Clinical child psychology and psychiatry最新文献

Perils of undiagnosed ADHD in adolescents. 未确诊的青少年多动症的危险。

Clinical child psychology and psychiatry Pub Date : 2025-05-27 DOI: 10.1177/13591045251346992

Sana Usmani

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 : 2025-05-25 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":"https://doi.org/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":"13591045251343115"},"PeriodicalIF":0.0,"publicationDate":"2025-05-25","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

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 : 2025-05-22 DOI: 10.1177/13591045251346290

Maria Elizabeth Loades

引用次数: 0

An evaluation of the psychometric properties of the social communication questionnaire in young people with obsessive-compulsive disorder. 青少年强迫症患者社会交往问卷的心理测量特征评价。

Clinical child psychology and psychiatry Pub Date : 2025-05-21 DOI: 10.1177/13591045251344408

Ilke Ozcan, Pablo Vidal-Ribas, Ellie Roberts, Amita Jassi, Nicole Clancy, Chiara Causier, Victoria Hallett, Georgina Krebs

{"title":"An evaluation of the psychometric properties of the social communication questionnaire in young people with obsessive-compulsive disorder.","authors":"Ilke Ozcan, Pablo Vidal-Ribas, Ellie Roberts, Amita Jassi, Nicole Clancy, Chiara Causier, Victoria Hallett, Georgina Krebs","doi":"10.1177/13591045251344408","DOIUrl":"https://doi.org/10.1177/13591045251344408","url":null,"abstract":"BackgroundObsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD) often co-occur and have overlapping symptom profiles. Detection and diagnosis of ASD in youth with OCD can therefore be challenging but is crucial to inform care planning.AimThe current study aimed to provide a psychometric evaluation of the Social Communication Questionnaire (SCQ), a widely used parent-report measure for assessing ASD traits, in youth with OCD.MethodIn total, 484 young people with an ICD-10 diagnosis of OCD completed a battery of measures as part of a specialist clinical assessment.ResultsExploratory factor analyses (EFA) suggested a multidimensional factor solution for the SCQ, although an adequate factor solution was not identified due to cross-loading and/or weak loading items. The SCQ had good internal consistency (KR20 = 0.85), and good convergent validity with the Strengths and Difficulties Questionnaire (SDQ) Prosocial Behaviour subscale (r = -0.52) and Peer Problems subscale (r = 0.48). The SCQ differentiated those with versus without a clinical diagnosis of ASD with reasonable accuracy (area under the curve = .76).DiscussionThe current findings support the use of the SCQ as a measure of ASD traits in youth with OCD, suggesting that this quick and easy-to-administer measure could aid detection of ASD in this population.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251344408"},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121683","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-focused interventions delivered in the inpatient child and adolescent psychiatry setting: A scoping review. 以家长为中心的干预措施在住院儿童和青少年精神病学设置：范围审查。

Clinical child psychology and psychiatry Pub Date : 2025-05-19 DOI: 10.1177/13591045251343922

Kimberly S Hsiung, Kelly Geelan, Katherine Trapani, Rachel Walden, Jon S Ebert, Alexandra Bettis

{"title":"Parent-focused interventions delivered in the inpatient child and adolescent psychiatry setting: A scoping review.","authors":"Kimberly S Hsiung, Kelly Geelan, Katherine Trapani, Rachel Walden, Jon S Ebert, Alexandra Bettis","doi":"10.1177/13591045251343922","DOIUrl":"https://doi.org/10.1177/13591045251343922","url":null,"abstract":"Psychiatric hospitalization of a child or adolescent is a highly stressful time for parents, who play a central role in their child's mental illness and recovery. Little is known of evidence-based interventions to support parents during their child's admission. This scoping review aims to examine the evidence for existing parent-focused interventions in the acute inpatient child and adolescent psychiatry setting. A literature search was conducted across six databases. Three authors were involved in screening and data extraction procedures. Results were categorized by (1) intervention format, (2) intervention content and treatment targets, (3) feasibility outcomes, and (4) parent outcomes. Nine studies encompassing 9 interventions were included in the final review. Interventions included parent groups (n = 3), 1:1 peer support (n = 2), individualized family-based assessments and interventions (n = 2), an adolescent milieu curriculum (n = 1), and a website intervention (n = 1). Outcomes were heterogeneous which limited comparison between interventions. All interventions were well-received by parents. We conclude that results of this review do not support any one intervention, though all led to parent satisfaction. Some feasibility challenges were encountered, which should be considered in future implementation. More rigorous studies are needed to provide stronger evidence for any one type of parent-focused intervention in the acute inpatient child and adolescent setting.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251343922"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103317","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

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 : 2025-05-16 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":"https://doi.org/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":"13591045251344043"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","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

Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services. 探索儿童和青少年脱离儿童和青少年心理健康服务的障碍和促进因素。

Clinical child psychology and psychiatry Pub Date : 2025-05-16 DOI: 10.1177/13591045251340490

Shadab Shahid, Trinity De Simone, Rebecca Appleton, Sarah Bisp

{"title":"Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.","authors":"Shadab Shahid, Trinity De Simone, Rebecca Appleton, Sarah Bisp","doi":"10.1177/13591045251340490","DOIUrl":"https://doi.org/10.1177/13591045251340490","url":null,"abstract":"BackgroundThe pressures on community Children and Young People's Mental Health Service (CYPMHS) clinicians to manage and maintain caseloads can be immense, therefore discharging young people from CYPMHS in a safe and timely way is often discussed as a priority. However, there is limited research into how discharge can be done well, especially for discharge occurring prior to children and young people (CYP) reaching the upper age limit of CYPMHS. Thus, this study aimed to gain a better understanding of the barriers and facilitators discharging CYP from community CYPMHS, by exploring clinicians experiences of discharging CYP from their service.MethodSemi-structured interviews of 30-40 minutes were conducted with 12 clinicians working at different CYPMHS in England and analysed using codebook thematic analysis.ResultsSix themes were identified. These included, \"perfectionistic approach towards treatment outcomes\", \"reducing dependence on CYPMHS through empowerment\", \"a lack of flexibility in the wider system\", \"lack of collaborative care\", \"an increasing pressure on the service\" and \"keeping the focus on discharge\".ConclusionClinicians face multiple barriers when discharging CYP which should be addressed, alongside enhancing the use of reported facilitators to ensure timely, safe and well-managed discharges.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251340490"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082766","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

Challenges to high-quality care in autism with functional somatic symptoms: A case-inspired narrative review and exploratory biopsychosocial model. 具有功能性躯体症状的自闭症患者的高质量护理面临的挑战：一个案例启发的叙事回顾和探索性生物心理社会模型。

Clinical child psychology and psychiatry Pub Date : 2025-05-16 DOI: 10.1177/13591045251343692

Lilian Zotti, Dario Esposito, Giorgia Di Iorio, Marilina Covuccia, Silvia Orecchio, Mauro Ferrara, Giulia Conte

{"title":"Challenges to high-quality care in autism with functional somatic symptoms: A case-inspired narrative review and exploratory biopsychosocial model.","authors":"Lilian Zotti, Dario Esposito, Giorgia Di Iorio, Marilina Covuccia, Silvia Orecchio, Mauro Ferrara, Giulia Conte","doi":"10.1177/13591045251343692","DOIUrl":"https://doi.org/10.1177/13591045251343692","url":null,"abstract":"BackgroundChildren and adolescents with autism spectrum disorder (ASD) frequently experience functional somatic symptoms (FSS), although the underlying causes often remain unclear. Various biological and psychological factors, both individual and within families, such as alexithymia or health anxiety, can intensify these symptoms, sometimes resulting in excessive and unnecessary medical interventions.MethodsA narrative review of the literature was conducted, alongside the presentation of a case report involving a 13-year-old boy with ASD. The case illustrates how personal and familial factors can influence the presentation of FSS and the risks of inappropriate treatment.DiscussionThe findings suggest that psychological and familial factors play a significant role in the manifestation of FSS in ASD. These factors can increase the risk of unnecessary medicalization, as they often lead to misinterpretation of symptoms by caregivers and healthcare providers. The case report further underscores how the interaction of personal and familial dynamics can complicate the management of FSS. A comprehensive biopsychosocial approach that addresses both the individual and the family is crucial for managing FSS in ASD. Future research should focus on developing targeted interventions that address these psychological and familial influences to enhance the quality of care and reduce unnecessary and potentially harmful healthcare utilization in ASD.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251343692"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087055","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

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 : 2025-05-15 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":"https://doi.org/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":"13591045251341007"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","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

Effectiveness of telepsychiatry interventions for youth with depressive and/or anxiety disorders: A systematic review with meta-analysis. 远程精神病学干预对青少年抑郁症和/或焦虑症的有效性：荟萃分析的系统回顾。

Clinical child psychology and psychiatry Pub Date : 2025-04-28 DOI: 10.1177/13591045251338475

Elaine Tian, Margaret Kay Ho, Oscar Hou In Chou, Samantha Chong, Chi Ting Kwan, Athene Hoi-Ying Lam, Kai-Tai Chan

{"title":"Effectiveness of telepsychiatry interventions for youth with depressive and/or anxiety disorders: A systematic review with meta-analysis.","authors":"Elaine Tian, Margaret Kay Ho, Oscar Hou In Chou, Samantha Chong, Chi Ting Kwan, Athene Hoi-Ying Lam, Kai-Tai Chan","doi":"10.1177/13591045251338475","DOIUrl":"https://doi.org/10.1177/13591045251338475","url":null,"abstract":"ObjectiveSince the onset of the COVID-19 pandemic, rates of anxiety and depression in youth have risen. Telepsychiatry is a potential mode of intervention for such digital natives. This systematic review aims to examine the effectiveness of telepsychiatry for youth with depression and/or anxiety.MethodsFour electronic databases, PubMed, MEDLINE, Embase, PsycINFO, were searched from their inception to May 12, 2024. Included studies were assessed for study quality and risk of bias.ResultsA search returning 29,944 records yielded 26 included studies, comprising 1,558 youths. Of 13 studies comparing depressive symptoms pre- and post-telepsychiatry intervention, symptom severity was significantly lower post-intervention compared to baseline (Hedges' g: 0.83; 95% CI: 0.59, 1.08). Similarly, of six studies comparing pre- and post-telepsychiatry intervention anxiety symptoms, anxiety scores were significantly lower post-intervention (Hedges' g: 1.15; 95% CI: 0.79, 1.50). Patients undergoing telepsychiatry also had superior outcomes when compared to waitlist control groups for depression (Hedges' g: 0.54; 95% CI: 0.23, 0.85) but not anxiety (Hedges' g: 0.50; 95% CI: -0.09, 1.10). Certainty of these estimates ranged from moderate to very low. Qualitative feedback noted subjective improvement in symptoms and high levels of satisfaction.ConclusionTelepsychiatry has potential as a therapeutic intervention for youth anxiety and depression. Further research with more controlled methodology is needed for development of recommendations that can guide growing use of this technology.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251338475"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000529","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