Frontiers in child and adolescent psychiatry最新文献

{"title":"Caregiver adverse childhood experiences and burden: associations with child welfare risk in a caregiver-child-sample.","authors":"Fabienne Albert, Julia Franziska Baschab, Justine Hussong, Dominik Leininger, Eva Möhler, Katja Kauczor-Rieck","doi":"10.3389/frcha.2026.1827054","DOIUrl":"10.3389/frcha.2026.1827054","url":null,"abstract":"<p><strong>Background: </strong>Adverse Childhood Experiences (ACEs) are well-established risk factors for long-term psychosocial impairments and can affect both parental functioning and child well-being. The present study investigates the impact of caregiver ACEs on child welfare risk over the course of a caregiver-focused intervention.</p><p><strong>Methods: </strong>41 caregiver-child dyads (children: <i>M</i> = 4.85 years, <i>SD</i> = 1.41) were assessed at three time points: baseline (T1), after 4 weeks of intervention (T2), and six months post (T3). Caregiver ACEs were measured using a standardized questionnaire (ACE), and child welfare risk was assessed with a short form of the German version of the Child Abuse Potential Inventory (CAPI) [Eltern-Belastungs-Screening zur Kindeswohlgefährdung (EBSK)]. Linear mixed-effects models (LMMs) examined changes in EBSK scores over time and the influence of ACE number and domain.</p><p><strong>Results: </strong>Child welfare risk did not decrease immediately post-treatment (T1-T2), but a significant reduction was observed at follow-up (T2-T3). Higher caregiver ACE scores were consistently associated with elevated EBSK scores. Analyses of ACE domains revealed that history of parental household dysfunction, but not abuse, significantly predicted higher child welfare risk. The number of ACEs (≥4 vs. <4) did not significantly moderate EBSK trajectories.</p><p><strong>Conclusions: </strong>Child welfare risk scores were lower at follow-up than at post-treatment assessment. However, given the absence of a control group, these findings should be interpreted as temporal associations rather than evidence of intervention effects. Caregiver ACEs, particularly history of household dysfunction, remain a persistent risk factor for child welfare. Systematic assessment of ACEs can help identify at-risk families and implement trauma-informed interventions, follow-up support, and professional training in clinical settings.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1827054"},"PeriodicalIF":1.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622565","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":"Case Report: Early-onset psychosis as a sentinel manifestation of 3q29 deletion syndrome in an adolescent with neurodevelopmental disorders.","authors":"W Vidal, B Masotto, M Viñas-Jornet, J A Ramos-Quiroga, G Español-Martín","doi":"10.3389/frcha.2026.1823061","DOIUrl":"10.3389/frcha.2026.1823061","url":null,"abstract":"<p><strong>Background: </strong>3q29 deletion syndrome is a rare genomic disorder characterized by a broad spectrum of neurodevelopmental and psychiatric manifestations, including developmental delay (DD), intellectual disability (ID), autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and a markedly increased lifetime risk of psychosis and schizophrenia.</p><p><strong>Case presentation: </strong>We describe a 17-year-old female adolescent with severe congenital heart disease and longstanding neurodevelopmental impairment who developed early-onset recurrent psychotic symptoms. Chromosomal microarray analysis identified a <i>de novo</i> heterozygous 1.6 Mb deletion at the 3q29 locus. The emergence of psychotic symptoms served as the pivotal clinical trigger for genetic investigation in the absence of distinctive dysmorphic findings. Combination therapy with lurasidone and olanzapine led to sustained clinical stabilization over a one-year follow-up period, allowing gradual dose adjustment and functional reintegration through adapted educational and recreational activities.</p><p><strong>Conclusions: </strong>Early-onset psychotic symptoms in adolescents with neurodevelopmental comorbidities may represent a critical clinical indicator of underlying pathogenic copy number variants, including 3q29 deletion syndrome, even in the absence of highly recognizable dysmorphic features. Increased clinical awareness may facilitate consideration of early genetic testing in this clinical profile to support precision-informed diagnostic evaluation, treatment planning and multidisciplinary management.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1823061"},"PeriodicalIF":1.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622841","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 association between teacher caring behavior and employment anxiety in female vocational college students: a serial mediation analysis of career decision-making self-efficacy and psychological capital.","authors":"Juan Liang, Yu Li Liu, Zhanfang Liu","doi":"10.3389/frcha.2026.1856403","DOIUrl":"10.3389/frcha.2026.1856403","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the association between teachers' caring behaviors on employment anxiety among female students in vocational colleges, as well as the sequential multiple mediating roles of career decision-making self-efficacy and psychological capital in this association. The findings are intended to offer both theoretical insights and practical guidance for developing psychological interventions to support female students in their transition to employment.</p><p><strong>Methods: </strong>Based on Social Cognitive Career Theory (SCCT), this study collected data from 1,424 female students enrolled in 10 vocational colleges across Hunan, Jiangxi, and Henan provinces. Participants completed a series of validated instruments, including the Teacher Caring Behavior Questionnaire, the Career Decision-Making Self-Efficacy Scale, the Psychological Capital Questionnaire, and the Employment Anxiety Scale.</p><p><strong>Results: </strong>The results indicated that: (1) teachers' caring behaviors were significant negatively correlated with employment anxiety among female vocational college students; (2) career decision-making self-efficacy served as a significant mediator in the association between teacher caring behavior and employment anxiety; (3) psychological capital also functioned as a significant mediator in this association; and (4) career decision-making self-efficacy and psychological capital jointly exerted a significant serial mediating on the link between teacher caring behavior and employment anxiety.</p><p><strong>Conclusion: </strong>Teacher caring behaviors are negatively correlated with employment anxiety among female vocational college students. In addition, this association can be explained indirectly through a sequential intervening pathway involving career decision-making self-efficacy and psychological capital.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1856403"},"PeriodicalIF":1.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610557","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":"Biopsychosocial risk pathways to school violence in youth: a scoping review of stress reactivity, mental health outcomes, and prevention.","authors":"Giuseppe Marano, Gianandrea Traversi, Osvaldo Mazza, Leila Farsakh, Daniele Napolitano, Alessio Simonetti, Antonio Maria D'Onofrio, Giovanni Camardese, Eleonora Gaetani, Marianna Mazza","doi":"10.3389/frcha.2026.1895435","DOIUrl":"10.3389/frcha.2026.1895435","url":null,"abstract":"<p><p>School violence represents a major public health and educational concern with significant consequences for adolescents' psychological well-being, academic functioning, and social development. Increasing evidence indicates that violent behaviors in school environments arise from the complex interaction between individual vulnerabilities and broader social determinants. This scoping review aims to describe and discuss the available evidence on the risk factors, mental health outcomes, and prevention strategies associated with school violence. A comprehensive literature search was conducted across major databases, and studies were selected and charted according to predefined inclusion criteria. The evidence was analyzed following a developmental psychopathology framework. We identified and analyzed key individual risk factors, including emotional dysregulation, impulsivity, empathy deficits, trauma exposure, and psychiatric vulnerabilities such as attention-deficit/hyperactivity disorder, conduct disorder, and mood disorders. In addition, we mapped contextual determinants including family functioning, peer dynamics, school climate, and the growing role of digital environments, particularly cyberbullying. The review further categorized the psychological profiles of aggressors, victims, and bully-victims, highlighting the developmental fluidity of these roles. Attention was also given to biological and psychophysiological pathways linking school violence, trauma exposure, and adolescent mental health, including stress-system dysregulation, hypothalamic-pituitary-adrenal axis functioning, autonomic arousal, threat sensitivity, and neurodevelopmental vulnerability. Within a biopsychosocial framework, these mechanisms are discussed as potential mediators between adverse social experiences, emotional dysregulation, aggression, victimization, and subsequent internalizing or externalizing outcomes. We synthesized evidence on the mental health consequences associated with exposure to school violence, including depression, anxiety, post-traumatic stress symptoms, and suicidal ideation. Finally, evidence-based prevention and intervention strategies are discussed, emphasizing integrated approaches that combine school-based programs, family involvement, and collaboration with mental health services to support early identification and prevention. This review provides a biopsychosocial mapping of the current literature and highlights the need for future studies integrating psychosocial assessment with biological and psychophysiological measures of stress reactivity and neurodevelopmental vulnerability.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1895435"},"PeriodicalIF":1.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622469","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":"Ethno-evolutionary insights and missed critical periods hypothesis of Autism Spectrum Condition.","authors":"Costanza Colombi, Martin Brüne","doi":"10.3389/frcha.2026.1838798","DOIUrl":"10.3389/frcha.2026.1838798","url":null,"abstract":"<p><p>This article proposes an ethno-evolutionary \"missed critical periods\" hypothesis of Autism Spectrum Condition (ASC), integrating developmental neuroscience with anthropological and ethological perspectives. Drawing on evidence that the first year of life is characterized by heightened brain plasticity and rapidly narrowing sensory-social attunement, the manuscript argues that core ASC symptoms reflect the downstream outcome of early hyper-focalized attentional styles interacting with historically situated caregiving ecologies, rather than a fixed, context-independent defect. Early prospective studies of high-likelihood infants show that subtle alterations in gaze, socio-communicative reciprocity and restricted, repetitive behaviors emerge within the first months, opening a window for pre-emptive, parent-mediated intervention. Converging data from pre-emptive interventions suggest that targeting infant-caregiver micro-interactions during this window can substantially modify developmental trajectories and, in some cases, reduce or mitigate disability. Placing these findings in an evolutionary frame, the article hypothesizes that genetic liabilities for ASC have long been present across human groups, but that dense, multi-caregiver, high-contact rearing practices typical of hunter-gatherer societies may have buffered against the manifestation of disabling phenotypes. The authors highlight implications for contemporary Western child-rearing norms and outline future research directions, including randomized pre-emptive trials with neurophysiological outcomes and cross-cultural studies in traditional societies.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1838798"},"PeriodicalIF":1.5,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610542","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":"Perceived parental competence and mental health in school-aged adolescents in Colombia: evidence from a well-being and risk approach.","authors":"Felipe Agudelo-Hernández, Marcela Guapacha-Montoya, Andrés Camilo Delgado-Reyes, Lorena Aguirre-Aldana","doi":"10.3389/frcha.2026.1890077","DOIUrl":"10.3389/frcha.2026.1890077","url":null,"abstract":"<p><strong>Background: </strong>This study examined adolescent-reported perceived parental competence as a relational indicator associated with mental health and well-being in Colombian adolescents. Perceived parental competence was defined as youths' appraisal of caregivers' support, responsiveness, monitoring, communication, and boundary-setting, and was modeled as the dependent variable rather than as a causal determinant of adolescent outcomes.</p><p><strong>Methods: </strong>A quantitative, cross-sectional, analytical study was conducted with 1,005 adolescents from three convenience-selected school settings representing urban Manizales, semi-urban Anserma, and rural Bahía Solano, Colombia. Participation was voluntary and exceeded 95% of eligible students in the selected schools. All measures were administered in Spanish and completed by adolescents as self-report questionnaires. The PANSI was operationalized as a risk-oriented suicidal ideation score by combining negative ideation items with reverse-coded protective ideation items. The CRAFFT-related variable was analyzed as a continuous substance-use screening score, not as a categorical risk classification.</p><p><strong>Results: </strong>Perceived parental competence was positively correlated with life satisfaction (r = 0.362, <i>p</i> < 0.001) and resilience (r = 0.283, <i>p</i> < 0.001) and negatively correlated with depressive symptoms (r = -0.278, <i>p</i> < 0.001) and risk-oriented suicidal ideation (r = -0.354, <i>p</i> < 0.001). The continuous substance-use screening score showed a small positive bivariate association with perceived parental competence (r = 0.114, <i>p</i> < 0.001), but it was not retained in the final regression model. The final model retained life satisfaction, origin, resilience, risk-oriented suicidal ideation, depressive symptoms, and frustration tolerance, explaining 26.4% of the variance in perceived parental competence.</p><p><strong>Conclusions: </strong>Youth-perceived parental competence was mainly associated with higher life satisfaction, greater resilience, fewer depressive symptoms, and lower risk-oriented suicidal ideation. The CRAFFT-related score should be interpreted only as a continuous screening indicator derived from the available questionnaire coding, not as a validated categorical classification of substance-use risk. The cross-sectional design precludes causal interpretation, but the findings support assessing adolescent perceptions of parental responsiveness and monitoring as relational indicators in school and community mental health strategies.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1890077"},"PeriodicalIF":1.5,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622844","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":"Broad autism phenotype and parental personality in parents of preschoolers with autism: associations with social and behavioral profile.","authors":"Francesco Craig, Filippo Muratori, Raffaella Devescovi, Giovanna Tritto, Giuseppina Palermo, Marco Turi","doi":"10.3389/frcha.2026.1842230","DOIUrl":"10.3389/frcha.2026.1842230","url":null,"abstract":"<p><strong>Introduction: </strong>Biological parents of children with Autism Spectrum Disorder (ASD) frequently exhibit features of the broader autism phenotype (BAP), encompassing subclinical social, cognitive, and personality traits related to autism. Elevated BAP rates among first-degree relatives support the strong heritability of ASD. This study investigated BAP traits and maladaptive personality domains in biological mothers and fathers of preschool-aged children at first ASD diagnosis and examined associations between parental BAP and children's autism features.</p><p><strong>Methods: </strong>Eighty-nine children with ASD (2-5 years) and their parents were assessed. Autism-related traits were measured using the Social Responsiveness Scale-Second Edition (SRS-2) and degree of autism features with the Autism Diagnostic Observation Schedule-Second Edition (ADOS-2). Parental personality functioning was evaluated with the Personality Inventory for DSM-5 (PID-5). Children's behavioral functioning and adaptive skills were assessed using the Child Behavior Checklist (CBCL 1.5-5) and Vineland Adaptive Behavior Scales-Second Edition (VABS-2). BAP was defined as an SRS-2T-score ≥60. Families were classified as BAP+ if at least one parent met this threshold and BAP- otherwise.</p><p><strong>Results: </strong>Twenty-five percent of parents met criteria for BAP (26% of fathers; 24% of mothers). Parental BAP was associated with higher maladaptive personality traits (all PID-5 domains). Children in BAP+ families showed higher SRS-2 total and subdomain scores and higher ADOS-2 CSS (<i>p</i> < .05), indicating greater degree of autism features. No group differences emerged in behavioral problems or adaptive functioning. Hierarchical regression analyses revealed that fathers' SRS-2 scores significantly predicted children's ADOS-2 domain scores after controlling for demographic and cognitive variables, whereas mothers' scores did not.</p><p><strong>Conclusions: </strong>Parental BAP traits, particularly in fathers, are associated with greater autism features in young children, underscoring the importance of intergenerational trait profiles for early assessment and family-based intervention planning.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1842230"},"PeriodicalIF":1.5,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610331","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":"Child and parent behavioral and physiological reactivity to threat and distress predict children's proactive and reactive aggression.","authors":"Kostas A Fanti, Antonios I Christou, Melina Nicole Kyranides, Ioannis Mavrommatis, Georgia Soursou, Nicholas D Thomson","doi":"10.3389/frcha.2026.1664150","DOIUrl":"10.3389/frcha.2026.1664150","url":null,"abstract":"<p><strong>Introduction: </strong>Threat reactivity has been linked to early manifestations of aggressive behavior, with prior research suggesting that parenting can moderate the relation between a child's psychophysiological reactivity and antisocial behavior. However, to date, few studies have examined both parents and children's bio-behavioral reactivity to emotional stimuli, and how their interaction can influence children's aggressive behavior. The present study investigated how parents' sensory processing sensitivity and heart rate (HR) reactivity to distress moderated the association between children's HR reactivity to threat, fearlessness and callous unemotional traits with reactive and proactive functions of aggression.</p><p><strong>Method: </strong>The sample consisted of 124 parent-child dyads recruited from a nationwide study on antisocial behavior.</p><p><strong>Results: </strong>Results indicate that the child's callous unemotional traits and parents' sensory processing sensitivity increase the likelihood of both reactive and proactive aggression. In contrast, the child's fearlessness mainly predicted reactive aggression. In addition, an interaction effect suggested that the child's HR reactivity to threat was negatively associated with proactive aggression when parental HR reactivity to others' distress was low, but positively associated with proactive aggression when parents' reactivity to distress was high.</p><p><strong>Discussion: </strong>Findings provide evidence for the importance of investigating physiological concordance and can inform developmental psychopathology models of antisocial behavior.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1664150"},"PeriodicalIF":1.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450867","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":"Immature defences mediate the association between borderline personality and problematic social media use in generation Z.","authors":"Danilo Bontempo, Marco Giancola, Matteo Perazzini, Simonetta D'Amico, Enrico Perilli","doi":"10.3389/frcha.2026.1822113","DOIUrl":"10.3389/frcha.2026.1822113","url":null,"abstract":"<p><strong>Introduction: </strong>Problematic Social Media Use (PSMU) is increasingly recognised as a relevant public mental health concern. Nevertheless, the main psychological mechanisms underpinning this pattern remain underexplored, especially in Generation Z, for whom social media represents a primary environment for identity construction, interpersonal interaction, information seeking, and self-expression. Grounded in the Interaction of Person-Affect-Cognition-Execution (I-PACE) framework and psychodynamic theory of defence mechanisms, the present study tested whether immature defences mediate the association between Borderline Personality and PSMU.</p><p><strong>Methods: </strong>Five hundred and twenty participants aged 18-25 years (M_age = 20.82, SD_age = 1.66; 252 females) who reported daily social media use completed an online survey, including a brief socio-demographic questionnaire, the Borderline Symptom List-23, the Defence Style Questionnaire-40, and the Bergen Social Media Addiction Scale.</p><p><strong>Results: </strong>Results indicated that immature defences mediated the association between Borderline Personality and PSMU, after controlling for age, sex, education, mature defences, and neurotic defences.</p><p><strong>Discussion: </strong>Overall, these findings suggest that immature defences may represent one psychological process linking Borderline Personality to PSMU, reflecting maladaptive, unconscious strategies of affect regulation. Limitations, theoretical avenues, and clinical implications are discussed.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1822113"},"PeriodicalIF":1.5,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407241","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":"What's being said: exploring parental comments during a family meal session in family based treatment for avoidant/restrictive food intake disorder.","authors":"HaLi Boyce, Ainsley E Cogburn, Hazal Y Gurcan, Brittany Matheson, Nandini Datta, James Lock","doi":"10.3389/frcha.2026.1858934","DOIUrl":"10.3389/frcha.2026.1858934","url":null,"abstract":"<p><strong>Objective: </strong>Avoidant/restrictive food intake disorder (ARFID) is characterized by an avoidance or restriction of food intake due to a lack of interest in eating or foods, sensory sensitivities, and/or fear of adverse consequences, resulting in physical, medical, or psychosocial impairment. While previous studies in other eating disorders have found correlations between parental hostility, critical comments, and treatment outcomes, the ways that parents display their emotions and thoughts have not been evaluated in families of children with ARFID.</p><p><strong>Method: </strong>This study coded parental emotions and responsiveness in therapist-guided family meals during session two of manualized Family-Based Treatment (FBT) for ARFID to examine what types of comments were made. Thirty-one recorded meals were randomly selected from a randomized clinical treatment trial for children 6-12 years old with low-weight ARFID receiving FBT. The videos were double-coded with consensus and scoring guidelines developed in alignment with expressed emotion constructs (warmth, positive comments, hostility, critical comments, and emotional overinvolvement) but modified to fit the age range of ARFID children and the setting of the family-meal.</p><p><strong>Results: </strong>The study found that parents tended to make more positive comments than critical comments, with low scores of hostile comments and emotional overinvolvement.</p><p><strong>Discussion: </strong>Overall, these findings may suggest that some families enter treatment with relational strengths that can be leveraged therapeutically to reduce mealtime conflicts and improve treatment outcomes. The findings also support the establishment of a coding framework for parental emotions during mealtimes of families of children with low-weight ARFID and highlight the need for further research.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"5 ","pages":"1858934"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13333759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439040","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}