Journal of Child and Adolescent Mental Health最新文献

{"title":"Coping skills and smartphone addiction in adolescents with ADHD: A predictive model and relationship.","authors":"Tayfun Kara, Orhan Kocaman, Pınar Aydoğan Avşar, Tacettin Kuru","doi":"10.2989/17280583.2025.2452519","DOIUrl":"10.2989/17280583.2025.2452519","url":null,"abstract":"<p><p><i>Background:</i> We sought to examine the relationship between smartphone addiction and coping skills in adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), together with potential predictive factors.<i>Method:</i> Two hundred seventy-five participants (144 diagnosed with ADHD and 131 healthy controls) were included in the study. All participants were evaluated via DSM-5-based psychiatric examinations. Smartphone addiction levels were assessed using the Smartphone Addiction Scale-Short Version (SAS-SV), and coping skills were evaluated using the Coping Scale for Children and Youth (CSCY). The scores were then subjected to statistical comparisons.<i>Results:</i> Higher SAS-SV scores were observed in the adolescents with ADHD compared to the control group (<i>p</i> = 0.047). Significant positive correlations were found between cognitive avoidance (CAV) (<i>p</i> < 0.001, <i>r</i> = 0.377) and behavioural avoidance (BAV) (<i>p</i> < 0.001, <i>r</i> = 0.297) in the ADHD group. In contrast, significant negative correlations were found with Problem-solving (PROB) (<i>p</i> = 0.001, <i>r</i> =<b>-0</b>.281) and assistance-seeking (ASK) (<i>p</i> = 0.013, <i>r</i> = -0.206). Following model analysis, CAV emerged as a significant positive predictor of SAS-SV scores, and PROB as a significant negative predictor (<i>p</i> =0.005 and <i>p</i> = 0.016, respectively).<i>Conclusions:</i> The decrease in coping skills in adolescents diagnosed with ADHD was associated with an increase in smartphone addiction. Additionally, increased cognitive avoidance and low problem-solving skills also predicted addiction.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"299-307"},"PeriodicalIF":1.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442400","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":"Why them? A systematic review on common factors among youth who receive compulsory treatment for anorexia nervosa.","authors":"Tim M Offringa, Laura A Nooteboom, Benjamin K Versluijs, Robert R J M Vermeiren","doi":"10.2989/17280583.2024.2398061","DOIUrl":"10.2989/17280583.2024.2398061","url":null,"abstract":"<p><p><i>Background:</i> Compulsory interventions, including compulsory nasogastric tube feeding, are sometimes necessary for youth with life-threatening anorexia nervosa. However, these interventions are also potentially traumatic for patients and clinicians alike.<i>Objective:</i> To improve early recognition and prevention of compulsory interventions, we evaluated common factors among youth with anorexia nervosa who receive compulsory treatment.<i>Method:</i> We conducted a systematic literature search of peer-reviewed studies in PubMed, Embase, Medline, PsycINFO, and WOS core collection. Two authors independently screened 7 447 articles and conducted a quality appraisal of the included studies. We thematically synthesised patient, contextual, and treatment factors of youth (≤ 24 years) who received compulsory treatment for anorexia nervosa.<i>Results:</i> We included 16 studies and five themes, with ten subthemes, emerged from the data, most with a medium strength of evidence. Patients exhibited common character traits, various comorbidities, and lives marked by instability or adversity. Furthermore, patients experienced complicated contextual factors, including family dysfunction and social isolation.<i>Discussion:</i> Prolonged and inconsistent treatment histories may increase social isolation and anorexia identification, which in turn may lead to increased treatment resistance and a higher likelihood of compulsory interventions.<i>Conclusion:</i> The diversity of presented factors in this systematic review emphasises the importance of personalised care. Early acknowledgement of factors associated with the illness is crucial for working towards recovery and preventing further deterioration. Furthermore, even when anorexia nervosa diverts all attention to dangerous levels of weight loss, attention to quality of life may help a patient find treatment motivation.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"61-85"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629144","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":"Protective and risk factors for social and emotional well-being of Indigenous children and adolescents: A rapid review.","authors":"Nelsensius Klau Fauk, Elsa Dent, Paul Aylward, Paul Russell Ward, Jessica Tyndall, Lesli Kirwan, Lillian Mwanri","doi":"10.2989/17280583.2024.2385307","DOIUrl":"10.2989/17280583.2024.2385307","url":null,"abstract":"<p><p><i>Background:</i> Indigenous children and adolescents experience life circumstances that significantly affect their social and emotional well-being (SEWB) and limit their capacity to fulfil their potential. This contributes to inequities in health, education, employment, and justice system involvement.<i>Aim:</i> We aimed to synthesise the existing literature to comprehensively understand the protective and risk factors for SEWB of Indigenous youth in Canada, Australia, New Zealand, and the United States (CANZUS).<i>Methods:</i> We conducted a systematic search of English literature using Google Scholar, Scopus, Informit, HealthInfonet, and PubMed.<i>Results:</i> Sixty-nine articles met the inclusion criteria. The identified risk and protective factors were mapped according to seven thematic and interconnected areas including connection to the (a) body; (b) mind and emotions; (c) family and kinship; (d) community; (e and f) culture, country, and land (place/space); and (g) ancestry and spirituality.<i>Conclusions:</i> Indigenous peoples' perceptions of SEWB differ from traditional Western conceptualisations of health. Their perceptions carry a culturally distinct meaning, which is largely shared by Indigenous peoples across the CANZUS societies. An understanding of risk and protective factors for SEWB can inform targeted policy and public health practice frameworks aimed at improving Indigenous youth's health and well-being.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"1-60"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668052","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 experiences of oppression among transgender and gender expansive young people in Australia: An interpretative phenomenological study.","authors":"Daniel Abela, Lefteris Patlamazoglou, Sophie Lea","doi":"10.2989/17280583.2024.2393838","DOIUrl":"10.2989/17280583.2024.2393838","url":null,"abstract":"<p><p><i>Background:</i> Transgender and gender expansive (TGE) people experience poorer mental health outcomes compared to their cisgender counterparts. There is limited research on understanding the experiences of TGE school-aged young people from an Australian perspective. Since each country and state has different cultures, laws, and access to gender-affirming care research considering these differences is imperative.<i>Methods:</i> To address this gap, we used a qualitative design to explore the oppression of Australian TGE young people. Sixteen TGE participants (aged 14-17) completed individual semi-structured interviews. Data were analysed using interpretive phenomenological analysis.<i>Results:</i> Three superordinate themes were identified: (1) oppression within the education system; (2) oppression within the medical and allied health system; and (3) oppression within the family system. The findings highlight the various settings and contexts of oppression young people encounter. We identified what must change for a more equitable society and advocate for the implementation of gender-affirming change.<i>Discussion and conclusion:</i> This study contributes to the dearth of TGE adolescents's experiences and provides practical implications for society, especially in relation to the education, medical, and family systems. The implications include advocacy for more research in Australia and the inclusion of adolescents in policy reform. Limitations of this study and future directions are discussed.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"143-168"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668161","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":"Developing and validating a training package for the provision of telephone crisis intervention services to children and adolescents at risk of suicide.","authors":"Maedeh Parvizi, Zahra Shahrivar, Nasrin Dodangi, Salman Ghaderi, Saeid Norouzi, Elham Salari, Mojgan Khademi, Fariba Arabgol, Javad Mahmoudi-Gharaei","doi":"10.2989/17280583.2024.2395885","DOIUrl":"10.2989/17280583.2024.2395885","url":null,"abstract":"<p><p><i>Background:</i> Telephone crisis intervention is a readily available and discreet method through which troubled youths can seek assistance.<i>Objective:</i> We aimed to design an intervention training package to be used by telephone counselling system experts working with children and adolescents at risk of suicide and its preliminary evaluation. <i>Method:</i> Currently available guidelines and related articles were reviewed performing an extensive search across the databases of PubMed/Medline, Google Scholar, and Scopus from January 2003 to August 2024, and examined the reference lists of included articles to identify additional studies. After developing the initial content of the manual, we evaluated and recorded the face validity and content validity of the training package as informed by a group of specialists and experts.<i>Results:</i> The training package showed good content and face validity. Following feedback, the content of the initial training package was revised, and the final package was prepared.<i>Conclusion:</i> This training package can be used as a valid manual by experts working at crisis lines to acquire the necessary information and skills to assist children and adolescents at risk of suicide. Further research is needed to assess the feasibility and utility of the package in real-world practice.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"182-194"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787415","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":"Which personal and social resources help adolescents to recover from negative affect in daily life? An experience sampling study.","authors":"Nicola J Holt, Ángela Flórez-Varela, Carlos Gómez-Restrepo, Natalia Godoy-Casasbuenas, Mauricio Toyama, Liliana Hidalgo-Padilla, Francisco Diez-Canseco, Luis Ignacio Brusco, Natividad Olivar, Santiago Lucchetti, Diliniya Stanislaus Sureshkumar, Catherine Fung, Stefan Priebe","doi":"10.2989/17280583.2024.2385308","DOIUrl":"10.2989/17280583.2024.2385308","url":null,"abstract":"<p><p><i>Background:</i> Reducing anxiety and depression in adolescents is a global health priority. Personal and social resources (e.g., hobbies and socialising) may reduce distress. Yet, there is insufficient understanding of how adolescents use such resources to reduce distress.<i>Objective:</i> To identify resources that reduced distress in the everyday lives of adolescents and whether resource use differed according to symptoms of anxiety and depression.<i>Methods:</i> The experience sampling method was used, a longitudinal method requiring participants to report on context and mood at randomly selected moments across a week. A total of 5 558 reports were contributed by 151 adolescents, including 90 with symptoms of anxiety and/or depression. The study was conducted in the poorest neighbourhoods of Bogotá, Buenos Aires, and Lima.<i>Results:</i> Multi-level modelling indicated that using resources was significantly associated with less nervousness and sadness. Adolescents with symptoms of anxiety and/or depression were less likely to use some resources (e.g., sport). Cross-level interactions showed the efficacy of resources differed according to the severity of symptomatology. For adolescents with symptoms of anxiety and depression, some resources (e.g., peer support) improved mood, while others (e.g., music listening) did not.<i>Discussion:</i> Personal and social resources are important for reducing distress in the everyday life of adolescents, giving insight into potential interventions to help mitigate symptoms of anxiety and depression before escalation. Further research could assess the quality of experiences (e.g., appraisal) to deepen understanding of how engagement promotes resilience.<i>Conclusions:</i> Care must be taken when recommending resource use, since some forms (e.g., music listening) may be unhelpful to adolescents with symptoms of anxiety and depression.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"86-107"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629217","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":"Exam anxiety in connection with life orientation in upper secondary education students.","authors":"Michaela Gajdošová, Zuzana Haláková, Romana Adámková, Milan Kubiatko","doi":"10.2989/17280583.2024.2393839","DOIUrl":"10.2989/17280583.2024.2393839","url":null,"abstract":"<p><p><i>Background:</i> Exam anxiety is beginning to affect an increasing number of students.<i>Aim:</i> We sought to examine whether there is an association between exam anxiety and life orientation in secondary school learners.<i>Methods:</i> We used the Suinn's Test Anxiety Behavior Scale questionnaire to assess exam anxiety and the Life Orientation Test-Revised questionnaire to determine students' life orientation.<i>Findings:</i> Results revealed that the participants experienced a level of exam stress that could motivate them and prepare them for the evaluation situation. Female and secondary grammar school students had more exam anxiety than males and business school students. There was a moderate relationship between exam anxiety and life orientation, which was slightly pessimistic.<i>Conclusion:</i> A pessimistic or optimistic life orientation is one of the factors that may influence exam anxiety levels of secondary school learners.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"169-181"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666698","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":"Participant acceptability and clinician satisfaction of cognitive behavioural therapy and medication management algorithm compared with enhanced standard care for treatment of depression among youth with HIV.","authors":"Emily A Barr, Kristin Baltrusaitis, Betsy D Kennard, Graham J Emslie, Chelsea Krotje, Kevin Knowles, Sarah Buisson, Lauren Bergam, Jaime G Deville, Susan L Gillespie, Melissa Shikora, Ellen Townley, David E Shapiro, Larry K Brown","doi":"10.2989/17280583.2024.2387632","DOIUrl":"10.2989/17280583.2024.2387632","url":null,"abstract":"<p><p><i>Background:</i> Primary results of the International Maternal Pediatric Adolescent AIDS Clinical Trials Network (IMPAACT) 2002 trial showed that cognitive behavioural therapy (CBT) and medication management algorithm (MMA) (COMB-R) significantly improved depression in youth with HIV (YWH) compared with enhanced standard care (ESC). Acceptability and satisfaction were examined among study participants and clinicians.<i>Method:</i> Between March 2017 and March 2019, 13 U.S. sites enrolled YWH, aged 12-24, diagnosed with nonpsychotic depression. Sites were randomised to either COMB-R (CBT by a therapist and licensed prescriber) or ESC (standard psychotherapy and medication management). After the intervention (week 24), participants, prescribers, and therapists rated acceptability and satisfaction. We compared site-level means using Wilcoxon tests.<i>Results:</i> Both COMB-R (<i>n</i> = 69) and ESC (<i>n</i> = 71) participants had a mean age of 21.4 years, with 53% female, and 54% having acquired HIV perinatally. Baseline age, sex, depression levels, RNA viral load, and CD4 count were comparable between arms. The distribution of site-level mean participant acceptability was greater in COMB-R compared with ESC (<i>p</i> = 0.04). The distribution of site-level mean prescriber satisfaction was greater in COMB-R (<i>p</i> = 0.01). The was no evidence that the site-level mean therapist satisfaction did not differ between arms (<i>p</i> = 0.52).<i>Discussion:</i> Acceptability and satisfaction for participants and licensed prescribers were higher at COMB-R sites compared with standard of care, indicating that this tailored, manual-guided, collaborative, measured care intervention was less burdensome in terms of the number of visits. Patient and medication provider satisfaction rates were higher than standard of care.<i>Conclusion:</i> While these results support the use of CBT and MMA in treating depression among YWH, further research is required to determine generalisability.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"108-123"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644680","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":"Psychosocial predictors of adolescent depression and mental health referral in an urban mobile medical unit programme.","authors":"Alia Richardson, Icy Cade-Bell, Madison DeRoo, Blair Foushi, Emily Wang, Alexandra Knitter, Anna Volerman","doi":"10.2989/17280583.2024.2390942","DOIUrl":"10.2989/17280583.2024.2390942","url":null,"abstract":"<p><p><i>Introduction:</i> Given worsening youth mental health over the past years, mobile medical units are a potential avenue to increase access to mental healthcare services.<i>Methods:</i> This 1-year retrospective study examined a self-administered psychosocial assessment, and referrals made to mental health services for adolescent patients served by a mobile medical unit. We extracted psychosocial assessment responses, Patient Health Questionnaire (PHQ-9) scores, and mental health referral information for patients seen by the mobile medical unit in 2022 and examined rates and predictors of depression and referral to mental health services.<i>Results:</i> Of the 326 patients who completed the psychosocial assessment, one in five had moderate to severe depression symptoms based on PHQ-9 scores. Factors associated with referral to mental healthcare included female gender identity, LGBTQ+ identity, and several factors from the psychosocial assessment. Additionally, 13.8% wanted a mental health referral, and 16.6% were referred to mental healthcare. Patients who desired to see a mental health provider had higher odds of being referred (<i>p</i> < 0.0001). All patients with moderate to severe depression who were not already connected to mental healthcare and wanted a referral were referred.<i>Conclusion:</i> This study documents the impact of a mobile medical unit programme in identifying adolescent patients with mental health needs and referring them to mental healthcare.</p>","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"124-142"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668160","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":"Erratum.","authors":"","doi":"10.2989/17280583.2024.2435752","DOIUrl":"10.2989/17280583.2024.2435752","url":null,"abstract":"","PeriodicalId":45290,"journal":{"name":"Journal of Child and Adolescent Mental Health","volume":" ","pages":"204-205"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785734","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}