Clinical child psychology and psychiatry最新文献

Are the Mental Health Concerns of Youth Presenting to an Emergency Department More Scute or Severe than Those Waiting for Outpatient Care? 到急诊科就诊的青少年的心理健康问题比那些等待门诊治疗的青少年更严重吗？

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Clinical child psychology and psychiatry Pub Date : 2026-10-26 DOI: 10.1177/13591045261501866

Khrista Boylan, Alyssa Georgescu, Hala Mahdi, Paulo Pires, Judy Zhao, Laura Duncan

{"title":"Are the Mental Health Concerns of Youth Presenting to an Emergency Department More Scute or Severe than Those Waiting for Outpatient Care?","authors":"Khrista Boylan, Alyssa Georgescu, Hala Mahdi, Paulo Pires, Judy Zhao, Laura Duncan","doi":"10.1177/13591045261501866","DOIUrl":"https://doi.org/10.1177/13591045261501866","url":null,"abstract":"BackgroundMental health patients presenting to the emergency department (ED) are potentially more unwell than those waiting for mental health services on outpatient waitlists. They often receive prioritized mental health follow up care, yet this practice may be unjustified if they do not have greater severity and acuity of mental illness.ObjectiveAdolescent mental health patients from an outpatient waitlist sample are compared to those who attended the ED to seek help but were not admitted to hospital.MethodAdolescents completed intake questionnaires at time of outpatient (regular or post ED) intake visit at a pediatric hospital in Canada. Statistical comparisons between the groups were completed on multiple measures of demographic and clinical features.ResultsThe ED group reported more substance use, higher psychiatric symptom severity scores for ODD, ADHD, and MDD, more recent self-harm, suicidal ideations and suicide attempts and lower general functioning. They also reported more ethnic diversity.ConclusionThe greatest differences were seen on measures of suicide risk acuity and substance use, which suggests outpatient interventions immanently focussed on these targets for ED attenders. Considering the high amount of suicide risk, despite lower acuity, in the outpatient wait list sample, future studies should investigate how to most equitably service these two populations.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261501866"},"PeriodicalIF":2.0,"publicationDate":"2026-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149278541","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

Diagnostic Accuracy and Proposed Cut-Off Values of the ASRS-R for Screening ADHD in Chinese Children and Adolescents: A Case-Control Study. ASRS-R筛查中国儿童和青少年ADHD的诊断准确性和建议临界值：一项病例对照研究。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-23 DOI: 10.1177/13591045261499615

Yiqin Shao, Hongzhu Diao, Sen Li, Xiaoqing Xu, Junru Li, Pei Zhang, Xian Tian, Gang Zhao, Hongmei Wu

{"title":"Diagnostic Accuracy and Proposed Cut-Off Values of the ASRS-R for Screening ADHD in Chinese Children and Adolescents: A Case-Control Study.","authors":"Yiqin Shao, Hongzhu Diao, Sen Li, Xiaoqing Xu, Junru Li, Pei Zhang, Xian Tian, Gang Zhao, Hongmei Wu","doi":"10.1177/13591045261499615","DOIUrl":"https://doi.org/10.1177/13591045261499615","url":null,"abstract":"Building on the prior validation of the Revised Adult ADHD Self-Report Scale (ASRS-R), this case-control study aimed to derive proposed cut-off scores for screening ADHD in Chinese children and adolescents aged 8-14 years. The study included 457 children and adolescents (106 with DSM-5 diagnosed ADHD, 351 controls) from a Shenzhen hospital. Reliability (Cronbach's α = 0.929) and validity (GFI = 0.954; rs = 0.604 with SNAP-IV) were good. ROC analysis was used to determine proposed cut-offs. For the total score, the proposed cut-off was 27.5 (AUC = 0.881, 95% CI: 0.847-0.915), with sensitivity 89.6% and specificity 77.8%. Adjusted for population prevalence, positive and negative predictive values were 21.6% and 99.1%. For inattention and hyperactivity-impulsivity subscales, proposed cut-offs were 19.5 (AUC = 0.846) and 17.5 (AUC = 0.853), respectively. The ASRS-R demonstrates satisfactory screening efficacy for Chinese children and adolescents aged 8-14 years. These preliminary cut-offs, characterized by exceptional ability to rule out non-ADHD cases, provide evidence-based support for early ADHD screening in school, community, and clinical settings. However, these cut-offs require external validation, ideally in consecutively recruited and community-based samples.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261499615"},"PeriodicalIF":2.0,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247877","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

Beyond Accuracy: Do Large Language Models Provide Clinically Adequate Responses to Parent-Initiated Questions on Pediatric Obsessive-Compulsive Disorder? 超越准确性：大型语言模型是否能为儿童强迫症家长提出的问题提供临床充分的回应？

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-22 DOI: 10.1177/13591045261499579

Berrin Bilgiç, Serkan Turan

{"title":"Beyond Accuracy: Do Large Language Models Provide Clinically Adequate Responses to Parent-Initiated Questions on Pediatric Obsessive-Compulsive Disorder?","authors":"Berrin Bilgiç, Serkan Turan","doi":"10.1177/13591045261499579","DOIUrl":"https://doi.org/10.1177/13591045261499579","url":null,"abstract":"BackgroundParents increasingly use large language models (LLMs) to obtain information about child and adolescent mental health. In pediatric obsessive-compulsive disorder (OCD), where early recognition and intervention are critical, the accuracy of AI-generated information may have clinical implications. This study evaluated LLM responses to parent-oriented questions about pediatric OCD.MethodsAn exploratory cross-sectional evaluation was conducted using three conversational AI systems: ChatGPT (GPT-4o), Google Gemini, and DeepSeek. Twenty questions reflecting common parental concerns were identified through online sources and expert review and submitted with standardized prompts in separate chat sessions. Anonymized responses were independently rated by two child and adolescent psychiatrists for accuracy, reproducibility, and error patterns.ResultsChatGPT achieved the highest accuracy (≈91%) and reproducibility (≈89%), followed by Gemini (≈88%; ≈85%) and DeepSeek (≈86%; ≈83%). Domain-level analysis showed the highest scores for early recognition/diagnosis and treatment-related questions, and the lowest scores for questions on family functioning and daily life. Omission of clinically critical information-particularly insufficient emphasis on exposure and response prevention-was more common than factual inaccuracy.ConclusionsLLMs can provide accessible and generally accurate information for parents about pediatric OCD. However, variability across domains and limited prioritization of clinically essential content suggest they should complement, not replace, professional evaluation.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261499579"},"PeriodicalIF":2.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247885","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 Métissages Group: A Second-Line Transcultural Setting for Children Growing Up Between Several Worlds, and Their Families. msamtissages群体：在几个世界之间成长的儿童及其家庭的二线跨文化背景。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-21 DOI: 10.1177/13591045261501788

Alice Titia Rizzi, Hawa Camara, Guillaume Wavelet, Marie Rose Moro, Rahmeth Radjack

{"title":"The Métissages Group: A Second-Line Transcultural Setting for Children Growing Up Between Several Worlds, and Their Families.","authors":"Alice Titia Rizzi, Hawa Camara, Guillaume Wavelet, Marie Rose Moro, Rahmeth Radjack","doi":"10.1177/13591045261501788","DOIUrl":"https://doi.org/10.1177/13591045261501788","url":null,"abstract":"Children growing up between several cultural worlds - through migration, mixed parentage, adoption or placement - may develop difficulties that first-line services struggle to understand when their cultural dimension goes unrecognised. This brief report describes the Métissages group, a second-line transcultural group setting created in 2015 in a French child and adolescent psychiatry department. In ten years it has received around one hundred families, referred by the first-line teams already caring for them. We outline the setting's rationale and indication, and its frame: a circle of therapists that includes the interpreter and the referring professional. Two principles organise it. The first is working at the child's height: it is the child, not the parents, who is asked to tell the family story. The second is an auxiliary function carried by the whole circle. A composite clinical illustration follows one treatment through the setting's successive mediations. Finally, we present four exploratory observations from ten years of practice and outline directions for its systematic evaluation.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261501788"},"PeriodicalIF":2.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240811","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

Understanding Pathways to Social Anxiety and Paranoia in Adolescents: The Role of Bullying, Discrimination, and Social Threat Sensitivity. 理解青少年社交焦虑和偏执的途径：欺凌、歧视和社会威胁敏感性的作用。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-13 DOI: 10.1177/13591045261494383

Dian Caesaria Widyasari, Jessica Kingston, Björn Schlier, Tom Clark, Richard Bentall

{"title":"Understanding Pathways to Social Anxiety and Paranoia in Adolescents: The Role of Bullying, Discrimination, and Social Threat Sensitivity.","authors":"Dian Caesaria Widyasari, Jessica Kingston, Björn Schlier, Tom Clark, Richard Bentall","doi":"10.1177/13591045261494383","DOIUrl":"https://doi.org/10.1177/13591045261494383","url":null,"abstract":"AimsThis study investigated the relationships between bullying, discrimination, and threat sensitivity as common factors underlying social anxiety and paranoia and investigated whether threat sensitivity mediates these associations.MethodsA Qualtrics online survey was conducted with UK adolescents aged 14 to 17, involving 604 participants. Quota sampling was employed to ensure balanced representation across age groups and genders. Relationships among study variables were examined using hierarchical regression and path analysis.ResultsThe results showed that social anxiety was predominantly predicted by paranoia, bullying, and threat sensitivity, which together explained 51.6% of the variance. Paranoia was mainly predicted by social anxiety, with bullying and discrimination also contributing, accounting for 58.4%. A path model indicated that threat sensitivity mediated the effects of bullying and discrimination on social anxiety and paranoia, though its independent effect on paranoia depended on the assumed direction of the social anxiety-paranoia relationship.ConclusionsBullying and discrimination consistently predicted paranoia regardless of the assumed direction of its relationship with social anxiety. This highlights the need for targeted interventions, including anti-bullying initiatives, that may benefit both social anxiety and paranoia.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261494383"},"PeriodicalIF":2.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186890","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

Experiences of Receiving an Internet Cognitive Behaviour Therapy Stepped-Care Model: Young Person Perspectives. 接受网络认知行为治疗阶梯式护理模式的经验：青少年视角。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-12 DOI: 10.1177/13591045261495625

Martelle Ford, Sonja March

{"title":"Experiences of Receiving an Internet Cognitive Behaviour Therapy Stepped-Care Model: Young Person Perspectives.","authors":"Martelle Ford, Sonja March","doi":"10.1177/13591045261495625","DOIUrl":"https://doi.org/10.1177/13591045261495625","url":null,"abstract":"ObjectiveQualitative research examining young people's experiences with stepped-care internet cognitive behaviour therapy (ICBT) for anxiety is limited. Guided by Proctor et al.'s implementation framework, this study explored children and adolescents' experiences of the BRAVE Stepped-Care programme including perceived acceptability and appropriateness of the early, mid-intervention stepped-care model, helpful and challenging aspects of treatment, experiences being stepped-up (or not stepped up) to therapist-support, and, for those stepped-up, perceptions of clinician support and support modality.MethodsSemi-structured interviews were conducted with 18 clinically anxious young people (aged 9-16 years) who participated in the BRAVE Stepped-Care ICBT programme. Interview questions were informed by Proctor et al.'s implementation science framework, and data was analysed using deductive reflexive thematic analysis.ResultsThree themes were identified: (1) self-directed component promoted independence and was perceived as less stressful; (2) programme support, including orientation to the programme, parental support, and clinician support was important; and (3) a strong therapeutic relationship enhanced engagement and treatment experiences.ConclusionsOverall, participants viewed the BRAVE Stepped-Care ICBT programme as acceptable and appropriate. Children and adolescents valued completing the self-directed component independently while recognising the importance of parental and clinician support. Younger children suggested that an initial practical session aiding programme navigation would be useful.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261495625"},"PeriodicalIF":2.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169798","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 Positive Identity in Autistic Adolescents: A Feasibility and Acceptability Study of a Co-designed Group Intervention. 探索自闭症青少年的积极认同：共同设计的团体干预的可行性和可接受性研究。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-10 DOI: 10.1177/13591045261494878

Poppy Clayton, Rachel Kent, Kirstie Stanworth, Minh Vu, Francesca Happé, Matthew J Hollocks

{"title":"Exploring Positive Identity in Autistic Adolescents: A Feasibility and Acceptability Study of a Co-designed Group Intervention.","authors":"Poppy Clayton, Rachel Kent, Kirstie Stanworth, Minh Vu, Francesca Happé, Matthew J Hollocks","doi":"10.1177/13591045261494878","DOIUrl":"https://doi.org/10.1177/13591045261494878","url":null,"abstract":"BackgroundCultivating a positive identity may buffer against the adverse mental health outcomes often experienced by autistic individuals. Group settings can provide valuable spaces for identity consolidation. This study evaluated the feasibility and acceptability of a co-designed group intervention promoting positive identity and self-esteem among autistic adolescents.MethodsA six-week group intervention was co-developed with eight autistic adolescents. Sixteen autistic adolescents (13-16 years; 10 females, 5 males, 1 non-binary) and their caregivers participated. Psychometric measures were collected pre- and post-intervention to assess self-esteem (Rosenberg Self-Esteem Scale), wellbeing (Warwick-Edinburgh Mental Wellbeing Scale), and autistic identity (Multidimensional Social Identification Scale). Feasibility was assessed through recruitment, retention, attendance, and data completeness; acceptability was evaluated via session ratings and post-group interviews analysed using inductive thematic analysis.ResultsThe intervention showed high feasibility (6.25% attrition) and acceptability, with positive feedback on content and facilitation. Themes highlighted the importance of shared experience, social connection, and adaptive delivery.ConclusionsThis novel co-designed intervention was feasible and acceptable for autistic adolescents and caregivers, supporting identity-affirming, post-diagnostic approaches within clinical services.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261494878"},"PeriodicalIF":2.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149483","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

Beyond ADHD Diagnosis: Oppositional Symptoms and Negative Parenting as Correlates of Problematic Media Use in Medication-Naïve Children With ADHD. 在ADHD诊断之外：对立症状和消极父母作为Medication-Naïve ADHD儿童问题媒体使用的相关因素。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-08 DOI: 10.1177/13591045261495392

Duygu Kaba, Semra Çelik

{"title":"Beyond ADHD Diagnosis: Oppositional Symptoms and Negative Parenting as Correlates of Problematic Media Use in Medication-Naïve Children With ADHD.","authors":"Duygu Kaba, Semra Çelik","doi":"10.1177/13591045261495392","DOIUrl":"https://doi.org/10.1177/13591045261495392","url":null,"abstract":"BackgroundProblematic media use in children with attention-deficit/hyperactivity disorder (ADHD) may reflect factors beyond core ADHD symptoms.MethodsThis cross-sectional study included 129 children aged 6-11 years: 42 comparison participants and 87 newly diagnosed, medication-naïve children with ADHD, including 34 without and 53 with comorbid specific learning disorder. Parents completed measures of problematic media use, ADHD and disruptive behavior symptoms, and parenting practices; children completed the Stroop Color-Word Test.ResultsBoth ADHD groups showed higher problematic media use than the comparison group, although adding diagnostic group after demographics did not significantly increase explained variance. In the final regression model, older age, male sex, oppositional defiant disorder symptoms, and negative parenting were independently associated with problematic media use, whereas core ADHD symptoms and Stroop performance were not. Exploratory analysis showed a significant indirect association of negative parenting with problematic media use through oppositional symptoms (indirect effect = 0.231, 95% CI [0.082, 0.406]). There was no statistically significant evidence of moderation by diagnostic group.ConclusionIn adjusted analyses, oppositional symptoms and negative parenting were associated with problematic media use, whereas core ADHD symptoms and Stroop performance were not; findings should be interpreted cautiously given measurement-method differences.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261495392"},"PeriodicalIF":2.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139954","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

Multidimensional Cognitive and Linguistic Profiles in Adolescent Schizo-Obsessive Presentations: A Machine Learning and Explainable Artificial Intelligence Approach. 青少年精神分裂强迫症表现的多维认知和语言概况：机器学习和可解释的人工智能方法。

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-07 DOI: 10.1177/13591045261491069

Omca Guney, Erkan Eyrikaya, Ipek Ege Gurel Ficicioglu, Kerim Kiziltan, Duygu Kinay Ermis, Nurdan Kasar, Denizhan Tanyolac

{"title":"Multidimensional Cognitive and Linguistic Profiles in Adolescent Schizo-Obsessive Presentations: A Machine Learning and Explainable Artificial Intelligence Approach.","authors":"Omca Guney, Erkan Eyrikaya, Ipek Ege Gurel Ficicioglu, Kerim Kiziltan, Duygu Kinay Ermis, Nurdan Kasar, Denizhan Tanyolac","doi":"10.1177/13591045261491069","DOIUrl":"https://doi.org/10.1177/13591045261491069","url":null,"abstract":"Schizo-obsessive presentations in adolescence remain insufficiently characterized, particularly with respect to their cognitive, linguistic, and social-cognitive features. This study explored clinical, neurocognitive, social-cognitive, and thought-language characteristics associated with schizophrenia, obsessive-compulsive disorder (OCD), and schizo-obsessive presentations in adolescents using a Support Vector Machine-based explainable machine learning framework. A total of 182 adolescents were included: schizophrenia with comorbid OCD (n = 27), schizophrenia without obsessive-compulsive symptoms (n = 55), and OCD without psychotic symptoms (n = 100). The model demonstrated high discriminative performance overall, although classification performance was lower for the schizo-obsessive group, suggesting partial overlap with both schizophrenia and OCD presentations. Shapley Additive exPlanations (SHAP) analyses indicated that obsessive-compulsive symptom burden and negative symptom burden were the primary dimensions associated with classification, while social cognition, verbal fluency, verbal memory, executive functioning, processing speed, thought-language organization, and prosodic features also contributed to group differentiation. The findings suggest that schizo-obsessive presentations may involve broader cognitive and linguistic characteristics beyond symptom-level overlap and support a multidimensional approach to their clinical evaluation.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261491069"},"PeriodicalIF":2.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129592","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

Psychological Functioning and Parent-Child Mental Health Interrelations in Pediatric Gastrointestinal Autoimmune Disorders. 儿童胃肠自身免疫性疾病的心理功能与亲子心理健康关系

IF 2

Clinical child psychology and psychiatry Pub Date : 2026-10-07 DOI: 10.1177/13591045261491090

Georgia Triantafyllou, Evdokia Pasalari, Afroditi Kourti, Ino Kanavaki, Smaragdi Fessatou

{"title":"Psychological Functioning and Parent-Child Mental Health Interrelations in Pediatric Gastrointestinal Autoimmune Disorders.","authors":"Georgia Triantafyllou, Evdokia Pasalari, Afroditi Kourti, Ino Kanavaki, Smaragdi Fessatou","doi":"10.1177/13591045261491090","DOIUrl":"https://doi.org/10.1177/13591045261491090","url":null,"abstract":"PurposeTo examine psychological functioning and parent-child mental health in pediatric gastrointestinal autoimmune disorders. Child anxiety, depression, alexithymia, negative automatic thoughts and health-related quality of life were compared across inflammatory bowel disease (IBD), celiac disease and hepatopathy. Parental psychological functioning and parent-child associations were also assessed.MethodsThis cross-sectional study included 59 children aged 8-17 years with confirmed IBD, celiac disease or hepatopathy and one parent per child, recruited from a university pediatric gastroenterology department in Greece during 2024. Participants completed validated psychological questionnaires. Associations, paired parent-child comparisons and diagnostic-group differences were examined.ResultsGreater child alexithymia and more frequent negative automatic thoughts were associated with higher symptoms across all RCADS outcomes, whereas health-related quality of life was inversely associated with all outcomes. Parental alexithymia was associated with child-reported obsessive-compulsive symptoms, while six associations of parental depression, anxiety and alexithymia with parent-rated child outcomes remained significant. Parents rated child symptoms higher than children in all paired RCADS comparisons. Diagnostic comparisons suggested the greatest psychological burden and lowest health-related quality of life among children with Crohn's disease.ConclusionsAlexithymia and parent-child mental health emerged as important dimensions of psychological functioning in pediatric gastrointestinal and hepatological autoimmune disorders. Findings support multi-informant, family-centered psychological assessment within pediatric gastroenterology, while acknowledging shared-informant variance and the cross-sectional design.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045261491090"},"PeriodicalIF":2.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129568","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