Clinical child psychology and psychiatry最新文献_第3页

A meta-analytic review of cognitive behavior therapy and motivational interviewing for adolescent and young adult sleep concerns. 认知行为疗法和动机访谈对青少年和年轻人睡眠问题的meta分析综述。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2024-12-12 DOI: 10.1177/13591045241308983

Alison Vrabec, Megan A Milligan, Kevin M Antshel, Katherine M Kidwell

{"title":"A meta-analytic review of cognitive behavior therapy and motivational interviewing for adolescent and young adult sleep concerns.","authors":"Alison Vrabec, Megan A Milligan, Kevin M Antshel, Katherine M Kidwell","doi":"10.1177/13591045241308983","DOIUrl":"10.1177/13591045241308983","url":null,"abstract":"Cognitive behavioral therapy (CBT) is an evidenced-based treatment for sleep concerns but may be insufficient on its own to resolve adolescent sleep problems - combining this treatment with motivational interviewing may result in more robust improvements to sleep in adolescents and young adults (AYA). This study aimed to conduct the first meta-analysis of integrated CBT and motivational interviewing (MI) for AYA sleep concerns. Following PRISMA guidelines, PsycINFO, PubMed, and Google Scholar were searched through January 2024. Cohen's d was computed for effect sizes. Eligible articles included AYA utilized an integration of CBT and MI, reported quantitative outcomes related to sleep, and were published in peer-reviewed journals and available in English. Four studies were eligible for the meta-analysis (N = 435). Results showed a small-medium effect size for reduced daytime sleepiness (d = 0.39, p = .001) and increased total sleep time (d = 0.25, p = .008) following integrated CBT and MI. Risk of bias was assessed using CMA. The findings suggest integrated CBT and MI is beneficial for AYA daytime sleepiness and sleep duration, more effective than CBT alone and other control groups. These findings contribute to the understanding of effective interventions for AYA sleep concerns, offer practical insights for practitioners, and highlight the need for further investigation into the integration of CBT and MI.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"386-401"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815201","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

Psychosocial screening, in-patient care, and disposition planning: Clinicians' perspectives. 社会心理筛查、住院治疗和处置规划：临床医生的观点。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2024-11-25 DOI: 10.1177/13591045241303543

Alyssa Chong, Punit Virk, Quynh Doan

{"title":"Psychosocial screening, in-patient care, and disposition planning: Clinicians' perspectives.","authors":"Alyssa Chong, Punit Virk, Quynh Doan","doi":"10.1177/13591045241303543","DOIUrl":"10.1177/13591045241303543","url":null,"abstract":"ObjectiveOur objective was to explore clinicians' views on the MyHEARTSMAP screening report; whether this report has impacted their patient care, and if so, how. MyHEARTSMAP is a psychosocial self-screening tool for youth to identify mental health concerns.MethodsWe conducted a cross-sectional study as a sub-study of the MyHEARTSMAP In-Patient randomized control trial. Eligible clinicians (nurses and physicians who have cared for patients in one of our partnered specialties and have seen a MyHEARTSMAP report in their patients' charts) provided their perceptions of the screening report through a survey.ResultsSixty-five clinicians were enrolled; 60 (92.3%; 95% CI 85.8-98.8%) believe psychosocial screening is beneficial, with many finding it helpful for building rapport with patients/families and providing additional mental health information. Thirty-seven clinicians (56.9%; 95% CI 44.9-69%) had previously read or used the MyHEARTSMAP report, and 31 (83.8%; 95% CI 71.9-95.7%) of these clinicians found the report helpful. Clinicians specifically found the report helpful for communicating with the patient, and guiding patient-centered care.ConclusionClinicians' perceptions towards the MyHEARTSMAP report were positive amongst those who had previously encountered it. While clinicians believe psychosocial screening is beneficial, exploring options for better accessibility to the screening results is necessary to increase utilization.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"502-515"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712156","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

Conversations with mental health practitioners from working class backgrounds working in children's mental health services.

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-03-20 DOI: 10.1177/13591045251329741

Lynsey Davies, Katie McDonnell, Jaymie Huckridge, Theodore Prendegast

引用次数: 0

"I didn't come here for your judgement" alongside "they understand you and encourage you": Exploring the narratives of young black and mixed-race LGBTQ+ people who have a physical health condition and their experiences within physical health services. "他们理解你，鼓励你 "的同时，"我不是为了你的评判而来"：探索患有身体疾病的黑人和混血 LGBTQ+ 年轻人的叙述及其在身体健康服务中的经历。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2024-07-21 DOI: 10.1177/13591045241258504

Nicole Williams, James McParland, Shreena Unadkat, Jaymie Huckridge

{"title":"\"I didn't come here for your judgement\" alongside \"they understand you and encourage you\": Exploring the narratives of young black and mixed-race LGBTQ+ people who have a physical health condition and their experiences within physical health services.","authors":"Nicole Williams, James McParland, Shreena Unadkat, Jaymie Huckridge","doi":"10.1177/13591045241258504","DOIUrl":"10.1177/13591045241258504","url":null,"abstract":"Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) individuals experience health inequalities. Young people living with a health condition are also more likely to experience adverse mental health outcomes. Developing positive identity can help to mitigate the impact of this. Young black LGBTQ+ people have additional barriers to developing positive identity. Current research rarely considers the intersection of these identities for young people despite the discrimination they may face, and the impact this may have on their health. A narrative approach allows these voices to be heard in research. Eight participants were interviewed using a narrative approach. Interviews were analysed using content and thematic narrative analysis. Global summaries of each interview were developed and 'plot lines' emerged from these. A central plot related to identity development, with two plots embedded in these exploring experiences of illness and of healthcare. Participants had positive experiences of healthcare despite encountering stigma. Access to positive role models and being able link in with various communities allowed participants to integrate and accept their identities. A key discussion point in this study is the ways in which healthcare staff could become role models for young LGBTQ+ people and help them to integrate and accept their identities.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"229-244"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736023","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

Exploration of motivation to be physically active among overweight adolescents in Switzerland. 瑞士超重青少年体育锻炼动机的探索。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-15 DOI: 10.1177/13591045251315507

Shahadije Sejdija, Albane Br Maggio

{"title":"Exploration of motivation to be physically active among overweight adolescents in Switzerland.","authors":"Shahadije Sejdija, Albane Br Maggio","doi":"10.1177/13591045251315507","DOIUrl":"10.1177/13591045251315507","url":null,"abstract":"Motivation plays an important role in the field of medicine, as it significantly influences behavior change, such as becoming more physically active. This study aimed to investigate the role of motivation in engagement in a physical activity and its impact on quality of life for adolescents suffering from obesity. We assessed the time dedicated to physical activities, the type of motivation, and the relationship between those factors and their quality of life. Seventy-two adolescents aged 12-18 years (51% girls) participated in the study. Fifteen percent of the sample (11/72) were overweight, 56% (n = 40) were affected by obesity and 29% (n = 21) by severe obesity. We found that adolescents were mostly driven to engage in physical activity by self-determined motivation, but those affected by severe obesity were more motivated by external factors. Moreover, there was a disparity in physical activity engagement between genders, with boys being more active than girls. Finally, our data demonstrated that physical exercise contributed to improving quality of life of our population. This study demonstrates that self-determined motivation plays a significant role in promoting physical activity among adolescents with overweight or obesity, with notable differences between genders. Encouraging intrinsic motivation can improve physical functioning and quality of life.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"491-501"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018301","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

Medication adherence and attitudes in adolescent psychiatry: Key influences.

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-30 DOI: 10.1177/13591045251316607

İzgi Bayraktar, Nadir Yalçın, Kevser Nalbant, Ebru Çengel Kültür, Kutay Demirkan

{"title":"Medication adherence and attitudes in adolescent psychiatry: Key influences.","authors":"İzgi Bayraktar, Nadir Yalçın, Kevser Nalbant, Ebru Çengel Kültür, Kutay Demirkan","doi":"10.1177/13591045251316607","DOIUrl":"10.1177/13591045251316607","url":null,"abstract":"Adolescents with mental illnesses often struggle with adhering to prescribed medication regimens. This study investigates how patient perceptions influence medication adherence among adolescents with psychiatric disorders. It also examines the role of patient characteristics and medication-related factors on adherence and attitudes. The Pediatric Medication Adherence Scale (PMAS)- 9 questions and the Pediatric Attitude toward Medication Scale (PAMS)- 18 questions, two reliable self-report scales designed for the adolescent population, were used to assess negative adherence behaviors and patients' perceptions of medication. Statistical analysis examined correlations between adherence, attitudes, and patient characteristics. The scales were administered to 288 adolescents with psychiatric disorders, and a significant correlation was found between concern scores and attitudes toward medication (r = 0.886, p < .05). Patients receiving monotherapy demonstrated lower concern scores and more positive attitudes (p < .05). Experiencing side effects was significantly linked to reduced medication adherence and more negative attitudes toward treatment. Patients with eating disorders demonstrated more negative attitudes, while those using antidepressant-antipsychotic combinations demonstrated more negative attitudes than those using stimulants. This study emphasizes the necessity of addressing critical factors that influence medication adherence and attitudes toward psychiatric medication among adolescents with psychiatric disorders. In particular, it highlights the importance of considering concern perception, managing side effects, and evaluating polypharmacy to optimize pharmacotherapy in this population.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"516-528"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070164","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

Evaluation of sluggish cognitive tempo in children and adolescents with obesity and morbid obesity. 评估肥胖和病态肥胖儿童和青少年迟钝的认知节奏。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2024-12-12 DOI: 10.1177/13591045241308304

Ömer Yolcu, Aynur Bedel, Özge Gizli Çoban, Hilal Yazıcı Kopuz, Arif Önder, Aslı Sürer Adanır, Berhan Akdağ, Serhat Nasıroğlu, Hale Ünver Tuhan, Mesut Parlak

{"title":"Evaluation of sluggish cognitive tempo in children and adolescents with obesity and morbid obesity.","authors":"Ömer Yolcu, Aynur Bedel, Özge Gizli Çoban, Hilal Yazıcı Kopuz, Arif Önder, Aslı Sürer Adanır, Berhan Akdağ, Serhat Nasıroğlu, Hale Ünver Tuhan, Mesut Parlak","doi":"10.1177/13591045241308304","DOIUrl":"10.1177/13591045241308304","url":null,"abstract":"ObjectiveThis study's primary aim is to evaluate the relationship between obesity and sluggish cognitive tempo (SCT).MethodThe study group consisted of obese (n = 37) and morbidly obese (n = 42) patients. The healthy control group included 38 children and adolescents. SCT was evaluated using the Barkley Child Attention Scale (BCAS). Clinical interviews were supplemented with standardized questionnaires to assess symptoms of depression, anxiety, and ADHD.ResultsBCAS scores were significantly higher in both the morbidly obese and obese groups than in the control group (p < .001). BCAS cutoff point showed that the prevalence of SCT was significantly higher in both the obese and morbidly obese groups compared to the control group (p < .001). Moreover, a logistic regression analysis identified screen time (OR = 1.330), maternal education (OR = 0.164), and BCAS scores (OR = 1.122) as independent risk factors for obesity.ConclusionThe current study found a significant relationship between SCT and obesity in children and adolescents. Given that obesity is a public health issue, our findings underscore the importance of evaluating SCT in morbidly obese and obese children. This understanding can lead to more comprehensive and effective treatment strategies for these children.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"479-490"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the impact of Flash technique on test anxiety among adolescents.

Clinical child psychology and psychiatry Pub Date : 2025-03-20 DOI: 10.1177/13591045251329437

Canan Çitil Akyol, Sevim Berrin Inci Izmir

{"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":"https://doi.org/10.1177/13591045251329437","url":null,"abstract":"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 (M = 15.39, SD = 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 4th and 12th 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.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251329437"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","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}

引用次数: 0

'Coping cat' - A CBT modality for Indian children with high anxiety.

Clinical child psychology and psychiatry Pub Date : 2025-03-11 DOI: 10.1177/13591045251324672

Bhavna Mukund, Rashmi Tiwari, Samant Pushpak Kumar Jena

{"title":"'Coping cat' - A CBT modality for Indian children with high anxiety.","authors":"Bhavna Mukund, Rashmi Tiwari, Samant Pushpak Kumar Jena","doi":"10.1177/13591045251324672","DOIUrl":"https://doi.org/10.1177/13591045251324672","url":null,"abstract":"AimThis study aimed to examine the efficacy of the Coping Cat program, a CBT intervention, for Indian children (11-13 years) with high anxiety.MethodologyA total of 240 children were screened, and 120 children with high anxiety were randomly assigned to either a treatment group (n = 60) or a control group (n = 60). The Spence Children's Anxiety Scale (SCAS), Strength and Difficulties Questionnaire (SDQ), and Child Anxiety Impact Scale (CAIS) were used to assess anxiety symptoms and related outcomes. Systematic random sampling was employed to select participants.InterventionThe therapeutic process consisted of a modified CBT protocol, comprising 16 sessions of 40-45 minutes each. The Coping Cat program was specifically designed to address anxiety symptoms in children.Data AnalysisA linear mixed-effects model was used to analyze the data, accounting for both fixed effects (e.g., time and intervention) and random effects (e.g., individual differences). This approach was particularly suited for the repeated-measures design. A follow-up study was conducted one year after the intervention to assess its long-term effects.ResultsSignificant differences were observed between the treatment and control groups, indicating the efficacy of the Coping Cat program in reducing anxiety symptoms. Notably, treatment gains were maintained at the one-year follow-up. Conclusion: The findings suggest that the Coping Cat program is an effective CBT-based intervention for reducing anxiety symptoms in highly anxious children.ConclusionThe results indicated the efficacy of Coping Cat CBT in highly anxious young children.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251324672"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607537","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

Corrigendum to "Satisfaction in mental health care: Examining psychometric properties of experience of service questionnaire". 精神健康护理的满意度：检验服务体验问卷的心理测量特性"。

Clinical child psychology and psychiatry Pub Date : 2025-03-11 DOI: 10.1177/13591045251327788

引用次数: 0