Child and Adolescent Mental Health最新文献

{"title":"Review: Memory bias in adolescents with depression - a systematic review and meta-analysis.","authors":"Anett Schumacher, Susan C Campisi, Kimberley C Tsujimoto, Carly Albaum, Jasmine Amini, Eden A Kinzel, Tricia S Williams, Daphne J Korczak","doi":"10.1111/camh.70117","DOIUrl":"https://doi.org/10.1111/camh.70117","url":null,"abstract":"<p><strong>Background: </strong>Memory bias, the tendency to retrieve specific memories, is an established phenomenon in adults with depression. However, evidence on the link between depression and memory bias in children is mixed. This systematic review aimed to synthesize current knowledge examining memory bias and depression in children and adolescents.</p><p><strong>Methods: </strong>Systematic searches were conducted in February 2025 in six databases (MEDLINE, Embase, APA PsycINFO, CINAHL Plus, Child Development & Adolescent Studies, Scopus). Studies measuring memory bias for autobiographical memory, emotional faces, words, and pictures in children and adolescents (≤18 years) with depression were included. Included studies were peer-reviewed and of cross-sectional or longitudinal design. Random effects meta-analyses of study outcomes were performed. The Joanna Briggs Institute Critical Appraisal Tools assessed study quality.</p><p><strong>Results: </strong>Thirty-six studies, comprising 4293 adolescents (mean age 14.5 ± 1.3 years, age range: 12-17 years; 65% female), were included. Compared with controls, participants with depression exhibited better recall of overgeneral memories (g = 0.86; 95% CI: 0.42, 1.30) and poorer recognition of sad faces (g = -0.43; 95% CI: -0.79, -0.06) and neutral pictures (g = -0.48; 95% CI: -0.93, -0.03). No differences in recognition of happy, fearful, angry, or neutral faces, as well as emotional words or pictures, were observed.</p><p><strong>Conclusion: </strong>Associations between memory bias and depression in adolescents were observed, but were fewer compared to the more established literature association of memory bias and depression in adults. Increased recall of overgeneral memories may represent an isolated therapeutic target for adolescents with depression.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680765","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":"Risk of new-incident mental health diagnoses following SARS-CoV-2 infection amongst children and young adults in Singapore: a retrospective cohort study.","authors":"Liang En Wee, Jue Tao Lim, Janice Yu Jin Tan, Alex Jie Wei Yap, Calvin Chiew, Say How Ong, Choon Guan Lim, Daniel Shuen Sheng Fung, David Chien Lye, Kelvin Bryan Tan","doi":"10.1111/camh.70112","DOIUrl":"https://doi.org/10.1111/camh.70112","url":null,"abstract":"<p><strong>Background: </strong>Mental-health-disorders in children/young adults increased post-pandemic; however, the absence of linkage to COVID-19 registries made direct attribution of psychological sequelae to acute infection challenging.</p><p><strong>Methods: </strong>Healthcare-claims databases in Singapore were utilised to evaluate rates of new-incident mental-health-disorders in children/young adults aged 6-25 years from January 1st, 2012 to 29th February, 2024. Influence on monthly observed new-incident mental-health-disorders across various pandemic phases was modelled using negative binomial regression, accounting for seasonality and overall increasing trend (year). Separate linkage with the national COVID-19 database allowed construction of contemporaneous SARS-CoV-2-infected/test-negative cohorts. Cox regression, with overlap weights applied, was utilised to estimate risks of new-incident medically-diagnosed mental-health-disorders 31-300 days post-infection versus test-negatives.</p><p><strong>Results: </strong>Overall, there was no significant increase in risk for any new-incident medically-diagnosed mental-health-disorders (adjusted-hazards-ratio, aHR = 1.01 [95% CI = 0.90-1.12]) amongst SARS-CoV-2-infected children/young adults (N = 456,034) versus test-negatives (N = 482,588); with the sole exception that of stress/anxiety disorders (aHR = 1.20 [95% CI = 1.02-1.40]). Only infections during the pandemic-containment-phase were associated with significantly increased risk of stress/anxiety, but not during the pandemic-resiliency-phase when restrictions were lifted (pandemic-containment: aHR = 1.25 [95% CI = 1.02-1.54]; pandemic-resiliency: aHR = 1.15 [95% CI = 0.89-1.48]). Risk of stress/anxiety was elevated amongst COVID-19 cases with a concurrently-infected adult household contact. A 10% increase in new-incident mental-health-disorders was observed amongst Singaporean children/young adults during the pandemic-containment-phase, but this subsequently normalised in the pandemic-resiliency-phase.</p><p><strong>Conclusions: </strong>Increase in medically-diagnosed mental-health-disorders amongst Singaporean children/young adults at the height of pandemic restrictions did not persist into endemicity. Increased incidence of medically-diagnosed stress/anxiety post-COVID-19 in children/young adults at the pandemic height may be mediated by initial infection severity and concurrent household infection.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680735","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":"Longitudinal associations between school absence and mental health problems in adolescents in England: a retrospective cohort study using linked administrative data.","authors":"Sophie Epstein, Brian C F Ching, Alice Wickersham, Rina Dutta, Craig Morgan, Tamsin Ford, Richard D Hayes, Johnny Downs","doi":"10.1111/camh.70113","DOIUrl":"https://doi.org/10.1111/camh.70113","url":null,"abstract":"<p><strong>Background: </strong>School absence is associated with mental health problems in adolescents, but most studies are cross-sectional. Longitudinal studies where school absence precedes mental health problems are needed to infer whether school absence is associated with later mental health problems. We aimed to investigate the association between school absence among 14- to 15-year-olds and later mental health problems at ages 16-17 in England.</p><p><strong>Methods: </strong>A retrospective cohort study using an existing linkage between the Millennium Cohort Study (MCS) and the National Pupil Database (NPD), representing 8438 adolescents. We explored different absence thresholds and used logistic regression to examine associations between school absence and later mental health problems.</p><p><strong>Results: </strong>A threshold of >10% of half-day school sessions missed identified 18% of adolescents who reported mental health problems at follow-up. At this threshold, high school absence was associated with increased odds of later mental health problems after adjusting for covariates (girls = 1.44, 95% CI 1.05-1.98; boys OR = 1.49, 95% CI 1.04-2.13). The strength of associations between absence and later mental health problems increased with longer durations of absence.</p><p><strong>Conclusion: </strong>We found a longitudinal association between high levels of school absence (>10% of sessions) and later mental health problems in a nationally representative sample of adolescents in England. High levels of school absence can be used as an early marker of increased risk of mental health problems in the general population. School absence may contribute to the development of later mental health problems in adolescents.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473883","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":"Adolescents' self-diagnosis of mental disorders: a qualitative study of mental health clinicians' perspectives.","authors":"Katie Cunningham-Rowe, Lucy Foulkes","doi":"10.1111/camh.70102","DOIUrl":"https://doi.org/10.1111/camh.70102","url":null,"abstract":"<p><strong>Background: </strong>Concerns over self-diagnosis of mental disorders among adolescents have been increasing, but very little empirical research exists to understand what clinicians think about this phenomenon or how it might impact psychological therapy.</p><p><strong>Methods: </strong>Semi-structured one-to-one interviews were conducted with 16 mental health professionals, exploring their experiences with and attitudes towards self-diagnosis of mental disorders in adolescents. Reflexive thematic analysis was used to analyse the data.</p><p><strong>Results: </strong>Five themes were generated. The first two focused on factors contributing to the rise in self-diagnosis: (1) Self-diagnosis stems from an inherent need to be understood and (2) Access to diagnostic language has proliferated. The latter three focused on the impact of self-diagnosis on therapy: (3) Self-diagnosis is meaningful therapeutic material; (4) When adolescents feel validated, self-diagnosis often fades over time; and (5) Self-diagnosis becomes a barrier to change when it is inflexible.</p><p><strong>Conclusion: </strong>The study indicates that, in most cases, clinicians do not consider self-diagnosis as problematic and report it can sometimes help understand the adolescent's concerns. However, our study also supports concerns about harm to the individual when self-diagnosis is inflexible, and how self-diagnosis could be harmful on a population level if it trivialises psychiatric language and suffering. These findings suggest the need for careful management of self-diagnosis in clinical settings and addressing public discourse that promotes self-diagnosis.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457538","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: Internet-based cognitive behavioral therapy for children and adolescents with anxiety disorders - a meta-analysis of efficacy and impact of age and support.","authors":"Nikita Marie Sørensen, Helene Skaarnes, Kim Mathiasen, Lauren F McLellan, Mikael Thastum, Johanne Jeppesen Lomholt","doi":"10.1111/camh.70106","DOIUrl":"https://doi.org/10.1111/camh.70106","url":null,"abstract":"<p><strong>Background: </strong>Anxiety disorders are highly prevalent in childhood and adolescence, but access to treatment is limited. Internet-based cognitive behavioral therapy (ICBT) has been proposed as an effective treatment to increase accessibility to evidence-based treatment.</p><p><strong>Objective: </strong>This systematic review and meta-analysis aimed to investigate the efficacy of ICBT for children and adolescents with anxiety disorders and explore moderating effects of control conditions, age, parental involvement, and therapist support on treatment outcomes.</p><p><strong>Methods: </strong>Systematic searches were conducted in PsycInfo, PubMed, SCOPUS, Embase, and Web of Science to identify randomized controlled trials comparing ICBT with control conditions controlling for the effects of time or nonspecific effects of treatment. Studies should include children and adolescents aged 6-18 years with anxiety disorders.</p><p><strong>Results: </strong>The searches identified 1241 papers, of which 11 studies met the inclusion criteria. The adjusted pooled effect size estimate for the random-effects meta-analysis demonstrated a medium statistically significant effect in favor of ICBT over control conditions (g = 0.740, 95% CI 0.555-0.925). The overall quality of evidence (GRADE) was rated as low due to risk of bias and inconsistencies in reporting. No significant moderators of treatment effects were identified.</p><p><strong>Conclusion: </strong>This meta-analysis supports the use of ICBT as a treatment option for children and adolescents with anxiety disorders. Additionally, the results suggest that therapist support format may be a relevant treatment component to explore in future studies. However, all findings must be subjected to additional testing, and more high-quality studies including long-term follow-ups are needed to assess the effects of ICBT and clarify the impact of moderators.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438539","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: Paternal tobacco smoking and the risk of attention-deficit hyperactivity disorder in children - a systematic review and meta-analysis.","authors":"Berihun Dachew, Yitayish Damtie, Getinet Ayano, Rosa Alati","doi":"10.1111/camh.70101","DOIUrl":"https://doi.org/10.1111/camh.70101","url":null,"abstract":"<p><strong>Background: </strong>Evidence on the association between paternal smoking and attention-deficit hyperactivity disorder (ADHD) in offspring is inconsistent. We conducted a systematic review and meta-analysis to synthesise the available evidence.</p><p><strong>Methods: </strong>This meta-analysis was performed following the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. The review protocol was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO). Pooled odds ratios with 95% confidence intervals (CIs) were calculated using a random-effects meta-analysis. The heterogeneity among studies was assessed using the I² test. Publication bias and the presence of small study effects were evaluated using funnel plots and Egger's test. Sensitivity and subgroup analyses were also performed.</p><p><strong>Results: </strong>Twenty observational studies involving over 294,236 study participants from 16 different countries were included. We found that paternal smoking was associated with a 22% increased risk of ADHD in children (RR = 1.22, 95% CI: 1.12, 1.33). Our subgroup analysis revealed that this association was not evident among studies that accounted for maternal smoking (OR = 1.14, 95% CI: 0.98, 1.33), paternal alcohol use (OR = 1.02, 95% CI: 0.79, 1.33) and education (OR = 1.14, 95% CI: 0.98, 1.34).</p><p><strong>Conclusion: </strong>The observed association between paternal smoking and the increased risk of ADHD in children may be confounded by maternal smoking, paternal education and other shared familial and socioeconomic factors. Future studies should incorporate maternal-paternal comparisons to disentangle the independent and combined effects of parental smoking on ADHD risk in children, while more rigorously controlling for confounding.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413505","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":"GGOC-AD: a mHealth tool to challenge obsessive-compulsive related maladaptive beliefs in Spanish community adolescents: a randomized controlled trial.","authors":"Yuliya Saman, Belén Pascual-Vera, Ángel Carrasco, Marta Corberán, Odalis Merchán, Laura Carratalá-Ricart, Sandra Arnáez, Guy Doron, María Roncero, Gemma García-Soriano","doi":"10.1111/camh.70110","DOIUrl":"https://doi.org/10.1111/camh.70110","url":null,"abstract":"<p><strong>Background: </strong>Obsessive-compulsive related maladaptive beliefs play an essential role in the development and maintenance of obsessive-compulsive disorder (OCD). Nevertheless, there is a lack of accessible and widespread strategies capable of challenging such beliefs in the youth general population. This study aimed to assess the efficacy of a mobile health tool (GGOC-AD) in reducing maladaptive OCD beliefs and symptoms in Spanish community adolescents and explore its impact on emotional symptoms and self-esteem.</p><p><strong>Methods: </strong>A two-armed parallel randomized controlled trial (https://clinicaltrials.gov/study/NCT06033391) was carried out with 94 students (M_age = 15.09 (SD = 0.6) years; 69.1% girls). Participants either used GGOC-AD, a nonguided mobile intervention targeting maladaptive OCD beliefs (experimental group; n = 48), or GGN-AD, an active comparator with neutral content (control group, n = 46) over a 14-day period. Assessments were conducted at baseline (T1), immediately postintervention (T2), and 1 month later (T3). A mixed effects model for repeated measures (MMRM) was conducted to evaluate the effects on maladaptive OCD beliefs and symptoms, emotional symptoms, and self-esteem. The outcome was specified as the scores in both T2 and T3.</p><p><strong>Results: </strong>Completing GGOC-AD was associated with statistically significantly lower maladaptive beliefs related to responsibility and threat estimation (Estimate [SD] = 3.62 [1.47]; p = .014; d = 0.30), perfectionism and intolerance of uncertainty (Estimate [SD] = 3.07 [1.34]; p = .022; d = 0.24); and importance and need to control thoughts (Estimate [SD] = 4.34 [1.17]; p > .001; d = 0.48); and statistically significantly lower OCD symptoms (Estimate [SD] = 2.57[0.81]; p = .001; d = 0.34), compared to completing GGN-AD. No differences between groups were observed in emotional symptoms and self-esteem.</p><p><strong>Conclusion: </strong>GGOC-AD appears to be a promising tool for addressing OCD risk factors and enhancing adolescents' mental well-being.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406540","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 systematic review and meta-analysis of school-based interventions for PTSD and trauma-related symptoms: what effective elements they have in common?","authors":"Kirsten Rowlinson, Lucinda Grummitt, Isabelle Lynch, Chloe Conroy, Ivana Kihas, Erin Kelly, Emma L Barrett","doi":"10.1111/camh.70100","DOIUrl":"https://doi.org/10.1111/camh.70100","url":null,"abstract":"<p><strong>Background: </strong>Schools provide critical support for students exposed to traumatic experiences, with school-based trauma interventions demonstrating reductions in posttraumatic stress symptoms. However, heterogeneity in design, implementation, and efficacy of existing interventions makes it challenging to select suitable interventions and to understand which components of programs are effective. This review and meta-analysis identified school-based trauma interventions and evaluated the common and effective practice, process, and implementation elements of these programs.</p><p><strong>Methods: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis reporting guideline recommendations, a literature search was conducted using keywords of interest. Studies included controlled trials that described school-based interventions designed to reduce post-traumatic stress disorder (PTSD) symptoms in students. A frequency analysis of emerging elements was executed. A meta-analysis calculated the effect size of individual elements in reducing PTSD symptoms. This review was registered with PROSPERO (CRD42022337818).</p><p><strong>Results: </strong>Forty-five studies were included, with 46 datasets used for analysis. The pooled effect size was g = -0.97 (CI: -1.29, -0.65) for all studies, or g = -0.62 (CI: -0.87, -0.38) when removing outliers, indicating a medium-large effect of school-based programs in reducing PTSD symptoms. Common practice elements included psychoeducation, cognitive behavioural therapy, and coping skills. Common process elements included group therapy, 10-12 sessions, 30-60 min in length, 4-6 weeks duration, homework assignments, run by mental health professionals. Common implementation elements included supervision of facilitators, 3-5 days facilitator training, parental involvement, and the use of a manual.</p><p><strong>Conclusion: </strong>The identification of common and effective elements in reducing PTSD among students is critical for the implementation of existing interventions and the development of new interventions.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370655","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: Theory of mind, intolerance of uncertainty, and informant asymmetry: three extensions of the autism-anxiety network model - a response to Zaidman-Zait et al (2026).","authors":"Berkan Sahin","doi":"10.1111/camh.70099","DOIUrl":"https://doi.org/10.1111/camh.70099","url":null,"abstract":"<p><p>Zaidman-Zait et al. (Child and Adolescent Mental Health, 2025, 30, 327) present a rigorous network analysis of autism characteristics and anxiety symptoms in 623 autistic children across four countries, identifying preference for predictability and sensory hypersensitivity rather than social communication difficulties as the primary bridge nodes linking autistic features to anxiety. We offer three methodological and conceptual extensions. First, the unexpected weakness of the social communication-social anxiety connection may reflect the absence of theory of mind (ToM) and affective social cognition as network nodes: impaired affective ToM independently contributes to social anxiety in clinical adolescent samples and may mediate the social communication-anxiety pathway in ways that parent-reported social communication items cannot capture. Second, while preference for predictability and sensory hypersensitivity are identified as bridge nodes, their underlying mechanisms, intolerance of uncertainty and arousal dysregulation, are not explicitly modelled; including these as network variables would enable direct testing of their bridging function and identify specific intervention targets. Third, the exclusive reliance on parent-report data in a population in which anxiety masking is well documented introduces a systematic informant asymmetry that may distort the network structure. Multi-informant designs incorporating child self-report are essential for accurately mapping autism-anxiety co-occurrence.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220536","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: 'Key links between autistic characteristics and anxiety symptoms in autistic children and youth': a response to Lai et al. (2026).","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.70098","DOIUrl":"https://doi.org/10.1111/camh.70098","url":null,"abstract":"<p><p>This Response addresses methodological and conceptual issues raised in a Letter to the Editor concerning our recently published network analysis of autism characteristics and anxiety symptoms in autistic children and youth. We clarify concerns related to potential conceptual overlap between autistic characteristics and anxiety-related symptoms and address questions concerning the multinational nature of the dataset. We also summarize sensitivity and stability analyses showing that the identified bridge nodes are robust to variation in regularization parameters and operational definitions. Together, these clarifications support the interpretation of the reported network findings.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206786","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}