Child and Adolescent Mental Health最新文献

{"title":"Debate: Urban versus rural environments - which is better for mental health? The one good thing about a small town….","authors":"Reinout W Wiers, Hanan El Marroun, Claudi Bockting, Harm Krugers","doi":"10.1111/camh.12771","DOIUrl":"https://doi.org/10.1111/camh.12771","url":null,"abstract":"<p><p>Urban environments are related to higher prevalences of common mental disorders (addictions, anxieties and mood disorders) in adults. The mechanisms underlying this relationship are less clear. Cities function as a magnet, related to economic and educational opportunities, but are also related to urban stress and low well-being. Urban areas have larger inequalities, and people in deprived areas are at enhanced risk for mental health problems, which have been related both to environmental factors like pollution and to perceptions of the (social) environment, including perceived safety and social support. The interactions of vulnerability factors at different levels of description (e.g., within-person stress vulnerability vs. neighborhood stressors) can be considered a complex system. We here discuss what is known about growing up in an urban versus rural environment, with the aim to identify target points for mental health-related interventions in youth. We summarize this for three broad developmental periods: early life (first 1000 days), childhood, and adolescence into young adulthood, with implications for interventions.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671409","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":"Associations between air pollution and surrounding greenness with internalizing and externalizing behaviors among schoolchildren.","authors":"Uxue Zubizarreta-Arruti, Rosa Bosch, María Soler Artigas, Judit Cabana-Domínguez, Natalia Llonga, Pau Carabí-Gassol, Valeria Macias-Chimborazo, Laura Vilar-Ribó, Josep Antoni Ramos-Quiroga, Mireia Pagerols, Raquel Prat, Cristina Rivas, Èlia Pagespetit, Júlia Puigbó, Gemma Español-Martín, Bruno Raimbault, Antonia Valentín, Jordi Sunyer, Maria Foraster, Mireia Gascón, Miquel Casas, Marta Ribasés, Silvia Alemany","doi":"10.1111/camh.12772","DOIUrl":"https://doi.org/10.1111/camh.12772","url":null,"abstract":"<p><strong>Background: </strong>Air pollution and greenness are emerging as modifiable risk and protective factors, respectively, in child psychopathology. However, research shows inconsistencies. Here, we examined associations between air pollution and surrounding greenness with internalizing and externalizing behaviors. In addition, the potential modifying role of the genetic susceptibility for these traits and socioeconomic status (SES) was explored.</p><p><strong>Methods: </strong>This population-based study included 4485 schoolchildren aged 5-18 years from Spain. Internalizing and externalizing behaviors were assessed using the Child Behavior Checklist (CBCL). Average air pollution (NO₂, PM_2.5, PM₁₀, PM_coarse, and PM_2.5 absorbance) and surrounding greenness (NDVI within 100-m, 300-m, and 500-m buffers) school exposure were estimated for 12 months before outcome assessment. Genetic liability was assessed by computing polygenic risk scores (PRS) and SES was calculated using the Hollingshead Four-Factor Index. Associations were analyzed using negative binomial mixed-effects models.</p><p><strong>Results: </strong>Although no associations survived multiple testing, we found that increases of 5.48 μg/m³ in PM₁₀ and 2.93 μg/m³ in PM_coarse were associated with a 6% (Mean Ratio (MR) = 1.06; 95% CI: 1.01-1.12) and a 4% (MR = 1.04; 95% CI: 1.00-1.09) increase in internalizing behavior scores. A 0.1 increase in NDVI within a 100-m buffer was associated with a 6% decrease in externalizing behavior (MR = 0.94; 95% CI: 0.89-0.99). Neither differences by sex or age, or moderation effects by PRS or SES, were observed.</p><p><strong>Conclusions: </strong>We found preliminary evidence of detrimental effects of air pollution on internalizing behavior and protective effects of greenness on externalizing behavior, which were not modified by sex, age, SES, or genetic liability. If confirmed, these results reinforce the need for improving air quality, especially around schools, as part of preventive strategies focused on childhood psychopathology.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671395","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: Urban-rural environments - which is better for mental health? Moving beyond urban-rural dichotomies in psychosis risk for young people.","authors":"James B Kirkbride","doi":"10.1111/camh.12761","DOIUrl":"https://doi.org/10.1111/camh.12761","url":null,"abstract":"<p><p>While urban-rural gradients exist for common mental disorders (Wiers et al., 2025), observations from the Global North suggest these are strongest for psychotic disorders, which typically emerge during adolescence. Despite well-documented urban-rural variation in risk, recent research suggests a more nuanced relationship between place and these severe mental illnesses exists. Traditional urban-rural dichotomies cannot account for social gradients in psychosis globally for young people. Instead, a framework centred on social identity, inclusion and belonging may provide a more comprehensive approach to understanding psychosis risk as a result of the environments in which people are born, raised and live. Future research should integrate traditional epidemiological designs with causal inference methods and new technologies to capture momentary responses to diverse environmental stimuli that are both place-based and placeless. This approach could uncover novel avenues for prevention and intervention, tailored to the digital age, ultimately improving outcomes for young people and families affected by psychosis.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674789","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":"Scoping review: potential harm from school-based group mental health interventions.","authors":"Carolina Guzman-Holst, Rowan Streckfuss Davis, Jack L Andrews, Lucy Foulkes","doi":"10.1111/camh.12760","DOIUrl":"https://doi.org/10.1111/camh.12760","url":null,"abstract":"<p><strong>Background: </strong>A growing body of evidence demonstrates that school-based mental health interventions may be potentially harmful. We define potential harm as any negative outcome or adverse event that could plausibly be linked to an intervention. In this scoping review, we examine three areas: the types of potential harms and adverse events reported in school-based mental health interventions; the subgroups of children and adolescents at heightened risk; and the proposed explanations for these potential harms.</p><p><strong>Methods: </strong>We searched eight databases (1960-2023), performed an author search and hand-searched for published and unpublished studies that evaluated controlled trials of school-based group mental health interventions based on cognitive-behavioural therapy and/or mindfulness techniques, with the aim of reducing or preventing internalising symptoms or increasing wellbeing. Two independent raters screened studies for eligibility and assessed study quality using Cochrane tools. From eligible studies, we reviewed those that reported at least one negative outcome.</p><p><strong>Results: </strong>Ten out of 112 (8.93%) interventions (described in 120 studies) reported at least one negative outcome such as a decrease in wellbeing or an increase in depression or anxiety. Three out of 112 interventions (2.68%) reported the occurrence of specific adverse events, none of which were linked to the intervention. Of the 15/120 studies rated as high quality (i.e. those with low risk of bias), 5/15 (33.33%) reported at least one negative outcome. Negative outcomes were found for a number of subgroups including individuals deemed at high risk of mental health problems, male participants, younger children and children eligible for free school meals. About half (54.5%) of the studies acknowledged that the content of the intervention itself might have led to the negative outcome.</p><p><strong>Conclusion: </strong>To design and implement effective school-based mental health interventions, the issues of potential harm and their related measurement and reporting challenges must be addressed.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659368","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":"Bullying victimization among adolescents during the early phase of war in Ukraine - A comparative cross-sectional study in 2016-2017.","authors":"Sanju Silwal, Minja Westerlund, Olga Osokina, Susanna Hinkka-Yli-Salomäki, Matthew Hodes, Norbert Skokauskas, Andre Sourander","doi":"10.1111/camh.12770","DOIUrl":"https://doi.org/10.1111/camh.12770","url":null,"abstract":"<p><strong>Background: </strong>War profoundly impacts adolescent development and may increase the likelihood of aggressive responses when such behavior is perceived as acceptable and accessible. War may, hence, exacerbate a form of interpersonal violence already prevalent among children and adolescents.</p><p><strong>Methods: </strong>We conducted a comparative cross-sectional study 2 years after the Russian invasion of Eastern Ukraine in 2014 by comparing the prevalence of bullying victimization among adolescents aged 11-17 years (N = 2766) in two administrative regions with different levels of wartime traumatic stressor exposure.</p><p><strong>Results: </strong>Female adolescents in the war-affected region were bullied more often compared to those in the non-affected region [65.3% vs. 56.3%, adjusted Odds Ratio (aOR) = 1.5, 95% CI 1.2-1.9]. For both boys and girls, symptoms of psychopathology were associated with bullying victimization often [girls: depression (aOR = 2.9, 95% CI 2.4-3.4); boys: depression (aOR = 3.3, 95% CI 2.6-4.1) and PTSD (aOR = 1.7, 95% CI 1.4-2.02)]. In the war-affected region, a dose-response relationship between bullying victimization often and war-event exposure was observed in both sexes [girls: 1-3 war-events (aOR = 1.4, 95% CI 0.7-2.6), 4-6 (aOR = 2.4, 95% CI 1.3-4.5) and ≥7 (aOR = 5.5, 95% CI 2.7-11.1); boys: 1-3 (aOR = 1.4, 95% CI 0.7-2.8), 4-6 (aOR = 3.2, 95% CI 1.7-6.3), and ≥7 (aOR = 6.8, 95% CI 3.1-14.8)].</p><p><strong>Conclusions: </strong>War exposure was associated with bullying victimization, with girls being bullied more often than boys. Bullying victimization was linked to cumulative traumatic stressor exposure in the war-affected region for both sexes.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659358","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: Urban versus rural environments - which is better for mental health? Beyond the urban and rural dichotomy, a call to consider quality, typology and space in greenspace strategies for mental health.","authors":"Liza Griffin, Athina Petsou, Ruth Hynes, Gemma Moore","doi":"10.1111/camh.12762","DOIUrl":"https://doi.org/10.1111/camh.12762","url":null,"abstract":"<p><p>There is growing evidence about the positive impact of greenspaces on mental health and wellbeing. In their various forms, greenspaces such as parks, gardens, sports fields, and open spaces serve as crucial public amenities. This paper contributes to current debates on the mental health benefits of rural and urban environments by arguing for a nuanced and contextual understanding that goes beyond the urban-rural dichotomy, as access to these spaces has been shown to reduce stress and significantly improve mental wellbeing in both urban and rural settings. Through a critical examination of the literature, we focus on specific characteristics of greenspaces connected to mental health benefits. We then explore the ways in which specific urban environments and their qualities play crucial roles in mental health outcomes. The paper discusses the unique challenges and benefits of urban and rural greenspaces, emphasising the need for context-specific strategies. We argue that urban planning and policy must prioritise the quality of greenspaces, particularly in urban environments, to recognise them as fundamental public health infrastructure and maximise their mental health benefits.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587648","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: Where to next for universal school-based mental health interventions? Tensions in prevention - To build better school-based programming, we must start with what we know.","authors":"Katherine A Cohen, Eric J Bruns, Jessica L Schleider","doi":"10.1111/camh.12758","DOIUrl":"https://doi.org/10.1111/camh.12758","url":null,"abstract":"<p><p>Researchers and education leaders have suggested that universal school-based prevention programs could improve youth mental health at a population level, yet recent trials of universal school-based prevention programs (e.g., MYRIAD, CSC) found null or iatrogenic results. In this debate piece, we argue that these results must be contextualized alongside existing knowledge that universal programs are ideally implemented within multitiered systems, promoting student autonomy tends to promote uptake and adherence, and individual trials do not outweigh decades of academic and community expertise. We offer suggestions for moving forward in research on and implementation of universal school-based prevention programs.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525098","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: Mindfulness will only be in decline if we stop being mindful.","authors":"Edward J Miller","doi":"10.1111/camh.12759","DOIUrl":"https://doi.org/10.1111/camh.12759","url":null,"abstract":"<p><p>Despite widespread research and academic pressures, mindfulness researchers have an ethical responsibility to take a careful and considered approach to their work, particularly when investigating the mental health of children. This Letter to the Editor addresses an earlier debate article published in the journal by further elaborating on the issues raised by a recent large trial of a mindfulness-informed school-based intervention, and the ethical implications for mindfulness research.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516894","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: Where to next for universal school-based mental health interventions? Can research led by young people shape universal solutions for mental health and suicide prevention in school settings?","authors":"Sarah Hetrick, Vartika Sharma","doi":"10.1111/camh.12754","DOIUrl":"https://doi.org/10.1111/camh.12754","url":null,"abstract":"<p><p>We have engaged in work that aligns with the call from Birrell et al. (Child and Adolescent Mental Health, 2024), particularly in terms of thinking about co-design with young people to develop new outcomes and targets of universal school-based interventions. We engaged young people in a Cochrane systematic review and co-designed the outcomes for this review. What emerged was the need for research led by young people to develop and evaluate innovative universal school-based interventions that focus on creating environments that build and support young people's ability to cope by expressing and managing emotions. Whole-of-school approaches that ensure compassionate and caring responses can support the development of coping skills to manage distress, mental illness, self-harm and suicidal ideation.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034710","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,&nbsp;Ifigenia Metaxa,&nbsp;Caitriona Cotter,&nbsp;Isidora Fili","doi":"10.1111/camh.12742","DOIUrl":"10.1111/camh.12742","url":null,"abstract":"&lt;p&gt;Ifigenia Metaxa&lt;/p&gt;&lt;p&gt;National and Kapodistrian University of Athens&lt;/p&gt;&lt;p&gt;Depression constitutes a serious burden to adolescents all around the world. Understanding the perspective of those living with the disorder may assist in better identification and development of effective treatment approaches.&lt;/p&gt;&lt;p&gt;Viduani et al. (2024) conducted a systematic review of qualitative studies exploring the subjective experience of depression in young people (age range 10–24 years). A total of 39 studies were included, representing the experiences of 884 adolescents with depression from 16 different countries. The authors identified 47 features of depression. Among the 10 most cited features, 5 were part of DSM/ICD diagnostic criteria, namely, sadness, worthlessness, loss of energy, hopelessness and motivational anhedonia. The remaining features listed were social withdrawal, loneliness and anger together with stress and frustration or feelings of failure.&lt;/p&gt;&lt;p&gt;Following a meta-synthesis approach, it was found that lived experience of adolescent depression can be understood through the lens of 3 overarching themes. The first theme is related to the meaning that adolescents give to depression, including the impact on their life, relationship difficulties, self-blame, guilt, fear of isolation and mood changes. Most adolescents reported using self-reliant strategies, such as distraction or expressing negative emotions through art or religion, but some used alcohol, drugs, self-harm or other risky behaviours to manage their feelings. The second theme involved cultural and societal aspects of depression. Depression was found to be related to factors including cultural norms, social conditions, life events, family relations and peer group pressure. Some adolescents reported being victims of sexual abuse. Across contexts, interpretations and expectations related to depression differ between boys and girls and seem to also be affected by race and ethnicity. Depression was also found to have a long-term impact on education, while fatigue and low motivation may negatively affect academic progress. Social relationships were also affected, with adolescents reporting an influence on communication and social withdrawal. In these situations, they reported thoughts of dying and suicide. The third theme highlights adolescents' efforts to access care and support networks. Different factors were identified as barriers to help-seeking. First, adolescents avoid self-disclosure because of fear of stigma and negative reactions from parents and peers. They also mentioned feeling let down by the systems, leading to a lack of hope in sources of help, while limited resources were also an issue. In addition, adolescents reported distrust in professionals and perception of inefficacy of treatments, both pharmacological and psychotherapeutic. They also expressed a sense of not being heard or explained about the purpose and utility of treatments used (mostly medication) and expressed t","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 1","pages":"112-114"},"PeriodicalIF":6.8,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025395","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}