Frontiers in child and adolescent psychiatry最新文献

{"title":"Assessing childhood maltreatment exposure using the child behavior checklist.","authors":"Takuya Makino, Shota Nishitani, Shinichiro Takiguchi, Akiko Yao, Takashi X Fujisawa, Akemi Tomoda","doi":"10.3389/frcha.2025.1493432","DOIUrl":"10.3389/frcha.2025.1493432","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood maltreatment (CM) has broad and severe adverse effects in later life, but there are not enough studies conducted during childhood close to the time of maltreatment. Most studies have focused only on a single symptom and have not attempted to capture the global picture of CM.</p><p><strong>Methods: </strong>We used the Child Behavior Checklist (CBCL) to assess children's behavioral/emotional problems more comprehensively. This study leveraged 32 CM children and 29 typically developing (TD) children who have been assessed using the CBCL 4-18 from our dataset. Group comparisons of the eight subscales were conducted to characterize each behavioral/emotional problem. Receiver Operating Characteristic (ROC) curve analysis was conducted to assess the classification performance. Finally, sensitive period and type analyses were performed based on the children's maltreatment history.</p><p><strong>Results: </strong>The CM group showed significantly higher behavioral/emotional problems in seven out of the eight subscales. Logistic regression analysis was performed using all combinations of CBCL subscale T-scores and age, sex, and IQ. We created 2047 models and performed ROC analysis for each. Three models were generated: the most accurate model (comprising CBCL T-score, age, sex, and IQ; sensitivity: 0.906, specificity: 0.966), a model excluding IQ (sensitivity: 0.875, specificity: 0.931), and a model consisting only of CBCL (sensitivity: 0.906, specificity: 0.862). The CBCL demonstrated robust predictive capacity for CM by utilizing information provided by caregivers, without directly inquiring about trauma. The sensitive period analysis revealed that the temporal predictor of severity for \"withdrawn\" and \"thought problems\" were exposure to CM at age five. Similarly, exposure to CM between the ages of five and seven predicted \"somatic complaints\". In the case of type, physical abuse was the predictor for \"somatic complaints\" and \"delinquent behavior\", and emotional abuse was the predictor for \"anxious/depressed\" and \"thought problems\".</p><p><strong>Conclusion: </strong>Maltreated children present a wider range of behavioral/emotional problems, which must be considered when supporting them. Perspectives gained from sensitive analyses of maltreatment history will help clinicians provide more appropriate interventions.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1493432"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129643","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 role of self-advocacy and self-determination in positive adjustment for autistic adolescents and young adults: a mini-review.","authors":"Daniele C Martino, Alexa Brantley, Angela Scarpa","doi":"10.3389/frcha.2025.1542543","DOIUrl":"10.3389/frcha.2025.1542543","url":null,"abstract":"<p><p>Autistic individuals have an increased likelihood for negative adjustment relative to their peers, often as a result of adverse experiences. Consistent with the biosocial model of resilience and the growing neurodiversity movement, identifying factors that may contribute to positive outcomes among autistic individuals is an urgent research priority. The present review explores the existing literature on the role of self-advocacy and self-determination in promoting positive adjustment for autistic adolescents and young adults. Findings point to encouraging associations of self-advocacy and self-determination with various adjustment outcomes, including educational and employment outcomes, socialization, relationship development, identity development, self-concept, and quality of life. Implications are discussed, including limitations, directions for future research, and considerations for designing interventions that support autistic individuals to act with the agency and autonomy they desire.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1542543"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095925","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: Women in developmental psychopathology and mental health.","authors":"Isabelle V Daignault, Eva Mohler","doi":"10.3389/frcha.2025.1556534","DOIUrl":"https://doi.org/10.3389/frcha.2025.1556534","url":null,"abstract":"","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1556534"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059235","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":"Improvement of motor disorders and autistic symptomatology by an approach centered on the body axis: a two-case report.","authors":"Sylvie Pussino, François Darchen","doi":"10.3389/frcha.2025.1451559","DOIUrl":"https://doi.org/10.3389/frcha.2025.1451559","url":null,"abstract":"<p><p>Motor dysfunction is commonly associated with autism spectrum disorders (ASD). However, even if it may represent an intrinsic dimension of ASD it is not thought of as a relevant therapeutic target. Here we describe the postural, motor, and autistic characteristics of two children with ASD, a girl aged 3 years and 9 months and a boy aged 4 years and 7 months at enrollment, and their evolution over 20 or 23 months in response to interventions targeting these postural characteristics. Both met DSM-5 diagnosis critera for ASD. In both cases, asymmetric postures, twisting around the longitudinal axis, and underuse of the hands, particularly the thumbs, were observed. The children were repeatedly encouraged to engage in motor experiences involving their spatial cues and body axes and to correct their postures. We assessed more than fifty items describing motor particularities, communication, and social interactions. We observed a progressive and synchronous improvement in most of the items. In particular, communication and interaction skills improved in a similar way to motor skills. CARS scores also improved from 36 at initial assessment to 26 at the end of the follow-up for the boy and from 39.5 to 30 for the girl. These results suggest that motor dysfunction is an intrinsic dimension of autism and that interventions aimed at improving motor organization around a \"body axis\" could benefit children with ASD.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1451559"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044090","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":"Psychometric analysis of the emotional availability scales for video-recorded interactions between parents and their preschool-aged children.","authors":"Jörg Michael Müller, Christina Elvert","doi":"10.3389/frcha.2025.1528196","DOIUrl":"https://doi.org/10.3389/frcha.2025.1528196","url":null,"abstract":"<p><p>In the context of parent-child interaction, the Emotional Availability Scales have been developed to capture a dyad's emotional connection in an observational setting by four parental and two child-related scales. This study aims to test the psychometric foundation of the EAS, including basic descriptive preconditions on the item level and structural validity on the scale level, for a preschool-aged sample; as such, it complements analyses by Aran for a sample of infants. The sample of parents and their preschool-aged children is a mixed clinically referred and non-clinical sample from a midsize city in Germany. Interactions were observed in a free-play setting and rated with the EAS by two blind and certificated raters. Several model tests indicate violations for the structural model as well as all six measurement models. An additional <i>post hoc</i> exploratory factor analysis with parallel analysis suggests a non-interpretable two-factor structure. Psychometric analyses did not validate the EAS's postulated structure and measurement model. A <i>post hoc</i> literature review showed that ceiling effects on the item and scale levels are not unique to our study. However, traditionally important concepts or terms of parent-child relationships covered by the EAS are not rejected by our study and can be assessed with alternative measures, but these also need psychometric evaluation in the future.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1528196"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030163","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 triple pandemic: COVID-19, violence against children, and the crisis in family courts.","authors":"Bandy X Lee, Grace Lee","doi":"10.3389/frcha.2025.1481455","DOIUrl":"https://doi.org/10.3389/frcha.2025.1481455","url":null,"abstract":"","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1481455"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060006","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":"Treatment of affective dysregulation in ADHD with guanfacine: study protocol.","authors":"Johanna Waltereit, Anne Uhlmann, Christos Tarassidis, Ulrich Preuss, Veit Roessner, Robert Waltereit","doi":"10.3389/frcha.2025.1547672","DOIUrl":"https://doi.org/10.3389/frcha.2025.1547672","url":null,"abstract":"<p><p>The early onset, high prevalence, persistence and comorbidity of developmental disorders make affective dysregulation (AD) in childhood and adolescence one of the conditions with the greatest psychosocial burden and economic impact on society. Despite ongoing research, there remains a substantial need to optimize individualized treatment strategies to improve treatment outcomes and alleviate subjective distress and economic costs. The objective of this study is to investigate psychopathological markers of AD in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) treated with the drug guanfacine as part of routine clinical care. These ADHD patients typically have not responded adequately to methylphenidate or other stimulant treatment. This study will employ a multicenter, single-arm design to evaluate the effects of guanfacine on AD symptoms in <i>n</i> = 40 patients of children and adolescents receiving regular ADHD treatment. The findings of this study are expected to address the hypothesis that guanfacine provides beneficial effects on symptoms of AD in addition to its effects on symptoms of ADHD.</p><p><strong>Public clinical trial registry: </strong>Affective Dysregulation (AD) in Children With ADHD Treated by Guanfacin, ClinicalTrials.gov ID NCT04016207.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1547672"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11985798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037257","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":"Ecological Momentary Assessment of emotional dysregulation and outbursts among youth with ADHD: a feasibility study of a biomarker-driven predictive algorithm in the special education pre-K and early childhood classroom settings.","authors":"Ripudaman Zeeba Singh, Janav Panchal, Sami Ali, Beth Krone, Isaac J Wert, Mark Owens, Mark Stein, Maulik V Shah","doi":"10.3389/frcha.2025.1549220","DOIUrl":"10.3389/frcha.2025.1549220","url":null,"abstract":"<p><strong>Background: </strong>Attention Deficit Hyperactivity Disorder (ADHD) among children younger than 6 years is quite impairing, nearly half these youth with ADHD experience school exclusion from mainstream preschool classes due to related emotional and behavioral outbursts. While a range of behavior rating scales and subjective measures are used to assess these youth, objective methods of assessment and prediction derived from technology have potential to improve therapeutic and academic interventions outcomes for these youths. We hypothesized that biometric sensors would provide objective, highly sensitive and specific information regarding the physiological status of children prior to an impulsive outburst and could be feasibly implemented using a wearable device in the special education classroom.</p><p><strong>Methods: </strong>We recruited two whole classrooms (<i>N</i> = 5 youth in the pre-K class and <i>N</i> = 5 youth from the first grade) of a specialized therapeutic day-school for youth with ADHD and other psychiatric and developmental disorders to examine feasibility of obtaining continuous physiological data associated with behavioral and emotional outbursts through smartwatch use. Children wore a sensor watch during their daily classroom activities for two weeks and trained observers collected data using behavioral logs. Using Ecological Momentary Assessment methodology, to examine correlations between objective sensor data and observer observation. Data collected from parents regarding prior night's sleep was also examined.</p><p><strong>Results: </strong>All participants completed the study. With a few tolerability or palatability issues. Associations were found between physiological and behavioral/questionnaire data. The methodology holds promise for reliably measuring behavioral and emotional outbursts in young children.</p><p><strong>Conclusions: </strong>This is the first study to use a bio-marker device <i>in vivo</i> among severely dysregulated pre-school aged youth throughout a full school day. This study established the feasibility of utilizing sensor derived physiological data as an objective biomarker of ADHD within the special education therapeutic classroom. Further research with larger samples is required to build a more robust and personalized AI predictive model.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1549220"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797163","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":"Multisystemic resilience and its impact on youth mental health: reflections on co-designing a multi-disciplinary, participatory study.","authors":"Linda Theron, Matteo Bergamini, Cassey Chambers, Karmel Choi, Olufunmilayo I Fawole, Fyneface Dumnamene Fyneface, Jan Höltge, Thandi Kapwata, Diane T Levine, Zainab Mai Bornu, Makananelo Makape, Celeste Matross, Brian McGrath, Olanrewaju Olaniyan, Dov J Stekel, Josh Vande Hey, Caradee Y Wright, Ameh Abba Zion, Michael Ungar","doi":"10.3389/frcha.2025.1489950","DOIUrl":"10.3389/frcha.2025.1489950","url":null,"abstract":"<p><p>Youth depression is a global emergency. Redressing this emergency requires a sophisticated understanding of the multisystemic risks and biopsychosocial, economic, and environmental resources associated with young people's experiences of no/limited versus severe depression. Too often, however, personal risks and a focus on individual-level protective resources dominate accounts of young people's trajectories towards depression. Further, studies of depression in high-income countries (i.e., \"western\") typically inform these accounts. This article corrects these oversights. It reports on the methodology of the Wellcome-funded R-NEET study: a multidisciplinary, multisystemic, mixed method longitudinal study of resilience among African youth whose status as \"not in education, employment or training\" (NEET) makes them disproportionately vulnerable to depression. Co-designed by academics, community-based service providers and youth in South Africa and Nigeria, with partnerships in the United Kingdom, Canada and the United States, the R-NEET study is identifying the physiological, psychological, social, economic, institutional, and environmental risks and resources associated with distinct trajectories of depression. Using the methodology of the R-NEET study as exemplar, this article advances an argument for understanding resilience as a contextually and culturally rooted capacity that draws on the multiple, co-occurring systems that young people depend upon to support their wellbeing. Acknowledging and harnessing the multiple systems implicated in resilience is critical to researchers and mental health providers who seek to support young people to thrive, and to young people themselves when protecting or promoting their mental wellbeing.</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1489950"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766060","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":"Predictors of homework engagement in internet-delivered Parent-Child Interaction Therapy for children with developmental delay: what about acculturation and enculturation?","authors":"Anastassia Cafatti Mac-Niven, Jonathan S Comer, Daniel M Bagner","doi":"10.3389/frcha.2025.1500742","DOIUrl":"10.3389/frcha.2025.1500742","url":null,"abstract":"<p><strong>Introduction: </strong>Families from racial/ethnic minoritized backgrounds and families of children with developmental delay (DD) often face more obstacles to engaging in psychosocial interventions compared to White families and families of typically developing children. Yet, research on engagement in behavioral parenting interventions has predominantly focused on typically developing children and White families from majority cultural groups. The present study offers the first examination of acculturation and enculturation as predictors of homework engagement among caregivers of children with DD from underrepresented racial/ethnic backgrounds participating in a telehealth behavioral parenting intervention.</p><p><strong>Methods: </strong>Data were collected from 65 caregiver-child dyads participating in the Advancing Child Competencies by Extending Supported Services (ACCESS) Study evaluating Internet-delivered Parent-Child Interaction Therapy (iPCIT) for children with DD. Homework engagement was measured as the proportion of days caregivers practiced \"special time\" with their child. Acculturation and enculturation were assessed using the Abbreviated Multidimensional Acculturation Scale (AMAS). Linear regression analyses evaluated associations between these two cultural factors and subsequent homework engagement, controlling for caregiver nativity, language of preference, income-to-needs ratio (INR), and caregiver work status.</p><p><strong>Results: </strong>While higher levels of acculturation (<i>B</i> = .110, <i>p</i> = .054) did not significantly predict homework engagement, enculturation (<i>B</i> = .140, <i>p</i> = .007) significantly predicted greater homework engagement throughout treatment with small and small-to-medium effect sizes (Cohen's <i>f</i>² = 0.029 and 0.104, respectively).</p><p><strong>Discussion: </strong>These findings underscore the nuanced role of acculturation and enculturation in predicting homework engagement in telehealth behavioral interventions for children with DD. Although acculturation did not facilitate homework engagement, caregivers who retained a stronger connection to their cultural heritage demonstrated higher homework engagement within the context of iPCIT. The study highlights the need for incorporating cultural considerations into treatment planning and flexibility in adapting treatment protocols to optimize family engagement and improve outcomes in this population.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov, identifier (NCT03260816).</p>","PeriodicalId":73074,"journal":{"name":"Frontiers in child and adolescent psychiatry","volume":"4 ","pages":"1500742"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722877","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}