JCPP advances最新文献

{"title":"Effects of an elimination diet and a healthy diet in children with Attention-Deficit/Hyperactivity Disorder: 1-Year prospective follow-up of a two-arm randomized, controlled study (TRACE study)","authors":"Annick Huberts-Bosch,&nbsp;Margreet Bierens,&nbsp;Julia J. Rucklidge,&nbsp;Verena Ly,&nbsp;Rogier Donders,&nbsp;Gigi H. H. van de Loo-Neus,&nbsp;Alejandro Arias-Vasquez,&nbsp;Helen Klip,&nbsp;Jan K. Buitelaar,&nbsp;Saskia W. van den Berg,&nbsp;Nanda N. Rommelse","doi":"10.1002/jcv2.12257","DOIUrl":"10.1002/jcv2.12257","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>An Elimination Diet (ED) or Healthy Diet (HD) may be effective in reducing symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD), but long-term maintenance effects and feasibility have never been examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One-year prospective follow-up of a sample of 165 children (5–12 years) with ADHD randomized (unblinded; 1:1) to 5 weeks treatment with either ED (<i>N</i> = 84) or HD (<i>N</i> = 81) and a non-randomized comparator arm including 58 children being treated with Care as Usual (CAU). Dietary participants were allowed to add or switch to CAU treatment after 5 weeks. The primary outcome was a 5-point ordinal measure of improvement based on both parent and teacher ratings on ADHD and dysregulation problems, determined after 1 year prospective follow-up. Ordinal regression analyses and linear mixed models analyses were conducted on an intention to treat basis. In addition, as-treated analyses were performed. The trial is closed and registered in the Dutch trial registry, number NL5324.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At 1 year follow-up, 24% of the participants still complied with the ED and 37% still complied with the HD. In the ED (+CAU) trajectory, fewer participants showed (partial) improvement after 1-year prospective follow-up compared to the HD (+CAU) trajectory (47% vs. 64%, χ² (4, <i>N</i> = 152) = 11.97, <i>p</i> = 0.018). The HD (+CAU) - but not ED (+CAU) - trajectory had comparable 1-year outcomes compared to the non-randomized CAU-trajectory. Results for secondary outcomes (e.g. health, parental stress) did not differ between the ED (+CAU) and HD (+CAU) trajectories. The prevalence of psychostimulant use was lower in the ED (+CAU) and HD (+CAU) trajectories compared to the non-randomized CAU-trajectory (38%, 45%, 78%, respectively). Predictors for long-term benefit from dietary treatments included high initial severity of ADHD problems, low severity of emotional problems and sufficient parental mental resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In line with the short-term effects, prospective 1-year follow-up outcomes are in favor of treatment with HD and not ED. Initial 5-week treatment with HD and if needed/preferred followed by CAU may reduce psychostimulant use without negatively impacting 1-year outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670224","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":"Anything goes for participant, patient and public involvement in youth mental health research","authors":"Marian J. Bakermans-Kranenburg,&nbsp;Marinus H. van IJzendoorn","doi":"10.1002/jcv2.12258","DOIUrl":"10.1002/jcv2.12258","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Participant and Public Involvement in youth mental health research aims at making research more responsive to the needs of youth struggling with mental health issues, their parents, and mental health professionals and other stakeholders. Do characteristics of Patient and Public Involvement (PPI) in youth mental health research align with transparency and replication prerequisites as necessary conditions for translation? Relatedly, the question is addressed whether co-authorship should be assigned to youth involved in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Here we address these questions re-visiting 50 PPI studies included in two recent systematic reviews of PPI on characteristics that are pertinent to questions about transparency, replicability, translatability, and co-authorship in PPI research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Almost two-third of the studies on youth mental health incorporating PPI translate their results to policy or practice, mostly as recommendations but sometimes also by dissemination of (online) interventions. At the same time the authors of a substantial majority of the studies (70%) also suggest the need for further work on their results, for example, in randomized controlled trials to validate the outcome of their exploratory inquiry. Only a quarter of the studies using PPI met the conditions for replicability, thus a majority of the PPI studies suggest premature translation of results. Authorship to involved participants was assigned in 24% of the studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>“Anything goes” for PPI in an exploratory stage to generate fruitful hypotheses. Translation of the findings of PPI studies however require a firm evidence base of replicated results. Radical merging of research and action in participatory action research seems incompatible with replicable and therefore translatable inquiry. Assigning co-authorship to PPI representatives is often at odds with current guidelines for authorship. More evidence from randomized trials on the translational impact of PPI is needed before grant foundations should require PPI in grant proposals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141682657","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 contribution of childhood trauma to irritability symptoms","authors":"Lana Ruvolo Grasser,&nbsp;Ruiyu Yang,&nbsp;Melissa A. Brotman,&nbsp;Jillian Lee Wiggins","doi":"10.1002/jcv2.12260","DOIUrl":"10.1002/jcv2.12260","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Irritability is a transdiagnostic psychiatric phenotype defined as an increased proneness to anger relative to peers. Trauma is defined as actual or threatened death, serious injury, or sexual violence while adversity more broadly describes difficult or challenging situations including abuse, neglect, and household dysfunction. Irritability [or aggression] is symptom of posttraumatic stress disorder (PTSD) and may arise in response to trauma or traumatic events. Responses to negative early life experiences may differ based on the type of exposure, for example, threat (abuse) versus deprivation (neglect), with implications for development of psychopathology. Therefore, the objective of this study was to investigate the relation between exposure to threat and deprivation, and irritability in a predominantly Hispanic/Latin sample. We hypothesized unique effects of threat versus deprivation on irritability.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We investigated relations between threat and deprivation aspects of childhood trauma (within each dimension) and later irritability in a sample of &lt;i&gt;n&lt;/i&gt; = 48 (26F) youth ages 9–19 (&lt;i&gt;M&lt;/i&gt;&lt;sub&gt;&lt;i&gt;age&lt;/i&gt;&lt;/sub&gt; = 14.89, &lt;i&gt;SD&lt;/i&gt; = 2.04) recruited based on trauma exposure. Multivariate regression tested the unique effects of threat and deprivation (measurement: Childhood Trauma Questionnaire) on irritability (measurement: Affective Reactivity Index).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Greater threat exposure was associated with more severe self-reported irritability, &lt;i&gt;F&lt;/i&gt;(1,46) = 8.64, &lt;i&gt;B&lt;/i&gt; = 0.40, &lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.14, &lt;i&gt;p&lt;/i&gt; = 0.005. Findings remained significant after controlling for values of excessive influence and the non-significant effect of gender (&lt;i&gt;B&lt;/i&gt; = 0.25, &lt;i&gt;t&lt;/i&gt; = 1.88, &lt;i&gt;p&lt;/i&gt; = 0.067). When looking at the unique effects of threat adjusted for deprivation, the relation between threat and irritability remained significant, &lt;i&gt;B&lt;/i&gt; = 0.35, &lt;i&gt;t&lt;/i&gt; = 2.45, &lt;i&gt;p&lt;/i&gt; = 0.019. There was no significant association between deprivation and irritability, &lt;i&gt;F&lt;/i&gt;(1,46) = 3.35, &lt;i&gt;B&lt;/i&gt; = 0.26, &lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.05, &lt;i&gt;p&lt;/i&gt; = 0.074.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Exposure to threat, but not deprivation, may increase risk for irritability in youth. Early life experiences should be considered in assessment and treatment of youth with clinically impairing irritability. Transdiagnostic treatments targeting irritability should be tested for youth with trauma exposure who do not meet criteria for pos","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696298","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 distribution of parent-reported autistic and subclinical ADHD traits in children with and without an autism diagnosis","authors":"Tracey Chau,&nbsp;Jeggan Tiego,&nbsp;Louise E. Brown,&nbsp;Olivia J. Mellahn,&nbsp;Beth P. Johnson,&nbsp;Mark A. Bellgrove","doi":"10.1002/jcv2.12259","DOIUrl":"https://doi.org/10.1002/jcv2.12259","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Attention-deficit/hyperactivity disorder (ADHD) traits often co-occur in autistic children. The presence of subclinical ADHD traits can significantly impact upon different aspects of daily living. As such, understanding the distribution of these traits in autistic children may have important implications for the validity of diagnostic tools and subsequent intervention choices. This study builds on previous latent models of parent-reported autistic and ADHD traits to propose a preliminary model of their distribution in two independent samples of autistic and neurotypical children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Factor mixture modelling was applied to caregiver responses to the Social Responsiveness Scale - 2^nd edition and the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviour Scale (SWAN) of participants aged 4–18 years who participated in one of two studies in Australia or in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A 2-factor, 3-class factor mixture model demonstrated the best fit to the data across both independent samples. The factors represented the latent constructs of ‘autism’ and ‘ADHD’. The latent classes represented subtypes of children with different levels of autistic traits, with higher levels of ADHD traits as autistic trait endorsement increased. Some sample-specific differences were observed for each model's item thresholds and factor covariance matrices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings suggest that the endorsement of subclinical ADHD traits tends to increase alongside autistic trait endorsement across neurotypical and autistic presentations. There may be clinical utility in routinely screening for ADHD traits in children with clinically elevated levels of autistic traits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571388","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":"Four distinct peer interaction variables as moderators of the fearful temperament-anxiety association, using data from the Generation R Study","authors":"Anita Harrewijn,&nbsp;Rosa H. Mulder,&nbsp;Marinus H. van IJzendoorn,&nbsp;Matthias J. Wieser,&nbsp;Pauline W. Jansen","doi":"10.1002/jcv2.12254","DOIUrl":"https://doi.org/10.1002/jcv2.12254","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pediatric anxiety disorders are common and have severe long-term consequences. Early-life fearful temperament is a predictor of later anxiety, but not all children with highly fearful temperament will eventually develop an anxiety disorder. Therefore, it is important to identify factors that moderate the fearful temperament-anxiety association. The goal of this study it to replicate the fearful temperament-anxiety association in a large cohort study, explore sex as a moderator of this association, and to investigate four distinct peer interaction variables as moderators of this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>2730 children (51.0% girls) with parent-reported fearful temperament at 6 months and parent-reported anxiety symptoms at 13 years were included from a prospective cohort study (Generation R Study). Fearful temperament was also observed in a subset (<i>n</i> = 643, 49.3% girls) of these children. Peer interactions were measured in four different ways: mother-reported victimization (at age 7), self-reported friendship quality (at age 9), and self-reported feelings and facial expressions during social exclusion in a lab-based task (at age 9).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children with higher parent-reported, but not observed, fearful temperament showed more anxiety symptoms as adolescents, <i>β</i> = 0.07, <i>p</i> &lt; 0.001. This association was not moderated by sex, <i>β</i> = −0.07, <i>p</i> = 0.07, but was stronger in adolescents who reported more negative feelings after social exclusion, <i>β</i> = 0.05, <i>p</i> = 0.04. Victimization, friendship quality, and sad facial expressions were related to increased anxiety symptoms but did not moderate the fearful temperament-anxiety association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We showed that parent-reported fearful temperament and anxiety were associated in this large community sample and that this association was not moderated by sex. Additionally, we showed that negative feelings after social exclusion moderated this association. Potentially, children with a highly fearful temperament might benefit from learning how to cope with social exclusion. Future studies are needed to confirm our findings and could focus on the potential role of coping with social rejection in interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571368","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":"Social anxiety symptoms and their relationship with suicidal ideation and depressive symptoms in adolescents: A prospective study","authors":"Kenny Chiu,&nbsp;Argyris Stringaris,&nbsp;Eleanor Leigh","doi":"10.1002/jcv2.12249","DOIUrl":"10.1002/jcv2.12249","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social anxiety disorder typically emerges in adolescence and its symptoms often co-occur with depression and suicidal ideation. It is important to understand whether social anxiety symptoms precede depression and suicidal ideation in youth. This study aimed to investigate the temporal associations between baseline social anxiety and later suicidal ideation and depressive symptoms in a community youth sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Wellcome Trust NSPN (Neuroscience in Psychiatry Network) study recruited 2397 youth aged 14–24 in the United Kingdom to participate in a prospective observational study. Participants were assessed for symptoms of social anxiety, generalised anxiety, depression and suicidal ideation at baseline, 1-year follow-up, and 2-year follow-up. We conducted multiple linear regression analyses and mediation analyses to examine whether baseline social anxiety was associated with 2-year suicidal ideation and depressive symptoms (excluding suicide-related items), and whether these associations were mediated by 1-year depressive symptoms. The study was preregistered on the Open Science Framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results from multiple linear regression analyses indicated that baseline social anxiety symptoms were associated with 2-year suicidal ideation (<i>β</i> = 0.07, <i>p</i> &lt; 0.05, 95% CI [0.02, 0.12]) and 2-year depressive symptoms (<i>β</i> = 0.08, <i>p</i> &lt; 0.05, 95% CI [0.02, 0.13]), after controlling for baseline predicted variable. Furthermore, 1-year depressive symptoms significantly mediated the relationship between baseline social anxiety symptoms and 2-year suicidal ideation (<i>β</i> = 0.04, 95% CI [0.02, 0.05]), and the relationship between baseline social anxiety symptoms and 2-year depressive symptoms (<i>β</i> = 0.06, 95% CI [0.03, 0.08]) after adjusting for age, sex, and other covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found evidence that baseline social anxiety symptoms were associated with 2-year suicidal ideation and 2-year depressive symptoms via 1-year depressive symptoms in non-clinical adolescents. These results may have important implications for targeted psychological interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141362751","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 diminishing association between adolescent mental disorders and educational performance from 2006–2019","authors":"Magnus Nordmo,&nbsp;Thomas H. Kleppestø,&nbsp;Bjørn-Atle Reme,&nbsp;Hans Fredrik Sunde,&nbsp;Tilmann von Soest,&nbsp;Fartein Ask Torvik","doi":"10.1002/jcv2.12239","DOIUrl":"https://doi.org/10.1002/jcv2.12239","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A rising prevalence of adolescent mental disorders in the Western world has been widely reported, raising concerns for adolescent development and well-being. Mental disorders are known to negatively impact educational performance. Yet it remains uncertain whether the relationship between mental disorders and educational outcomes has also changed over time and if the change is more pronounced among high compared to low performing students. The aims of this paper are to (1) describe the change over time in the prevalence of common mental disorders in adolescence; (2) determine whether the change in prevalence of common mental disorders differs between high and low performing students; and (3) assess whether the associations between mental health disorders and educational performance have changed over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To address these issues, this study examines potential shifts in the associations between diagnoses of ADHD and internalizing disorders and educational performance among 843,692 Norwegian students graduating from lower secondary education between 2006 and 2019. We utilize population-wide register data on ADHD and internalizing disorders from primary and specialist care combined with educational outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our analysis revealed a marked rise in ADHD prevalence, from 1.0% in 2006 to 2.6% in 2019. Concurrently, diagnoses of internalizing disorders also increased from 1.9% to 4.2%. This increasing trend in diagnoses spanned across all high school grade point average (GPA) categories, thereby not supporting the notion that the rise is predominantly observed among high-performing adolescents. Importantly, the strength of the associations of internalizing disorders and ADHD with GPA diminished significantly over time. For instance, the difference between the average GPA standardized score for boys with and without an ADHD diagnosis shrunk from 1.0 in 2006 to 0.73 in 2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We discuss various potential explanations for this observation and suggest that changes in diagnostic thresholds is a contributing factor.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142170303","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":"Diverging trends in alcohol use and mental health in Australian adolescents: A cross-cohort comparison of trends in co-occurrence","authors":"Tim Slade,&nbsp;Cath Chapman,&nbsp;Jillian Halladay,&nbsp;Matthew Sunderland,&nbsp;Anna Smout,&nbsp;Katrina E. Champion,&nbsp;Nicola C. Newton,&nbsp;Maree Teesson","doi":"10.1002/jcv2.12241","DOIUrl":"10.1002/jcv2.12241","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In recent years, psychological distress in Western countries has rapidly increased among older adolescents while alcohol use has declined, though little is known about younger adolescents. It is also unclear if and how these trends relate to co-occurring alcohol use and distress. This study sought to examine temporal changes in the prevalence of distress, alcohol use, and their co-occurrence among young Australians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used data from 13,388 youth in their early teens (aged 12–14). Differences in the prevalence of high psychological distress (Kessler-6 ≥ 13), any alcohol use (standard drink in past 3/6 months), and their co-occurrence across cohorts (2007, 2012, 2014, 2019) were tested through log-binomial regression models. Changes in co-occurrence across cohorts were tested with cohort-by-alcohol interactions predicting distress, and vice-versa. Differential trends by sex were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 2007 to 2019, the prevalence of high distress more than doubled (4.6%–13.5%) while alcohol use decreased by ∼90% (11.8%–3.1%). Distress increased more-so among females, while alcohol use decreased more-so among males. The prevalence of high distress was significantly greater among adolescents who used alcohol compared to those who had not (&gt;2 times higher), with this co-occurrence remaining consistent across cohorts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Psychological distress appears to be increasing similarly among youth in their early teens who do and do not use alcohol. At the same time, alcohol use is decreasing similarly among youth with and without distress. While alcohol use does not appear to be a driver of increases in distress, rates of co-occurring alcohol use and distress remain high. Addressing co-occurrence and distress-specific mechanisms remain necessary.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12241","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141105485","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":"Modifiable protective factors for mental health resilience in the offspring of depressed parents: A high-risk longitudinal cohort spanning adolescence and adulthood","authors":"Eglė Padaigaitė-Gulbinienė,&nbsp;Gemma Hammerton,&nbsp;Victoria Powell,&nbsp;Frances Rice,&nbsp;Stephan Collishaw","doi":"10.1002/jcv2.12240","DOIUrl":"10.1002/jcv2.12240","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Several protective factors have been identified for mental health (MH) resilience in adolescent offspring of depressed parents. However, it is unclear if these effects persist into adulthood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Depressed parents and their offspring (<i>N</i> = 188) from the Early Prediction of Adolescent Depression study were assessed four times (mean offspring ages 12.39, 13.77, 14.82, and 23.41). Mental health resilience was examined using residual scores (better-than-expected mood-, behaviour-, or anxiety-related MH at mean age 23 given risk exposure), and categorically as sustained good MH across adolescence and young adulthood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Only 9.2% of young adults demonstrated sustained good MH. Parents of resilient individuals showed lower comorbidity (anxiety, antisocial behaviour and harmful drinking) and higher depression remission. Considering adolescent protective factors, weak evidence was observed of associations of mood-resilience with adolescent peer-relationship quality (<i>β</i> = −0.20, 95%CI:−0.36, −0.04); friendship quality (<i>β</i> = −0.14, 95%CI:−0.31, 0.02); risk adjustment (<i>β</i> = −0.16, 95%CI:-0.34, 0.03) and dysfunctional attitudes (<i>β</i> = 0.18, 95%CI:0.01, 0.35). There was weak evidence of behavioural-resilience association with parent positive expressed emotion (<i>β</i> = −0.15, 95%CI:−0.31, 0.02) and offspring exercise (<i>β</i> = −0.37, 95%CI:−0.77, 0.03). No adolescent protective factors showed an association with anxiety-resilience. For sustained good MH, there was weak evidence of an association with inhibitory control (OR = 0.39, 95%CI:0.14, 1.07). Strong evidence was observed for associations between young adult-reported peer relationship quality and mood-resilience (<i>β</i> = −0.35, 95%CI:−0.53, −0.17), behavioural-resilience (<i>β</i> = −0.33, 95%CI:−0.51, −0.14) and anxiety-resilience (<i>β</i> = −0.34, 95%CI:−0.53, −0.14), while weak evidence was observed of an association of social activities with anxiety-resilience (<i>β</i> = −0.51, 95%CI:−0.97, −0.06).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found limited evidence for the long-lasting effects of adolescent protective factors on adult MH resilience. Social factors remained protective into young adulthood, while family factors did not. Early preventative intervention might not be sufficient to maintain good long-term MH, and young people will likely require more prolonged support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125172","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":"Risk rates and profiles at intake in child and adolescent mental health services: A cohort and latent class analyses of 21,688 young people in South London","authors":"Barry Coughlan,&nbsp;Matt Woolgar,&nbsp;Rick Hood,&nbsp;Dustin Hutchinson,&nbsp;Ella Denford,&nbsp;Amy Hillier,&nbsp;Keith Clements,&nbsp;Teresa Geraghty,&nbsp;Ava Berry,&nbsp;Paul Bywaters,&nbsp;Andy Bilson,&nbsp;Jack Smith,&nbsp;Taliah Drayak,&nbsp;David Graham,&nbsp;Francesca Crozier-Roche,&nbsp;Robbie Duschinsky","doi":"10.1002/jcv2.12246","DOIUrl":"10.1002/jcv2.12246","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children and young people (CYP) seen by child and adolescent mental health services (CAMHS) often experience safeguarding issues. Yet little is known about the volume and nature of these risks, including how different adversities or risks relate to one another. This exploratory study aims to bridge this gap, examining rates at entry to services and profiles of risk using a latent class analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were extracted for CYP who received at least one risk assessment at CAMHs in South London between January 2007 and December 2017. In total, there were 21,688 risk assessments. Latent class analysis was used to identify profiles of risk from the risk assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Concerns about parent mental health (<i>n</i> = 5274; 24%), emotional abuse (<i>n</i> = 4487; 21%), violence towards others (<i>n</i> = 4210; 19%), destructive behaviour (<i>n</i> = 4005; 18%), and not attending school (<i>n</i> = 3762; 17%) were the most commonly identified risks. Six distinct profiles of risk were identified from the latent class analyses: (1) maltreatment and externalising behaviours, (2) maltreatment but low risk to self and others, (3) antisocial behaviour, (4) inadequate caregiver supervision and risk to self and others, (5) risk to self but not others, and (6) mental health needs but low risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings provide fresh insights into adverse experiences and risks identified by CAMHS. For professionals, the profiles identified in this study might provide insights into profiles of identified risks, in contrast to traditional cumulative approaches to risk. For researchers, these profiles may be fertile ground for hypothesis-driven work on the association between adversity and later outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.12246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141126094","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}