Journal of Child and Adolescent Psychiatric Nursing最新文献

{"title":"Factors Associated With the Utilization of Family Planning Among Young Adults. A Comparative Cross-Sectional Study in the Kassena Nankana Municipality, Ghana","authors":"Kennedy Diema Konlan, David Adedia, Felix Kwasi Nyande","doi":"10.1111/jcap.70038","DOIUrl":"https://doi.org/10.1111/jcap.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Family planning significantly reduces maternal mortality and contributes to achieving the Sustainable Development Goals. However, the unmet need for family planning in Ghana is still relatively high. This study assessed the factors influencing the use of family planning in a resource-limited setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used 384 adults (17–56 years) in the Navrongo central sub-municipality, selected using the multi-stage sampling method. Data was cleaned in Microsoft Excel 365 before being transferred to SPSS version 27 and R for analysis. Composite scores were determined and transformed into percentages. The percentage scores of more than 75% were coded as utilisation or good knowledge of modern family planning, depending on the specific section. The Pearson Chi-square test was performed to examine the relationship between the independent variables on overall utilisation and overall knowledge of family planning. Logistic regression and complementary log-log models were used to model the predictors of the utilisation and knowledge of modern family planning. All <i>p-values</i> ≤ 0.05 were deemed statistically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall utilisation of modern family planning was not very high (43.2%). Overall, the respondents showed good knowledge (81.3%) of modern family planning. Married young adults (RR = 2.1, 95% CI: 1.39–3.27, <i>p-value</i> = 0.001) were more likely to utilise modern contraceptives. Male young adults are less likely to utilise family planning (RR = 0.21, 95% CI: 0.12–0.34, <i>p</i> < 0.001) than females. Those aged at least 37 years (RR = 1.72, 95% CI: 1.11–2.71, <i>p-value</i> = 0.017) were more likely to have good knowledge of modern family planning than those aged 17 to 26 years. Compared with those with tertiary education, those below SHS (RR = 2.53, 95% CI: 1.54–4.31, <i>p-value</i> < 0.001) and those with SHS education (RR = 1.79, 95% CI: 1.27–2.55, <i>p-value</i> = 0.001) were more likely to have good knowledge of modern family planning. Those with household income between 500 and 1000 (RR = 5.39, 95% CI: 2.18–17.99, <i>p-value</i> = 0.002) and household income more than 1000 cedis (RR = 5.12, 95% CI: 2.04–17.25, <i>p-value</i> = 0.003) were more likely to have good knowledge of family planning than those with household income below 500 cedis per month.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study revealed a high level of knowledge and relatively low utilization of modern family planning. Family planning interventions must incorporate behaviour change theoretical m","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224356","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":"Caregivers' Experiences Taking Care of Children and Teenagers With Autism Spectrum Disorders During the COVID-19 Pandemic in Thailand: A Qualitative Approach","authors":"Chalisa Rujilekpanya,&nbsp;Wilai Napa,&nbsp;Tusana Thaweekoon","doi":"10.1111/jcap.70036","DOIUrl":"10.1111/jcap.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During the COVID-19 pandemic, children and teenagers with autism exhibited behavioral changes, which contributed to increased parenting stress. This study focused on caregivers' experiences in Thailand, as they often lacked information on how to address these issues, and it may serve as a valuable source of essential information for further interventions for parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To explore caregivers' experiences while caring for children and teenagers with autism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>The researcher conducted a qualitative study to explore caregivers' experiences regarding caregiving for children and teenagers with autism during the COVID-19 pandemic. A total of 15 participants, who were caregivers, were interviewed using a semi-structured questionnaire until data saturation was achieved. The data set was transcribed verbatim by professionals and analyzed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants' experiences were reflected in four themes: (a) facing difficulties with behavioral changes; the caregivers faced the behaviors changing such as decreasing connecting behaviors, children's self-stimulating behaviors, losing control of their eating, and time spent watching their screens (b) caring adaptation: caregivers adapted their caregiving strategies to manage child-developmental training and infection prevention; (c) confronting emotions: caregivers experienced anxiety and stress while caring for their children; and (d) assistance: caregivers received help from local volunteers who delivered food and medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The caregivers' experiences included dealing with changing behaviors, adapting to care, and facing negative emotions while caring for their loved ones. Health professionals should provide parents with information about managing changing behaviors and reducing parenting stress. Additionally, they should deliver information via alternative platforms, such as telemedicine phone calls, when needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092616","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":"Experiences, Difficulties, and Coping Mechanisms of Parents With Children With Autism: A Phenomenology Study in Türkiye","authors":"Gamze Kaş Alay,&nbsp;Havva Kaçan,&nbsp;Seniha Kurtoğlu","doi":"10.1111/jcap.70035","DOIUrl":"https://doi.org/10.1111/jcap.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Autism spectrum disorder (ASD) has the potential to create a number of challenges and problems for parents due to having lifelong problem behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this qualitative study was to explore the experiences, difficulties, and coping mechanisms of parents with children with ASD through a multidisciplinary team approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This study employed a descriptive qualitative research methodology. Data were collected through semi-structured, face-to-face individual interviews with 12 parents, guided by a structured interview protocol. Data management and analysis were conducted using the MAXQDA program. A thematic approach was used in data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported experiencing both challenges and positive emotions related to raising a child diagnosed with ASD, and described a variety of coping strategies. Thematic analysis of the interview data revealed five key themes centered on parental perspectives: (1) parenting a child with ASD, (2) families' reactions to the diagnosis, (3) psychological and social difficulties, (4) future-related concerns, and (5) perceived support needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents of children have ASD have to cope with many problems throughout their lives. Resources are needed to support parents bio-psycho-socially. Enhancing the provision of standardized education and support to parents can be achieved by improving existing health and social policies, establishing formal support networks, and facilitating access to childcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881397","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":"Family Resilience in Cancer Survivorship: Coping, Caring, and Thriving Together","authors":"Yeter Sinem Üzar-Özçetin","doi":"10.1111/jcap.70034","DOIUrl":"https://doi.org/10.1111/jcap.70034","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833150","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 Impact of Immediate Skin-to-Skin Contact Between Mother and Full-Term Newborn on Infant Growth and Development at Two Months of Age","authors":"Zahra Gholampour,&nbsp;Narges Rousta,&nbsp;Gholamreza Parsa,&nbsp;Mitra Safari","doi":"10.1111/jcap.70033","DOIUrl":"https://doi.org/10.1111/jcap.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objective</h3>\u0000 \u0000 <p>Skin-to-skin contact is an effective practice for enhancing clinical and psychological outcomes during the postpartum period. This study aimed to evaluate the effects of skin-to-skin contact on the growth and development of full-term newborns up to 2 months of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 72 pregnant mothers who met the inclusion criteria were randomly allocated into two groups using block randomization. The intervention group received immediate skin-to- skin contact after birth, while the control group received standard postpartum care. Growth and developmental milestones of the infants were assessed at 2 months using an infant growth assessment form, and the Ages and Stages Questionnaire (ASQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At 2 months, the average increase in head circumference was significantly higher in the skin-to-skin contact group (4.6 ± 1.1 cm) compared to the standard care group (4.0 ± 0.9 cm; <i>p</i> &lt; 0.05). Weight gain averaged 2.7 ± 0.3 kg in the skin-to-skin group versus 2.2 ± 0.5 kg in the control group (<i>p</i> &gt; 0.05). Length gain was 8.0 ± 1.7 cm in the skin-to-skin group and 8.2 ± 2.1 cm in the standard care group (<i>p</i> &gt; 0.05). Developmentally, 97.2% of infants in the skin-to-skin group exhibited normal developmental status, compared to 69.4% in the standard care group (<i>p</i> &lt; 0.05). There were no significant differences in individual developmental domains between the groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Skin-to-skin contact after birth positively influences head circumference growth and supports overall developmental status in infants at 2 months of age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144814784","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":"A Case for a Multi-Professional Approved Clinician Role in Child and Adolescent Mental Health Service Inpatient Units, Crisis, and Liaison","authors":"Naomi Williams","doi":"10.1111/jcap.70031","DOIUrl":"https://doi.org/10.1111/jcap.70031","url":null,"abstract":"<p>This case supports the rationale for implementing a multi-professional approved clinician (MPAC) role for neurodivergent individuals within child and adolescent mental health services (CAMHS). An MPAC's core discipline is commonly social work, mental health nursing, and occupational therapy, with additional training, experience, and skills in mental health law, policy, and practice. The MPAC role would complement the existing approved clinician role, usually fulfilled by a psychiatrist. Adding the MPAC role would provide a holistic multidisciplinary approach to mental health provision for children and adolescents up to age 25. Furthermore, the introduction of this role will enhance quality of care, improve service efficiency, and generate financial benefits by optimizing resource utilization within CAMHS.</p>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740569","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":"Coping With Bullying Among Teenage Victims in Egypt: Mediating Effects of Sense of Hope and Social Support on Coping Styles","authors":"Seham El-Sayed Saleh,&nbsp;Heba Mohamed Abdelaal,&nbsp;Rasha Mohamed Abohadida","doi":"10.1111/jcap.70032","DOIUrl":"https://doi.org/10.1111/jcap.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Victims of bullying often experience a range of psychological consequences, including increased risk for depression, anxiety, and other stress-related disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this study is to examine the mediating roles of hope and perceived social support in the relationship between bullying victimization and coping strategies among teenage victims in Egypt.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional descriptive correlational study was conducted in eight governmental middle and secondary schools in Alexandria, Egypt, with 400 teenagers selected randomly from the eight educational zones in the governorate. Participants filled out the Olweus Bullying Questionnaire, Brief Cope Scale, The Children's Hope Scale, and The Multidimensional Scale of Perceived Social Support. Following STROBE principles, data were analyzed using <i>t</i>-test, Pearson correlation, and pathway analysis modeling (SEM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Bullying victimization was found to have a significant negative impact on both problem-solving and emotional coping, while showing a positive association with dysfunctional coping. Although hope did not demonstrate significant direct effects on problem-solving, emotional, or dysfunctional coping, it, along with social support, mediated these effects to varying degrees. Notably, social support exhibited a significant positive direct effect on both problem-solving and emotional coping but did not significantly influence dysfunctional coping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the importance of fostering hope and strengthening support networks to improve coping and reduce bullying's negative effects.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740568","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":"Association Between Smartphone Attachment and Mental Health in Adolescents","authors":"Xiaoxuan Liu,&nbsp;Liming Huang,&nbsp;Chelsea M. Ward Mclntosh,&nbsp;Jianghong Liu,&nbsp;Catherine C. McDonald","doi":"10.1111/jcap.70030","DOIUrl":"https://doi.org/10.1111/jcap.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The surge in adolescent smartphone use has coincided with the rise in the adolescent mental health crisis, raising public health concerns. Moving beyond the traditional focus on screen time, this study examined the association between smartphone attachment and mental health among adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were analyzed from 137 community-dwelling adolescents (aged 16.5–18 years). Smartphone attachment was measured by the Mobile Phone Involvement Questionnaire (MPIQ). Patient Reporting Outcome Measures (PROMIS) pediatric short forms were used to measure anxiety, depression, sleep disturbance, and general health. <i>t</i>-tests and ANOVAs compared anxiety and depression scores between groups above and below the MPIQ threshold for moderate-to-severe attachment. Multivariable regressions estimated associations between smartphone attachment and mental health outcomes, adjusting for demographics and health factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Participants were a mean age of 17.7 ± 0.6 years, 51.1% female, and 79.6% White and 96.4% non-Hispanic. Mean MPIQ score was 28.90 ± 8.85, with females scoring higher than males (30.5 vs. 27.2, <i>p</i> = 0.03). Adolescents above the MPIQ threshold for moderate-severe attachment ( ≥ 32) reported significantly higher anxiety (52.9 vs. 46.3, <i>p</i> &lt; 0.001) and depression (51.4 vs. 46.3, <i>p</i> = 0.002). In regression models, MPIQ scores were significantly associated with anxiety (adj. <i>ß </i>= 0.26, <i>p</i> &lt; 0.01, CI = [0.099, 0.41]) and depression (adj. <i>ß</i> = 0.15, <i>p</i> &lt; 0.05, CI = [0.16, 0.28]), adjusting for demographics and health factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings highlight a clinical concern for adolescents with elevated smartphone attachment, particularly among females. Targeted interventions are needed to prevent worsening mental health related to smartphone attachment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688190","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":"An Analytical Cross-Sectional Study Among Adolescent Patients Who Attempted Suicide and Their Childhood Mobility","authors":"Ya Yang,&nbsp;Meghana Balabhadruni,&nbsp;Stephanie Rojas Rodriguez,&nbsp;Derrick Vuong,&nbsp;Virdiana Camberos,&nbsp;Desiree Morales,&nbsp;Haroun Wadood,&nbsp;Olivia Alvarez","doi":"10.1111/jcap.70029","DOIUrl":"https://doi.org/10.1111/jcap.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Suicide rates among adolescents continue to rise globally. Frequent changes in residency can be traumatic for adolescents, increasing their risk of suicidal behaviors. However, the impact of residential mobility on mental health remains understudied. While numerous studies have linked childhood residential mobility to suicidal tendencies, limited research explores the relationship between residence changes and suicide attempts among adolescents. This study examines the relationship between residential mobility and suicide attempts among adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional retrospective study uses data from California emergency department visits for deliberate self-harm. Adolescents aged 10–19 were included, with exposure defined as suicide attempts in 2010 and the outcome as no history of zip code changes or at least one change (2006–2009). Logistic regression models adjusted for demographic characteristics (gender, age, race, and insurance status) were used to assess the association between residential mobility and suicide attempts. Stratified analyses explored variations across demographic subgroups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Among 496,268 participants, adolescents who attempted suicide were more likely to have one or more residence changes (AOR  = 1.71, 95% CI  = 1.58–1.85). This association showed higher odds among females (AOR  = 1.51), older adolescents (15–19 years, AOR  = 1.42), nonwhite racial groups (e.g., Black = 1.55; Hispanic = 1.71; Other = 1.70), and those with Medicaid (AOR  = 1.87), Self-pay (AOR  = 1.47), or Other insurance (AOR  = 2.20) compared to their respective reference groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adolescents with at least one history of relocation are at risk of suicide attempts. Targeted interventions should focus on individuals who have made frequent moves during their adolescent years. Clinicians should consider relocation histories in suicide risk evaluations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624459","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":"Exploring Sociodemographic, Parental, and Temporal Correlates of Mental Health Disorders in Child and Adolescent Psychotherapy: A Clinic-Based Investigation","authors":"Esther Richter,&nbsp;Sara Edraki,&nbsp;Elke Humer","doi":"10.1111/jcap.70028","DOIUrl":"https://doi.org/10.1111/jcap.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mental health disorders in children and adolescents are common and often persist into adulthood. Understanding the influence of sociodemographic, parental, and temporal factors is essential for early detection and targeted prevention. This study aimed to identify such factors among patients of a child and adolescent psychotherapeutic clinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Data from a child and adolescent psychotherapeutic clinic from 2011 to 2023, from 2023 cases, were analyzed retrospectively. Multivariable logistic regression was applied to investigate the independent associations of sociodemographic factors, parental variables, and temporal factors on specific diagnostic categories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Female patients showed elevated odds of mood and neurotic disorders but reduced odds of disorders of psychological development and childhood-onset behavioral and emotional disorders. Increasing age was associated with increases in odds of substance use disorders, schizophrenia, affective, and neurotic disorders, but decreases in disorders of psychological development and childhood-onset behavioral and emotional disorders. Maternal employment and paternal education appeared protective. Living apart from biological parents was associated with higher odds of neurotic, stress-related, and somatoform disorders. The pandemic was linked to rising affective and physiological diagnoses, and neurotic disorders as well as behavioral and emotional disorders with onset usually occurring in childhood and adolescence declined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Several sociodemographic, parental, and temporal factors are associated with mental health disorders in children and adolescents. These insights are vital for tailoring prevention, diagnosis, and intervention strategies and can inform psychiatric nurses and mental health professionals across clinical and policy settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515079","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}