Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"The interlinked trajectories of interpersonal attachment and maladaptive behaviors among Chinese adolescents-a latent growth modeling approach.","authors":"He Xiao, Pei Chen, Huiyi Xiao, Peizhi Zhong, Jiajie He, Yangang Nie","doi":"10.1186/s13034-025-00943-z","DOIUrl":"https://doi.org/10.1186/s13034-025-00943-z","url":null,"abstract":"<p><strong>Background: </strong>In the recent years, global and regional adversities (e.g., strict COVID-19 restrictions, prolonged social isolation, rising academic stress, and increasing digital dependence) have placed youth at heightened risk for ongoing interpersonal, behavioral, and mental health challenges. Examining the relevant trends during this period could yield insight into the persistence of these difficulties and inform targeted intervention strategies. Guided by the theoretical models including developmental system theories and developmental cascade model, the present study focused on three forms of attachment (i.e., child-father attachment, child-mother attachment, and peer attachment) and four types of maladaptive behaviors (i.e., depression, social anxiety, problematic internet use, and academic procrastination) among Chinese adolescents. It aims to uncover their trajectories spanning 2021 to 2023 and the correlations between the trajectories.</p><p><strong>Methods: </strong>The research draws on data collected at three-time points (i.e., November 2021, May 2022, and May 2023), with a sample of 701 Chinese adolescents (Mage = 14.0 years, SD = 1.44, Range = 13-17 years; 52% girls). A latent growth modeling approach was employed. Specifically, latent growth curve modeling was conducted to estimate the trajectories of the seven key constructs, with Wald tests assessing differences in growth factors across constructs. Slope correlations between attachment and maladaptive behaviors were examined, and Fisher's z-transformation was applied to compare the strength of these slope-level associations.</p><p><strong>Results: </strong>(1) All three types of attachment showed declining trajectories, with their slopes positively correlated. (2) Child-father and child-mother attachment declined more steeply than peer attachment. (3) All four maladaptive behaviors demonstrated increasing trends, with their slopes positively correlated. (4) Problematic internet use increased more rapidly than depression and academic procrastination, and social anxiety rose faster than academic procrastination. (5) The slopes of all three types of attachment were negatively correlated with the slopes of all four types of maladaptive behaviors. Notably, child-father and child-mother attachment demonstrated stronger associations with maladjustment trajectories than peer attachment.</p><p><strong>Conclusions: </strong>In addition to providing longitudinal evidence that adolescents' interpersonal relationships and maladjustment have been worsening during a time of instability, the study highlights the pivotal role of parent-child relationships and the dynamic interplay between the trajectories of adolescents' social relationships and behavioral problems. Interventions may need to leverage these trajectory-related characteristics to better enhance adolescents' psychosocial functioning.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"81"},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144689043","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":"The effectiveness of Acceptance and Commitment Therapy on parental stress in parents of special children: a meta-analysis.","authors":"Ying Guo, Haoran He, Jiajun Lan","doi":"10.1186/s13034-025-00944-y","DOIUrl":"10.1186/s13034-025-00944-y","url":null,"abstract":"<p><strong>Purpose: </strong>Through a meta-analysis, this study evaluated the effectiveness of Acceptance and Commitment Therapy (ACT) in reducing stress among parents of children with special needs. This study aimed to quantify the intervention effect and identify moderating variables, such as cultural differences and intervention parameters, to provide evidence for clinical practice.</p><p><strong>Methods: </strong>Systematic searches were conducted across the ​​PsycINFO​​, PubMed, Web of Science, and Cochrane Library databases. The inclusion criteria were as follows: (1) peer-reviewed English publications; (2) randomized controlled trials; (3) the use of ACT as the core intervention; (4) study participants being parents of children with special needs; and (5) reporting standardized effect sizes for stress symptoms. A total of 10 studies (n = 700) met the inclusion criteria. A random effects model was employed for the meta-analysis, and subgroup analyses were performed based on geographic distribution, intervention duration, intervention parameters, and types of children's illnesses (neurodevelopmental disorders, chronic diseases, and critical conditions).</p><p><strong>Results: </strong>ACT significantly reduced stress symptoms among parents of special children, with a standardized mean difference (SMD =- 0.42, 95% CI- 0.72 to- 0.12, P = 0.0068). Subgroup analyses and meta-regression indicated a notable non-linear dose-response relationship concerning the intervention parameters. Key factors contributing to the heterogeneity of intervention outcomes included the frequency of the intervention, duration per session, overall intervention period, modalities employed, types of parental groups, and categories of children's illnesses.</p><p><strong>Conclusion: </strong>ACT demonstrated moderate efficacy in alleviating stress among parents of exceptional children. The most significant stress reduction was observed when interventions were conducted for a minimum of 120 min per session, at least twice weekly, and over a total duration exceeding 8 weeks, particularly when ACT was integrated with other interventions for parents of children suffering from chronic and critical illnesses. Additionally, the effectiveness of the intervention in mixed-gender parent groups was significantly greater than in groups where mothers constituted over 90% of participants (P < 0.05). Implementing high-intensity ACT courses for populations experiencing acute stress is recommended to facilitate the rapid alleviation of stress symptoms. Concurrently, mobile health-assisted, low-density, long-term interventions are suggested for individuals dealing with chronic stress. Future research should investigate the efficacy disparities in predominantly mother-led groups and strive to develop gender-adapted ACT protocols.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"80"},"PeriodicalIF":3.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682127","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":"Long-term stability of self-reported psychopathic traits in former at-risk adolescents in youth welfare and juvenile justice institutions.","authors":"H Hachtel, N Jenkel, K Schmeck, M Graf, J M Fegert, M Schmid, C Boonmann","doi":"10.1186/s13034-025-00938-w","DOIUrl":"10.1186/s13034-025-00938-w","url":null,"abstract":"<p><strong>Background: </strong>The paucity of research examining the long-term self-reported stability of psychopathic traits in adolescents in residential care (both child welfare and juvenile justice system-placed juveniles) and potential influencing factors is a matter of concern. Since psychopathic traits tend to be associated with an earlier onset of delinquent behavior, higher levels of delinquent behavior, and higher rates of recidivism, it is important to study this phenomenon in more detail. The present study aims to examine the long-term stability of psychopathic traits, including its underlying dimensions, in young adults with a history of residential care.</p><p><strong>Method: </strong>A 10-year follow-up study was conducted, in which a subset of participants who had previously consented to be re-contacted (n = 511) were re-contacted (data collection between 2018 and 2020). A total of n = 203 subjects (average age at follow-up of 25.7, SD = 1.8) completed the questionnaires online, including the Youth Psychopathic Traits Inventory (YPI) (mean time interval between baseline and follow-up; 121 months, SD = 11.7).</p><p><strong>Results: </strong>At the group level, a significant decrease in psychopathic traits was observed, encompassing the underlying dimensions (i.e., Grandiose-Manipulative [GM], Callous-Unemotional [CU], and Impulsive-Irresponsible [II]).The Reliable Change Index revealed that approximately one-third of adolescents demonstrated a substantial decrease in psychopathic trait symptoms, as well as in GM, CU, and II symptoms. The strongest predictor of psychopathic traits in young adulthood was found to be psychopathic traits at baseline (approximately 10 years earlier).</p><p><strong>Discussion: </strong>The results of this study suggest a lower long-term stability of self-reported psychopathic traits over a time period of 10 years than was previously assumed in institutionalised youths over a shorter period of time. Research is needed to control for the influence of different aspects of caregiving on outcomes regarding psychopathic traits in order to better interpret these results.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"79"},"PeriodicalIF":3.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648709","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":"BRAVA: A randomized controlled trial of a brief group intervention for youth with suicidal ideation and their caregivers.","authors":"Allison Kennedy, Clare Gray, Nicole Sheridan, Leigh Dunn, Jayme Stewart, Stéphanie Drouin, Hannah Elliott, Ademola Adeponle, Nicholas Barrowman, Ewa Sucha, Mario Cappelli, Mark L Norris, Mona Jabbour, Paula Cloutier","doi":"10.1186/s13034-025-00941-1","DOIUrl":"10.1186/s13034-025-00941-1","url":null,"abstract":"<p><strong>Objectives: </strong>Suicide is the second leading cause of mortality among Canadian youth. As wait times for mental health (MH) support have increased, adolescents with mild-to-moderate suicidal ideation (SI) are waiting longer for support compared to those with more acute SI. Building Resilience and Attachment in Vulnerable Adolescents (BRAVA) is a 6-week virtual group intervention designed to provide support to adolescents with mild to moderate SI and their caregivers. We conducted a randomized controlled trial to assess the efficacy of BRAVA in reducing symptoms of SI, depression, and anxiety in adolescents, and improving life stress in caregivers.</p><p><strong>Design/methods: </strong>Outcome measures were administered to both groups [BRAVA, Enhanced Treatment-as-Usual (ETU)] at intake and exit, and at 3-month follow-up (BRAVA only) for SI (primary outcome), anxiety and depression (adolescent), perceived stress (youth and caregiver), attachment and family functioning (caregiver). SI was measured using Suicidal Ideation Questionnaire Junior. Intention to treat (ITT) analysis was performed for youth and caregiver cohorts.</p><p><strong>Results: </strong>Ninety-nine eligible youth presenting with mild-to-moderate SI and their caregivers were recruited from hospital and community MH services. Families were randomized to BRAVA (n = 50) or ETU (n = 49). Adolescents were on average 14.6 years old, mostly female (64%), and of European racial heritage (44%). In ITT analysis, both BRAVA and ETU groups improved in youth SI from intake to exit, with no statistically significant differences between groups at exit. Sensitivity analysis without multiple imputations demonstrated a significant difference in SI scores at exit between the groups, where improvements in the BRAVA group were maintained at 3-month follow-up. Significant differences between groups on youth perceived stress, and depression and anxiety scores were also observed in BRAVA participants at post-treatment compared to the ETU control group. No statistically significant differences were observed for any caregiver outcomes measured except a trend for improved perceived caregiver stress in the BRAVA group post-treatment.</p><p><strong>Conclusions: </strong>BRAVA was associated with significantly greater improvements in anxiety/depression and adolescent perceived stress compared to ETU. Although the intervention did not result in significant caregiver reported improvements, group cohesion and treatment satisfaction were high for both youth and caregivers.</p><p><strong>Clinical trial registration: </strong>BRAVA: Building Resilience and Attachment in Vulnerable Adolescents (BRAVA); https://clinicaltrials.gov/ : NCT04751968.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"78"},"PeriodicalIF":3.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648708","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":"Professional quality of life of child welfare workers and psychotherapists working with traumatized young unaccompanied refugees in Germany: a cross-sectional study.","authors":"Pia Maria Schwegler, Barbara Kasparik, Jonathan Thielemann, Rebekka Eilers, Elisa Pfeiffer, Cedric Sachser, Rita Rosner","doi":"10.1186/s13034-025-00942-0","DOIUrl":"10.1186/s13034-025-00942-0","url":null,"abstract":"<p><strong>Background: </strong>Burnout symptoms and secondary traumatic stress are especially high among Child Welfare Workers (CWWs) and psychotherapists and might have increased since the recent increase in refugee numbers. Little is known about the wellbeing of CWW and psychotherapists working with unaccompanied young refugees (UYR), especially in German child and youth welfare facilities where they work closely together. This study aims to assess levels of compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) in German CWWs and psychotherapists, examining connections to demographic variables and group differences.</p><p><strong>Methods: </strong>N = 198 CWW and N = 97 psychotherapists were assessed via the Professional Quality of Life Scale (ProQOL). Descriptive statistics, t-test for independent samples, correlations between the ProQOL scales and hierarchical regression analyses with demographic variables as predictors were computed.</p><p><strong>Results: </strong>Both samples showed average to high levels of CS, and low to average levels of BO and STS. CWWs scored significantly higher than psychotherapists on BO and STS. In CWW, demographic variables were not associated with CS, BO or STS. Among psychotherapists, previous experiences in working with UYR (β = 0.38; p <.001) were positively associated with CS. Factors such as weekly therapy sessions (β = - 0.35, p =.001) and the psychotherapist's migration background (β = - 0.20, p =.048) were negatively associated with STS. The number of PTSD cases treated (β = 0.27, p =.018) and additional training (β = 0.31, p =.006) were positively associated with STS.</p><p><strong>Conclusion: </strong>Among psychotherapists, prior experience in working with UYRs may contribute to elevated levels of CS, whereas a higher number of previously treated PTSD cases appears to be associated with increased STS. Further research on the influence of sociodemographic variables is needed for CWWs to identify protective and risk factors. Supporting and training CWWs and psychotherapists is crucial for quality treatment of traumatized UYRs.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"77"},"PeriodicalIF":3.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641919","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":"Social and individual factors associated with eating disorders risk among adolescents in secondary schools of Sicily (south-Italy).","authors":"Silvia Ruggieri, Rosalba Contentezza, Melania Casella, Achille Cernigliaro, Ilaria Cosentini, Gaspare Drago, Gianluca Lo Coco, Maria Rita Semola, Salvatore Gullo","doi":"10.1186/s13034-025-00940-2","DOIUrl":"10.1186/s13034-025-00940-2","url":null,"abstract":"<p><p>Eating disorders (EDs) are complex medical conditions that primarily affect adolescents. In Italy, EDs are becoming a serious health concern, but the lack of up-to-date epidemiological data makes it difficult to assess their real impact across the country. Early identification of risk factors is crucial for timely intervention. A multicenter cross-sectional survey was conducted among 1,740 students aged 14-16 years in Sicily. Data on socio-demographic factors, EDs behaviors, social media usage, body appreciation, and bullying were collected through an electronic questionnaire. Regression models were used to test the role of gender and interaction effects with key risk factors. Based on Eating Disorder Examination-Questionnaire (EDE-Q) scores, 72.8% of participants were classified as \"not at risk\", 17.9% as \"at risk\" and 9.3% as \"at higher risk\" of developing EDs using gender-related cut-offs. Girls were overrepresented in the at-risk and higher-risk groups (p < 0.01). Analysis revealed that lower Body Appreciation Scale (BAS) scores, higher BMI, and body comparison on social media predicted higher EDE-Q scores (p < 0.01). Gender interacted with several risk factors, including body appreciation (ß = 0.30. p < 0.01), alcohol use (ß = - 0.14, p < 0.01), and the perceived impact of the COVID-19 pandemic (ß = - 0.06, p < 0.05), with females showing stronger associations. This study highlights the increasing concern about EDs among Italian adolescents and emphasizes the need for targeted screening and early intervention. Understanding the interplay between gender, body image, and social behaviors is key to preventing EDs mitigating their long-term consequences.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"75"},"PeriodicalIF":3.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636322","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":"Transdiagnostic body dissatisfaction: comparing adolescents with anorexia nervosa and depression during body exposure.","authors":"Valeska Stonawski, Lena Sasse, Laura Derks, Gunther H Moll, Oliver Kratz, Tanja Legenbauer, Stefanie Horndasch","doi":"10.1186/s13034-025-00939-9","DOIUrl":"10.1186/s13034-025-00939-9","url":null,"abstract":"<p><strong>Background: </strong>Body dissatisfaction (BD) is a risk factor for and a maintaining factor of Anorexia nervosa (AN). Furthermore, BD is associated with depressive symptoms. Body exposure (BE) was found to be an effective intervention for reducing BD. The current study aimed to investigate similarities and differences in BD between patients with AN and depressive symptoms and the efficacy of a computerized BE in those adolescents.</p><p><strong>Methods: </strong>We compared adolescents with AN (n = 36) to adolescents with depression and high body dissatisfaction (n = 21; DBD group). BD was assessed with questionnaires; valence ratings were obtained for different body parts. Emotion ratings and gaze patterns towards the own body were assessed during each session via rating scales and eye-tracking.</p><p><strong>Results: </strong>Satisfaction with several body parts increased and anxiety and disgust decreased throughout the intervention in both groups, with no significant differences between them. An attentional bias towards the three most unattractive body parts was found, expressed via longer viewing times; however, it was not modified by the BE intervention.</p><p><strong>Conclusions: </strong>The similarities between adolescents with AN and highly body dissatisfied ones with depression in terms of BD, emotional reactions to and gaze patterns on one's own body suggest a transdiagnostic phenomenon of BD. The results suggest that a computer-based BE is an effective intervention for reducing BD.</p><p><strong>Trial registration: </strong>The study was pre-registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien; DRKS), ID number DRKS00024675.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"76"},"PeriodicalIF":3.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636323","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":"ADHD, social skills and risky internet use among elementary school children.","authors":"Songül Derin, Serra Celik, Saliha B Selman","doi":"10.1186/s13034-025-00926-0","DOIUrl":"10.1186/s13034-025-00926-0","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have established a link between Attention-Deficit/Hyperactivity Disorder (ADHD) and risky internet use (RIU); however, the processes underlying this association remain unclear. This study examines whether a proportion of the association between ADHD and RIU was shared with social skills.</p><p><strong>Methods: </strong>The sample included 142 children aged 6-12 years (65% female, M = 8.5, SD = 1.7), comprising 71 children diagnosed with ADHD and 71 controls without ADHD. Standardized assessments were administered to measure RIU and social skills. Path analysis was employed to evaluate the association among ADHD, social skills, and RIU. Key demographic variables, including gender, birth timing, age of speech onset, household income, parental education, and number of siblings, were controlled for in the analyses.</p><p><strong>Results: </strong>An ADHD diagnosis was significantly associated with reduced social skills (β = - 1.68, p < 0.001), and reduced social skills was strongly linked to higher levels of RIU (β = - 0.57, p = 0.004). The direct association between ADHD and RIU was not statistically significant (β = - 0.52, p = 0.169). However, a significant indirect effect was observed, indicating that ADHD-RIU link was shared with reduced social skills (β = 0.96, p = 0.004).</p><p><strong>Conclusions: </strong>The findings indicate that a significant proportion of the association between ADHD and RIU was shared with social skills, emphasizing the importance of social skills as a potential factor for RIU risk in children with ADHD. Interventions that focus on enhancing social skills may support efforts to address RIU in this population.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"74"},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607623","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":"Fatigue as a central bridge: temporal dynamics between problematic smartphone use and depressive symptoms in Chinese adolescents.","authors":"An'an Hu, Yan Zhang, Jiaxing Sun, Xiubin Wang, Misaki N Natsuaki, Nengzhi Jiang","doi":"10.1186/s13034-025-00937-x","DOIUrl":"10.1186/s13034-025-00937-x","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of problematic smartphone use (PSU) has been increasing among adolescents in recent years, often co-occurring with depressive symptoms, which poses additional challenges to adolescent mental health. Despite growing concern, the mechanisms underlying the co-occurrence of PSU and depression remain poorly understood. To address this gap, the current study employed cross-lagged panel network analysis to investigate the temporal relationships between specific symptoms of PSU and depressive symptoms over time.</p><p><strong>Methods: </strong>Data were collected at three time points (T1, T2, and T3), with six-month intervals between each wave. Participants self-reported their levels of depressive symptoms and PSU. A total of 558 participants (52.5% male; mean age at T1 = 13.83, SD = 0.78) were included in the final analysis. Two cross-lagged panel networks were constructed to examine the bidirectional relationships between depressive symptoms and PSU from T1 to T2 and from T2 to T3.</p><p><strong>Results: </strong>In the T1-T2 network, Withdrawal from PSU and Fatigue from depressive symptoms not only emerged as the most influential symptoms but also acted as bridge symptoms linking the co-occurrence of these two mental health issues. In the T2-T3 network, the structure of network became denser, with the most influential symptoms primarily stemming from depressive symptoms, such as Sleep Disturbance and Feeling of Failure. Negative Life Consequences from PSU and Fatigue from depressive symptoms served as key bridge symptoms.</p><p><strong>Conclusions: </strong>The findings provide valuable insights into the temporal dynamics underlying the co-occurrence of PSU and depressive symptoms during adolescence, with Fatigue appearing to play a significant role in linking these two mental health issues over time. Future studies should account for individual differences in how symptoms evolve over time and explore how these symptoms develop and persist at the individual level.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"73"},"PeriodicalIF":3.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567146","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":"Exploring client perspectives: a qualitative study on how families experience (blended) forensic outpatient systemic therapy for juvenile antisocial behavior.","authors":"S Marjolein van Cappellen, Hanneke E Creemers, Larissa Hoogsteder, Jessica J Asscher","doi":"10.1186/s13034-025-00935-z","DOIUrl":"10.1186/s13034-025-00935-z","url":null,"abstract":"<p><strong>Background: </strong>Interventions aimed at juveniles exhibiting challenging antisocial behavior often face motivation issues, high drop-out rates, and difficulties in achieving substantial and long-lasting effects. Gaining insight into how families experience these interventions may be a crucial step in obtaining more understanding of what does and does not work for clients in forensic youth care. The current study investigated the experiences of juveniles and caregivers with Forensic Outpatient Systemic Therapy (FAST), an intensive intervention aiming to reduce juvenile antisocial behavior. The study examined how juveniles and caregivers evaluated FAST in terms of the process of setting treatment goals, helpful components, points of improvement, their therapist, and a blended version of FAST (FASTb) that is partially offered online.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted after treatment termination with 24 participants from 16 families (9 juveniles, 15 caregivers) who participated in a randomized controlled trial or quasi-experimental study on the effectiveness of FAST. A purposive sampling method was used to yield a diverse sample and varied experiences. Thematic analysis was performed in three phases.</p><p><strong>Results: </strong>Treatment goals were generally set collaboratively and agreement was often achieved, but juveniles were not always involved in setting the treatment goals or in treatment in general. Evaluations of FAST's success were varied but generally positive. Most helpful treatment components were conversations with the therapist and, to caregivers, program specific components. Although most participants evaluated their therapist positively, some reported the need for more responsivity. FASTb increased treatment accessibility for some caregivers, but most participants preferred face-to-face appointments.</p><p><strong>Conclusions: </strong>This study provides insight into how FAST is perceived and factors influencing engagement, yielding several clinical implications for systemic treatment in forensic youth care. First, building a strong therapeutic alliance is important. Juveniles benefit from a kind, activity-based approach, whereas caregivers value therapist empathy. Given the severity of antisocial behavior in FAST's target group, initial safety interventions may be necessary before being able to invest in the therapeutic alliance. Second, therapists should persist in engaging juveniles, for instance, by incorporating (physical) activities. Third, blended care may improve accessibility. Therefore, it is important to discuss its potential with families throughout treatment.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"71"},"PeriodicalIF":3.4,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559349","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}