Frontiers in child and adolescent psychiatry最新文献

{"title":"Child maltreatment during the COVID-19 pandemic: implications for child and adolescent mental health","authors":"Hannah McDowell, Sophie Barriault, T. Afifi, Elisa Romano, Nicole Racine","doi":"10.3389/frcha.2024.1415497","DOIUrl":"https://doi.org/10.3389/frcha.2024.1415497","url":null,"abstract":"As societies worldwide addressed the numerous challenges associated with the COVID-19 pandemic, a troubling concern emerged—the possible rise of child maltreatment, which is a pernicious risk factor for child and adolescent mental health difficulties. This narrative review aims to provide a comprehensive understanding of how the many changes and challenges associated with the pandemic influenced worldwide occurrences of child maltreatment and, subsequently, the mental health of children and adolescents. First, we present the well-established evidence regarding the impact of child maltreatment on the mental health of children and adolescents both before and during the COVID-19 pandemic. Next, we examine the existing literature on the prevalence of child maltreatment during the pandemic, explanations for conflicting findings, and key mechanisms influencing the prevalence of maltreatment. Using a heuristic model of child maltreatment and its downstream influence on child mental health, we discuss risk and protective factors for maltreatment as well as mechanisms by which maltreatment operates to influence child and adolescent mental health. Finally, based on the accumulated evidence, we provide important recommendations for advancing research on child maltreatment, emphasizing the necessity for routine monitoring of maltreatment exposure at a population level, and discussing the implications for the field of child protection. This comprehensive review aims to contribute to the understanding of the challenges arising from the intersection of the COVID-19 pandemic and child maltreatment, with the goal of informing effective interventions in the domain of child welfare.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141682554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the effectiveness of narrative therapy and EMDR-GTEP protocols in the treatment of post-traumatic stress in children exposed to humanitarian crises","authors":"E. Dozio, Cécile Bizouerne, Valdes Wamba, Ninon Atienza","doi":"10.3389/frcha.2024.1320688","DOIUrl":"https://doi.org/10.3389/frcha.2024.1320688","url":null,"abstract":"The mental health of children living in humanitarian crisis situations is a major issue. Post-traumatic stress disorder (PTSD) causes great psychological suffering and has negative consequences on children's development. The aim of the study was to analyze retrospective data collected in a mental health and psychosocial support program for children in the Central African Republic, and to compare results of two trauma-focused treatment interventions: the narrative protocol Action contre la Faim (ACF)/KONO; and the EMDR-based Group Trauma Episode Protocol (G-TEP). Both protocols are proposed in a group setting and led by paraprofessionals.In the program, 884 children attended a psychoeducation session and after that, 661 children (290 for ACF/KONO and 371 for G-TEP) benefited from all treatment sessions. PTSD was measured by the Children's Revised Impact of Event Scale (CRIES-8). General distress was measured by the Child Psychosocial Distress Screener (CPDS). Data were collected before and after treatment, and measured 5 months after the end of treatment for 185 children.Participants in the ACF/KONO group show a significant reduction on CRIES-8 (t = 44.8; p < 0.001, effect size = 2.63) and CPDS (t = 38.2; p < 0.001, effect size = 2.24). Participants to the G-TEP protocol show a significant effect with reduced scores on the CRIES-8 (t = 49.2; p < 0.001, effect size = 2.55) and CPDS (t = 57.2; p < 0.001, effect size = 2.97). A Student's t-test comparing the ACF/KONO and G-TEP groups shows no significant difference between the two types of treatment between pre- and post-treatment CRIES-8 scores (t = 1.744; p = 0.514, effect size = 0.040) and CPDS scores (t = 1.688; p = 0.092, effect size = 0.323). An analysis of the follow-up data for the 185 children shows that the effects of both protocols are maintained over time with mean scores after treatment and follow-up below the clinical cut-off for both CPDS (<8) and CRIES-8 (<17).Both protocols have been shown to be effective in reducing traumatic symptoms in children exposed to conflict; they can be conducted by paraprofessionals and used in humanitarian crisis situations.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"11 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141098792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mind-mindedness in mothers of infants with excessive crying/sleeping/eating disorders","authors":"Maria Licata-Dandel, Susanne Kristen-Antonow, Sarah Marx, Volker Mall","doi":"10.3389/frcha.2024.1331016","DOIUrl":"https://doi.org/10.3389/frcha.2024.1331016","url":null,"abstract":"Excessive crying, sleeping, and eating disorders are among the most prevalent mental health diagnoses in the first 3 years of life and involve significant health service use. Parents of infants with excessive crying/sleeping/eating disorders report high levels of stress, since they feel incapable of soothing and/or nurturing their baby. Infants' distress can lead to a breakdown in parents' mentalizing abilities and, more specifically, parental mind-mindedness in the parent-child interaction. Moreover, the signals of infants with excessive crying/sleeping/eating disorders tend to be equivocal and difficult to read. This also might contribute to lower parent-child interaction quality. Until now, parental mind-mindedness, which is regarded as a prerequisite for sensitivity, has not been investigated in mothers of infants with excessive crying/sleeping/eating disorders. We investigated whether mind-mindedness in mothers of infants with excessive crying, sleeping and/or eating disorders differed from a healthy control group. We supposed that mothers of infants with excessive crying/sleeping/eating disorders would use (1) less appropriate mind-related comments (AMRCs), and (2) more non-attuned mind-related comments (NAMRCs) than mothers in the control group.Our sample consisted of 44 mothers and their infants who were patients in a socio-paediatric clinic in Germany. The children were diagnosed with excessive crying, sleeping and/or eating disorders according to DC:0-5 (= clinical group). The control group was composed of 64 healthy children and their mothers. Maternal mind-mindedness was coded during a free-play interaction.Results showed that mothers of infants with excessive crying, sleeping and/or eating disorders used both more AMRCs (p = .029) as well as more NAMRCs (p = .006) than mothers in the control group.The findings are discussed in terms of implications for interventions (e.g., enhancing mind-mindedness trough video-feedback).","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"27 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141107781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bullying victimization and mental health before and during the COVID-19 pandemic","authors":"Ann H. Farrell, Heather L. Brittain, Amanda L. Krygsman, Tracy Vaillancourt","doi":"10.3389/frcha.2024.1411265","DOIUrl":"https://doi.org/10.3389/frcha.2024.1411265","url":null,"abstract":"Bullying victimization is associated with numerous mental health difficulties yet studies from early in the COVID-19 pandemic revealed significant decreases in bullying victimization but significant increases in mental health difficulties for many children and adolescents. It is unclear whether the decrease in bullying victimization early in the pandemic translated to weaker associations between bullying victimization and mental health difficulties.Using a population-based design, we examined whether the correlations between bullying victimization and mental health difficulties were significantly weaker in magnitude during the COVID-19 pandemic compared to before the pandemic in a sample of 6,578 Canadian students in grades 4–12. Students were randomly assigned to report on their bullying and mental health experiences either during the school year before the pandemic or the school year during the pandemic. Only students who reported experiences of victimization were included in the present study as questions on mental health were specifically on difficulties experienced due to victimization.As expected, overall bullying victimization and mental health difficulties were significantly correlated before and during the pandemic, but correlations were significantly weaker in magnitude during the pandemic for girls and secondary students. Significant decreases in correlation magnitude were also found predominately for general, verbal, and social forms of bullying victimization, but not for physical and cyber victimization. Among students who reported victimization, we also found significantly lower means for mental health difficulties and most forms of bullying victimization during the pandemic compared to pre-pandemic.Findings indicate a strong coupling of bullying victimization and mental health difficulties, particularly before the pandemic, and the need to reduce these associations to improve the well-being of children and adolescents.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"53 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141109305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of digital and non-digital parental distraction on parent-child interaction and communication","authors":"Souhir Chamam, Alexia Forcella, Nadia Musio, Florence Quinodoz, Nevena Dimitrova","doi":"10.3389/frcha.2024.1330331","DOIUrl":"https://doi.org/10.3389/frcha.2024.1330331","url":null,"abstract":"Technoference, namely parental screen use in the presence of a child, is a widespread phenomenon that has negative effects on parent-child interaction and communication. When parents use screens around their children there are fewer interactions and parents are less contingent and responsive to the child. Additionally, children show more negative behaviors, such as whining, frustration, and outbursts. Communication is also affected—parents speak and gesture less towards their children and, in turn, children are less likely to develop their language abilities. It remains unclear, however, if parental distraction due to screen use affects parent-child interaction and communication more negatively compared to non-digital parental distraction. Fifty-two parent-child dyads (mean child age = 22 months, range 12–36 months) first played for 5 min (Time 1); then (Time 2), the parent was asked to fill out a questionnaire on a tablet (screen condition), on a printed form (paper-pen condition) or was not interrupted (control condition). Interactive quality was assessed at Time 1 and Time 2 using the Coding Interactive Behavior scale. Communication was assessed by coding the number of word tokens and types during Time 1 and Time 2; child gestures were also coded. Results revealed that when parents were distracted—either by the paper-pen or the screen questionnaire—the quality of the interaction significantly deteriorated (ps ≤ .01) and the quantity of parental communication significantly declined (ps ≤ .012). Importantly, the nature of the distraction did not matter: there were no significant differences between the paper-pen and the screen distraction conditions across Time 2 (ps ≥ .59). Findings suggest that parental distraction matters for the quality of interaction and the amount of communicative bids, independently on whether parents were distracted by a digital or non-digital activity. These findings likely relate to complex factors related to young children's experiences and habits with parental screen use.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"38 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141113710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographics, psychiatric comorbidities, and hospital outcomes across eating disorder types in adolescents and youth: insights from US hospitals data","authors":"Sanobar Jaka, Sandesh Pokhrel, Archna Patel, Albulena Sejdiu, Sanjana Taneja, Sreshatha Vashist, A. Arisoyin, Anil K. Bachu, Senthil Vel Rajan Rajaram Manoharan, Raja Mogallapu, Rikinkumar S. Patel","doi":"10.3389/frcha.2024.1259038","DOIUrl":"https://doi.org/10.3389/frcha.2024.1259038","url":null,"abstract":"The aim of our study was to delineate the differences in demographics, comorbidities, and hospital outcomes by eating disorder types in adolescents and transitional-age youth (15–26 years), and measure the association with psychiatric comorbidities.We conducted a cross-sectional study using the nationwide inpatient sample (2018–2019) and included 7,435 inpatients (age 12–24 years) with a primary diagnosis of eating disorders: anorexia nervosa (AN, 71.7%), bulimia nervosa (BN, 4.7%), avoidant/restrictive food intake disorder (ARFID, 9.5%), and other. We used independent logistic regression models controlled for demographics to evaluate the adjusted odds ratio association of comorbidities with eating disorder types.The mean age of BN inpatients was 17.5 years, which was significantly higher compared to the total number of inpatients with eating disorders (15.9 years). Approximately four-fifths of the inpatients with AN and BN were female patients whereas ARFID was seen in a higher proportion of male patients (32.6% vs. 13.7% overall). Anxiety (57.5%) and depressive (47.3%) disorders were prevalent in the total number of inpatients with eating disorders, with suicidal behaviors seen significantly higher in BN (25.7% vs. 12.9% overall). The likelihood of obsessive compulsive–related disorder was higher in all eating disorder types, i.e., AN (OR 2.14), BN (OR 1.79), and ARFID (OR 1.74); however, anxiety (OR 1.52) and neurodevelopmental (OR 1.70) disorders were significantly higher in ARFID. In terms of hospital outcomes, inpatients with ARFID had a longer mean length of stay (13.7 days vs. 8.4 days in BN) and higher mean total charges ($87,747 vs. $44,882 in BN).Our findings identify notable demographic and clinical distinctions within inpatients diagnosed with AN, BN, and ARFID. Specifically, inpatients with BN belonging to older age brackets manifest elevated occurrences of depressive disorders and suicidal tendencies. ARFID is linked to prolonged hospitalization and increased costs, underscoring distinctive complexities in care. This highlights the significance of personalized interventions that account for demographic variations and psychiatric comorbidities, aiming to improve outcomes for diverse populations affected by eating disorders.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140975261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case Report: Treatment policy for female adolescents in the grip of chronic suicidality","authors":"M. van de Koppel, S. Mérelle, Y. A. J. Stikkelbroek, P. T. van der Heijden, J. Spijker, A. Popma, D. H. M. Creemers","doi":"10.3389/frcha.2024.1384439","DOIUrl":"https://doi.org/10.3389/frcha.2024.1384439","url":null,"abstract":"Within the Dutch clinical field of specialized mental health care for youth, an increasing subgroup of female adolescents with severe chronic suicidal behavior is recognized. This group was also identified in a Dutch psychological autopsy study among 35 relatives of adolescents (aged 10–19 years old) who died by suicide. There seems to be a lack of knowledge and consensus how to treat this severe chronic suicidal behavior, resulting in stagnation of care and growing demoralization among patients, parents, and mental health care providers. The aim of this paper is to describe characteristics of the suicidal process, to identify challenges experienced in providing mental health care for this subgroup, and to formulate preliminary recommendations.A case description from the psychological autopsy study and a review of the relevant literature.The persistent suicidal threat and the resulting despair of the patient and their parents are forcing the mental health care provider into an impasse: the primary focus of treatment slowly moves to guarantee the patient's safety, which leaves the treatment of underlying problems underexposed. Due to the chronicity of the suicidal ideation and behavior in a phase in which identity formation and developing cognitive and emotional regulation skills are important developmental tasks, we identify a risk of developing a suicidal identity.Based on expert knowledge, we make recommendations on (1) treating suicidality as a transdiagnostic phenomenon with its own meaning and function, (2) implementing treatment considerations promoting the autonomy, (3) aiming at continuity of care and prevention of repeated patient referrals by creating a multidisciplinary network of care providers, and (4) making chronic suicidality tolerable for the care provider.We propose preliminary practical recommendations in our quest for optimal mental health care for chronically suicidal adolescents.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"49 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sports preferences in children and adolescents in psychiatric care—evaluation of a new questionnaire","authors":"Florian Breido, Sebastian Stumm, E. Jenetzky, Michael Huss","doi":"10.3389/frcha.2024.1354595","DOIUrl":"https://doi.org/10.3389/frcha.2024.1354595","url":null,"abstract":"As part of an exploratory and hypothesis-generating study, we developed the Sports Preference Questionnaire (SPOQ) to survey the athletic behavior of mentally ill children and adolescents, subjectively assessed physical fitness and perceived psychological effects of physical activity.In a department of child and adolescent psychiatry, we classified 313 patients (6–18 years) according to their primary psychiatric diagnosis. The patients or—in the parental version of the questionnaire—their parents reported their sport preferences on the SPOQ. As possibly influential factors, we also assessed the frequency of physical activity, the importance of a trainer, coping with everyday life through physical activity, and subjectively perceived physical fitness.One in 3 patients (32.4%) stated that they were not physically active. Patients diagnosed with eating disorders reported, on average, a notably high frequency (median of 3 h/week) and degree of coping with daily life through physical activity (median of 5 on a 6-point Likert scale). Patients with anxiety disorders and depression had the lowest self-perception of physical fitness (mean value of 3.1 or 3.7 on an interval scala from 0 to 9). The presence of a trainer was generally considered not important, except for ADHD patients (median of 3 on a 6-point Likert scale).The SPOQ is sensitive for differential effects of core child and adolescent disorders as well as for main covariates influencing the complex association between physical activity and emotional and behavioral disorders in children and adolescents. Based on this pilot study, we discussed the need for an efficacy study to measure the effects of sports therapy.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction of the severity of child abuse using nationwide survey data from Child Guidance Centers in Japan: focus on infancy and preschool age","authors":"Yasukazu Ogai, Ryoko Nakajima-Yamaguchi, Hirotsuna Ohashi, Kentaro Niwa, Toyoo Sakurayama, Nobuaki Morita","doi":"10.3389/frcha.2024.1305811","DOIUrl":"https://doi.org/10.3389/frcha.2024.1305811","url":null,"abstract":"The present study conducted a secondary data analysis of a comprehensive survey from Child Guidance Centers in Japan to identify factors that are associated with child abuse severity in infancy (0–3 years, 1,868 cases) and preschool age (4–6 years, 1,529 cases). A predictive model for abuse severity was developed.The data originated from a nationwide survey that was conducted in April 2013, consisting of details of abuse cases, including child characteristics, abuser attributes, and family situation. Abuse severity was assessed on a five-level scale (suspected, mild, moderate, severe, and life-threatening) that was converted into a binary outcome. Logistic regression analysis was used to create a predictive model using two-thirds of the data, which was validated with the remaining third of the data.As a result, in infancy, risks of severity increased with younger age of the abused child, physical abuse, neglect, witnessing domestic violence, and the involvement of Child Guidance Centers or hospitals in detection. The abuser's mental problems and cumulative child damage contributed to severity. For preschool age, similar factors applied, with additional risks that included abuse overlap and guardian separation. Cumulative abuser issues and child physical damage impacted severity. Validation yielded moderate prediction accuracy (areas under the curve: 0.703 and 0.714).","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider attitudes toward evidence-based practice in autism: a mini-review","authors":"Elizabeth A. DeLucia, Samantha M. Harden, Angela Scarpa","doi":"10.3389/frcha.2024.1363532","DOIUrl":"https://doi.org/10.3389/frcha.2024.1363532","url":null,"abstract":"There are many established evidence-based practices (EBPs) for autistic youth which facilitate wellbeing and skill development across a range of domains. However, individuals on the autism spectrum are consistently underserved in mental health settings, limiting their access to these EBPs. Positive provider attitudes toward EBPs may increase their uptake or use. The current mini-review seeks to synthesize the literature regarding attitudes toward EBPs among providers working with autistic youth across a variety of settings (i.e., school, early intervention, and general mental health). Fifteen quantitative studies were included. The majority of studies (n = 13, 87%) utilized the Evidence Based Practice Attitudes Scale (EBPAS) or a variation of this scale. Attitudes toward EBPs were primarily used as a correlate or covariate, although some studies reported descriptive statistics of provider attitudes. When available, the reported results suggest that attitudes toward EBPs are moderately positive at baseline, although they vary between provider types. Two studies (13%) examined change in attitudes toward EBPs and suggested that they may be responsive to intervention. However, findings were mixed as to whether attitudes toward EBPs are predictive of EBP use/uptake. Implications and future directions are discussed.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141021114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}