Child and Adolescent Mental Health最新文献

{"title":"How can nature connectedness and behaviours for learning be deliberately developed in children, adolescents and young adults? A systematic literature review.","authors":"Nicole M Harris, Brettany Hartwell, Louisa Thomas, Marcus Grace","doi":"10.1111/camh.12774","DOIUrl":"https://doi.org/10.1111/camh.12774","url":null,"abstract":"<p><strong>Background: </strong>Nature sustains lives, enhances well-being and benefits human populations in many ways. In a world dominated by human technology, the task of effectively reconnecting to and caring for nature is both urgent and vital. Evidence shows that many children and young people (CYP) feel increasingly disconnected from nature Schools and other settings could play a crucial role in promoting time spent in nature, potentially fostering nature connectedness (NC) and improving behaviours for learning (BFL).</p><p><strong>Method: </strong>A systematic literature review was conducted to explore how NC can be developed in CYP through nature-based interventions and investigate their impact on BFL. Studies from settings working with CYP aged 0 to 29 were included, utilising quantitative, qualitative, and mixed-methods approaches.</p><p><strong>Results: </strong>A total of 22 studies from 2009-2023 were identified from ERIC, PsycINFO, and Web of Science. Most were quantitative studies (n = 13) from the global north (n = 19), involving primary or secondary school-aged CYP. A variety of nature-based interventions were assessed, including hiking, surfing, gardening, and art-in-nature activities.</p><p><strong>Conclusions: </strong>The review highlights numerous ways to develop NC in CYP, with many associated benefits for BFL. Areas of impact include social skills, self-regulation, attention, motivation, independence, and problem-solving. Effective activities included walking and reflecting in nature, sensory connections, and creative activities. Many of the interventions reviewed were not carried out by schools, nor did they take place on their grounds, perhaps due to limited access to green space and nature on their school site. This highlights a significant gap in the literature. Given the large range of interventions, ages of participants, and quality of the included studies, it is not possible to draw specific conclusions about the type of activities that may work best for specific age groups or types of setting.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804518","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":"Technology Matters: Online Support and Intervention (OSI) for child anxiety problems - an example of the journey from research to practice.","authors":"Chloe Chessell, Rachel Evans, Cathy Creswell","doi":"10.1111/camh.12775","DOIUrl":"https://doi.org/10.1111/camh.12775","url":null,"abstract":"<p><p>Childhood anxiety problems are prevalent and impairing, yet many children are unable to access evidence-based treatment (i.e. cognitive behavioural therapy, CBT). Digitally augmented psychological interventions represent one way to help increase access to CBT for children with mental health problems, as these interventions can substantially reduce the amount of therapist time required to deliver the intervention, as well as bringing a range of other potential advantages for therapists and families. Online Support and Intervention (OSI) is an example of a brief digitally augmented, therapist-supported, parent-led CBT intervention for child anxiety problems that is now being commissioned and delivered in child mental health services. This article outlines the journey of OSI from research to implementation into routine clinical practice and highlights key considerations for translating digitally augmented mental health interventions into routine care in child mental health services.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781868","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":"The protective role of community cohesion across rural and urban contexts: implications for youth mental health.","authors":"Alexis Brieant, Keith B Burt","doi":"10.1111/camh.12764","DOIUrl":"https://doi.org/10.1111/camh.12764","url":null,"abstract":"<p><strong>Background: </strong>Exposure to adversity (e.g., negative life events) and socioeconomic disadvantage can increase the risk for internalizing and externalizing symptoms, but many youth demonstrate resilience. Risk and protective factors may vary depending on geographic contexts (i.e., urban vs. rural areas). We hypothesized that community cohesion would mitigate the effects of adversity and disadvantage on youth mental health symptoms, especially among rural communities.</p><p><strong>Method: </strong>Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study (n = 10,812), a longitudinal study in the United States. At baseline (9-10 years old), neighborhood socioeconomic disadvantage was measured with the Area Deprivation Index, and youth reported on the total number of negative life events they had experienced. At the 2-year follow-up, caregivers reported on cohesion within their community, and at the 3-year follow-up, they reported on their child's internalizing and externalizing symptomatology. A multiple-group path model was used to compare effects for youth living in urban versus rural areas.</p><p><strong>Results: </strong>In the urban subsample, results indicated a significant interaction between neighborhood disadvantage and community cohesion (β = -.03, p = .004), such that higher disadvantage was associated with higher externalizing (but not internalizing) symptomatology at low and medium, but not high, levels of cohesion. We identified similar patterns of results in the rural subsample, and the interaction neared conventional significance thresholds (β = -.09, p = .052). There was no significant interaction with adversity.</p><p><strong>Conclusions: </strong>Community cohesion may serve as a protective factor for youth experiencing neighborhood disadvantage by mitigating effects on externalizing symptoms.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732747","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: 'Like a bee and a flower' - the symbiotic relationship between physical environment and children and young people's psychosocial outcomes.","authors":"Keri Ka-Yee Wong, Efstathios Papachristou, Marta Francesconi, Tycho J Dekkers","doi":"10.1111/camh.12773","DOIUrl":"https://doi.org/10.1111/camh.12773","url":null,"abstract":"<p><p>This special issue captures the multifaceted and dynamic human-environment relationship across a critical stage of development and illustrates the importance of the physical environment in understanding child and adolescent mental health. Illustrated through original articles, action research, systematic reviews, debates, editorial perspectives and commentaries, our authors showcase the nuances of this relationship through diverse methodologies, data sources, interdisciplinary teams and international perspectives. Authors evidence the impact of physical environmental characteristics on psychosocial outcomes early in life, for both community and clinical populations. Exposure to adversities early in life or during critical developmental periods, such as early childhood and adolescence, has the potential to shape later life outcomes. We hope this special issue provides helpful examples of good practice and the ways of working together needed to inspire future youth-led context-specific health research. We also hope that this special issue can encourage us to rethink public health and education policies, urban planning and design priorities, and clinical research and practice to have young people in the centre of this work.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711886","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: Integrating context-specific and universal strategies: reflections on Birrell et al.'s universal school-based mental health interventions.","authors":"Yi-Chia Hung, Lien-Chung Wei","doi":"10.1111/camh.12778","DOIUrl":"https://doi.org/10.1111/camh.12778","url":null,"abstract":"<p><p>This letter responds to Birrell et al.'s (Child and Adolescent Mental Health, 30, 92) article on universal school-based mental health interventions, emphasizing the importance of refining universal approaches rather than discarding them. The letter discusses critical aspects of program adaptation to cultural contexts, the role of meaningful co-design with students and staff, and the integration of targeted strategies in concert with universal approaches. It also highlights the potential of digital health technologies, emphasizing equitable access and personalization to diverse populations. Additionally, the letter calls for a broader evaluation of intervention impacts beyond symptom reduction, including stigma reduction, school climate, and help-seeking behaviors. Drawing from recent evidence, the letter advocates for integrated models that combine universal and targeted strategies, offering practical recommendations for future research and policy.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694204","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: Improving young people's mental health through neighbourhood initiatives - the role of 'collective local intelligence' in Manchester.","authors":"Joe Ravetz","doi":"10.1111/camh.12766","DOIUrl":"https://doi.org/10.1111/camh.12766","url":null,"abstract":"<p><strong>Background: </strong>Young persons' well-being is the key priority for this case study on the inner-city neighbourhoods of Manchester, and the challenges of coordination and synergy between the many organizations involved.</p><p><strong>Methods: </strong>The 'Local-wise' project draws from insights on 'collective local intelligence', and the methods of the 'Pathways toolkit' which can explore and work with stakeholders on ways forward.</p><p><strong>Results: </strong>The findings point towards positive linkages between pro-active neighbourhood initiatives, and the young person's mental health/well being.</p><p><strong>Conclusions: </strong>There is huge potential for upstream preventive work, where ideally the local neighbourhood is a place of belonging, identity and livelihood, as a counter to the pressures of globalization, precarity and social media.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694211","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: Response - Building on existing knowledge and redefining rather than abandoning the well-established 'clinical high risk for psychosis' prevention paradigm: Commentary on Tiffin and Kelleher \"Time to abandon the 'clinical high risk state for psychosis\" (CHR-P) concept in adolescence?\"","authors":"Gonzalo Salazar de Pablo, Claudia Aymerich, Grace Frearson, Javier de Otazu Olivares, Ana Catalan","doi":"10.1111/camh.12777","DOIUrl":"https://doi.org/10.1111/camh.12777","url":null,"abstract":"<p><p>We appreciate the commentary by Tiffin and Kelleher on our systematic review and meta-analysis. The CHR-P paradigm remains one of the most established preventive approaches in mental health. While concerns have been raised regarding the clinical utility of the CHR-P paradigm, its implementation in specialized services worldwide supports its relevance. These services provide evidence-based interventions, reducing unnecessary antipsychotic use and guiding treatment strategies. Tiffin and Kelleher's critique largely focuses on transition rates and age cutoffs. While we argue that transition rates in adolescents at CHR-P are significant, other outcomes need to be considered. Among others, negative symptoms are clinically significant in adolescents at CHR-P, impairing functioning and long-term outcomes. We think we should refine and improve the CHR-P paradigm rather than simply abandoning it. With advancements in precision medicine, we can improve risk stratification and tailor interventions to better serve individuals at risk. We can also expand the paradigm, so it supports other help-seeking adolescents at risk requiring transdiagnostic, developmentally sensitive interventions to prevent psychosis.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694048","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: Time to abandon the 'clinical high risk state for psychosis' (CHR-P) concept in adolescence? Commentary on Frearson et al. 'Efficacy of preventative interventions for children and adolescents at clinical high risk of psychosis: A systematic review and meta-analysis of intervention studies'.","authors":"Paul A Tiffin, Ian Kelleher","doi":"10.1111/camh.12776","DOIUrl":"https://doi.org/10.1111/camh.12776","url":null,"abstract":"<p><p>There has been much academic interest in 'the clinical high risk for psychosis' (CHR-P) concept. Indeed, as two child and adolescent psychiatrists interested in psychosis prediction and prevention, we enthusiastically embraced the paradigm in our clinical and academic work. However, despite more than two decades of research, there is no definition of CHR-P in adolescence that has proven to be able to usefully predict transition to psychosis. Indeed, research suggests that much, if not all, of the risk associated with CHR diagnoses in adolescents is captured by being help-seeking for mental health problems, rather than being associated with a CHR diagnosis itself. In this commentary, we critique the systematic review by Frearson et al. (2025). In particular, we challenge the conceptualisation around the CHR-P concept, as applied to under 18 s, and the assumptions underpinning it. We also highlight issues with the terminology used when describing the experiences of young people categorised as being at CHR-P. Rather, we make the case for understanding and supporting help-seeking young people with distressing perceptual and ideational disturbance employing a needs-based, person-centred approach.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694138","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":"The role of neighbourhood greenspace quantity on mental health and cognitive development in early to middle childhood: a multilevel growth curve analysis of the UK Millennium Cohort Study.","authors":"Georgia Cronshaw, Emily Midouhas, Peninah Murage, Eirini Flouri","doi":"10.1111/camh.12767","DOIUrl":"https://doi.org/10.1111/camh.12767","url":null,"abstract":"<p><strong>Background: </strong>Childhood shapes lifelong wellbeing, making it crucial to understand how environmental factors impact development. This study examines the impact of neighbourhood greenspace quantity on the trajectories of emotional, behavioural and cognitive outcomes across childhood (at ages 3, 5, 7 and 11 years) with data from the UK's Millennium Cohort Study.</p><p><strong>Methods: </strong>Using multilevel growth curve models, we assessed the role of neighbourhood greenspace in small standard areas on trajectories of conduct problems, hyperactivity/inattention, peer problems, emotional symptoms and cognitive ability.</p><p><strong>Results: </strong>There was no direct association between greenspace and these child outcomes at the intercept (~ aged 7 years). However, greenspace was related to the slope of both conduct problems and cognitive ability, suggesting possible benefits in the early years, mainly before the start of formal education.</p><p><strong>Conclusion: </strong>The study highlights the potential effect of greenspace quantity on child development, but in the context of age. Longitudinal research tracking outcomes beyond childhood can shed more light on age-related effects of greenspace across areas of development.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694214","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 effects of green, blue, and gray spaces on early adolescent mental health in the United States.","authors":"Shannon Shaughnessy, Daniel Messinger, Spencer C Evans","doi":"10.1111/camh.12763","DOIUrl":"https://doi.org/10.1111/camh.12763","url":null,"abstract":"<p><strong>Background: </strong>Physical environments are linked to adolescents' well-being in various ways. Green and blue (natural) spaces may protect against psychopathology, while gray (urban) spaces may confer risk. The present study examines how exposure to green, blue, and gray spaces is associated with the growth of psychopathology in early adolescence.</p><p><strong>Method: </strong>We analyzed four waves of data (ages 9-13) from the Adolescent Brain Cognitive Development Study (N = 11,866, 47.8% female). At each wave, parents rated youths' mental health symptom severity in broad domains of total, externalizing, and internalizing problems. Latent growth curve models were estimated to model symptom trajectories. We examined the associations of residential proximity to green, blue, and gray spaces with symptoms at baseline and over time using geocoded and satellite data.</p><p><strong>Results: </strong>Green space was associated with lower levels of internalizing problems at baseline, while gray space was associated with higher levels of total and externalizing problems at baseline; however, all these effects diminished with time. Gray space was also associated with a slightly less positive slope for internalizing problems. There were no significant associations with blue space. Most results attenuated to nonsignificance once sociodemographic variables were accounted for.</p><p><strong>Conclusions: </strong>Green and gray space exposure may be positively and negatively associated with adolescents' psychosocial development, respectively. However, demographic variables such as gender and socioeconomic status may account for more change in early adolescent psychopathology than environmental variables. Regardless, greater attention to youths' green and gray space exposure could help promote mental health at a population level.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694209","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}