Clinical child psychology and psychiatry最新文献

'Coping cat' - A CBT modality for Indian children with high anxiety. “应对猫”——一种针对印度高焦虑儿童的认知行为治疗模式。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-03-11 DOI: 10.1177/13591045251324672

Bhavna Mukund, Rashmi Tiwari, Samant Pushpak Kumar Jena

{"title":"'Coping cat' - A CBT modality for Indian children with high anxiety.","authors":"Bhavna Mukund, Rashmi Tiwari, Samant Pushpak Kumar Jena","doi":"10.1177/13591045251324672","DOIUrl":"10.1177/13591045251324672","url":null,"abstract":"AimThis study aimed to examine the efficacy of the Coping Cat program, a CBT intervention, for Indian children (11-13 years) with high anxiety.MethodologyA total of 240 children were screened, and 120 children with high anxiety were randomly assigned to either a treatment group (n = 60) or a control group (n = 60). The Spence Children's Anxiety Scale (SCAS), Strength and Difficulties Questionnaire (SDQ), and Child Anxiety Impact Scale (CAIS) were used to assess anxiety symptoms and related outcomes. Systematic random sampling was employed to select participants.InterventionThe therapeutic process consisted of a modified CBT protocol, comprising 16 sessions of 40-45 minutes each. The Coping Cat program was specifically designed to address anxiety symptoms in children.Data AnalysisA linear mixed-effects model was used to analyze the data, accounting for both fixed effects (e.g., time and intervention) and random effects (e.g., individual differences). This approach was particularly suited for the repeated-measures design. A follow-up study was conducted one year after the intervention to assess its long-term effects.ResultsSignificant differences were observed between the treatment and control groups, indicating the efficacy of the Coping Cat program in reducing anxiety symptoms. Notably, treatment gains were maintained at the one-year follow-up. Conclusion: The findings suggest that the Coping Cat program is an effective CBT-based intervention for reducing anxiety symptoms in highly anxious children.ConclusionThe results indicated the efficacy of Coping Cat CBT in highly anxious young children.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"717-734"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the impact of Flash technique on test anxiety among adolescents. 探讨Flash技术对青少年考试焦虑的影响。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-03-20 DOI: 10.1177/13591045251329437

Canan Çitil Akyol, Sevim Berrin Inci Izmir

{"title":"Exploring the impact of Flash technique on test anxiety among adolescents.","authors":"Canan Çitil Akyol, Sevim Berrin Inci Izmir","doi":"10.1177/13591045251329437","DOIUrl":"10.1177/13591045251329437","url":null,"abstract":"This study aims to investigate the specific effects of Flash Technique (FT) on adolescents with test anxiety. This follow-up study consists of 38 adolescents, 14-17 years of age (M = 15.39, SD = 1.13). Pre-post assessments were conducted using the Test Anxiety Inventory (TAI), Scale of Attitudes Negatively Affecting the Performance I/Test (POET), and Beck Anxiety Inventory (BAI) at baseline, at the end of the 4th and 12th weeks of therapy. The FT was applied for 12 weeks, with one weekly session as an intervention. As a result of the therapy process, the baseline means of total BAI scores decreased from 25.26 to 2.18; the baseline means of TAI decreased from 149.79 to 39.13, and the baseline mean of POET decreased from 298.47 to 73.84 at the end of the 12th week of therapy. Also, the baseline means of SUD scores decreased from 9.42 to zero at the end of the 12th week of treatment. All the adolescents showed complete improvement after the 12th week of the FT. The study findings showed that the test anxiety symptoms significantly decreased with the treatment of the FT. FT can be an effective intervention for test anxiety in adolescents.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"735-751"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The mental health and wellbeing of care-experienced young people during early and later adolescence. 青少年早期和后期接受过护理的年轻人的心理健康和福祉。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-04-21 DOI: 10.1177/13591045251333028

Bethan Carter, Katherine H Shelton, Lisa J Holmes, Eva A Sprecher, Maryam Javed, John Macleod, Jeongeun Park, Julie Selwyn, Iram Siraj, Charlotte Robinson, Rachel M Hiller

{"title":"The mental health and wellbeing of care-experienced young people during early and later adolescence.","authors":"Bethan Carter, Katherine H Shelton, Lisa J Holmes, Eva A Sprecher, Maryam Javed, John Macleod, Jeongeun Park, Julie Selwyn, Iram Siraj, Charlotte Robinson, Rachel M Hiller","doi":"10.1177/13591045251333028","DOIUrl":"10.1177/13591045251333028","url":null,"abstract":"BackgroundCare-experienced young people (CEYP) have far higher rates of mental ill-health than their peers. Less is known about their wellbeing and the overlap between mental health and wellbeing in this population. Drawing on two samples of CEYP, we explored mental health and wellbeing profiles, the overlap between these, and basic predictors of symptom severity.MethodsWe recruited two samples of CEYP: 269 10-13-year-olds and 155 16-17-year-olds, and their primary caregiver. All participants were either in local authority (out-of-home) care or had been adopted from the care system in England and Wales. Participants completed standardised measures of anxiety-, depression-, PTSD-, and externalising symptoms, as well as standardised wellbeing measures.ResultsThe majority of young people in both samples reported clinically-elevated symptomology, with mental health and wellbeing particularly poor in the late adolescents sample. Almost half of the 16-17 year old sample rated their wellbeing as poor. Overall, we found moderate associations between mental health and wellbeing. In early adolescents, these associations were less clear (many with clinically-elevated mental health reported average wellbeing), but for older teens poor mental health was closely related with the poorest reported wellbeing. There was no consistent evidence that age, gender, or ethnicity predicted wellbeing, but mental health was generally the poorest for older teens in residential care placements.ConclusionsWe found high levels of disorder-specific mental health symptomology in CEYP, with 16-17-year-olds having particularly high levels of mental health difficulties and low wellbeing. Results highlight the crucial role of early intervention and prevention in this group, before difficulties become entrenched and affect wider aspects of wellbeing.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"611-631"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059543","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

Co-existence of Capgras syndrome and OCD in children: Case studies. 儿童Capgras综合征和强迫症的共存：个案研究。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-04-22 DOI: 10.1177/13591045251329972

Ron Walfisch, Polina Perlman Danieli, Mariela Mosheva, Eitan Eldar, Viki David, Yehonathan Hochberg, Tal Shilton, Doron Gothelf

{"title":"Co-existence of Capgras syndrome and OCD in children: Case studies.","authors":"Ron Walfisch, Polina Perlman Danieli, Mariela Mosheva, Eitan Eldar, Viki David, Yehonathan Hochberg, Tal Shilton, Doron Gothelf","doi":"10.1177/13591045251329972","DOIUrl":"10.1177/13591045251329972","url":null,"abstract":"IntroductionCapgras syndrome (CS) is characterized by the delusional belief that a person, usually a close relative, has been replaced by an imposter. This study focuses on the co-occurrence of CS and Obsessive-Compulsive Disorder (OCD) in children.MethodsWe present two cases of children diagnosed with CS and OCD treated at our inpatient child psychiatric unit.Cases presentationWe describe the cases of an 11-year-old male who believed his parents were demonic entities and a 12-year-old female who believed her parents were robots. Both children exhibited additional psychiatric manifestations such as depression, catatonia, obsessive-compulsive (OC) symptoms, persecutory delusions, reduced food intake, and suicidal ideation. Our treatment approach combines antipsychotic medication, selective serotonin reuptake inhibitors (SSRIs), and gradual exposure therapy accompanied by parent training, has yielded favorable outcomes in managing the patients' psychiatric symptoms.Discussion and ConclusionWe provide insights into CS with comorbid OCD in children and discuss the behavioral treatment approach employed in our cases. We also discuss similar cases of CS comorbid with OCD from the English literature.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"800-808"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recognizing continued development beyond the adolescent years: Clinical child psychology and psychiatry spans early adulthood. 认识到青春期后的持续发展：临床儿童心理学和精神病学跨越成年早期。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-22 DOI: 10.1177/13591045251346290

Maria Elizabeth Loades

引用次数: 0

Service evaluation and treatment pathways in an intensive community treatment service for adolescents in crisis services: What can we learn? 危机服务青少年强化社区治疗服务的服务评估和治疗途径：我们能学到什么？

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-25 DOI: 10.1177/13591045251343115

Ana Pascual-Sanchez, Nidhita Singh, Clara Lee, Paulina Smoter, Amabel Dessain, Toby Zundel, Emma Baker, Dennis Ougrin

{"title":"Service evaluation and treatment pathways in an intensive community treatment service for adolescents in crisis services: What can we learn?","authors":"Ana Pascual-Sanchez, Nidhita Singh, Clara Lee, Paulina Smoter, Amabel Dessain, Toby Zundel, Emma Baker, Dennis Ougrin","doi":"10.1177/13591045251343115","DOIUrl":"10.1177/13591045251343115","url":null,"abstract":"Background: Intensive community treatment services are emerging as an alternative to admission and/or to support discharge from hospital. This service evaluation aims to assess treatment pathways and factors associated with treatment duration and general functioning. Methods: A service evaluation using routinely collected data from an intensive community treatment service between 2016 and 2023 was performed. Results: 141 adolescents aged 12 to 17 received intensive community treatment over 8 years. The average treatment duration was 29.2 weeks, significantly longer than the initial 12-week pathway proposed. Those treated for significantly longer seemed to present with more complex mental health needs. Lack of education provision, being part of an ethnic minority or having a higher number of services involved were significantly associated with higher treatment duration (p < .05). Conclusion: Results suggest that a longer treatment pathway might be necessary in intensive community care, so a 24-week treatment pathway was proposed. General functioning also improved over the course of treatment, and 89.4% were discharged back to their local community teams. The involvement of multiple specialist services and the presence of specific diagnoses (e.g., autism) deserve consideration. Future evaluations will clarify if more targeted treatment pathways are more effective and efficient.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"699-716"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How do transgender young people experience talking about trauma with services? 跨性别的年轻人如何与服务机构谈论创伤？

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-02-26 DOI: 10.1177/13591045251320673

Georgia Crockford, Oliver Hawthorne, Tamara Leeuwerik

{"title":"How do transgender young people experience talking about trauma with services?","authors":"Georgia Crockford, Oliver Hawthorne, Tamara Leeuwerik","doi":"10.1177/13591045251320673","DOIUrl":"10.1177/13591045251320673","url":null,"abstract":"BackgroundTransgender young people are more likely than their cisgender peers to experience trauma. Through talking about trauma, services may be able to support transgender young people to manage the impact of these events. However, research has highlighted that many trans people are concerned that disclosing trauma would be used to discredit their sense of their gender identity.AimTo explore how transgender young people experience having conversations about trauma with services and how they understand these conversations.MethodSix semi-structured interviews were carried out with young transgender people. Interpretative phenomenological analysis was used.ResultsThe study found that all participants were aware of discourses linking experiences of trauma with transgender identities. All participants recognised these conversations as significant. Some experienced conversations to be supportive and transformative. Others found them deeply distressing, reminiscent of trauma experiences. Relationships with professionals seemed to influence these experiences, as did transphobia and relationships with other services.DiscussionA trauma-informed approach should be used and professionals are encouraged to consider the potential for harm that can arise from these conversations, as well as the therapeutic element. Clinical implications and future research directions are discussed, in particular considering the recently published Cass Review (2024).","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"767-782"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517694","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

Adolescent-specific risk and protective factors of substance use among high school students in the United States: A cross-sectional study. 美国高中生物质使用的青少年特定风险和保护因素：一项横断面研究。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1177/13591045251344043

Richard C Wang, Daniel I Lipin, Thomas K Swoboda, Usha Sambamoorthi

{"title":"Adolescent-specific risk and protective factors of substance use among high school students in the United States: A cross-sectional study.","authors":"Richard C Wang, Daniel I Lipin, Thomas K Swoboda, Usha Sambamoorthi","doi":"10.1177/13591045251344043","DOIUrl":"10.1177/13591045251344043","url":null,"abstract":"Objective: Substance use among U.S. adolescents is a critical public health concern. This study evaluates risk and protective factors for substance use among high school students. Methods: Using data from the 2022 National Survey on Drug Use and Health, a cross-sectional analysis of 6,072 high school students was conducted. Multivariable logistic regression analyzed associations between substance use (alcohol, tobacco, illicit drugs) and adolescent-specific factors, adjusting for sex, grade, health insurance, and poverty status. Results: Overall, 35.6% of students reported using alcohol, tobacco, or illicit drugs in the past year. Antisocial behavior significantly increased the odds of alcohol (AOR = 2.54, 95% CI = 2.02-3.19), tobacco (AOR = 2.36, 95% CI = 1.92-2.89), and illicit drug use (AOR = 2.66, 95% CI = 2.22-3.19; p < .001). Religious involvement reduced the odds of alcohol (AOR = 0.79, 95% CI = 0.64-0.97, p = .026), tobacco (AOR = 0.71, 95% CI = 0.56-0.90, p = .006), and illicit drug use (AOR = 0.59, 95% CI = 0.45-0.77, p < .001). Conclusions: One in three high school students reported substance use. Antisocial behaviors increase risk, while religious involvement offers protection. Interventions targeting these factors may reduce adolescent substance use.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"752-766"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When hospital harms more than helps: Iatrogenic processes in adolescent inpatient settings. 当医院弊大于利：青少年住院环境中的医源性过程。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-04-09 DOI: 10.1177/13591045251332134

Matteo Zuccala, Shannon Webb, Choong-Siew Yong

引用次数: 0

Anxiety, depression, and mental health service use among pregnant adolescents/young adults at an urban pediatric hospital based clinic. 焦虑、抑郁和心理健康服务在城市儿科医院门诊怀孕少女/年轻人中的使用

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1177/13591045251341007

Madeleine F Wittenberg, Carly E Milliren, Kathleen Waddicor, Shannon L Fitzgerald

{"title":"Anxiety, depression, and mental health service use among pregnant adolescents/young adults at an urban pediatric hospital based clinic.","authors":"Madeleine F Wittenberg, Carly E Milliren, Kathleen Waddicor, Shannon L Fitzgerald","doi":"10.1177/13591045251341007","DOIUrl":"10.1177/13591045251341007","url":null,"abstract":"PurposeAdolescence and pregnancy are sensitive periods for the development or worsening of anxiety and/or depression. Pediatric clinicians often diagnose pregnancy, but little is known about the assessment and treatment of anxiety and/or depression during this sensitive period.MethodsWe completed a retrospective chart review of patients who presented to an Adolescent/Young Adult Medicine clinic between April 2018 and March 2023 with a positive pregnancy test. Investigators reviewed medical records and abstracted patient data by unique pregnancy (N = 318), including demographic characteristics, pregnancy-related factors, mental health diagnoses, and service use.ResultsOf the pregnancies reviewed, 135 (42.5%) had a diagnosis of anxiety and/or depression while 183 (57.6%) had neither. Overall, 28 (8.8%) had anxiety, 68 (21.4%) had depression only, and 39 (12.3%) had both anxiety and depression. Mental health was discussed during 62.6% of visits though patients with prior diagnoses of anxiety and/or depression (p < .001) were more likely to be assessed. Few patients were in therapy (6.9%) or taking psychiatric medication (8.5%). A higher proportion of those with depression identified as Black and a higher proportion of those with both anxiety and depression identified as White (p < .001).DiscussionWe highlight the need to assess for anxiety and depression in all pregnant adolescents/young adults. We encourage future research investigating patient preferences for mental health supports and strengthening of clinical programs that seek to treat and understand anxiety/depression in this unique population.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"683-698"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0