Child and Adolescent Mental Health最新文献

{"title":"Under the radar: a longitudinal exploration of mental health among children and adolescents experiencing parental and caregiver death during the COVID-19 pandemic in South Africa.","authors":"Kathryn Steventon Roberts, Christina A Laurenzi, Tatenda Mawoyo, Stefani Du Toit, Mark Tomlinson, Lucie Cluver, Lorraine Sherr","doi":"10.1111/camh.70072","DOIUrl":"https://doi.org/10.1111/camh.70072","url":null,"abstract":"<p><strong>Background: </strong>Death of a caregiver during childhood can have profound influences on child wellbeing and later trajectories. Globally, child and adolescent mental health is an increasing area of concern with widespread negative implications. These data provide the first comprehensive exploration of the mental health of children experiencing COVID-19-associated orphanhood over time, as well as risk and protective factors for their mental health.</p><p><strong>Methods: </strong>Data are drawn from a longitudinal cohort study of children and adolescents (9-18 years) residing in South Africa who had experienced COVID-19-associated parent or caregiver death (n = 211), and a control group (no loss; n = 210). Mental health data were gathered at two timepoints utilising validated instruments. Data are stratified according to orphanhood status and biological sex. Mixed-effect regression modelling is undertaken-identifying associations between sociodemographic predictors and mental health status.</p><p><strong>Results: </strong>Among those experiencing orphanhood, prevalence of poor mental health increased between baseline and follow-up, indicating greater mental health burden over time compared to the control group. Females experiencing orphanhood reported a higher prevalence of poor mental health, a finding that persisted over time. Identified probable risk factors for likely mental disorder include older age (OR: 1.15 [95% CI: 1.03-1.28]), food insecurity (OR: 2.91 [95% CI: 1.07-7.92]) and exposure to domestic violence (OR: 1.74 [95% CI: 1.03-2.93]). Increased access to necessities (OR: 0.83 [95% CI: 0.71-0.97]) was identified as a protective factor for mental health.</p><p><strong>Conclusion: </strong>This is the first longitudinal investigation of mental health in the context of COVID-related orphanhood. In measuring both prevalence and intensity of mental health symptoms, we identified multiple factors relating to poor mental health including living in poverty and experiencing early adversities alongside loss. Females experiencing orphanhood were at an increased risk of poor mental health. Tailoring existing mental health provision for children and adolescents within low- and middle-income countries may be required. Policy and programming focusing on poverty and violence alleviation may be of benefit.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165341","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: Do smartphone bans improve adolescent mental health? Limitations of cross-sectional evidence.","authors":"Ju Ryoung Moon","doi":"10.1111/camh.70097","DOIUrl":"https://doi.org/10.1111/camh.70097","url":null,"abstract":"<p><p>The growing concern about the impact of smartphone use on adolescent mental health has led to increasing policy interest in school-based smartphone bans. A recent cross-sectional study by Sullivan and colleagues, examining digital safeguarding incidents in schools with and without smartphone restriction policies, contributes to this debate. However, caution is needed when interpreting these findings as evidence of mental health benefits. Cross-sectional designs inherently limit causal inference, as schools adopting smartphone restrictions may differ systematically in institutional resources, monitoring practices, and student populations. Higher reported safeguarding incidents in schools with restrictions may therefore reflect greater detection sensitivity rather than increased underlying harm. Furthermore, digital safeguarding incidents are not direct indicators of psychological well-being, but are shaped by reporting practices and institutional thresholds. Population-level research suggests that associations between smartphone use and mental health are modest and context-dependent. While school-based restrictions may reduce in-school phone use, there is little evidence that they reduce overall screen time or improve mental health outcomes. Future longitudinal and quasi-experimental studies directly assessing psychological outcomes are needed. Until such evidence is available, caution is warranted in promoting smartphone restriction policies as effective mental health interventions.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165251","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":"Letters to the Editor: Request for Clarification on Methods and Interpretation: Comment on Shaughnessy et al. (2025).","authors":"Philip Lewis","doi":"10.1111/camh.70096","DOIUrl":"https://doi.org/10.1111/camh.70096","url":null,"abstract":"<p><p>Green, blue, and gray spaces and associations with mental health are important, also when considering the One Health approach and given the increasing prevalence of mental health problems worldwide. In a journal club seminar for students of the Environmental Medicine module of the interdisciplinary International Masters in Environmental Science (IMES) program at the University of Cologne, several points of context, correction, interpretation, and extension of findings are identified from the study 'Longitudinal effects of green, blue, and gray spaces on early adolescent mental health in the United States'. These points correspond to key elements of environmental epidemiology; namely, study population, exposure, outcomes, and interpretation of findings. This letter highlights where interpretation and communication of study context and results can be improved to facilitate comparisons with other studies.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989775","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: Co-occurring psychiatric disorders and symptomatology among children and adolescents with neurodevelopmental disorders - an umbrella review with individual study meta-analysis.","authors":"Kathryn Fortnum, Noah Erskine, John Cairney, Matthew Y W Kwan, Matthew Bourke","doi":"10.1111/camh.70093","DOIUrl":"https://doi.org/10.1111/camh.70093","url":null,"abstract":"<p><strong>Background: </strong>Neurodevelopmental disorders (NDDs), including attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), intellectual disability (ID), and specific learning disorders (SLD), frequently co-occur with psychiatric conditions (e.g. anxiety, depression). Although several reviews have attempted to summarise this evidence, reliable prevalence estimates remain limited. This umbrella review aimed to (a) determine the prevalence of co-occurring psychiatric conditions among children and adolescents with NDDs and (b) compare prevalence rates with neurotypical peers.</p><p><strong>Methods: </strong>An umbrella review and meta-analysis were conducted following PRISMA guidelines (PROSPERO CRD42023481585). Six databases were searched from inception to 18th February 2025. A total of 2342 systematic reviews were manually screened for inclusion. Systematic reviews were included if they reported the prevalence of mood, anxiety, fear-related, OCD or behavioural disorders in children aged 3-18 with a DSM-5-defined NDD. Pooled prevalence estimates were calculated using random-effects meta-analyses. Comparative prevalence rates were analysed where control groups-neurotypically developing children-were utilized.</p><p><strong>Results: </strong>Out of 2342 systematic reviews manually screened, 33 were included, which reported on 113 studies and 14,608 children with neurodevelopmental disorders (ADHD = 6234, ASD = 6257, ID = 1225, SLD = 892) included in the meta-analyses. Pooled current prevalence ranged 2.8-14.1% for depressive disorders, 0.8-48.5% for anxiety disorders and 3.4-47.3% for behavioural disorders. Children with NDDs were significantly more likely to experience these conditions than neurotypical peers (odds ratios from 2.86 to 14.77).</p><p><strong>Conclusion: </strong>Psychiatric comorbidities are highly prevalent in NDDs. Screening for co-occurring psychiatric conditions in NDDs is recommended.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787347","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":"“All that I've been through has made me who I am”: youth conceptualisations of personal recovery in mental health","authors":"Linda Anderson,&nbsp;Vicki C. Dallinger,&nbsp;Govind Krishnamoorthy,&nbsp;Carol du Plessis,&nbsp;Arun Pillai-Sasidharan,&nbsp;Alice Ayres,&nbsp;Lillian Waters,&nbsp;Yasmin Groom,&nbsp;Bronwyn Rees,&nbsp;Mike Slade,&nbsp;Jessica Gildersleeve,&nbsp;Lorelle Burton,&nbsp;Renee Ireland","doi":"10.1111/camh.70046","DOIUrl":"10.1111/camh.70046","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Youth is a transitional period from 15 to 24 years involving developmental milestones that may be adversely affected by mental health (MH) concerns. Clinical interventions tend to focus on the reduction or cure of illness-based psychiatric symptoms. However, national and international mental policy focuses on promoting well-being and self-management through personal recovery. The leading framework of personal recovery in adults is CHIME, an acronym used to denote five key processes – Connectedness, Hope, Identity, Meaning and Empowerment. The extent to which CHIME reflects the experience of personal recovery in youth is under-researched, yet the framework often underpins youth mental health services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The present study uses a qualitative methodology to analyse interviews with 16 youth referred for treatment. Interviews focused on the lived experiences of youth recovery and its alignment with the CHIME processes and were analysed using a hybrid inductive and deductive reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The CHIME framework was relevant to youth recovery in two ways: restoring what was perceived to be lost (restorative processes) and encouraging resilience (resilience processes). Adaptations to the CHIME framework for youth included an increased emphasis on the role of family and friends, support for grieving processes and support for identity formation during the recovery journey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>An adapted CHIME framework for youth can underpin targeted recovery-oriented care to support youth in moving towards emerging adulthood successfully while managing mental health concerns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"106-115"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649889","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?: No Pain, No Gain? Why articulating distress marks youth resilience","authors":"Levi van Dam","doi":"10.1111/camh.70086","DOIUrl":"10.1111/camh.70086","url":null,"abstract":"<p>Rising levels of anxiety and depression among children and adolescents are increasingly cited as evidence that today's youth are growing up in a world of unprecedented chaos and diminishing resilience. Yet, this interpretation rests on a fragile assumption: that greater expression of distress necessarily signals weaker coping. In this debate article, we argue the opposite. Drawing on long-term epidemiological trends, developmental theory, and recent evidence from the COVID-19 pandemic, we suggest that young people today may not be less resilient than previous generations, but more capable of recognizing, articulating, and responding to emotional strain. In this sense, the growing visibility of distress may mark not failure, but progress: a generation that has learned to give language to pain as part of adaptive development.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"137-139"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692455","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":"Editorial Perspective: Overdiagnosis of ADHD? Here we go again","authors":"Anita Thapar","doi":"10.1111/camh.70075","DOIUrl":"10.1111/camh.70075","url":null,"abstract":"<p>There is growing preoccupation with whether ADHD is overdiagnosed. That question has already been addressed for the United Kingdom in the recently published National Health Service (NHS)-England independent ADHD Taskforce Report. The administrative prevalence of ADHD in the United Kingdom is lower than the population rate. Regardless of prevalence or country, I argue why a focus purely on diagnosis is unhelpful and overly narrow. A diagnosis is helpful for clinical decision making but, on its own, has multiple limitations. I argue the case for why a needs-based, stepped care, holistic approach is preferable and provide evidence of what sorts of timely support are likely to be effective. The time has come for constructive rather than divisive dialogue on how best to help children and young people.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"153-155"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272844","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":"Narrative Matters: Young people with lived experience discuss I Swear","authors":"Jane Gilmour,&nbsp;Rayne Huggins","doi":"10.1111/camh.70082","DOIUrl":"10.1111/camh.70082","url":null,"abstract":"<p>Young people with lived experience of tics reflected on the recent film <i>I Swear</i>, a biography of John Davidson who grew up in the 1980s with Tourette syndrome. They considered the ways in which themes raised by the film connected with their own experiences. Their observations were discussed in the context of the Social Model of Disability and the Medical Model, illustrated by personal examples. The challenges of media representations and societal responses to tics in the recent past and in contemporary society were explored. They proposed that society and professionals must hold a position at the intersection of the Social Model of Disability and the Medical Model. The paper concluded with an urgent call for more extensive psychoeducation in the wider community to improve the quality of life for young people with tics.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"156-158"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464187","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":"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":"10.1111/camh.70004","url":null,"abstract":"<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":"31 2","pages":"159-161"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116025/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of an online-based psychosocial program for parents of children with neurodevelopmental disorders – a randomized controlled trial","authors":"Ana Pardo-Salamanca,&nbsp;Soledad Gómez,&nbsp;Cristina Santamarina,&nbsp;Gemma Pastor,&nbsp;Carmen Berenguer","doi":"10.1111/camh.70044","DOIUrl":"10.1111/camh.70044","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Neurodevelopmental disorders like autism and ADHD may disrupt family and child functioning. Although well-established psychosocial treatment programs exist, access to these interventions remains limited for many families. This randomized controlled trial (RCT) primarily evaluates the effectiveness of an online psychosocial program (INPSYD) in improving parental domains (stress, coping, and social support). The secondary aim is to assess its effects on children's domains, including behavior, executive functioning, sleep, and family dynamics.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study employed a two-arm, mixed-methods RCT design involving families of children diagnosed with autism or ADHD (mean age 9.28 ± 1.6; 81.1% males), (clinicaltrials.gov, NCT06303791). Participants were randomized to either the intervention group or the active control group (a structured, non-therapeutic intervention). Outcomes were collected at baseline (before randomization), at 12 weeks post-randomization, and at 6 months follow-up after randomization.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 82 participants were randomized in February 2024 (42 to the intervention group and 40 to the active control group). At post-intervention, participants in the intervention group scored statistically significantly better than those in the control group on measures of parenting stress (&lt;i&gt;p&lt;/i&gt; &lt; .01, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;&lt;/math&gt; = .29), coping skills (&lt;i&gt;p&lt;/i&gt; &lt; .01, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;&lt;/math&gt; = .24), and perceived social support (&lt;i&gt;p&lt;/i&gt; = .025, &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msubsup&gt;\u0000 &lt;mi&gt;η&lt;/mi&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msubsup&gt;\u0000 &lt;/mrow&gt;&lt;/math&gt; = .10). Between-group comparisons also revealed statistically significant differences favoring the intervention group in child social functioning, executive functioning, and family dynamics. No statistically significant between-group differences were found for sleep problems or learning behavior. These between-group effects were maintained at the follow","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"31 2","pages":"96-105"},"PeriodicalIF":5.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453871","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}