Journal of Clinical Child and Adolescent Psychology最新文献

{"title":"Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth: 2018-2024.","authors":"Erika C Esposito, Kinjal K Patel, Sunday Hull, Camille N Johnson, Maya A Patel, Catherine R Glenn","doi":"10.1080/15374416.2026.2613368","DOIUrl":"10.1080/15374416.2026.2613368","url":null,"abstract":"<p><strong>Objective: </strong>This evidence base update investigates the empirical support of psychosocial interventions for self-injurious thoughts and behaviors (SITBs) in youth, focusing on the period since the prior review.</p><p><strong>Method: </strong>Two major scientific databases (PsycInfo and PubMed) were systematically searched to identify randomized controlled trials (RCTs) published or in press between June 1, 2018 and May 31, 2024.</p><p><strong>Results: </strong>The search yielded 11 RCTs new to this update and 1 new SITB outcome to an RCT included in the prior review. Since the prior review, Dialectical Behavior Therapy for Adolescents (DBT-A) was reclassified as Level 1: Well-established intervention for reducing adolescent suicide attempts, and Family Therapy was reclassified as Level 2: Probably efficacious for reducing youth suicide ideation (SI). Cognitive behavioral therapy-individual + family was reclassified as Level 4: Experimental for reducing youth suicide attempts. Four new RCTs examining adjunctive skills or boosters for brief interventions were rated as Level 2: Probably Efficacious for reducing SI (adjunctive mindfulness skills + Psychodynamic therapy, adjunctive skills - emotion regulation) or Level 3: Possibly Efficacious for reducing SITBs (adjunctive safety planning interventions).</p><p><strong>Conclusions: </strong>DBT-A remains the sole well-established intervention for reducing SITBs, with replication by multiple independent research teams. Half the RCTs identified in this review aimed to replicate or extend prior interventions. Several newly identified trials in this review were primarily adjunctive or brief, demonstrating greater efforts to enhance the availability of interventions for SITBs in youth. Further replication of these adjunctive treatments is needed to clarify their effectiveness and potential for widespread implementation.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-38"},"PeriodicalIF":5.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114916","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":"Cognitive Disengagement Syndrome in Young Autistic Children, Children with ADHD, and Autistic Children with ADHD.","authors":"Kimberly L H Carpenter, Naomi O Davis, Marina Spanos, Maura Sabatos-DeVito, Rachel Aiello, Scott N Compton, Lauren Franz, Julia C Schechter, Jessica Summers, Geraldine Dawson","doi":"10.1080/15374416.2024.2361715","DOIUrl":"10.1080/15374416.2024.2361715","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive Disengagement Syndrome (CDS; previously called Sluggish Cognitive Tempo) refers to a constellation of cognitive and motor behaviors characterized by a predisposition toward mind wandering (cognitive subdomain) and slowed motor behavior (hypoactive). While there are a number of studies linking CDS traits to greater global impairment in children with attention-deficit/hyperactivity disorder (ADHD) and autistic children, there are few studies examining the prevalence and impact of CDS traits in autistic children with co-occurring ADHD (Autistic+ADHD). The current study explored CDS traits in autistic children with and without co-occurring ADHD, children with ADHD, and neurotypical children.</p><p><strong>Methods: </strong>Participants were 196 children between 3- and 7-years-of-age comprising four groups: Neurotypical (<i>N</i> = 44), ADHD (<i>N</i> = 51), Autistic (<i>N</i> = 55), and Autistic+ADHD (<i>N</i> = 46). CDS traits, social and communication skills, repetitive behaviors, and sensory processing were all assessed via parent report.</p><p><strong>Results: </strong>Children diagnosed with ADHD, autistic children, and Autistic+ADHD children exhibited similar levels of overall CDS traits. However, when explored separately, Autistic+ADHD children had higher cognitive CDS trait scores compared to children with ADHD alone. Both overall CDS traits and the cognitive subdomain were associated with greater social difficulties, particularly social withdrawal, higher levels of repetitive behaviors, and more sensory sensitivities, regardless of diagnosis.</p><p><strong>Conclusions: </strong>Findings suggest that CDS traits may be an additional factor directly impact functional outcomes in both autistic and ADHD children. As such, clinicians should be assessing CDS traits in addition to other clinical domains associated with ADHD and autism when developing intervention plans for young neurodiverse children.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"66-77"},"PeriodicalIF":5.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433077","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":"Proportion and Profile of Autistic Children Not Acquiring Spoken Language Despite Receiving Evidence-Based Early Interventions.","authors":"Giacomo Vivanti, Michael V Lombardo, Ashley Zitter, Brian Boyd, Cheryl Dissanayake, Sarah Dufek, Helen E Flanagan, Suzannah Iadarola, Ann Kaiser, So Hyun Kim, Lynne Levato, Catherine Lord, Joshua Plavnick, Diana L Robins, Sally J Rogers, Isabel M Smith, Tristram Smith, Aubyn Stahmer, Linda Watson","doi":"10.1080/15374416.2025.2579286","DOIUrl":"10.1080/15374416.2025.2579286","url":null,"abstract":"<p><strong>Objective: </strong>To determine the proportion and profile of preschoolers on the autism spectrum who do not acquire spoken language despite receiving evidence-supported interventions that target spoken language.</p><p><strong>Methods: </strong>We examined an aggregate dataset comprising 707 preschoolers on the autism spectrum who had received evidence-supported interventions to determine the proportion and profile of those who experienced limited progress in spoken language. Interventions were delivered through programs affiliated with university research settings and ranged in duration from 6 to 24 months. Spoken language outcomes were determined from parent-report measures, which were validated against direct assessments and natural language samples.</p><p><strong>Results: </strong>Approximately two-thirds of children who were non-speaking at baseline were using single words or more complex spoken language by intervention exit. Those who remained non-speaking had lower baseline motor imitation scores, derived mainly from parent reports. Approximately half of the children who were minimally speaking (i.e. had single words or no words) at baseline were combining words by intervention exit. Those who did not acquire word combinations had lower baseline scores in cognitive, social, adaptive and motor imitation measures, and shorter intervention duration. Age at intervention start influenced spoken language advancement differently depending on the initial spoken language level. The odds of acquiring spoken language did not differ based on the intervention received.</p><p><strong>Conclusions: </strong>Approximately one-third of children who had limited or no spoken language at baseline did not advance to spoken language stages following intervention. Development of spoken language was associated with modifiable factors at the child and intervention level.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-18"},"PeriodicalIF":4.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12681502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566041","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":"Development and Pilot of a Portable Community-Based Intervention for LGBTQ+ Youth with Depression Symptoms.","authors":"Natalia Ramos, Elizabeth Ollen, David J Miklowitz, Jeanne Miranda","doi":"10.1080/15374416.2024.2395254","DOIUrl":"10.1080/15374416.2024.2395254","url":null,"abstract":"<p><strong>Objective: </strong>Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth experience known inequities in mental health outcomes, including depression and suicidality. The Promoting Wellbeing & Resilience (PWR) class is an interactive, developmentally tailored group that provides strength-based, practical skills to LGBTQ+ teenagers with depression. It is designed to be implemented by paraprofessionals to increase community-based access to care.</p><p><strong>Method: </strong>Investigators developed and piloted an eight-session cognitive-behavioral class for LGBTQ+ youth (<i>N</i> = 21) ages 12 to 17 (<i>M</i> = 14.8 years, 81% Caucasian, 57% gender diverse, 100% non-heterosexual) with depression symptoms. The youth received training in mood regulation, communication skills, stress management, and goal setting in a small group format (5-8 youth per group). Outcomes were youth-reported depression (primary), anxiety, and trauma symptoms at pre-treatment and post-treatment. Paired sample (dependent) one-tailed t-tests were used to examine treatment effects. Focus groups were also conducted with participants to assess satisfaction and collect qualitative feedback regarding class content and format.</p><p><strong>Result: </strong>The resilience class was associated with reductions in depression symptoms post-treatment (t(17) = 3.3, <i>p</i> = .002, d = 0.5) but not anxiety (t(17) = 1.8, <i>p</i> = .049, d = 0.3) or trauma symptoms (t(17) = 1.2, <i>p</i> = .118, d = 0.1). Completion rates for all group sessions were high (95%), and the majority (57%) of participants returned for an optional review session.</p><p><strong>Conclusion: </strong>Preliminary results suggest a manualized 8-week skills-based cognitive-behavioral group intervention designed to be delivered by paraprofessionals may be effective at reducing depression symptoms in actively depressed LGBTQ+ youth.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"729-739"},"PeriodicalIF":4.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308804","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":"Parenting Challenges Among Families Experiencing Homelessness with Children with and without Externalizing Behavior Problems.","authors":"Paulo A Graziano, Melissa L Hernandez, Anthony S Dick, Emily Arcia, Shana K Cox, Muriel Ayala, Nicole A Carnero, Noelle L O'Mara, Sundari Foundation","doi":"10.1080/15374416.2024.2429087","DOIUrl":"10.1080/15374416.2024.2429087","url":null,"abstract":"<p><strong>Objective: </strong>To examine differences in parenting factors among caregivers with children with and without externalizing behavior problems (EBP) in a community homeless shelter sample versus a stable housing sample.</p><p><strong>Method: </strong>Nine hundred and fourteen children (ages = 2.01-7.49 years, SD = 1.45 years, 40.8% female, 54.3% Black, 46.7% Hispanic) were recruited from a service-driven research project in a shelter setting (<i>n</i> = 638) and a longitudinal/clinical study (<i>n</i> = 276). Primary caregivers (97% mothers) completed a parenting stress questionnaire and an observational measure of parent-child interactions.</p><p><strong>Results: </strong>Logistic regression indicated that children who were Black and/or of Hispanic background were less likely to be identified as having elevated EBP but only in the homeless shelter sample. Multivariate analyses indicated that the homeless shelter-EBP group reported the highest levels of overall stress compared to the homeless shelter-typically developing (TD), stable housing-EBP and stable housing-TD groups. Mothers from the homeless shelter-EBP group exhibited a higher proportion of negative verbalizations relative to caregivers from all other groups while mothers from the homeless shelter-TD group exhibited a higher proportion of positive verbalizations relative to the caregivers from the homeless shelter-EBP group and the stable housing TD group. Both homeless shelter groups engaged in less total verbalizations relative to both stable housing samples, with the stable housing-EBP group exhibiting the most verbalizations.</p><p><strong>Conclusions: </strong>High levels of parenting stress and negative parent-child interactions within a homeless shelter sample are exacerbated by having a child with EBP. Embedding universal parenting programs in a homeless shelter setting to reduce parenting stress would be valuable to address health disparities in this vulnerable population.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"699-715"},"PeriodicalIF":4.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787304","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":"Cascading Influences of Caregiver Experiences of Discrimination and Adolescent Antisocial Behavior.","authors":"Shannon M Savell, Mihret Niguse, Nava Caluori, Jazmin L Brown-Iannuzzi, Melvin N Wilson, Kathryn Lemery-Chalfant, Daniel S Shaw","doi":"10.1080/15374416.2024.2301770","DOIUrl":"10.1080/15374416.2024.2301770","url":null,"abstract":"<p><strong>Objective: </strong>Although a growing body of work has found that parents' experiences of racial and socioeconomic (SES) based discrimination are directly related to their children's behavior problems , more work is needed to understand possible pathways by which these factors are related and to identify potential targets for prevention and/or intervention.</p><p><strong>Method: </strong>Using a large (<i>N</i> = 572), longitudinal sample of low-income families from diverse racial backgrounds, the current study explored whether caregivers' experiences of racial and SES discrimination during their children's middle childhood (i.e. ages 7.5-9.5) predicted youth-reported antisocial behavior during adolescence and potential factors mediating these associations (e.g. caregiver depressive symptoms and positive parenting practices).</p><p><strong>Results: </strong>We found that higher levels of caregiver experiences of discrimination at child ages 7.5-9.5 predicted higher levels of caregiver depressive symptoms at child age 10.5, which were related to lower levels of caregiver endorsement of positive parenting practices at child age 14.5, which in turn, predicted higher levels of youth-reported antisocial behavior at age 16.</p><p><strong>Conclusion: </strong>The findings highlight the adverse effects of racism and discrimination in American society. Second, the findings underscore the need to develop interventions which mitigate racism and discrimination among perpetrators and alleviate depressive symptoms among caregivers.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"657-671"},"PeriodicalIF":4.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11260903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514054","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":"Caregiver Distress and Child Behavior Problems in Children with Developmental Delay from Predominantly Minoritized Backgrounds.","authors":"Brynna H Blanchet, Timothy Hayes, Caroline Gillenson, Keara Neuman, Perrine Heymann, Jonathan S Comer, Daniel M Bagner","doi":"10.1080/15374416.2024.2317409","DOIUrl":"10.1080/15374416.2024.2317409","url":null,"abstract":"<p><strong>Importance: </strong>Child behavior problems have been shown to contribute to caregiver distress and vice versa among youth with developmental delay (DD). However, studies have not examined these associations among children and caregivers from underrepresented ethnic/racial backgrounds. Furthermore, research has not explored how associations function differently following internet-delivered treatment or based on the level of acculturation and enculturation.</p><p><strong>Objective: </strong>We examined bidirectional associations between caregiver distress (i.e. symptoms of depression, anxiety, and stress) and externalizing and internalizing behavior problems in 3- to 5-year-old children with DD from underrepresented ethnic/racial backgrounds. We also examined the impact of internet-delivered Parent-Child Interaction Therapy (iPCIT) and the moderating role of acculturation and enculturation on these bidirectional associations.</p><p><strong>Method: </strong>Children aging out of early intervention services (<i>n</i> = 150) and their primary caregiver were randomized to receive iPCIT or referrals as usual (RAU) in the community.</p><p><strong>Results: </strong>Findings provide support for bidirectional associations between child internalizing behavior problems and caregiver depressive symptoms, although there were fewer significant associations among families randomized to iPCIT compared to RAU. Weaker associations were observed among families with higher levels of enculturation, whereas stronger associations were observed among families with higher levels of acculturation.</p><p><strong>Conclusions: </strong>Results highlight a sensitive period from age 3.5 to 4 years old for bidirectional associations between caregiver distress and child behavior problems and highlight the importance of addressing family cultural values during treatment. Findings also suggest the utility of internet-delivered behavioral parenting interventions in weakening the effect of child behavior problems on caregiver distress and vice versa.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"672-683"},"PeriodicalIF":4.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177239","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":"Adolescent Developmental Pathways Among Depression, Conduct Problems, and Rejection: Integrative Data Analysis Across Three Samples.","authors":"Rachel N McClaine, Arin M Connell, Kelsey E Magee, Thao Ha, Erika Westling, Jazmin Brown-Iannuzzi, Elizabeth Stormshak, Daniel S Shaw","doi":"10.1080/15374416.2024.2359063","DOIUrl":"10.1080/15374416.2024.2359063","url":null,"abstract":"<p><strong>Objective: </strong>The current study investigated sex differences in longitudinal associations among youth depression, conduct problems, and peer rejection from ages 11 to 16. We hypothesized that girls would follow the irritable depression model, which posits that depression leads to conduct problems, and that peer rejection would mediate this relationship. We hypothesized that boys would follow the cumulative failure model, which suggests that conduct problems predict future depression, mediated by peer rejection.</p><p><strong>Method: </strong>We used integrative data analysis to combine three datasets, creating an aggregate sample of 2,322 adolescents, 58.4% of an ethnic minority group, and 51.3% boys. Using random-intercept cross-lagged panel modeling with data from ages 11-16, we conducted a nested model comparison.</p><p><strong>Results: </strong>Results indicated that a model which allowed paths to differ by sex demonstrated better model fit than a constrained model. While depression, conduct problems, and peer rejection were relatively stable over time and had correlated random intercepts, there were few crossover paths between these domains for either sex. When the strengths of individual crossover pathways were compared based on sex, only the path from conduct problems at age 13 to depression at age 14 was significantly different, with this path being stronger for girls.</p><p><strong>Conclusions: </strong>These results suggest that stable, between-person effects largely drive relationships between depression, conduct problems, and peer rejection during adolescence, whereas there are few transactional, within-person pathways between these domains. This pattern of findings demonstrates the utility of random intercept cross-lagged panel modeling for disentangling between- and within-person effects.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"716-728"},"PeriodicalIF":5.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312035","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":"Why Haven't You Texted Me Back? Adolescents' Digital Entrapment, Friendship Conflict, and Perceived General Health.","authors":"Kara A Fox, Elizabeth Nick, Jacqueline Nesi, Eva H Telzer, Mitchell J Prinstein","doi":"10.1080/15374416.2023.2261543","DOIUrl":"10.1080/15374416.2023.2261543","url":null,"abstract":"<p><strong>Objective: </strong>Many adolescents feel pressure to be constantly available and responsive to others via their smartphones and social media. This phenomenon has been understudied using quantitative methods, and no prior study has examined adolescents' specific stress about meeting digital availability expectations within a best friendship, or entrapment. The present study offers an important preliminary examination of this unique digital stressor in a developmental context by examining prospective associations between digital entrapment, psychosocial adjustment, and health in adolescence.</p><p><strong>Method: </strong>Students in a rural, lower-income school district in the southeastern US (<i>n</i> = 714; 53.8% female; 45.9% White, 22.7% Black, 24.0% Hispanic/Latino) completed self-report measures of digital entrapment, perceived general health, friendship conflict, and depressive symptoms at two timepoints, one year apart.</p><p><strong>Results: </strong>Digital entrapment, which 76.3% of the sample reported experiencing, was associated prospectively with higher levels of friendship conflict and worse perceived general health one year later among boys, but not girls. Findings suggest that digital entrapment is an extremely common experience for adolescents that may disproportionally affect boys. Entrapment was not prospectively associated with depressive symptoms.</p><p><strong>Conclusions: </strong>Results offer insight into how boys may have different social media experiences significant to their development and health, while much work exploring gender differences in social media use thus far has elucidated negative effects for girls. Boys may perceive and respond to novel social norms of digital environments differently such that digital entrapment has the potential to be detrimental to their friendships and health.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"530-540"},"PeriodicalIF":4.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10995108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152415","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":"Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.","authors":"Mark J D Jordans, Gabriela V Koppenol-Gonzalez, Alexandra C E Bleile, Bruce Orech, Areeba Brian, Katia Verreault","doi":"10.1080/15374416.2024.2344157","DOIUrl":"10.1080/15374416.2024.2344157","url":null,"abstract":"<p><strong>Objective: </strong>There is limited evidence for the effectiveness of mental health promotion interventions in low- and middle-income settings, especially for longer-term benefits. This study evaluates the 5-month follow-up outcomes of a movement-based mental health promotion intervention <i>(TeamUp)</i> for refugee children in Northern Uganda (West Nile) and further investigates what explains longer-term benefits.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted in four primary schools, randomly allocated to an experimental or a control condition. Enrolled in the study were 549 children ages 10-15 years (<i>n</i> = 265 <i>TeamUp;</i> <i>n</i> = 284 control group). Primary outcomes were psychosocial well-being (Stirling Children's Wellbeing Scale), attitude toward school, and satisfaction with friendships (Multidimensional Students Life Satisfaction Scale [Friends and School subscales]). Mediators included social connectedness and sense of agency.</p><p><strong>Results: </strong>At 5 months postintervention, 467 (85.1%) children were retained. Intent-to-treat analyses demonstrated sustained benefits for <i>TeamUp</i> for well-being (estimated mean difference -1.88, 95% CI -3.14 to -0.66, <i>p = .003, effect size Cohen's d</i> = 0.25) and friendships (-1.52, 95% CI -2.55 to -0.48, <i>p</i> = .005, <i>d</i> = 0.25). There were no significant between-group differences for attitude toward school. Secondary benefits were shown for traumatic stress (2.18, 95% CI 0.45 to 3.91, <i>p</i> = .014, <i>d</i> = 0.21), quality of life (-1.29, 95% CI -2.31 to -0.30, <i>p</i> = .014, <i>d</i> = 0.21), bullying (0.53, 95% CI 0.08 to 0.97, <i>p</i> = .020, <i>d</i> = 0.20), and depression symptoms (1.31, 95% CI 0.09 to 2.52, <i>p</i> = .035, <i>d</i> = 0.18). Increased sense of connectedness mediates the effect of <i>TeamUp</i> on improving well-being (indirect effect = 0.30, <i>SE</i> = 0.13, <i>p</i> = .001), explaining 15% of variance.</p><p><strong>Conclusion: </strong>This study shows sustained benefits of a mental health promotion intervention 5 months postintervention. Prolonged benefits are explained by an increase in social connectedness.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"608-619"},"PeriodicalIF":4.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853277","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}