{"title":"Conversations with mental health practitioners from working class backgrounds working in children's mental health services.","authors":"Lynsey Davies, Katie McDonnell, Jaymie Huckridge, Theodore Prendegast","doi":"10.1177/13591045251329741","DOIUrl":"10.1177/13591045251329741","url":null,"abstract":"<p><p>Social class is an often neglected component of a clinical psychologist's multicultural competence, and there have been calls for more research and commentary on how personal social class identities impact upon clinical practice. This article presents the conversations of four working class mental health practitioners reflecting on the process of training and working in NHS children's mental health in the UK. Throughout the paper we will include both academic research about various parts of the pathway, and also share some of our lived experience, captured from our conversations. We make recommendations for improving the experiences of psychologists from working class backgrounds, and making the most of their unique strengths and experiences.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"314-326"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665746","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":"Exploration of motivation to be physically active among overweight adolescents in Switzerland.","authors":"Shahadije Sejdija, Albane Br Maggio","doi":"10.1177/13591045251315507","DOIUrl":"10.1177/13591045251315507","url":null,"abstract":"<p><p>Motivation plays an important role in the field of medicine, as it significantly influences behavior change, such as becoming more physically active. This study aimed to investigate the role of motivation in engagement in a physical activity and its impact on quality of life for adolescents suffering from obesity. We assessed the time dedicated to physical activities, the type of motivation, and the relationship between those factors and their quality of life. Seventy-two adolescents aged 12-18 years (51% girls) participated in the study. Fifteen percent of the sample (11/72) were overweight, 56% (<i>n</i> = 40) were affected by obesity and 29% (<i>n</i> = 21) by severe obesity. We found that adolescents were mostly driven to engage in physical activity by self-determined motivation, but those affected by severe obesity were more motivated by external factors. Moreover, there was a disparity in physical activity engagement between genders, with boys being more active than girls. Finally, our data demonstrated that physical exercise contributed to improving quality of life of our population. This study demonstrates that self-determined motivation plays a significant role in promoting physical activity among adolescents with overweight or obesity, with notable differences between genders. Encouraging intrinsic motivation can improve physical functioning and quality of life.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"491-501"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018301","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":"Medication adherence and attitudes in adolescent psychiatry: Key influences.","authors":"İzgi Bayraktar, Nadir Yalçın, Kevser Nalbant, Ebru Çengel Kültür, Kutay Demirkan","doi":"10.1177/13591045251316607","DOIUrl":"10.1177/13591045251316607","url":null,"abstract":"<p><p>Adolescents with mental illnesses often struggle with adhering to prescribed medication regimens. This study investigates how patient perceptions influence medication adherence among adolescents with psychiatric disorders. It also examines the role of patient characteristics and medication-related factors on adherence and attitudes. The Pediatric Medication Adherence Scale (PMAS)- 9 questions and the Pediatric Attitude toward Medication Scale (PAMS)- 18 questions, two reliable self-report scales designed for the adolescent population, were used to assess negative adherence behaviors and patients' perceptions of medication. Statistical analysis examined correlations between adherence, attitudes, and patient characteristics. The scales were administered to 288 adolescents with psychiatric disorders, and a significant correlation was found between concern scores and attitudes toward medication (r = 0.886, <i>p</i> < .05). Patients receiving monotherapy demonstrated lower concern scores and more positive attitudes (<i>p</i> < .05). Experiencing side effects was significantly linked to reduced medication adherence and more negative attitudes toward treatment. Patients with eating disorders demonstrated more negative attitudes, while those using antidepressant-antipsychotic combinations demonstrated more negative attitudes than those using stimulants. This study emphasizes the necessity of addressing critical factors that influence medication adherence and attitudes toward psychiatric medication among adolescents with psychiatric disorders. In particular, it highlights the importance of considering concern perception, managing side effects, and evaluating polypharmacy to optimize pharmacotherapy in this population.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"516-528"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070164","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}
Nicole Williams, James McParland, Shreena Unadkat, Jaymie Huckridge
{"title":"\"I didn't come here for your judgement\" alongside \"they understand you and encourage you\": Exploring the narratives of young black and mixed-race LGBTQ+ people who have a physical health condition and their experiences within physical health services.","authors":"Nicole Williams, James McParland, Shreena Unadkat, Jaymie Huckridge","doi":"10.1177/13591045241258504","DOIUrl":"10.1177/13591045241258504","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) individuals experience health inequalities. Young people living with a health condition are also more likely to experience adverse mental health outcomes. Developing positive identity can help to mitigate the impact of this. Young black LGBTQ+ people have additional barriers to developing positive identity. Current research rarely considers the intersection of these identities for young people despite the discrimination they may face, and the impact this may have on their health. A narrative approach allows these voices to be heard in research. Eight participants were interviewed using a narrative approach. Interviews were analysed using content and thematic narrative analysis. Global summaries of each interview were developed and 'plot lines' emerged from these. A central plot related to identity development, with two plots embedded in these exploring experiences of illness and of healthcare. Participants had positive experiences of healthcare despite encountering stigma. Access to positive role models and being able link in with various communities allowed participants to integrate and accept their identities. A key discussion point in this study is the ways in which healthcare staff could become role models for young LGBTQ+ people and help them to integrate and accept their identities.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"229-244"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736023","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}
Ömer Yolcu, Aynur Bedel, Özge Gizli Çoban, Hilal Yazıcı Kopuz, Arif Önder, Aslı Sürer Adanır, Berhan Akdağ, Serhat Nasıroğlu, Hale Ünver Tuhan, Mesut Parlak
{"title":"Evaluation of sluggish cognitive tempo in children and adolescents with obesity and morbid obesity.","authors":"Ömer Yolcu, Aynur Bedel, Özge Gizli Çoban, Hilal Yazıcı Kopuz, Arif Önder, Aslı Sürer Adanır, Berhan Akdağ, Serhat Nasıroğlu, Hale Ünver Tuhan, Mesut Parlak","doi":"10.1177/13591045241308304","DOIUrl":"10.1177/13591045241308304","url":null,"abstract":"<p><p>ObjectiveThis study's primary aim is to evaluate the relationship between obesity and sluggish cognitive tempo (SCT).MethodThe study group consisted of obese (<i>n</i> = 37) and morbidly obese (<i>n</i> = 42) patients. The healthy control group included 38 children and adolescents. SCT was evaluated using the Barkley Child Attention Scale (BCAS). Clinical interviews were supplemented with standardized questionnaires to assess symptoms of depression, anxiety, and ADHD.ResultsBCAS scores were significantly higher in both the morbidly obese and obese groups than in the control group (<i>p</i> < .001). BCAS cutoff point showed that the prevalence of SCT was significantly higher in both the obese and morbidly obese groups compared to the control group (<i>p</i> < .001). Moreover, a logistic regression analysis identified screen time (OR = 1.330), maternal education (OR = 0.164), and BCAS scores (OR = 1.122) as independent risk factors for obesity.ConclusionThe current study found a significant relationship between SCT and obesity in children and adolescents. Given that obesity is a public health issue, our findings underscore the importance of evaluating SCT in morbidly obese and obese children. This understanding can lead to more comprehensive and effective treatment strategies for these children.</p>","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"479-490"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820240","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":"Corrigendum to \"Satisfaction in mental health care: Examining psychometric properties of experience of service questionnaire\".","authors":"","doi":"10.1177/13591045251327788","DOIUrl":"https://doi.org/10.1177/13591045251327788","url":null,"abstract":"","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"13591045251327788"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607538","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}
Rachel Kramer, Abigail L Matthews, Lee Ann Conard, Katrina R Lenz, Claire M Aarnio-Peterson
{"title":"Response to a letter to the editor about eating disorder (ED) symptoms among transgender and gender diverse (TGD) youth seeking gender-affirming care.","authors":"Rachel Kramer, Abigail L Matthews, Lee Ann Conard, Katrina R Lenz, Claire M Aarnio-Peterson","doi":"10.1177/13591045241284707","DOIUrl":"10.1177/13591045241284707","url":null,"abstract":"","PeriodicalId":93938,"journal":{"name":"Clinical child psychology and psychiatry","volume":" ","pages":"189-194"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373815","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":"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":"<p><p>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 <i>Experience in Close Relationships Scale</i> and the <i>Relationship Questionnaire</i>. 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.</p>","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}
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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>These preliminary results suggest that the online self-assessment tool reaches the intended young audience, particularly those with some degree of mental health problems.</p>","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}
{"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":"<p><strong>Aims: </strong>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.</p><p><strong>Method: </strong>190 adoptive parents completed an online survey including self-report measures of primary and secondary trauma.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}