Child and Adolescent Mental Health最新文献

{"title":"Debate: Social media in children and young people - time for a ban? Beyond bans: addressing the digital determinants of youth mental health and well-being in the European region.","authors":"Cassie Redlich, Ledia Lazeri, Jason Maurer, Jennifer Hall, Natasha Azzopardi-Muscat","doi":"10.1111/camh.70031","DOIUrl":"https://doi.org/10.1111/camh.70031","url":null,"abstract":"<p><p>The complex role that social media plays in shaping young people's mental health and well-being requires a nuanced approach to regulation beyond simple bans. Social media presents demonstrated harms for young people, yet can also be a lifeline and provide a valuable resource for social support, learning, and expression. In this article, we draw on policy actions outlined in the WHO Europe policy brief Addressing the digital determinants of youth mental health and well-being to emphasize the importance of evidence-informed, multi-faceted strategies aligned with the precautionary principle to mitigate risks while maximizing benefits. These strategies include regulating harmful platform features, enhancing digital literacy, empowering parents, increasing industry accountability, and promoting healthy offline activities.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066091","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: Social media in children and young people - time for a ban? From polarised debate to precautionary action - a population mental health perspective on social media and youth well-being.","authors":"Oonagh Welsey-Smith, Terry Fleming","doi":"10.1111/camh.70033","DOIUrl":"https://doi.org/10.1111/camh.70033","url":null,"abstract":"<p><p>Adolescents spend much of their daily lives online, with social media a central part of their digital environment. While findings are complex, evidence increasingly points to small but relatively consistent harms, particularly for those meeting criteria for problematic use. At the population level, these effects are concerning, given the extraordinary prevalence of exposure to social media, rising rates of problematic use and adolescents' vulnerability to mental ill-health. The complexity of determining causality should not delay action: from a public health perspective, precautionary measures are warranted. We argue for a comprehensive approach that includes effective age verification and age-appropriate protection, regulation of harmful design features for all ages and inclusion of young people's voices. Just as offline environments include regulation and guidance, digital environments must be shaped to support individual and community needs.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034426","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: Social media in children and young people - time for a ban? Beyond the ban - empowering parents and schools to keep adolescents safe on social media.","authors":"Katrina E Champion, Louise Birrell, Scarlett Smout, Maree Teesson, Tim Slade","doi":"10.1111/camh.70032","DOIUrl":"https://doi.org/10.1111/camh.70032","url":null,"abstract":"<p><p>In this article, we examine Australia's landmark decision to ban social media access for children under the age of 16, set to take effect in December 2025. While the legislation aims to protect young people from the harms of social media, including its impact on mental health and wellbeing, the evidence base underpinning the ban remains inconclusive, with most studies unable to establish causality. Drawing on parallels with adolescent alcohol prevention, we argue that prohibition alone is unlikely to be effective. Instead, we advocate for a harm minimisation approach that equips young people with digital literacy, resilience, and help-seeking skills. We highlight the essential roles of parents, schools, and adolescents in fostering safer social media use and call for inclusive, co-designed education initiatives.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034449","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":"Bridging the gap: unveiling key links between autism and anxiety symptoms in autistic children and youth using a network analysis in pooled data from four countries.","authors":"Anat Zaidman-Zait, Matthew J Hollocks, Connor M Kerns, Iliana Magiati, Alana J McVey, Isabel M Smith, Rachael Bedford, Teresa Bennett, Eric Duku, Stelios Georgiades, Annie Richard, Tracy Vaillancourt, Lonnie Zwaigenbaum, Antonio Hardan, Robin Libove, Jacqui Rodgers, Mikle South, Emily Simonoff, Amy Van Hecke, Mirko Uljarević, Peter Szatmari","doi":"10.1111/camh.70026","DOIUrl":"https://doi.org/10.1111/camh.70026","url":null,"abstract":"<p><strong>Background: </strong>Autistic children experience significantly higher rates of anxiety compared to nonautistic children. The precise relations between autism characteristics and anxiety symptoms remain unclear in this population. Previous work has explored associations at the domain level, which involve examining broad categories or clusters of symptoms, rather than the relationships between specific symptoms and/or individual characteristics. We addressed this gap by taking a network approach to understand the shared structure of autism characteristics and anxiety symptoms.</p><p><strong>Method: </strong>Data were pooled from five studies from Canada, Singapore, the UK, and the USA, totaling 623 autistic children (17% female sex; aged 6-18 years), for whom the parent-report Spence Children's Anxiety Scale (SCAS-P) was available. We derived two undirected regularized networks, first from the SCAS-P items only, and then by adding autism characteristics pertaining to social communication, highly focused and repetitive behavior, and sensory hypersensitivity. From these models' metrics, we extracted nodes' predictability, key bridging nodes, and community detection.</p><p><strong>Results: </strong>The anxiety-only network was highly connected and consisted of four key clusters: General Anxiety, Social Anxiety, Separation Anxiety, and Panic/Agoraphobia. These broadly aligned with the existing SCAS-P structure based on DSM-IV-TR criteria. In the autism-anxiety network, the structure of anxiety remained mostly stable, with autism features forming their own community. Preference for predictability (i.e., sameness) and sensory hypersensitivity were key nodes that linked autistic features and anxiety symptoms, primarily through generalized anxiety.</p><p><strong>Conclusion: </strong>This study identified some of the key characteristics that bridge the broadly independent structures of autism characteristics and anxiety symptoms. The findings are discussed in the context of guiding the assessment, prevention, and treatment of anxiety in autism.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976138","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":"Preterm birth, bullying victimization, and mental health in adulthood: A prospective cohort study in Germany.","authors":"Yanyan Ni, Nicole Tsalacopoulos, Peter Bartmann, Dieter Wolke","doi":"10.1111/camh.70025","DOIUrl":"https://doi.org/10.1111/camh.70025","url":null,"abstract":"<p><strong>Background: </strong>To examine the moderating and mediating roles of bullying victimization in the association between preterm birth and mental health in adulthood.</p><p><strong>Method: </strong>As part of a prospective geographically defined longitudinal study in Germany, 260 adults born very preterm (<32 weeks of gestation) and/or with very low birth weight (birth weight < 1500 g; VP/VLBW) and 229 term-born controls were assessed at the 26-year follow-up. Bullying victimization was reported by parents at 8 and 13 years. At age 26, internalizing symptoms were reported via questionnaire by both participants and parents, and diagnoses for mood and anxiety disorders were obtained via structured interviews. Associations were analyzed using adjusted negative binomial regression and robust Poisson regression models.</p><p><strong>Results: </strong>We found associations of VP/VLBW birth with internalizing problems in adulthood (adjusted incidence rate ratio (IRR) range: 1.43-2.02). Across both preterm and term-born groups, being bullied, in particular, chronically (more than one time point) was associated with increased internalizing symptoms (adjusted IRR range: 1.27-1.69). Across both groups, bullying victimization at two time points was also associated with increased risk of mood disorders (adjusted IRR 2.08, 95% CI 1.27-3.42). Bullying victimization mediated 15.8% of the effects of VP/VLBW birth on self-reported internalizing symptoms and 8.5% on parent-reported internalizing symptoms. Bullying victimization did not moderate the associations between VP/VLBW birth and mental health outcomes in adulthood.</p><p><strong>Conclusions: </strong>Our findings suggest that being bullied may have adverse effects on mental health in both VP/VLBW and term-born children that last into adulthood. The association between VP/VLBW birth and internalizing symptoms was partly mediated by bullying victimization in childhood and adolescence.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800737","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 overpathologising young people's mental health? Research shows otherwise – mental health conditions are not being recognised or diagnosed in healthcare settings","authors":"Kapil Sayal,&nbsp;Rachel Hiller","doi":"10.1111/camh.70019","DOIUrl":"10.1111/camh.70019","url":null,"abstract":"<p>Over recent years, there have been increasing societal, political and media concerns in relation to the ‘over-diagnosis’ and ‘self-diagnosis’ of common mental health conditions or emotional disorders, such as depression and anxiety. Using two large research projects as illustrative examples, we highlight that there is a mismatch between concern about ‘over-pathologising’ young people's mental health and the recognition and diagnosis of emotional mental health conditions in health and care settings. Concerns around labelling risks us losing a shared understanding and language around mental health and mental health care, within services, between sectors, and for young people and families.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 3","pages":"305-307"},"PeriodicalIF":5.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762093","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":"Commentary: Safeguarding youth in the smartphone era: rethinking evidence for action – a commentary on Lai et al. (2025)","authors":"Lisa Henderson,&nbsp;Emma Sullivan","doi":"10.1111/camh.70018","DOIUrl":"10.1111/camh.70018","url":null,"abstract":"<p>Smartphones – used for accessing social media, gaming and peer interaction – account for the majority of screen time among children and adolescents, with many exceeding 5 h of daily use. Despite growing concern over negative impacts, action to safeguard our children from the potentially damaging effects has been slow, with concern dismissed as ‘moral panic’ in the absence of definitive causal evidence. Obtaining causal evidence is fraught with methodological challenges, exemplified by Lai and colleagues' timely synthesis of school-based interventions to reduce screen time. Such approaches (e.g. self-guided strategies/educational interventions) provide limited evidence of behaviour change and, unsurprisingly, effects rarely transfer to critical outcomes such as well-being and academic performance. Alongside gathering robust theory-driven causal evidence that can lead to strategies for promoting healthy digital behaviours, these findings reinforce the need to draw on multiple strands of evidence to inform policy. A multi-sector approach – spanning education, health and home – co-designed with young people is essential to fostering a healthier digital future.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 3","pages":"281-284"},"PeriodicalIF":5.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745666","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":"A large multinational study of irritability in adolescents.","authors":"Jamilah Silver, Ellen Leibenluft, Wan-Ling Tseng, Daniel N Klein, Pablo Vidal-Ribas, Reut Naim, Praveetha Patalay, Eoin McElroy, Argyris Stringaris","doi":"10.1111/camh.70008","DOIUrl":"https://doi.org/10.1111/camh.70008","url":null,"abstract":"<p><strong>Background: </strong>While irritability is associated with poor psychosocial functioning and high use of mental health services, research in this area has predominantly focused on the US and the UK, leaving a significant gap in our understanding of its presentation among adolescents globally. This study explores cross-national aspects of adolescent irritability using self-report data, examining gender differences and associations with mental health symptoms, bullying, life satisfaction, and socioeconomic status.</p><p><strong>Method: </strong>We utilized linear mixed-effects models to examine data from the Programme for International Student Assessment, analyzing a large sample (n = 56,324, 50.5% females) from nine countries: Bulgaria, Georgia, China, Ireland, Mexico, Panama, Serbia, Spain, and the United Arab Emirates. Adolescents' mean age was 15.81 years (SD: 0.29, range: 15.25-16.33).</p><p><strong>Results: </strong>Irritability showed little variation across countries, with ~30.3% to 44.9% reporting 'rarely or never', ~10% reported daily irritability, and over 30% reporting irritability weekly. Females reported higher irritability than males (b = -0.46). Positive correlations were found between irritability and symptoms of depression. Associations with life satisfaction and bullying varied by country, with negative links in China and the United Arab Emirates, and stronger bullying links in China and Bulgaria. No significant associations were found with socioeconomic status.</p><p><strong>Conclusions: </strong>We find consistency of adolescent irritability in nine large samples across diverse countries. Variations in the relationships between irritability, bullying, and life satisfaction underscore the influence of country-specific factors. These findings stress the importance of global mental health initiatives to address adolescent irritability effectively.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745665","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: Industry collaboration: A call for ‘industry literacy’ – a commentary on Bourgaize et al. (2025)","authors":"Bernadka Dubicka,&nbsp;Richard Graham,&nbsp;Harriet Over,&nbsp;Lewis W. Paton,&nbsp;Thees Spreckelsen,&nbsp;Paul A. Tiffin,&nbsp;Heather Wardle,&nbsp;David Zendle","doi":"10.1111/camh.70017","DOIUrl":"10.1111/camh.70017","url":null,"abstract":"<p>In response to the article by Bourgaize et al. (<i>Child and Adolescent Mental Health</i>, 2025) on academic collaborations with technology companies, we argue that we need to move beyond guidance for individual researchers; instead, there is an urgent need to develop a research infrastructure, to manage the risks of collaborating with corporations whose profits rely on the very products under investigation. Institutional transparency is essential as well as consideration of the wider ecosystem regarding conflicts of interest. Much can be learned from historical examples of ‘corporate playbook’ techniques, such as the gambling and tobacco industries. Specialist ethical oversight is urgently needed, which considers broader questions around commercial influence, and minimum open science standards should be mandated by research institutions, in order to preserve public trust in science. An overarching national center of expertise is needed to develop guidance, together with legislation to enforce data sharing for independent research. Lastly, we suggest detailed questions should be asked about who may have the most to lose and the most to gain from a collaboration; academics should equip themselves not just with digital literacy, but also with ‘industry literacy’ to navigate this complex relationship.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"30 3","pages":"285-288"},"PeriodicalIF":5.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734925","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":"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,&nbsp;Georgia Dagher,&nbsp;Ben O'Loughlin","doi":"10.1111/camh.70020","DOIUrl":"10.1111/camh.70020","url":null,"abstract":"<p>We respond to articles in the <i>Child and Adolescent Mental Health</i> 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":"30 3","pages":"289-291"},"PeriodicalIF":5.0,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70020","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}