Journal of Clinical Child and Adolescent Psychology最新文献

{"title":"The Epidemic of Internalizing Problems Among Latinx Adolescents Before and During the Coronavirus 2019 Pandemic.","authors":"Antonio J Polo, Jesus E Solano-Martinez, Laura Saldana, Amber D Ramos, Miguel Herrera, Taylor Ullrich, Milena DeMario","doi":"10.1080/15374416.2023.2169925","DOIUrl":"10.1080/15374416.2023.2169925","url":null,"abstract":"<p><strong>Objective: </strong>Latinx youth exhibit disproportionately higher internalizing symptoms than their peers from other racial/ethnic groups. This study compares depression and anxiety symptoms between referred students of Latinx and non-Latinx backgrounds before and during the COVID-19 pandemic and examines key determinants within the Latinx sample.</p><p><strong>Method: </strong>Data are analyzed from four academic years - two before and two during the pandemic - from 1220 5^th through 8^th grade students (<i>M</i>_age = 12.1; 59.6% female; 59.9% Latinx or mixed-Latinx) referred for services across 59 Chicago Public School District (CPS) elementary schools. Using the Children's Depression Inventory (CDI) and the Revised Child Anxiety and Depression Scale (RCADS), mean scores and risk levels for depression, social anxiety, and generalized anxiety are examined.</p><p><strong>Results: </strong>Higher internalizing risk and comorbidity rates were found in the second year of the pandemic, compared to pre-pandemic levels. Latinx students reported higher depression, social anxiety, and generalized anxiety symptoms than non-Latinx students. During the pandemic, more Latinx students were classified as having comorbid depression and anxiety, and scored in the clinical range for depression, generalized anxiety, and social anxiety than non-Latinx students. Within the Latinx sample, girls and gender non-conforming students reported the highest maladjustment.</p><p><strong>Conclusions: </strong>Results highlight the pressing need to examine the long-term impact of COVID-19 on the mental health of Latinx children and adolescents, and to address their internalizing problems.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"66-82"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222410","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":"Racial Differences in Discrimination, Coping Strategies, and Mental Health Among US Latinx Adolescents During COVID-19.","authors":"Delida Sanchez, Fiorella L Carlos Chavez, Cristalís Capielo Rosario, Lucas Torres, Lindsey Webb, Isabella Stoto","doi":"10.1080/15374416.2024.2301762","DOIUrl":"10.1080/15374416.2024.2301762","url":null,"abstract":"<p><strong>Objectives: </strong>We explored racial differences in discrimination, perceived inequality, coping strategies, and mental health among 869 Latinx adolescents (<i>M</i>_age = 15.08) in the US. We then examined the moderating effects of race and perceived inequality in the associations between discrimination and coping strategies, and between discrimination and mental health.</p><p><strong>Method: </strong>ANOVAs assessed group differences in the study variables based on race. Moderated regression analyses examined whether there was a 2 or 3-way interaction between race, perceived inequality, and discrimination on coping strategies and mental health as separate outcomes.</p><p><strong>Results: </strong>Black Latinx adolescents reported significantly higher rates of discrimination and perceived inequality than White and Other Race Latinx adolescents. Biracial Latinx adolescents reported higher rates of discrimination and poorer mental health than White Latinx adolescents. There was a significant 2-way interaction between discrimination and perceived inequality for engaged and disengaged coping. Discrimination was positively associated with engaged coping for low levels but not medium and high levels of perceived inequality. Discrimination was positively related to disengaged coping at medium and high levels of perceived inequality but not at low levels of perceived inequality. There was a significant 2-way interaction between discrimination and race for engaged and disengaged coping. Discrimination was negatively related to engaged coping for Black Latinx but not White Latinx adolescents. Discrimination was positively correlated to disengaged coping for Black Latinx but not Other Race Latinx adolescents.</p><p><strong>Conclusions: </strong>This research provides preliminary evidence of racial group differences among Latinx adolescents regarding various indicators of mental health, which may help inform mental health interventions and federal policy.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"114-128"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547478","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":"Impact of COVID-19 on Unaccompanied Immigrant Minors and Families: Perspectives from Clinical Experts and Providers.","authors":"Amanda Venta, Ashley Bautista, Luz M Garcini, Michelle Silva, Alfonso Mercado, Oscar F Rojas Perez, Norma Pimentel, Kathryn Hampton","doi":"10.1080/15374416.2022.2158841","DOIUrl":"10.1080/15374416.2022.2158841","url":null,"abstract":"<p><p>The number of unaccompanied immigrant minors (UIMs) and families from Central America seeking asylum in the U.S. continues to rise. This growth, combined with restrictive government policies, led to crowded and suboptimal conditions in Customs and Border Patrol and non-governmental organization facilities. COVID-19 further taxed facilities and exacerbated uncertainty surrounding length of detention, basic human rights, and family reunification. The current project features testimonies from the authors who work as clinical experts and providers in Texas - a top destination for Central American immigrants. In collaboration with a deputy director of a not-for-profit human rights organization, volunteer psychologists, and the director of a humanitarian respite center, we describe challenges faced by administrators and clinical staff in addressing the mental health needs of immigrant children and families during the COVID-19 pandemic. The primary themes identified were anti-immigrant policies that occurred concurrently with COVID-19; difficulty implementing COVID-19 protocols alongside scarcity of supplies and volunteers; increased mental health needs among UIMs and immigrant families; and challenges in UIM placement upon release from custody. Strategies for addressing clinical challenges in the near- and long-term and opportunities for improvement in care systems to immigrant youth, including correcting anti-immigrant policies, addressing ongoing COVID-19 protocols and challenges, meeting mental and physical health needs, facilitating release and reunification for unaccompanied immigrant minors, and maximizing youth resilience through trauma-informed interventions, are presented.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"24-36"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10286781","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":"Latinx LGBTQ Youth, COVID-19, and Psychological Well-Being: A Systematic Review.","authors":"Roberto L Abreu, Aldo M Barrita, Julio A Martin, Jules Sostre, Kirsten A Gonzalez","doi":"10.1080/15374416.2022.2158839","DOIUrl":"10.1080/15374416.2022.2158839","url":null,"abstract":"<p><strong>Objective: </strong>As a result of the COVID-19 pandemic, Latinx youth report high rates of negative mental health outcomes such as anxiety and depression. Similarly, research with lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth have documented increased negative mental health outcomes such as depression and anxiety as a result of the COVID-19 pandemic. However, the current literature has yet to systematically uncover the intersectional experiences of Latinx LGBTQ youth during this time.</p><p><strong>Method: </strong>We conducted a systematic review to uncover the experiences of Latinx LGBTQ youth during the pandemic. Our systematic review resulted in 14 empirical studies that explored the challenges, stressors, and impact of the COVID-19 pandemic on Latinx LGBTQ youth.</p><p><strong>Results: </strong>Findings revealed that most studies include cisgender, gender binary, heterosexual, Latinx youth. Findings across studies include: (a) impact from school closures, (b) pandemic stressors, (c) impact from online media, (d) family and Latinx cultural values as a source of support and stress, and (e) the implementation and evaluation of interventions during the COVID-19 pandemic.</p><p><strong>Discussion: </strong>We provide recommendations for clinicians working with Latinx LGBTQ youth including expanding their knowledge about the impact of the COVID-19 pandemic on these communities, considering the experiences of Latinx LGBTQ youth as multifaceted, and considering the role of heterogeneity in the mental health of Latinx LGBTQ Youth.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"98-113"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607132","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":"Mental Health Among Puerto Rican Adolescents Living in the United States During the COVID-19 Pandemic.","authors":"Cristalís Capielo Rosario, Fiorella L Carlos Chavez, Delida Sanchez, Lucas Torres, Tristan Mattwig, Keenan Pituch","doi":"10.1080/15374416.2024.2301775","DOIUrl":"10.1080/15374416.2024.2301775","url":null,"abstract":"<p><strong>Objectives: </strong>The present study examined how different family level (family financial stress, family violence) and individual (food insecurity, gender, race) determinants of health were associated with mental health among Puerto Rican adolescents living in the U.S. during the COVID-19 pandemic.</p><p><strong>Method: </strong>A sample consisting of 119 Puerto Rican adolescents, aged 13 to 17, was collected via Qualtrics Panels between November 2020 and January 2021. We examined the association between family financial stress experienced during the pandemic and psychological distress. We also evaluated whether the association between family financial stress and psychological distress was moderated by family violence, food insecurity, and the participant's gender and race.</p><p><strong>Results: </strong>Findings showed that food insecurity positively predicted psychological distress. Results also showed that participants' race moderated the association between family financial stress and psychological distress. Specifically, we found that while there was a significant positive association between family financial stress and psychological distress among Puerto Rican adolescents who identified as a racial minority, this association was nonsignificant among White Puerto Rican adolescents.</p><p><strong>Conclusion: </strong>Our research highlights the significant role of COVID-19 related family financial stress and food insecurity on Puerto Rican adolescents' poor mental health during the COVID-19 pandemic.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"52-65"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547502","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":"PARQUES: Dreaming a Future for Our Latinx Children, Youth, and Families.","authors":"José M Causadias, Enrique W Neblett","doi":"10.1080/15374416.2024.2304140","DOIUrl":"10.1080/15374416.2024.2304140","url":null,"abstract":"<p><p>A growing body of evidence suggests that the COVID-19 pandemic has disproportionally affected Latinx children, youth, and families in the United States by increasing the prevalence and incidence of mental health problems. While it is important to document the repercussions of the pandemic, it is also necessary to articulate what a future of wellbeing and positive mental health will look like for Latinx children, youth, and families. To address this need, we propose PARQUES, a framework to dream about the future of Latinx children, youth, and families in the United States. We imagine PARQUES as communal spaces for connection, joy, play, rest, and healing that result from activism and collective action. We use the Spanish word for parks as an acronym \"PARQUES,\" which stands for <i>políticas</i> (policies), <i>alegría</i> (joy), <i>reparación</i> (healing and reparations), <i>querencia</i> (love and belonging), <i>unión</i> (unity), <i>empleo</i> (employment), and <i>seguridad</i> (safety). These components work together to create an ecosystem to foster the physical and mental wellness and wholeness of Latinx children, youth, and families.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":"53 1","pages":"129-140"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708220","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":"COVID-19 Economic and Academic Stress on Mexican American Adolescents' Psychological Distress: Parents as Essential Workers.","authors":"Fiorella L Carlos Chavez, Delida Sanchez, Cristalis Capielo Rosario, SeungYong Han, Alison Cerezo, German A Cadenas","doi":"10.1080/15374416.2023.2191283","DOIUrl":"10.1080/15374416.2023.2191283","url":null,"abstract":"<p><strong>Objectives: </strong>In a sample of Mexican American adolescents (<i>N</i> = 398; 51% females; aged 13-17), we examined the associations between psychological distress, COVID-19 household economic stress, COVID-19 academic stress, and whether these associations varied by adolescents' gender and by parents/caregivers' essential worker status.</p><p><strong>Method: </strong>First, linear regression models assessed the main effects of household economic and academic stress on psychological distress. Second, the moderating effects of gender and parents/caregivers' essential worker status on the association between household economic and academic stress, and psychological distress were examined. Third, the three-way interaction effect of household economic stress, gender, and parents/caregivers' essential worker status on psychological distress as well as the three-way interaction effect of academic stress, gender, and parents/caregivers' essential worker status on psychological distress were calculated.</p><p><strong>Results: </strong>Household economic and academic stress were associated with psychological distress. However, these associations did not vary based on adolescents' gender or parents/caregivers' essential worker status. The three-way interaction for household economic stress, parents/caregivers' essential worker status, and gender for psychological distress was significant. Specifically, the effects of household economic stress on psychological distress was worse for boys than girls whose parents/caregivers were essential workers. Furthermore, the three-way interaction among academic stress, parents/caregivers' essential worker status, and gender was significant. Particularly, the effects of academic stress when grades were worse on adolescents' psychological distress was worse for boys than girls whose parents/caregivers were essential workers.</p><p><strong>Conclusion: </strong>Parents/caregivers' essential worker status was salient among Mexican American adolescents' mental health outcomes during COVID-19, particularly for adolescent boys.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"37-51"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9265881","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":"Resilience in the Time of COVID-19: Familial Processes, Coping, and Mental Health in Latinx Adolescents.","authors":"Gabriela Livas Stein, Valerie Salcido, Casandra Gomez Alvarado","doi":"10.1080/15374416.2022.2158838","DOIUrl":"10.1080/15374416.2022.2158838","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated COVID-19 stressors and silver linings, familism values, familial resilience, and coping, and their relation to internalizing symptoms among Latinx youth.</p><p><strong>Method: </strong>A community sample of 135 Latinx adolescents completed online surveys 6-months apart (<i>M</i> age = 16, 59.3% female; majority U.S-born).</p><p><strong>Results: </strong>COVID-19 stress was associated with more depressive (β = .18, <i>p</i> = .027) and anxiety (β = .21, <i>p</i> = .010) symptoms. However, COVID-19 stress was related to higher levels of depressive and anxiety symptoms only for youth who engaged in low (β = .38, <i>p</i> < .001; β = .38, <i>p</i> = .001) and medium (β = .19, <i>p</i> = .004; β = .22, <i>p</i> = .011) levels of problem-focused engagement coping. Higher levels of family resilience were associated with lower cross-sectional depressive symptoms (β = -.28, <i>p</i> = .004). For longitudinal models, a significant relation between COVID-19 stress and problem-focused engagement predicted Time 2 depressive symptoms (β = -.20, <i>p</i> < .041).</p><p><strong>Conclusion: </strong>Latinx youth who experienced high levels of COVID-19 stress who enacted problem-focused coping fared better across the pandemic. Familial resilience did not carry the same longitudinal benefit but did bolster mental health concurrently. Clinicians should endeavor to buttress familial resilience processes in addition to problem-engaged coping for Latinx youth in treatment.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"83-97"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10619911","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":"Implications of Undocumented Status for Latinx Families During the COVID-19 Pandemic: A Call to Action.","authors":"Luz M Garcini, Alejandro L Vázquez, Cristina Abraham, Ciciya Abraham, Vyas Sarabu, Pamela Lizette Cruz","doi":"10.1080/15374416.2022.2158837","DOIUrl":"10.1080/15374416.2022.2158837","url":null,"abstract":"<p><strong>Background: </strong>A disproportionate number of COVID-19 cases and deaths have been reported among Latinxs in the U.S. Among those most affected by the pandemic are marginalized families, including those that are undocumented and mixed-status, in which some, but not all members are undocumented. Undocumented and mixed-status families face multiple and chronic daily stressors that compromised their health and wellbeing. Salient stressors faced by undocumented Latinx families include poverty, social disadvantage, discrimination, dangerous living and working conditions, and limited access to healthcare. These stressors are frequently compounded with trauma, fear of detention, deportation, and family separation.</p><p><strong>Purpose: </strong>Informed by the literature and insights from our community-based work to address the health needs of undocumented and mixed status Latinx families during the pandemic, this paper uses a social determinants of health lens to present a narrative summary that highlights four primary psychosocial stressors faced by these families and their implications for mental health.</p><p><strong>Discussion: </strong>These include stressors pertaining to (a) anti-immigrant rhetoric and actions; (b) family stressors and disruptions in family dynamics; (c) economic changes and financial losses; and (c) limited access to healthcare. Implications of the aforesaid stressors on the mental health of undocumented families and youth are also discussed. In addition, recommendations are provided for the provision of mental health services, best practices, and resources from a strengths-based approach.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"10-23"},"PeriodicalIF":4.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10710880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607131","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":"Links Between Objectively-Measured Hourly Smartphone Use and Adolescent Wake Events Across Two Weeks.","authors":"Shedrick L Garrett, Kaitlyn Burnell, Emma L Armstrong-Carter, Benjamin W Nelson, Mitchell J Prinstein, Eva H Telzer","doi":"10.1080/15374416.2023.2286595","DOIUrl":"https://doi.org/10.1080/15374416.2023.2286595","url":null,"abstract":"<p><strong>Purpose: </strong>Psychosocial and bioregulatory pressures threaten sleep during adolescence. Although recent work suggests that the ubiquity of smartphone use throughout adolescence may also relate to poorer sleep outcomes, most existing research relies upon self-report and retrospective measures. This study drew upon objective measures of smartphone use and sleep at the hourly level to understand how smartphone use was associated with the duration of wake events during sleeping hours.</p><p><strong>Methods: </strong>Across a 14-day daily study, 59 racially and ethnically diverse adolescents ages 15 to 18 had their sleep assessed via Fitbit Inspire 2 devices and uploaded screenshots of their screen time, pickups, and notifications as logged by their iPhone's iOS. Multi-level modeling was performed to assess hourly level associations between adolescent smartphone use and wake-events during their sleep sessions (<i>N</i> = 4,287 hourly cases).</p><p><strong>Results: </strong>In hours during adolescents' sleep session with more screen time or pickups, adolescents had longer wake event duration. More notifications in a given hour were not associated with wake event duration in the same hour.</p><p><strong>Conclusions: </strong>Using objectively measured smartphone and sleep data collected at the hourly level, we found that during sleeping hours, when adolescents are actively engaging with their smartphones, their sleep is disrupted, such that their wake events are longer in that hour.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-11"},"PeriodicalIF":4.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471048","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}