Journal of Clinical Child and Adolescent Psychology最新文献

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Future Directions in Measurement-Based Care for Youth: Leveraging Fidelity and Mechanisms Data to Improve Public Health Impact. 基于测量的青少年护理的未来方向:利用保真度和机制数据来改善公共卫生影响。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-19 DOI: 10.1080/15374416.2026.2745076
Amanda Jensen-Doss, Bryce D McLeod, Elizabeth Casline, David A Langer, Susan Douglas
{"title":"Future Directions in Measurement-Based Care for Youth: Leveraging Fidelity and Mechanisms Data to Improve Public Health Impact.","authors":"Amanda Jensen-Doss, Bryce D McLeod, Elizabeth Casline, David A Langer, Susan Douglas","doi":"10.1080/15374416.2026.2745076","DOIUrl":"https://doi.org/10.1080/15374416.2026.2745076","url":null,"abstract":"<p><p>There is a need to improve the effectiveness of youth mental health services and address health disparities within them. Measurement-based care (MBC), which uses ongoing assessment to support communication and decision-making during psychosocial treatment, holds promise for helping the field reach these goals. However, MBC is not routinely used in youth psychosocial treatment, and research on its effectiveness in youth is limited and mixed, in part due to variation in implementation across studies. In this Future Directions paper, we highlight the need for theory-informed research, grounded in rigorous fidelity measurement, to identify influential MBC practices that engage target mechanisms and predict clinical outcomes. We detail a framework for this research that outlines potential MBC target mechanisms, describes MBC practices, and discusses potential measurement strategies. This framework can guide an experimental therapeutics approach to studying MBC, enabling the reverse-engineering of an MBC protocol based on a clear definition of MBC fidelity. This research can also refine our understanding of what effective MBC entails, which, in turn, can inform the development of implementation strategies to support the successful and sustained implementation of MBC.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-17"},"PeriodicalIF":5.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Laboratory- Versus Home-Based Assessments for Infants at Elevated Likelihood for Neurodevelopmental Disabilities. 神经发育障碍可能性升高的婴儿实验室评估与家庭评估的比较。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-19 DOI: 10.1080/15374416.2026.2745075
Meagan Talbott, Sarah Dufek, Hilary Aralis, Kaori Terol, Deepinder Nagra, Gregory S Young, Meghan Miller
{"title":"Comparison of Laboratory- Versus Home-Based Assessments for Infants at Elevated Likelihood for Neurodevelopmental Disabilities.","authors":"Meagan Talbott, Sarah Dufek, Hilary Aralis, Kaori Terol, Deepinder Nagra, Gregory S Young, Meghan Miller","doi":"10.1080/15374416.2026.2745075","DOIUrl":"https://doi.org/10.1080/15374416.2026.2745075","url":null,"abstract":"<p><strong>Objective: </strong>While many studies pivoted to telehealth and distance methods in response to the COVID-19 pandemic, few studies have directly and systematically compared data obtained from home and lab settings. Our goal was to evaluate the impact of these contextual and methodological differences across multiple developmental domains.</p><p><strong>Method: </strong>Participants included 111 infants (33 infants with a family history of autism, 51 with a family history of Attention-Deficit/Hyperactivity Disorder (ADHD), and 27 infants with no family history of either diagnosis) who participated in a laboratory-based assessment and a paired telehealth session at 6 or 9, 12 and/or 18 months of age. Both sessions included multiple measures of infant skills across multiple developmental domains (e.g. receptive and expressive language, play, cognition), and autism- and ADHD-specific measures. Mixed models for repeated measures compared scores across contexts and timepoints and validity was evaluated via multitrait-multimethod matrix. Caregiver ratings of representativeness and acceptability were also evaluated.</p><p><strong>Results: </strong>Convergent validity was supported by significant positive correlations between language, social-communication, and developmental measures across the two contexts, ranging from moderate (0.37) to high (0.80). Multilevel models revealed that developmental trajectories were broadly comparable across settings, though significant cross-context differences were observed, particularly for the 18-month timepoint.</p><p><strong>Conclusions: </strong>We found broad consistency in scores obtained across the two contexts, suggesting that remote assessments can provide valid and reliable developmental data. The high parent satisfaction ratings also suggest remote assessments are feasible and acceptable to families.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-15"},"PeriodicalIF":5.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Executive Functioning in Preschoolers with ADHD: The Roles of Disruptive Behavior Disorders and Callous-Unemotional Behaviors. 学龄前ADHD儿童的执行功能:破坏性行为障碍和冷酷无情行为的作用。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-16 DOI: 10.1080/15374416.2026.2745071
Margaret E Johansson, Anthony Steven Dick, Paulo A Graziano
{"title":"Executive Functioning in Preschoolers with ADHD: The Roles of Disruptive Behavior Disorders and Callous-Unemotional Behaviors.","authors":"Margaret E Johansson, Anthony Steven Dick, Paulo A Graziano","doi":"10.1080/15374416.2026.2745071","DOIUrl":"https://doi.org/10.1080/15374416.2026.2745071","url":null,"abstract":"<p><strong>Objective: </strong>To explore how comorbidities associated with attention-deficit/hyperactivity disorder (ADHD) during early childhood, such as disruptive behavior disorder (DBD) and/or the presence of callous-unemotional behaviors (CU), relate to executive functioning (EF).</p><p><strong>Method: </strong>Participants were 323 young children (68.7% boys; <i>M</i><sub>age</sub> = 5.47, <i>SD</i> = 0.77, 81.1% Latinx) with ADHD (<i>n</i> = 46), ADHD+DBD (<i>n</i> = 129), and typically developing (TD; <i>n</i> = 148). Parent/teacher ratings of ADHD, DBD symptoms, and CU were collected at baseline along with a multimodal assessment of EF, including tasks and parent/teacher ratings.</p><p><strong>Results: </strong>Univariate analyses of covariance (ANCOVAs) indicated that while children diagnosed with ADHD and ADHD+DBD have worse EF deficits than TD children (Cohen's <i>d</i>'s range from 0.34-2.35), they do not differ from each other. Regression analyses showed that parent-/teacher-reported ADHD symptoms were most strongly associated with EF deficits (task-based and parent/teacher reports; β range from -0.43 to 1.00). CU also related to EF across two tasks and parent-/teacher-rated EF problems (β range -0.15 to 0.16).</p><p><strong>Conclusions: </strong>Young children with ADHD have the most EF deficits, regardless of DBD comorbidity. The presence of CU does appear to contribute to worse EF, even when accounting for ADHD and DBD symptomology. Future work should examine whether longitudinal changes in CU (either through development or intervention) correspond to changes in EF.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-15"},"PeriodicalIF":5.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Daily Report Card Treatment Response in Early Childhood ADHD: The Relative Importance of Reward vs. Punishment Sensitivity. 预测儿童早期ADHD的每日报告卡治疗反应:奖励与惩罚敏感性的相对重要性。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-16 DOI: 10.1080/15374416.2026.2745073
Paulo A Graziano, Eva L Goldhagen, Melissa L Hernandez, Anthony Steven Dick
{"title":"Predicting Daily Report Card Treatment Response in Early Childhood ADHD: The Relative Importance of Reward vs. Punishment Sensitivity.","authors":"Paulo A Graziano, Eva L Goldhagen, Melissa L Hernandez, Anthony Steven Dick","doi":"10.1080/15374416.2026.2745073","DOIUrl":"https://doi.org/10.1080/15374416.2026.2745073","url":null,"abstract":"<p><strong>Objective: </strong>The daily report card (DRC) is one of the few school interventions that may be effective for children with ADHD. The current study examined individual differences in young children with ADHD's reward and punishment sensitivity and how that may relate to their treatment response via the DRC within the context of the Summer Treatment Program for young children with ADHD transitioning to and from kindergarten (STP-K).</p><p><strong>Methods: </strong>The current sample included 132 children with ADHD (73.5% boys; M<sup>age</sup> = 5.52, SD = 0.69, 85.6% Latinx) who participated in the STP-K for seven to eight weeks. Children's reward and punishment sensitivity were obtained via parent report prior to and during the STP-K.</p><p><strong>Results: </strong>Children with ADHD's heightened sensitivity to rewards relative to punishment was evident not only via baseline parent report (<i>d</i> = 0.65) but was significantly accentuated during treatment as part of the DRC implementation (<i>d</i> = 1.60). DRC implementation data demonstrated high parental adherence (95%), a diverse use of reinforcement strategies and, crucially, no evidence of reward habituation. Lastly, pre-treatment reward sensitivity, but not punishment sensitivity, emerged as a significant predictor of DRC treatment response.</p><p><strong>Conclusions: </strong>Our study provides meaningful data backing both theoretical and clinical notions documenting a greater reward versus punishment sensitivity reinforcement style among young children with ADHD. These findings further solidify school-based interventions for young children with ADHD in terms of documenting the short-term effectiveness of a positive/reward-based DRC for improving children's behavioral functioning in the classroom.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":5.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linking LGBTQ Identity Disclosure Reactions and Suicidal Ideation Among Youth: The Mechanism of Interpersonal-Psychological Factors. 青少年LGBTQ身份披露反应与自杀意念的关系:人际心理因素的机制
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-15 DOI: 10.1080/15374416.2026.2749057
Haoran Meng, Stephen T Russell
{"title":"Linking LGBTQ Identity Disclosure Reactions and Suicidal Ideation Among Youth: The Mechanism of Interpersonal-Psychological Factors.","authors":"Haoran Meng, Stephen T Russell","doi":"10.1080/15374416.2026.2749057","DOIUrl":"https://doi.org/10.1080/15374416.2026.2749057","url":null,"abstract":"<p><strong>Objective: </strong>How parents and peers react to LGBTQ youth's identity disclosure plays a critical role in the youth's mental health. Building on the minority stress model and the interpersonal-psychological theory of suicide, this longitudinal study examined the associations between disclosure reactions from parents and peers and suicidal ideation through perceived burdensomeness and thwarted belongingness.</p><p><strong>Method: </strong>Two waves of survey data were used, with an analytic sample of 1,019 LGBTQ youth (Wave 1: <i>M</i><sub>age</sub> = 18.83, <i>SD</i> = 1.84). Approximately half of the participants identified as lesbian or gay, 87.1% as cisgender, 54.4% as female assigned at birth, and 39.7% as Hispanic/Latinx. We examined the indirect effects of disclosure reactions from mothers, fathers, school peers, and friends at Wave 1 on suicidal ideation at Wave 2 through perceived burdensomeness and thwarted belongingness at Wave 1.</p><p><strong>Results: </strong>Compared with negative reactions, positive reactions from mothers were associated with less perceived burdensomeness, which in turn was associated with less suicidal ideation. However, this indirect effect was not significant after controlling for baseline suicidal ideation. On the other hand, positive reactions and no reaction from school peers, and positive reactions from friends were associated with less thwarted belongingness, but thwarted belongingness was not associated with suicidal ideation.</p><p><strong>Conclusions: </strong>The findings highlight the need to consider multiple social contexts when examining the impact of minority stress on LGBTQ youth. Moreover, by documenting psychological mechanisms that link minority stress to mental health, this study informs intervention efforts targeting the modifiable interpersonal-psychological processes.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":5.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating Informant Discrepancies in Practice: A Qualitative Study on How Psychologists Manage Multi-Informant Data. 在实践中导航信息差异:心理学家如何管理多信息数据的定性研究。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-14 DOI: 10.1080/15374416.2026.2745077
Taehee Kim, Mihyun Kim, Michele Lease
{"title":"Navigating Informant Discrepancies in Practice: A Qualitative Study on How Psychologists Manage Multi-Informant Data.","authors":"Taehee Kim, Mihyun Kim, Michele Lease","doi":"10.1080/15374416.2026.2745077","DOIUrl":"https://doi.org/10.1080/15374416.2026.2745077","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to bridge the research-practice gap by exploring how practicing psychologists perceive and manage informant discrepancies when conducting comprehensive assessments of children and adolescents. We also sought to understand the challenges faced and resources utilized in addressing these discrepancies.</p><p><strong>Method: </strong>Semi-structured, in-depth interviews were conducted with thirteen licensed psychologists who work with youth in diverse applied settings (e.g. school, private clinic, hospital). Using the Needs-to-Goals Gap framework as our conceptual foundation, we employed both deductive and inductive coding approaches in qualitative thematic analysis.</p><p><strong>Results: </strong>Our study found that psychologists perceive informant discrepancies as common and expected features of assessment, yet they experience substantial clinical strain in certain cases - particularly when discrepancies arise in high-stakes clinical decisions or cannot be readily explained by available data (Themes 1-2). When interpreting multi-informant assessments, psychologists employed several interpretive approaches, including seeking consistency across informants, acknowledging divergent perspectives, and exploring potential confounds such as reporting biases (Themes 3-5). Psychologists described decision-making with discrepant information as an iterative process, with discrepant data often being used to inform diagnostic impressions and treatment planning (Themes 6-7). However, identified discrepancies were not always carried forward into treatment goals; instead, participants sometimes prioritized the primary presenting concerns that prompted the referral, reflecting a potential gap between need assessment and goal setting. Participants also described persistent challenges in communicating discrepancies with informants and noted limited access to practical resources or structured guidance for navigating discrepant information in practice (Themes 8-9).</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-17"},"PeriodicalIF":5.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re-examining the Concordance Between Child Abuse Reported by Youth and Casefile Records. 重新检视青少年举报的虐童个案与档案记录的一致性。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-10-08 DOI: 10.1080/15374416.2026.2731358
Metzli A Lombera, Chad E Shenk, Kate L Senich, Noah Crockett
{"title":"Re-examining the Concordance Between Child Abuse Reported by Youth and Casefile Records.","authors":"Metzli A Lombera, Chad E Shenk, Kate L Senich, Noah Crockett","doi":"10.1080/15374416.2026.2731358","DOIUrl":"10.1080/15374416.2026.2731358","url":null,"abstract":"<p><strong>Objective: </strong>Studying child abuse dimensions (type, severity, and frequency) provides fine-grained information for understanding abuse sequelae. However, different abuse measurement methods often exhibit low agreement with one another. Retrospective self-reports and official records show questionable concordance in measuring abuse types. To date, no research has explored concordance of abuse severity and frequency. The current study examined concordance of official case records and self-reports of child abuse type, severity, and frequency. We also explored how concordance may depend on confirmed versus alleged case reports, developmental timing, and geographical location.</p><p><strong>Participants and setting: </strong>We analyzed data from 884 youth in the Longitudinal Study of Child Abuse and Neglect (LONGSCAN). Data were collected from five U.S. sites.</p><p><strong>Methods: </strong>Case records were collected every two years, starting at age 4, and were coded with the Modified Maltreatment Classification System for abuse type (physical, sexual, and emotional abuse), severity (degree of harm), and frequency. Self-reports were completed at age 12 using a computer-audio interview developed to mirror record coding.</p><p><strong>Results: </strong>Sexual abuse had the highest concordance compared to other abuse types. Sexual abuse severity had the highest agreement at Midwest and Eastern sites, with particularly high concordance at Midwest sites for elementary-aged exposure. The majority of other concordances indicated only poor to slight agreement. Notable variation existed among site locations and alleged/confirmed reports.</p><p><strong>Conclusion: </strong>In general, concordance of childhood abuse measures is questionable, with the exception of particular dimensions of sexual abuse. Parsing these dimensions provides information that can inform future research methodology.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-13"},"PeriodicalIF":5.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resources After Reunification: Latinx Immigrant Adolescents and Parents Describe Their Needs After Migration-Related Separation. 统一后的资源:拉丁裔移民青少年和父母描述他们在移民相关分离后的需求。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-09-23 DOI: 10.1080/15374416.2026.2731348
Daniel OConnell, Maria Cuervo, Jesse Walker, Breana R Cervantes, Jessica Hernandez Ortiz, Carla Sharp, Jodi Berger Cardoso, Arlene Bjugstad, Amanda Venta
{"title":"Resources After Reunification: Latinx Immigrant Adolescents and Parents Describe Their Needs After Migration-Related Separation.","authors":"Daniel OConnell, Maria Cuervo, Jesse Walker, Breana R Cervantes, Jessica Hernandez Ortiz, Carla Sharp, Jodi Berger Cardoso, Arlene Bjugstad, Amanda Venta","doi":"10.1080/15374416.2026.2731348","DOIUrl":"https://doi.org/10.1080/15374416.2026.2731348","url":null,"abstract":"<p><strong>Objective: </strong>We endeavored to summarize resources perceived to be most beneficial from the voices of migrant youth and their mothers on the topic of parent-child separation and reunion.</p><p><strong>Method: </strong>Data from this secondary analysis were drawn from interviews with Mexican and Central American mother-child dyads (<i>n</i> = 16 mothers and <i>n</i> = 15 adolescents) who experienced migratory separation and were subsequently reunited in the United States. Thematic analysis was leveraged to analyze responses to one interview question.</p><p><strong>Results: </strong>Three needs emerged across reports, including (a) tangible support (basic resources and legal services), (b) social support aligned with values, and (c) mental health interventions.</p><p><strong>Conclusions: </strong>These findings support the need for ongoing adaptations of mental health services and needs for tangible resources (e.g. food, employment), legal resources, and broader sources of social support.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-13"},"PeriodicalIF":5.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating Potential Mechanisms of Change Within Community Mental Health Treatment for Adolescent Emotional Disorders. 青少年情绪障碍社区心理健康治疗改变的潜在机制研究。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-09-18 DOI: 10.1080/15374416.2026.2731342
Lauren Milgram, Amanda Jensen-Doss, David Rosenfield, Kiara R Timpano, Golda S Ginsburg, Jill Ehrenreich-May
{"title":"Investigating Potential Mechanisms of Change Within Community Mental Health Treatment for Adolescent Emotional Disorders.","authors":"Lauren Milgram, Amanda Jensen-Doss, David Rosenfield, Kiara R Timpano, Golda S Ginsburg, Jill Ehrenreich-May","doi":"10.1080/15374416.2026.2731342","DOIUrl":"10.1080/15374416.2026.2731342","url":null,"abstract":"<p><strong>Objective: </strong>Single domain cognitive-behavioral therapy (CBT) protocols for adolescents with anxiety or depression demonstrate strong efficacy in clinical trials but poorer effectiveness in community settings. Transdiagnostic CBT targeting core dysfunctions shared across emotional disorders may address barriers to treatment effectiveness, although relatively little is known about mechanisms of transdiagnostic CBT in community settings.</p><p><strong>Method: </strong>This study examined concurrent and prospective associations between distress intolerance and avoidance and improvement in emotional symptoms within an effectiveness trial. Adolescents (<i>N</i> = 196; <i>M</i> = 15 years old; 65% female; 61% White; 59% Non-Hispanic/Latino) were randomly assigned to receive treatment as usual (TAU; <i>n</i> = 68), treatment as usual with measurement-based care (TAU+; <i>n</i> = 60), or the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents with measurement-based care (UP-A; <i>n</i> = 68). Distress intolerance was measured using self-report measures of adolescents' perceived distress intolerance and distress intolerance during a frustration task. Avoidance was measured using self-report measures of emotional and experiential avoidance. Emotional symptom measures included self-reports of anxiety, depression, related behavioral symptoms, and broad psychosocial functioning.</p><p><strong>Results: </strong>Distress intolerance and avoidance improved significantly during treatment across all conditions. There were no differences in amounts of improvement in distress intolerance or avoidance by treatment condition. Within-person improvements in distress intolerance and avoidance were associated with lower levels of concurrent emotional symptoms but were not prospectively associated with lower emotional symptoms at the subsequent assessment.</p><p><strong>Conclusions: </strong>Findings can inform efforts to augment emotion-focused interventions implemented in community settings and refine the measurement of purported core dysfunctions of emotional disorders in heterogenous populations.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-17"},"PeriodicalIF":5.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive Flexibility, Inhibitory Control, and Trajectories of Irritability from Late Childhood Through Early Adolescence. 认知灵活性、抑制控制和从儿童期晚期到青春期早期的易怒轨迹。
IF 5.2 1区 心理学
Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-09-17 DOI: 10.1080/15374416.2026.2724276
Shannon Shaughnessy, Spencer C Evans
{"title":"Cognitive Flexibility, Inhibitory Control, and Trajectories of Irritability from Late Childhood Through Early Adolescence.","authors":"Shannon Shaughnessy, Spencer C Evans","doi":"10.1080/15374416.2026.2724276","DOIUrl":"https://doi.org/10.1080/15374416.2026.2724276","url":null,"abstract":"<p><strong>Objective: </strong>Irritability is associated with an array of deleterious outcomes, yet research examining developmental antecedents is limited. The present study addresses this gap by examining cognitive flexibility and inhibitory control as predictors of irritability from late childhood through early adolescence.</p><p><strong>Method: </strong>A second-order latent growth curve model (LGCM) was constructed to investigate irritability across ages 9-13 using data from the Adolescent Brain Cognitive Development (ABCD) study (<i>N</i> = 11,720, 47.9% female). Cognitive flexibility and inhibitory control were examined as predictors. Sensitivity analyses controlled for attention-deficit/hyperactivity disorder (ADHD) symptoms, defiance, and biological sex.</p><p><strong>Results: </strong>The best-fitting unconditional LGCM showed a modest but significant linear decline in irritability from late childhood through early adolescence, with significant inter-individual variability. In conditional LGCMs, lower levels of cognitive flexibility and inhibitory control at baseline predicted higher levels of irritability at baseline and a faster decline in irritability over time. The effects of cognitive variables on irritability trajectories were attenuated to non-significance when ADHD symptoms, defiance, and biological sex were included as covariates.</p><p><strong>Conclusion: </strong>Using a large, nationally representative sample, this study characterizes the average trajectory of irritability from late childhood through early adolescence. Results suggest that while there appears to be a concurrent effect of cognitive flexibility and inhibitory control on irritability, this may diminish over time. Moreover, ADHD symptoms, defiance, and biological sex may play a more central role. Future research should investigate these associations under frustration, when cognitive flexibility and inhibitory control are key.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":5.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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