 6 months), following a potentially traumatic event. Four databases were searched, including PubMed, PsycINFO, Web of Science, and ASSIA.<i>Results:</i> Twenty-one papers met the inclusion criteria. The most frequent technique identified was psychoeducation, often combined with other techniques. Interventions were typically delivered by highly experienced clinical professionals. Two interventions were delivered either by lay counsellors or community facilitators. Most interventions were delivered within 1 month of exposure.<i>Discussion:</i> All interventions delivered beyond 1 month after the event showed significant reductions in posttraumatic stress symptoms, whereas those delivered within a month yielded mixed results. Conclusions: There remains a scarcity of evidence on early interventions following potentially traumatic events. We identified interventions delivered by community professionals with less clinical experience, which could inform how we increase access to support following potentially traumatic events.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":"37 1","pages":"104-128"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What do anxiety and depression tell us about the worlds that children and adolescents inhabit?","authors":"John Goodwin","doi":"10.2989/17280583.2026.2685428","DOIUrl":"10.2989/17280583.2026.2685428","url":null,"abstract":"","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"i-iii"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young people's experiences of transition from child and adolescent mental health services to adult mental health services: A qualitative study.","authors":"Abimbola Adanijo, Jessica C Bird","doi":"10.2989/17280583.2025.2533162","DOIUrl":"10.2989/17280583.2025.2533162","url":null,"abstract":"<p><p><i>Background:</i> The transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) is a vulnerable time for young people.<i>Objective:</i> This study aimed to explore young people's experiences of transitioning from CAMHS to AMHS in the United Kingdom and sought their views on improving the process.<i>Method:</i> Eight young people, purposively sampled from a local database, were interviewed post-transition using videoconferencing software. Data were analysed using reflexive thematic analysis and the presence of four recommended components of an 'optimal transition' was assessed.<i>Results:</i> Three main themes and nine subthemes were identified. These included young people's feelings concerning 'leaving CAMHS behind', their experience of 'the transition process', and 'adjusting to adult services' post-transition. Participants made six recommendations for improving transitions: providing more information about the process, greater involvement of young people and family members, more joint working between CAMHS and AMHS, better communication from AMHS, training clinicians to ensure AMHS foster age-appropriate and welcoming environments, and the development of an 18 to 25-year-old service. At least three of four optimal transition components were absent for 62.5% (<i>n</i> = 5) of the participants.<i>Conclusions:</i> The young people interviewed had predominantly negative experiences before, during, and after transitioning from CAMHS to AMHS. Further research with larger and more diverse samples is needed to understand how to improve transitions for young people from a range of backgrounds and across different services.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"185-196"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions for preventing eating disorders in adolescents: A scoping review.","authors":"Eloha Flória Lima Santos, Keila Priscila Dos Santos Avelar, Carmem Beatriz Neufeld","doi":"10.2989/17280583.2026.2649939","DOIUrl":"10.2989/17280583.2026.2649939","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are serious and prevalent diagnoses during adolescence. Therefore, prevention efforts are strongly recommended. However, there is a gap in the literature regarding a comprehensive understanding of preventive strategies for EDs in adolescents, particularly concerning different contexts and methodological approaches.</p><p><strong>Objective: </strong>This study aimed to map and describe preventive interventions, considering various contexts, modalities, and components.</p><p><strong>Method: </strong>A scoping review was conducted following the JBI and PRISMA-ScR guidelines. Primary studies on psychosocial interventions for ED prevention in non-clinical adolescent samples, published between 2013 and 2025 in Portuguese, English, or Spanish, were included. Searches were conducted in PubMed, Scopus, Web of Science, PsycINFO, LILACS, and CINAHL. Publications underwent screening, selection, and data extraction followed by synthesis.</p><p><strong>Results: </strong>Twenty-one studies were included, most with exploratory designs. The interventions were predominantly group-based, in-person, and grounded in cognitive dissonance theory, with a mean participant age of 14.39 years (SD = 1.42 years). The main strategies were psychoeducation, group discussion, and practical activities. The main topics were critiques of appearance ideals, media literacy, body image, self-esteem, physical activity, and healthy nutrition.</p><p><strong>Conclusion: </strong>Preventive psychosocial interventions for EDs among adolescents are expanding, with a trend towards adapting evidence-based programmes to diverse contexts, countries, cultures, age groups, and specific populations.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"129-159"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Katatagan Plus as a mental health early intervention for at-risk youth.","authors":"Trixia Anne C Co, Maria Regina M Hechanova, England Danne B Castro, Camille Therese C Yusay, Fessa R Egusquiza","doi":"10.2989/17280583.2025.2580472","DOIUrl":"10.2989/17280583.2025.2580472","url":null,"abstract":"<p><p><i>Background:</i> Mental health concerns have been steadily rising worldwide, including in the Philippines. Given the shortage of mental health specialists in the country, it is crucial to make psychosocial support more accessible and available to Filipino youth.<i>Objective:</i> This study evaluated the feasibility of implementing <i>Katatagan</i> Plus, a resilience intervention for youth at risk of mental health issues, in seven local government units across two regions in the Philippines. Specifically, it aimed to measure the effectiveness of the <i>Katatagan</i> Plus program in developing resilience through adaptive coping, socio-emotional skills, and well-being, and reducing the risk of substance use and depressive symptoms.<i>Method:</i> Seventy-one adolescents screened as being at risk for mental health problems were invited to participate in the program. Most (68%) were participants in community-based programs facilitated by municipal health officers, whereas the remaining (32%) participated in school-based programs facilitated by school guidance personnel. Pre- and post-test surveys were conducted to measure program efficacy and changes in mental health outcomes.<i>Results:</i> Significant improvements in adaptive coping and well-being were observed from the pre- and post-tests. The proportion of participants with scores indicating good well-being rose from 49% to 70% before and after the program. There was also a significant decrease in depression symptoms and substance use. No differences were found in terms of setting/service provider for adaptive coping, substance use, and depression. However, improvements in well-being were greater among students in school-based settings compared to community settings.<i>Conclusion:</i> Results suggest the potential of this early mental health intervention for young people at risk, as well as the need for referrals for those who may need more specialised support.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"160-172"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The social determinants of depression among adolescents in low- and middle-income countries: A scoping review.","authors":"Isayas Wubshet, Kibur Engdawork, Semere Gebremariam, Clementine Kanazayire, Pamela Abbott","doi":"10.2989/17280583.2026.2646171","DOIUrl":"10.2989/17280583.2026.2646171","url":null,"abstract":"<p><strong>Background: </strong>Adolescence (ages 10 to 19 years) is a critical developmental stage marked by biological, psychological, and social transitions that heighten vulnerability to depression. During this period, depression is often under-recognised and may persist in adulthood, negatively affecting academic performance, social relationships, and well-being. Social determinants shape vulnerability and resilience, yet research on these factors, especially in low- and middle-income countries, remains limited.</p><p><strong>Objective: </strong>This scoping review aimed to examine the role of social factors in influencing adolescent depression in low- and middle-income countries.</p><p><strong>Method: </strong>Following the Arksey and O'Malley framework, empirical studies published in English between 2010 and 2023 were reviewed. Forty-seven eligible studies were identified through searches of Google Scholar, PubMed, PsychINFO, Web of Science, Sociological Abstracts, Embase, and manual sources. Data were coded and synthesised using thematic and narrative analyses. Reporting adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.</p><p><strong>Results: </strong>Socio-structural factors such as gender, socioeconomic status, ethnicity, and family structure were identified as risk factors. Stressors within the family, school, and neighbourhood, including conflict, harsh parenting, maltreatment, academic pressure, peer rejection, bullying, and neighbourhood violence, also contributed to depressive symptoms. In contrast, social support from family, peers, and teachers emerged as a protective factor.</p><p><strong>Conclusions: </strong>Most studies relied on atomisation, which overlooks how social factors contribute to cumulative stress by shaping adolescents' social settings and leading to depressive symptoms. Critical gaps remain, particularly the under-exploration of neighbourhood influences and out-of-school adolescents.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"68-90"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}