Journal of Clinical Child and Adolescent Psychology最新文献

{"title":"Psychotherapy Treatment Manuals for Youth (1950-2025): A Scoping Review.","authors":"Katherine E Wislocki, Rosa Hernandez-Ramos, Mai-Lan Tran, Emily Petti, David P Cenkner, Miranda Bridgwater, Ghazal Naderi, Harper Murphy, Leslie Walker, Alyson K Zalta","doi":"10.1080/15374416.2026.2694087","DOIUrl":"https://doi.org/10.1080/15374416.2026.2694087","url":null,"abstract":"<p><strong>Objective: </strong>Treatment manuals are critical to research and practice. Although existing studies have reviewed treatment manuals available through research, no research has been conducted to understand the body of commercially available youth-focused treatment manuals.</p><p><strong>Method: </strong>A scoping review of commercially available psychotherapy treatment manuals focused on youth was conducted. Traditional and programmatic-based search methods were used to query WorldCat, PsycINFO, and Google Books in July 2022, January 2025, and May 2025. A total of 85,264 results were screened during the preliminary screening, 3,166 results were screened during the secondary screening, and 462 treatment manuals were included and coded.</p><p><strong>Results: </strong>Treatment manuals have proliferated over time, with a majority of treatment manuals having been published since 2000 (84.4%). Most treatment manuals offered integrative (<i>n</i> = 123; 26.6%), second-wave cognitive behavioral (<i>n</i> = 111; 24.0%), or behavioral interventions (<i>n</i> = 87; 18.8%). Behavior problems (21.9%), traumatic sequelae (14.3%), emotional issues (9.3%), autism spectrum disorder (8.9%), and posttraumatic stress disorder (8.9%) were most commonly targeted. A small proportion of commercially available manuals (5.8%) presented ≥ 20% of content adapted for specific populations, primarily for gender identity or disability. Only 16% of reviewed treatment manuals were recognized in evidence-based practice guidelines.</p><p><strong>Conclusion: </strong>Commercially available manuals for youth continue to grow, with differences in the proliferation by treatment and clinical target. A fraction of reviewed treatment manuals focused on providing adapted content for specific populations. Future efforts focused on creating more accessible, high-quality, and effective training resources for evidence-based practice are needed.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-13"},"PeriodicalIF":5.2,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761900","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}

{"title":"The Effects and Moderators of Online Evidence-Based Parenting Intervention When Delivered in Real-World Settings.","authors":"Alina Morawska, April Hoang, Tianyi Ma, Grace Kirby","doi":"10.1080/15374416.2026.2711213","DOIUrl":"https://doi.org/10.1080/15374416.2026.2711213","url":null,"abstract":"<p><strong>Objective: </strong>Evidence-Based Parenting Supports (EBPS) have demonstrated efficacy in addressing child behavioral and emotional problems. However, despite their proven benefits, EBPS still reach a minority of families. Online parenting interventions offer a promising solution to this gap, enhancing accessibility and demonstrating effectiveness in various contexts. This study evaluates the effectiveness of three online parenting programs: Triple P Online (TPOL), Fear-less Triple P Online (FLTPOL), and Triple P Online for Baby (TPOLB) which were disseminated nationally through the Australian Government's Parenting and Education Support Program.</p><p><strong>Method: </strong>Using a practice-as-usual approach, the study followed a non-randomized, open trial design with pre-, post-, and follow-up assessments. Data were collected from 2,254 participants who completed the baseline evaluation and at least one additional data collection time point.</p><p><strong>Results: </strong>Results indicated that participation in an online intervention was associated with significant improvements in parenting practices, parent self-efficacy, child behavioral and emotional adjustment, and parental mental health. Key moderators of program effectiveness included baseline parenting difficulties, parent age, education, relationship to the child, number of children and family cultural background. However, none of the demographic factors were consistently found to moderate outcomes across programs.</p><p><strong>Conclusions: </strong>Findings underscore the potential of scalable, digital parenting interventions in public health contexts, offering a robust, inclusive approach to promoting positive parenting. The study calls for ongoing evaluation to optimize engagement and address barriers, thereby strengthening the long-term impact of digital parenting supports.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-14"},"PeriodicalIF":5.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670993","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}

{"title":"Functional Correlates of Pediatric ADHD Comorbidity Profiles in a National Sample.","authors":"Ankita Mohan, Jonathan D Schaefer","doi":"10.1080/15374416.2026.2711205","DOIUrl":"https://doi.org/10.1080/15374416.2026.2711205","url":null,"abstract":"<p><strong>Objective: </strong>To examine associations between comorbidity profiles and academic/social correlates in children with ADHD, and to describe whether these associations vary across sex and developmental stage.</p><p><strong>Method: </strong>Using data from the 2024 National Survey of Children's Health (<i>N</i> = 6,029 youth ages 6-17 with current, provider-diagnosed ADHD; 63.2% male; 58.2% Non-Hispanic White, 13.2% Non-Hispanic Black, 18.4% Hispanic, 1.9% Asian, 8.2% Other/Multiracial), we categorized participants into five mutually exclusive comorbidity profiles: ADHD-Only (23.5%), ADHD+Internalizing (12.6%), ADHD+Externalizing (9.3%), ADHD+Neurodevelopmental (13.7%), and ADHD+Complex (40.8%). Weighted logistic regression models, adjusted for demographics and ADHD severity, examined associations with grade repetition, school disciplinary contact, academic performance, bullying victimization and perpetration, friendship difficulties, and sports participation.</p><p><strong>Results: </strong>Comorbidity profiles demonstrated differential patterns of parent-reported functioning that persisted after adjustment for ADHD severity. ADHD+Externalizing was associated with bullying perpetration and disciplinary contact but not victimization. ADHD+Internalizing was associated with bullying victimization but not perpetration. ADHD+Neurodevelopmental showed highest grade repetition and lowest sports participation. The ADHD+Complex profile, comprising 40.8% of the sample, exhibited impairment across all correlates, including friendship difficulties, even after severity adjustment. Profile associations remained robust within ADHD severity strata, consistent with the interpretation that comorbidity constellations are associated with functional correlates beyond parent-rated ADHD severity.</p><p><strong>Conclusions: </strong>These findings suggest that comorbidity profiles, beyond symptom severity alone, are associated with differential patterns of functioning in pediatric ADHD. The ADHD+Complex profile emerges as a potentially high-risk group warranting further study. Future research should examine whether profile-based assessment holds promise for improving clinical risk stratification and guiding transdiagnostic intervention development.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-12"},"PeriodicalIF":5.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670983","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}

{"title":"Development of the Reactive Aggression Assessment (RAGA-16) Part II: Clinical Validation.","authors":"Joshua Langfus, Robert L Findling, Evangelia Fatourou, Kelsey Delph, Sebastian Nair, Joe Quesenberry, Ekaterina Stepanova, Eric A Youngstrom","doi":"10.1080/15374416.2026.2697487","DOIUrl":"https://doi.org/10.1080/15374416.2026.2697487","url":null,"abstract":"<p><strong>Objective: </strong>Reactive aggression (RA) is a transdiagnostic symptom associated with more severe illness and worse clinical course. Despite the clinical importance of RA, few validated screening measures or outcome assessments exist for use with children under 12. The 16-item Reactive Aggression Assessment (RAGA-16) is a novel parent-report instrument with promising evidence of psychometric reliability. The current work presents clinical validation evidence for RAGA-16.</p><p><strong>Methods: </strong>A retrospective chart review examined the records of children seeking inpatient and outpatient services. Parents completed the RAGA-16 and additional questionnaires assessing depression, hypomania, ADHD symptoms, and aggression at intake. The chart review also included clinical diagnoses, demographic information, and treatment details. Graded response models (GRMs) evaluated the RAGA-16 factor structure and associations with criterion variables evaluated the scores' validity as a screening measure assessing RA.</p><p><strong>Results: </strong>Confirmatory models showed good fit to the hypothesized two-factor structure with high marginal reliability (ωt = .98). RAGA-16 scores showed large significant positive associations with measures of aggression, impulsivity, and oppositionality (rs > .70, ps < .001), lower associations with hypomanic symptoms (<i>r</i> = .40, <i>p</i> < .01), and no significant association with depression (<i>p</i> > .05). RAGA-16 scores statistically discriminated diagnoses associated with severely externalizing symptoms from other diagnoses. Endorsement of RA in more contexts (home, school, or elsewhere) was associated with higher aggression symptoms.</p><p><strong>Conclusions: </strong>Overall, RAGA-16 scores showed a pattern of criterion associations consistent with the construct of interest along with high score reliability. The addition of inpatient and outpatient clinical score characteristics to the existing epidemiological norms makes RAGA-16 a promising new tool for assessing youth RA.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-20"},"PeriodicalIF":5.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473601","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}

{"title":"Psychometric Evaluation of the English Clinician-Administered PTSD Scale for DSM-5-Child and Adolescent Version (CAPS-CA-5).","authors":"Caitlin M Pinciotti, Nazan Aksan, Ace A Castillo, Cody G Dodd, Kendall N Drummond, Erika S Trent, Kevin M Wagner, David B Riddle, Eric A Storch, Wayne K Goodman, Amir Abu-Samaha, Leslie Proch, Leslie K Taylor, Israel Liberzon, Amy S Garrett, Fei Teng, Jeffrey D Shahidullah, Justin F Rousseau, D Jeffrey Newport, Karen Dineen Wagner, Charles B Nemeroff","doi":"10.1080/15374416.2026.2697485","DOIUrl":"https://doi.org/10.1080/15374416.2026.2697485","url":null,"abstract":"<p><strong>Objective: </strong>Despite its widespread use for diagnosing and assessing the severity of posttraumatic stress disorder (PTSD) among youth, psychometric evaluation of the Clinician-Administered PTSD Scale for Children and Adolescents - DSM-5 (CAPS-CA-5) is limited to Portuguese- and Japanese-translated versions. Accordingly, the present study examined the reliability, validity, and diagnostic utility of the CAPS-CA-5 in an English-speaking, U.S. sample of trauma-exposed youth enrolled in the Texas Childhood Trauma Research Network (TX-CTRN).</p><p><strong>Method: </strong>A total of 3,134 trauma-exposed youth and young adults aged 8-20 completed an assessment battery in English comprising semi-structured diagnostic interviews and measures of acute stress symptoms, externalizing symptoms, depressive symptoms, resilience, and suicidality. The CAPS-CA-5 was administered at baseline and one-month follow-up.</p><p><strong>Results: </strong>Consistent with the original CAPS-CA, internal consistency was adequate-to-strong for the total score and all subscales except Avoidance, and test-retest reliability was strong. The CAPS-CA-5 evidenced convergent validity with a positive PTSD screen on the MINI International Neuropsychiatric Interview for Children and Adolescents and with acute stress symptoms. Externalizing symptoms, depressive symptoms, resilience, and suicidality all evidenced discriminant validity with the CAPS-CA-5. Cutoff scores were evaluated using Receiver Operating Curves and diagnostic utility was supported through the ability of the CAPS-CA-5 to differentiate categories of functional impairment, which varied by age and sex.</p><p><strong>Conclusions: </strong>This study, the first to provide psychometric support for the English version of the CAPS-CA-5 in a U.S. sample, contributes to a growing body of literature supporting the CAPS-CA-5 as a psychometrically valid PTSD interview across a range of nationalities and languages.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-12"},"PeriodicalIF":5.2,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473624","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}

{"title":"Negative Urgency and Lack of Perseverance Predict Suicidal Ideation and Attempts Among Young Adolescents.","authors":"Ben Scheve, Zhuoran Xiang, Brendan Lam, Naomi Sadeh, Arielle Baskin-Sommers","doi":"10.1080/15374416.2024.2426128","DOIUrl":"10.1080/15374416.2024.2426128","url":null,"abstract":"<p><strong>Objective: </strong>Impulsivity has been recognized as an important factor in suicidal thoughts and behaviors (STBs). However, previous research linking impulsivity to STBs has largely relied on cross-sectional designs, considered only a subset of impulsivity measures, and typically focused on middle-to-older adolescents. Here, we explored multiple measures of impulsivity and assessed their predictive relation to suicidal ideation and suicide attempts.</p><p><strong>Method: </strong>In a sample of 10,286 adolescents (ages 9-12; 47.4% female, 76.4% White, 19.4% Black, 6.4% Asian, 3.5% American Indian/Alaskan Native, 0.6% Native Hawaiian/Pacific Islander, 6.4% Other, 19.4% Hispanic, 12.1% Mixed/Multiple Race) from the Adolescent Brain Cognitive Development℠ Study (ABCD Study®), we assessed impulsivity when youth were 9-10 years old, and suicidal ideation and attempts when youth were 11-12 years old. We measured impulsivity in three ways: a trait-like measure (UPPS-P Impulsive Behavior Scale), a behavioral measure (delay discounting task), and a neural measure (Cortical Delay Discounting [C-DD]). Suicidal ideation and attempts were assessed using the Kiddie Schedule for Affective Disorder and Schizophrenia (KSADS) suicide module.</p><p><strong>Results: </strong>Negative urgency and lack of perseverance (at ages 9-10) significantly predicted a higher likelihood of suicidal ideation (<i>Negative Urgency</i>: Odds Ratio [OR] = 1.254, <i>p</i> < .001; <i>Lack of Perseverance</i>: OR = 1.152, <i>p</i> = .035) and suicide attempts (<i>Negative Urgency</i>: OR = 1.328, <i>p</i> = .009; <i>Lack of Perseverance</i>: OR = 1.270, <i>p</i> = .009) when youth were 11-12 years old.</p><p><strong>Conclusions: </strong>Negative urgency and lack of perseverance are robust predictors of future suicidal ideation and suicide attempts in young adolescents. These findings highlight the importance of assessing for and targeting these dimensions of impulsivity in clinical settings.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"704-714"},"PeriodicalIF":5.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689146","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}

{"title":"Evidence Base Update: Six Decades of Research on Treatment for Child and Adolescent Anxiety.","authors":"Kimberly D Becker, Julia S Yarrington, Charmaine K Higa-McMillan, Sarah E Francis, Bruce F Chorpita","doi":"10.1080/15374416.2026.2660294","DOIUrl":"10.1080/15374416.2026.2660294","url":null,"abstract":"<p><strong>Objectives: </strong>Anxiety disorders are among the most prevalent and impairing youth mental health problems, underscoring the need for effective treatments. This review synthesized 290 trials of psychosocial interventions for youth with anxiety or avoidance problems. Published between 1966 and mid-2024, these trials encompassed 697 study groups across 66 treatment families.</p><p><strong>Method: </strong>Studies were drawn from the PracticeWise Evidence-Based Services database and evaluated using a five-level strength-of-evidence framework. We identified efficacious treatments, examined contexts of effectiveness, and assessed impact and durability on symptoms and functioning. We also analyzed practice element profiles to compare the procedures most often used in CBT, Exposure, and other approaches.</p><p><strong>Results: </strong>Of the 66 treatment families, 43 reached Level 4 support or better: 8 at Level 1 (Best), 26 at Level 2 (Good), 5 at Level 3 (Moderate), and 4 at Level 4 (Minimal). The remaining 23 families were at Level 5 (No Support). CBT and Exposure continued to have the strongest support. Notably, 30 (69.8%) effective families did not involve CBT, reflecting a theoretical diversity of approaches. Additional findings highlight persistent gaps related to generalizability, limited assessment of functioning, and practice element distinctions across treatment types.</p><p><strong>Conclusions: </strong>Disseminating CBT- and Exposure-based treatments is indicated, and continued investigation of a diversity of approaches is needed to support innovation, access, and contextual fit. Beyond cataloging treatments, this review raises critical questions about methodologies best suited to the ongoing stewardship of decades of research and its equitable translation into actionable knowledge to guide treatment design, training, practice, and policy.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"575-600"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965164","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}

{"title":"Effects of Patient Gender on Clinicians' Diagnostic Assessment of Youth Disruptive Mood and Behavior.","authors":"Shannon Shaughnessy, Jared W Keeley, Michael C Roberts, Jeffrey D Burke, Geoffrey M Reed, Spencer C Evans","doi":"10.1080/15374416.2024.2432319","DOIUrl":"10.1080/15374416.2024.2432319","url":null,"abstract":"<p><strong>Objective: </strong>Youth disruptive behavior disorders (DBDs) have a male preponderance, but the extent to which gender biases in clinical assessment influence this imbalance remains unclear. The present study investigates whether a child patient's gender affects clinicians' diagnostic decision-making regarding Oppositional Defiant Disorder (ODD), Conduct Dissocial Disorder (CDD), and Intermittent Explosive Disorder (IED).</p><p><strong>Method: </strong>Clinicians (<i>N</i> = 403; 57.1% male; <i>M</i>_age = 48.96 years, <i>SD</i> = 11.09) participated in a global ICD-11 field study. Following an experimental design, participants were asked to use ICD-10 or ICD-11 diagnostic guidelines to evaluate two clinical case vignettes, randomly manipulating the patients' gender (boy, girl) and symptom presentation (ODD-Defiant, ODD-Irritable, CDD, IED). Analyses tested whether clinicians' diagnostic accuracy and perceptions of impairment and severity were affected by the patient's gender.</p><p><strong>Results: </strong>Overall, clinicians identified the correct diagnosis 64.7% of the time. Patient gender was not associated with clinicians' diagnostic accuracy (<i>ps</i>= .090-.895, |φs| = 0.01-0.18) or severity or impairment ratings (<i>p</i>s = .079-.404, |<i>d</i>s| = 0.04-0.19). This pattern of nonsignificant differences and negligible/small effect sizes was consistent across all clinical presentations and analyses.</p><p><strong>Conclusions: </strong>We found no evidence of an association between patient gender, diagnostic accuracy, or perceived severity or impairment when assessing youth DBDs in the present study. Results suggest that diagnostic judgments may be driven by clinical presentation rather than gender and that the male DBD preponderance may not be due to gender diagnostic biases. Further research is needed to replicate these findings among youths in clinical settings, with diverse gender identities, and with other mental health conditions.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"601-608"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787303","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}

{"title":"Bidirectional Links Between Maternal and Adolescent Depression: Separating Between and Within Dyad Differences.","authors":"Samuel B Seidman, Kelsey E Magee, Arin M Connell, Thao Ha, Erika Westling, Jazmin Brown-Iannuzzi, Elizabeth Stormshak, Daniel S Shaw","doi":"10.1080/15374416.2026.2613358","DOIUrl":"10.1080/15374416.2026.2613358","url":null,"abstract":"<p><strong>Objective: </strong>Maternal depression is strongly linked to the development of depression in youth; however, most studies have examined this association as a unidirectional pathway over time. Emerging literature suggests that youth psychopathology, such as externalizing behaviors, can also influence parents' mood and symptoms, yet, the impact of youth depressive symptoms on parent depressive symptoms remains poorly understood.</p><p><strong>Method: </strong>The current study included a sample of mother-child dyads <i>(N</i> = 2322) whose depressive symptoms were assessed across 5 time points, with measurements at 5 time points in early and middle adolescence. In terms of demographics, 47.7% of youth identified as female, 41.3% of participants identified as European American, 24.2% as African American, 12.4% as Latinx, and 12.8% as multiracial.</p><p><strong>Results: </strong>Results show no significant effect of between-subjects, stable differences across time, but time-specific, within-dyad differences in depressive symptoms indicated bidirectional pathways between maternal and youth depressive symptoms across early and middle adolescence.</p><p><strong>Conclusion: </strong>The results highlight the critical importance of examining bidirectional pathways of risk, which may implicate family functioning and interventions for youth depression. Interventions for youth depression typically do not reliably incorporate parents; however, as the current findings suggest, both parent and youth depression are mutually reinforcing, such a bidirectional perspective could prove to be beneficial in treatment.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"624-635"},"PeriodicalIF":5.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107943","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}

{"title":"The Role of Perceived Hyper-Surveillance in Adolescent Suicide Risk.","authors":"Franchesca Castro-Ramirez, Taylor C McGuire, Maha Al-Suwaidi, Jordyn R Ricard, Jocelyn A Ricard, Felipe Herrmann, Kilando Q Chambers, Melissa Shang, Grant Jones, Matthew K Nock","doi":"10.1080/15374416.2026.2660292","DOIUrl":"10.1080/15374416.2026.2660292","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent suicide is a worsening public health crisis. Amid rising authoritarian policies that disproportionately target minoritized youth, the psychological costs of hyper-surveillance (targeted, punitive monitoring) remain unexamined. This study provides an initial operationalization of perceived hyper-surveillance to examine its relationship with suicide ideation (SI) severity, suicide attempts, and antisocial behavior, beyond the effects of discrimination and violence exposure.</p><p><strong>Method: </strong>In a cross-sectional study of 476 adolescents (13-17 years; 63% Black; 55% male-identifying) recruited online and in community settings. Hyper-surveillance was operationalized using items from validated measures that captured experiences across community and school settings. Multivariable regression models tested associations between traumatic-stress symptoms, hyper-surveillance, SI severity, suicide attempts, and antisocial behavior. Thematic analysis explored how adolescents believed hyper-surveillance contributed to suicide risk.</p><p><strong>Results: </strong>Traumatic-stress symptoms and hyper-surveillance were independently associated with increased SI severity and suicide attempts (ps < .001). Hyper-surveillance moderated associations between traumatic-stress symptoms and both SI severity and antisocial behavior. Those with darker skin tones experienced disproportionately more hyper-surveillance independent of antisocial behavior. Over half (58.3%) of adolescents with SI reported that hyper-surveillance contributed to their desire to die; qualitative themes reflected negative affect and beliefs about themselves, others, and the world.</p><p><strong>Conclusion: </strong>Amid expanding surveillance infrastructure in schools and communities (with known disparities in how these systems operate), these findings provide initial evidence that perceived hyper-surveillance functions as a modifiable risk factor for youth suicide. Clinical assessment of punitive surveillance experiences should be integrated into suicide risk evaluation for adolescents.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"731-743"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844712","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}