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

Anxiety, depression, and mental health service use among pregnant adolescents/young adults at an urban pediatric hospital based clinic. 焦虑、抑郁和心理健康服务在城市儿科医院门诊怀孕少女/年轻人中的使用

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1177/13591045251341007

Madeleine F Wittenberg, Carly E Milliren, Kathleen Waddicor, Shannon L Fitzgerald

{"title":"Anxiety, depression, and mental health service use among pregnant adolescents/young adults at an urban pediatric hospital based clinic.","authors":"Madeleine F Wittenberg, Carly E Milliren, Kathleen Waddicor, Shannon L Fitzgerald","doi":"10.1177/13591045251341007","DOIUrl":"10.1177/13591045251341007","url":null,"abstract":"PurposeAdolescence and pregnancy are sensitive periods for the development or worsening of anxiety and/or depression. Pediatric clinicians often diagnose pregnancy, but little is known about the assessment and treatment of anxiety and/or depression during this sensitive period.MethodsWe completed a retrospective chart review of patients who presented to an Adolescent/Young Adult Medicine clinic between April 2018 and March 2023 with a positive pregnancy test. Investigators reviewed medical records and abstracted patient data by unique pregnancy (N = 318), including demographic characteristics, pregnancy-related factors, mental health diagnoses, and service use.ResultsOf the pregnancies reviewed, 135 (42.5%) had a diagnosis of anxiety and/or depression while 183 (57.6%) had neither. Overall, 28 (8.8%) had anxiety, 68 (21.4%) had depression only, and 39 (12.3%) had both anxiety and depression. Mental health was discussed during 62.6% of visits though patients with prior diagnoses of anxiety and/or depression (p < .001) were more likely to be assessed. Few patients were in therapy (6.9%) or taking psychiatric medication (8.5%). A higher proportion of those with depression identified as Black and a higher proportion of those with both anxiety and depression identified as White (p < .001).DiscussionWe highlight the need to assess for anxiety and depression in all pregnant adolescents/young adults. We encourage future research investigating patient preferences for mental health supports and strengthening of clinical programs that seek to treat and understand anxiety/depression in this unique population.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"683-698"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082764","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 barriers and facilitators of discharging children and young people from child and adolescent mental health services. 探索儿童和青少年脱离儿童和青少年心理健康服务的障碍和促进因素。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1177/13591045251340490

Shadab Shahid, Trinity De Simone, Rebecca Appleton, Sarah Bisp

{"title":"Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.","authors":"Shadab Shahid, Trinity De Simone, Rebecca Appleton, Sarah Bisp","doi":"10.1177/13591045251340490","DOIUrl":"10.1177/13591045251340490","url":null,"abstract":"BackgroundThe pressures on community Children and Young People's Mental Health Service (CYPMHS) clinicians to manage and maintain caseloads can be immense, therefore discharging young people from CYPMHS in a safe and timely way is often discussed as a priority. However, there is limited research into how discharge can be done well, especially for discharge occurring prior to children and young people (CYP) reaching the upper age limit of CYPMHS. Thus, this study aimed to gain a better understanding of the barriers and facilitators discharging CYP from community CYPMHS, by exploring clinicians experiences of discharging CYP from their service.MethodSemi-structured interviews of 30-40 minutes were conducted with 12 clinicians working at different CYPMHS in England and analysed using codebook thematic analysis.ResultsSix themes were identified. These included, \"perfectionistic approach towards treatment outcomes\", \"reducing dependence on CYPMHS through empowerment\", \"a lack of flexibility in the wider system\", \"lack of collaborative care\", \"an increasing pressure on the service\" and \"keeping the focus on discharge\".ConclusionClinicians face multiple barriers when discharging CYP which should be addressed, alongside enhancing the use of reported facilitators to ensure timely, safe and well-managed discharges.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"653-669"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082766","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

An evaluation of the psychometric properties of the social communication questionnaire in young people with obsessive-compulsive disorder. 青少年强迫症患者社会交往问卷的心理测量特征评价。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1177/13591045251344408

Ilke Ozcan, Pablo Vidal-Ribas, Ellie Roberts, Amita Jassi, Nicole Clancy, Chiara Causier, Victoria Hallett, Georgina Krebs

{"title":"An evaluation of the psychometric properties of the social communication questionnaire in young people with obsessive-compulsive disorder.","authors":"Ilke Ozcan, Pablo Vidal-Ribas, Ellie Roberts, Amita Jassi, Nicole Clancy, Chiara Causier, Victoria Hallett, Georgina Krebs","doi":"10.1177/13591045251344408","DOIUrl":"10.1177/13591045251344408","url":null,"abstract":"BackgroundObsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD) often co-occur and have overlapping symptom profiles. Detection and diagnosis of ASD in youth with OCD can therefore be challenging but is crucial to inform care planning.AimThe current study aimed to provide a psychometric evaluation of the Social Communication Questionnaire (SCQ), a widely used parent-report measure for assessing ASD traits, in youth with OCD.MethodIn total, 484 young people with an ICD-10 diagnosis of OCD completed a battery of measures as part of a specialist clinical assessment.ResultsExploratory factor analyses (EFA) suggested a multidimensional factor solution for the SCQ, although an adequate factor solution was not identified due to cross-loading and/or weak loading items. The SCQ had good internal consistency (KR20 = 0.85), and good convergent validity with the Strengths and Difficulties Questionnaire (SDQ) Prosocial Behaviour subscale (r = -0.52) and Peer Problems subscale (r = 0.48). The SCQ differentiated those with versus without a clinical diagnosis of ASD with reasonable accuracy (area under the curve = .76).DiscussionThe current findings support the use of the SCQ as a measure of ASD traits in youth with OCD, suggesting that this quick and easy-to-administer measure could aid detection of ASD in this population.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"783-799"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121683","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

Challenges to high-quality care in autism with functional somatic symptoms: A case-inspired narrative review and exploratory biopsychosocial model. 具有功能性躯体症状的自闭症患者的高质量护理面临的挑战：一个案例启发的叙事回顾和探索性生物心理社会模型。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1177/13591045251343692

Lilian Zotti, Dario Esposito, Giorgia Di Iorio, Marilina Covuccia, Silvia Orecchio, Mauro Ferrara, Giulia Conte

{"title":"Challenges to high-quality care in autism with functional somatic symptoms: A case-inspired narrative review and exploratory biopsychosocial model.","authors":"Lilian Zotti, Dario Esposito, Giorgia Di Iorio, Marilina Covuccia, Silvia Orecchio, Mauro Ferrara, Giulia Conte","doi":"10.1177/13591045251343692","DOIUrl":"10.1177/13591045251343692","url":null,"abstract":"BackgroundChildren and adolescents with autism spectrum disorder (ASD) frequently experience functional somatic symptoms (FSS), although the underlying causes often remain unclear. Various biological and psychological factors, both individual and within families, such as alexithymia or health anxiety, can intensify these symptoms, sometimes resulting in excessive and unnecessary medical interventions.MethodsA narrative review of the literature was conducted, alongside the presentation of a case report involving a 13-year-old boy with ASD. The case illustrates how personal and familial factors can influence the presentation of FSS and the risks of inappropriate treatment.DiscussionThe findings suggest that psychological and familial factors play a significant role in the manifestation of FSS in ASD. These factors can increase the risk of unnecessary medicalization, as they often lead to misinterpretation of symptoms by caregivers and healthcare providers. The case report further underscores how the interaction of personal and familial dynamics can complicate the management of FSS. A comprehensive biopsychosocial approach that addresses both the individual and the family is crucial for managing FSS in ASD. Future research should focus on developing targeted interventions that address these psychological and familial influences to enhance the quality of care and reduce unnecessary and potentially harmful healthcare utilization in ASD.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"562-587"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087055","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). 评估工作人员对危机和家庭治疗服务（CAHTS）的看法和理解：儿童和青少年心理健康服务（CAMHS）内的混合方法研究。

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub 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":"10.1177/13591045251322818","url":null,"abstract":"BackgroundThe 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.MethodsThe 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.ResultsParticipants '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.ConclusionsThe 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":"632-652"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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

Effectiveness of telepsychiatry interventions for youth with depressive and/or anxiety disorders: A systematic review with meta-analysis. 远程精神病学干预对青少年抑郁症和/或焦虑症的有效性：荟萃分析的系统回顾。

IF 2

Clinical child psychology and psychiatry Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1177/13591045251338475

Elaine Tian, Margaret Kay Ho, Oscar Hou In Chou, Samantha Chong, Chi Ting Kwan, Athene Hoi-Ying Lam, Kai-Tai Chan

{"title":"Effectiveness of telepsychiatry interventions for youth with depressive and/or anxiety disorders: A systematic review with meta-analysis.","authors":"Elaine Tian, Margaret Kay Ho, Oscar Hou In Chou, Samantha Chong, Chi Ting Kwan, Athene Hoi-Ying Lam, Kai-Tai Chan","doi":"10.1177/13591045251338475","DOIUrl":"10.1177/13591045251338475","url":null,"abstract":"ObjectiveSince the onset of the COVID-19 pandemic, rates of anxiety and depression in youth have risen. Telepsychiatry is a potential mode of intervention for such digital natives. This systematic review aims to examine the effectiveness of telepsychiatry for youth with depression and/or anxiety.MethodsFour electronic databases, PubMed, MEDLINE, Embase, PsycINFO, were searched from their inception to May 12, 2024. Included studies were assessed for study quality and risk of bias.ResultsA search returning 29,944 records yielded 26 included studies, comprising 1,558 youths. Of 13 studies comparing depressive symptoms pre- and post-telepsychiatry intervention, symptom severity was significantly lower post-intervention compared to baseline (Hedges' g: 0.83; 95% CI: 0.59, 1.08). Similarly, of six studies comparing pre- and post-telepsychiatry intervention anxiety symptoms, anxiety scores were significantly lower post-intervention (Hedges' g: 1.15; 95% CI: 0.79, 1.50). Patients undergoing telepsychiatry also had superior outcomes when compared to waitlist control groups for depression (Hedges' g: 0.54; 95% CI: 0.23, 0.85) but not anxiety (Hedges' g: 0.50; 95% CI: -0.09, 1.10). Certainty of these estimates ranged from moderate to very low. Qualitative feedback noted subjective improvement in symptoms and high levels of satisfaction.ConclusionTelepsychiatry has potential as a therapeutic intervention for youth anxiety and depression. Further research with more controlled methodology is needed for development of recommendations that can guide growing use of this technology.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"537-561"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000529","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

Understanding adolescent psychotherapy utilization in India: A mixed methods tertiary care center study. 了解印度青少年心理治疗的使用：一项混合方法的三级保健中心研究。

Clinical child psychology and psychiatry Pub Date : 2025-06-26 DOI: 10.1177/13591045251355327

Himshikha Sharma, Prerna Sharma

{"title":"Understanding adolescent psychotherapy utilization in India: A mixed methods tertiary care center study.","authors":"Himshikha Sharma, Prerna Sharma","doi":"10.1177/13591045251355327","DOIUrl":"https://doi.org/10.1177/13591045251355327","url":null,"abstract":"BackgroundIndia faces a substantial mental health treatment gap, particularly regarding the underutilization of psychotherapy among adolescents. This mixed-methods study aimed to identify the barriers and facilitators influencing the uptake of psychotherapy for mental health issues among adolescents attending a tertiary care referral center in India.MethodsA mixed-methods design was employed. Quantitative data were collected from 74 adolescents recruited via purposive sampling using standardized scales assessing attitudes toward seeking professional psychological treatment, self-stigma, perceived barriers to seeking help, and the working alliance. Qualitative data were gathered through focus group discussions to further explore barriers and facilitators of psychotherapy.ResultsMost participants were diagnosed with neurotic spectrum disorders and had no prior psychotherapy experience. Higher self-stigma and perceived barriers were associated with less favorable attitudes toward seeking psychotherapy, while a stronger working alliance was associated with more positive attitudes. Thematic analysis identified key barriers including stigma, apprehension, poor awareness, negative social influences, and reliance on informal support. Facilitators included greater mental health literacy, perceived symptom severity, and encouragement from informal networks. Urban adolescents reported stronger working alliances compared to their rural counterparts.ConclusionFindings highlight the need to address stigma, enhance mental health literacy, and consider contextual factors in service delivery.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251355327"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510015","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

Stability and change of psychopathology symptoms among youth with chronic physical illness: A latent transition analysis. 青年慢性躯体疾病患者精神病理症状的稳定性和变化：一种潜在转变分析。

Clinical child psychology and psychiatry Pub Date : 2025-06-26 DOI: 10.1177/13591045251356430

Megan Dol, Dillon Browne, Christopher M Perlman, Mark A Ferro

{"title":"Stability and change of psychopathology symptoms among youth with chronic physical illness: A latent transition analysis.","authors":"Megan Dol, Dillon Browne, Christopher M Perlman, Mark A Ferro","doi":"10.1177/13591045251356430","DOIUrl":"https://doi.org/10.1177/13591045251356430","url":null,"abstract":"BackgroundThis study examined whether youth transition between different mental health symptom profiles over time, and what factors predict these transitions. Understanding the stability and change in psychopathology helps discern whether certain behaviours are temporary or signs of persistent problems.MethodsData were drawn from a longitudinal study of 263 youth (ages 2-16) with chronic physical illness and their parents, assessed at baseline (T1), six months (T2), 12 months (T3), and 24 months (T4). Parents reported on youth psychopathology using the Emotional Behavioural Scales (EBS). Latent profile analysis identified psychopathology profiles, and latent transition analysis quantified the probability that youth remained or moved between groups over time.ResultsFour profiles were identified: low psychopathology (LP), primarily internalizing (PI), primarily externalizing (PE), and high psychopathology (HP). Homotypic continuity (i.e., remaining in the same profile over time) was lower for the PI, PE, and HP subgroups. Youth in the PI subgroup were more likely to transition to the LP, while those in HP showed greater stability, with many remaining in the high-symptom groups. Child age, parent psychopathology, and parent education significantly predicted profile transitions.ConclusionsMost youth showed changes in their mental health over time, but a small proportion with HP (<5%) had more persistent problems. Results demonstrate the need for early identification and intervention for youth at risk of chronic mental health difficulties.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251356430"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509994","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

Perils of undiagnosed ADHD in adolescents. 未确诊的青少年多动症的危险。

Clinical child psychology and psychiatry Pub Date : 2025-05-27 DOI: 10.1177/13591045251346992

Sana Usmani

引用次数: 0

Diversity, equity and inclusion: Challenges for academic journals and their editors. 多样性、公平和包容：学术期刊及其编辑面临的挑战。

Clinical child psychology and psychiatry Pub Date : 2025-04-03 DOI: 10.1177/13591045251332228

Deborah Christie

引用次数: 0