Child and Adolescent Mental Health最新文献

{"title":"Technology Matters: The ESSENCE of holistic neurodivergent identification in a digital age.","authors":"Guy Chadwick, Claire Davidson, Jason Lang, Sara Landberg, Stephen Koepplinger, Maryan Broadbent, Mike Fordham, Christopher Gillberg, Helen Minnis","doi":"10.1111/camh.70011","DOIUrl":"https://doi.org/10.1111/camh.70011","url":null,"abstract":"<p><p>There is growing recognition that neurodivergence encompasses overlapping and co-occurring neurodevelopmental traits rather than isolated diagnostic categories. However, clinical services often struggle to adopt holistic, needs-based assessments due to reliance on condition-specific pathways. This article introduces ESSENCE-D, a digital tool designed to support neurodevelopmental formulation by surveying traits across multiple neurotypes without a pre-defined diagnostic focus. ESSENCE-D generates visual profiles that help clinicians and families better understand an individual's strengths and needs, guiding multidisciplinary decision-making. Preliminary piloting suggests the tool is sensitive, user-friendly and could help streamline emerging holistic neurodevelopmental pathways. With ongoing clinical trials underway, ESSENCE-D represents a promising step towards aligning neurodevelopmental services with the principles of neurodiversity and improving care for neurodivergent individuals.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561729","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: Co-developing & evaluating digital support for young people with depression and anxiety, MoodHwb.","authors":"Rhys Bevan Jones","doi":"10.1111/camh.70004","DOIUrl":"https://doi.org/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":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: The wars within - uncomfortable truths about the bullying of girls in conflict-affected societies.","authors":"Mina Fazel","doi":"10.1111/camh.70006","DOIUrl":"https://doi.org/10.1111/camh.70006","url":null,"abstract":"<p><p>This commentary reflects on a timely and methodologically significant study by Silwal et al., which investigates bullying victimization among adolescents in conflict-affected Eastern Ukraine. Conducted in a context of fragility, social fragmentation, and resource scarcity, the study offers vital insights into how war and its aftermath shape adolescent experiences. It reveals higher rates of bullying in conflict-affected regions, with girls disproportionately targeted-an uncomfortable finding that challenges conventional gender patterns in bullying. Drawing on emerging evidence, the commentary considers the role of desensitization, emotional regulation, and digital exposure in shaping youth aggression. It also highlights the need to address the structural stressors facing adolescents in both post-conflict and post-migration contexts, particularly within disrupted school systems. In response, the commentary calls for integrated and context-responsive interventions that strengthen emotional and social competencies without reinforcing stigma. It further urges researchers and policymakers to acknowledge the politicized nature of post-migration violence discourse and to maintain commitment to nuanced and context-sensitive analysis. The findings underscore that bullying in such settings is a social indicator of wider systemic pressures-an expression of the hidden wars adolescents carry in their daily lives and into their schools.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545794","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 acceptability and effectiveness of standardised diagnostic assessment approaches in children and young people's mental health services - an updated systematic review.","authors":"Salah Basheer, Sue Fen Tan, Ranjitha David, Pallab Majumder, Kapil Sayal","doi":"10.1111/camh.70007","DOIUrl":"https://doi.org/10.1111/camh.70007","url":null,"abstract":"<p><strong>Background: </strong>Standardised diagnostic assessment (SDA) tools are designed to comprehensively evaluate various mental health disorders and support accurate diagnoses. While evidence for their routine use in child and adolescent mental health services (CAMHS) remains limited, increasing service demands underscore the need for efficient clinical assessments. This updated review examines the acceptability and clinical utility of SDA tools in CAMHS.</p><p><strong>Method: </strong>A systematic review of 464 studies published between January 2013 and February 2025 was conducted (PROSPERO: CRD42024494051). Ten studies met the inclusion criteria, comprising eight cross-sectional studies and two randomised controlled trials.</p><p><strong>Results: </strong>SDA tools reviewed included Development and Wellbeing Assessment (DAWBA), Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS). DAWBA improved referral decision accuracy, while both DAWBA and MINI-KID had acceptable agreements with expert consensus diagnoses. MINI-KID and KSADS were able to identify more cases than routine clinical assessments. However, DAWBA did not show effectiveness in changing diagnostic practice. Clinicians were favourable of SDA tools' psychometric properties but less favourable of diagnostic labels and feasibility in practice. Psychiatrists and psychologists were more likely than other healthcare professionals to use these tools in practice.</p><p><strong>Conclusions: </strong>This review highlights that while SDA tools may aid referral decisions, evidence supporting their overall effectiveness in CAMHS is lacking. Clinician concerns pose barriers to routine use, requiring further research before implementation.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509019","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: What are the hidden challenges in implementing Social Stories™ for autistic children?","authors":"Cai Ai Lai, Yanfang Huang, Guangliang Luo","doi":"10.1111/camh.70010","DOIUrl":"https://doi.org/10.1111/camh.70010","url":null,"abstract":"","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530684","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: A model for translating digital and data science innovations into Child and Adolescent Mental Health Services.","authors":"Alice Wickersham, William Bennett, Zoë Firth, Craig Colling, Jessica Penhallow, Johnny Downs","doi":"10.1111/camh.70003","DOIUrl":"https://doi.org/10.1111/camh.70003","url":null,"abstract":"<p><p>As digital mental health research and technology continue to grow, a systematic approach to quickly and safely translating digital innovation into Child and Adolescent Mental Health Services (CAMHS) is needed. Here, we provide an overview of the CAMHS Digital Lab, a service in London, United Kingdom, which integrates operational, clinical and research expertise to support digital discovery and translate research into practice. The service is organized into four workstreams: Population and clinical analytics; Data science and discovery; Digital therapeutics and assessment; and Education, outreach and training. This service provides a model for integrating digital innovation into mental health services which could be adopted elsewhere.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509020","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 childhood interactions with people of Black race/ethnicity and racial implicit association tasks in psychiatric providers in the United States - a cross-sectional study.","authors":"Victor J Avila-Quintero, Katie Malison, Miciah Wilkerson, José M Flores, Jerome H Taylor, Angeli Landeros-Weisenberger, Michael H Bloch, Amalia Londoño Tobón","doi":"10.1111/camh.70001","DOIUrl":"https://doi.org/10.1111/camh.70001","url":null,"abstract":"<p><strong>Background: </strong>We estimated associations between psychiatric providers' self-reported amount and valence of interaction with individuals of Black race/ethnicity during childhood and three implicit association tests (IATs) scores. Valence of interaction refers to the positive or negative nature of childhood interactions, capturing whether these interactions were reported as generally favorable or unfavorable.</p><p><strong>Methods: </strong>In a cross-sectional study, psychiatric providers and trainees reported the amount and valence of interaction with (1) individuals of Black race/ethnicity during childhood, (2) colleagues, and (3) patients of Black race/ethnicity during medical practice. Providers also completed three IATs pairing Black or White faces and terms about psychiatric diagnosis, compliance, and treatment. Linear and logistic regression models estimated relationships between IAT D-scores and ratings of interaction amount and valence with individuals of Black race/ethnicity.</p><p><strong>Results: </strong>Among 294 providers (medical students, residents, fellows, and board-certified psychiatrists), increased self-reported amount (β_{Δ Compliance} = -.08, p < .01 and β_{Δ Treatment} = -.09, p < .001) and valence (β_{Δ Compliance} = -.08, p < .01 and β_{Δ Treatment} = -.08, p < .01) of childhood interaction with individuals of Black race/ethnicity were significantly associated with lower D-scores on IAT tasks. In contrast, ratings of amount and valence of recent interaction with colleagues and patients of Black race/ethnicity were not statistically associated with IAT D-scores.</p><p><strong>Conclusions: </strong>While amount and valence of interaction between providers and individuals of Black race/ethnicity during childhood were associated with lower implicit association scores, recent interactions with colleagues and patients of Black race/ethnicity were not significantly associated with implicit associations. Emerging research suggest that lower IAT D-scores may be associated with more unbiased behaviors and decisions in clinical settings. Considering this, our findings suggest that early-life interactions with individuals of Black race/ethnicity may influence implicit biases in adulthood, with potential implications for reducing racial disparities in psychiatric care. However, further research is needed to confirm these relationships and fully understand their impact in clinical contexts.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509005","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: Where to next for universal school-based mental health interventions? Don't through the baby out with the bathwater.","authors":"Mark T Greenberg","doi":"10.1111/camh.70009","DOIUrl":"https://doi.org/10.1111/camh.70009","url":null,"abstract":"","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486779","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":"Short Research Article: Evaluation of an artificial intelligence language model in psychiatric patient education.","authors":"Aditya Sathe, Harish Chikanna","doi":"10.1111/camh.70000","DOIUrl":"https://doi.org/10.1111/camh.70000","url":null,"abstract":"<p><strong>Background: </strong>The incorporation of artificial intelligence (AI) and machine learning (ML) into medicine has enhanced clinical information processing. ChatGPT, an AI language model, has demonstrated proficiency in generating human-like responses to complex medical queries. This study explores ChatGPT's potential to instruct parents on behavioral parent training (BPT) for managing attention-deficit hyperactivity disorder (ADHD) in children.</p><p><strong>Methods: </strong>ChatGPT was prompted with three parent-focused questions regarding BPT for ADHD. An ADHD-specialized psychiatrist reviewed the model's responses to assess clarity, accuracy, and clinical relevance.</p><p><strong>Results: </strong>ChatGPT provided responses that were easy to understand and included actionable behavioral strategies. The answers referenced professional literature; however, some references were outdated. Limitations were noted in the specificity and depth of the information provided.</p><p><strong>Conclusion: </strong>AI tools like ChatGPT show promise as supplementary resources in patient education and caregiver support. While helpful, current limitations-particularly in depth and reference accuracy-indicate a need for refinement to maximize their effectiveness in clinical communication and patient management contexts.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486780","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: Does community cohesion matter everywhere? Further reflections on Brieant and Burt's rural-urban findings.","authors":"Xuehao Huang","doi":"10.1111/camh.70005","DOIUrl":"https://doi.org/10.1111/camh.70005","url":null,"abstract":"<p><strong>Objective: </strong>This Letter provides commentary on the recent study by Brieant and Burt (Child and Adolescent Mental Health, 30(2), 140-148), which explored the protective role of community cohesion in mitigating mental health problems among youth facing socioeconomic disadvantage across rural and urban contexts.</p><p><strong>Commentary: </strong>While commending the authors for their valuable contribution, I highlight methodological concerns regarding the rural subgroup's limited sample size, suggesting that marginal significance in rural contexts should be interpreted cautiously. I also discuss the possibility that protective effects on internalizing symptoms may emerge later in adolescence.</p><p><strong>Implications: </strong>Recommendations are provided for future research to incorporate more nuanced, context-sensitive measures of adversity relevant to rural settings. Finally, I emphasize the need for scalable and culturally informed community interventions and call for increased representation of rural populations in resilience research.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477590","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}