JCPP advances最新文献

{"title":"The impact of nature-based education on neurodivergent adolescent mental health and wellbeing: A systematic scoping review.","authors":"Helen Eke, Suzie Holt, Helen Dodd, Faraz Mughal, Eleanor Shaw, Abigail Emma Russell","doi":"10.1002/jcv2.70182","DOIUrl":"https://doi.org/10.1002/jcv2.70182","url":null,"abstract":"<p><strong>Background: </strong>Around 10% of young people have a diagnosed neurodevelopmental condition or consider themselves neurodivergent (brain function different to that considered typical). Neurodivergent young people (NYP) utilise health services more frequently than their peers and are at increased risk of mental health problems, school absenteeism and suspension. Research shows that nature benefits mental health; nature-based education (NBE) may be beneficial to NYP, providing opportunities for improved social skills, positive relationships, increased concentration and motivation outside traditional classrooms. Improved attendance, engagement with schooling, alongside improved support and social inclusion, will likely result in improved physical and mental health for NYP. This systematic scoping review aimed to provide an overview of research related to the impact of NBE on NYP mental health and wellbeing.</p><p><strong>Methods: </strong>Four electronic databases (MEDLINE, APA PsycINFO, Education Resources Information Centre, Education Research Complete) and supplementary grey literature were searched on 18/09/24 and 31/07/26 and reported according to the PRISMA-ScR checklist. Eligibility criteria included NYP aged 10-19 years, NBE, mental health impact, English language, from 1990 to date. Data were extracted, charted descriptively, and synthesised narratively.</p><p><strong>Results: </strong>5767 records were screened, 97 at full text. Ten records (of nine studies) met inclusion criteria. Studies were heterogenous, small, exploratory, largely qualitative, most reported on Forest School and lacked generalisability. Mental health impact was often not the main objective and therefore not robustly captured, but all studies linked NBE to direct and indirect wellbeing benefits, including providing space and enhanced opportunities for social, cognitive, emotional, and motivational development and psychological resilience mechanisms.</p><p><strong>Conclusion: </strong>Research indicates the positive impact of NBE on mental health. Within the context of increasing nature deficit and worsening mental health for NYP, more work is needed to robustly evaluate NBE as an alternative educational model and identify key components that confer mental health benefits.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70182"},"PeriodicalIF":4.1,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13678322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225263","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":"Association of socioeconomic factors on mental health in children and young people with intellectual developmental disabilities of genetic origin.","authors":"Irene O Lee, Jeanne Wolstencroft, Harriet Housby, Marianne B M van den Bree, Samuel J R A Chawner, Jeremy Hall, Michael J Owen, David H Skuse","doi":"10.1002/jcv2.70180","DOIUrl":"10.1002/jcv2.70180","url":null,"abstract":"<p><strong>Background: </strong>Children and young people (CYP) with intellectual developmental disability (IDD) have a high prevalence of mental health and behavioural problems, which might be influenced by socioeconomical status as well as the severity of their disabilities. This is however an understudied topic, and the present study investigated the association between mental health and socioeconomic deprivation as well as severity/type of disability in CYP with IDD of genetic origin.</p><p><strong>Methods: </strong>Participants comprised a national cohort of 2778 participants with diagnosed genetic disorders associated with IDD, 10.1 ± 4.3 years of age (mean ± SD), 55.7% males. The cohort was linked to routinely collected UK school record data from the National Pupil Database. Socioeconomical status was assessed by free school meals (FSM) eligibility, the index of multiple deprivation (IMD), and parental educational level. IDD severity/type was reported by reviewing statements of primary special educational needs. Participant's mental health diagnoses were established by parental report using the Development and Well-Being Assessment. Parents also completed the Strengths and Difficulties Questionnaire (SDQ).</p><p><strong>Results: </strong>Socioeconomic factors including lower parental education, greater deprivation (lower IMD decile) and FSM eligibility were associated with the higher prevalence of mental health disorders, as well as greater difficulties in emotional and behavioural adjustment (as measured by the SDQ). In contrast, IDD severity/type was not linked to diagnostic characteristics nor the prevalence of emotional and behavioural difficulties.</p><p><strong>Conclusion: </strong>This study revealed that CYP with IDD of genetic origin living in relatively deprived circumstances had a high risk of mental health disorders and poor emotional and behavioural adjustment, irrespective of the severity/type of their learning disabilities. Tackling deprivation (such as FSM as indicator for targeted additional support) and enhancing access to support services (e.g., psychotherapy) could be by implication key strategies to improve the mental health of this vulnerable population with IDD of genetic aetiology.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70180"},"PeriodicalIF":4.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186638","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":"Paranoia and social anxiety: Structural and temporal relationships across adolescence.","authors":"Jessica L Kingston, Björn Schlier, Richard P Bentall, Christopher D J Taylor, Eleanor Leigh","doi":"10.1002/jcv2.70181","DOIUrl":"10.1002/jcv2.70181","url":null,"abstract":"<p><strong>Background: </strong>Social anxiety (SA) and paranoia (PA) are commonly experienced during adolescence, but the nature of their co-development is largely unknown. Greater clarity could significantly advance our understanding of both conditions, and of their progression into serious mental illness.</p><p><strong>Methods: </strong>Utilising the Neuroscience in Psychiatry Network 2k cohort data, an accelerated cohort design study in 14-22 year olds, pre-registered hypotheses examined: (1) via measurement models, whether SA and PA were statistically distinguishable; (2) whether SA at a given time-point was significantly associated with subsequent PA at the next time point; and (3) common co-developmental trajectories through adolescence (e.g., low in both; high SA, low PA, etc.).</p><p><strong>Results: </strong>(1) Measurement models indicated that two and three factor models, with SA and PA as related but separate constructs, best fit the data across all age groups, (2) in cross-lagged panel analysis, SA was a more significant predictor of subsequent (approximately 1 year later) PA than vice versa; (3) Six common patterns in how SA and PA developed together over time (i.e., co-developmental trajectories) were detected, whereby low levels of each were most common, followed by clusters with elevated SA but not PA, followed by mid and descending SA and mid PA, or elevated levels on each.</p><p><strong>Conclusion: </strong>SA and PA are commonly comorbid in adolescence. More evidence was obtained for the <i>SA-fuelling-PA</i> hypothesis than vice versa, but nonetheless we also detected a <i>PA-to-SA</i> pathway in the youngest age group which requires further investigation. Understanding the social and cognitive factors that account for escalation from SA into PA is a key future direction.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70181"},"PeriodicalIF":4.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186665","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":"Diagnostic variability of mental disorders in adolescence: A longitudinal study across transition boundary age.","authors":"Marta Magno, Donato Martella, Silvia Leone, Adriana Pastore, Cosmo Strozza, Elisa Caselani, Samuele Cortese, Miriam D'Addazio, Gwen Dieleman, Tomislav Franic, Suzanne Gerritsen, Athanasios Maras, Fiona McNicholas, Diane Purper-Ouakil, Paramala Santosh, Ulrike M E Schulze, Cathy Street, Swaran Singh, Sabine Tremmery, Helena Tuomainen, Larissa S van Bodegom, Dieter Wolke, Giovanni de Girolamo","doi":"10.1002/jcv2.70174","DOIUrl":"https://doi.org/10.1002/jcv2.70174","url":null,"abstract":"<p><strong>Background: </strong>Correct psychiatric diagnoses represent a prerequisite for the efficacy of treatment, especially during adolescence, a critical period for the onset of mental health disorders. Diagnoses can evolve over time, influenced by factors such as changes in symptoms, treatment effects, and comorbidities. The transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) presents challenges due to differences in diagnostic criteria and treatment approaches. This study explores whether and how psychiatric diagnoses change during this transition, aiming to examine the prevalence and composition of primary diagnoses and identify predictors of diagnostic change.</p><p><strong>Methods: </strong>From the MILESTONE project total sample, 770 participants aged 17-19 with available diagnoses and clinical data were included and assessed at four-time points. We categorised participants into 10 diagnostic groups based on shared clinical features. Statistical analysis included multilevel logistic regression to examine diagnosis changes, with a Sankey plot to visualise transitions.</p><p><strong>Results: </strong>Clinically, anxiety/trauma disorders (25.1%) were the most common at baseline, followed by depression/bipolar (21.3%) and attention deficit hyperactivity disorder (15.6%). Most diagnoses remained stable over time, with showing high stability; depression/bipolar showed moderate stability (80.7%), while schizophrenia spectrum disorders and substance use disorders exhibited nearly perfect consistency (100% and 85.7%, respectively). Multilevel logistic regression revealed that higher externalising scores (OR = 2.90; <i>p</i> = 0.045) was a predictor of diagnostic change, while being assessed by a psychiatrist (<i>p</i> = 0.037) was an index of diagnostic stability over time.</p><p><strong>Conclusion: </strong>This study highlights the diagnostic stability of most psychiatric conditions during the transition from CAMHS to AMHS. Given the complexity of adolescent mental health, accurate and continuous assessment is crucial. Understanding the evolving nature of psychiatric symptoms during adolescence will improve diagnostic accuracy and inform better interventions, fostering long-term mental health outcomes.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70174"},"PeriodicalIF":4.1,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169363","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":"Establishing a transdiagnostic dimension of early childhood depressive symptoms using the Preschool Feelings Checklist-Scale.","authors":"Nicolas L Camacho, Kirsten E Gilbert, Rebecca Tillman, Joan L Luby, Michael S Gaffrey","doi":"10.1002/jcv2.70152","DOIUrl":"https://doi.org/10.1002/jcv2.70152","url":null,"abstract":"<p><strong>Background: </strong>Young child depressive symptoms are associated with various concurrent and future psychiatric problems, indicating early transdiagnostic risk for psychopathology. We now need studies that identify and test the robustness, reliability, and validity of early emerging depressive symptom dimensions, examining them relative to wide-ranging forms of psychopathology. Psychometric methods are suitable for such investigations.</p><p><strong>Methods: </strong>In a sample of 547 young children (ages 3-7 years) enriched for internalizing problems, preregistered analyses on the psychometric properties of the Preschool Feelings Checklist-Scale (PFC-S) investigated the robustness and interpretation of young child depressive symptom dimensions using exploratory structural equation models (ESEMs) and correlations alongside related constructs. We also tested the accuracy with which the PFC-S distinguished children based on broadband psychiatric diagnostic profiles and clinical concern.</p><p><strong>Results: </strong>A bifactor ESEM with three group factors (Social and Behavioral Anhedonia, Emotional and Behavioral Dysregulation, and Excessive Guilt and Sadness) and residual correlations accounting for item wording similarities was the most valid PFC-S model (comparative fit index/Tucker-Lewis index = 0.98; root mean squared error of approximation = 0.06; standardized root mean squared residual = 0.03). Only the general factor emerged as reliable (<i>ω</i> _H = 0.91; <i>H</i> = 0.96; factor determinacy = 0.99). The general factor evidenced correlations with measures of child anhedonia severity, executive dysfunction, and emotion dysregulation (|<i>r</i>s| > .60) a well as correlations with child reward responsiveness, driven goal pursuit, inhibited behavior, sex assigned at birth, and caregiver depressive symptom severity (0 < |<i>r</i>s| ≤ .37), but was not significantly correlated with child guilt, approach behavior, or fun-seeking (|<i>r</i>s| ≤ .07). The general factor most accurately distinguished children with multiple co-occurring diagnoses, including depression, and those with no diagnoses, as well as children with versus without clinical levels of general psychopathology.</p><p><strong>Conclusion: </strong>Findings support a PFC-S general factor characterized by reward and executive dysfunction with both depression-specific and transdiagnostic psychopathology risk relevance in young children.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70152"},"PeriodicalIF":4.1,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172130","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":"Supporting mental health conversations among youth with neurodevelopmental disorders through digital storytelling: A co-produced study.","authors":"Patrick Jachyra, Yona Lunsky, Andrada Cretu, Elim Chan, Noah Barnett, Michael Barnett, Sheldon Gaboury, Cathy Gaboury, Austin Cosgrove, Susan Cosgrove, Claudine Aquino-Evangelista, Carla Southward, Evdokia Anagnostou","doi":"10.1002/jcv2.70179","DOIUrl":"https://doi.org/10.1002/jcv2.70179","url":null,"abstract":"<p><strong>Background: </strong>Youth (aged 15-24 years) diagnosed with neurodevelopmental disorders (NDD) experience higher rates of co-occurring mental health challenges and disparities in receiving timely care. A significant barrier to support is a lack of guidance for healthcare professionals (HCPs) on delivering conversations about co-occurring mental health for youth with NDD. Limited guidance is amplified by a paucity of research which has included youths' perspectives on how to speak to them about co-occurring mental health challenges. There is a need for research to include the voices of youth with NDD to ensure policies and practices reflect their lives, co-occurring mental health needs and abilities.</p><p><strong>Methods: </strong>The study was co-produced with a youth and parent advisory council. Nine youth with NDD, aged 16-21 (<i>M</i> _age = 18 years), created digital stories about their experiences with mental health support and how to foster conversations about co-occurring mental health. The stories of six young men and three young women were analyzed thematically.</p><p><strong>Results: </strong>Negative experiences with support included feeling misbelieved, dismissed, and the use of esoteric medical/scientific language among HCPs. These experiences deterred future support seeking. A compassionate approach centered on rapport, trust, involving family members and establishing a space of psychological safety were foundational to support conversations about co-occurring mental health. Explaining mental health challenges in an accessible way, tailored to their needs and involving youth in their care plan was essential to enable youth to feel safe and able to share their vulnerabilities.</p><p><strong>Conclusion: </strong>Encounters with HCPs can help, harm, and heal. Youth voiced the importance of HCPs playing a collective role in supporting mental health and shared approaches that were most supportive of their needs. A toolkit generated from digital stories to support conversations about mental health is offered. Digital storytelling can be a valuable and accessible methodology for youth with NDD with cathartic, methodological and empirical benefits.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70179"},"PeriodicalIF":4.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169309","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":"Categories or dimensions? A critical systematic review of taxometric evidence in autism, ADHD, and language disorders.","authors":"Enrico Toffalini, Margherita Calderan, Riccardo Pagan, Valentina Tobia, Edmund Sonuga-Barke","doi":"10.1002/jcv2.70177","DOIUrl":"https://doi.org/10.1002/jcv2.70177","url":null,"abstract":"<p><strong>Background: </strong>Taxometric analysis is designed to test whether the latent structure underlying clinical conditions is categorical (taxonic) or dimensional. Despite its relevance to ongoing debates on neurodevelopmental conditions, its application to this field remains limited.</p><p><strong>Methods: </strong>We conducted a preregistered systematic review (OSF) searching PsycINFO, PubMed, Scopus, and Web of Science from inception to April 2025, with a supplementary search made in January 2026. We included peer-reviewed empirical studies applying at least one taxometric procedure (e.g., MAMBAC, MAXEIG, MAXCOV, L-Mode) to neurodevelopmental conditions/traits and reporting a categorical versus dimensional conclusion (or sufficient indices to infer it). Two reviewers independently screened and extracted data. Study quality (risk of bias for taxometric inference) was appraised using an ad hoc checklist focused on key threats, especially artificial admixture/compound sampling, and on reporting of indicator validity, nuisance covariance, and skewness. Findings were synthesized descriptively.</p><p><strong>Results: </strong>We identified 126 records across the main database search (<i>n</i> = 110) and the supplementary search (<i>n</i> = 16). Fourteen studies were included. ADHD and language impairment studies largely supported dimensional models, whereas most autism and subtype studies reported taxonic patterns. Artificial admixture was very common in studies reaching taxonic conclusions, especially for autism. In Monte Carlo simulations, admixture consistently generated false-positive taxonic findings from dimensional data.</p><p><strong>Conclusion: </strong>Based on the best available evidence, ADHD and language impairment appear continuous dimensions rather than discrete categories. Evidence for a categorical structure is stronger for autism, but a definitive conclusion is frustrated by sampling-related biases, especially artificial admixture. More population-based, methodologically transparent taxometric studies are needed.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70177"},"PeriodicalIF":4.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167660","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":"Mental health and healthcare use during COVID-19 among neurodivergent youth and youth with pre-existing psychiatric disorders: A systematic review.","authors":"Ulyana Sirotina, Bryndis Lara Bjarnadottir, Agnieszka Butwicka, Eivind Ystrom, Jaana Suvisaari, Olli Kiviruusu, Audun Valborgarson, Heiddis Bjork Valdimarsdottir, Helga Ask, Unnur Valdimarsdottir, Thorhildur Halldorsdottir","doi":"10.1002/jcv2.70176","DOIUrl":"https://doi.org/10.1002/jcv2.70176","url":null,"abstract":"<p><strong>Background: </strong>Neurodivergent youth and youth with pre-existing psychiatric disorders may have faced additional challenges in navigating the demands and restrictions of the COVID-19 pandemic. However, less is known about how mental health outcomes and psychiatric healthcare utilization differed across diagnostic groups and other youth-related factors. This systematic review synthesizes evidence on mental health symptoms and psychiatric healthcare use among youth with pre-existing conditions during the pandemic.</p><p><strong>Methods: </strong>We searched PubMed, Web of Science and additional sources for cross-sectional and longitudinal studies with data collected between March 2020 and May 2023. Eligible studies included neurodivergent youth and/or youth with psychiatric disorders confirmed through clinician diagnosis or medical records prior to the pandemic. Given the clinical and methodological diversity of studies, findings were synthesized narratively.</p><p><strong>Results: </strong>Forty-eight studies met the inclusion criteria. Mental health outcomes showed mixed patterns both across and within diagnostic groups, with individual studies reporting symptom increase, stability and improvements. Evidence on psychiatric healthcare utilization was more limited and suggested different patterns between service use and psychotropic medication use. Compared to boys, girls were more likely to experience COVID-related distress and increases in psychiatric service use during the pandemic. Age-related findings varied across developmental stages and outcome domains. Most studies (<i>n</i> = 40; 83.3%) had a moderate overall risk of bias (RoB), while seven (14.6%) had a high overall RoB.</p><p><strong>Conclusion: </strong>Mental health outcomes among youth with pre-existing conditions during the COVID-19 pandemic varied both within and across diagnostic groups. Outcomes were also associated with individual, developmental, contextual and service-related factors. These findings suggest the importance of considering such factors alongside diagnosis when identifying clinical needs and planning support during large-scale societal disruptions. Evidence on psychiatric healthcare utilization remains limited. More methodologically robust research is needed to clarify mental health and healthcare-use patterns during major public health emergencies.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70176"},"PeriodicalIF":4.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169344","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":"Working with goals in youth mental health and substance use service: A review of current practice guidelines and recommendations.","authors":"Madison Nugent, Drew Burchell, Jill Chorney, Sharon Clark, Mick Cooper, Debbie Emberly, Danielle Impey, Jenna Jacob, Anam Khan, Jennifer Lane, Duncan Law, Rebecca Pillai Riddell, Lori Wozney","doi":"10.1002/jcv2.70173","DOIUrl":"10.1002/jcv2.70173","url":null,"abstract":"<p><strong>Background: </strong>Working with goals is a critical yet often overlooked aspect of youth mental health and addictions care, with the potential to strengthen therapeutic relationships, support shared decision-making, and improve outcomes. Despite its importance, there is no cohesive, equity-centered guidance for working with youth on their goals. This review critically examines existing practice principles for working with youth aged 10-25 on goals within mental health and addictions services, with a particular focus on how equity, diversity, and inclusion are, or are not, embedded in these recommended approaches.</p><p><strong>Methods: </strong>A narrative review methodology was employed to synthesize insights from both academic literature and clinical guidebooks published between 2003 and 2023. Searches were conducted across PubMed, EMBASE, Cochrane Library, Web of Science, and supplemented with general web searches to capture diverse perspectives from research and practice. Fifty-three publications were selected and analyzed using thematic and content analysis via MAXQDA software.</p><p><strong>Results: </strong>Four key themes were identified: (1) semi-structured and strategic approaches to goal-setting, including the use of routine outcome measures and progress monitoring; (2) youth- and family-centered engagement strategies; (3) conceptual framing of goals within therapeutic processes; and (4) a nascent but growing emphasis on embedding EDI and cultural safety into goal-oriented practices.</p><p><strong>Conclusion: </strong>Findings underscore the importance of moving beyond standardized, clinician-driven approaches to more inclusive, collaborative, and youth-informed goal practices.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70173"},"PeriodicalIF":4.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139762","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":"Multivariate genetic analyses test for the presence of a general '<i>n</i>' factor underlying neurodevelopmental conditions.","authors":"Morgan James Morgan, Margherita Malanchini, Elise B Robinson, Angelica Ronald","doi":"10.1002/jcv2.70168","DOIUrl":"10.1002/jcv2.70168","url":null,"abstract":"<p><strong>Background: </strong>Neurodevelopmental conditions often emerge early in life and have substantial genetic influences. There are significant genetic correlations between neurodevelopmental conditions, such as between autism spectrum disorder (Autism) and attention deficit-hyperactivity disorder (ADHD), and they are listed together in diagnostic manuals. Here we assess whether there is a single underlying genetic neurodevelopmental ('<i>n</i>') factor for neurodevelopmental conditions.</p><p><strong>Methods: </strong>Genetic summary statistics of neurodevelopmental conditions, or their proxy traits, were used to model the genetic relationship between neurodevelopmental conditions. Summary statistics contain the effect sizes of each variant's association with a neurodevelopmental condition from a genome-wide association study. Single and multiple common factor models were fitted to the data using genomic structural equation modelling.</p><p><strong>Results: </strong>A single common factor model did not provide a good fit for the genetic architecture of neurodevelopmental conditions. A two-factor model fitted the data best. It was also found that the common genetic variation associated with a trait representing motor development, namely age at onset of walking, was negatively and positively associated with ADHD and Autism, respectively, suggesting some genetic differentiation between these two common neurodevelopmental conditions.</p><p><strong>Conclusion: </strong>These results provide insight into the genetic architecture of neurodevelopmental conditions and their inter-related structure. Data on measured common genetic variation, as discovered from recent genome-wide association studies, does not support the hypothesis that all neurodevelopmental conditions fall into a single '<i>n</i>' factor.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70168"},"PeriodicalIF":4.1,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13621882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082942","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}