Child and Adolescent Mental Health最新文献

{"title":"Letter to the Editor: Reimagining environmental health for children - integrating longitudinal, genetic, and cross-cultural perspectives.","authors":"Suci Nora Julina Putri, M Eval Setiawan, Riza Amalia, Herul Wahyudin","doi":"10.1111/camh.70038","DOIUrl":"https://doi.org/10.1111/camh.70038","url":null,"abstract":"<p><p>This article highlights the importance of a multidisciplinary approach in understanding the environmental impacts on children's mental health, emphasizing the integration of longitudinal designs, genetic methodologies, and cross-cultural validation. Longitudinal research is essential to identify temporal relationships and sensitive developmental periods, while methods such as Mendelian randomization can help disentangle environmental effects from unmeasured genetic and social confounding factors. Cross-cultural validation is also crucial to ensure the global relevance of findings and to support equitable public health policies. This article advocates for more comprehensive research to better understand modifiable environmental factors that promote children's mental well-being.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported changes in adolescent mental health, deliberate self-harm, substance use, and help-seeking behavior before and after the COVID-19 pandemic - A Finnish time-trend study.","authors":"Andre Sourander, Xiao Zhang, Omid Dadras, Anne Abio, Kaisa Mishina, Tiia Ståhlberg, Yuko Mori, Sonja Gilbert, Emmi Heinonen, David Gyllenberg","doi":"10.1111/camh.70040","DOIUrl":"https://doi.org/10.1111/camh.70040","url":null,"abstract":"<p><strong>Background: </strong>Despite the impact that the COVID-19 pandemic had on adolescents' mental health, there is a lack of studies comparing it pre- and postpandemic using consistent designs and measurements. Therefore, this study aimed to analyze changes in adolescent psychopathology, deliberate self-harm behavior, substance use, and help-seeking behavior pre- and post-COVID-19, with an identical study design.</p><p><strong>Methods: </strong>The study included three repeated cross-sectional studies conducted in 2014, 2018, and 2023, including self-reported data from Finnish secondary school students in grades 7 to 9, aged 13 to 16 (n = 9,024). The survey measured demographic information, mental health using the Strengths and Difficulties Questionnaire (SDQ), deliberate self-harm behavior, substance use, and help-seeking behavior.</p><p><strong>Results: </strong>Comparing data in 2023 with 2018, there were significant increases among females in total SDQ score (OR 2.1, 98.33% CI 1.7-2.7), conduct problems (OR 1.7, 98.33% CI 1.1-2.7), emotional symptoms (OR 1.8, 98.33% CI 1.5-2.3), and hyperactivity symptoms (OR 2.8, 98.33% CI 2.2-3.6). Perceived severe overall difficulties (OR 2.8, 98.33% CI 2.0-3.7), weekly smoking (OR 2.7, 98.33% CI 1.5-4.9), and seeking help (OR 1.5, 98.33% CI 1.2-2.0) increased. For males, increases were noted only in hyperactivity symptoms (OR 2.5, 98.33% CI 1.2-1.9) and perceived severe overall difficulties (OR 1.5, 98.33% CI 1.0-2.1), along with a decrease in alcohol consumption (OR 0.7, 98.33% CI 0.5-0.9). By contrast, the period from 2014 to 2018 showed minimal changes.</p><p><strong>Conclusion: </strong>The concerning rise in psychopathology after the COVID-19 pandemic, particularly among females, highlights the importance of early detection and effective interventions.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing the measurement of psychotherapy outcomes for youth with irritability using in vivo ecological momentary assessment: an exploratory observational study.","authors":"Reut Naim, Urmi Pandya, Shannon Shaughnessy, Ramaris E German, Lauren M Henry, Katharina Kircanski, Melissa A Brotman","doi":"10.1111/camh.70039","DOIUrl":"https://doi.org/10.1111/camh.70039","url":null,"abstract":"<p><strong>Background: </strong>Ecological momentary assessment (EMA) can reveal naturalistic within-person changes in symptoms and behaviors, essential for examining psychotherapy's effectiveness. However, no prior study has leveraged EMA to assess real-time, naturalistic changes of clinical symptoms during psychotherapy in youth with clinically impairing irritability. The present study uses EMA to assess changes in both child-reported irritability symptoms and caregiver-reported parental behaviors over the course of treatment, as well as to explore real-time associations between changes in parental behaviors and youth symptoms.</p><p><strong>Method: </strong>Here, in an observational analysis, a total of 39 youth (M_age = 11.26 years [SD = 1.89 years]; 35.9% female; 79.5% White) undergoing exposure-based cognitive behavioral therapy, and their parent undergoing parent management skill training (PMT), completed EMA surveys three times a day for 7 days at pre-, mid-, and post-treatment. Given the nested nature of the data, multilevel analyses were conducted to observe change and associations over time.</p><p><strong>Results: </strong>Results from multilevel modeling showed that both youth and parents reported a statistically significant decrease in real-time irritability symptoms over the course of treatment (βs ≤ -.27, ps ≤ .02). Parents reported a statistically significant increase in adaptive parental behaviors as taught during the PMT portion of treatment (βs ≥ |.22|, ps < .04). Furthermore, statistically significant associations were found between increased levels of adaptive parental behaviors and decreased levels of youth irritability symptoms.</p><p><strong>Conclusion: </strong>This study supports the utility of EMA in measuring psychotherapy symptom progress, outcomes, and change in therapy-targeted behavior. Results suggest that parental behavior could play a substantively important role in the treatment of youth with irritability.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Standing up for science - open science versus dis-information.","authors":"Bernadka Dubicka","doi":"10.1111/camh.70035","DOIUrl":"https://doi.org/10.1111/camh.70035","url":null,"abstract":"<p><p>Our CAMH journal has gone from strength to strength with increased submissions. However, we recognise that globally there is a battle for science integrity, and some issues, such as gender dysphoria and autism, have become highly politicised. Scientific expertise is not always valued and has been actively attacked. It is therefore timely to discuss how we aim to continue to push for the highest standards of publication in CAMH. This editorial discusses how we can increase scientific integrity through using the principles of open science, including greater transparency, particularly when academics collaborate with industry. The editorial discusses the importance of academic discourse, particularly when evidence is limited or unclear, and highlights the debate on banning social media in adolescents.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debate: Social media in children and young people - time for a ban? Weighing up the implications and limitations of age-based social media restrictions.","authors":"Scott J Fatt, Jasmine Fardouly","doi":"10.1111/camh.70034","DOIUrl":"https://doi.org/10.1111/camh.70034","url":null,"abstract":"<p><p>Recent legislation in Australia banning social media accounts for children under 16, alongside similar proposals worldwide, has ignited debate about whether age-based restrictions are an effective way to protect young people's mental health. While the intent of such bans is to reduce exposure to harmful content, their feasibility and effectiveness remain unclear. Enforcement requires robust age verification, often relying on sensitive data such as government-issued identification or facial scans, which raises privacy concerns and can be circumvented through the use of VPNs. Moreover, social media use is diverse. Although it can intensify harms such as bullying, it also provides vital opportunities for connection and support, particularly for marginalised adolescents. Removing access to accounts may limit risks within platforms, but does not prevent exposure to harmful content elsewhere, nor does it guarantee increased offline engagement. Importantly, blanket bans fail to address unsafe design features embedded within social media or to equip adolescents with the skills needed to navigate online environments. More targeted, evidence-based regulation that promotes safer platform design and accountability may provide a more effective pathway to protecting young people's well-being.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debate: Social media in children and young people - time for a ban? It is time to take a precautionary approach. Why health professionals are calling for a ban on social media for under-16s.","authors":"Arabella Skinner, Rebecca Foljambe","doi":"10.1111/camh.70037","DOIUrl":"https://doi.org/10.1111/camh.70037","url":null,"abstract":"<p><p>As frontline health professionals working across paediatrics, psychiatry, psychology and general practice in the United Kingdom, we are witnessing an alarming and growing mental health crisis among children and adolescents, which we believe is exacerbated by social media use. Drawing upon clinical experience and supported by a growing body of research, we present evidence that social media contributes to a spectrum of adverse mental health outcomes, including anxiety, depression, eating disorders, body dysmorphia, self-harm and suicidality. Particularly vulnerable populations, including neurodivergent children and those facing socioeconomic disadvantage, are disproportionately affected. Despite academic suggestions of some benefits, our real-world experience of the preponderance of clinical cases indicates an urgent need for preventive action. We argue that current regulatory frameworks are insufficient and propose a precautionary public health approach: an immediate statutory ban on social media use for all children under 16, placing the burden of proof on technology companies to demonstrate safety before allowing access. We further advocate for the strengthening of age verification systems, public health campaigns, parental guidance interventions and routine clinical screening for problematic social media use. This paper reflects the collective voice of our health professionals on the frontline of child and adolescent care, calling for decisive policy action to address a preventable and escalating threat to youth mental health.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical research updates.","authors":"Marinos Kyriakopoulos, Athanasios Beladonas, Dimitrios Lappas, Spyridoula Kyriakopoulou","doi":"10.1111/camh.70036","DOIUrl":"https://doi.org/10.1111/camh.70036","url":null,"abstract":"","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Are we over-pathologising young people's mental health? Locked inside our own building - on disorderism and the need to deflate our language.","authors":"Branko M van Hulst, Maria M Groen-Blokhuis, Bram de Ridder, Tycho J Dekkers","doi":"10.1111/camh.70028","DOIUrl":"https://doi.org/10.1111/camh.70028","url":null,"abstract":"<p><p>At its core, pathologising is choosing the language of pathology to describe suffering. In youth mental health, the prevailing choice is to use diagnostic labels such as ADHD and autism when describing the problems young people face. A key, yet poorly visible risk of such diagnostic labelling is disorderism - a relative neglect of context introduced by the tendency to interpret peoples struggles through the lens of disorders of the individual. At the same time, diagnostic labels serve important functions. Among others, they help families access care and find information, allow researchers to compare findings, and aid policymakers organise funding. Put simply, the functions are too valuable to outright discard, yet the risks too great to ignore. We find ourselves stuck - locked inside our own language. We argue that a path forward lies in recognising the primary way diagnostic labels may cause harm: by sidelining other forms of understanding. Rather than reimagining the labels entirely, a way out of the deadlock could involve profound epistemic humility. If we deflate the labels - removing weight and certainty - we create space for other kinds of understanding.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotion reactivity, parent-child conflict resolution, and suicide ideation: Longitudinal study of adolescents recruited between 2017 and 2023 in the northeastern United States.","authors":"Deborah Schaeffer, Ana Ortin-Peralta, Christina Rombola, Muhammad Waseem, Sandra Runes, Regina Miranda","doi":"10.1111/camh.70030","DOIUrl":"https://doi.org/10.1111/camh.70030","url":null,"abstract":"<p><strong>Background: </strong>Parental relationships should be considered in models of suicide risk among adolescents. Studies have shown that negative parent-child interactions contribute significantly to adolescent suicide ideation (SI) and attempts, while positive parental relationship dynamics can protect against suicidal thoughts and behaviors. Given the known association between emotion reactivity and SI in youth, we hypothesized that parent-child conflict resolution would moderate this pathway by weakening this link. This is the first longitudinal study of adolescent SI, of which we are aware, to examine the interaction between the parental relationship and emotion reactivity in a clinical sample of ethnoracially and socioeconomically diverse teenagers.</p><p><strong>Methods: </strong>Participants were adolescents (N = 106; 86 female; 84 Hispanic/Latine), ages 12-19, with recent SI or an attempt recruited from hospitals and clinics in the Northeastern United States between 2017 and 2023. Adolescents reported on parent-child interaction quality, emotion reactivity, and severity of their SI at baseline and on their SI severity 3 months later. Moderation was examined via linear regression analysis.</p><p><strong>Results: </strong>Emotion reactivity predicted greater 3-month SI, b = 0.18, SE = 0.07, p < .01, but parent-child conflict resolution did not moderate this relation.</p><p><strong>Conclusion: </strong>These findings reinforce the importance of addressing emotion reactivity in clinical assessment and intervention to reduce SI severity. Addressing parent-child conflict resolution may not be sufficient to impact the association between emotion reactivity and SI severity among adolescents who present to hospitals following SI or an attempt without consideration of other culturally related factors that impact the parent-adolescent relationship among ethnoracially diverse adolescents.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: School-based interventions for child and adolescent survivors of natural disasters - a systematic review and meta-analysis of randomized controlled trials.","authors":"Okki Dhona Laksmita, Min-Huey Chung, Joseph Kondwani Banda, Yann-Yann Shieh, Sumarni Djaka Waluya, Sri Warsini, Pi-Chen Chang","doi":"10.1111/camh.70029","DOIUrl":"https://doi.org/10.1111/camh.70029","url":null,"abstract":"<p><strong>Background: </strong>Although post-disaster interventions can reduce mental health problems in children and adolescents, no systematic review and meta-analysis has synthesized the effects of school-based randomized controlled trials (RCTs).</p><p><strong>Methods: </strong>This study assessed the effects of school-based RCTs on post-traumatic stress disorder (PTSD) symptoms, depression, and anxiety in children and adolescents (6-18 years of age) in post-natural disaster settings. Outcomes were evaluated immediately, and in the short term (<6 months) and long term (≥6 months) after the intervention. Eligible studies included RCTs. Seven databases and gray literature were searched through March 2025. Risk of bias was assessed using the Cochrane Handbook for Systematic Reviews of Interventions vers. 6.2.</p><p><strong>Results: </strong>Thirteen studies (with 2418 participants) were included. School-based interventions showed significantly large effects on PTSD symptoms (g = -1.203, 95% confidence interval (CI) = -2.202 to -0.203), significant small effects on depression (g = -0.337, CI = -0.673 to -0.001) immediately after the intervention, with sustained medium effects at the short- and long-term follow-ups for PTSD symptoms, but not depression in the long term. Anxiety showed a significantly large immediate effect immediately after the intervention (g = -4.602, CI = -8.807 to 0.396). All tested moderator variables-including the intervention approach, control group type, intervention protocol (duration, length, total sessions), type of analysis, risk of bias, interventionist, country type, and publication time-significantly influenced immediate PTSD outcomes.</p><p><strong>Conclusion: </strong>School-based interventions are effective in reducing PTSD symptoms, depression, and anxiety in children and adolescents following natural disasters. The intervention format and implementation context matter. Future research should strengthen the evidence base for depression and anxiety outcomes and assess long-term effectiveness and scalability.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}