Child and Adolescent Mental Health最新文献

{"title":"Editorial: Technology is in our ecology","authors":"Jane Gilmour","doi":"10.1111/camh.70115","DOIUrl":"10.1111/camh.70115","url":null,"abstract":"<p>This editorial explores young people's experiences with technology (AI, chatbots, social media, wearable devices and medical technology) using Ecological Systems Theory. The framework describes the bidirectional relationships between young people, organizations, symbols and key individuals in a variety of environments. The editorial argues that theory must evolve to integrate technologies into existing models to remain relevant to contemporary child and adolescent development.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"173-175"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551119","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":"Clinical research updates","authors":"Marinos Kyriakopoulos,&nbsp;Vasileia Liakou,&nbsp;Lydia-Dimitra Stavropoulou,&nbsp;Odysseus Malafouris","doi":"10.1111/camh.70111","DOIUrl":"10.1111/camh.70111","url":null,"abstract":"&lt;p&gt;Vasileia Liakou&lt;/p&gt;&lt;p&gt;National and Kapodistrian University of Athens&lt;/p&gt;&lt;p&gt;Disorganized attachment constitutes a significant risk factor for the development of psychopathology, low social competence, and difficulties in school adjustment. Given that its assessment in infants younger than 11 months is not reliable, the identification of predictive factors earlier in development is paramount.&lt;/p&gt;&lt;p&gt;Stuart et al. (2026) investigated two such factors, namely infant social withdrawal and maternal postpartum depression, in a sample of 203 Danish mother–infant dyads. The aim of the study was to examine whether maternal postpartum depressive symptoms and infant social withdrawal, as assessed when the infants were 2–11 months old, were associated with disorganized attachment at 11–20 months of age. As part of a broader study on infant mental health in Denmark, health visitors assessed mothers and infants and depending on their scores, referred them to the study, after the evaluation by a psychologist. When the infants were 11–20 months old, attachment in the mother–child relationship was investigated. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess postpartum depression, and the Alarm Distress Baby Scale (ADBB) was used to assess infant social withdrawal. The Strange Situation Procedure (SSP) experimental tool was used to examine attachment quality across eight short episodes, with scores ranging from 1 to 9. Scores above 5 were considered indicative of disorganized attachment. Statistical analyses of the variables were conducted using &lt;i&gt;R&lt;/i&gt; software with &lt;i&gt;p&lt;/i&gt; = .05, while the influence of potential confounding factors was also examined.&lt;/p&gt;&lt;p&gt;The study found that boys were more likely to exhibit disorganized attachment. Maternal EPDS scores were not significantly associated with disorganized attachment; however, compared with infants exhibiting secure and organized attachment, infants displaying social withdrawal were 1.21 times more likely to exhibit disorganized attachment. The lack of association found with maternal depressive symptoms may be due to limited variability of symptoms in the sample and the support available to participants. The relationship between social withdrawal and attachment may be explained through the pathways of ‘threat conflict’ and ‘ambiguity of the secure base’, according to Bowlby. Such experiences may lead infants to develop a generalized pattern of dysregulation, where withdrawal functions as a strategy for regulating intense emotions.&lt;/p&gt;&lt;p&gt;Limitations of the current study include the examination of an at-risk population, the relatively small sample size, and the fact that some mothers received a parenting intervention which could have influenced attachment. Overall, this study is the first to provide empirical support that persistent social withdrawal in infants is associated with disorganized attachment, opening the way for more systematic and longitudinal investigations of the relationship b","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"256-258"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457544","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":"Review: Adolescents' perspectives on and experiences with post-primary school-based suicide prevention as end-users, co-creators and peer helpers – a systematic review meta-ethnography","authors":"Eibhlin H. Walsh,&nbsp;Laura Hemming,&nbsp;Matthew P. Herring,&nbsp;Jennifer McMahon","doi":"10.1111/camh.70043","DOIUrl":"10.1111/camh.70043","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Suicide is the fourth leading cause of death in adolescents globally. Post-primary school-based suicide prevention (PSSP) interventions are an evidence-based suicide prevention strategy. However, adolescents' experiences with PSSP interventions are not well understood but are arguably critical to ensuring PSSP interventions have their intended impacts on adolescent mental health. No known review synthesising adolescents' PSSP intervention experiences exists. The objective of the meta-ethnography review is to explore the perspectives and experiences of adolescents engaging with PSSP interventions, as participants/end-users, intervention advisors, facilitators, co-designers and co-researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A peer-reviewed meta-ethnography protocol has been published. The meta-ethnographic approach followed Noblit and Hare's seven-stage process for conducting meta-ethnography and adhered to the eMERGe reporting and the PRISMA statement guidelines. Searches of nine databases identified journal articles and dissertations. Study quality appraisal was undertaken in duplicate using the CASP checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen journal articles and dissertations were retained for analysis. Adolescents were engaged in PSSP interventions as end-users, co-creators and peer helpers. Reciprocal translations and lines of argument (LOA) synthesis reveal the importance of the following aspects of engaging with PSSP interventions: (1) <i>how</i> adolescents were engaged; (2) trust in facilitators, peers, school personnel and schools; and (3) personal experience sharing for connection and engagement. Our findings demonstrate the intersection between school contexts and adolescents' experiences with PSSP interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To our knowledge, this is the first review to synthesise qualitative findings of adolescents' experiences with engaging with PSSP interventions. Understanding and harnessing adolescents' perspectives is key for enhancing PSSP intervention effectiveness and implementation. Our findings are relevant to broader health-related fields and practice, particularly given the increasing calls for youth voice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"217-228"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460252","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":"Letter to the Editor: Are young people overpathologising their own mental health? We need empirical research","authors":"Isaac L. Ahuvia","doi":"10.1111/camh.70049","DOIUrl":"10.1111/camh.70049","url":null,"abstract":"<p>The journal's recent debate series (‘are we overpathologising young people's mental health?’) featured compelling articles regarding the pathologisation of emotional distress in young people. Much of the concern over overpathologising is that young people are overpathologising <i>their own</i> mental health (i.e. identifying as having mental illnesses when they are actually experiencing normative, non-clinical levels of emotional distress; Foulkes &amp; Andrews, <i>New Ideas Psychol</i>., <i>69</i>, 2023, 101010). I wish to briefly share a relevant finding from a recent study (on mental illness self-labelling in late adolescence) and highlight ways that new empirical work can move this debate forward.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"254-255"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514654","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: Conversational AI and young people's mental health—friend or foe? A case for designing conversational AI as a bridge to youth mental health support","authors":"Jessica L. Schleider,&nbsp;Rob Morris","doi":"10.1111/camh.70105","DOIUrl":"10.1111/camh.70105","url":null,"abstract":"<p>Conversational AI is now deeply embedded in adolescents' mental health help-seeking and emotional lives, creating both risks and a rare population health opportunity. This debate piece argues that the key question for researchers and implementers to consider is no longer <i>whether</i> adolescents should use general-purpose chatbots for mental health support, but rather <i>how</i> scientists, regulators, and technology companies should shape these systems to reduce harm and promote constructive action. At present, built-in chatbot responses to user expressions of distress often emphasize detection, refusal, or crisis referral, strategies that may protect developers but can fail to meet adolescents' immediate needs. At the same time, open-ended, pseudo-therapeutic interactions with untested agents can reinforce risk, dependency, and inaccurate or harmful beliefs about mental health and help-seeking. We propose that general-purpose conversational AI platforms are well-positioned to function as <i>bridges</i> to evidence-based support, rather than as replacements for formal therapy or treatment. Brief, bounded interventions, including digital single-session interventions, offer a promising model for responding to moments of need while preserving adolescent agency. Ethical AI design should prioritize safeguards, empirical testing, and pathways to evidence-based care.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"229-231"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370606","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: Conversational AI and young people's mental health – friend or foe? – the illusion of a safe space for youth mental health","authors":"Allan Yao,&nbsp;Katelyn A. Teng,&nbsp;Angela Peng,&nbsp;Julie M. Robillard","doi":"10.1111/camh.70107","DOIUrl":"10.1111/camh.70107","url":null,"abstract":"<p>Artificially intelligent (AI) chatbots are increasingly used for mental health support, yet their safety guidelines and ethical structures remain unclear, particularly for youth populations. We put forward that many AI-based mental health chatbots create the illusion of a safe and accessible therapeutic space. Drawing on observations from 117 publicly available applications, we contend that claims of full accessibility and confidentiality are countered by both explicit and at times implicit requirements to fully engage with the chatbot, including entering personal information, agreeing to extensive data sharing, and making payments. Applications often overstate the professional expertise and therapeutic outcomes delivered, potentially misleading users to overestimate application capabilities. With the growing popularity of AI chatbots among youth, it is essential to raise awareness about how they create the illusion of a safe space and empower users to make safe and informed decisions about their use.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"232-234"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406533","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?: Are today's young people really less resilient or have we created systems that strip away the experiences resilience needs to grow?","authors":"Lucy Bowes","doi":"10.1111/camh.70103","DOIUrl":"10.1111/camh.70103","url":null,"abstract":"<p>Children and young people's mental health appears to be worsening, despite marked declines in many forms of severe adversity over recent decades. This article argues that young people's distress and withdrawal from society are understandable responses to an environment that is simultaneously over-protective in some respects and chronically threatening in others. It calls for more systemic thinking in how we support children, expanding opportunities for face and overcome manageable challenges, while acknowledging the very real structural stressors shaping their lives.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"241-243"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457553","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: Conversational AI and young people's mental health – friend or foe? – conversational AI and young people's mental health: the case for clinically informed design","authors":"Guido A. Entenberg","doi":"10.1111/camh.70114","DOIUrl":"10.1111/camh.70114","url":null,"abstract":"<p>Conversational AI is increasingly being used by young people for emotional support, advice and conversations about personal concerns. Emerging evidence suggests that these systems may offer mental health benefits, particularly for depressive symptoms, while also raising concerns about dependency, relational dynamics, safety and therapeutic precision. This debate article argues that the central question is not whether conversational AI should be viewed as beneficial or harmful, or as therapeutic or nontherapeutic. Rather, its impact on young people's mental health may depend substantially on how these systems are designed. As the boundaries between clinically oriented and general-purpose conversational agents become increasingly blurred, design decisions concerning relational style, responses to distress, risk management, transparency and human oversight take on growing importance. These decisions are clinical and developmental as much as technical. The article argues that mental health expertise has an important role to play in shaping, evaluating and governing conversational AI systems, particularly as they become more embedded in the everyday lives of young people.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"238-240"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473888","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 of Fitbit measured physical activity and sedentary behavior with mental health in U.S. youth: a quantile regression analysis","authors":"Li Niu,&nbsp;Jiayi Ji,&nbsp;Donglan Zhang,&nbsp;Lihua Li,&nbsp;Mi Xiang,&nbsp;Yan Li","doi":"10.1111/camh.70074","DOIUrl":"10.1111/camh.70074","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Physical activity and sedentary behavior are associated with adolescent mental health. However, prior studies have not assessed whether these associations differ across varying levels of mental health severity. This study uses objectively measured physical activity and sedentary behavior to examine their associations with adolescent mental health and to determine how these associations vary across the distribution of mental health symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This longitudinal prospective study examined data from the Adolescent Brain Cognitive Development (ABCD) Study, a large cohort of children and adolescents recruited from 21 study sites in the United States. This analysis included 5640 participants whose physical activity and sedentary behavior data were recorded using Fitbit wearable devices when aged 11–12 years. Outcomes were internalizing and externalizing symptoms assessed a year later by the caregiver using the Child Behavior Checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>More daily steps (<i>b</i> = −0.43, 95% CI [−0.58, −0.29]), longer moderate-to-vigorous physical activity (MVPA) (<i>b</i> = −0.34, 95% CI [−0.47, −0.22]) and less sedentary time (<i>b</i> = 0.32, 95% CI [0.15, 0.48]) were each associated with fewer internalizing symptoms a year later. The associations were stronger for youth at higher internalizing symptom quantiles. Limited or no effects were found for externalizing symptoms. Sex differences were also observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Objectively measured daily steps, MVPA, and sedentary behavior are prospectively associated with adolescent internalizing symptoms. The associations differ substantially among adolescents with varying levels of symptom severity and between sexes. Findings may inform targeted physical activity interventions to enhance adolescent mental health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"208-216"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158994","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: AI-driven tools in children's mental healthcare: perspectives from young people and parents","authors":"Zoë Firth,&nbsp;Christine Aicardi,&nbsp;Stephen Oram,&nbsp;Nicholas Cummins,&nbsp;Alice Wickersham,&nbsp;Helen L. Fisher,&nbsp;Johnny Downs","doi":"10.1111/camh.70045","DOIUrl":"10.1111/camh.70045","url":null,"abstract":"<p>Artificial intelligence may be able to improve the efficiency, accuracy and predictiveness of mental health assessments, and public perspectives are crucial to ensuring these tools are implemented with fairness and accountability. We developed an artificial intelligence-driven tool to automatically analyse parents' speech data, which if successful could be implemented in children and young people's mental health assessments. To engage stakeholders with this project, we worked with a science fiction writer to produce two stories about possible futures of our tool, which we discussed in workshops with young people and parents. Here, we summarise key themes arising from this novel method of engaging the public in mental health research, and highlight considerations for clinicians and researchers creating novel technologies for children and young people's mental healthcare.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 3","pages":"244-247"},"PeriodicalIF":4.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507959","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}