Frontiers in child and adolescent psychiatry最新文献

{"title":"Efficacy of psychomotor therapy for children and adolescents with anxiety disorders—a systematic literature review","authors":"Evelien Vriend, Janet Moeijes, Mia Scheffers","doi":"10.3389/frcha.2023.1182188","DOIUrl":"https://doi.org/10.3389/frcha.2023.1182188","url":null,"abstract":"Specific Phobia (SP), Generalized Anxiety Disorders (GAD), and Social Anxiety Disorder (SAD) are the most prevalent anxiety disorders in children and adolescents. Although anxiety has a major influence on the body, evidence-based treatments mainly focus on cognitive and behavioral aspects of anxiety. Body- and movement-oriented interventions, such as psychomotor therapy (PMT), address the physical aspects. Bodily experience and interoceptive awareness are used to change behavior, cognition, and emotions. This review aimed to provide an overview of the efficacy of PMT for children and adolescents aged 0–18 years with SP, GAD, or SAD.Data were collected in PsycINFO, Medline, Embase, ERIC, and Web of Science, from January 2020 until April 2022. Two independent researchers (EV and JM) selected the articles and performed a critical appraisal.From 1,438 articles found, only one article met the inclusion criteria.No consensus-based statement about the efficacy of PMT in children and adolescents with SP, GAD, or SAD can be made due to the gap in the literature. Future research is needed to evaluate the efficacy. The first step may be to design treatment protocols. Subsequently, these protocols may be evaluated concerning efficacy.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"52 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447447","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":"Anxiety and depressive symptoms as predictors of substance use initiation among adolescents living on and near a Tribal reservation in the Great Plains region of the U.S.","authors":"Caroline M Barry, Ashna Jagtiani, Melvin D Livingston, Sierra Talavera-Brown, Hannah LaBounty, Eugena Atkinson, Juli R Skinner, Kelli A Komro","doi":"10.3389/frcha.2024.1390793","DOIUrl":"10.3389/frcha.2024.1390793","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines the impacts of anxiety and depressive symptoms on subsequent initiation of alcohol use, cannabis use, and prescription opioid misuse among diverse adolescents attending high schools on or near a Tribal reservation in a rural Great Plains region of the U.S.</p><p><strong>Methods: </strong>In collaboration with Emory University and a Great Plains Tribal nation's behavioral health organization, a community randomized trial of 20 high schools was conducted to prevent substance misuse. Surveys administered at four time points (fall and spring of 10th and 11th grade) included the GAD-7, PHQ-8, and items assessing lifetime alcohol use, cannabis use, prescription opioid misuse, and covariates (age, gender, race, and food insecurity). The analytic sample included students with data at two or more time points (<i>n</i> = 455) from control schools (<i>k</i> = 10). Approximately half of the sample identified as American Indian only or American Indian/White only, and 36%-39% as White only.</p><p><strong>Results: </strong>Adjusted generalized estimating equations showed that every 5-point increase in anxiety symptoms was associated with 1.28 and 1.29 times the odds of initiating alcohol and cannabis use respectively the following semester. Similarly, every 5-point increase in depressive symptoms was associated with 1.25, 1.34, and 1.38 times the odds of initiating alcohol use, cannabis use, and prescription opioid misuse respectively the following semester.</p><p><strong>Discussion: </strong>Results show a consistent 25%-38% increased odds of certain types of substance use initiation following increases in anxiety and depressive symptoms among adolescents. Findings underscore the need for targeted prevention and intervention to address mental health issues among a historically marginalized population. Addressing mental health concerns earlier may mitigate later substance use risks and sequelae for rural and American Indian youth.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788028","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":"Adolescent-onset cannabis use and parenting young children: an investigation of differential effectiveness of a digital parenting intervention.","authors":"Katherine A Hails, Anna Cecilia McWhirter, Audrey C B Sileci, Elizabeth A Stormshak","doi":"10.3389/frcha.2024.1392541","DOIUrl":"https://doi.org/10.3389/frcha.2024.1392541","url":null,"abstract":"<p><strong>Introduction: </strong>There is scant empirical work on associations between current and past cannabis use and parenting skills in parents of young children. As recreational cannabis use is now legal in nearly half of states in the U.S., cannabis use is becoming more ubiquitous.</p><p><strong>Methods: </strong>In the current study, parents of toddler and pre-school age children were randomly assigned to participate in an app-based parenting skills program that included telehealth coaching (Family Check-Up Online; FCU-O), with a focus on parenting in the context of substance use. We aimed to test associations between adolescent-onset and current cannabis use and parent mental health and parenting skills, as well as whether effects of the FCU-O on parent mental health outcomes varied as a function of past cannabis use. Participants were 356 parents of children ages 1.5-5 participating in a randomized controlled trial of the FCU-O. Parents screened into the study if they reported current or past substance misuse or current depressive symptoms. After completing a baseline assessment, parents were randomly assigned to the FCU-O or control group and completed a follow-up assessment 3 months later. Parents retrospectively reported on the age when they initially used substances, as well as their current use.</p><p><strong>Results: </strong>After accounting for current cannabis use, adolescent-onset cannabis use was significantly associated with higher symptoms of anxiety and depression, but not with parenting skills. Adolescent-onset cannabis use was found to significantly moderate the effect of the FCU-O on parents' anxiety symptoms. Specifically, the FCU-O was particularly effective in reducing anxiety symptoms for parents with adolescent-onset regular cannabis use, after accounting for current cannabis use.</p><p><strong>Discussion: </strong>Adolescent-onset regular cannabis use may be a risk factor for later mental health challenges in parents of children under 5. An app-based parenting intervention may be particularly helpful in reducing symptoms of anxiety for parents who used cannabis regularly as adolescents. The findings have significant implications for the prevention of multigenerational risk for substance use and mental health challenges.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473238","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":"The steps that young people and suicide prevention professionals think the social media industry and policymakers should take to improve online safety. A nested cross-sectional study within a Delphi consensus approach","authors":"Jo Robinson, Pinar Thorn, Samantha M. McKay, Hannah Richards, Rikki Battersby-Coulter, Michelle Lamblin, Laura Hemming, Louise La Sala","doi":"10.3389/frcha.2023.1274263","DOIUrl":"https://doi.org/10.3389/frcha.2023.1274263","url":null,"abstract":"Concerns exist about the relationship between social media and youth self-harm and suicide. Study aims were to examine the extent to which young people and suicide prevention professionals agreed on: (1) the utility of actions that social media companies currently take in response to self-harm and suicide-related content; and (2) further steps that the social media industry and policymakers could take to improve online safety.This was a cross-sectional survey study nested within a larger Delphi expert consensus study. A systematic search of peer-reviewed and grey literature and roundtables with social media companies, policymakers, and young people informed the questionnaire development. Two expert panels were developed to participate in the overarching Delphi study, one of young people and one of suicide prevention experts; of them 43 young people and 23 professionals participated in the current study. The proportion of participants “strongly agreeing”, “somewhat agreeing”, “neither agreeing nor disagreeing”, and “somewhat disagreeing” or “strongly disagreeing” for each item were calculated; items that achieved =>80% of agreement from both panels were strongly endorsed.There was limited consensus across the two groups regarding the utility of the safety strategies currently employed by companies. However, both groups largely agreed that self-harm and suicide-related content should be restricted. Both groups also agreed that companies should have clear policies covering content promoting self-harm or suicide, graphic depictions of self-harm or suicide, and games, pacts and hoaxes. There was moderate agreement that companies should use artificial intelligence to send resources to users at risk. Just over half of professionals and just under half of young people agreed that social media companies should be regulated by government. There was strong support for governments to require schools to educate students on safe online communication. There was also strong support for international collaboration to better coordinate efforts.Study findings reflect the complexity associated with trying to minimise the risks of communicating online about self-harm or suicide whilst capitalising on the benefits. However, a clear message was the need for better collaboration between policymakers and the social media industry and between government and its international counterparts","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"90 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138996138","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":"Broad spectrum micronutrients: a potential key player to address emotional dysregulation","authors":"A. Villagomez, Michelle Cross, Noshene Ranjbar","doi":"10.3389/frcha.2023.1295635","DOIUrl":"https://doi.org/10.3389/frcha.2023.1295635","url":null,"abstract":"Psychiatric conditions are inherently multifactorial and must be understood and addressed within a multidimensional framework. Adequate nutritional intake is necessary for optimal mental health and is thus an essential component of any psychiatric treatment plan; this is especially true as many patients have a diet high in ultra-processed foods. However, due to a variety of factors such as individual biological and behavioral contributors, modern farming practices, and climate change, implementing a healthy diet alone may not be sufficient to satisfy nutritional requirements. Research studies on three formulations of broad-spectrum micronutrients (BSMs) have demonstrated significant efficacy in treating a range of mental health disorders. In particular, outcomes associated with emotional regulation via BSMs across a variety of psychiatric illnesses (ADHD, autism, trauma, mood disorders, nicotine dependence, and psychosis) to date have been positive.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"189 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138998202","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":"Editorial: Low threshold interventions and preventive approaches in child mental health care","authors":"Eva Möhler","doi":"10.3389/frcha.2023.1286421","DOIUrl":"https://doi.org/10.3389/frcha.2023.1286421","url":null,"abstract":"","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224921","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":"Efficacy of behavior modification training combined with electroencephalographic biofeedback therapy for attention deficit hyperactivity disorder in children: a randomized controlled trial","authors":"Xiangfen Luo, Ling Zhang, Lei Xia, Xiaoqin Zhou","doi":"10.3389/frcha.2023.1235310","DOIUrl":"https://doi.org/10.3389/frcha.2023.1235310","url":null,"abstract":"Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in children. Multiple treatments are currently available with varying effectiveness, and our aim was to investigate the efficacy of behavior modification training combined with Electroencephalography (EEG) biofeedback treatment on ADHD in children.Children with ADHD were randomly divided into a control group (n = 42), an EEG biofeedback group (n = 30) and a behavior modification training combined with EEG biofeedback group (i.e., a combined intervention group) (n = 30) according to the intervention. Swanson, Nolan, and Pelham, Version IV (SNAP-IV) and Conners Parent Symptom Questionnaire (PSQ) were assessed before and after three months of treatment.We found that in the EEG biofeedback group and the combined intervention group, the scores of all factors except “anxiety” and “psychosomatic disorder” were lower than before treatment, and the difference was statistically significant (P < 0.05). After treatment, the scores of the three groups were compared. The scores of “impulsivity-hyperactivity”, “learning problems”, “inattention factor” and “hyperactivity factor” were all lower than before, and the difference was statistically significant (P < 0.05). In the post-treatment comprehensive intervention group and the control group, the efficacy was apparent, and the differences in the scores of each factor were statistically significant (P < 0.05). In the comparison between the EEG biofeedback group and the control group, except for “anxiety”, “psychosomatic disorder” and “conduct problem” the scores of each factor were statistically significant (P < 0.05). For the comparison between the integrated intervention group and the EEG biofeedback group, the scores of all factors before and after treatment were statistically significant (P < 0.05), except for “anxiety”, “impulsivity-hyperactivity” and the scores of all the factors before and after treatment were statistically significant (P < 0.05), except for “anxiety”, “impulsivity-hyperactivity” and “psychosomatic disorder”.The comprehensive efficacy of behavior modification training combined with EEG biofeedback therapy on the improvement of symptoms in children with ADHD is positive, and good compliance is worthy of clinical promotion.https://www.chictr.org.cn/indexEN.html, identifier (ChiCTR2300071511).","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139251417","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":"Comprehensive dialectical behavior therapy for adolescents in a juvenile correctional treatment center: a pilot evaluation","authors":"Johanna B. Folk, Phillip Yang, Anne Thomas, Jayme Lyon, Jaisal Patel, Clara Yoon, Barbara Robles-Ramamurthy","doi":"10.3389/frcha.2023.1207575","DOIUrl":"https://doi.org/10.3389/frcha.2023.1207575","url":null,"abstract":"Background Incarcerated youth commonly present with emotion dysregulation, aggression, and comorbid psychiatric disorders, yet often do not receive necessary mental health treatment while confined. It is therefore crucial to expand the evidence base regarding empirically supported mental health interventions which are feasible to implement in secure settings to address incarcerated youth's mental health needs. Through a community-academic partnership, the current pilot study evaluated a comprehensive dialectical behavior therapy program implemented in a juvenile correctional treatment center. Methods Youth participants ( N = 113) were on average 15.37 years old (SD = 1.10, range = 13–17), 68.1% boys, and identified as 69.0% Latinx, 22.1% Black, 8.0% White, and 0.9% Native American. Youth received comprehensive dialectical behavior therapy for adolescents (DBT-A), including individual therapy, skills training groups, family therapy, multi-family skills training groups, and skills coaching in the milieu by direct care staff who participated in extensive training and ongoing consultation team meetings. As part of a facility-designed program evaluation, youth completed a battery of empirically validated assessments of mental health and emotion regulation prior to and following completion of the program. Results Results show that comprehensive DBT-A is feasible to implement in a juvenile correctional treatment center and overall, youth improved from pre- to post-treatment in mental health symptoms and emotion regulation, with small to medium effect sizes. Conclusion These findings build upon a growing literature showing dialectical behavior therapy is a promising intervention for treating emotion dysregulation and mental health conditions and can be successfully implemented in juvenile forensic settings.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"29 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135819756","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":"Evaluation of pilot community art-based workshops designed for Ukrainian refugee children","authors":"Steve Lukito, Michaela Wenkert, Inna Hryhorovych, Svitlana Opanasenko, Laura Timms, William Yule, Dennis Ougrin","doi":"10.3389/frcha.2023.1260189","DOIUrl":"https://doi.org/10.3389/frcha.2023.1260189","url":null,"abstract":"Objectives Approximately 8 million Ukrainians have been displaced by the war in Ukraine and five million children had their education disrupted. Here, we report an evaluation of (1) the feasibility (i.e., recruitment), (2) the acceptability (i.e., attendance, participants' views) and (3) the influence of a pilot community art-based project on the well-being, health behaviour and socialisation of Ukrainian refugee children in London, UK. Methods Twenty-two refugee children aged 4–14 years from St Mary's Ukrainian school in London took part in five weekly art workshop group sessions led by a team of volunteer independent artists based in a community art studio in West London in collaboration with Children and War UK. Analyses were conducted on measures of the children's psychological well-being, health behaviour, and socialisation; collected from participating children and their parents through the workshops. Results The community art workshops received sufficient interest from parents during recruitment. Child participants and their parents expressed overwhelmingly positive views and high satisfaction towards the workshops and their activities. While the workshops were conducted without a control group, changes in psychological well-being and health behaviour and socialisation were in the expected direction. The workshops were associated with reduced impact of intrusive re-experiencing of traumatic events ( p = .021), negative emotion ( p s = .006–.043; rated by children and by their parents, respectively), and sleep disturbance ( p = .015). Mood and motivational states increase relative to before activities within sessions ( p s = .001–.023). Conclusions The artist-led workshops are a valuable community project associated with high satisfaction and potentially increased well-being in Ukrainian refugee children. A provision for a larger number of participants should be considered.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"43 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135820174","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":"Individuals with developmental disabilities make their own stylistic contributions to text written with physical facilitation","authors":"Giovanni Nicoli, Giulia Pavon, Andy Grayson, Anne Emerson, Michele Cortelazzo, Suvobrata Mitra","doi":"10.3389/frcha.2023.1182884","DOIUrl":"https://doi.org/10.3389/frcha.2023.1182884","url":null,"abstract":"Introduction For individuals with developmental disabilities (DD) such as autism, Down syndrome, or cerebral palsy, learning to express with language is a two-fold challenge because atypical cognitive capacity is compounded by sensorimotor coordination deficits. One approach to assisting linguistic expression in these individuals is to physically support them, for example, by touching their torso or arm as they type. The neurophysiological mechanism of such motor assistance for linguistic expression is not known, but recently it has been proposed that light touch may reduce the cognitive load associated with the sensorimotor coordination of typing, thereby releasing shared cognitive resources to the task of generating content. Historically, there has been significant controversy over the extent to which the facilitator and not the user authors texts written with touch assistance. User groups and a few researchers have argued that the user can express their thoughts through such techniques, but the prevailing view among researchers is that these texts are entirely the by-products of the facilitators' ideomotor cueing of users' movements. If the user is not a source of the produced text, the only linguistic style detectable in the text should be the facilitator's. Methods Here, we use quantitative linguistic analysis to investigate whether DD users typing text with touch assistance exhibit their own stylistic signatures alongside those of their facilitators. In Study 1, we investigate whether the stylometric fingerprints of a set of users are detectable when they are all assisted by the same facilitator. In Study 2, we examine whether the users' stylometric characteristics are retained even when they are assisted by multiple facilitators. Results Across both studies, the results show that the users' stylistic signature is detectable alongside that of facilitators. This suggests that the texts generated by DD users withphysical assistance should be viewed as coauthored rather than wholly authored by facilitators via ideomotor processes. Discussion The users' stylometric presence in these texts suggests that touch-assistance may serve as a developmental scaffold and should be re-appraised as a teaching aid even where unassisted linguistic expression is an unlikely end goal.","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"2014 31","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135813537","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}