Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"Experiences in child and adolescent psychiatry training: an international qualitative study.","authors":"Peter Deschamps, Brian Jacobs, Anna Sofie Hansen, Tjhin Wiguna, Suaad Moussa, Aisha Sanober Chachar, André Luiz Schuh Teixeira da Rosa, Víctor Pereira-Sánchez, Marie-Aude Piot","doi":"10.1186/s13034-025-00871-y","DOIUrl":"10.1186/s13034-025-00871-y","url":null,"abstract":"<p><strong>Background: </strong>Experiences of medical specialist trainees in psychiatry can be informative for those who seek to improve post-graduate training. This study aimed to explore the experience of child and adolescent psychiatry (CAP) trainees across different training settings and cultures worldwide to seek out similarities and differences.</p><p><strong>Methods: </strong>A convenience sample of CAP-trainees (n = 36) and -trainers (n = 54) was recruited internationally. All provided a narrative account on aspects of training in their region (n = 27 different countries), either first-person (trainees) or through external perception (trainers). Thematic analysis was used for inductive treatment of the data.</p><p><strong>Results: </strong>Trainees' and trainers' perspectives covered psychological security of the educational framework (including a comprehensive curriculum; social support and recognition of local context), specific skills to be acquired during training and the effects of the social-cultural dimension on mental health (training). Trainers' perspectives highlighted the importance of support and training for supervisors; an overall view to make sense of the training framework; and of looking at training through objective and subjective frameworks of thinking to understand and guide trainees' pathways.</p><p><strong>Conclusions: </strong>Experiences from international psychiatry trainees suggest themes that may guide further development of international standards in psychiatry specialist training on a tailored and consistent supervision framework for trainees. For their trainers, a learning community may offer ongoing support, supervision skill development and help reflect on overall views on systems of care.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"42"},"PeriodicalIF":3.4,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787925","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 factors in families with preterm infants during the Covid-19 pandemic: a cross-sectional study.","authors":"Alina Fendel, Tamara Fuschlberger, Anna Friedmann, Ina Nehring, Marcus Krüger, Volker Mall, Verena Kraus","doi":"10.1186/s13034-025-00890-9","DOIUrl":"10.1186/s13034-025-00890-9","url":null,"abstract":"<p><strong>Background: </strong>The Covid-19 pandemic restrictions severely impacted parents' and children's mental and physical health. Families with pre-existing stress factors may have been particularly affected. Parental stress following premature birth is well acknowledged. The addition of the pandemic restrictions to stressors related to premature birth may constitute an especially high-risk factor for family stress and thereby neuropsychological development. Accessibility to special preterm follow-up care programs is important for neuropsychological development and faced additional relevance in the face of pandemic related stressors. We studied the hypothesis that families with preterm born infants were particularly adversely affected by the pandemic-related restrictions in comparison to families with term born infants. Specific stress factors were explored as well as the accessibility of support programs.</p><p><strong>Methods: </strong>In this cross-sectional study, families were recruited in a neonatology unit with the highest level of care according to German regulations. A questionnaire on perceived pandemic stress factors including amongst others: social contacts, family support, intrafamilial conflicts, leisure activities, and family planning was completed by 101 parents of prematurely born infants while pandemic related restrictions were still in place. We distinguished preterm infants with low gestational age and birth weight from other preterm infants and term born infants. T-tests, Chi-Square tests, Kruskal-Wallis tests, and binary logistic regression analysis were applied to compare the subgroups.</p><p><strong>Results: </strong>The stress levels resulting from restricted social contacts, family conflicts and accessibility to family support services were significantly higher in families with term-born infants. The accessibility of targeted follow-up care programs for preterm infants was significantly lower for moderate and late preterm infants. The pandemic has had an influence on the decision of parents to have more children in both groups.</p><p><strong>Conclusion: </strong>Families with preterm infants were less stressed by the pandemic than those with term infants. Targeted follow-up care focused on high-risk groups and left moderate and late preterm infants without medical check-ups. This reflects the general focus in society on high-risk populations during the pandemic. The pandemic had an influence on family planning in both groups.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"41"},"PeriodicalIF":3.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787927","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":"Meta-analysis of behavioral treatments for selective mutism: findings from selective mutism questionnaire (SMQ) and school speech questionnaire (SSQ).","authors":"Daichi Iimura, Natsuki Tsujita, Mizuki Aoki, Hiromichi Hagihara","doi":"10.1186/s13034-025-00891-8","DOIUrl":"10.1186/s13034-025-00891-8","url":null,"abstract":"<p><strong>Background: </strong>This meta-analysis aims to assess the efficacy of behavioral therapy for selective mutism (SM) using the Selective Mutism Questionnaire (SMQ) and School Speech Questionnaire (SSQ).</p><p><strong>Methods: </strong>We analyzed 12 articles involving 472 participants and comprising three randomized controlled trials and nine before-after or multiple baseline study designs.</p><p><strong>Results: </strong>Our findings indicate a significant improvement in symptoms of SM, as indicated by the SMQ total, the SMQ subsections scores (school, home, and public), and the SSQ. The mean SMQ total score improved by 0.51 [95% confidence interval of 0.32-0.70] with a large effect size (Hedges' adjusted g = 1.00 [0.62-1.39]). This effect did not differ significantly based on the study design. Based on the treatment strategy, web-based treatment demonstrated less improvement (0.12 [- 0.11-0.36]) compared with face-to-face treatment (0.59 [0.39-0.80]).</p><p><strong>Conclusions: </strong>This meta-analysis revealed that SM treatment significantly improved their speaking behavior measured by the SMQ and SSQ, though potential subgroups that influence the treatment efficacy remain. SMQ has also shown validity and responsiveness as an outcome tool for behavioral therapy for SM. Further clinical practices with randomized controlled trials are recommended to clarify the potential differences of treatment or target populations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"40"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779209","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 increased risk of cyberbullying and its negative impact on mental health among sexual minority college students compared to their peers.","authors":"Man Luo, Zhizhou Duan, Wenqun Luo, Zhiping Niu","doi":"10.1186/s13034-025-00895-4","DOIUrl":"10.1186/s13034-025-00895-4","url":null,"abstract":"<p><strong>Backgrounds: </strong>This study explores the relationship between cyberbullying, mental health, and sexual minority groups, focusing on the specific impact of cyberbullying on these individuals' mental wellbeing. Previous research has indicated that sexual minorities face higher levels of cyberbullying on social media. Therefore, this study aims to gain deeper insights into the mental health consequences and potential mitigating factors for this vulnerable population.</p><p><strong>Methods: </strong>We employed a questionnaire survey method and convenience sampling to collect data. Participants' psychosocial traits were assessed using established scales measuring stress, anxiety, depression, cyberbullying, loneliness, and sleep quality. Data analysis included Propensity Score Matching (PSM) and causal mediation analysis.</p><p><strong>Results: </strong>Of the participants, 204 identified as belonging to sexual minority groups, constituting 7.1% of the overall sample. The correlation results indicated that individuals in the sexual minority group experienced higher levels of cyberbullying (r = 0.276, p < 0.001). Cyberbullying was found to partially mediate the relationship between sexual minority status and several mental health issues, including depressive symptoms (0.32, 95% CI 0.19-0.53; P < 0.001), anxiety symptoms (0.52, 95% CI 0.30-0.88; P < 0.001), and loneliness (0.40, 95% CI 0.23-0.69; P < 0.001). Additionally, cyberbullying fully mediated the relationship between sexual minority status and both stress and sleep quality.</p><p><strong>Conclusion: </strong>These findings highlight that cyberbullying serves as a significant mediator in the mental health challenges faced by sexual minorities.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"36"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771566","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 mediating role of depression and moderating role of self-consciousness in the relationship between parental negative control and adolescents' perceived school climate.","authors":"Jiajie He, He Xiao, Jian Mao, Peizhi Zhong, Junfeng Wei, Wenhao Gu, Yangang Nie","doi":"10.1186/s13034-025-00896-3","DOIUrl":"10.1186/s13034-025-00896-3","url":null,"abstract":"<p><strong>Background: </strong>A positive school climate benefits adolescents in multiple developmental dimensions. However, theoretical frameworks suggest that detrimental parenting practices can trigger adolescents' negative emotional states, which may skew their perceptions of school climate. Although self-consciousness, a critical intrapersonal trait, may mitigate these adverse effects, limited research has empirically explored its moderating role in the context where negative parenting influences adolescents' mental health and school-related outcomes. Thereby, this study investigates how parental negative control influences adolescents' perceived school climate via depression, with self-consciousness moderating the link between parental negative control and depression.</p><p><strong>Methods: </strong>A short-term longitudinal design was employed, with the data collected from a sample of Chinese adolescents (N_T1 = 733, N_T2=711). Self-reports were used to measure parental negative control, depressive symptoms, self-consciousness, and perceived school climate. Structural equation modeling was conducted to assess the mediating effect of depression and the moderating effect of self-consciousness.</p><p><strong>Results: </strong>The findings show that depression mediates the relationship between parental negative control and perceived school climate. Adolescents experiencing higher levels of negative control reported more depressive symptoms, which were associated with lower perceptions of school climate. Self-consciousness moderates the link between parental negative control and depression, with adolescents exhibiting higher self-consciousness showing less vulnerability to the adverse effects of negative control.</p><p><strong>Conclusions: </strong>This study reveals the detrimental impact of parental negative control and depression on adolescents' perceived school climate while highlighting the protective role of self-consciousness. Interventions can target families engaged in maladaptive parenting practices and adolescents with psychopathological symptoms, focusing on enhancing family dynamics and adolescents' self-processes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"37"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771569","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":"Depression in left-behind adolescents from single-parent families: a nomogram based on multidimensional risk factors.","authors":"Wang-Cheng Cen, Cheng-Han Li, Wen-Jing Yan, Yu-Qi Sun","doi":"10.1186/s13034-025-00894-5","DOIUrl":"10.1186/s13034-025-00894-5","url":null,"abstract":"<p><strong>Background: </strong>Depression is a significant issue affecting adolescents' mental health. While depression research is relatively extensive, studies focusing on left-behind adolescents from single-parent families remain limited. Due to their unique family structure, this group is more susceptible to multiple stressors, increasing their risk of depression.</p><p><strong>Objective: </strong>This study aims to construct a predictive model based on a nomogram to identify the multidimensional characteristics of depression risk among left-behind adolescents from single-parent families, providing theoretical and practical evidence for early screening and targeted mental health interventions.</p><p><strong>Methods: </strong>Cross-sectional data from the China Psychological Health Guardian Project (CPHG) were utilized to select samples of left-behind adolescents aged 12-20 years from single-parent families (N = 3731). Key variables were identified using Lasso regression, followed by the optimization of the model through binary logistic regression. A nomogram prediction model was then constructed based on significant variables.</p><p><strong>Results: </strong>The study identified gender, age, duration of parental separation, family satisfaction, parental education levels, substance dependence, weekday sleep duration, weekend mobile phone use duration, and chronic diseases as key predictors of depression risk. The nomogram model demonstrated good discriminatory and predictive accuracy, with AUC values of 0.771 and 0.759 in the training and validation sets, respectively.</p><p><strong>Conclusion: </strong>By integrating multidimensional variables, this study developed a predictive model for depression risk among left-behind adolescents from single-parent families, providing scientific evidence for the early identification and intervention of high-risk individuals.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"39"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771544","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":"Personal growth through navigating the world as an artist: a qualitative study of the impact of creativity camp on adolescents with depression.","authors":"Yuko Taniguchi, Olivia Costa, Athen Ortega, Shanze Hayee, Josie Friedman, Michaelle E DiMaggio-Potter, Jered Bright, Peng Wu, Angie P Mejia, Gail A Bernstein, Bryon A Mueller, Bonnie Klimes-Dougan, Wilma Koutstaal, Kathryn R Cullen","doi":"10.1186/s13034-025-00893-6","DOIUrl":"10.1186/s13034-025-00893-6","url":null,"abstract":"<p><strong>Background: </strong>A growing body of literature suggests that creative arts interventions can effectively support mental health and well-being in young people. We recently reported that after participating in \"Creativity Camp\"- a 2-week creative arts group intervention- 69 adolescents with depression showed significantly reduced depression symptoms and improved ratings of well-being. To understand the key processes impacting adolescents during and after this intervention, this study applies a multi-informant qualitative data approach.</p><p><strong>Method: </strong>Qualitative data collection methods included participatory observation notes taken during the Creativity Camp sessions and interviewing the adolescents and their parents or guardians at the end of the intervention and six months later. We analyzed data using Constructivist Grounded Theory and triangulated the findings from both sets of data to gain comprehensive and reliable interpretation.</p><p><strong>Results: </strong>We found several key processes in the adolescents' experiences during and after camp: internal negotiation between novelty and discomfort, exploring playfulness and responsibility, discovering the uniqueness of self and others, flexible approach toward life, and an expanded view of creativity. From parent interviews, we found that their children expanded personal boundaries and enthusiasm through deep engagement, empowered perspective, and sustained enthusiasm. Triangulating the data from both sources, we constructed a theory that explains the benefits of Creativity Camp on adolescent well-being: \"Personal growth by navigating the world as an artist.\"</p><p><strong>Discussion: </strong>The qualitative analysis identified key processes from the Creativity Camp intervention, along with changes and long-term impacts that may have fostered personal growth. The framework of navigating the world through an artist's lens as a pathway to personal growth presents a novel contribution to existing knowledge and practice in art-based interventions for adolescents with depression. This insight can help shape the design of future arts-in-health approaches for supporting adolescent mental health.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"38"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771563","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":"Gender specific influence of serotonin on core symptoms and neurodevelopment of autism spectrum disorders: A multicenter study in China.","authors":"Qiu-Hong Mou, Qian Zhang, Li Chen, Ying Dai, Hua Wei, Fei-Yong Jia, Yan Hao, Ling Li, Jie Zhang, Li-Jie Wu, Xiao-Yan Ke, Ming-Ji Yi, Qi Hong, Jin-Jin Chen, Shuan-Feng Fang, Yi-Chao Wang, Qi Wang, Jie Chen, Ting-Yu Li, Ting Yang","doi":"10.1186/s13034-025-00892-7","DOIUrl":"10.1186/s13034-025-00892-7","url":null,"abstract":"<p><strong>Background: </strong>High serotonin (5-hydroxytryptamine [5-HT]) blood levels are the most reliable and frequently replicated biomarker for autism spectrum disorders (ASDs). However, their differential influence on core ASD symptoms in males and females remains unclear. This study aimed to investigate the changes in 5-HT levels in children with ASD to assess and compare its influence on the core symptoms and neurodevelopment of boys and girls.</p><p><strong>Methods: </strong>Herein, 1,457 ASD children and 1,305 typically developing (TD) controls (age = 2-7 years) were enrolled from 13 cities across China. Social Responsiveness Scale (SRS) and Childhood Autism Rating Scale (CARS) were used to evaluate the ASD symptoms in children, and the revised Children Neuropsychological and Behavior Scale-Revision 2016 (CNBS-R2016) was used to evaluate their neurodevelopment. The 5-HT serum levels were measured by high-performance liquid chromatography-tandem mass spectrometry.</p><p><strong>Results: </strong>In boys with ASD, increased serum 5-HT levels correlated with high scores on SRS and CARS and with communication warning behavior of CNBS-R2016. Conversely, concomitant decline was observed in the scores on the general, language, gross motor, adaptive behavior, and personal-social quotients. Notably, no differences were found in girls with ASD.</p><p><strong>Conclusions: </strong>Children with ASD, especially boys, presented higher serum 5-HT levels compared with TD children. Additionally, increased 5-HT content is considerably positively associated with core ASD symptoms and negatively associated with neurodevelopment in boys with ASD. Overall, this study highlights the gender bias in patients with ASD regarding 5-HT serum levels, underscoring its influence on ASD prevalence in a sex-specific manner.</p><p><strong>Trial registration: </strong>This study has been approved by the Ethics Committee of the Children's Hospital of Chongqing Medical University (approval number: (2018) IRB (STUDY) NO.121). Additionally, this study is registered with the China Clinical Trial Registry (Registration Number: ChiCTR2000031194).</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"35"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742411","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":"Juvenile sanctions for young adult offenders in the Netherlands: an opportunity for rehabilitation?","authors":"Lise J C Prop, André M van der Laan, Marinus G C J Beerthuizen, Charlotte S Barendregt, Chijs van Nieuwenhuizen","doi":"10.1186/s13034-025-00888-3","DOIUrl":"https://doi.org/10.1186/s13034-025-00888-3","url":null,"abstract":"<p><strong>Background: </strong>To improve rehabilitation and reduce recidivism, adolescent criminal law provides tailor-made sanctioning in which the emphasis is on the offender's development. This results in the possibility that juvenile sanctions, in which education, treatment and rehabilitation are central, can be applied to young adult offenders. It is unknown, however, whether there is a relationship between the developmental focus of adolescent criminal law and the rehabilitation of young adult offenders. Therefore, the aim of this study was to examine whether juvenile sanctions are efficacious in rehabilitating young adult offenders.</p><p><strong>Methods: </strong>A quasi-experimental design was used with judicial observational data. From a total of young adults (n = 671) sentenced with juvenile sanctions and young adults (n = 7.221) sentenced with adult sanctions different subsamples were composed. The subsamples were based on distinct starting conditions: (1) young adults engaged in education or employment, (2) young adults without education, income or on unemployment benefits, (3) young adults living independently, and (4) young adults living with parents or institutionalized. Rehabilitation was operationalized as changes or stability in education/employment status and housing conditions two years after the sanction was imposed. Binary logistic regression analyses were used to assess the associations.</p><p><strong>Results: </strong>Young adults who were engaged in education or employment before their conviction were more likely to maintain this status after a juvenile sanction (OR = 1.43, p < 0.05) than after an adult sanction. Young adults who were not engaged in education or employment had a lower chance (OR = 0.677, p < 0.05) of improving their status after a juvenile sanction than after an adult sanction. No significant differences were found for housing conditions.</p><p><strong>Conclusions: </strong>By focusing on maintaining existing engagement in education and employment, juvenile sanctions align with the developmental needs of young adults and promote stability in their transition to mature societal roles. This study highlights the importance of reinforcing existing prosocial bonds and providing adequate support for those needing to establish new prosocial bonds.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"33"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742414","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":"Network analysis of loneliness, mental, and physical health in Czech adolescents.","authors":"Zdenek Meier, Jakub Helvich, Jana Furstova, Lukas Novak, Dana Purova, Radka Zidkova, Peter Tavel","doi":"10.1186/s13034-025-00884-7","DOIUrl":"https://doi.org/10.1186/s13034-025-00884-7","url":null,"abstract":"<p><strong>Background: </strong>The increasing urgency to address rising loneliness among adolescents has become a critical issue, underscoring the need for further studies on its association with mental and physical health. The objective was to examine the changes in loneliness and its relation to mental and physical health issues in three adolescent age groups.</p><p><strong>Methods: </strong>A total sample of 14,588 Czech pupils (50.7% boys, mean age 13.6 ± 1.7 years) in grades 5, 7 and 9 was used from a representative dataset of the Health Behaviour in School-aged Children (HBSC) study. The network analysis based on undirected graphical models was used as an exploratory technique to assess and test the structure of the data.</p><p><strong>Results: </strong>The association between loneliness and health decreased with age. There was a significant positive association between loneliness, feeling low, and irritability. No significant direct association between loneliness and physical health complaints was found.</p><p><strong>Conclusion: </strong>Further studies, preferably of longitudinal character, are needed to confirm the changes in associations between loneliness and mental and physical health outcomes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"34"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742418","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}