{"title":"Childhood Mental Health in Rural Northeast India: Community-Linked Insights From a Retrospective Study.","authors":"Vishnupriya Veeraraghavan, Krishnan Srinivasan","doi":"10.1177/13591045251405301","DOIUrl":"10.1177/13591045251405301","url":null,"abstract":"<p><p>BackgroundChild psychiatric and neurodevelopmental disorders (NDDs) significantly affect children's physical and psychological well-being, while also placing substantial emotional and financial strain on families. Most existing research on the prevalence of childhood NDDs comes from urban populations, leaving rural communities underrepresented and poorly understood.MethodsThis retrospective study examined medical records of children diagnosed with psychiatric and neurodevelopmental disorders from rural areas of Assam, North-East India. Diagnoses were established according to the <i>International Classification of Diseases, 11th Edition Clinical Description and Diagnostic Requirements (ICD-11CDDR)</i>. Descriptive statistics were applied to summarise socio-demographic variables and diagnostic distributions.ResultsOver a 20-month study period, 300 children from rural Assam sought treatment at our hospital, of whom 214 provided consent for inclusion. Among these participants, 36% were diagnosed with a neurodevelopmental disorder, while 82% presented with a psychiatric condition.ConclusionNeurodevelopmental disorders impose a considerable burden on families. In rural areas, lack of awareness and stigma frequently delay treatment, exacerbate comorbidities such as epilepsy, and worsen long-term outcomes. These findings highlight the urgent need for community-based epidemiological studies in rural settings to better estimate the true burden of NDDs and to inform policy development and advocacy initiatives.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1748-1758"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643913","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":"Psychometric Properties of a New Clinical Practice-Based Scale of Resilience Capacities in Chilean Adolescents.","authors":"Rodrigo Rojas-Andrade, Marcela Larraguibel Quiroz, María Elena Montt Steffens, Lorena Saenz Bravo, Porzia Michele Nicolet Mirauda, Rossana Paola Ossandón Maldonado, Marcia Loreto Pereira Villagra","doi":"10.1177/13591045261432437","DOIUrl":"10.1177/13591045261432437","url":null,"abstract":"<p><p>IntroductionResilience in adolescence has been widely studied, yet most instruments used to assess it were created in Anglo-Saxon contexts and often lack cultural resonance in Latin America. This study examined the factor structure and psychometric properties of the VOLANTÍN Resilience Capabilities Scale, a Chilean instrument designed to capture culturally meaningful expressions of resilience in school settings.MethodA total of 3,934 students aged 10-18 from public schools in Chile completed the scale and an established mental health screening measure. The sample was randomly divided to conduct exploratory and confirmatory analyses using methods appropriate for ordinal data and systematic criteria for refining items.ResultsThe analyses supported a coherent 19-item structure with four dimensions (Self-esteem, Prosocial Behavior, Perseverance, and Emotional Regulation) explaining 51.7% of the variance. Items with unstable patterns were removed. The confirmatory analysis showed strong overall fit (CFI = .953; TLI = .946; RMSEA = .058; SRMR = .055) and supported a hierarchical model with an overarching resilience factor.DiscussionThe VOLANTÍN Scale emerges as a culturally grounded, concise, and psychometrically robust measure of adolescent resilience in Chile. Its properties make it suitable for school-based screening, applied research, and interventions that require contextually sensitive assessments.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1910-1926"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470509","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":"When Writing is No Longer Thinking: Safeguarding Clinical Scholarship in the Age of Generative Artificial Intelligence: The rise of the Machines.","authors":"Maria Elizabeth Loades, Deborah Christie","doi":"10.1177/13591045261471231","DOIUrl":"10.1177/13591045261471231","url":null,"abstract":"<p><p>The rapid emergence of generative artificial intelligence (AI) has prompted growing debate about its role in academic writing and the implications for scholarly integrity. This editorial arose from an increasing number of manuscript submissions to the journal that appeared unusually polished, leading editors and reviewers to question whether AI-assisted writing had been used and, if so, whether this should influence editorial decisions. While AI has the potential to enhance clarity, accessibility, and efficiency, concerns remain about transparency, authorship, accountability, and the authenticity of scholarly contribution. To explore these issues, we conducted an experiment in which one section of this editorial was written entirely by a human co-author, while the second was developed using outputs from multiple generative AI tools that were subsequently substantially edited by the other human co-author, who retained responsibility for the final text. By juxtaposing these pieces, we invite readers to consider whether AI-assisted scholarship is distinguishable from human-authored writing, whether such distinctions matter, and how AI use might be disclosed. We argue that transparent reporting of AI assistance, rather than its prohibition, is essential to maintaining trust, accountability, and integrity in academic publishing.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1327-1332"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581832","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 Snapshot of Clinical Psychology Trainees' Exposure to Parenting Approaches and Attitudes Toward Child Rights.","authors":"Elisa Romano, Sarah Zak","doi":"10.1177/13591045261466511","DOIUrl":"10.1177/13591045261466511","url":null,"abstract":"<p><p>PurposeClinical psychology graduate trainees may pursue training in child, youth, and family services, which often encompasses the delivery of parenting interventions. Two broad and fundamentally different parenting approaches are Parent Behaviour Management and Positive Parenting. We examined the types of parenting approaches to which child/family clinical psychology trainees were exposed, along with their attitudes toward child rights and punitive parenting.Major FindingsWe collected data for 73 Canadian doctoral students. For the subset of 54 child/family trainees, about one-third were not exposed to any parenting programs in clinical supervision or coursework. The remaining students learned about programs that fell within a Parent Behaviour Management approach only or within both Parent Behaviour Management and Positive Parenting. The majority (90.4%) of the larger sample were not familiar with the UN Convention on the Rights of the Child, although their child rights attitudes were highly favourable and associated with lower punitive parenting approval.ConclusionsThese preliminary findings suggest that clinical psychology trainees are learning about the two broad parenting approaches. However, they do not have much training in children's rights, which is concerning given the associations with punitive parenting attitudes and the importance of centering children's perspectives in clinical work with parents.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1436-1453"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378738","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":"Concurrent Validity of the CBCL DSM-Oriented Scales: Evidence from the ABCD Study.","authors":"Lindsay C Chromik, Lauren M Friedman","doi":"10.1177/13591045261431338","DOIUrl":"10.1177/13591045261431338","url":null,"abstract":"<p><p>ObjectivePrevious research has yielded mixed findings regarding the validity of the Child Behavior Checklist (CBCL) DSM-Oriented Scales (DOSs) in identifying DSM diagnoses. The present study evaluates the concurrent validity of the DOSs by comparing scale classifications with a gold-standard clinical interview.MethodsParticipants (<i>N</i> = 11,851) were children in the NIH Adolescent Brain Cognitive Development (ABCD) study whose caregivers completed the CBCL and the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS) semi-structured interview at baseline (9.92 years, SD = 0.63), two-year follow-up (12.03 years, SD = 0.67), or both.Results2,321 (19.59%) children at baseline and 1,708 (15.57%) participants at two-year follow-up met criteria for one or more KSADS disorders. Sensitivity of the CBCL relative to KSADS diagnoses was generally low (10.36% - 75.00%), with only two scales above 50%. Specificity was high (92.47% - 97.07%). Positive predictive values were low (0.71% - 48.20%), and negative predictive values were high (89.84% - 99.90%). Area under the curve (AUC) ranged from 0.55 to 0.84.DiscussionIn the present sample, the DOSs showed poor concurrent validity with a gold standard clinical interview. Caution should be exercised when using the CBCL due to the high rates of false negatives.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1890-1909"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446542","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 Admitted Family Model: A Relational Framework for Adolescent Inpatient Care.","authors":"Frank García-Castrillón Armengou","doi":"10.1177/13591045261471680","DOIUrl":"10.1177/13591045261471680","url":null,"abstract":"<p><p>BackgroundAdolescent psychiatric hospitalisation is often organised as if one patient had entered the ward while the family remained outside. This may stabilise acute symptoms but can intensify relational rupture, institutional dependency and weakened parental agency.ObjectiveThis paper presents the Admitted Family Model, hereafter referred to as the AFM, as a clinical-conceptual framework for adolescent inpatient care.ApproachThe AFM is developed from sustained clinical observation, multidisciplinary reflection, supervision, teaching and iterative comparison with family systems, mentalisation, psychoanalytic, dialogic, child- and family-centred and service literatures; the clinical vignettes are composite and substantially disguised.Clinical contributionThe framework identifies five linked functions: the family within the admission field; restoration of parental function; calmamiento, a deliberate slowing of the ward's relational tempo through which urgency, shame and overpressure are reduced, allowing reflective, regulatory and relational capacities to emerge, return or be restored; team vitality; and discharge as sustainable reorganisation, with auxiliary family space and attractor-informed discharge planning specified as additional mechanisms.ConclusionsAcute admission can be understood not only as symptom stabilisation but as a relational intervention that may lessen institutional dependency, blame and shame, and create conditions for adolescents, families and teams to think and relate more safely.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1476-1491"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148595193","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}
Zara Smalley, Charlotte Burton, Nadia Micali, Danielle Lambert
{"title":"A Taste of Progress: A Qualitative Evaluation of Caregiver Experiences in a Tertiary Feeding Disorder Service for Young People With Avoidant Restrictive Food Intake Disorder (ARFID).","authors":"Zara Smalley, Charlotte Burton, Nadia Micali, Danielle Lambert","doi":"10.1177/13591045261464443","DOIUrl":"10.1177/13591045261464443","url":null,"abstract":"<p><p>ObjectiveAvoidant Restrictive Food Intake Disorder (ARFID) remains under researched and there are currently no National Institute for Health and Care Excellence (NICE) guidelines, the UK body that produces national, evidence-based clinical guidelines for treatment. Our study aims to capture the qualitative experiences of carers of young people with ARFID who have received treatment, aiming to understand caregivers' experiences of caring for a young person with ARFID and what their experience of treatment is like.MethodQualitative semi-structured interviews with 11 caregivers of young people receiving treatment in a national tertiary feeding and eating disorder service were conducted. Thematic analysis was used to analyse interview transcripts, following Braun and Clarke's six-phase approach (2006, 2022a, 2022b).ResultsFour overarching themes were developed: Care with Constant Concern: the emotional and practical impact of caring for a child with ARFID; Navigating Fragmented Systems: delays, knowledge gaps, and access barriers; Balancing Survival and Safety: the complexities of implementing feeding interventions; and Building Strength Through Shared Experiences: the value of communication and collaborative support within treatment.ConclusionEffective management of ARFID requires clear care pathways, integrated multidisciplinary plans, and recognition of caregiver burden. Services should balance physical safety with strategies to promote oral exposure while adopting flexible, child-led approaches. Future research must amplify young people's voices and broaden caregiver perspectives to inform responsive, evidence-based interventions.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1646-1664"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407306","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}
Melanie Watt Ramos, Constance M Wiemann, Lauren A Bretz
{"title":"\"The Only Place I Feel Understood\": A Mixed Methods Survey of Adolescent and Caregiver Perspectives on Social Media and Parental Controls.","authors":"Melanie Watt Ramos, Constance M Wiemann, Lauren A Bretz","doi":"10.1177/13591045261417801","DOIUrl":"10.1177/13591045261417801","url":null,"abstract":"<p><p>PurposeGiven adolescents' extensive social media use and its mixed impacts, this study explores: (1) adolescent and young adult (AYA) social media habits, (2) familial factors associated with parental controls, and (3) social media use among AYA with disordered eating.MethodsAYA aged 11-20 visiting an urban academic medical center and fluent in English or Spanish were surveyed on social media use and mental health. Caregivers of minors provided consent and data on demographics and parental controls. The survey included multiple choice, yes/no, and free-text questions. Analyses included descriptive statistics, correlations, and qualitative coding.ResultsParticipants averaged 15.3 years; 46% spent 4+ hours on social media daily. Younger adolescents (11-14) were more likely to report high use (<i>p</i> = 0.002) and have parental controls (<i>p</i> = 0.006). Most AYA (76%) felt better after using social media. Over half of parents (54.4%) used controls. Qualitative themes included: social media's unrecognized benefits, its dual role in time use, and its value for health information.ConclusionAYA generally viewed social media positively, though many wished to reduce usage. Parental controls focused more on content than time. Social media supported some with eating disorders, though 30% encountered harmful content.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1577-1590"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277745","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":"Psychometric Properties of the Turkish Version of the Child and Adolescent Trauma Screen-2 (CATS-2) and Its Associations With Posttraumatic Stress, Depression, and Anxiety Symptoms.","authors":"Fatmanur Çimen, İsmail Seçer","doi":"10.1177/13591045261453460","DOIUrl":"10.1177/13591045261453460","url":null,"abstract":"<p><p>In this study, the aim was to adapt the Child and Adolescent Trauma Screening-2 (CATS-2) to Turkish and evaluate its psychometric properties. The study also examined how posttraumatic stress disorder (PTSD) symptoms, depression, and anxiety are associated with each other. The results showed that the Turkish CATS-2 is a valid and reliable tool for assessing trauma-related symptoms in children and adolescents. Network analysis revealed that emotion regulation occupies a central position in the symptom network and has strong connections with re-experiencing and hyperarousal symptoms. Further analysis indicated that anxiety and relational difficulties are strongly connected to other symptoms within the network. Overall, the findings suggest that emotion regulation difficulties, anxiety, and relational problems are important aspects of trauma-related symptom patterns in children and adolescents. The Turkish CATS-2 can be used to help understand these symptom patterns, supporting research and practice in evaluating trauma responses in youth.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1873-1889"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990474","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}