Clinical child psychology and psychiatry最新文献

{"title":"Big Thoughts in Little Jars: Memory Days for Families Where a Child has Died.","authors":"James McParland, Bernadette O'Gorman, Jacqueline Victor, Sara Portnoy","doi":"10.1177/13591045261464808","DOIUrl":"10.1177/13591045261464808","url":null,"abstract":"<p><p>The Life Force community paediatric palliative care team offers support to children and young people with complex health needs and their families. The team supports them during their end-of life period, as well as bereavement support after a child has died. This article discusses the development of Memory Days, a yearly event where a child or young person cared for by the team is remembered by their family. The article describes how these Memory Days are set up and facilitated and describes three of the specific memory activities the team has offered. These creative activities are completed in a group setting which affords families who can feel isolated through grief, the opportunity to connect with others and find solidarity. One of the families describes what the days mean to them.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1530-1546"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400171","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":"\"I'm Not a Bad Parent! I'm Working Really Hard\": Understanding How Personalised Interventions Work for Parents of Children With Conduct Problems.","authors":"Eleanor Davey-Sims, Holly Mai Davis, Rob Senior, Eilis Kennedy, Jackie Briskman, Jonathan Hill, Daniel Michelson, Stephen Scott, Kathy McKay","doi":"10.1177/13591045261470863","DOIUrl":"10.1177/13591045261470863","url":null,"abstract":"<p><p>BackgroundParenting programmes are widely implemented to help alleviate conduct problems in children. This qualitative study was undertaken as part of the Personalised Programmes for Children Randomised Controlled Trial (PPC RCT) which evaluated a personalised parenting programme for those who had either declined or not responded to previous standard group-based parenting interventions. The narratives of parents or carers taking part in the RCT were explored to understand their experiences of personalisation.MethodsTwenty-five parents took part in semi-structured interviews either in person or online. Verbatim transcripts were analysed using a thematic codebook approach.ResultsThree main themes were identified from the parents' narratives: (1) the importance of choice, (2) the importance of the relationship with the practitioner, and (3) the importance of going beyond the usual.ConclusionsOur findings demonstrate that offering parents choices within an intervention (such as location or time) is essential in creating an appropriate personalised approach that was valued by the study participants. Parents also highly valued the inclusion of their children. To engage parents who have previously not engaged or responded to prior group interventions, a more personalised approach utilising the element of choice and parent-led approaches should be considered.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1560-1576"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148564068","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":"Universal Psychosocial Screening in Hospitalized Pediatric Patients: A Randomized Control Trial.","authors":"Rebecca Liu, Alyssa Chong, Jeffrey N Bone, Ian Pierce, Sydney Sparanese, Tanner March, Kathryn Armstrong, Robert Baird, Anthony Cooper, Michelle Demos, Janis Dionne, Alice Foster, Soojin Kim, Constadina Panagiotopoulos, Quynh Doan","doi":"10.1177/13591045261431365","DOIUrl":"10.1177/13591045261431365","url":null,"abstract":"<p><p>IntroductionA validated psychosocial self-screening tool, MyHEARTSMAP, was used to screen hospitalized children, who often experience disproportionate mental health burdens. The primary objective compared the proportion of participants receiving psychosocial intervention between those with and without MyHEARTSMAP screening. Secondarily, we explored the utilization of resources at 3 months post-discharge.MethodsThis randomized control trial was conducted in an emergency department, enrolling 289 children being admitted. The intervention group completed MyHEARTSMAP, and results were shared with clinicians. The control group received standard care and completed MyHEARTSMAP following discharge. Health records were reviewed to document in-hospital management. Descriptive statistics and logistic regression modeling were used to evaluate the association between screening and intervention.ResultsPsychosocial intervention rates were higher in the intervention group (40.4%) than the control (32.9%), though this was not significant (RR = 1.28, 95% CI [0.95, 1.73], <i>p</i> = .109). Among those with positive screening results, the intervention group had a statistically significant higher proportion of psychosocial intervention (41.3%) than the control (25.1%) (RR = 1.60, 95% CI [1.04, 2.46], <i>p</i> = .0318). At 3 months post-discharge, engagement with recommended services was overall modest.ConclusionsUniversal screening can identify youth at higher risk of psychosocial burden, and MyHEARTSMAP shows promise as a low-barrier tool for addressing the psychosocial needs of children.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1951-1966"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358191","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":"Prevalence and Sociodemographic Correlates of Mental Health Symptoms Among Canadian Youth: A Cross-Sectional Study.","authors":"Ogochukwu Kelechi Onyeso, Adebiyi G Boco, Md Kamrul Islam, Lars K Hallstrom","doi":"10.1177/13591045261446034","DOIUrl":"10.1177/13591045261446034","url":null,"abstract":"<p><p>BackgroundRecent data highlight problematic rates of mental health symptoms (MHS) among adolescents and young adults following the COVID-19 pandemic, with implications for early identification and clinical service provision. This study estimated the prevalence of MHS and its sociodemographic correlates among Canadian youths.MethodsWe conducted a cross-sectional analysis of 896 iundividuals aged 18-24 years using data from Statistics Canada's Survey on COVID-19 and Mental Health. Symptoms of anxiety, psychological distress, depression, and post-traumatic stress disorder (PTSD) were assessed using validated self-report instruments. Analyses included descriptive statistics, Pearson's chi-square tests, two-way analysis of covariance (ANCOVA), and multivariate linear regression.ResultsParticipants' mean (SD) age was 21.2 (2.0) years; 53% identified as women, and 81% lived in urban areas. Prevalence was highest for psychological distress (57.0%), followed by depression (31.6%), anxiety (23.7%), and PTSD symptoms (12.6%). Women reported higher anxiety and distress than men (<i>p</i> < 0.05). In multivariable analyses, female gender, non-essential worker status, poorer self-rated mental health, weaker community belonging, lower household income, lower life satisfaction, and pre-existing mental health disorder were associated with greater symptom severity (<i>p</i> < 0.05).ConclusionThe rising prevalence of mental health symptoms reflects gendered, socioeconomic, and psychosocial vulnerabilities, requiring trauma-informed clinical screening and equity-focused public health interventions for Canadian youth.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1727-1747"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792207","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":"\"Accessible and Acceptable\" Drop-In Mental Health Services for Children With Long-Term Conditions: A Mixed-Methods Exploratory Analysis of Integrated Services From a Health Equity Perspective.","authors":"Émer Kenny, Anna Roach, Nyah Patel, Sophie Bennett, Isobel Heyman, Anna Coughtrey, Roz Shafran","doi":"10.1177/13591045261473984","DOIUrl":"10.1177/13591045261473984","url":null,"abstract":"<p><p>IntroductionChildren and young people (CYP) with long-term physical health conditions (LTCs) are at increased risk of emotional and behavioural difficulties, yet barriers to psychological support remain, particularly for families from ethnic minority backgrounds. Mental health drop-in services were set up and evaluated at 6 paediatric healthcare settings, aiming to provide a more accessible route to care.MethodsThis study conducted a secondary analysis of quantitative and qualitative data collected as part of the multi-site roll-out of mental health drop-in services in paediatric healthcare settings to explore their accessibility and acceptability. The services provided short-term psychological interventions delivered by child wellbeing practitioners or equivalent, under supervision of a clinical psychologist 120 families provided quantitative data, and 104 families shared qualitative feedback. Differences in access routes and mental health symptoms were compared across White British families and those from different ethnicities. Inductive, latent content analysis of the open text feedback was conducted to understand families' experiences of the drop-in services.ResultsCYP from ethnic minority backgrounds were over-represented in the present study (32%), when compared with nationwide CAMHs users that identify as non-white British (21%). Families from ethnic minority backgrounds reported comparable mental health outcomes and satisfaction levels to White British families. There was a significant difference in mental health change scores, with ethnic minority families showing greater improvements after accessing the service, t (46) = -3.05, p < .01, d = -1.08. Qualitative analysis found that the services were highly acceptable across ethnicities, highlighting themes of life-changing support, therapeutic relationships, and improved parent and family wellbeing.DiscussionDrop-in services embedded in paediatric healthcare settings are both accessible and acceptable, demonstrating positive clinical outcomes, and positive family feedback across different ethnic groups. This model may help reduce inequalities by improving access to psychological support for ethnic minority families with CYP living with LTCs.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1345-1373"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148703090","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":"Variations in Patterns of Somatic Symptoms Associated With Depression in Children From Three Caribbean and Latin American Countries.","authors":"Roger C Gibson, Gillian A Lowe, Mia A Jules, Avril Daley, Kelly Romero-Acosta","doi":"10.1177/13591045261465728","DOIUrl":"10.1177/13591045261465728","url":null,"abstract":"<p><p>BackgroundIdentifying specific patterns of somatic expressions of depression among children from Global South countries may help inform health promotion, screening, referral pathways, assessments and interventions in various contexts (e.g., schools and clinics).Method1541 children from Barbados, Colombia and Jamaica completed the Adolescent Depression Rating Scale (ADRS) and the Children's Somatization Iventory-24 (CSI-24). For each country, item discrimination indices (IDIs) were calculated for each item of the CSI-24 to determine which items best identified persons with the highest depression scores. Scales consisting of the six CSI-24 items with the highest IDIs in each country were then created and assessed for their association with clinically significant depression using regression analyses.ResultsThe CSI-24 items with the highest IDIs were different for each country, but with physically restrictive somatic symptoms being consistently prominent. The country-specific six-item somatic subscales were significant predictors of depression, with odds ratios (95% CI) of 1.56 (1.41, 1.73), 1.29 (1.21, 1.37) and 1.24 (1.15, 1.35) for Colombia, Jamaica and Barbados respectively.Conclusions\"Difficulty moving forward\" was symbolically represented in the restrictive somatic symptoms with high IDIs. The different findings among countries may reflect unidentified cultural nuances. Depression screening strategies that consider relevant somatic symptoms could be valuable.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1665-1680"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371358","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":"Eating Disorder Items in Transdiagnostic Screening Tools for Child Mental Health: A Rapid Review.","authors":"Katarina Prnjak, Laura Hart, Ellie Tsiamis, Simone Baillie, Lyza Norton, Phillippa Hay, Jamie-Lee Pennesi, Tracey Wade, Deborah Mitchison","doi":"10.1177/13591045261419864","DOIUrl":"10.1177/13591045261419864","url":null,"abstract":"<p><p>Transdiagnostic screening tools (e.g., MINI-KID) are beneficial in detecting risk factors for a range of mental health problems in children; yet no research has explored how effective these tools are in detecting eating disorders (EDs). The aim of this review was to synthesise evidence on the discriminative power of transdiagnostic screening tools for identifying EDs among children aged 5-12. The review was pre-registered on PROSPERO; PRISMA guidelines were followed. PsycINFO and Medline were searched for peer-reviewed studies that used validated transdiagnostic mental health screening tools and reported on psychometric properties in children with an ED, published up until April 2025. Seven studies met inclusion criteria. Psychometric properties of the screening tools ranged from weak to excellent, with sensitivity for detecting EDs being less than acceptable (i.e., <80%) for 6 of the 7 tools identified in this review. Not all metrics of discriminative power were reported for 7 tools, and in most studies the number of children with an ED was too small to have reliable results. This suggests that existing transdiagnostic tools are not capturing EDs well, and that more effort is needed to establish comprehensive screening processes that will accurately identify children at high risk for developing EDs.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1591-1604"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013798","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":"The Assessment Checklist for Adolescents Plus (ACA+) Mental Health and Relational Strengths Measure for Adolescents in Statutory Out-Of-Home Care: Content Validity and Factor Structure for a Residential Care Sample.","authors":"Sarah Elgie, Astrid Røsland Seim, Michael Tarren-Sweeney","doi":"10.1177/13591045261422781","DOIUrl":"10.1177/13591045261422781","url":null,"abstract":"<p><p>BackgroundThe Assessment Checklist for Adolescents Plus (ACA+) is a 30-item caregiver-report mental health and relational strengths measure, containing items that are the converse of maltreatment-related mental health and relational difficulties measured by the Assessment Checklist for Adolescents (ACA) and its short form (ACA-SF). The present study is the first to investigate the ACA+'s content validity and factor structure.MethodsACA+ and ACA-SF scores were obtained for 220 adolescents (50.9% boys), aged 12-18 years, living in residential out-of-home care (OOHC) in the UK. Item validity was estimated from item score distributions (item means and prevalence), and correlations with ACA+ total and ACA-SF scale scores. Factor structure was investigated using principal components factor analysis.ResultsAs anticipated, all item-rest correlations were positive (<i>r</i> = .20 to .58), while correlations with the ACA-SF total score were all negative. However, items measuring emotion sharing and relational intimacy were positively correlated with several ACA-SF sub-scale scores, suggesting that among some adolescents these items measure maladaptive dysregulated emotion and relational difficulties. To maximise clinical utility, two sets of factor analyses were performed, yielding: a 21-item four-factor solution that can be safely interpreted by children's agencies; and a 29-item six-factor solution that requires skilled interpretation by mental health clinicians. Factor analyses explained 53.9% and 75.1% of the score variance respectively.ConclusionsThe present analyses suggest the ACA+ has strong content and factorial validity for assessment of adolescents in residential OOHC. Further research is needed to establish its validity for use with adolescents in foster and kinship care.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1855-1872"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121345","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":"Comorbidities Among Mental Disorders in Preschool Children in the Mercy Pregnancy Emotional Wellbeing Study.","authors":"Karen Wynter, Wai Chen, Andrew Lewis, Josephine Power, Megan Galbally","doi":"10.1177/13591045261426421","DOIUrl":"10.1177/13591045261426421","url":null,"abstract":"<p><p>BackgroundComorbidities among mental disorders can have long-term impacts on children's development and mental health. There is little robust data about the prevalence of comorbidities in preschool-aged children. The aim was to identify the prevalence of comorbidities among mental disorders in a cohort of 3-4-year-old children in Australia.MethodsWomen were recruited to the Australian Mercy Pregnancy Emotional Wellbeing Study at <20 weeks' gestation. Mental disorders were assessed among their children at 3- to 4-years old using the Preschool Age Psychiatric Assessment (PAPA). Prevalence of comorbidities is reported.ResultsAlmost half (48%) of the children (<i>n</i> = 545) met criteria for mental disorders captured by the PAPA; 43% had anxiety disorders. Of children with at least one diagnosis, 44% had another mental disorder; this represents 21% of the whole sample. Depressive disorders occurred only alongside other disorders, both anxiety disorders and externalising disorders. At least one anxiety disorder was present in more than half of children with specific externalising disorders.ConclusionsComorbidity of mental disorders among preschool-aged children is relatively common. Preschool children presenting with mental health symptoms may benefit from assessment protocols which consider multiple mental health disorders, and integrated services to address these.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1759-1774"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291832","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":"In the Shadow of the Israeli-Palestinian Conflict: Reflections on Cultural Safety and Clinical Care for Children and Adolescents in Quebec (Canada) in Polarized Times.","authors":"Cécile Rousseau, Diana Miconi, Rachel Kronick, Ghayda Hassan","doi":"10.1177/13591045261457804","DOIUrl":"10.1177/13591045261457804","url":null,"abstract":"<p><p>The ongoing Israel-Palestine conflict has significant consequences for children, youth and families from diverse communities in North America. In a time of widening social polarization, many children and youth are implicated in reiterations of the conflict at home, at school or in their neighborhoods. This divisive context has numerous indirect and direct clinical consequences requiring clinicians' awareness, attunement, and skillful response. Building on clinical experiences in Quebec (Canada), this paper questions the cultural safety of clinical interventions at three levels. First, the conflict can alter the therapeutic alliance in unspoken ways, requiring ongoing attention to cultural and contextual securitization. Second, because of its potentially traumatic impact, the conflict can influence symptom presentation in subtle or overt ways. Third, the internalization of the conflict can prompt forms of challenging acting-out, potentially eliciting stigmatizing clinical or social responses. Overall, preserving cultural safety in this context requires favouring a systemic assessment of the patient and their lived experiences, considering simultaneously the family, school and community context. Minimizing silence and avoidance by addressing the possible distress and divisions-or indeed outright divergences-within clinical and school teams may foster a respectful and safe enough environment, in spite of the differences in meaning within and across heterogeneous communities.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"1337-1344"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159326","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}