Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"The real-world evidence to the effects of primary psychological healthcare system in diluting risks of suicide ideation in underrepresented children/adolescents: an observational, multi-center, population-based, and longitudinal study.","authors":"Wei Li, Xuerong Liu, Qianyu Zhang, Xiaobing Tian, Xianyong An, Jidong Ren, Xiaodi Han, Jingyu Lei, Chang Shen, Yanyan Li, Ji Chen, Lei Xia, Jingxuan Zhang, Yi Wu, Jie Gong, Hai Lan, Yan Wu, Zhengzhi Feng, Zhiyi Chen","doi":"10.1186/s13034-025-00914-4","DOIUrl":"https://doi.org/10.1186/s13034-025-00914-4","url":null,"abstract":"<p><strong>Background: </strong>Establishing a primary psychological healthcare system to prevent suicide was eagerly advocated. Such system was developed as a low-cost healthcare framework integrating family, school, and hospitals to provide early psychological screening and intervention. However, it remains unclear whether such a policy-driven and low-cost healthcare system could be practical, especially with equal benefits for underrepresented children/adolescents. We aimed to examine the real-world practical effects of the primary psychological healthcare system in preventing suicide ideation among children/adolescents, particularly underprivileged ones.</p><p><strong>Methods: </strong>The study was conducted using an observational, multi-center, population-based, and longitudinal design. A total of 19,140 children and adolescents were sampled from lower- and middle-income areas in Nanchong, western China, with the majority for being underprivileged and underrepresented. They were followed up for one year. The primary outcome was the incidence of reported severe suicide ideation after implementing the primary psychological healthcare system at the 0.5-year and 1-year follow-ups, compared to baseline. Subgroup analysis was conducted to examine the equal benefits of the system for underrepresented children/adolescents.</p><p><strong>Results: </strong>The risks of suicide ideation for children/adolescents included in the system were found to be significantly lower compared to those not included at 0.5-year (adjusted relative risk [aRR] 0.28, 95%CI 0.23-0.33; p < 0.001) and 1-year follow-ups (aRR 0.28, 95% CI 0.23-0.33; p < 0.001). The effects were also observed among underrepresented children/adolescents, including \"left-behind\" children/adolescents, \"single-parent\" children/adolescents and children/adolescents in especially difficult circumstances (CEDC, all p_corrected < 0.001). The effects in \"left-behind\" children/adolescents, CEDC, and \"single-parent\" children/adolescents were found to be non-inferior to the typically developing cohort at non-inferiority thresholds of 30%, 35%, and 45%, respectively (all p_corrected < 0.05).</p><p><strong>Conclusions: </strong>The primary psychological healthcare system was effective in reducing suicide ideation risks among children/adolescents over a period of at least 1 year. However, certain underprivileged groups, such as orphans and unattended children, did not experience the same level of benefits, highlighting the need for targeted improvements.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"56"},"PeriodicalIF":3.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child and adolescent mental health during the Covid-19 pandemic: an overview of key findings from a thematic series.","authors":"Engie Frentzen, Jörg M Fegert, Andres Martin, Andreas Witt","doi":"10.1186/s13034-025-00910-8","DOIUrl":"https://doi.org/10.1186/s13034-025-00910-8","url":null,"abstract":"<p><strong>Background: </strong>The 2019 outbreak of COVID-19, a severe acute respiratory infection caused by the SARS-CoV-2 virus, triggered a global pandemic with far-reaching consequences. Societies worldwide felt the effects of the virus and pandemic related restrictive measures on their economies, healthcare systems, and social fabric. To curb the spread of COVID-19, numerous restrictive measures were implemented. This manuscript summarizes the findings published within the thematic series on Child Mental Health during the Covid-19 pandemic.</p><p><strong>Methods: </strong>Between May 2020 and June 2024 Child and Adolescent Psychiatry and Mental Health (CAPMH) issued a thematic series on \"Child Mental Health during the Covid-19 pandemic.\" All manuscripts underwent a prescreening process by the Editor-in-Chief, including checks regarding the compliance with ethical standards compliance with the scope of the journal and the thematic series. Suitable manuscripts were then handled by one of the editors of the thematic series. All suitable manuscripts then underwent a peer review process that included at least two reviews. Different aspects of child and adolescent mental health as well as various aspects of the pandemic - in addition to their findings -were investigated, defined and discussed throughout the manuscripts within the series.</p><p><strong>Results: </strong>A total of 327 manuscripts were submitted and 85 manuscripts were published within the series. Manuscripts included qualitative and quantitative studies as well as systematic reviews. The manuscripts reported findings from 22 countries from all over the world and various populations. The studies covered the somatic and psychological impacts of the pandemic, including emotional and behavioral consequences, non-suicidal self-injury and suicidal behavior, threat and trauma, parent child separation, school closure and home schooling, physical activity and media use, psychiatric care, as well as digital resources and online therapy. Through its findings, the research also highlighted the multilayered impact the pandemic had, as well as the need to make targeted interventions and evidence-based interventions available to a large audience.</p><p><strong>Conclusion: </strong>A broad range of literature in the series submitted from various countries around the world documented the profound impact of COVID-19 on child mental health. The findings can be used as a foundation for conceptualizing targeted programs to counteract the consequences, in addition to helping prepare systems in the event of similar incidents in the future.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"57"},"PeriodicalIF":3.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of group-based indicated prevention in children identified with disruptive behavior problems: results of an implementation study in the German health care system.","authors":"Maria McDonald, Theresia Fippel, Susanne Knappe, Patricia Theresa Porst, Cornelia Beate Siegmund, Julia Zink, Max Weniger, Katja Beesdo-Baum, Veit Roessner","doi":"10.1186/s13034-025-00902-8","DOIUrl":"https://doi.org/10.1186/s13034-025-00902-8","url":null,"abstract":"<p><strong>Background: </strong>Subclinical disruptive behavior problems often occur during childhood and are a risk factor for developing a mental disorder later in life. To prevent a manifestation of dysfunctional disruptive behavior, early intervention is critical. This study aimed to examine the effectiveness of an indicated prevention program in children with disruptive behavior problems.</p><p><strong>Methods: </strong>Screening for disruptive behavior problems was conducted using the Strength and Difficulties Questionnaire during routine pediatric health check-ups. Depending on their risk status (normal vs. borderline vs. abnormal), children received a recommendation for no intervention, an indicated prevention program (i.a. \"Baghira\") or further diagnostics. Questionnaires such as the Child Behavior Checklist and the Parent Rating Scale for Conduct Disorder (DISYPS Competence scale) were administered at three time points (T0: pre-intervention, T1: 6 months after screening/ post-intervention, T2: 6 months after T1). Children who participated in \"Baghira\" (BA n = 171), a cognitive-behavioral group program for children with disruptive behaviors, were compared to children screened as normal (NOR n = 881) or received a recommendation for \"Baghira\" but refused participation (NO BA n = 46).</p><p><strong>Results: </strong>Disruptive behavior problems decreased (BA: β = - 3.61, p <.001) and prosocial behavior increased (BA: β = 1.67, p <.001) in the BA compared to the NOR group from T0 to T1. These effects were maintained at T2 follow-up (BA: β = - 1.60; p =.035; β = 1.12; p =.019). However, the NO BA group also improved in prosocial behavior and from T0 to T1.</p><p><strong>Conclusion: </strong>Although an improvement in disruptive behavior symptoms as well as an increase in prosocial behavior were observed, controlled studies using matched or stratified designs are needed to replicate the effectiveness of \"Baghira\" in a prevention context, apart from the Covid-19 pandemic, to improve children's mental health.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"55"},"PeriodicalIF":3.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bidirectional relationships between intolerance of uncertainty and generalized anxiety among adolescents: insights from cross-lagged panel network analysis.","authors":"Haoxian Ye, Yunyi Li, Yike Huang, Yiming Zhang, Jiaxiong Zhang, Jiaqi Wang, Keying Liu, Yuyi Yao, Xinyu Shi, Yijia Liu, Fang Fan","doi":"10.1186/s13034-025-00912-6","DOIUrl":"https://doi.org/10.1186/s13034-025-00912-6","url":null,"abstract":"<p><strong>Background: </strong>Intolerance of uncertainty (IU) has received increasing attention for its role in the development and maintenance of generalized anxiety. However, little is known about the temporal and causal relationships between IU and generalized anxiety, particularly in adolescents. Furthermore, much of the existing literature treats IU and generalized anxiety as unidimensional constructs, limiting a detailed understanding of their internal elements and specific symptom interactions. To address the gaps, this study employed a cross-lagged panel network (CLPN) approach to examine the temporal interactions and predictive relationships between IU elements and generalized anxiety symptoms.</p><p><strong>Methods: </strong>A sample of 7,434 nonclinical adolescents (mean _age = 15.33 years, range = 11-19 years, 50.6% girls) completed the Intolerance of Uncertainty Scale (Short Form) for Children (IUSC-12) and the Generalized Anxiety Disorder Scale (GAD-7) across two waves, six months apart. Data was analyzed using the CLPN approach.</p><p><strong>Results: </strong>Bidirectional predictive relationships were found between IU elements and generalized anxiety symptoms, with generalized anxiety symptoms more frequently predicting IU elements. The generalized anxiety symptom named \"nervousness\" was the strongest predictor of increases in both IU elements and other generalized anxiety symptoms over time, while the IU elements named \"frustration\" and \"work with hindrance\" were the strongest predictors of future generalized anxiety symptoms.</p><p><strong>Conclusions: </strong>This study provides new insights into the reciprocal relationships between IU and generalized anxiety among adolescents, highlighting the complex interplay between vulnerability and mental health problems. By identifying key IU elements and generalized anxiety symptoms that drive these relationships, the findings contribute to a more nuanced understanding of adolescent psychopathology and inform targeted interventions.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"54"},"PeriodicalIF":3.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison and application of depression screening tools for adolescents: scale selection and clinical practice.","authors":"Xinyu Li, Wei Jin, Lu Han, Xingyu Chen, Lihong Li","doi":"10.1186/s13034-025-00908-2","DOIUrl":"https://doi.org/10.1186/s13034-025-00908-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Clinical assessments rely primarily on patients' emotional expressions and scale scores. However, due to cognitive differences and the complexity of emotional expression among adolescents, existing assessment tools often present challenges in their selection and application. This study reviews and analyzes the literature related to 8 commonly used adolescent depression assessment scales, including the Hamilton Depression Scale (HAMD), the Beck Depression Inventory (BDI), the Center for Epidemiologic Studies Depression Scale (CES-D), the Reynolds Adolescent Depression Scales (RADS), the Children's Depression Inventory (CDI), the Kutcher Adolescent Depression Scale (KADS), the Patient Health Questionnaire (PHQ) and the Depression Screener for Teenagers (DesTeen). Through a comprehensive analysis of each scale's strengths, limitations and practical applications, this narrative review aims to guide healthcare practitioners and researchers in selecting optimal measurement tools for different clinical and research contexts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Relevant studies on 8 frequently used or well-supported adolescent depression assessment scales (CDI, RADS, CES-D, BDI, PHQ, KADS, HAMD, DesTeen) were retrieved from PubMed, Web of Science, CNKI, and Wanfang databases. A total of 102 articles were ultimately selected for data extraction to determine the reliability and validity of these scales. Additionally, 13 original development studies of the included scales were further reviewed to extract and analyze information on their developmental background, structural dimensions, item composition, and applicability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Recent studies on depression assessment scales have focused on the development of precise diagnosis and personalized evaluation. All 8 adolescent depression assessment scales generally exhibit good reliability and validity. Among them, the HAMD is used for detailed clinical evaluation of depressive symptoms but suffers from complexity due to its reliance on professional assessors. The BDI and the CES-D provide the most comprehensive dimensions. While the BDI is suitable for clinical assessments, it has the drawback of containing items that may be difficult to understand. The CES-D is well-suited for epidemiological research and large-scale screenings but has the limitation of unclear differentiation between emotional and somatic symptoms. The RADS is recognized for its comprehensive items and high reliability and validity, although its lengthy items may lead to respondent fatigue. The CDI allows multidimensional assessment of depressive symptoms but has been debated regarding its applicability across different age groups. The KADS, explicitly designed for adolescents, is a promising tool; however, its relatively recent development has resulted in limited validation studies. The PHQ is appropriate for rapid screening and tracking treatment effects but lacks sufficient emotional eval","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"53"},"PeriodicalIF":3.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reallocating 24-hour movement behaviors and its impact on mental health in preschool children: a compositional data and dose-response analysis.","authors":"Tian Wang, Junyu Wang, Xuelin Lu, Xuhui Chen, Lanzhi Chen, Yixin Liang, DongQing Yang, Yanmei Shi, Rui Li, Yong Yang, Beibei Luo, Jie Zhuang","doi":"10.1186/s13034-025-00911-7","DOIUrl":"https://doi.org/10.1186/s13034-025-00911-7","url":null,"abstract":"<p><strong>Background: </strong>Mental health issues in preschool children are a significant public health concern with long-term developmental implications. Understanding how reallocations of time among different 24-hour movement behaviors-moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), sedentary behavior (SED), and sleep (SLP)-affect various dimensions of mental health is essential for designing effective interventions.</p><p><strong>Methods: </strong>In this cross-sectional study, 828 Chinese preschool children aged 3 to 6 years were assessed. Physical activity and sleep were objectively measured using accelerometers to capture MVPA, LPA, SED, and SLP. Mental health was evaluated using the Strengths and Difficulties Questionnaire (SDQ), assessing Total Difficulties, Internalizing Problems, Externalizing Problems, and Prosocial Behavior. Compositional data analysis was conducted using isometric log-ratio (ilr) transformation, followed by multivariate linear regression to assess associations. Additionally, isotemporal substitution modeling and dose-response analysis were applied to examine the effects of reallocating time between behaviors on mental health outcomes, adjusting for age, gender, BMI, parental education, and parental attitudes toward physical activity.</p><p><strong>Results: </strong>Increased MVPA was significantly associated with lower Total Difficulties (ß_MVPA= - 1.587; P < 0.001) and Internalizing Problems (ß_MVPA= - 0.663; P = 0.017). Increased SED was associated with higher Total Difficulties (ß_SED= 1.512; P < 0.05), while increased SLP was linked to improved Externalizing Problems (ß_LPA= - 1.792; P = 0.008). Reallocating as little as 1 min from LPA or SED to MVPA or SLP significantly reduced Total Difficulties and Internalizing Problems (P < 0.05). Conversely, replacing SED or SLP with LPA increased Externalizing Problems, particularly Conduct Problems and Hyperactivity/Inattention (P < 0.05). A critical threshold at 30 min was identified, beyond which the effects on mental health outcomes became more pronounced.</p><p><strong>Conclusions: </strong>Reallocating time from LPA or SED to MVPA or SLP significantly improves Total Difficulties and Internalizing Problems in preschool children, even with brief substitutions. However, increasing LPA at the expense of SED or SLP exacerbates Externalizing Problems, especially Conduct Problems and Hyperactivity/Inattention. Interventions should promote MVPA and adequate sleep while considering the critical 30-minute threshold where effects become more pronounced to enhance emotional and behavioral well-being.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"52"},"PeriodicalIF":3.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of bullying and self-esteem with psychotic-like experiences and clinical high risk for psychosis symptoms.","authors":"Tecelli Domínguez, Lourdes Nieto, Ana Fresán, Tamara Sheinbaum, Rebeca Robles","doi":"10.1186/s13034-025-00900-w","DOIUrl":"https://doi.org/10.1186/s13034-025-00900-w","url":null,"abstract":"<p><strong>Background: </strong>Bullying has become a significant global health problem due to its high prevalence worldwide and long-term consequences on mental health, including the onset of psychotic symptoms. This study focuses on exploring the prevalence of bullying across three groups of Mexican individuals with different levels of psychosis risk symptoms: non-psychosis risk (non-PR), psychotic-like experiences (PLEs), and at clinically high-risk for psychosis (CHR-P). In addition, we compare sociodemographic features, self-esteem, and self-reported bullying between the groups and then examine whether these variables are associated with the probability of belonging to the PLEs or CHR-P groups compared to the non-PR.</p><p><strong>Methods: </strong>A general population sample completed the Prodromal Questionnaire-Brief (PQ-B) to determine the presence of PLEs. Those meeting the PQ-B cut-off threshold were assigned to the PLEs group (n = 490), while those who scored below the cut-off comprised the non-PR group (n = 1,125). The CHR-P group (n = 45) was an independent clinical sample meeting the criteria established by the Comprehensive Assessment of At-Risk Mental States. All participants completed self-reports of sociodemographic characteristics, bullying, and self-esteem.</p><p><strong>Results: </strong>The CHR-P group had a higher percentage of men, single participants, and lower levels of education than the PLEs and the non-PR groups. PLEs and CHR-P participants reported a lower socioeconomic status, lower self-esteem, and higher prevalence of bullying than the non-PR group. The multinomial logistic regression indicated that the factors associated with belonging to the CHR-P group were lower education, being a man, and being single. Furthermore, being younger, having lower self-esteem, and having experienced bullying were associated with belonging to the PLEs and CHR-P groups. Among all these variables, bullying emerged as a robust risk factor associated with psychosis risk symptoms since it increased the odds of being CHR-P by threefold compared to the non-PR group, and it also increased the risk of PLEs compared to the non-PR group.</p><p><strong>Conclusions: </strong>Findings highlight the relevance of prioritizing anti-bullying school-based programs to provide a safer school environment, as well as strengthening self-esteem (potential protective factor) in vulnerable individuals to reduce the risk of developing psychosis and minimize the long-term impact of bullying victimization on further mental health conditions.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"51"},"PeriodicalIF":3.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial stress in families of young children after the pandemic: no time to rest.","authors":"Katharina Richter, Catherine Buechel, Michaela Augustin, Anna Friedmann, Volker Mall, Ina Nehring","doi":"10.1186/s13034-025-00905-5","DOIUrl":"https://doi.org/10.1186/s13034-025-00905-5","url":null,"abstract":"<p><strong>Background: </strong>During the pandemic, parenting stress and mental health challenges for both parents and children have increased. However, the lasting repercussions for families remain largely unexplored. Additionally, young families currently face stressors such as economic inflation, the Russia-Ukraine War, and the climate crisis, whose impacts on families are not yet understood. The primary aim of the study is therefore to evaluate parenting stress as well as child and parent mental health problems in the postpandemic era. Additionally, the study seeks to identify potential predictors of parenting stress and mental health issues in parents.</p><p><strong>Methods: </strong>From February 2023 to March 2024, we conducted a digital cross-sectional study involving families (N = 17,333) with children aged 0-9 years in Bavaria (Southern Germany) to examine parenting stress and mental health issues among both parents and children in light of current societal challenges. Validated questionnaires were used to gather data, and potential factors contributing to parenting stress were investigated.</p><p><strong>Results: </strong>We found that 53.7% of parents scored above the cut-off value, indicating that they experienced moderate to high levels of parenting stress. Additionally, 13.5% showed signs of anxiety symptoms, while 14.6% exhibited indications of depression according to cut-off values. Additionally, 34.9% of the infants (0-24 months) had crying and/or sleeping difficulties, whereas emotional and behavioral problems were observed in 8.7 of the toddlers (2-4 years) and 10.4% of the pre- and primary schoolers (˃ 4 years). Economic inflation was perceived as stressful or very stressful for 59.3% of parents, with radicalization and social division (49.3%), the Russia-Ukraine War (37.9%), and the climate crisis (31.8%) also cited as sources of stress. For 31.6% of families, the lingering effects of the pandemic continued to be a (major) burden. Across all age groups, children's mental health issues and societal challenges were the primary predictors of parenting stress.</p><p><strong>Conclusion: </strong>Our study underscores that psychosocial stressors for families with children remain pronounced even postpandemic. Moreover, our findings highlight the impact of broader societal trends, such as economic inflation and social division, on family well-being. Addressing these stressors and promoting the mental health of infants while bolstering parental resilience by alleviating parenting stress should be key priorities for healthcare initiatives in the aftermath of COVID-19.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"50"},"PeriodicalIF":3.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of personality disorders in adolescents - a clinical validity and utility study of the structured interview of personality organization (STIPO).","authors":"C Laczkovics, K Czernin, A Bründlmayer, M Zeiler, W Bangerl, C Prause, P L Plener, S Doering, V Blüml, J Carlitscheck, S Bender, M Krischer","doi":"10.1186/s13034-025-00901-9","DOIUrl":"https://doi.org/10.1186/s13034-025-00901-9","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis of personality disorders (PD) in adolescence still poses a challenge. Early diagnosis and targeted intervention are called for, since patients with PD present with severe consequences in terms of psychosocial functioning and personal suffering including higher suicide risk. New guidelines advise semi-structured interviews for the dimensional assessment of personality functioning.</p><p><strong>Methods: </strong>We included 136 patients aged 13 to 17.9 years with a categorical PD diagnosis and 35 healthy control (HC) adolescents to assess the applicability of the Structured Interview for Personality Organization (STIPO) for adolescents and evaluate its validity by correlating the six outcome domains (identity, object relations, defenses, aggression, moral values, reality testing) and the overall severity level to several validated instruments. Furthermore, we assessed personality traits, internalizing and externalizing behavior and depressive symptoms.</p><p><strong>Results: </strong>All STIPO domains differed significantly between patients and HC (p <  0.001). Outcome measures correlated significantly with validated self-rating questionnaires. STIPO severity levels correlated significantly with psychopathology. Personality traits \"dissocial behavior\" and \"emotional dysregulation\" correlated positively with all STIPO domains and the overall level of personality organization (PO).</p><p><strong>Conclusions: </strong>Results indicate that the STIPO is a reliable and valid instrument for the assessment of PD in adolescents. It comprises the core elements of personality functioning, as requested in Criterion A in the AMPD of the DSM-5 and ICD-11 and could be useful for treatment planning, evaluation of the course of treatment as well as for prognostic considerations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"49"},"PeriodicalIF":3.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotion regulation beyond executive and attention difficulties: impact on daily life impairments in community adolescents.","authors":"Elena Poznyak, Martin Debbané","doi":"10.1186/s13034-025-00898-1","DOIUrl":"https://doi.org/10.1186/s13034-025-00898-1","url":null,"abstract":"<p><strong>Background: </strong>It is becoming widely recognized that emotion regulation difficulties are an essential feature present along the continuum from subclinical to clinical Attention Deficit/Hyperactivity Disorder (ADHD). Yet, it remains unclear whether and how specific processes related to emotion regulation contribute to daily life impairments, across different domains of functioning. The aim of this cross-sectional study in community adolescents was to investigate whether three processes commonly implicated in adaptive emotion regulation-emotion recognition, emotion reactivity and use of cognitive emotion regulation strategies-uniquely contribute to adolescent-rated functional impairment, above and beyond the effects of age and gender, ADHD symptoms, and individual differences in verbal ability and executive functions.</p><p><strong>Methods: </strong>161 adolescents from the general population (mean age = 15.57; SD = 1.61) completed the Weiss Functional Impairment Scale, the Emotion Reactivity Scale, the Cognitive Emotion Regulation Questionnaire and the Geneva Emotion Recognition Test. Hierarchical regression analysis examined the unique contributions of candidate predictors to impairment scores.</p><p><strong>Results: </strong>Total impairment scores were best predicted by older age, inattention symptoms, higher emotion reactivity, and higher use of maladaptive cognitive emotion regulation strategies. Emotion regulation processes were associated with interpersonal difficulties and self-concept impairments, whereas inattention symptoms were associated with school and life skills impairments.</p><p><strong>Conclusions: </strong>This study stresses that emotion reactivity and maladaptive cognitive emotion regulation represent major sources of perceived social and emotional difficulties in community adolescents. Our results also support the continuum hypothesis of attention difficulties, where emotion regulation abilities may at least partially explain the association between ADHD symptoms and social impairments. Together, these findings highlight the vital importance of targeting emotion regulation in psychotherapeutic interventions aiming to improve socio-emotional outcomes in adolescents.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"47"},"PeriodicalIF":3.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}