Child and Adolescent Mental Health最新文献

{"title":"\"All that I've been through has made me who I am\": youth conceptualisations of personal recovery in mental health.","authors":"Linda Anderson, Vicki C Dallinger, Govind Krishnamoorthy, Carol du Plessis, Arun Pillai-Sasidharan, Alice Ayres, Lillian Waters, Yasmin Groom, Bronwyn Rees, Mike Slade, Jessica Gildersleeve, Lorelle Burton, Renee Ireland","doi":"10.1111/camh.70046","DOIUrl":"10.1111/camh.70046","url":null,"abstract":"<p><strong>Background: </strong>Youth is a transitional period from 15 to 24 years involving developmental milestones that may be adversely affected by mental health (MH) concerns. Clinical interventions tend to focus on the reduction or cure of illness-based psychiatric symptoms. However, national and international mental policy focuses on promoting well-being and self-management through personal recovery. The leading framework of personal recovery in adults is CHIME, an acronym used to denote five key processes - Connectedness, Hope, Identity, Meaning and Empowerment. The extent to which CHIME reflects the experience of personal recovery in youth is under-researched, yet the framework often underpins youth mental health services.</p><p><strong>Method: </strong>The present study uses a qualitative methodology to analyse interviews with 16 youth referred for treatment. Interviews focused on the lived experiences of youth recovery and its alignment with the CHIME processes and were analysed using a hybrid inductive and deductive reflexive thematic analysis.</p><p><strong>Results: </strong>The CHIME framework was relevant to youth recovery in two ways: restoring what was perceived to be lost (restorative processes) and encouraging resilience (resilience processes). Adaptations to the CHIME framework for youth included an increased emphasis on the role of family and friends, support for grieving processes and support for identity formation during the recovery journey.</p><p><strong>Conclusion: </strong>An adapted CHIME framework for youth can underpin targeted recovery-oriented care to support youth in moving towards emerging adulthood successfully while managing mental health concerns.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"106-115"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649889","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":"Debate: Young people are living in unprecedented times - too much chaos or too little resilience?: No Pain, No Gain? Why articulating distress marks youth resilience.","authors":"Levi van Dam","doi":"10.1111/camh.70086","DOIUrl":"10.1111/camh.70086","url":null,"abstract":"<p><p>Rising levels of anxiety and depression among children and adolescents are increasingly cited as evidence that today's youth are growing up in a world of unprecedented chaos and diminishing resilience. Yet, this interpretation rests on a fragile assumption: that greater expression of distress necessarily signals weaker coping. In this debate article, we argue the opposite. Drawing on long-term epidemiological trends, developmental theory, and recent evidence from the COVID-19 pandemic, we suggest that young people today may not be less resilient than previous generations, but more capable of recognizing, articulating, and responding to emotional strain. In this sense, the growing visibility of distress may mark not failure, but progress: a generation that has learned to give language to pain as part of adaptive development.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"137-139"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692455","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":"Editorial Perspective: Overdiagnosis of ADHD? Here we go again.","authors":"Anita Thapar","doi":"10.1111/camh.70075","DOIUrl":"10.1111/camh.70075","url":null,"abstract":"<p><p>There is growing preoccupation with whether ADHD is overdiagnosed. That question has already been addressed for the United Kingdom in the recently published National Health Service (NHS)-England independent ADHD Taskforce Report. The administrative prevalence of ADHD in the United Kingdom is lower than the population rate. Regardless of prevalence or country, I argue why a focus purely on diagnosis is unhelpful and overly narrow. A diagnosis is helpful for clinical decision making but, on its own, has multiple limitations. I argue the case for why a needs-based, stepped care, holistic approach is preferable and provide evidence of what sorts of timely support are likely to be effective. The time has come for constructive rather than divisive dialogue on how best to help children and young people.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"153-155"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272844","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":"Narrative Matters: Young people with lived experience discuss I Swear.","authors":"Jane Gilmour, Rayne Huggins","doi":"10.1111/camh.70082","DOIUrl":"10.1111/camh.70082","url":null,"abstract":"<p><p>Young people with lived experience of tics reflected on the recent film I Swear, a biography of John Davidson who grew up in the 1980s with Tourette syndrome. They considered the ways in which themes raised by the film connected with their own experiences. Their observations were discussed in the context of the Social Model of Disability and the Medical Model, illustrated by personal examples. The challenges of media representations and societal responses to tics in the recent past and in contemporary society were explored. They proposed that society and professionals must hold a position at the intersection of the Social Model of Disability and the Medical Model. The paper concluded with an urgent call for more extensive psychoeducation in the wider community to improve the quality of life for young people with tics.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"156-158"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464187","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":"Technology matters: Co-developing & evaluating digital support for young people with depression and anxiety, MoodHwb.","authors":"Rhys Bevan Jones","doi":"10.1111/camh.70004","DOIUrl":"10.1111/camh.70004","url":null,"abstract":"<p><p>Depression and anxiety are common in young people, yet many do not receive adequate support. Current guidelines recommend digital interventions as an effective approach; however, there is a need for more accessible, evidence-based programmes that are co-developed with young people and rigorously evaluated. The bilingual digital programme, MoodHwb, was co-designed with young people with depression and in collaboration with parents, carers, professionals and a digital media company. MoodHwb aims to support young people in managing their mood and well-being. An early evaluation study provided initial support for the programme theory and indicated its acceptability among users. The programme has since been refined based on feedback, and a feasibility randomised controlled trial has been completed.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"159-161"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545795","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":"The effectiveness of an online-based psychosocial program for parents of children with neurodevelopmental disorders - a randomized controlled trial.","authors":"Ana Pardo-Salamanca, Soledad Gómez, Cristina Santamarina, Gemma Pastor, Carmen Berenguer","doi":"10.1111/camh.70044","DOIUrl":"10.1111/camh.70044","url":null,"abstract":"<p><strong>Background: </strong>Neurodevelopmental disorders like autism and ADHD may disrupt family and child functioning. Although well-established psychosocial treatment programs exist, access to these interventions remains limited for many families. This randomized controlled trial (RCT) primarily evaluates the effectiveness of an online psychosocial program (INPSYD) in improving parental domains (stress, coping, and social support). The secondary aim is to assess its effects on children's domains, including behavior, executive functioning, sleep, and family dynamics.</p><p><strong>Methods: </strong>This study employed a two-arm, mixed-methods RCT design involving families of children diagnosed with autism or ADHD (mean age 9.28 ± 1.6; 81.1% males), (clinicaltrials.gov, NCT06303791). Participants were randomized to either the intervention group or the active control group (a structured, non-therapeutic intervention). Outcomes were collected at baseline (before randomization), at 12 weeks post-randomization, and at 6 months follow-up after randomization.</p><p><strong>Results: </strong>A total of 82 participants were randomized in February 2024 (42 to the intervention group and 40 to the active control group). At post-intervention, participants in the intervention group scored statistically significantly better than those in the control group on measures of parenting stress (p < .01, <math> <mrow><msubsup><mi>η</mi> <mi>p</mi> <mn>2</mn></msubsup> </mrow> </math>  = .29), coping skills (p < .01, <math> <mrow><msubsup><mi>η</mi> <mi>p</mi> <mn>2</mn></msubsup> </mrow> </math>  = .24), and perceived social support (p = .025, <math> <mrow><msubsup><mi>η</mi> <mi>p</mi> <mn>2</mn></msubsup> </mrow> </math>  = .10). Between-group comparisons also revealed statistically significant differences favoring the intervention group in child social functioning, executive functioning, and family dynamics. No statistically significant between-group differences were found for sleep problems or learning behavior. These between-group effects were maintained at the follow-up assessment.</p><p><strong>Conclusion: </strong>The results of this study indicate that the INPSYD parenting program is effective for improving parenting stress, coping skills and children's executive functioning and social-behavioral outcomes in our sample.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"96-105"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453871","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":"Debate: Young people are living in unprecedented times - too much chaos or too little resilience? Protecting young people in perilous times calls for bolstering multisystem resilience as well as mitigating risk.","authors":"Ann S Masten","doi":"10.1111/camh.70088","DOIUrl":"10.1111/camh.70088","url":null,"abstract":"<p><p>Young people around the world are threatened by increasing chaos and danger from armed conflicts, natural disasters, climate change, forced displacement, disease epidemics, and related adversities. This perilous situation raises a critical question: Are we doing enough to protect and prepare young people to adapt and thrive? Developmental research on risk and resilience suggests that the answer to this question is no, but there is considerable evidence to guide practice and policy going forward. Both reducing risk and bolstering resilience are essential strategies for promoting positive outcomes in a generation of young people contending with rising global chaos. Moreover, evidence suggests that the resilience of children depends on the operations and interactions of many systems within and around them that are amenable to change. These include neurobiological and psychological adaptive systems and supportive relationships, as well as safe and effective schools and communities. Building resilience for the younger generation is an investment in the future resilience of societies.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"140-142"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500272","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":"Maternal anorexia nervosa and risk of mental and neurodevelopmental morbidity in offspring.","authors":"Sam Amar, Gabriel Côté-Corriveau, Mimi Israël, Howard Steiger, Nancy Low, Nicholas Chadi, Émilie Brousseau, Nahantara Lafleur, Nathalie Auger","doi":"10.1111/camh.70051","DOIUrl":"10.1111/camh.70051","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa has the potential to affect fetal neurodevelopment. We examined the association between maternal anorexia nervosa and mental, substance-related, and neurodevelopmental morbidity in offspring.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of 1,269,370 children in Quebec, Canada, between 2006 and 2022. The main exposure was maternal anorexia nervosa requiring admission. The outcome was childhood hospitalization for mental, substance-related, or neurodevelopmental disorders between birth and age 17 years, with follow-up ending in 2023. We estimated hazard ratios (HR) and 95% confidence intervals (CI) for the association between maternal anorexia nervosa and child outcomes using Cox regression models adjusted for patient characteristics.</p><p><strong>Results: </strong>In total, 2,447 (0.2%) children had a mother admitted for anorexia nervosa. Children of mothers with anorexia nervosa had higher hospitalization rates for mental, substance-related, and neurodevelopmental morbidity than other children (104.7 vs. 51.4 per 1,000 by age 17 years). Children whose mothers had anorexia nervosa were particularly at risk of mental health hospitalization (HR 2.30, 95% CI 1.52-3.49), especially for anorexia nervosa (HR 10.62, 95% CI 5.06-22.29) and anxiety and stress disorders (HR 1.84, 95% CI 1.09-3.08), compared with unexposed children. Maternal anorexia nervosa was associated with substance-related (HR 2.01, 95% CI 1.26-3.21) and neurodevelopmental morbidity in children (HR 1.55, 95% CI 1.19-2.01).</p><p><strong>Conclusion: </strong>Maternal anorexia nervosa is associated with childhood hospitalization for mental health, substance-related, and neurodevelopmental morbidity, although results should be interpreted with caution owing to potential confounders. Mothers with anorexia nervosa may benefit from psychosocial support to prevent mental and neurodevelopmental morbidity in offspring.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"125-133"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656254","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":"Editorial Perspective: A call for action on imposter participants in child and adolescent mental health research.","authors":"Brian C F Ching, Cornelius Ani, Angie Pitt, Sharon Eager, Emily Simonoff, Johnny Downs","doi":"10.1111/camh.70041","DOIUrl":"10.1111/camh.70041","url":null,"abstract":"<p><p>Imposter participants are dishonest participants who fake their identities or exaggerate their experiences to participate in research. This appears to be a rising problem in quantitative and qualitative research as well as lived experience groups for child and adolescent mental health research. Imposters in research present great challenges for young people's safety, privacy, and well-being, and the data integrity of affected research studies. Although strategies have been suggested to identify and address this challenge, they come with limitations. Also, there are no evidence-based guidelines or frameworks about imposter data. We discuss key issues and considerations and propose actionable steps for researchers and practitioners working with young people. We also make a call for action for robust research to improve how we prevent, identify, and address imposters in child and adolescent mental health research.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"149-152"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276425","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":"Debate: Young people are living in unprecedented times - too much chaos or too little resilience?: an argument to talk less about resilience.","authors":"Michael Ungar","doi":"10.1111/camh.70085","DOIUrl":"10.1111/camh.70085","url":null,"abstract":"<p><p>Has the concept of childhood resilience become too common, its meaning obscured by its overuse? This paper provides an argument for more constrained use of the term resilience, identifying the resulting problem of young people pathologizing normative risk exposure (a concept referred to as disorderism). Instead, resilience science emphasizes the need for exposure to manageable amounts of risk for optimal development. Indeed, studies of resilience have shown that most children demonstrate resilience because of the large networks of supports they are able to access when stressed.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":"134-136"},"PeriodicalIF":5.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444688","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}