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Editorial: When children also shape the family environment 社论:当孩子也塑造家庭环境
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2026-05-29 DOI: 10.1002/jcv2.70136
Eivind Ystrom
{"title":"Editorial: When children also shape the family environment","authors":"Eivind Ystrom","doi":"10.1002/jcv2.70136","DOIUrl":"https://doi.org/10.1002/jcv2.70136","url":null,"abstract":"<p>Family research in child and adolescent mental health has often been framed as if influence runs mainly from adults to children. Bjørndal et al. provide a timely corrective. Using longitudinal network models that separate within-person from between-person associations, they show that adolescent mental health difficulties and family dynamics are interrelated over time, and that emotional symptoms may precede later hyperactivity/inattention and sibling problems. Their findings also point to reinforcing loops within the family system, particularly between low family support and negative feelings towards the family. This matters because family members are not merely environmental exposures; they are genetically correlated social environments, and children can shape parental and sibling dynamics as well as be shaped by them. Distinguishing between variables with stronger outgoing and ingoing influence may help refine which intervention hypotheses should be prioritized, and which should be discarded or treated more cautiously.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70136","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221952","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}
引用次数: 0
Early joint attention abilities measured by the ADOS-2 predict subsequent expressive language development in minimally verbal autistic children. 用ADOS-2测试早期联合注意能力可以预测轻度言语自闭症儿童随后的表达性语言发展。
IF 4.1
JCPP advances Pub Date : 2026-06-11 DOI: 10.1002/jcv2.70140
Tanya Nitzan, Moran Bachrach, Michal Ilan, Michal Faroy, Danel Waissengreen, Analya Michaelovsky, Dikla Zagdon, Yair Sadaka, Omer Bar Yosef, Ditza Zachor, Einat Avni, Idan Menashe, Gal Meiri, Judah Koller, Ilan Dinstein
{"title":"Early joint attention abilities measured by the ADOS-2 predict subsequent expressive language development in minimally verbal autistic children.","authors":"Tanya Nitzan, Moran Bachrach, Michal Ilan, Michal Faroy, Danel Waissengreen, Analya Michaelovsky, Dikla Zagdon, Yair Sadaka, Omer Bar Yosef, Ditza Zachor, Einat Avni, Idan Menashe, Gal Meiri, Judah Koller, Ilan Dinstein","doi":"10.1002/jcv2.70140","DOIUrl":"10.1002/jcv2.70140","url":null,"abstract":"<p><strong>Background: </strong>Most preschool autistic children exhibit substantial language delays, yet only ∼25% remain minimally verbal (MV) throughout life. Developing expressive language is crucial for improving outcomes. This study examined early predictors of later expressive language growth in MV preschool autistic children.</p><p><strong>Methods: </strong>Data from 99 MV autistic children (mean age 27.7 months at diagnosis) who completed ADOS-2 assessments at diagnosis and 12-24 months later were analyzed. Children were stratified into three groups according to their language abilities at follow-up (MV, one-word, and phrases). Logistic regression was used to determine whether baseline ADOS-2 calibrated severity scores (CSS), non-verbal cognitive abilities, or Joint Attention (JA), derived from six ADOS-2 items, enabled prediction of expressive language abilities at follow-up.</p><p><strong>Results: </strong>Children who successfully developed expressive language (one-word/phrases) had significantly lower baseline ADOS-2 social affect CSS and JA scores, but did not differ in their non-verbal cognitive abilities or ADOS-2 restricted and repetitive behaviors CSS. Gains in JA were significantly larger in children who developed expressive language.</p><p><strong>Conclusion: </strong>MV preschoolers with better social abilities at diagnosis, specifically JA, were more likely to develop expressive language within 1-2 years. Joint attention scores derived from the ADOS-2 offer an easily accessible and widely available measure with important prognostic value for MV children.</p>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":" ","pages":"e70140"},"PeriodicalIF":4.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13339333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406925","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}
引用次数: 0
Complex presentations of child conduct problems: Validation of a competency-based model for clinical practice 儿童行为问题的复杂表现:临床实践中基于能力的模型的验证
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-09-01 DOI: 10.1002/jcv2.70045
Jessica M. Barker, David J. Hawes
{"title":"Complex presentations of child conduct problems: Validation of a competency-based model for clinical practice","authors":"Jessica M. Barker,&nbsp;David J. Hawes","doi":"10.1002/jcv2.70045","DOIUrl":"https://doi.org/10.1002/jcv2.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with conduct problems often present with a range of complex needs and many factors have the potential to complicate the delivery of evidence-based interventions for conduct problems. Little, however, is known about how to optimise the delivery of such interventions for complex cases, and there has been a lack of consensus regarding the features that reflect case complexity in treating child conduct problems. The aims of this study were to examine practitioner perceptions of the factors that contribute to case complexity in child conduct problems, and perceptions of the therapist competencies necessitated by distinct features of case complexity when delivering these interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Practitioners (<i>n</i> = 49) with expertise in evidence-based parenting interventions for conduct problems were recruited from nine countries. Using the Delphi method, participant consensus was established across multiple rounds of consultation and feedback with the expert panel.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Experts reached consensus on a model comprising seven distinct drivers of case complexity among children with conduct problems, spanning child-related factors, caregiver-related factors, and broader ecological factors. Consensus was also reached regarding 16 therapist competencies of key importance to distinct drivers of case complexity, thereby validating the conceptualisation of these drivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings represent a novel consensus-based practitioner perspective on the complex needs of children with conduct problems, and offer researchers and practitioners a common language for communicating information about case complexity. This perspective has the potential to inform clinical research, practice, and training, to better meet these complex client needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221756","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}
引用次数: 0
Attention-deficit hyperactivity disorder in children and young persons during the COVID-19 pandemic. A temporal trends analysis of electronic heath records in Greater Manchester, England COVID-19大流行期间儿童和年轻人的注意力缺陷多动障碍。英国大曼彻斯特地区电子健康记录的时间趋势分析
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-09-05 DOI: 10.1002/jcv2.70042
Louise Hussey, Evangelos Kontopantelis, Pearl L. H. Mok, Darren M. Ashcroft, Shruti Garg, Carolyn A. Chew-Graham, Karina Lovell, Roger T. Webb
{"title":"Attention-deficit hyperactivity disorder in children and young persons during the COVID-19 pandemic. A temporal trends analysis of electronic heath records in Greater Manchester, England","authors":"Louise Hussey,&nbsp;Evangelos Kontopantelis,&nbsp;Pearl L. H. Mok,&nbsp;Darren M. Ashcroft,&nbsp;Shruti Garg,&nbsp;Carolyn A. Chew-Graham,&nbsp;Karina Lovell,&nbsp;Roger T. Webb","doi":"10.1002/jcv2.70042","DOIUrl":"https://doi.org/10.1002/jcv2.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The incidence of attention-deficit hyperactivity disorder (ADHD) in children and young people has increased in recent years. Disease frequency varies according to sociodemographic characteristics. There are seasonal patterns in ADHD diagnosis and prescribing with rates falling during school holidays. COVID-19 societal restrictions may have exacerbated ADHD symptoms. Electronic health records were utilised to examine temporal trends throughout the pandemic in the diagnosis and treatment of ADHD by ethnicity and social deprivation in Greater Manchester, England.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a time-series analysis of all diagnosed episodes of ADHD and associated medication prescribing among patients aged 1–24 years using the Greater Manchester Care Record (GMCR). The 60-month observation period was split into four temporal phases: Pre-pandemic (1/2019–2/2020); Pandemic Phase 1 (3/2020–6/2021); Pandemic Phase 2 (7/2021–12/2022) and Post-Pandemic (1/2023–12/2023). Rate ratios by sex, age, ethnicity, and neighbourhood-level Indices of Multiple Deprivation (IMD) quintile were modelled using negative binomial regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, ADHD incidence and medication prescribing rates increased throughout the study period. Rates of increase were much higher in females than in males. Particularly large increases in ADHD incidence and medication prescribing were observed in Asian females, with post-pandemic incidence rates being seven times higher compared to the Pre-Pandemic phase. In addition, the ADHD medication prescribing rate was 90% higher for Asian females than for White females. Results showed a large increase in incidence and prescribing rates in the least deprived group, particularly in males where incidence rates increased by 83% compared to the most deprived quintile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ADHD incidence and prescribing rates differ between sociodemographic groups, plausibly due to cultural and behavioural differences in the way ADHD symptoms are presented or perceived. It is therefore important that there is greater understanding of how different demographic subgroups exhibit ADHD behaviour to help ensure timely diagnosis and access to the required support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221864","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}
引用次数: 0
Tactile hypo-responsivity in autism: Examining potential for diagnostic relevance 自闭症的触觉低反应性:检查诊断相关性的潜力
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-08-13 DOI: 10.1002/jcv2.70039
Girija Kadlaskar, Rebecca McNally Keehn, Riley Rozniarek, Nina Pan Fujii, Brandon Keehn
{"title":"Tactile hypo-responsivity in autism: Examining potential for diagnostic relevance","authors":"Girija Kadlaskar,&nbsp;Rebecca McNally Keehn,&nbsp;Riley Rozniarek,&nbsp;Nina Pan Fujii,&nbsp;Brandon Keehn","doi":"10.1002/jcv2.70039","DOIUrl":"https://doi.org/10.1002/jcv2.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Differences in tactile reactivity are observed in autism and to some extent in children with other developmental concerns. However, it is unknown whether differences in responding to touch may serve as a diagnostic marker of autism in children referred for developmental evaluation. This study examined the utility of a tactile reactivity assessment in differentiating autistic children from those with other neurodevelopmental concerns and the association between tactile responsivity, autism symptomatology, developmental level, and adaptive skills.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Children (108 autism [mean age 31 months], 43 non-autism [mean age 29 months]) were administered the tactile portion of the Sensory Processing Assessment along with assessments of autism symptoms, developmental level, and adaptive behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Autistic children showed decreased orienting to both social and non-social touches compared to children in the non-autism group. The social touch responsivity had a sensitivity of 0.62 and a specificity of 0.76. The non-social touch responsivity had a sensitivity of 0.21 and a specificity of 0.93. The sensitivity for overall responsivity was 0.14 and the specificity was 1. For all children, reduced tactile responsivity was associated with greater autism symptomatology, adaptive functioning difficulties and lower developmental levels. Autistic children who engaged in seeking behaviors while playing with distractor toys showed reduced orienting to novel touches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Autistic children showed reduced orienting to novel touches compared to children with other developmental concerns. Children who did not respond to <i>both</i> social and non-social touches were more likely to be diagnosed with autism. Reduced orienting to tactile stimuli was associated with higher autism symptomatology, and lower verbal/non-verbal, and adaptive skills in all children. Tendencies of seeking behaviors impacted orienting to touch within the autism group. The findings suggest that tactile reactivity may be a promising indicator of autism diagnosis in young children and that examining this behavior could be a valuable addition to existing standardized protocols.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221916","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}
引用次数: 0
The dynamic interplay between mental health difficulties and the family environment in early adolescence 青少年早期心理健康问题与家庭环境之间的动态相互作用
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-08-12 DOI: 10.1002/jcv2.70037
Ludvig Daae Bjørndal, Omid V. Ebrahimi, Sarah Bauermeister
{"title":"The dynamic interplay between mental health difficulties and the family environment in early adolescence","authors":"Ludvig Daae Bjørndal,&nbsp;Omid V. Ebrahimi,&nbsp;Sarah Bauermeister","doi":"10.1002/jcv2.70037","DOIUrl":"https://doi.org/10.1002/jcv2.70037","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;Adolescents experiencing mental health problems have an elevated risk of persisting difficulties as they transition into adulthood, stressing the importance of identifying modifiable factors impacting mental health during adolescence. The family environment is recognised as a key influence on adolescent mental health in theory and interventions. Notably, few studies have disentangled within-person and between-person effects in relating adolescent mental health and the family environment.&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 analysed data from 1067 adolescents across three waves using panel graphical vector autoregressive modelling, separating contemporaneous and temporal within-person and between-person associations in relationships between mental health difficulties (i.e., emotional, hyperactivity/inattention, conduct problems) and family-related factors (i.e., aspects of the general family environment, parent-child relationships, and sibling dynamics). We also assessed how the different mental health difficulties and family environment factors were themselves interrelated over time. The mean age (in years) was 10.51 at Wave 1, 12.49 at Wave 2, and 14.49 at Wave 3.&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;Emotional symptoms predicted increases in hyperactivity/inattention and more sibling problems over time. Lack of family support and negative feelings towards family were reciprocally related, indicative of a reinforcing loop. Both mental health difficulties and family environment factors exhibited considerable stability. In contemporaneous within-person associations, mental health difficulties were strongly interrelated, as were aspects of the family environment. Furthermore, conduct problems were linked to externalising behaviours (e.g., fighting with parents, bothering siblings) and emotional symptoms to internalising experiences of family dynamics (e.g., feeling negative towards family, being bothered by siblings). Negative feelings towards family and hyperactivity/inattention were strongly predicted by included variables, while emotional symptoms, fighting with parents, and lacking family support were predictive of other variables.&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;Our findings point to the importance of emotional problems in adolescence, which may contribute to worsened hyperactivity/inattention and more problems with siblings over time, and the interrelatedness of mental health and the family environment. Alleviating internalising problems in affected adolescents may h","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221788","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}
引用次数: 0
Young people's lived experience expertise: Insights from the DigiCAT project to develop a counterfactual analysis tool for mental health data 年轻人的生活经验专业知识:来自开发心理健康数据反事实分析工具的DigiCAT项目的见解
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-07-26 DOI: 10.1002/jcv2.70033
Marie Allitt, Helen Wright, Aja Murray, Ingrid Obsuth
{"title":"Young people's lived experience expertise: Insights from the DigiCAT project to develop a counterfactual analysis tool for mental health data","authors":"Marie Allitt,&nbsp;Helen Wright,&nbsp;Aja Murray,&nbsp;Ingrid Obsuth","doi":"10.1002/jcv2.70033","DOIUrl":"https://doi.org/10.1002/jcv2.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lived experience (LE) expertise is increasingly recognised as a vital component in mental health research. In our project to develop a digital tool for counterfactual analysis (DigiCAT), with an emphasis on researching active ingredients for adolescent mental health, we incorporated LE expertise across the lifecycle of tool development and dissemination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We consulted young person advisory groups (YPAGs; aged 11–18 years old) across three project phases—Discovery, Prototyping, and Dissemination—using structured discussions, ranking exercises, and iterative feedback loops to shape research priorities, tool design and user tutorials, and dissemination strategies of the tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The YPAGs advised on active ingredients and features of such ingredients that existing research has not taken into account. Examples include young person advisory group (YPAG) suggestions to prioritise research in social media, peer relationships, and teacher-student relationships. We incorporated these suggestions as illustrative examples in our tutorial paper introducing DigiCAT to our target audience, to demonstrate how insights from YPAGs can inform the use of the tool in research, by guiding areas of study. These areas were also prioritised in our own empirical analyses using the tool. Additionally, the YPAG contributed practical guidance on how to effectively involve youth LE experts in both research and digital tool development processes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The integration of LE expertise fundamentally shaped the development of our tutorial paper, influencing both its instructional components and its broader discussion of applications in mental health research. This project highlights the value of embedding LE perspectives into research guidance for software use, offering a model for future mental health and digital innovation initiatives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221961","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}
引用次数: 0
The impact of physical activity on psychological distress in young people: An analysis of longitudinal data from the Millennium Cohort Study using causal machine learning 体育活动对年轻人心理困扰的影响:使用因果机器学习对千年队列研究纵向数据的分析
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-08-19 DOI: 10.1002/jcv2.70035
Lewis W. Paton, Noemi Kreif, Lauren M. E. Aylott, Philip Kerrigan, Clau Nader, Lina Gega, Paul A. Tiffin
{"title":"The impact of physical activity on psychological distress in young people: An analysis of longitudinal data from the Millennium Cohort Study using causal machine learning","authors":"Lewis W. Paton,&nbsp;Noemi Kreif,&nbsp;Lauren M. E. Aylott,&nbsp;Philip Kerrigan,&nbsp;Clau Nader,&nbsp;Lina Gega,&nbsp;Paul A. Tiffin","doi":"10.1002/jcv2.70035","DOIUrl":"https://doi.org/10.1002/jcv2.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Physical activity is often associated with positive psychological wellbeing in adolescents, and there is evidence from randomised trials to support this. However, the effect sizes reported from intervention studies vary considerably. Moreover, physical activity is a ‘complex intervention’ and findings from trials may not generalise to naturalistic settings. Estimating causal effects from observational data is challenging, though provides an opportunity to add to the evidence base in this area. We used newer machine learning-based causal inference methods to estimate (i) the causal effect of physical activity on psychological distress in young people (ii) variations in effects across subgroups (‘heterogeneous treatment effects’).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from the Millennium Cohort Study were available for 9123 adolescents. Self-reported days of moderate/vigorous activity was recorded at ages 14 and 17. Psychological distress was measured at age 17 using the Kessler-6 scale. Directed acyclic graphs were co-produced with a youth advisory group and individuals with lived experience to identify confounders. Average and heterogeneous treatment effects of physical activity at age 14 on psychological distress at age 17, as well as concurrently at age 17, were estimated using causal machine learning methods (targeted learning, causal forests).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We observed no overall impact of physical activity at age 14 on self-reported distress scores at age 17 (0.11 points, −0.09 to 0.31, <i>p</i> = .28), although there was a modest impact of physical activity at 17 on concurrent distress (−0.39, −0.61 to −0.18, <i>p</i> &lt; .001). Meeting government guidelines on physical activity levels benefited boys more than girls, but had relatively less positive impact on young people with special educational needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Whilst no overall impact of physical activity levels on youth distress was observed, boys may particularly benefit from targeted interventions in this regard. Causal machine learning is a promising approach to rapidly generating evidence from observational data.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221793","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}
引用次数: 0
Mapping persistence and change in psychological problems during the transition to adolescence: Adding, subtracting, shifting, and persisting 青少年过渡时期心理问题的持续和变化:加、减、转移和持续
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-09-03 DOI: 10.1002/jcv2.70043
Brooks Applegate, Benjamin B. Lahey
{"title":"Mapping persistence and change in psychological problems during the transition to adolescence: Adding, subtracting, shifting, and persisting","authors":"Brooks Applegate,&nbsp;Benjamin B. Lahey","doi":"10.1002/jcv2.70043","DOIUrl":"https://doi.org/10.1002/jcv2.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Recent developmental models posited that general tendencies to exhibit psychological problems are relatively stable, but specific problems change frequently. We need comprehensive descriptions of persistence and change in psychological problems before advancing such theories, however.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from four annual assessments of 9806 children (ages 9–10 years at baseline) in the Adolescent Behavior Cognitive Development Study™ were used to quantify persistence and change in each of 10 parent-rated specific psychological problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Novel pairwise analyses revealed that the persistence of psychological problems over 1–3 years was common, but behavior change in the sense that problem <i>x</i><sub>1</sub> at baseline desisted and was replaced by a new problem <i>y</i><sub>2</sub> at follow-up was uncommon. The only relatively common changes in behavior over time involved adding a new problem (i.e., <i>x</i><sub>1</sub> at baseline followed by <i>x</i><sub>2</sub> + <i>y</i><sub>2</sub> at follow-up) or subtracting a problem (i.e., <i>x</i><sub>1</sub> + <i>y</i><sub>1</sub> at baseline followed by only <i>y</i><sub>2</sub> at follow-up).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>If confirmed across other measures and developmental epochs, these findings challenge a key postulate of current theories that the developmental course of psychological problems involves frequent replacement of one problem by another.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221827","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}
引用次数: 0
Cohort profile: The Halmstad University Register on Pupils with Intellectual Disability 队列简介:Halmstad大学智障学生注册
IF 3.1
JCPP advances Pub Date : 2026-06-11 Epub Date: 2025-08-01 DOI: 10.1002/jcv2.70028
Eva Jönsson, Carin Staland-Nyman, Paul Lichtenstein, Magnus Tideman
{"title":"Cohort profile: The Halmstad University Register on Pupils with Intellectual Disability","authors":"Eva Jönsson,&nbsp;Carin Staland-Nyman,&nbsp;Paul Lichtenstein,&nbsp;Magnus Tideman","doi":"10.1002/jcv2.70028","DOIUrl":"https://doi.org/10.1002/jcv2.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Knowledge about the living conditions among people with intellectual disabilities (ID) is globally scarce. Even in countries with good access to registers, this is often partly due to the absence of a single, comprehensive, nationwide register of individuals with ID or the inability to identify all individuals with ID within existing registers. In Sweden, the Halmstad University Register on Pupils with ID (HURPID) was established to fill this gap. HURPID is based on the population that left the Swedish Upper Secondary School for pupils with ID (USSID) in 2001–2020. Most young people with ID in Sweden are expected to attend USSID. The aims of this paper were to describe the construction, structure, and content of HURPID, to validate the register, and to provide examples of what it has been used for.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Based on school leaving certificates or corresponding, personal identity number, gender, educational programme, municipality where the school was located, and graduation year were registered. HURPID has been linked with various registers in projects addressing research questions about the target group's living conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>HURPID consists of 26,910 individuals (11,078 women, 15,832 men), born in 1973–2003. Through linkages, knowledge has been gained about occupational patterns, psychiatric comorbidity, mortality, substance use, criminality and victimisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>HURPID demonstrates the highest completeness of individuals with ID of working age in Sweden. This makes it possible to follow the development of adolescents with ID over time. As one of the most extensive and comprehensive registers of individuals with ID in the world, it also forms a unique register internationally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":73542,"journal":{"name":"JCPP advances","volume":"6 2","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jcv2.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221750","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}
引用次数: 0
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