Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"A school-setting pilot study of the e-learning version of the \"Journey of the Brave\": a universal anxiety-prevention program based on cognitive behavioral therapy.","authors":"Shoichi Ohashi, Yuko Urao, Kazumasa Fujiwara, Takako Koshiba, Shin-Ichi Ishikawa, Eiji Shimizu","doi":"10.1186/s13034-025-00956-8","DOIUrl":"10.1186/s13034-025-00956-8","url":null,"abstract":"<p><strong>Background: </strong>School-based cognitive behavioral therapy (CBT) programs delivered by teachers are effective in preventing anxiety among children. Internet-based CBT has emerged as an efficient method for delivering such interventions. Our previous research demonstrated the feasibility of the e-learning version of Journey of the Brave in reducing anxiety among Japanese elementary school students in a home-based learning environment. This study aimed to evaluate the feasibility and acceptability of the e-learning version in school settings and to identify any practical implementation issues.</p><p><strong>Methods: </strong>We conducted a single-arm study with 204 elementary school students aged 10-12 years. Participants completed the e-learning program during regular classroom hours. Of these, 180 students who completed more than 80% of the program and agreed to participate in the study were included in the analysis. We evaluated changes in anxiety symptoms using the Spence Children's Anxiety Scale (SCAS), alongside learning logs and a post-program satisfaction questionnaire.</p><p><strong>Results: </strong>The estimated mean SCAS score, analyzed using a generalized linear mixed model, showed a significant decrease of 2.6 points from pre-intervention to follow-up (p = .04, 95% CI [-5.08, -0.09]). Subgroup analysis revealed a 6.4-point reduction in boys compared to a 0.5-point decrease in girls. In School A, the SCAS score slightly increased by 0.4 points, while in School B, it decreased by 3.1 points. Significant interaction effects were observed between time and gender (p = .03) and between time and school (p = .04). The mean comprehension test score (true/false) was 13.2 out of 16 (SD = 2.2).</p><p><strong>Conclusion: </strong>The Journey of the Brave e-learning version was feasible and well-accepted in school settings. Student self-reports suggested that they may have applied the CBT knowledge and skills in their daily lives. Future studies should explore the contextual factors influencing program effectiveness and determine optimal conditions for its implementation.</p><p><strong>Trial registration: </strong> UMIN, UMIN000057115, Registered February 21, 2025.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"96"},"PeriodicalIF":4.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944803","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":"Longitudinal association between parent-child relationship and depression among Chinese adolescents: the role of psychological resilience and school climate.","authors":"Zhi-Ying Zeng, Wan-Yu Ye, Yu-Zhe He, Wen-Hao Gu, Sheng-Nan Li, Yan-Gang Nie","doi":"10.1186/s13034-025-00952-y","DOIUrl":"10.1186/s13034-025-00952-y","url":null,"abstract":"<p><strong>Background: </strong>The relationship between the parent-child relationship and adolescent depression is much discussed, but still not fully understood. Based on ecological systems theory, this study examined the potential mediating role of psychological resilience and the moderating role of school climate between the association of parent-child relationship and adolescent depression.</p><p><strong>Methods: </strong>This study employed a three-wave longitudinal design with six months between each time point, involving 549 elementary and middle school students in southeastern China (50.82% males; mean age at Time 1 = 11.43). Measurements included the parent-child relationship (T1), psychological resilience (T2), school climate (T3), depression (T1 and T3), and demographic information.</p><p><strong>Results: </strong>The moderated mediation model demonstrated that after controlling for baseline adolescent depression (T1), the parent-child relationship (T1) was longitudinally and negatively associated with adolescent depression (T3) through the mediating effect of psychological resilience (T2). Additionally, the analysis revealed that a positive school climate moderated this mediation by mitigating the adverse impact of low psychological resilience on adolescent depression, thus reducing the indirect effect of the parent-child relationship on adolescent depression.</p><p><strong>Conclusions: </strong>Our findings offer a nuanced understanding of the underlying mechanisms linking parent-child relationship to adolescent depression among Chinese adolescents. Theoretical contributions and practical applications of these findings are further elaborated.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"97"},"PeriodicalIF":4.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944841","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":"When smartphones take over: a mixed methods study of phubbing in child and adolescent psychiatry.","authors":"Ahmet Büber, Brian Lu, Bürge Kabukçu Başay, Andrés Martin","doi":"10.1186/s13034-025-00950-0","DOIUrl":"10.1186/s13034-025-00950-0","url":null,"abstract":"<p><strong>Introduction: </strong>The recent term phubbing is the amalgamation of the words phone and snubbing, and refers to those phone-related behaviors through which we ignore, dismiss, or otherwise eschew social interactions. Little is known about phubbing among child and adolescent psychiatrists (CAPs), a group often called upon to provide direction on how to guide children in their rapidly evolving cybernetic contexts.</p><p><strong>Methods: </strong>We conducted a mixed methods study of trainees in CAP (n = 73; 68% women), recruited in the US (6 training programs; n = 35) and Türkiye (5 programs; n = 38). For the quantitative component, we administered two standardized tests: the Generic Scale of Phubbing (GSP), and the Generic Scale of Being Phubbed (GSBP). For the qualitative component, we conducted site-specific focus groups. After transcription, translation, and anonymization of the digitally recorded sessions, we analyzed the data using thematic analysis informed by interpretative phenomenology.</p><p><strong>Results: </strong>Younger participants scored higher on the GSP (r = -0.43, < 0.001), but ratings did not differ between countries (F = 0.65, df = 1, 70, p = 0.42). GSBP scores did not differ across age or country (p > 0.05). Through thematic analysis we arrived at a four-domain model: (1) Perceptions: regarding the role of smartphone use in modern society and their social implications); (2) Explanations: respondents' conceptualization of antecedents to phubbing behaviors; (3) Consequences: specific outcomes, such as normalization or split attention; and (4) Recommendations: strategies to address phubbing and problematic phone use.</p><p><strong>Conclusions: </strong>Phubbing is a ubiquitous behavior that can have social and emotional consequences. Through a more nuanced understanding of their own phubbing practices, CAPs can modify maladaptive behaviors of their own, have a more empathetic understanding of phubbing by youths under their care, and provide more realistic guidance regarding smartphone use to patients and their families.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"95"},"PeriodicalIF":4.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144944440","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":"NSSI contagion in adolescent friendships: exploring the impact of peer influence.","authors":"Chunxi Ke, Zhiruo Zhou, Zhixuan Ren, Xiaoshu Li, Hairuo He, Yafei Chen, Mengjun Liu, Yunheng Yao, Yumeng Ju, Yan Zhang","doi":"10.1186/s13034-025-00946-w","DOIUrl":"10.1186/s13034-025-00946-w","url":null,"abstract":"<p><strong>Objective: </strong>Although empirical evidence of NSSI contagion within adolescent friendships has been documented, the specific mechanisms remain poorly understood. The current study employed a longitudinal design to investigate the influence of NSSI in adolescents' peer groups on their own NSSI behaviors. Additionally, the study examined the mediating role of self-esteem and the specific conditions under which NSSI contagion occurs.</p><p><strong>Method: </strong>The study involved 326 adolescents (mean age = 13.5, 59.2% female) nested within 163 friendship dyads. NSSI behavior, self-esteem, self-compassion, alexithymia, and personal distress were assessed at baseline (T1), and NSSI behavior was assessed again after three months (T2). A cross-lagged Actor-Partner Interdependence Model (APIM) was used to estimate the NSSI contagion model. In this model, self-esteem served as a mediator in the contagion of NSSI behaviors, while alexithymia, self-compassion, and personal distress acted as moderating factors of this mediating effect.</p><p><strong>Results: </strong>This study revealed that friends' NSSI status at baseline significantly predicted adolescents' own NSSI status after three months. Self-esteem was found to mediate the NSSI contagion effect exclusively in situations where adolescents exhibited high alexithymia, low self-compassion, and high personal distress.</p><p><strong>Conclusions: </strong>This research highlights the role of adolescent friendships in NSSI contagion and elucidates the potential mediating role of self-esteem in this contagion. These findings may provide substantial implications for the prevention of the NSSI contagion among adolescents.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"94"},"PeriodicalIF":4.6,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871710","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":"Disruptive behavior and emotional problems in children screened in routine health care: prevalence and effectiveness of indicated prevention.","authors":"Cornelia Beate Siegmund, Julia Zink, Patricia Theresa Porst, Max Weniger, Susanne Knappe, Maria McDonald, Veit Roessner, Katja Beesdo-Baum","doi":"10.1186/s13034-025-00949-7","DOIUrl":"10.1186/s13034-025-00949-7","url":null,"abstract":"<p><strong>Background: </strong>Disruptive behavior and emotional problems are common in children and often reduce quality of life. This study aimed to screen for these problems and to examine the effectiveness of child-based indicated prevention.</p><p><strong>Methods: </strong>N = 3231 children`s disruptive behavior and emotional problems were screened using the Strengths and Difficulties Questionnaire (SDQ) during routine pediatric health check-ups for usually 5- to 10-year old's. We examined the prevalences of disruptive behavior and emotional problems (n = 2825) and its association with quality of life (KINDL; n = 1104). If indicated, children were recommended to participate in the prevention program \"Baghira training\" (nine 90 min group sessions and one parents' evening) or \"Tiger training\" (two one-on-one and nine group sessions of 60 min each). To evaluate the training effectiveness of the two indicated prevention programs, SDQ and KINDL scores were followed-up for 6 and 12 months post screening and compared between the Training group (SDQ n = 337; KINDL n = 334; additionally divided into Baghira and Tiger), children not participating despite indication (NoTraining; SDQ n = 595; KINDL n = 146; additionally divided into NoBaghira and NoTiger), healthy children (SDQ n = 1928; KINDL n = 907), and children with clinical symptom levels (SDQ n = 85; KINDL n = 54) using mixed effect models.</p><p><strong>Results: </strong>37.0% of the children exhibited disruptive behavior or emotional problems, which were associated with impaired quality of life. The Training group perceived greater symptom reduction in emotional problems than NoTraining, and quality of life increases compared to decreases in NoTraining. The Tiger group showed improvement in symptomatology and quality of life compared to deterioration in NoTiger. The Baghira group also improved, though improvement was similar to NoBaghira apart from symptom reduction in emotional problems in Baghira compared to a symptom increase in NoBaghira. Effects sizes were predominantly small to medium.</p><p><strong>Conclusions: </strong>Disruptive behavior and emotional problems in children are frequent and impair quality of life. Indicated prevention may improve symptomatology and quality of life. Specifically, the Tiger training is verifiably effective; for the Baghira training, effectiveness is implicated but needs further empirical evaluations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"93"},"PeriodicalIF":4.6,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854735","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":"Balancing the benefits and risks of social media on adolescent mental health in a post-pandemic world.","authors":"Augustus Osborne","doi":"10.1186/s13034-025-00951-z","DOIUrl":"10.1186/s13034-025-00951-z","url":null,"abstract":"<p><p>The COVID-19 pandemic intensified adolescents reliance on social media for connection, education, and entertainment, presenting both opportunities and risks for mental health. This viewpoint explores the dual nature of social media as a lifeline offering peer support and access to resources, especially for marginalized teens and a stressor, linked to anxiety, depression, and cyberbullying. Drawing on global evidence, including WHO and UNICEF data, it shows disparities in impact across socioeconomic, cultural, and gender contexts, with low-resource settings facing unique challenges like digital poverty amidst persistent post-pandemic effects. A multi-stakeholder framework is proposed to balance these dynamics, emphasizing parental and educator empowerment through digital literacy, tech industry accountability via adolescent-specific safeguards, clinical integration of social media screening in healthcare, and robust policy regulation for online safety. The urgency of action is underscored, with specific calls to governments, tech companies, clinicians, and researchers to collaborate on protecting adolescent well-being. This viewpoint argues that transforming social media into a safe space for mental health is a moral imperative, essential to prevent a generational crisis and ensure equity in the digital age.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"92"},"PeriodicalIF":4.6,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844723","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":"Childhood trauma and disordered eating behaviors in youth: examining individual types, cumulative numbers, and latent patterns.","authors":"Yan'e Lu, Wenwen Xu, Suying Wu, Liangliang Ping, Qingyan Wu, Yuyun Huang, Li Zhang, Farong Liu, Jia Jia Liu, Jianyu Que","doi":"10.1186/s13034-025-00928-y","DOIUrl":"10.1186/s13034-025-00928-y","url":null,"abstract":"<p><strong>Background: </strong>Although traumatic experiences in childhood have been recognized as contributors to disordered eating behaviors, critical gaps remain in our understanding. There is limited evidence on the individual, cumulative, and distinct patterns of childhood trauma associated with risky restrictive eating and binge/purging behaviors.</p><p><strong>Methods: </strong>Individuals aged 12-25 years from Xiamen, Fujian Province, China, completed online questionnaires assessing childhood trauma, risky restrictive eating and binge/purging behaviors. Childhood trauma was examined through three analytical approaches: individual types, cumulative trauma scores, and latent class analysis. Logistic regression models were used to investigate the associations between childhood trauma and disordered eating behaviors.</p><p><strong>Results: </strong>Among the 3424 participants, 7.3% (n = 251) reported disordered eating behaviors occurring two or more times per month over the past year. After adjusting for covariates, our analyses showed that emotional abuse independently associated with increased odds of both risky restrictive eating (OR: 2.11, 95% CI 1.28-3.47) and binge/purging behaviors (OR: 2.20, 95% CI 1.34-3.62). Physical abuse was associated only with increased odds of binge/purging behavior (OR: 2.09, 95% CI 1.20-3.64). Traumatic experiences showed a cumulative effect on disordered eating, significant at two or more incidents. Three trauma patterns were identified: 'low trauma,' 'low neglect,' and 'high trauma.' Youth with the 'high trauma' pattern exhibited the highest odds of both risky restrictive eating (OR: 2.88, 95% CI 1.65-5.02) and binge/purging behaviors (OR: 3.21, 95% CI 1.85-5.54), whereas those in the 'high neglect' pattern showed increased odds only for binge/purging behavior (OR: 1.52, 95% CI 1.01-2.29).</p><p><strong>Conclusions: </strong>Our findings highlight the need to consider the types, numbers, and patterns of childhood trauma when developing prevention and treatment strategies for disordered eating behaviors.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"91"},"PeriodicalIF":4.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764637","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":"Beyond survey design: Lessons from conducting the National Adolescent Mental Health Surveys.","authors":"Holly E Erskine, Yohannes Dibaba Wado, Vu Manh Loi, Dao Thi Khanh Hoa, Amirah Ellyza Wahdi, Mengmeng Li, James G Scott","doi":"10.1186/s13034-025-00925-1","DOIUrl":"10.1186/s13034-025-00925-1","url":null,"abstract":"<p><strong>Background: </strong>The National Adolescent Mental Health Surveys (NAMHS) were the result of a six-year collaboration between five organisations from five countries. Nationally representative household surveys of adolescents aged 10-17 years and their primary caregiver were conducted in 2021 in Kenya, Indonesia, and Vietnam.</p><p><strong>Compromise and communication: </strong>Despite challenges, including the global COVID-19 pandemic, NAMHS was able to produce high-quality data which are featured in this Supplement. The operationalisation of compromise and communication were key factors in navigating the complexity of conducting three parallel surveys while also incorporating the knowledge and expertise of the teams from all five organisations. Compromise was an ongoing feature of NAMHS, including in relation to the choice of measures as well as their administration. Effective communication was realised through a comprehensive system that was implemented from the inception of NAMHS, ensuring meaningful and effective communication between the five teams for the benefit of all three surveys. The approach to compromise and communication was a considerable factor in the ability of NAMHS to not only weather the COVID-19 pandemic but also improve the project during the subsequent delays to data collection.</p><p><strong>Conclusion: </strong>While factors such as compromise and communication are generally central to successful research collaborations, they are rarely mentioned in survey methodology. Future collaborations undertaking complex cross-national research would greatly benefit from taking a proactive and planned approach to communication and compromise.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 Suppl 1","pages":"88"},"PeriodicalIF":4.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752541","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":"Mental health among sexually and gender diverse adolescents in Indonesia and Vietnam: Results from the National Adolescent Mental Health Surveys.","authors":"Shoshanna L Fine, Astha Ramaiya, Mengmeng Li, Amirah Ellyza Wahdi, Siswanto Agus Wilopo, Vu Manh Loi, Nguyen Duc Vinh, Yohannes Dibaba Wado, Joemer C Maravilla, James G Scott, Holly E Erskine, Robert Wm Blum","doi":"10.1186/s13034-025-00921-5","DOIUrl":"10.1186/s13034-025-00921-5","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 Suppl 1","pages":"82"},"PeriodicalIF":4.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752544","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 between adverse childhood experiences and mental disorders among adolescents in Kenya, Indonesia, and Vietnam: Evidence from the National Adolescent Mental Health Surveys.","authors":"Yohannes Dibaba Wado, Anne Njeri, Sally Atieno Odunga, Isaiah Akuku, Amirah Ellyza Wahdi, Shoshanna L Fine, Astha Ramaiya, Mengmeng Li, Vu Manh Loi, Joemer C Maravilla, James G Scott, Holly E Erskine, Caroline W Kabiru","doi":"10.1186/s13034-025-00919-z","DOIUrl":"10.1186/s13034-025-00919-z","url":null,"abstract":"<p><strong>Background: </strong>Few studies have examined the prevalence of adverse childhood experiences (ACEs) among adolescents living in low- and middle-income countries, and fewer assessed the association with mental disorders.</p><p><strong>Methods: </strong>We used data from nationally representative household surveys of mental disorders among adolescents aged 10-17 years conducted in Kenya, Indonesia, and Vietnam. The lifetime experience of 13 ACEs was measured using a self-administered questionnaire. Mental disorders were measured using a diagnostic instrument. The proportion of adolescents who endorsed each individual ACE, as well as those who endorsed one or more and four or more ACEs, was calculated. Multivariable logistic regression was used to examine the associations between the number of ACEs endorsed and any mental disorder in the past 12 months, after adjusting for demographic characteristics and primary caregiver mental health.</p><p><strong>Results: </strong>The prevalence of experiencing at least one ACE was evident among adolescents in all three countries, with Kenya (65.8%, 95% CI: 63.0-68.5) demonstrating significantly higher prevalence than Indonesia (40.2%, 95% CI: 36.4-44.1) and Vietnam (36.9%, 95% CI: 33.1-40.8). Significant differences were seen between all countries in the prevalence of adolescents who experienced four or more ACEs (Kenya: 19.3%, 95% CI: 17.5-21.2; Indonesia: 7.6%, 95% CI: 6.3-9.1; Vietnam: 5.2%, 95% CI: 4.2-6.3). The odds of experiencing a mental disorder in the past 12 months increased as the number of ACEs increased in all three countries. This was most apparent among those experiencing four or more ACEs, who had the highest odds of any mental disorder in the past 12 months as compared to those reporting no ACEs (Kenya: aOR 4.57, 95% CI: 3.35-6.23; Indonesia: aOR 11.10, 95% CI: 6.24-19. 73; Vietnam: aOR 10.30, 95% CI: 5.96-17.82).</p><p><strong>Conclusion: </strong>The current study demonstrated that ACEs are common among adolescents in Kenya, Indonesia, and Vietnam, and are significantly associated with mental disorders in all three countries. The prevention of ACEs may be a key avenue for reducing the risk of mental disorders in adolescence.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 Suppl 1","pages":"86"},"PeriodicalIF":4.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752547","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}