Child and Adolescent Mental Health最新文献

{"title":"Commentary: How do we get platforms to share data with independent researchers? Regulation alone will not cut it: a commentary on Livingston et al. (2023), Bourgaize et al. (2025).","authors":"Andreu Casas, Georgia Dagher, Ben O'Loughlin","doi":"10.1111/camh.70020","DOIUrl":"https://doi.org/10.1111/camh.70020","url":null,"abstract":"<p><p>We respond to articles in the Child and Adolescent Mental Health journal about whether, and under what, conditions researchers should collaborate with digital companies. In particular, we discuss the challenges academics face to access and study platform data. Independent academic research in this area is crucial for identifying and combating any potential negative effects that platforms can have on individuals and societies. Past discussions on academic data access have focused on platform regulation and data governance. However, in this commentary, we argue that even if key stakeholders agree on a regulatory and governance model, platforms have strong incentives to not comply-or to comply only partially. We advocate for a more holistic strategy aiming at influencing regulation, public opinion, news media, diverse political groups and for building a robust oversight structure.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676330","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: Are we over-pathologising young people's mental health? The case of trauma and PTSD diagnosis.","authors":"Elias Aboujaoude, Ayoub Bouguettaya","doi":"10.1111/camh.70016","DOIUrl":"https://doi.org/10.1111/camh.70016","url":null,"abstract":"<p><p>Diagnostic mental health nosologies and diagnosticians have expanded the definition of trauma and post-traumatic stress disorder (PTSD) in a way that may be inflating prevalence rates and that risks downplaying resilience, minimizing adaptability, and compromising healthy development in children. In the context of over-diagnosing and over-pathologizing normal and common human experiences in response to distressing childhood events, we call for rethinking our approach to trauma and PTSD and changing our attitudes to include - in addition to the imperative to protect - ways that children can develop agency, self-efficacy, and strength in the face of negative life events.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660820","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: Are we over-pathologising young people's mental health? The role of participatory research in moving beyond pathology.","authors":"Morten Skovdal","doi":"10.1111/camh.70023","DOIUrl":"https://doi.org/10.1111/camh.70023","url":null,"abstract":"<p><p>Children and young people are subject to well-intentioned mental health research 'for' and 'about' them. The problem is that research is not value-free and carries certain subjective assumptions that shape how we view mental health and illness. Participatory research-which involves children and young people not just as the subjects of research, but as partners and collaborators in different stages of the research process-can be a mechanism through which we can counterbalance an unhelpful 'over-pathologising' research culture. Participatory research can help us retain strengths-based insights and focus on pathways to resilience and to flourishing, while developing interventions to address the psychosocial challenges that many children and young people experience.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660821","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: Are we over-pathologising young people's mental health? You'd be in denial if you think we aren't.","authors":"Sami Timimi","doi":"10.1111/camh.70015","DOIUrl":"https://doi.org/10.1111/camh.70015","url":null,"abstract":"<p><p>Because definitions of mental disorder are inescapably subjective, they can be continuously expanded in response to commercial, guild and social interests and pressures. In this article, I argue that this has resulted in young people increasingly (and unnecessarily) self-identifying, and/or being labelled, as having a mental disorder. I point out the dangers this poses for their future as thus far mental health awareness, prevention and treatment programmes have failed to improve mental health and well-being at a population level. Instead of doubling down on failed paradigms and strategies, we - as professionals and academics in the field - need to rethink what we are doing, endorsing or tolerating.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651014","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 Article: The effectiveness of school-based interventions for reducing screen time - a systematic review and meta-analysis.","authors":"Nai Ming Lai, Yin Sear Lim, Nathorn Chaiyakunapruk, Shaun Wen Huey Lee, Tippawan Liabsuetrakul, Mohammad Sabbir, S M Hasan Mahmud, Umme Ruman Siddiqi, Tanvir Ahmed, Faheem U L Hasan, Pei Xuan Kuan","doi":"10.1111/camh.70022","DOIUrl":"https://doi.org/10.1111/camh.70022","url":null,"abstract":"<p><strong>Background: </strong>Excessive screen time is associated with adverse physical and mental well-being for children. Interventions to reduce screen time in different settings have been studied extensively, with mixed findings. We systematically reviewed evidence that evaluated the effects of screen time reduction interventions conducted in school settings on screen usage, physical, and mental health of school children.</p><p><strong>Methods: </strong>PubMed, Cochrane, PsycInfo, and Education Resources Information Centre (ERIC) (from inception till 12 September 2024) were searched for relevant randomised and cluster-randomised trials. We assessed risk of bias using the Cochrane risk of bias 2 tool, performed Bayesian random-effects meta-analysis, and rated certainty of evidence using GRADE.</p><p><strong>Results: </strong>Thirty-nine studies (95,033 participants), published between 1999 and 2024, were included. High risk of bias and great heterogeneity contributed to low-certainty evidence for most outcomes. School-based interventions modestly reduced screen time (SMD: -0.10, 95% CrI: -0.14, -0.06, 27 studies, n = 19,751, I²: 85%) and increased physical activity (SMD: 0.10, 95% CrI: 0.02, 0.19, 21 studies, n = 14,944, I²: 88%). No clear difference was observed in BMI (MD: -0.15, 95% CrI: -0.39, 0.03, 13 studies, n = 4683, I²: 51%), although the subgroup of studies evaluating comprehensive lifestyle interventions appeared to show a slight BMI reduction, while studies evaluating screen-time focused interventions showed no difference.</p><p><strong>Conclusions: </strong>School-based interventions modestly reduce screen time and increase physical activity, but their effects on BMI are inconclusive. Variations in local school systems and cultural practices might have contributed to heterogeneity in study findings and should be considered in policy decisions. Future studies should strengthen the cluster-randomization process and include academic performance as an outcome.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638567","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: The debate around over-pathologising young people's mental health.","authors":"Lina Gega, Amy McCulloch, Eilis Kennedy","doi":"10.1111/camh.70024","DOIUrl":"https://doi.org/10.1111/camh.70024","url":null,"abstract":"<p><p>Five articles in this issue's debate discuss whether we over-pathologise young people's mental health. The articles highlight the paradox between inflating diagnoses in the community and under-recognising mental health needs in health and social care settings. Co-production with young people and their families when developing services, community-based initiatives, and research projects is an important method for getting the balance right between increasing awareness and offering support for mental health problems at the earliest possible opportunity, without misinterpreting and mislabelling as 'mental illness' the emotions and behaviours of young people in response to challenging or changing life circumstances.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627540","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":"Narrative Matters: Adolescence in The Manosphere - A perfect storm?","authors":"Jane Gilmour","doi":"10.1111/camh.70012","DOIUrl":"https://doi.org/10.1111/camh.70012","url":null,"abstract":"<p><p>The Netflix drama 'Adolescence' brought 'the manosphere' (a virtual space defined by misogynist views) and its potential dangers for teenage boys into the mainstream narrative. This paper describes parallels between toxic masculinity communities and other extremist groups. It considers why so many teenage boys may be attracted to the manosphere and why a developmental context is crucial to an informed response. The unique characteristics of 'the teenage brain' offer a framework to guide professionals working with young people who are exploring this type of content.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627541","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: Are we over-pathologizing young people's mental health? The inflationary risk of autism diagnosis.","authors":"Michele Poletti, Antonio Preti, Andrea Raballo","doi":"10.1111/camh.70013","DOIUrl":"https://doi.org/10.1111/camh.70013","url":null,"abstract":"<p><p>The concept of autism has undergone a significant transformation in recent decades, evolving from a narrowly defined, rare disorder into a broad and heterogeneous spectrum. This diagnostic expansion, while intended to improve recognition of diverse presentations, has led to a marked increase in prevalence and a dilution of autism's neurobiological distinctiveness. Two emerging trends may further contribute to this phenomenon: the rise in adult diagnoses without documented childhood traits, and the growing attribution of transdiagnostic social difficulties to subthreshold autistic traits. These trends risk conflating autism with general social dysfunction and undermining the validity of related clinical constructs. The diagnostic inflation of ASD may reflect a problematic overextension of criteria, compounded by the use of unstructured assessments and amplified by the growing influence of neurodiversity discourse. Moreover, it is facilitated by the absence of definitive neurobiological markers and remains at odds with autism's characterization as a neurodevelopmental condition with strong genetic roots. Whether this expansive reconceptualization constitutes progress or regression warrants deeper scientific debate.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621015","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, Maria Papadaki, Aikaterini Zeza, Niki-Stavroula Panagiotopoulou","doi":"10.1111/camh.70014","DOIUrl":"https://doi.org/10.1111/camh.70014","url":null,"abstract":"","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621014","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: Suggestions for guidance by academics who collaborate with digital companies - a commentary on Bourgaize et al. (2025).","authors":"Natalia I Kucirkova, Todd Cherner, Adam K Dubé, Adrian Pasquarella, Nicola Pitchford, Helen Ross","doi":"10.1111/camh.70021","DOIUrl":"https://doi.org/10.1111/camh.70021","url":null,"abstract":"<p><p>Our collective article argues for the development of a clear, shared guidance to support responsible collaborations between academic researchers and digital technology companies, particularly in the fields of education and youth mental health. Drawing on longstanding experience in edtech research, we argue that effective academia-industry collaboration requires clearer institutional support, with explicit guidance at both the contractual and community engagement levels to ensure transparency, fair reporting and the inclusion of all stakeholders. We highlight the challenges researchers face, such as limited legal support and difficulties in publishing negative results, and the need for strong contractual safeguards that protect against the suppression of negative results, define data ownership and set transparent terms for data use, publication timelines and study termination. We also advocate for formalized data-sharing protocols and a centralized, anonymized data repository governed by shared principles, enabling more rigorous cross-study analyses and supporting funders, researchers and policymakers in making evidence-based decisions.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610156","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}