Frontiers in child and adolescent psychiatry最新文献

{"title":"Validation of the parent version of the inventory of school attendance problems (ISAP-P).","authors":"Martin Knollmann, Volker Reissner","doi":"10.3389/frcha.2025.1543527","DOIUrl":"10.3389/frcha.2025.1543527","url":null,"abstract":"<p><p>This study presents the validation of the parent version of the Inventory of School Attendance Problems (ISAP-P), which assesses a broad spectrum of symptoms associated with school attendance problems. A model with 49 items loading on 13 factors derived from the child version showed an acceptable fit (<i>N</i> = 296). Correlations with other measures indicated convergent and discriminant validity of the scales, but associations with the extent of school absences were not detected. Concordant scales of the child vs. parent version were correlated in the expected directions, but some scales showed low interrater agreement. Albeit these initial results support the validity of the ISAP parent version, further studies on its psychometric properties as well as on children's and parents diverging views on SAPs are needed.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1543527"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring adolescents' mental health in Kampala, Uganda in the context of COVID-19: a mixed methods study.","authors":"Gideon Mbithi, Ahmed Sarki, Adam Mabrouk, Rachel Odhiambo, Mary Namuguzi, Joseph Atukwatse, Margaret Kabue, Stephen Mulupi, Amina Abubakar","doi":"10.3389/frcha.2025.1419043","DOIUrl":"10.3389/frcha.2025.1419043","url":null,"abstract":"<p><strong>Background: </strong>Urban areas, particularly in developing nations like Uganda, face heightened risks due to poverty, unemployment, and environmental challenges, intensifying the vulnerability of urban youth to poor mental health. This study aims to determine the psychological well-being of adolescents and to assess the risks and associated factors of mental health problems among adolescents in the context of COVID-19 pandemic in Kampala City, Uganda.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey of 500 adolescents aged 13-19 years residing within the five divisions of Kampala City, Uganda. We utilized standardized psychological assessment tools including the Patient Health Questionnaire, Generalized Anxiety Scale, to assess severity of depression and anxiety levels among the adolescents. A logistic regression model was used to evaluate the correlates associated with depression and generalized anxiety disorders. Variables with a <i>p</i>-value <0.25 in the univariate model were included in the multivariable regression model. Subsequently, we conducted a qualitative study using semi-structured interview guides through focused group discussions, and key informant interviews with teachers, parents, representatives of civil society organizations, and religious leaders. Qualitative data were analyzed using a thematic analysis approach.</p><p><strong>Results: </strong>The prevalence of depression was relatively higher among out-of-school adolescents at 21.5% compared to school-going adolescents at 14.0%. Furthermore, out-of-school adolescents had significantly higher anxiety scores when compared to their school-going counterparts (17.5% vs. 10.3%) respectively. Key factors identified associated with poor mental health include loneliness, being out of school, COVID-19, and familial conflicts.</p><p><strong>Discussion: </strong>This study highlights the impact of the COVID-19 pandemic on the mental well-being of adolescents in Kampala, Uganda. The reported prevalence of depression and anxiety, particularly among out-of-school adolescents, underscores the urgent need for targeted interventions in this vulnerable population. Investing in the mental well-being of Ugandan adolescents is paramount for fostering resilience and ensuring long-term success, especially in marginalized urban settings.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1419043"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics of depressed children and adolescents with and without suicidal thoughts and behavior: a cross-sectional study.","authors":"I Häberling, M Preisig, S Emery, N Baumgartner, M Albermann, M Strumberger, K Schmeck, L Wöckel, S Erb, B Rhiner, B Contin, S Walitza, G Berger","doi":"10.3389/frcha.2025.1510961","DOIUrl":"10.3389/frcha.2025.1510961","url":null,"abstract":"<p><strong>Introduction: </strong>About half of all adolescents with major depressive disorder (MDD) have frequent suicidal thoughts and of those with suicidal ideations, about one-third attempt suicide. Identifying clinical characteristics associated with suicidal ideation and attempts is important for suicide prevention and clinical care.</p><p><strong>Methods: </strong>Participants were four groups of adolescents diagnosed with MDD (<i>n</i> = 246, 180 females): (a) non-suicidal youths (<i>n</i> = 76), (b) ideators (<i>n</i> = 102; current suicidal ideation), (c) ideator-attempters (<i>n</i> = 56; current suicidal ideation and lifetime history of suicide attempt), and (d) lifetime attempters (<i>n</i> = 12; no current suicidal ideation but lifetime history of suicide attempt). Adolescents underwent clinical interviews and completed questionnaires assessing sociodemographic and clinical variables. Multivariate analyses of variance, logistic regression models, mediation and moderation analyses were run to assess which variables were associated with group membership.</p><p><strong>Results: </strong>Suicidal ideators, irrespective of whether they had attempted suicide previously, had higher depression severity, higher anxiety and lower resilience compared to non-ideators. Hopelessness was associated with greater odds of being a suicidal ideator (<i>p</i> < .001, <i>OR</i> = 1.18) or an ideator-attempter (<i>p</i> = 0.036, <i>OR</i> = 1.13) than a non-suicidal youth. Attempter-ideators engaged more often in self-harm behavior compared to ideators (<i>p</i> = 0.046, <i>OR</i> = 1.13) and non-suicidal youths (<i>p</i> < .001, <i>OR</i> = 1.45). Ideator-attempters had experienced more childhood maltreatment, with hopelessness mediating the relationship between childhood maltreatment and suicidal ideation. Self-harm moderated the relationship between suicidal ideation and the probability of having made a suicide attempt.</p><p><strong>Limitations: </strong>Only cross-sectional data was included, and data was based mostly on self-report measures.</p><p><strong>Conclusions: </strong>Suicidal thoughts are associated with increases in hopelessness while suicide attempts are linked to non-suicidal self-harm behavior. Treatment of non-suicidal self-harm behavior might be an effective suicide prevention strategy in young people with depression.</p><p><strong>Clinical trial registration: </strong>www.ClinicalTrials.gov, identifier (NCT03167307).</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1510961"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the restorativeness of different hydrodynamic landscapes in world natural heritage sites.","authors":"Ping Zhang, Tongyao Zhang, Zexuan Chen, Qianyi He, Ke Luo, Jinpeng Li, Yanbin Yang, Qingjie Zhang, Xuan Wang, Limin Han, Mingze Chen, Fupei Zhao, Xiaoqing He, Saixin Cao, Xiaoqing Xu, Guangyu Wang, Xi Li","doi":"10.3389/frcha.2025.1506392","DOIUrl":"10.3389/frcha.2025.1506392","url":null,"abstract":"<p><p>Audiovisual environmental perception has been the focus of numerous empirical studies. This study employs virtual reality (VR) to explore how different hydrodynamic waterscapes in Jiuzhaigou World Natural Heritage Site affect physiological and psychological restoration in youth. According to the results, audiovisual interactions, particularly with water sounds and birdsongs, significantly enhance physiological restoration compared to visuals alone. High-intensity hydrodynamic landscapes, regardless of birdsongs, exhibit the highest physiological restoration. There is a linearly positive correlation between physiological restorativeness and hydrodynamic landscapes. Medium-intensity hydrodynamic landscapes with rich forms are most psychologically restorative. In low-medium-intensity settings, visuals contribute more to psychological restoration than soundscapes. It is further found that waterscapes rich in flora and fauna feature a higher level of biodiversity. In the waterscapes with both elements of vegetation and water, the restorativeness of plant and animal resources is greater than that of water. This work highlights the need to focus on the application of different hydrodynamic landscapes in urban areas and the conservation of World Heritage Sites.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1506392"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11860883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcranial photobiomodulation for reducing symptoms of autism spectrum disorder and modulating brain electrophysiology in children aged 2-7: an open label study.","authors":"Yuli Fradkin, Joaquin A Anguera, Alexander J Simon, Luis De Taboada, Eugenia Steingold","doi":"10.3389/frcha.2025.1477839","DOIUrl":"10.3389/frcha.2025.1477839","url":null,"abstract":"<p><strong>Background: </strong>Small pilot studies have indicated that transcranial photobiomodulation (tPBM) may help alleviate symptoms of neurological conditions like depression, traumatic brain injury and Autism Spectrum Disorder (ASD).</p><p><strong>Objective: </strong>To examine the effect of tPBM on the behavioral symptoms of ASD and brain electrophysiology in children aged 2-7.</p><p><strong>Methods: </strong>We conducted an open label, one-arm study with 23 participants, aged 2-7, previously diagnosed with ASD. We delivered non-invasively to all participants pulses of near-infrared light (wavelength 850 nm, pulse 40 Hz) to cortical nodes of Default Mode Network, Broca and Wernicke areas, and occipital lobe of the brain, twice weekly for 10 weeks. The tPBM was delivered using an investigational medical device designed for this purpose. Changes in ASD symptoms were measured using pre- and post-intervention scores on the Childhood Autism Rating Scale (CARS-2, 2nd Edition). We collected electroencephalogram (EEG) data after each treatment session from all children who tolerated wearing the EEG cap to monitor changes in brain activity.</p><p><strong>Results: </strong>The intervention resulted in a significant 7-point reduction in average CARS-2 scores (<i>t</i> = 10.23, <i>p</i> < .0001), along with decreased delta power and increased gamma and beta power in EEG readings. The increase in gamma power was statistically significant [<i>t</i>(14) = 2.30, <i>p</i> = 0.047]. Changes in EEG power were significantly correlated with the number of sessions (delta: <i>r</i>(192) = -0.18, <i>p</i> = .013; gamma: <i>r</i>(192) = .19, <i>p</i> = .007; beta: <i>r</i>(192) = .15, <i>p</i> = .04). Improvements in CARS-2 scores were negatively correlated with changes in delta and beta power (delta: <i>r</i>(15) = -.59, <i>p</i> = .020; beta: <i>r</i>(15) = -.54, <i>p</i> = .037). No moderate or severe side effects were reported.</p><p><strong>Conclusion: </strong>This study supports the potential of tPBM as a safe and effective treatment for ASD, and it suggests that EEG measurements may serve as a useful biomarker for future research.</p><p><strong>Trial registration: </strong>https://clinicaltrials.gov/ct2/show/NCT04660552.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1477839"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11814471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A consensus statement on child and family health during the COVID-19 pandemic and recommendations for post-pandemic recovery and re-build.","authors":"Caroline A B Redhead, Sergio A Silverio, Elana Payne, Mari Greenfield, Sara M Barnett, Anna Chiumento, Beth Holder, Helen Skirrow, Ofelia Torres, Carmen Power, Staci M Weiss, Laura A Magee, Soo Downe, Lucy Frith, Claire Cameron","doi":"10.3389/frcha.2025.1520291","DOIUrl":"10.3389/frcha.2025.1520291","url":null,"abstract":"<p><strong>Introduction: </strong>As health systems struggled to respond to the catastrophic effects of SARS-CoV-2, infection prevention and control measures significantly impacted on the delivery of non-COVID children's and family health services. The prioritisation of public health measures significantly impacted supportive relationships, revealed their importance for both mental and physical health and well-being. Drawing on findings from an expansive national collaboration, and with the well-being of children and young people in mind, we make recommendations here for post-pandemic recovery and re-build.</p><p><strong>Methods: </strong>This consensus statement is derived from a cross-disciplinary collaboration of experts. Working together discursively, we have synthesised evidence from collaborative research in child and family health during the COVID-19 pandemic. We have identified and agreed priorities areas for both action and learning, which we present as recommendations for research, healthcare practice, and policy.</p><p><strong>Results: </strong>The synthesis led to immediate recommendations grouped around what to retain and what to remove from \"pandemic\" provision and what to reinstate from pre-pandemic, healthcare provision in these services. Longer-term recommendations for action were also made. Those relevant to children's well-being concern equity and relational healthcare.</p><p><strong>Discussion: </strong>The documented evidence-base of the effects of the pandemic on children's and family services is growing, providing foundations for the post-pandemic recovery and re-setting of child and family health services and care provision. Recommendations contribute to services better aligning with the values of equity and relational healthcare, whilst providing wider consideration of care and support for children and families in usual vs. extra-ordinary health system shock circumstances.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1520291"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-design of the neurodevelopment assessment scale.","authors":"Tsz Ying Wong, Syeda Ishra Azim, Christa Lam-Cassettari, Ping-I Lin, Antonio Mendoza Diaz, Alicia Montgomery, Anne Masi, Kylie-Ann Mallitt, Andrew Whitehouse, Mark R Dadds, Valsamma Eapen","doi":"10.3389/frcha.2025.1497632","DOIUrl":"10.3389/frcha.2025.1497632","url":null,"abstract":"<p><strong>Introduction: </strong>Neurodevelopmental disorders (NDDs) have high comorbidity rates and shared etiology. Nevertheless, NDD assessment is diagnosis-driven and focuses on symptom profiles of individual disorders, which hinders diagnosis and treatment. There is also no evidence-based, standardized transdiagnostic approach currently available to provide a full clinical picture of individuals with NDDs. The pressing need for transdiagnostic assessment led to the development of the Neurodevelopment Assessment Scale (NAS).</p><p><strong>Methods: </strong>This paper describes the co-design process used in the development of NAS prototype with stakeholders including individuals with NDDs, parents of children with NDDs, and health professionals.</p><p><strong>Results and discussion: </strong>Results indicated stakeholder consensus that NAS would be useful for NDD assessment, and included recommendations for fine-tuning the way some questions were asked (e.g., child's diagnoses), question flow (e.g., branching logic), and the language and presentation of the prototype (e.g., readability). Stakeholders also suggested the administration protocol should be flexible using electronic, face-to-face, online formats etc.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1497632"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of therapeutic mentoring for youth mental health.","authors":"Alexandra Werntz, Jean E Rhodes, Hannah Brockstein, Lindsay Fallon, Amy Cook","doi":"10.3389/frcha.2025.1509971","DOIUrl":"10.3389/frcha.2025.1509971","url":null,"abstract":"<p><strong>Introduction: </strong>Therapeutic mentoring, which leverages paraprofessional care, is a potential way to scale access to care to address the youth mental health crisis. This scoping review synthesizes the current state of research on self-designated therapeutic mentoring programs for youth mental health.</p><p><strong>Method: </strong>A systematic search was conducted across four databases using the term \"therapeutic mento*\" and related keywords, taking a label-first approach to describe the available literature. Inclusion criteria were peer-reviewed articles about research on therapeutic mentoring in the US, written in English. Data were extracted on study characteristics, intervention details, mentor background, and outcomes.</p><p><strong>Results: </strong>Eighteen empirical articles were identified, published between 2003 and 2024. Most studies focused on at-risk youth from diverse backgrounds. Therapeutic mentoring programming varied, although most (<i>N</i> = 13) studies examined the Campus Connections program. Mentors were typically trained paraprofessionals or undergraduate students supervised by clinical professionals. Only two randomized controlled trials were found, both of the Campus Connections program.</p><p><strong>Discussion: </strong>The review revealed a lack of rigorous experimental studies on therapeutic mentoring efficacy, as defined by studies that use the term therapeutic mentoring. While some studies showed promising effects, more research is needed to establish the definition of therapeutic mentoring and whether it is an acceptable and effective intervention for youth mental health.</p><p><strong>Conclusion: </strong>A clear definition of therapeutic mentoring is needed to advance the field and facilitate systematic evaluation of its effectiveness in supporting youth mental health. Future research should prioritize developing program models that align with diverse youth's cultural values, conducting randomized controlled trials, examining program components, and developing standardized measures for assessing therapeutic mentoring outcomes.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1509971"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: The role of parent-child interactions in developmental psychopathology: methodological and intervention challenges and opportunities.","authors":"R M Pearson, B Coetzee, T J Rochat","doi":"10.3389/frcha.2024.1489804","DOIUrl":"10.3389/frcha.2024.1489804","url":null,"abstract":"","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"3 ","pages":"1489804"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ADHD help-seeking attitudes of Asian Americans.","authors":"Monisha Chawla, Jennalyn Vandenheuvel, Shannon L Sibbald","doi":"10.3389/frcha.2024.1491978","DOIUrl":"10.3389/frcha.2024.1491978","url":null,"abstract":"","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"3 ","pages":"1491978"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11798973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}