Clinical child psychology and psychiatry最新文献_第6页

Children and divorce: A rapid review targeting cognitive dissonance, in the context of narrative therapy. 儿童和离婚：在叙事治疗的背景下，针对认知失调的快速回顾。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-13 DOI: 10.1177/13591045251314908

Christopher Lie Ken Jie, Joanne Jessen Yramategui, Richard Huang

{"title":"Children and divorce: A rapid review targeting cognitive dissonance, in the context of narrative therapy.","authors":"Christopher Lie Ken Jie, Joanne Jessen Yramategui, Richard Huang","doi":"10.1177/13591045251314908","DOIUrl":"10.1177/13591045251314908","url":null,"abstract":"Today, for divorcing parents, the social norms of \"good\" parenting appear to impose obligations to \"fight\" for shared custody of their children. However, this may intensify conflicts experienced by their children in the form of cognitive dissonance. Authors conducted a rapid review to explore children's experiences of divorce (ages three to 12 years old) in the context of narrative therapy, in order to uncover the mechanism of cognitive dissonance. Four databases of Scopus, PsychINFO, Family and Societies Studies Worldwide, and PubMed were searched for literature in the last 10 years. Results included 11 study articles, one policy brief, and one book chapter, representing the experiences of 1169 children from seven developed countries/regions. Our findings suggest four themes associated with cognitive dissonance, whereby the first three represent the formation of harmful perceptions of cognitive dissonance resulting from divorce. The fourth represents the children's coping strategies to reduce their cognitive dissonance. We advocate that family mediators consider narrative therapy targeting cognitive dissonance as a means of repairing disruptions to family coherence. In this regard, we recommend that future research explore the consequences of children's confrontation of their cognitive dissonance in narratives found to be prevalent in children's experiences of divorce.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"465-478"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973816","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

Therapeutic alliance within trauma-focused cognitive behavioral therapy: A systematic review. 以创伤为中心的认知行为治疗中的治疗联盟：系统回顾。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-31 DOI: 10.1177/13591045251318058

Hannah E Skiest, Anna L Milliken, Christine A Limbers

引用次数: 0

Short-term mentalization-based therapy for common childhood mental disorders - a pilot quasi-randomised controlled trial. 以精神状态为基础的短期治疗常见儿童精神障碍——一项准随机对照试验。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1177/13591045251316619

Agneta Thorén, Karin Lindqvist, Julia Pertoft Nemirovski, Jakob Mechler

{"title":"Short-term mentalization-based therapy for common childhood mental disorders - a pilot quasi-randomised controlled trial.","authors":"Agneta Thorén, Karin Lindqvist, Julia Pertoft Nemirovski, Jakob Mechler","doi":"10.1177/13591045251316619","DOIUrl":"10.1177/13591045251316619","url":null,"abstract":"Internalizing and externalizing psychiatric disorders among children are common and debilitating, affecting family interactions, learning and peer relations. The aim of the present quasi-randomised pilot-study was to investigate preliminary effects of a mentalization-based time-limited treatment (MBT-C) for children with mixed psychiatric disorders. The trial comprised 17 children, aged 4-11 with mixed disorders, and their parents, admitted to an outpatient psychotherapy clinic. Quasi-randomization allocated patients to 12 sessions MBT-C with parallel parent support, or wait-list control. Compared to wait-list controls, significant improvements were observed in child pathology (d = 1.23, p = .006), therapist-rated global functioning (d = 1.73, p = .002), parent-perceived overall distress and impairment (d = 1.42, p = .017), and child-perceived emotional distress (d = 1.32, p = .024). No significant effects were observed for parent-perceived symptoms (d = 0.41, p = .28). Within-group changes and long-term effects were calculated for all participants including the wait-list after being crossed-over to treatment. Results were either maintained or further improved at 6- and 12-months follow-ups. This trial provides preliminary support for MBT-C in children with mixed disorders.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"436-451"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048656","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

Understanding of death and related constructs in children with suicidal thoughts and behaviors: A review and future directions. 对有自杀念头和行为的儿童死亡及其相关构念的理解：综述及未来方向。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-18 DOI: 10.1177/13591045251315207

Ana Ortin-Peralta, Laura Hennefield, Marc Eichenbaum, Mariana Espinosa-Polanco, Arielle H Sheftall

{"title":"Understanding of death and related constructs in children with suicidal thoughts and behaviors: A review and future directions.","authors":"Ana Ortin-Peralta, Laura Hennefield, Marc Eichenbaum, Mariana Espinosa-Polanco, Arielle H Sheftall","doi":"10.1177/13591045251315207","DOIUrl":"10.1177/13591045251315207","url":null,"abstract":"Despite rising rates of suicidal thoughts and behaviors in children, little is known about best practices for conducting suicide risk assessments in this population. The acquisition of the concept of death occurs during childhood, and thoughts and preoccupation with death can be developmentally normative. This review highlights a critical gap in knowledge about how children with suicide ideation understand death-a foundational issue in assessing suicide risk. First, we provide an overview of studies that examined the concept of death and related constructs (e.g., preoccupation with death) among children who experienced suicidal ideation or attempted suicide, many of which date back to the 1970s and '80s. We describe indirect methods of assessing death cognitions, such as the Death Implicit Association Test, representations of death/suicidal themes in play, and the role of exposure to these themes through screens (e.g., social media, videogames). Given the potential impact of sociocultural changes since the 1970s-1980s on how children understand death, gaining a contemporary perspective on how children think about death and its relationship to suicide risk is warranted. Guided by a developmental approach, we provide recommendations for future areas of research to advance this field and inform the design of developmentally appropriate risk assessments and interventions for children.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"359-375"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018303","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

Autism spectrum disorder (ASD) presentations among referrals to a child and adolescent mental health service (CAMHS) inpatient unit in Ireland. 爱尔兰儿童和青少年心理健康服务（CAMHS）住院部转诊的自闭症谱系障碍（ASD）病例。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2024-10-25 DOI: 10.1177/13591045241295419

Molly O'Connor, Clair Griffin, Jennifer Corrigan, Carol Somers, Maura Delaney, Fionnuala Larkin

{"title":"Autism spectrum disorder (ASD) presentations among referrals to a child and adolescent mental health service (CAMHS) inpatient unit in Ireland.","authors":"Molly O'Connor, Clair Griffin, Jennifer Corrigan, Carol Somers, Maura Delaney, Fionnuala Larkin","doi":"10.1177/13591045241295419","DOIUrl":"10.1177/13591045241295419","url":null,"abstract":"This retrospective chart review aimed to identify the intersection between young people with Autism Spectrum Disorder (ASD)'s needs and CAMHS inpatient service needs. A retrospective chart review was conducted on all referrals to a CAMHS inpatient unit over three years (n = 352). Referrals which specified a formal diagnosis or suspected diagnosis of ASD were identified (n = 111), and basic demographic data were collected. Young people with either a formal or suspected diagnosis of ASD referred to the unit presented with a wide range of co-occurring conditions. Of these young people, 30 were admitted to the unit and only 6 of them were engaged with an ASD specialist service. Young people with diagnosed or suspected ASD were more likely to be admitted if they presented with suicidality. Males with diagnosed or suspected ASD were more likely to have a diagnosis of OCD while females with diagnosed or suspected ASD were more likely to present with eating and feeding disorders and personality development difficulties. Findings highlight the lack of a clear care pathway for young people with co-occurring autism or suspected autism and complex mental health problems.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"279-293"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514694","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

Psychological outcomes in ethnically minoritised adolescents and young adults with cancer: A systematic review. 少数民族青少年和青年癌症患者的心理结局：一项系统综述。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2024-12-17 DOI: 10.1177/13591045241301644

Lynette Ws Chan, Alan Hebben-Wadey, Chandrika Kambakara Gedara, James McParland

{"title":"Psychological outcomes in ethnically minoritised adolescents and young adults with cancer: A systematic review.","authors":"Lynette Ws Chan, Alan Hebben-Wadey, Chandrika Kambakara Gedara, James McParland","doi":"10.1177/13591045241301644","DOIUrl":"10.1177/13591045241301644","url":null,"abstract":"BackgroundEthnic disparities in cancer prevalence and health outcomes have been widely documented in adults. However, less is known about the impact of ethnic differences in young cancer patients who present with complex needs along their developmental trajectories. The present review aimed to examine psychological outcomes amongst ethnically minoritised adolescents and young adults (AYAs) with cancer.MethodA systematic search was conducted on four databases using terms related to AYAs, cancer, ethnic minority and psychological outcomes. Quantitative studies of any design were included and screened against the eligibility criteria. Studies were rated for methodological quality and synthesised narratively.ResultsTwelve studies conducted in the United States were identified with mostly moderate to low quality and the evidence was mixed. Six studies found ethnic disparities in psychological outcomes: the majority demonstrated that ethnically minoritised AYAs experienced significantly more distress compared to White peers with cancer. Hispanic youths were highlighted as a vulnerable group that fared worse in their mental health compared to other minoritised youths. Longitudinal data showed that minoritised AYAs experienced more marked improvement in their psychological health over time compared to Caucasians.ConclusionThere is emerging evidence regarding inter-ethnic differences in psychological outcomes amongst AYAs with cancer. However, the findings are inconsistent, reflecting methodological weaknesses and the complexities of intersectionality impacting on mental health. Further cross-cultural research is necessary to substantiate these findings and elucidate mechanisms behind these inequalities to promote more equitable healthcare.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"212-228"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840548","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

Filling the NHS sky with rainbows: Reflections and developments from 5 years of the UCLH 'rainbow project'. 用彩虹填充NHS的天空：UCLH“彩虹项目”5年的反思和发展。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-02-06 DOI: 10.1177/13591045251317113

James McParland, Lizzie Driscoll, Fynn Mason, Bella Matthews, Charlotte Taylor, Jaymie Huckridge

引用次数: 0

Difference and intersectionality in children and young People's mental health services. 儿童和青少年心理健康服务的差异和交叉性。

Clinical child psychology and psychiatry Pub Date : 2025-04-01 Epub Date: 2025-03-18 DOI: 10.1177/13591045251329010

Shrina Patel, Jaymie Huckridge

引用次数: 0

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

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

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

{"title":"A meta-analytic review of cognitive behavior therapy and motivational interviewing for adolescent and young adult sleep concerns.","authors":"Alison Vrabec, Megan A Milligan, Kevin M Antshel, Katherine M Kidwell","doi":"10.1177/13591045241308983","DOIUrl":"10.1177/13591045241308983","url":null,"abstract":"Cognitive behavioral therapy (CBT) is an evidenced-based treatment for sleep concerns but may be insufficient on its own to resolve adolescent sleep problems - combining this treatment with motivational interviewing may result in more robust improvements to sleep in adolescents and young adults (AYA). This study aimed to conduct the first meta-analysis of integrated CBT and motivational interviewing (MI) for AYA sleep concerns. Following PRISMA guidelines, PsycINFO, PubMed, and Google Scholar were searched through January 2024. Cohen's d was computed for effect sizes. Eligible articles included AYA utilized an integration of CBT and MI, reported quantitative outcomes related to sleep, and were published in peer-reviewed journals and available in English. Four studies were eligible for the meta-analysis (N = 435). Results showed a small-medium effect size for reduced daytime sleepiness (d = 0.39, p = .001) and increased total sleep time (d = 0.25, p = .008) following integrated CBT and MI. Risk of bias was assessed using CMA. The findings suggest integrated CBT and MI is beneficial for AYA daytime sleepiness and sleep duration, more effective than CBT alone and other control groups. These findings contribute to the understanding of effective interventions for AYA sleep concerns, offer practical insights for practitioners, and highlight the need for further investigation into the integration of CBT and MI.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"386-401"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

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

Alyssa Chong, Punit Virk, Quynh Doan

{"title":"Psychosocial screening, in-patient care, and disposition planning: Clinicians' perspectives.","authors":"Alyssa Chong, Punit Virk, Quynh Doan","doi":"10.1177/13591045241303543","DOIUrl":"10.1177/13591045241303543","url":null,"abstract":"ObjectiveOur objective was to explore clinicians' views on the MyHEARTSMAP screening report; whether this report has impacted their patient care, and if so, how. MyHEARTSMAP is a psychosocial self-screening tool for youth to identify mental health concerns.MethodsWe conducted a cross-sectional study as a sub-study of the MyHEARTSMAP In-Patient randomized control trial. Eligible clinicians (nurses and physicians who have cared for patients in one of our partnered specialties and have seen a MyHEARTSMAP report in their patients' charts) provided their perceptions of the screening report through a survey.ResultsSixty-five clinicians were enrolled; 60 (92.3%; 95% CI 85.8-98.8%) believe psychosocial screening is beneficial, with many finding it helpful for building rapport with patients/families and providing additional mental health information. Thirty-seven clinicians (56.9%; 95% CI 44.9-69%) had previously read or used the MyHEARTSMAP report, and 31 (83.8%; 95% CI 71.9-95.7%) of these clinicians found the report helpful. Clinicians specifically found the report helpful for communicating with the patient, and guiding patient-centered care.ConclusionClinicians' perceptions towards the MyHEARTSMAP report were positive amongst those who had previously encountered it. While clinicians believe psychosocial screening is beneficial, exploring options for better accessibility to the screening results is necessary to increase utilization.","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"502-515"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0