Clinical child psychology and psychiatry最新文献

A child mental health service transformation framework in the Global South. 全球南方儿童心理健康服务转型框架。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-08-19 DOI: 10.1177/13591045251366711

Michelle O'Reilly, Panos Vostanis

{"title":"A child mental health service transformation framework in the Global South.","authors":"Michelle O'Reilly, Panos Vostanis","doi":"10.1177/13591045251366711","DOIUrl":"10.1177/13591045251366711","url":null,"abstract":"Global South countries are typically faced with multiple socioeconomic and resource challenges that predispose rising child mental health needs, which remain largely unmet. Collectivist societies, however, provide protective mechanisms for child mental health and opportunities for interventions through existing informal support systems. We provide an empirically grounded framework for child mental health service transformation, accounting for the complexities of resource burdens and the need for culturally sensitive adaptations. In presenting this framework, we utilise data from projects in South Africa and Pakistan which engaged participants from disadvantaged urban areas. These involved a total of 10 psychosocial interventions, 504 end-users (youth, parents and professionals) and a sub-sample of 76 focus group participants, to describe the design, refinement, cascade training, implementation and process evaluation of the framework. The secondary thematic analysis illustrates four layers of knowledge generation, translation and transfer, transformation through community engagement and mobilisation, and impact through service integration and systemic changes. The framework and supporting findings informed a provisional Theory of Change. This highlights the principles of stigma prevention, co-production with communities, contextualisation of psychosocial interventions, integration with informal and structural support systems, knowledge cascade, and involvement of youth and parents with lived experience.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251366711"},"PeriodicalIF":2.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877296","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

A quantitative investigation of inequalities in out-of-area admissions in child and adolescent mental health services. 儿童和青少年心理健康服务外地入院不平等的定量调查。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-08-12 DOI: 10.1177/13591045251366475

Josephine Holland

{"title":"A quantitative investigation of inequalities in out-of-area admissions in child and adolescent mental health services.","authors":"Josephine Holland","doi":"10.1177/13591045251366475","DOIUrl":"https://doi.org/10.1177/13591045251366475","url":null,"abstract":"BackgroundUnderstanding inequalities in mental health care is vital for the development of more equitable services. This study investigates inequalities in out-of-area admissions to general adolescent units, a controversial but necessary part of Child and Adolescent Mental Health care in England.MethodsAnonymised data on 279 out-of-area (at-distance or out-of-region) admissions to general adolescent units in England between February 2021-2022 were analysed for an association between demographics (age, sex, ethnicity) or clinical characteristics (diagnosis and risks) and admission characteristics (7+ day wait for a bed, distance from home, admission out-of-region, compulsory admission and length of stay >6 months).ResultsNo association was found between demographic characteristics and admission characteristics. Personality disorder was the only diagnosis associated with admission greater distance from home. Young people with personality disorder or neurodevelopmental disorder were more likely to be admitted compulsorily (OR = 8.89 and OR = 1.93 respectively). Those with suicide risk were more likely to be admitted non-compulsorily (OR = 2.06) but more likely to be admitted out-of-region (OR = 2.25).DiscussionWithin these data, the clinical presentation of the young person influenced their out-of-area admission characteristics. Young people with a diagnosis of personality disorder may be particularly likely to experience more negative aspects of out-of-area admission.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251366475"},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823417","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 can we connect with young people? A commentary and recommendations for co-production within qualitative youth mental health research. 我们如何与年轻人建立联系？青少年心理健康定性研究中合作制作的评论和建议。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-08-05 DOI: 10.1177/13591045251364408

Sophie Dallison, Anastasia Slastikova, Hannah Peel, Grace Chamberlain, Lucy Biddle, Bonnie Teague, Maria Elizabeth Loades, Nina Higson-Sweeney

{"title":"How can we connect with young people? A commentary and recommendations for co-production within qualitative youth mental health research.","authors":"Sophie Dallison, Anastasia Slastikova, Hannah Peel, Grace Chamberlain, Lucy Biddle, Bonnie Teague, Maria Elizabeth Loades, Nina Higson-Sweeney","doi":"10.1177/13591045251364408","DOIUrl":"https://doi.org/10.1177/13591045251364408","url":null,"abstract":"Young people (YP) have long been underserved in mental health research. Co-production is part of a significant shift in youth mental health research from tokenistic involvement practices towards more genuine, meaningful collaboration with the group that the research affects: young people. This commentary reflects on learnings from a co-production process in the context of Can We Connect (CWC), a qualitative study on where YP seek mental health information online and their attitudes towards what is available. Young researchers were involved in planning, co-conducting the interviews, contributed to the data analysis and dissemination. Based on our shared experiences as a research team, we aim to provide insights into and recommendations for co-production within qualitative youth mental health research. We (n = 12, including 4 young researchers, aged 16-18) reflected on our experiences of either being, or collaborating with, a young researcher in CWC. For us, having young researchers in a research team brings (1) value to YP and (2) value to research. (3) Capitalising on differences is important, (4) having structured support for young researchers and (5) balancing levels of involvement. Open, transparent and honest communication is key to building trust, enabling young researchers to be meaningfully involved members of research teams.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251364408"},"PeriodicalIF":2.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791024","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

A preliminary psychometric investigation of a brief positive school experiences scale. 一个简短的积极学校经历量表的初步心理测量调查。

Clinical child psychology and psychiatry Pub Date : 2025-07-04 DOI: 10.1177/13591045251348801

Ryan Hamill, Lisa Bunting, Mark Shevlin

{"title":"A preliminary psychometric investigation of a brief positive school experiences scale.","authors":"Ryan Hamill, Lisa Bunting, Mark Shevlin","doi":"10.1177/13591045251348801","DOIUrl":"https://doi.org/10.1177/13591045251348801","url":null,"abstract":"IntroductionUniversal screening using measures of mental health symptoms is discounted by UK schools due to stakeholder concerns. This is a preliminary study of the psychometric properties of a new Brief Positive School Experiences (B-PSEs) scale, devised to assess associations between cumulative positive school experiences (PSEs) and adolescent mental health as part of a PhD project that explored PSEs count as a potential proxy measure of adolescent mental health risk.MethodsFive teachers developed a brief 19-item PSEs measure. 460 adolescents (aged 14-16) completed a survey based on these items and items measuring mental health (N = 460). Exploratory factor analysis and measures of internal consistency assessed the scale's preliminary psychometric properties.ResultsThe B-PSEs scale demonstrated a three-factor structure; (1) Coping with school demands; (2) School belonging, safety and support; and (3) Equity and low social adversity. Composite reliability was measured at 0.91.ConclusionThe B-PSEs scale is a reliable measure with a robust factor structure and PSEs scores measured using the scale have demonstrated associations with adolescent mental health outcomes.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251348801"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562302","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

Parent-child relationships during parenting programmes: A feasibility pilot study of the Contextualising and Learning in Mental Health Support App. 育儿计划中的亲子关系：心理健康支持应用程序情境化与学习的可行性试点研究

Clinical child psychology and psychiatry Pub Date : 2025-07-04 DOI: 10.1177/13591045251354861

Jasmine Al Raw, Bonamy R Oliver, Jane Gilmour, Jon Heron, Emily Midouhas

{"title":"Parent-child relationships during parenting programmes: A feasibility pilot study of the Contextualising and Learning in Mental Health Support App.","authors":"Jasmine Al Raw, Bonamy R Oliver, Jane Gilmour, Jon Heron, Emily Midouhas","doi":"10.1177/13591045251354861","DOIUrl":"https://doi.org/10.1177/13591045251354861","url":null,"abstract":"Little is known about how parent-child dynamics change when parents engage in parenting intervention programmes. To explore this, the Contextualising and Learning in Mental Health Support (CALMS) app was developed to capture daily parent-reports of these key family dynamics. This small-scale pilot study aimed to test (a) the feasibility of recruiting parents attending parenting programmes to a study of parent-child dynamics throughout a 10-12-week intervention and (b) adherence to reporting parent and child behaviours in CALMS during this period. Nine parents were recruited to complete CALMS from two parenting groups and three participated in feedback interviews. Recruitment was shown to be feasible, and adherence acceptable. Most parents reported that CALMS was easy to use, not burdensome and increased their awareness of their own and their child's behaviours. Feasible and acceptable to parents attending parenting intervention, CALMS may have therapeutic benefits that should be explored in future research.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251354861"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562303","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

'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

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

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