Child and Adolescent Mental Health最新文献

{"title":"Mental health experiences and barriers: Black adolescents presenting for suicide risk and their caregivers.","authors":"Rhonda C Boyd, Makiya Lloyd, Danielle Mowery, Simone Imani Boyd, Ciarah St Paul, Luis Viegas de Moraes Leme, Jason D Jones, Jeremy Esposito, Tami D Benton, Gregory K Brown, Maria A Oquendo","doi":"10.1111/camh.70137","DOIUrl":"https://doi.org/10.1111/camh.70137","url":null,"abstract":"<p><strong>Background: </strong>Health disparities in suicidal behaviors exist for Black youth. There are many barriers that Black adolescents and their caregivers encounter when attempting to access mental health (MH) care. However, there is limited information available concerning their experiences, barriers, and facilitators of MH services.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with Black adolescents (ages 10-18) presenting in a pediatric emergency department with past-year suicidal ideation and/or behaviors and/or their caregivers. The sample consisted of 9 adolescents and 11 caregivers. Qualitative analysis was conducted by structured annotation and thematic analysis.</p><p><strong>Results: </strong>Adolescent and caregiver interviews identified seven themes: (1) emotional and behavioral experiences; (2) impact of previous MH treatment; (3) MH barriers; (4) facilitators for future treatment; (5) MH communication; (6) support; and (7) community resources.</p><p><strong>Conclusion: </strong>Themes highlighted by both adolescents and caregivers were the impact of previous treatment, MH barriers, facilitators for future treatment, MH communication, and support. Although the interviews are consistent with research literature documenting the negative experiences and barriers to care for Black adolescents, MH experiences can be positive and helpful if provided in a culturally responsive manner.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229017","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":"Longitudinal associations between dietary intake and common mental disorders among adolescents in Australia.","authors":"Lily Davidson, Deborah N Ashtree, Bridie Osman, Scarlett Smout, Nicola C Newton, Lauren A Gardner, Adrienne O'Neil, Felice Jacka, Rebecca Orr, Melissa Lane, Maree Teesson, Katrina E Champion","doi":"10.1111/camh.70129","DOIUrl":"https://doi.org/10.1111/camh.70129","url":null,"abstract":"<p><strong>Background: </strong>There is a need for more longitudinal research exploring temporal associations between diet quality and common mental disorders (CMDs) during adolescence. This study examined prospective associations between indicators of adolescents' diet quality (fruit, vegetable, sugar-sweetened beverage [SSB] intakes) and risk of depression and anxiety onset over 3 years. We hypothesised that higher fruit and vegetable intake, and lower SSB intake, would be associated with lower risk of CMDs.</p><p><strong>Methods: </strong>6537 Australian adolescents (mean age 12.65 years at baseline) completed surveys at baseline, 1-, 2- and 3-year follow-ups. We fitted Generalised Estimating Equations Poisson regression models to assess longitudinal associations between daily servings of fruit, vegetables and SSBs, and risk of depression and anxiety onset (binary cut-points on validated scales) over 3 years. Models were re-run for males and females. Analyses excluded participants who met thresholds for depression or anxiety at baseline to increase confidence that diet predicted CMD onset.</p><p><strong>Results: </strong>Higher fruit intake was associated with lower risk of depression (adjusted RR: 0.87, 95% CI: 0.82-0.93) and anxiety (adjusted RR: 0.93, 95% CI: 0.87-0.99) over 3 years, with limited evidence of sex differences. Higher SSB intake (log-transformed) was associated with higher CMD risk for both sexes, but more strongly for males (depression: adjusted RR: 3.25, 95% CI: 2.02-5.23; anxiety: adjusted RR: 5.50, 95% CI: 3.39-8.90) than females (depression: adjusted RR: 3.10, 95% CI: 2.06-4.68; anxiety: adjusted RR: 2.04, 95% CI: 1.23-3.37). Results inform the Global burden of disease Lifestyle And mental Disorders project (DERR2-https://doi.org/10.2196/65576).</p><p><strong>Conclusions: </strong>Longitudinal research exposing temporal associations between diet and CMDs may inform prevention/intervention efforts targeting modifiable risk factors for CMDs.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221003","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":"Mentalization and mental health outcomes in adolescents with internalizing disorders: a systematic review and multilevel meta-analysis","authors":"Areas Malenka,&nbsp;Candela García Domench,&nbsp;Anna Babl,&nbsp;Nick Midgley,&nbsp;Andres Roussos,&nbsp;Juan Martín Gómez Penedo","doi":"10.1111/camh.70080","DOIUrl":"10.1111/camh.70080","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescence is a period marked by critical developmental milestones, during which many mental health issues, including internalizing disorders, often first emerge.</p>\u0000 \u0000 <p>These disorders can significantly impair socialization, a key process for developing identity, social skills, and supportive relationships. Mentalization has gained attention as a crucial factor in effective socialization. While mentalization deficits have been widely studied in adults with mental health issues, evidence of this association in adolescents remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following PRISMA reporting guidelines, we performed a systematic search and multilevel meta-analysis of studies examining the association between mentalization and mental health indicators in adolescents with internalizing disorders. Records were screened independently by two reviewers, with additional studies identified via reference-list checks. Studies were included if they assessed mentalization and internalizing-related mental health outcomes in adolescents and provided correlational data. Methodological quality was appraised using a tailored 7-domain checklist. Correlational multilevel meta-analyses were conducted using Fisher's <i>z</i> transformation and a three-level random-effects model to address variability at within-effect size, between-effect size, and between-study levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample included 23 studies (reporting 154 effect sizes) that met inclusion criteria. Included studies showed overall moderate-to-low risk of bias. The models showed a significant, medium-sized negative correlation between mentalization and mental health indicators (<i>z</i> = −0.24, <i>p</i> &lt; .001, <i>r</i> = −0.24). Sensitivity analyses found no significant effect of the moderators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This is the first meta-analytic study to estimate the association between mentalization and mental health outcomes in adolescents with internalizing disorders. Findings suggest a moderate association, underscoring the importance of assessing mentalization in these populations. Further research should explore the clinical implications of mentalization for internalizing disorders in adolescence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"305-318"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379183","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: Is ACE screening doing more harm than good? Bridging the gap between ACE measurement and conceptualization","authors":"Chloe Trifaux,&nbsp;Mary Beth McCullough","doi":"10.1111/camh.70122","DOIUrl":"10.1111/camh.70122","url":null,"abstract":"<p>The rapid expansion of adverse childhood experience (ACE) screening in pediatric care has largely been driven by strong evidence linking childhood adversity to later physical and mental health outcomes. Proponents argue that ACE screening offers a pragmatic approach to identifying psychosocial risk factors that may otherwise remain undetected in routine healthcare encounters. Yet, concerns have emerged regarding whether cumulative ACE scores provide sufficiently precise information for individualized clinical interpretation. In this debate article, we argue that clinical implementation of ACE screening may have advanced more rapidly than conceptual consensus regarding what ACE scores actually represent. Current cumulative scoring models often compress heterogeneous experiences into a single metric, limiting their ability to capture meaningful variation in severity, timing, chronicity, relational context, and protective factors. Consequently, individuals with identical ACE scores may have fundamentally different developmental histories and clinical needs. Although ACE screening may retain value as a population-level indicator of risk, its application within individualized care contexts raises unresolved concerns regarding interpretive precision and clinical utility. We conclude that future approaches to adversity assessment may require multidimensional conceptualizations that better align with support more nuanced patient-level interpretation.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"348-350"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809159","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":"Letter to the Editor: Beyond general scales – parent–child relationships in cultural contexts and adolescent suicide risk","authors":"Haifeng Feng,&nbsp;Jun Zhao","doi":"10.1111/camh.70064","DOIUrl":"10.1111/camh.70064","url":null,"abstract":"<p>This letter comments on the longitudinal study by Schaeffer et al. (<i>Child and Adolescent Mental Health</i>, 2025) regarding emotional reactivity, parent–child conflict resolution, and suicidal ideation among Hispanic/Latino adolescents. While confirming the predictive role of emotional reactivity, the study's nonsignificant finding regarding parent–child conflict resolution invites critical reflection. We argue that this result may stem from the limitations of generic assessment tools, such as the PACHIQ-R, in capturing culturally nuanced relational processes. Core cultural values, particularly familismo, respeto, and simpatía, fundamentally shape conflict navigation, often through harmony, indirect communication, and nonverbal understanding, rather than the explicit problem-solving that standard scales measure. This measurement gap may lead to an incomplete understanding of protective family processes and limit the relevance of clinical interventions. We therefore call for future research to adopt culturally grounded measures and multi-method assessments to more accurately elucidate the role of family factors in adolescent suicide risk, advancing more inclusive and precise research practices.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"362-363"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901441","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":"Prevalence, conceptual distinctiveness, and cross-sectional correlates of climate worry in Canadian adolescents","authors":"Joanne L. Park,&nbsp;Audrey-Ann Deneault,&nbsp;Brae Anne McArthur,&nbsp;Suzanne Tough,&nbsp;Sheri Madigan","doi":"10.1111/camh.70076","DOIUrl":"10.1111/camh.70076","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As the impacts of the climate crisis escalate, adolescents face increasing threats to their health and well-being. However, little is known about the extent to which young adolescents experience climate worry (both in its general affective response and its specific cognitive concerns) and whether it is distinguishable from generalized anxiety. This study examined the prevalence of climate worry in young adolescents and tested its association with mental health and well-being while controlling for generalized anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Young adolescents (<i>n</i> = 1230; <i>M</i>_age = 12.85, 49% boys) from the All Our Families (AOF) pregnancy cohort completed questionnaires about affective and cognitive climate worry, mental health, well-being, digital media use, physical activity, and sleep. Mothers completed questionnaires about demographics and their child's mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven percent of adolescents reported high to extreme affective climate worry, 23% moderate worry, 26% a little worry, and 40% no worry. Girls and gender-diverse adolescents endorsed higher levels than boys. Correlation analyses revealed significant associations between affective and cognitive climate worry and maternal-reported generalized anxiety (<i>r</i> = .12 and .18, respectively). Regression models showed that both were uniquely associated with elevated levels of depression, social media addiction, and sleep disturbance, as well as decreased optimism and happiness, even after adjusting for generalized anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Climate worry appears to be distinct from generalized anxiety and uniquely predicts adolescent mental health and well-being. Given that almost two-thirds of adolescents report some level of climate worry, targeted efforts to address these concerns are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"275-284"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Redesigning mental health support for youth – early interventions need to move away from the diagnostic model","authors":"Maria E. Loades","doi":"10.1111/camh.70062","DOIUrl":"10.1111/camh.70062","url":null,"abstract":"<p>The recent stimulating debate series in <i>CAMH</i> has highlighted how efforts to raise mental health awareness have resulted in a paradox: overpathologisation is a concern, and yet timely recognition and access to evidence-based support remain insufficient. Often those who need help most are least likely to access it. In response, I extend on the solutions offered by Gega et al. I contend that especially where supports and interventions are intended for use at early help stage, we should reconsider the use of diagnostic framing. Rather than describing interventions using diagnostic terms like depression and anxiety, we should use normalising language to describe these supports. To illustrate, I offer an example of a suite of self-guided single-session interventions (SSIs), not framed in diagnostic language but instead developed to be normalising. This reduces potential harm from requiring individuals to identify with a specific diagnostic construct to see such interventions as relevant to and suitable for them.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"364-365"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital safeguarding incidents in schools with and without smartphone policies: a cross-sectional study in England","authors":"Emma Sullivan,&nbsp;Rob Dallison,&nbsp;Pete Montgomery,&nbsp;Lisa Henderson","doi":"10.1111/camh.70079","DOIUrl":"10.1111/camh.70079","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Smartphones/social media have been hailed as offering educational benefits, but widespread concerns highlight multiple negative effects, including for learning and well-being. Some countries enforce school phone bans, whereas others (e.g., England) have guidance promoting ‘phone-free environments’ but no legal mandate at present. There is limited evidence on the benefits of such policies, including whether they promote safeguarding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used freedom of information (FOI) requests to investigate the relationship between mobile phone policies and digital safeguarding incidents in 114 schools in England (&gt;90,000 pupils). We examined the prevalence and content of policies during the 2023/2024 academic year and digital incident reporting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty of 114 (52.63%) schools had a mobile phone policy. Policy type and content varied significantly, with inconsistent use of ‘ban’ terminology. Digital safeguarding incidents made up only 4.9% (4183/85,540) of all incidents but varied substantially (&gt;10% in 36/114 schools; &gt;25% in 9), suggesting inconsistent reporting. Schools with policies, regardless of restrictiveness, reported more digital incidents. Schools with restrictive policies were more likely to refer incidents and reported more school-based incidents, although most still occurred outside school.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Safeguarding incidents involving smartphones or social media are occurring in schools throughout England. Schools with mobile phone policies were more likely to report digital safeguarding incidents, suggesting an association between policy presence and reporting. Vast variation in policy content and inconsistent ‘ban’ rhetoric undermine the potential for effective safeguarding. These findings underscore the need for standardised definitions of digital risks and consistent policy approaches.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"294-304"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437071","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: How to get published – nine golden rules of writing","authors":"Bernadka Dubicka","doi":"10.1111/camh.70127","DOIUrl":"10.1111/camh.70127","url":null,"abstract":"<p>Trying to get onto the academic career ladder is tough for early career researchers, and getting peer-reviewed publications is an essential part of the process. As an Editor-in-Chief, I am often approached by authors about how to get published – the brutal reality is that our journal receives far more papers than it can publish and the vast majority of submissions will be rejected without being sent for review. That is a hard statistic for an author who has laboured for many hours in the hope of publication. So, how to increase those chances? Here are my suggestions.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"261-263"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Review article: The effectiveness of school-based interventions for reducing screen time – a systematic review and meta-analysis","authors":"Riza Amalia","doi":"10.1111/camh.70063","DOIUrl":"10.1111/camh.70063","url":null,"abstract":"<p>Recent evidence shows that school-based interventions to reduce screen time yield only modest effects, suggesting a need to reconsider how digital behavior change is approached in educational settings. Current programs often emphasize individual restriction, overlooking the broader social and cultural environments that shape children's screen habits. We argue for a shift from “screen time reduction” toward promoting <i>Digital Well-Being Literacy</i>, which entails developing students' capacity for mindful, balanced, and critical digital engagement. This direction aligns with 21st-century education priorities, emphasizing autonomy, digital citizenship, and self-regulation rather than avoidance. Screen use is influenced not only by personal choices but also by family routines, teacher modeling, school digital policies, and community expectations. Therefore, future interventions should adopt <i>ecological, multi-level strategies</i> that integrate school, home, and community contexts. Promoting digital self-regulation rather than restriction offers a more sustainable and developmentally meaningful approach to supporting children's well-being in an increasingly digital world.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 4","pages":"366-367"},"PeriodicalIF":4.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901531","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}