Clinical child psychology and psychiatry最新文献_第4页

How do transgender young people experience talking about trauma with services?

Clinical child psychology and psychiatry Pub Date : 2025-02-26 DOI: 10.1177/13591045251320673

Georgia Crockford, Oliver Hawthorne, Tamara Leeuwerik

{"title":"How do transgender young people experience talking about trauma with services?","authors":"Georgia Crockford, Oliver Hawthorne, Tamara Leeuwerik","doi":"10.1177/13591045251320673","DOIUrl":"https://doi.org/10.1177/13591045251320673","url":null,"abstract":"Background: Transgender young people are more likely than their cisgender peers to experience trauma. Through talking about trauma, services may be able to support transgender young people to manage the impact of these events. However, research has highlighted that many trans people are concerned that disclosing trauma would be used to discredit their sense of their gender identity.Aim: To explore how transgender young people experience having conversations about trauma with services and how they understand these conversations.Method: Six semi-structured interviews were carried out with young transgender people. Interpretative phenomenological analysis was used.Results: The study found that all participants were aware of discourses linking experiences of trauma with transgender identities. All participants recognised these conversations as significant. Some experienced conversations to be supportive and transformative. Others found them deeply distressing, reminiscent of trauma experiences. Relationships with professionals seemed to influence these experiences, as did transphobia and relationships with other services.Discussion: A trauma-informed approach should be used and professionals are encouraged to consider the potential for harm that can arise from these conversations, as well as the therapeutic element. Clinical implications and future research directions are discussed, in particular considering the recently published Cass Review (2024).","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251320673"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517694","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

Evaluating staff views and understanding of the crisis and home treatment service (CAHTS): A mixed-methods study within the child and adolescent mental health service (CAMHS).

Clinical child psychology and psychiatry Pub Date : 2025-02-25 DOI: 10.1177/13591045251322818

Paulina Kusnierczak, Naomi Payne, Megan Reynolds, Natasha Williams

{"title":"Evaluating staff views and understanding of the crisis and home treatment service (CAHTS): A mixed-methods study within the child and adolescent mental health service (CAMHS).","authors":"Paulina Kusnierczak, Naomi Payne, Megan Reynolds, Natasha Williams","doi":"10.1177/13591045251322818","DOIUrl":"https://doi.org/10.1177/13591045251322818","url":null,"abstract":"Background: The number of children and young people (CYP) experiencing mental health crises in the UK is increasing. The NHS Long Term Plan (2019) prioritises crisis care for CYP. There is a lack of research and understanding into staff views and understandings of these services. The Crisis and Home Treatment Service (CAHTS) is a service within Child and Adolescent Mental Health Services (CAMHS) across Bath and Northeast Somerset, Swindon, and Wiltshire (BSW) and is a key component of the crisis mental health care for CYP. The aims of this study were to gain an insight into staff's views and understandings of the CAHTS, and to explore and identify areas for improvement for future practice and policy for the CAHTS.Methods: The study employed a mixed-methods design, obtaining quantitative and qualitative data, by distributing online surveys (n = 37) and semi-structured interviews (n = 9) to gather staff views and understandings. Participants were recruited by opportunistic sampling. Interviews were recorded and transcribed, and a thematic analysis was undertaken.Results: Participants 'agreed' that CAHTS were acting in accordance with their core principles and were 'highly likely' to use the service in the future. The thematic analysis revealed seven themes, the four most dominant themes identified were: good qualities of the CAHT service, working collaboratively, good clinician skills and understaffed for demand.Conclusions: The data provides insight into staff's views and understandings of the CAHTS. From the themes derived, the study identified various implications for the CAHTS including further training for staff.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251322818"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506602","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

A qualitative evaluation of the reflective fostering programme - examining foster and kinship carers' experiences, practical application, and perceived impact.

Clinical child psychology and psychiatry Pub Date : 2025-02-19 DOI: 10.1177/13591045251321032

Thando Katangwe-Chigamba, Jamie Murdoch, Karen Irvine, Sheila Redfern, Nick Midgley

{"title":"A qualitative evaluation of the reflective fostering programme - examining foster and kinship carers' experiences, practical application, and perceived impact.","authors":"Thando Katangwe-Chigamba, Jamie Murdoch, Karen Irvine, Sheila Redfern, Nick Midgley","doi":"10.1177/13591045251321032","DOIUrl":"https://doi.org/10.1177/13591045251321032","url":null,"abstract":"Background: Mentalization is the ability to think about and interpret behaviours of both self and others in terms of thoughts and feelings. Caregiver's capacity to mentalize can enhance the quality of parent-child relationships. The UK Reflective Fostering Programme (RFP) has been developed to enhance foster and kinship carers' self-regulation and self-mentalizing.Aim: To understand carers' experiences, practical application, and perceived impact of the RFP.Methods: A qualitative evaluation of the RFP using in depth interviews with twenty-four carers. Interviews were audio-recorded, transcribed verbatim and analysed thematically.Results: Three key themes were identified: (1) 'Me time' - carer's reflections on the programme and what makes it work, highlights sharing of challenging experiences as important for practising mentalizing. (2) 'Stopping and thinking in the moment' - carer's understanding of programme concepts explores carer's conceptualizations of mentalization, revealing some male carers described challenges regarding sharing personal experiences in a group and the practical application of mentalization. (3) Practical application and perceived impact of the programme suggests successful enactment of learning from the programme, resulting in enhanced capacity to cope with stress, prevention of outbursts and better communication with children in their care.Conclusions: Our findings suggest the programme can successfully facilitate carer's use of self-mentalizing, leading to greater self-regulation and capacity to support children in their care. Future research should explore experiences of male and kinship carers to inform tailoring.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251321032"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451118","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

Response to a letter to the editor about eating disorder (ED) symptoms among transgender and gender diverse (TGD) youth seeking gender-affirming care. 回复一封致编辑的信，内容涉及寻求性别确认护理的变性和性别多元化 (TGD) 青年中的饮食失调 (ED) 症状。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-10-03 DOI: 10.1177/13591045241284707

Rachel Kramer, Abigail L Matthews, Lee Ann Conard, Katrina R Lenz, Claire M Aarnio-Peterson

引用次数: 0

Insecure attachment styles in adolescents at risk for eating disorders. 有饮食失调风险的青少年的不安全依恋方式。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-10-24 DOI: 10.1177/13591045241293167

Revital Naor-Ziv

{"title":"Insecure attachment styles in adolescents at risk for eating disorders.","authors":"Revital Naor-Ziv","doi":"10.1177/13591045241293167","DOIUrl":"10.1177/13591045241293167","url":null,"abstract":"The present study examines insecure attachment styles in female adolescents, who are at risk for developing eating disorders. A second goal was to investigate whether attachment styles differentiate between high risk for anorexia and high risk for bulimia. A total of 150 adolescents were divided into four risk groups: High risk for anorexia, high risk for bulimia, medium risk and control group. The attachment styles were assessed using the Experience in Close Relationships Scale and the Relationship Questionnaire. Anxiety Attachment, but not Avoidance Attachment, was found to characterize those adolescents who are at risk for ED (AN + BN), and especially for those at high-risk for BN. The present results do not support the notion of an avoidance of emotional intimacy, characterizing the avoidant attachment style of those presenting with AN. Preoccupied Attachment style was found to characterize high-risk for BN, but not high-risk for AN, while the Insecure, Fearful, and Dismissing Attachment types did not differentiate between these two high-risk groups. This study highlights the dominant attachment style in adolescents at high risk for developing ED: The Anxiety Attachment style for AN and BN, and the Preoccupied Attachment style for BN but not for AN.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"116-126"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514695","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

Primary and secondary trauma in adoptive parents. 养父母的原发性和继发性创伤。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-09-27 DOI: 10.1177/13591045241287563

Morvwen Duncan, Pasco Fearon, Matt Woolgar

{"title":"Primary and secondary trauma in adoptive parents.","authors":"Morvwen Duncan, Pasco Fearon, Matt Woolgar","doi":"10.1177/13591045241287563","DOIUrl":"10.1177/13591045241287563","url":null,"abstract":"Aims: Secondary trauma is recognised as one of the negative effects for professionals working with people that have experienced trauma. Research has demonstrated secondary trauma in foster carers but little research has explored trauma symptoms within adoptive parents, facing the emotional impact of parenting a child with adverse early experiences. This study aimed to document the rates of primary and secondary trauma symptoms in adoptive parents. It further explores the association between the extent of current behavioural and emotional challenges and the extent of the child's pre-adoption adverse experiences in predicting parental trauma responses.Method: 190 adoptive parents completed an online survey including self-report measures of primary and secondary trauma.Results: Almost one fifth of adoptive parents exhibited primary trauma scores of clinical concern; with 10% reaching the threshold for a probable diagnosis of PTSD. Participants also reported significantly higher levels of secondary trauma and burnout, and significantly lower levels of compassion satisfaction than population norms. The current behavioural and emotional challenges, including child-to-parent violence, predicted higher trauma scores more so than the extent of their child's past adverse experiences.Conclusions: The findings have clinical implications for identifying trauma symptoms within adoptive parents and wider implications for how we understand secondary and primary trauma. They further highlight the importance of firstly addressing current child behaviour, including child-to-parent violence when treating trauma symptoms. Limitations of this study and recommendations for further research are discussed.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"127-141"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334383","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

The association of personal, parental, school and community factors with depressive symptoms among a sample of Colombian students of ages 9 to 12 years. 个人、父母、学校和社区因素与哥伦比亚 9 至 12 岁学生抑郁症状的关系。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-10-08 DOI: 10.1177/13591045241290850

Garth Lipps, Gillian A Lowe, Roger C Gibson, Leodanis Fonseca, Kelly Romero-Acosta

{"title":"The association of personal, parental, school and community factors with depressive symptoms among a sample of Colombian students of ages 9 to 12 years.","authors":"Garth Lipps, Gillian A Lowe, Roger C Gibson, Leodanis Fonseca, Kelly Romero-Acosta","doi":"10.1177/13591045241290850","DOIUrl":"10.1177/13591045241290850","url":null,"abstract":"Few studies have examined how the personal characteristics of students, together with factors from their local social environments and communities, affect students living in generally high levels of social disruption. We examined the influence that personal characteristics as well as factors from the local social environments and communities may have on Colombian students' levels of depressive symptoms shortly after the end of the of armed conflict. Data were collected from 710 students attending the fifth grade in a random sample of elementary schools in the province of Sucre in Colombia. Information was gathered on the students' ages and gender as well as characteristics of their parents, school factors, and community factors. A five-level hierarchical regression model was used to determine the extent to which all these variables predicted depression scores, as measured by the Adolescent Depression Rating Scale. While personal, parental, school and community factors were all found to predict depression scores, the category, parental factors had the most impact. That was followed by school factors, community factors and finally personal characteristics. Multiple social and environmental factors were associated with the level of depression experienced by Colombian students.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"32-48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396017","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

Getting help early: An online mental health self-assessment tool for young people. 及早获得帮助：青少年在线心理健康自我评估工具。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-09-25 DOI: 10.1177/13591045241287895

Afra Fischer, Oliver J Smith, Paula Gómez Álvarez, Jörg Wolstein, Ulrich Schall

{"title":"Getting help early: An online mental health self-assessment tool for young people.","authors":"Afra Fischer, Oliver J Smith, Paula Gómez Álvarez, Jörg Wolstein, Ulrich Schall","doi":"10.1177/13591045241287895","DOIUrl":"10.1177/13591045241287895","url":null,"abstract":"Background: Online self-assessments are becoming more popular. They can serve as a screening tool for specific conditions or assess mental health more broadly but often lack in depth evaluation.Methods: This study presents preliminary data from an online self-assessment tool for young people within the age range of 12-30 years (Link: redcap.hmri.org.au/surveys/?s = MK7RCELJ79). It covers key symptoms of mood and psychotic disorders and risk factors, such as eating issues, substance use, suicidality, and deliberate self-harming behaviours. Participants self-assessed their level of functioning, access to ongoing interventions, and satisfaction with the help received. Based on the severity of mental health problems and the level of risk, different recommendations of how to seek help were provided.Results: Out of 303, 114 participants gave permission to analyse their data. A high-risk profile was defined by anxiety symptoms, panic attacks, suicidal ideation, and urges to self-harm. These individuals were more likely to report psychotic or depression symptoms, recreational substance use and low day-to-day functioning. Ongoing treatment and the satisfaction with it were not determined by the severity of symptoms.Conclusions: These preliminary results suggest that the online self-assessment tool reaches the intended young audience, particularly those with some degree of mental health problems.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"64-78"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334382","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

Embracing complexity, fostering innovation. 拥抱复杂，培育创新。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1177/13591045241306924

Deborah Christie

引用次数: 0

The healthy habits questionnaire (HHQ): Validation of a measure designed to assess problematic influential behaviours amongst families of children living with obesity or a risk of developing obesity. 健康习惯问卷（HHQ）：验证旨在评估肥胖或有肥胖风险儿童家庭中存在问题的影响行为的测量方法。

Clinical child psychology and psychiatry Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI: 10.1177/13591045241286223

Bríd Áine Davis, Claire O'Dwyer, Adele Keating, John Sharry, Eddie Murphy, Alan Doran, Finiki Nearchou, Alan Carr

{"title":"The healthy habits questionnaire (HHQ): Validation of a measure designed to assess problematic influential behaviours amongst families of children living with obesity or a risk of developing obesity.","authors":"Bríd Áine Davis, Claire O'Dwyer, Adele Keating, John Sharry, Eddie Murphy, Alan Doran, Finiki Nearchou, Alan Carr","doi":"10.1177/13591045241286223","DOIUrl":"10.1177/13591045241286223","url":null,"abstract":"The 48-item Healthy Habits Questionnaire (HHQ-48) was developed to (1) monitor positive changes in family lifestyles following engagement in the Parents Plus Healthy Families (PP-HF) parent training programme and (2) be utilised as a standalone measure in clinical settings to identify and track problematic influential behaviours amongst families of children in weight-management services. This study aimed to develop and validate a brief version of the HHQ-48. The scale was administered to a cross-sectional community sample (n = 480), and on two occasions to a control sample (n = 50) and an experimental sample (n = 40) from a randomised controlled trial (RCT) of the PP-HF programme to assess test-retest reliability and sensitivity to change respectively. Exploratory and confirmatory factor analysis showed that a 23-item, 4-factor version of the HHQ (i.e., the HHQ-23) best fit the data. The scale and factor subscales had good internal consistency and test-retest reliability. They also had good concurrent and construct validity shown by significant correlations with another scale that assessed lifestyle issues, and scales that assessed parenting satisfaction, family functioning, and children's strengths and difficulties. The HHQ-23 was sensitive to change following parents completing the PP-HF programme. The HHQ-23 may, therefore, be used to monitor positive changes in family lifestyles following engagement in the PP-HF parent training programme. The HHQ-23 also shows promising potential as a standalone screening measure or as part of a larger battery of screening assessments in paediatric weight-management services.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"157-174"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334385","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