Clinical child psychology and psychiatry最新文献

{"title":"When hospital harms more than helps: Iatrogenic processes in adolescent inpatient settings.","authors":"Matteo Zuccala, Shannon Webb, Choong-Siew Yong","doi":"10.1177/13591045251332134","DOIUrl":"https://doi.org/10.1177/13591045251332134","url":null,"abstract":"<p><p>More adolescents than ever are being hospitalised in mental health units. As with all forms of clinical intervention, psychiatric inpatient admission poses its own risks of harm resulting from treatment (iatrogenesis), of which there is minimal literature. In this article we explore the factors that contribute to iatrogenic processes in the adolescent inpatient environment. Of note, the socialization of unsafe behaviours in these environments can contribute to poorer treatment outcomes as well as the harmful effects of experiencing, or witnessing, coercive and traumatising clinical practices. Inpatient admissions also have a systemic impact on family and community ecosystems that can detrimentally influence young people while they are in hospital and even after returning to the community. Recommendations for minimizing and preventing iatrogenic harm for adolescents in inpatient environments are outlined, as well as the patient characteristics that might make young people more vulnerable to these deleterious processes.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251332134"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812928","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}

{"title":"Diversity, equity and inclusion: Challenges for academic journals and their editors.","authors":"Deborah Christie","doi":"10.1177/13591045251332228","DOIUrl":"https://doi.org/10.1177/13591045251332228","url":null,"abstract":"","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251332228"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775214","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}

{"title":"Stories of absence: Experiences of parental and familial rejection among gender-diverse children and young people.","authors":"Kathy McKay, Eilis Kennedy, Talen Wright, Bridget Young","doi":"10.1177/13591045241288749","DOIUrl":"10.1177/13591045241288749","url":null,"abstract":"<p><p>Previous research has demonstrated the positive associations with parental support with better mental health outcomes in gender-diverse young people. However, less is known about what happens within a family structure if an unsupportive parent or family member leaves the family unit and sees the child only on the condition that they present in a way that conforms to their birth gender. This paper will focus on the first interviews with nine families within the wider sample of 39 families in the LOGIC-Q (Longitudinal Outcomes of Gender Identity in Children - qualitative) study who reported they had experienced rejection by a parent or family member after the young person had disclosed their gender non-conformity. These families' narratives are examined through two themes: How rejection impacts visitation, and Moving past the loss of rejection. The families all spoke about how they had adapted to the loss of their family members. They described how any negative impact would have been worse had they stayed living together, or were in contact with, the rejecting family member. Here, it becomes important then to understand the context of why a gender-diverse young person may choose to no longer see a parent or family member.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"294-308"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514696","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}

{"title":"A cognitive help or hindrance? A systematic review of cognitive behavioural therapy to treat anxiety in young people with autism spectrum disorder.","authors":"K Roberts, P M Rankin","doi":"10.1177/13591045251314906","DOIUrl":"10.1177/13591045251314906","url":null,"abstract":"<p><p>ObjectiveAnxiety rates amongst autistic youth range from 11% to 84%. While Cognitive Behavioural Therapy (CBT) is an effective treatment of anxiety in neurotypical youth, there are concerns autistic youth lack the cognitive resources necessary to effectively engage with CBT. It is also unclear whether standard or adapted CBT is more effective. This review aims to compare the effects of standard and adapted CBT in the treatment of anxiety in autistic youth.MethodsArticles were searched across three online databases. 24 articles were selected for final review. All articles were published between 2008 and 2024. Total sample size was 1,140 and participant age ranged from 4-18 years. Various designs, settings, and CBT formats were incorporated.ResultsWhen treating anxiety in autistic youth, standard CBT is effective although CBT adapted to accommodate the autism-related needs of the youth appears more effective, with gains maintained up to 26 months post-treatment. Statistical analysis was not significant.ConclusionsStandard and adapted CBT are effective treatments of anxiety in autistic youth. To optimise outcomes, it may be important to consider the common cognitive styles associated with autism and adapt the therapeutic intervention accordingly. However, there is not yet statistical evidence for this hypothesis.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"419-435"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981005","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}

{"title":"A personal reflection: What I learned about diversity, inclusivity and equity because of a young homeless man and his dog.","authors":"Pierre-Paul Tellier","doi":"10.1177/13591045251326704","DOIUrl":"10.1177/13591045251326704","url":null,"abstract":"<p><p>Who are homeless youths? This is the question I asked after observing a young man and his dog in the lobby of a bank on a cold January evening in Montreal. In attempting to answer this question I found that a universally accepted definition for \"homeless youth\" does not exist. Nonetheless, research exist that define who they are, the issues associated with homelessness and the health risks they face on the street. This led me wo ask what I could have done to help the young man. My experience help me realize that the street in unfortunately not only diverse, but also potentially inclusive of everyone, but like the rest of society it is not necessarily equitable.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"204-211"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560324","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}

{"title":"Cumulative interpersonal risk and suicide ideation/attempts among Chinese early adolescents: Does self-esteem play a moderating role?","authors":"Jingfei Zhao, Yulong Wang, Xinchen Wang","doi":"10.1177/13591045241303410","DOIUrl":"10.1177/13591045241303410","url":null,"abstract":"<p><p>ScopeSuicide among adolescents is a serious global health concern. Previous research has highlighted that interpersonal factors are vital determinants of suicidality. However, little is known about the cumulative effects of interpersonal risks and the protective factors that buffer individuals from developing suicidal tendencies. The present study examined whether linear or nonlinear models best account for the relationship between cumulative interpersonal risk and suicidal ideation and attempts among early adolescents and the protective value of self-esteem in these associations.MethodsA sample of 605 seventh-grade students from in Hunan, China was tracked over a 6 month interval. Measures of interpersonal risk, suicidal ideation, suicide attempts, and self-esteem were obtained from adolescents' self-reports.ResultsThe findings indicated both concurrent and longitudinal linear associations between cumulative interpersonal risk and adolescent suicidal ideation. Cumulative interpersonal risk was only associated with concurrent adolescent suicide attempts, showing a nonlinear relationship. Self-esteem moderates the association between cumulative interpersonal risk and subsequent suicidal ideation. The results also showed that identifying interpersonal risk early and simultaneously reducing multiple interpersonal risks would benefit high-suicide-risk youths.ConclusionsAdolescents who face more than three interpersonal risks are particularly at risk for suicide attempts. Self-esteem is insufficient to counteract the cumulative impact of interpersonal risk completely. Study analyzing whether personal worth plays a moderating role in the suicidal ideation and attempts of early Chinese adolescents. While suicide among adolescents is a serious global health concern, little is known about the cumulative effects of interpersonal risks and the protective factors that buffer individuals from developing suicidal tendencies. As such, we followed 605 seventh graders over six months to investigate the combined influence of various interpersonal stressors such as low teacher support, limited classmates' support, ineffective communication with parents, and experiences of social ostracism on suicidality. In addition, we explored whether a good sense of personal worth (self-esteem) made a difference. Our findings showed that, as interpersonal risks accumulate, the likelihood of an adolescent experiencing suicidal thoughts increases. Although self-esteem offers some protection, it does not fully counteract the detrimental effects of combined interpersonal problems. In particular, when an adolescent faces three or more interpersonal stressors, the risk of suicide attempts increases. Based on our findings, we believe that interventions aimed at reducing these interpersonal risks and bolstering adolescent self-esteem could be pivotal for suicide prevention.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"344-358"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718092","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}

{"title":"Practical recommendations for addressing the psychological needs of unaccompanied asylum-seeking children in England: A literature and service review.","authors":"See Heng Yim, Glorianne Said, Dorothy King","doi":"10.1177/13591045241252858","DOIUrl":"10.1177/13591045241252858","url":null,"abstract":"<p><p>BackgroundGlobally, there is an increasing trend of forcibly displaced people, of which over 40% are children. Unaccompanied asylum-seeking children (UASC) are at risk of experiencing psychological distress and developing mental health difficulties. However, in the UK, the approach from statutory mental health services is inconsistent across different geographical areas.AimThis report outlines recommendations for statutory mental health services in the UK in relation to working with UASC.MethodA rapid evaluation method was adopted including interviewing fifteen key informants as well as reviewing existing clinical guidelines. Key informants included clinicians, service managers, social workers and commissioners from Local Authorities, National Health Services, and third sector partners. Recommendations were synthesised using narrative synthesis.Results and conclusionExisting service provision and barriers to the implementation of interventions were summarised and compared against existing guidelines. The report presents recommendations on assessments, screening tools, and psychological interventions for developing a pathway for UASC within statutory services.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"245-263"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312540","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}

{"title":"The cost of poverty for child development: The adverse impact on maltreatment, education and mental health outcomes cannot be ignored.","authors":"Guy Cm Skinner, Eilis Kennedy","doi":"10.1177/13591045241302121","DOIUrl":"10.1177/13591045241302121","url":null,"abstract":"<p><p>This commentary explores the 'cost of poverty' for child development, with particular reference to the current UK context. Specifically, it comments on the adverse impacts of poverty on child mental health, education, and maltreatment.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"309-313"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683883","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}

{"title":"Children and divorce: A rapid review targeting cognitive dissonance, in the context of narrative therapy.","authors":"Christopher Lie Ken Jie, Joanne Jessen Yramategui, Richard Huang","doi":"10.1177/13591045251314908","DOIUrl":"10.1177/13591045251314908","url":null,"abstract":"<p><p>Today, for divorcing parents, the social norms of \"good\" parenting appear to impose obligations to \"fight\" for shared custody of their children. However, this may intensify conflicts experienced by their children in the form of cognitive dissonance. Authors conducted a rapid review to explore children's experiences of divorce (ages three to 12 years old) in the context of narrative therapy, in order to uncover the mechanism of cognitive dissonance. Four databases of Scopus, PsychINFO, Family and Societies Studies Worldwide, and PubMed were searched for literature in the last 10 years. Results included 11 study articles, one policy brief, and one book chapter, representing the experiences of 1169 children from seven developed countries/regions. Our findings suggest four themes associated with cognitive dissonance, whereby the first three represent the formation of harmful perceptions of cognitive dissonance resulting from divorce. The fourth represents the children's coping strategies to reduce their cognitive dissonance. We advocate that family mediators consider narrative therapy targeting cognitive dissonance as a means of repairing disruptions to family coherence. In this regard, we recommend that future research explore the consequences of children's confrontation of their cognitive dissonance in narratives found to be prevalent in children's experiences of divorce.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"465-478"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973816","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}

{"title":"Mental health and resilience in young people on Saint Helena Island.","authors":"Tara L Murphy, Elena Nixon","doi":"10.1177/13591045241284326","DOIUrl":"10.1177/13591045241284326","url":null,"abstract":"<p><p>This study explored the mental health needs and strengths of young people (aged 11-18 years) living on the remote island of Saint Helena (SH). 24 young people and their carers completed standardised inventories assessing mental health and resilience, of whom 15 of the young people and their carers participated in semi-structured interviews enquiring into mental health awareness, contributing factors to young people's mental health and resilience, as well as experience with local mental health services. Descriptive data were reported based on the quantitative measures and thematic analysis was applied to the interview transcripts. A number of young people were found to meet criteria for mental health problems while they showed high levels of resilience. The themes derived from young people's interviews were broadly centred around mental health boosters, including personal successes, social interactions, engagement in pleasurable activities and use of anxiety management strategies; and around limitations of living in SH in terms of limited resources and difficulty in maintaining trust in the community. From the carers, the themes revolved around awareness of mental health needs and strengths in young people, perceived barriers to access support mainly due to apprehensions around stigma and anonymity. Recommendations for improvement of mental health provision are made.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"264-278"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483184","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}