Clinical child psychology and psychiatry最新文献

Characteristics and outcomes of children and adolescents referred to gender services in the UK and Netherlands: A retrospective cohort study. 在英国和荷兰接受性别服务的儿童和青少年的特征和结果：一项回顾性队列研究。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub Date: 2025-06-26 DOI: 10.1177/13591045251353547

Chloe Lane, Matthew C Fysh, Aleksandra Gronostaj-Miara, Lauren Spinner, Hannah Stynes, Veronica Ranieri, Victoria Vickerstaff, Rumana Omar, Rachael M Hunter, Polly Carmichael, Rob Senior, Gary Butler, Nastasja M de Graaf, Thomas D Steensma, Annelou Lc de Vries, Michael King, Eilis Kennedy

{"title":"Characteristics and outcomes of children and adolescents referred to gender services in the UK and Netherlands: A retrospective cohort study.","authors":"Chloe Lane, Matthew C Fysh, Aleksandra Gronostaj-Miara, Lauren Spinner, Hannah Stynes, Veronica Ranieri, Victoria Vickerstaff, Rumana Omar, Rachael M Hunter, Polly Carmichael, Rob Senior, Gary Butler, Nastasja M de Graaf, Thomas D Steensma, Annelou Lc de Vries, Michael King, Eilis Kennedy","doi":"10.1177/13591045251353547","DOIUrl":"10.1177/13591045251353547","url":null,"abstract":"Aims: To retrospectively examine clinical health records to investigate the characteristics and outcomes of children and young people who first attended specialist gender services aged ≤13 years in the UK and the Netherlands across a seven-year period (2009-2016). Methods: Routinely collected outcome measures and clinical data were examined, including gender dysphoria diagnosis, social transition, referral to endocrine services and emotional and behavioural functioning. Results: Similar proportions of children and young people fulfilled criteria for a diagnosis of gender dysphoria and had either fully or partially socially transitioned prior to accessing the services in the UK and the Netherlands. Differences were observed in relation to the proportion of children and young people referred to endocrine services, with a higher proportion reported in the Netherlands. Conclusions: In both services, children and young people who had socially transitioned (fully or partially) prior to attending the service were more likely to receive a diagnosis of gender dysphoria and to be referred to endocrine services.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"931-945"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499839","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

Dyadic developmental psychotherapy for children with developmental trauma histories: An exploration of children's therapeutic experiences. 有发展性创伤史儿童的二元发展性心理治疗：儿童治疗经验的探索。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub Date: 2025-06-29 DOI: 10.1177/13591045251348709

Jessica Christopher, Caroline Cresswell, Julie Davies

{"title":"Dyadic developmental psychotherapy for children with developmental trauma histories: An exploration of children's therapeutic experiences.","authors":"Jessica Christopher, Caroline Cresswell, Julie Davies","doi":"10.1177/13591045251348709","DOIUrl":"10.1177/13591045251348709","url":null,"abstract":"Aims: Dyadic Developmental Psychotherapy (DDP) is a family-based psychotherapeutic intervention designed to help children and young people with the psychological difficulties resulting from developmental trauma. The study aims to understand the experience of DDP from a child's perspective. Method: Six children participated, aged between 8 and 12 years old, adopted or living with extended family under special guardianship orders, and accessing ongoing DDP interventions. Narrative story stem methodologies were utilised to elicit projective responses, alongside creative visual methodologies. Data was analysed using Interpretative Phenomenological Analysis. Results: Two master themes and eight subthemes were identified, describing a dynamic process where the qualities of the therapeutic interactions were salient, generating potential for increased caregiver closeness and connection. A cycle of interactive repair was important to maintain the process of developing trust. Five of the six participants were able to express benefits of the therapy, depicting increased connection and closeness with caregivers. Implications: Findings infer that the attuned presence of therapeutic adults in DDP may influence perceived differences in attachment security, through the active involvement of caregivers. Outcomes are likely to be moderated through therapist effects. Play and activity-based research techniques were helpful in promoting meaningful inclusion for this group of children.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"874-892"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531697","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

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 : 2025-10-01 Epub 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":"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":"822-831"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","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

Quality of depression assessments in child and adolescent psychiatry: Findings from a nationwide Swedish outpatient medical record review. 儿童和青少年精神病学中抑郁症评估的质量：来自瑞典全国门诊病历回顾的发现。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub Date: 2025-06-24 DOI: 10.1177/13591045251341919

Susanne Remvall, Anna Helena Elisabeth Santesson, Martin Bäckström, Björn Hofvander, Håkan Jarbin

{"title":"Quality of depression assessments in child and adolescent psychiatry: Findings from a nationwide Swedish outpatient medical record review.","authors":"Susanne Remvall, Anna Helena Elisabeth Santesson, Martin Bäckström, Björn Hofvander, Håkan Jarbin","doi":"10.1177/13591045251341919","DOIUrl":"10.1177/13591045251341919","url":null,"abstract":"Background: Early-onset depression is an increasing concern, contributing to long-term disability and suicide. Diagnostic assessments are essential for effective treatment. However, research suggests that Child and Adolescent Psychiatry practices remain inadequate. Knowledge of healthcare processes is limited, with no consensus on conceptualising or measuring quality. This study aimed to investigate depression assessments in Swedish outpatient Child and Adolescent Psychiatry, including associations with predictors and diagnostic timeliness. Methods: Medical records (n = 284) from patients aged 8-17 with depression were collected from 10 services. Quality indicators for depressive symptoms, suicidality, comorbidities, and functioning were developed from guidelines. Indicator occurrences were assessed, summarised into components, and analysed using regression and correlations. Results: Indicator occurrences ranged from 8% to 84%, averaging 49%. Documentation varied considerably for risk aspects (57%). Distinct depressive characteristics (63%) occurred nearly twice as often as subtler symptoms (35%). Comorbidities (13%-22%) were rarely documented, whereas functioning and life situation (69%) were well-recorded. Predictors explained up to 28% of variance, with unidentified service-related factors explaining 10%. Better documentation weakly correlated with earlier diagnoses. Conclusions: Findings indicate the need for guideline implementation and further investigation into assessment inequities. Improving quality might promote earlier diagnoses. The indicators may be applicable in similar settings.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"904-930"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478243","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 weight status, perceived closeness to others, and past year suicide consideration and attempts. 青少年体重状况，感知到的与他人的亲密程度，以及过去一年的自杀考虑和企图。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub Date: 2025-06-21 DOI: 10.1177/13591045251354895

Megan A Milligan, Katherine M Kidwell

{"title":"Adolescent weight status, perceived closeness to others, and past year suicide consideration and attempts.","authors":"Megan A Milligan, Katherine M Kidwell","doi":"10.1177/13591045251354895","DOIUrl":"10.1177/13591045251354895","url":null,"abstract":"PurposeThe present research leveraged a nationally representative dataset to examine between-group differences in adolescent suicide consideration and attempts by weight status and perceived closeness to others.FindingsAdolescents with overweight and obesity were more likely to report past year suicide consideration (1.54x and 1.43x as likely) and attempts (1.74x and 1.59x as likely) compared to adolescents with healthy weight. A significantly smaller proportion of adolescents with obesity endorsed closeness to others at school compared to adolescents with healthy weight. Adolescents who felt close to others were less likely to report either suicidal ideation or attempts, regardless of weight status. Compared to the healthy weight group, significantly higher proportions of adolescents with overweight or obesity endorsed attempting suicide, both among adolescents who felt close to others, X2(2) = 14.76, p = .001, n = 4773, and those who did not, X2(2) = 18.58, p < .001, n = 2859.ConclusionsAdolescents with overweight and obesity were more likely to consider and attempt suicide relative to those with healthy weight, regardless of perceived closeness to others. Perceived closeness was associated with lower likelihood of suicide consideration and attempts among all weight groups. Further investigation may clarify the prospective utility of social closeness for adolescent suicide risk reduction, especially among those with overweight/obesity.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"893-903"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340693","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 : 2025-10-01 Epub 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":"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":"811-821"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791024","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

Psychiatric services for adolescents with complex mental health needs: A qualitative study of service user preferences. 具有复杂心理健康需求的青少年的精神病学服务：服务使用者偏好的定性研究。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub Date: 2025-04-15 DOI: 10.1177/13591045251329151

Ingrid Byng Strøm, Annika Lexén, Marianne Bonnert, Ulf Jonsson

{"title":"Psychiatric services for adolescents with complex mental health needs: A qualitative study of service user preferences.","authors":"Ingrid Byng Strøm, Annika Lexén, Marianne Bonnert, Ulf Jonsson","doi":"10.1177/13591045251329151","DOIUrl":"10.1177/13591045251329151","url":null,"abstract":"BackgroundChild and Adolescent Mental Health Services (CAMHS) currently seeks to implement service models that are better suited for young service users with complex mental health needs. This study explored what adolescents view as the key components of a well-functioning contact with CAMHS.MethodsThis study was conducted as part of the ongoing implementation of Flexible Assertive Community Treatment (FACT) in the CAMHS in Stockholm, Sweden. Interviews were conducted with 14 adolescents (64% females) aged 14 to 18 (M = 15.78, SD = 1.32) with intensive or longstanding contact with CAMHS. The interviews were analyzed using reflexive thematic analysis.ResultsFive key themes were generated: (1) \"being involved in my care\" - receiving relevant information and being part of important care decisions; (2) \"accessing care when I need it\" - ensuring services are easily accessible and present in the community; (3) \"building a good relationship\" - developing strong connections with mental health professionals; (4) \"sharing the burden\" - improving support and organization to reduce stress related to the healthcare system; and (5) \"personalizing my care\" - tailoring care to individual preferences and circumstances.ConclusionsThe findings emphasize the importance of engaging young service users in developing a mental health service that meets complex needs.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"832-849"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000135","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

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

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub 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":"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":"865-873"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562303","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

Enuresis in pediatric patients suffering from obsessive-compulsive disorder (OCD): How to manage it? 小儿强迫症患者遗尿：如何处理？

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub Date: 2025-06-30 DOI: 10.1177/13591045251355317

Hugues Lamothe, Yannis Elandaloussi, Amane-Allah Lachkar, Richard Delorme, Matthieu Peycelon

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。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-10-01 Epub 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":"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":"850-864"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103317","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