Clinical child psychology and psychiatry最新文献

{"title":"The Impact of Treatment as Usual on School and Vocational Attendance Problems in a Child and Youth Mental Health Service.","authors":"Peter Brann, Yu En Chia, Stanley Innes, Jeremy Couper","doi":"10.1177/13591045251385601","DOIUrl":"https://doi.org/10.1177/13591045251385601","url":null,"abstract":"<p><p>BackgroundThis study investigated changes in school and vocational attendance problems (SVAP) among young people receiving treatment as usual (TAU) at Child and Youth Mental Health Services (CYMHS) in Australia. Although CYMHS primarily addresses severe psychiatric disorders, SVAP frequently co-occurs in this population, impacting overall wellbeing.MethodA random sample of 210 patients who completed treatment in the year prior to the COVID-19 pandemic was selected. SVAP was assessed using the Health of the Nations Outcome Scales for Children and Adolescents (HoNOSCA), a routinely collected measure of symptoms and functioning, with ratings recorded at Assessment, 91-day Review, and Discharge.ResultsAt Assessment, 48.6% of patients presented with SVAP. This reduced to 44.8% at Review and significantly dropped to 24.3% by Discharge (<i>p</i> < 0.001). While no significant change was observed from Assessment to Review, a substantial reduction in SVAP was noted from both Assessment to Discharge and Review to Discharge (<i>p</i> < 0.001).ConclusionThese findings suggest that CYMHS TAU, though not specifically focused on attendance issues, can positively impact SVAP in young people with complex psychiatric needs.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251385601"},"PeriodicalIF":2.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202337","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 Qualitative Study of Healthcare Professionals' Experiences of the Impact of the COVID-19 Pandemic on the Severity of Eating Disorders, and Eating Disorder Treatment and Service Provision in the Paediatric Population.","authors":"Sarah Ford, Alan Carr","doi":"10.1177/13591045251385271","DOIUrl":"https://doi.org/10.1177/13591045251385271","url":null,"abstract":"<p><p>BackgroundPublished research on the effects of the COVID-19 pandemic reveals increased eating disorders (EDs), exacerbated conditions, and the reduction in accessibility of already inadequate supports available.ObjectiveTo explore the perspectives of healthcare professionals on the impact of COVID-19 on EDs and ED treatment and service provision for the paediatric population.MethodSemi-structured interviews were completed with participants, and data were analysed using code-book thematic analysis.ParticipantsParticipants included 13 healthcare professionals from Ireland with experience working with EDs ranging from 5-21 years (<i>M</i> = 11.46, <i>SD</i> = 2.94).ResultsSix themes and fourteen subthemes were established. The first three themes, 'Increased severity and frequency of paediatric EDs', 'Psychological impact and coping mechanisms', and 'Shifts in epidemiological trends', identify the impact of the pandemic on the severity and frequency of EDs. The second three themes, 'Challenges in accessing ED services', 'Adaptions and innovations in ED treatment', and 'Implication for service provision and healthcare systems', identify how the pandemic affected treatment and service provision.ImplicationsThe results emphasise the need for increased funding for ED services, grants for further professional training, and medical practitioners' education on psychiatric conditions. This study also discovered increased comorbid OCD and ASD presentations since the onset of the pandemic.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251385271"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194166","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":"First, Do No Harm: How Mental Health Service Responses Can Inadvertently Increase Suicidality Among Young People.","authors":"Sarah Whitcombe-Dobbs","doi":"10.1177/13591045251383632","DOIUrl":"https://doi.org/10.1177/13591045251383632","url":null,"abstract":"<p><p>Youth non-suicidal self-injury (NSSI) and suicidality have increased worldwide, yet funding is limited, and the workforce is stretched. This context of scarcity and risk influences service responses: thresholds for accessing services are raised, with increased gatekeeping. This commentary draws on behavioural and attachment theories to describe how reactive resource allocation can be harmful and inadvertently maintain distress. This occurs through unpredictably providing and then withdrawing access to mental health services. The mental health system itself can be seen as a participant in the therapeutic relationship, providing inconsistent and unpredictable responses to suicidal young people. Trauma- and attachment-related difficulties influence youth perceptions, and small interactions with services can maintain suicidality. When this pattern is recognised, it is possible to alter service responses to emulate interpersonal qualities that provide a sense of safety for those who seek help. For example, predictable responses, clear communication, validation throughout case progression, and consistent adherence to boundaries, all increase trust within the agency-client relationship.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251383632"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139717","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":"Mindfulness shapes emotion regulation in non-clinical adolescents: Secondary outcomes of a randomized controlled trial.","authors":"Erik Mendola, Ben Meuleman, Mariana Magnus Smith, Vladimira Ivanova, Eléonore Pham, Valentine Savary, Patricia Cernadas, Zeynep Celen, Luigi Francesco Saccaro, Andrea Samson, Paul Klauser, Arnaud Merglen, Camille Marie Piguet","doi":"10.1177/13591045251377898","DOIUrl":"https://doi.org/10.1177/13591045251377898","url":null,"abstract":"<p><p>Adolescence, characterized by both remarkable brain plasticity and vulnerability to psychiatric disorders; represents a uniquely propitious time window for targeted early interventions. Mindfulness-based interventions (MBI) have garnered increasing interest as cost-efficient, non-invasive and non-pharmacological approaches to enhancing mental health. While solid evidence supports the mental health benefits of MBI in adults, results in adolescents remain mixed. In particular, there is contradictory evidence regarding the use of MBI for healthy adolescents, underscoring the need for further research on its underlying mechanisms. One emerging mechanism mediating the beneficial effects of MBI is improved emotion regulation. Indeed, impaired emotion regulation is increasingly recognized as an early and transdiagnostic marker for psychiatric disorders. Therefore, we aimed to examine the impact of MBI on emotion regulation (ER) strategy use in healthy young adolescents. This study is a two-arm, wait-list, randomized controlled trial (RCT) of an 8-week MBI involving 70 adolescents from a non-clinical sample, aged 13 to 15. This study reports secondary outcomes on the impact of the MBI on emotion regulation strategy (ERS) use during a naturalistic task of emotion reactivity and regulation. Post-hoc <i>t</i>-tests on a multilevel logistic regression model (GLMM) revealed a significant decrease in the use of acceptance and problem solving, and a highly significant increase in the use of relaxation in adolescents' emotion regulation strategies after the MBI, compared to the wait-list controls. Despite the limited sample size, these secondary results of the study point to the effectiveness of MBI in improving emotion regulation strategies in adolescents from the general population, paving the way to future wider-scale research into specific mechanisms of action and into the clinical relevance of MBI in adolescents. Shedding light on these points is pivotal for validating MBI as a potential early intervention aimed at improving mental health and reducing the risk of psychiatric disorders in adolescents.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251377898"},"PeriodicalIF":2.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139778","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":"Bridging cultural sensitivity and ethical practice: Expert narratives on child and adolescent mental health in Kuwait.","authors":"Kaouthar Chebli, Alice Gritti, Clara Calia","doi":"10.1177/13591045251380307","DOIUrl":"https://doi.org/10.1177/13591045251380307","url":null,"abstract":"<p><p>AimsThis study examines the influence of cultural factors on mental health perceptions and practices in Kuwait, with a specific focus on mental health professionals working with children and adolescents. Employing the ETHICA-4P toolkit, the study aims to evaluate and promote ethical and culturally sensitive approaches in research and clinical interventions.MethodsA qualitative research design was used, involving semi-structured interviews with mental health professionals to explore their experiences and approaches to culturally sensitive practice.ResultsFindings indicate that cultural factors, such as family dynamics, religious beliefs, and societal stigma, strongly influence help-seeking behaviours and therapeutic outcomes. Despite available mental health services, cultural stigma and fear of social repercussions remain significant barriers in Kuwait, including concerns about family reputation, judgment from the community, and potential impacts on marriage prospects or social standing.ConclusionETHICA-4P can act as a model to integrate cultural competence into clinical practice and improve mental health outcomes for children and youth. Findings also highlight the urgent need for education campaigns directed at therapists, parents, educators, and the general public to reduce stigma and increase mental health awareness.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251380307"},"PeriodicalIF":2.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139753","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":"Unaccompanied minors' (UMs) mental health and perceptions about psychologists and psychotherapeutic care in Savoie (France): A questionnaire study.","authors":"Gwladys Demazure, Nicolas Pinsault, Maïa Dolgopoloff, Céline Baeyens","doi":"10.1177/13591045251377902","DOIUrl":"https://doi.org/10.1177/13591045251377902","url":null,"abstract":"<p><p>BackgroundUnaccompanied minors (UMs) are a population at risk for mental health problems, including post-traumatic stress disorder (PTSD). Yet, engagement with mental health services remains limited, with low utilization, missed appointments, and high drop-out rates, posing challenges to effective care.PurposeThis study aimed to examine unaccompanied minors' (UMs) mental health, their help-seeking behaviors, and their perceptions of and satisfaction with psychotherapeutic care, while exploring the links between PTSD symptoms and emotion regulation in a French department (Savoie).MethodA total of 64 UMs who met a psychologist at least once completed self-reported questionnaires: help-seeking behaviors and therapeutic care, post-traumatic symptoms (IES-R), and difficulties in emotion regulation (DERS-F).ResultsThirty-four percent of UMs exhibited probable PTSD. Greater PTSD intensity correlates with fewer adaptive emotion regulation strategies and lower emotional acceptance. After arriving in France, UMs significantly increased their reliance on formal medical services and mental health professionals (MHPs), while decreasing family communication and traditional medicine use. Despite few consultations, UMS reported high satisfaction with therapeutic care and the therapeutic relationship, suggesting trust in this new healthcare system.ConclusionFuture research should explore the benefits of emotion regulation interventions for UMs' mental health. Child welfare services (CWS) should prioritize strategies to improve therapy engagement and ensure sufficient MHP sessions, acknowledging cultural factors influencing their help-seeking behaviors.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251377902"},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093180","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":"Youth's sense of belonging and associated risk and promotive factors: An ecological systems network analysis.","authors":"Fatima Wasif, Jackson A Smith, Dillon T Browne","doi":"10.1177/13591045251380305","DOIUrl":"https://doi.org/10.1177/13591045251380305","url":null,"abstract":"<p><p>IntroductionBelonging is a powerful predictor of positive outcomes in youth, including greater well-being. There remains a pressing need to integrate influences across layers of organization within youths' developmental contexts to further understand how to enhance belonging amongst this demographic. Here, we investigate: (1) \"How do risk and promotive factors converge in relation to belonging among youth?\" and (2) \"Do risk and promotive factors associate differently with belonging between boys and girls?\".MethodsResponses from a community-based questionnaire were analyzed to establish ecological systems networks of the interrelationships between youths' social connections, well-being, belonging, and sociodemographic factors (N_girls = 477, N_boys = 245; M_age = 14.2, <i>SD</i> = 2.2 years).ResultsOur findings demonstrate the salience of ethnicity-based discrimination experiences in diminished mental health outcomes and lower belonging among boys. Additionally, we show the crucial link between emotional support from teachers and family with higher belonging for youth. <b>Conclusions:</b> We discuss the importance of gender-based considerations when targeting belonging promotion and well-being among children and adolescents.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251380305"},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082697","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 child mental health service transformation framework in the Global South.","authors":"Michelle O'Reilly, Panos Vostanis","doi":"10.1177/13591045251366711","DOIUrl":"10.1177/13591045251366711","url":null,"abstract":"<p><p>Global South countries are typically faced with multiple socioeconomic and resource challenges that predispose rising child mental health needs, which remain largely unmet. Collectivist societies, however, provide protective mechanisms for child mental health and opportunities for interventions through existing informal support systems. We provide an empirically grounded framework for child mental health service transformation, accounting for the complexities of resource burdens and the need for culturally sensitive adaptations. In presenting this framework, we utilise data from projects in South Africa and Pakistan which engaged participants from disadvantaged urban areas. These involved a total of 10 psychosocial interventions, 504 end-users (youth, parents and professionals) and a sub-sample of 76 focus group participants, to describe the design, refinement, cascade training, implementation and process evaluation of the framework. The secondary thematic analysis illustrates four layers of knowledge generation, translation and transfer, transformation through community engagement and mobilisation, and impact through service integration and systemic changes. The framework and supporting findings informed a provisional Theory of Change. This highlights the principles of stigma prevention, co-production with communities, contextualisation of psychosocial interventions, integration with informal and structural support systems, knowledge cascade, and involvement of youth and parents with lived experience.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251366711"},"PeriodicalIF":2.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A preliminary psychometric investigation of a brief positive school experiences scale.","authors":"Ryan Hamill, Lisa Bunting, Mark Shevlin","doi":"10.1177/13591045251348801","DOIUrl":"https://doi.org/10.1177/13591045251348801","url":null,"abstract":"<p><p>IntroductionUniversal screening using measures of mental health symptoms is discounted by UK schools due to stakeholder concerns. This is a preliminary study of the psychometric properties of a new Brief Positive School Experiences (B-PSEs) scale, devised to assess associations between cumulative positive school experiences (PSEs) and adolescent mental health as part of a PhD project that explored PSEs count as a potential proxy measure of adolescent mental health risk.MethodsFive teachers developed a brief 19-item PSEs measure. 460 adolescents (aged 14-16) completed a survey based on these items and items measuring mental health (<i>N</i> = 460). Exploratory factor analysis and measures of internal consistency assessed the scale's preliminary psychometric properties.ResultsThe B-PSEs scale demonstrated a three-factor structure; (1) Coping with school demands; (2) School belonging, safety and support; and (3) Equity and low social adversity. Composite reliability was measured at 0.91.ConclusionThe B-PSEs scale is a reliable measure with a robust factor structure and PSEs scores measured using the scale have demonstrated associations with adolescent mental health outcomes.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251348801"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact of Flash technique on test anxiety among adolescents.","authors":"Canan Çitil Akyol, Sevim Berrin Inci Izmir","doi":"10.1177/13591045251329437","DOIUrl":"10.1177/13591045251329437","url":null,"abstract":"<p><p>This study aims to investigate the specific effects of Flash Technique (FT) on adolescents with test anxiety. This follow-up study consists of 38 adolescents, 14-17 years of age (<i>M</i> = 15.39, <i>SD</i> = 1.13). Pre-post assessments were conducted using the Test Anxiety Inventory (TAI), Scale of Attitudes Negatively Affecting the Performance I/Test (POET), and Beck Anxiety Inventory (BAI) at baseline, at the end of the 4^th and 12^th weeks of therapy. The FT was applied for 12 weeks, with one weekly session as an intervention. As a result of the therapy process, the baseline means of total BAI scores decreased from 25.26 to 2.18; the baseline means of TAI decreased from 149.79 to 39.13, and the baseline mean of POET decreased from 298.47 to 73.84 at the end of the 12th week of therapy. Also, the baseline means of SUD scores decreased from 9.42 to zero at the end of the 12th week of treatment. All the adolescents showed complete improvement after the 12th week of the FT. The study findings showed that the test anxiety symptoms significantly decreased with the treatment of the FT. FT can be an effective intervention for test anxiety in adolescents.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"735-751"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}