Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"Online search and activities of parents of children with ADHD: a qualitative study.","authors":"Marie Bringer, Sylvain Bodard, Ana Moscoso, Anne Revah-Levy, Diane Purper-Ouakil, Eric Acquaviva, Richard Delorme, Benjamin Landman, Jordan Sibeoni","doi":"10.1186/s13034-025-00886-5","DOIUrl":"10.1186/s13034-025-00886-5","url":null,"abstract":"<p><strong>Background: </strong>Parents' perceptions of their child's mental health play a crucial role in their decision to seek mental health services. Additionally, mental health literacy, which includes knowledge about mental health disorders, is essential for identifying, managing, and preventing mental health problems. Online health information searches are a vital resource for parents of children with attention deficit hyperactivity disorder (ADHD)- one of the most common neurodevelopmental disorders- as they provide emotional support and information on risk factors, treatments, and prognosis. However, while online resources are widely used, little is known about how parents navigate, interpret, and integrate this information into their care decisions. This study explored parents' lived experiences of seeking ADHD-related information online, examining how these searches shape their perceptions, decision-making, and interactions with healthcare professionals.</p><p><strong>Method: </strong>This qualitative study followed the Inductive Process to analyze the Structure of lived Experience (IPSE) approach. Twenty parents of children with ADHD were recruited using a purposive sampling strategy, and data were collected through semi-structured interviews until saturation was reached. Data analysis was conducted using a descriptive and structuring procedure to identify key experiential themes.</p><p><strong>Results: </strong>Data analysis produced three central experiential axes: [1] Internet and the care pathway; [2] Internet knowledge and its supporting role; and [3] Internet and discordant discourse on ADHD between health professionals. Most parents reported using social networks as a crucial source of support, guidance, and mutual aid. Specifically, online parent groups helped them navigate obstacles in the care pathway, manage conflicting perspectives on ADHD, and alleviate feelings of guilt.</p><p><strong>Conclusion: </strong>Healthcare professionals and stakeholders should consider the impact of web-based resources on parental decision-making and work towards improving the accessibility and reliability of online health information.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"31"},"PeriodicalIF":3.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699807","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":"Parent-adolescent communication quality does not moderate the association of emotional burden and somatic complaints in adolescents: a cross-sectional structural equation model.","authors":"Holger Zapf","doi":"10.1186/s13034-025-00882-9","DOIUrl":"10.1186/s13034-025-00882-9","url":null,"abstract":"<p><p>An explanation for somatic complaints in adolescence assumes that they have the function to express emotional burden if the communication of feelings in important relationships does not work sufficiently. Therefore, it can be hypothesized that in adolescents, lower quality of emotional communication with a parent goes along with a higher impact of emotional burden on somatic complaints. The aim of this study was to examine whether emotional communication quality between adolescents and parents moderates the association of emotional burden and somatic complaints. Based on data from a cross-sectional population sample (N = 1061), structural equation modeling (SEM) was used to test the hypothesis. In addition to the general model, models for boys and girls were compared. Emotional communication quality does not moderate the association of emotional burden and somatic complaints in the general model or in the gender-based models. However, communication quality is a significant predictor of somatic complaints for boys. Limitations are the cross-sectional nature of the data, the possible sampling bias due to the use of an online access panel, and the inclusion of one parent per adolescent. This study highlights that emotional communication quality is a predictor for somatic complaints in adolescent boys and should be addressed in therapy.Trial registration ClinicalTrials.gov: NCT05332236.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"28"},"PeriodicalIF":3.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691214","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":"A feasibility study of a preventative, transdiagnostic intervention for mental health problems in adolescence: building resilience through socioemotional training (ReSET).","authors":"Alex Lloyd, Roslyn Law, Nick Midgley, Tom Wu, Laura Lucas, Erin Atkinson, Nikolaus Steinbeis, Peter Martin, René Veenstra, Jaime Smith, Lili Ly, Geoffrey Bird, Jennifer Murphy, David Plans, Marcus Munafò, Ian Penton-Voak, Jessica Deighton, Kathleen Richards, Mya Richards, Pasco Fearon, Essi Viding","doi":"10.1186/s13034-025-00870-z","DOIUrl":"10.1186/s13034-025-00870-z","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a developmental period during which an estimated 75% of mental health problems emerge (Solmi et al. in Mol Psychiat 27:281-295, 2022). This paper reports a feasibility study of a novel indicated, preventative, transdiagnostic, school-based intervention: Building Resilience Through Socioemotional Training (ReSET). The intervention addresses two domains thought to be causally related to mental health problems during adolescence: social relationships and emotion processing. Social relationships were targeted using principles from interpersonal psychotherapy, while emotion processing was targeted using cognitive-emotional training focused on three areas of emotion processing: Emotion perception, emotion regulation and interoception. The aims of this feasibility study were to (i) assess the acceptability of integrating group-based psychotherapy with individual cognitive-emotional training, (ii) evaluate the feasibility of our recruitment measures, and (iii) assess the feasibility of delivering our research measures.</p><p><strong>Methods: </strong>The feasibility study involved 41 adolescents, aged 12-14, who were randomly assigned to receive the ReSET intervention or their school's usual mental health and wellbeing provision.</p><p><strong>Results: </strong>Qualitative data from intervention participants suggested the programme was experienced as a cohesive intervention, with participants able to draw on a combination of skills. Further, the cognitive-training tasks were received positively (with the exception of the interoception training task). The recruitment and research measures were successfully delivered in the school-based setting, with 97.5% retention of participants from baseline to post-intervention assessment. Qualitative data was overwhelmingly positive regarding the benefits to participants who had completed the intervention. Moreover, there was only limited data missingness.</p><p><strong>Conclusions: </strong>We conclude that a trial of the ReSET intervention in a school setting is feasible. We discuss the implications of the feasibility study with regard to optimising school-based interventions and adaptations made in preparation for a full-scale randomised controlled trial, now underway.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"29"},"PeriodicalIF":3.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691194","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 pain and lifetime suicide attempts in early adolescence: a preliminary study.","authors":"Jon García-Ormaza, Jeffrey V Tabares, Ennio Ammendola, Alexander Muela","doi":"10.1186/s13034-025-00883-8","DOIUrl":"10.1186/s13034-025-00883-8","url":null,"abstract":"<p><p>The primary aim of the present study was to examine the association of four complementary measures-suicidal cognitions, entrapment, mental pain, and depression-with past suicide attempts in early adolescence. The sample consisted of 657 adolescents aged 12-15 years (M = 12.68, SD = ± 0.82; 49.16% female, 49.47% male and 1.22% non-binary), all enrolled in the first stage of secondary education (ISCED 2, first year) in schools in Spain. The study employed a three-phase analytical approach: (1) ROC/AUC analysis to evaluate the performance of each measure, (2) logistic regression models to assess their association with past suicide attempts, and (3) validating the first-phase classification results by accounting for the possibility of response imbalances on each of four measures. The results showed that high intensity of mental pain most strongly associated with past suicide attempts, exhibiting the highest sensitivity and reliability across models. Suicidal cognitions and entrapment also showed utility in assessing suicide risk, although their impact was less pronounced than mental pain. Depressive symptomatology showed limited utility distinguishing adolescents with a history of suicide attempts. These findings underscore the importance of incorporating mental pain and related constructs in community-based strategies for suicide prevention with early adolescence-aged children. By combining these factors, practitioners can gain a more comprehensive understanding of risk, facilitating early identification and intervention in adolescents at risk for suicide.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"30"},"PeriodicalIF":3.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691211","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":"Impaired sleep quality mediates the relationship between internet gaming disorder and conduct problems among adolescents: a three-wave longitudinal study.","authors":"Pu Peng, Jieyin Jin, Zhangming Chen, Silan Ren, Ying He, Jinguang Li, Aijun Liao, Linlin Zhao, Xu Shao, Shanshan Chen, Ruini He, Yudiao Liang, Youguo Tan, Xiaogang Chen, Jinsong Tang, Yanhui Liao","doi":"10.1186/s13034-025-00889-2","DOIUrl":"10.1186/s13034-025-00889-2","url":null,"abstract":"<p><strong>Background: </strong>Research increasingly demonstrates a positive association between Internet Gaming Disorder (IGD) and conduct problems among adolescents. However, longitudinal data are limited, and the mediating mechanisms remain unclear. This study aimed to examine the predictive effect of IGD on conduct problems and explore the mediating role of impaired sleep quality.</p><p><strong>Method: </strong>A cohort of 20,137 Chinese seventh- and tenth-grade students was recruited and assessed at three time points: November 2020 (T1), 2021 (T2), and 2022 (T3). IGD, conduct problems, and impaired sleep quality were measured using the Internet Gaming Disorder Scale Short Form, the Strengths and Difficulties Questionnaire, and the Pittsburgh Sleep Quality Index, respectively. Mediation analyses were conducted to evaluate the direct and indirect effect of IGD on conduct problems, with subgroup analyses based on sex and developmental stage.</p><p><strong>Results: </strong>IGD was found to be an independent risk factor for conduct problems both cross-sectionally and longitudinally. Impaired sleep quality partially mediated the relationship between IGD and conduct problems, accounting for approximately 17.3% of the total effect. Subgroup analyses revealed that the mediation effect of impaired sleep quality was more pronounced in early adolescents and varied by sex, with a stronger total and direct effect in boys.</p><p><strong>Conclusions: </strong>These findings highlight the need for comprehensive interventions targeting both IGD and impaired sleep quality, tailored to specific sexes and developmental stages, to effectively reduce conduct problems.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"26"},"PeriodicalIF":3.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676661","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":"Prevalence and correlates of nonsuicidal self-injury among youths in Singapore: findings from the National Youth Mental Health Study.","authors":"Sherilyn Chang, Janhavi Ajit Vaingankar, Bernard Tan, Yeow Wee Brian Tan, Ellaisha Samari, S Archana, Yi Chian Chua, Yi Ping Lee, Charmaine Tang, Swapna Verma, Mythily Subramaniam","doi":"10.1186/s13034-025-00885-6","DOIUrl":"10.1186/s13034-025-00885-6","url":null,"abstract":"<p><strong>Background: </strong>Nonsuicidal self-injury (NSSI) is a common phenomenon; a recent meta-analysis of studies conducted among non-clinical adolescents reported a global lifetime prevalence rate of 22.0%. NSSI results in significant impairment and is associated with negative outcomes later in young adulthood. There is, however, a dearth of research on the occurrence of NSSI in Singapore's youth population. Past studies examining NSSI behaviours among youths in Singapore were conducted using clinical samples, which tend to report a higher prevalence compared to community samples. The present study aims to establish the prevalence of NSSI and examine its associated sociodemographic and psychosocial correlates in the general youth population.</p><p><strong>Methods: </strong>This study included 2600 youths aged 15-35 years who participated in the National Youth Mental Health Study, a nationwide cross-sectional survey of the mental health status of youths in Singapore. The Deliberate Self-Harm Inventory and Depression Anxiety Stress Scales Short Form were used to assess NSSI behaviours and mental health symptoms. Data on coping strategies, perceived social support and resilience were also collected.</p><p><strong>Results: </strong>The lifetime prevalence of NSSI among youths in Singapore was 25.0%, and the 12-month prevalence was found to be 6.8%. The median age of onset for lifetime NSSI was 14 years. Significantly higher odds of lifetime NSSI were observed among youths aged 15-29 years, females, and youths with lower educational attainment. Youths with severe and extremely severe symptoms of depression and anxiety and those with greater use of avoidance coping strategy were associated with higher odds of lifetime NSSI. Higher resilience scores were associated with lower odds of lifetime NSSI.</p><p><strong>Conclusion: </strong>1 in 4 youths in Singapore had engaged in self-injurious behaviour at least once in their lifetime. Screening and early intervention programs could be targeted at the more vulnerable youth groups such as those in early- and mid- adolescence. Potential areas for future research and interventions could include resilience building and educating youths on adaptive coping strategies. The limitations of the cross-sectional study design and the use of self-reported data should be considered when interpreting the study findings.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"27"},"PeriodicalIF":3.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676567","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":"Global prevalence of nocturnal enuresis and associated factors among children and adolescents: a systematic review and meta-analysis.","authors":"Molalign Aligaz Adisu, Tesfaye Engdaw Habtie, Melesse Abiye Munie, Molla Azmeraw Bizuayehu, Alemu Birara Zemariam, Yabibal Asfaw Derso","doi":"10.1186/s13034-025-00880-x","DOIUrl":"10.1186/s13034-025-00880-x","url":null,"abstract":"<p><strong>Background: </strong>Nocturnal enuresis (NE), a prevalent childhood condition associated with significant emotional morbidity, including anxiety, guilt, and diminished self-esteem. Notably, NE exhibits substantial variability in prevalence across diverse geographical and sociocultural contexts ranging from 2 to 75%, highlighting the influence of environmental and societal factors. The associated social stigma exacerbates emotional distress, negatively impacting self-perception and overall quality of life. This systematic review and meta-analysis seek to synthesize global epidemiological data on NE, accounting for inter-country prevalence variations, and to elucidate its associated factors, thereby informing the development of culturally sensitive and effective intervention strategies.</p><p><strong>Methods: </strong>All observational quantitative research articles conducted among children and adolescents in the world were included. We used PubMed Central, Cochrane Library, Scopus, and Google Scholar searching databases. The study quality was checked using the Newcastle - Ottawa Scale. Then I² statistics and Cochran's Q test were used to evaluate heterogeneity. Funnel, Egger's test, and non-parametric trim and fill effect tests were used to check publication bias by using a random effect model. Finally, subgroup analysis was done to evaluate statistical heterogeneity, and sensitivity analysis was also done to detect the presence or absence of any influential study.</p><p><strong>Results: </strong>In the final analysis, one hundred twenty-eight studies involving 445,242 individuals in 39 countries. The overall pooled prevalence of Nocturnal enuresis among children and adolescents was 7.2% (95% CI: 6.2-8.1%). Positive family history AOR 1.49 (95% CI: 1.26-1.71), positive urinary tract infection AOR; 3.89, 95% CI (2.93-4.46), parental death AOR = 1.93 (95% CI: 1.73-2.12), first birth order AOR 0.5 (95% CI: 0.37-0.62), and male sex AOR 1.63; 95% CI (1.31-1.94 were the significant associated factors with Nocturnal enuresis among children and adolescent.</p><p><strong>Conclusion: </strong>The study found that nocturnal enuresis affects approximately 7.2% of children and adolescents. Family history, urinary tract infection, parental death, birth order, and sex were statistically significant factors. It is recommended that healthcare providers should implement routine screening for nocturnal enuresis, particularly for children with known risk factors such as family history and urinary tract infections, and the development of targeted interventions and support mechanisms should be prioritized, considering the significant impacts of these factors among children and adolescents.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"23"},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669236","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":"Correction to: Common and differential variables of anxiety and depression in adolescence: a nation-wide smartphone-based survey.","authors":"Martin Weiß, Julian Gutzeit, Rüdiger Pryss, Marcel Romanos, Lorenz Deserno, Grit Hein","doi":"10.1186/s13034-025-00877-6","DOIUrl":"10.1186/s13034-025-00877-6","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"24"},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669235","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 developmental trajectories and modifiable factors of adolescents' subjective well-being from late adolescence to early adulthood.","authors":"Songli Mei, Chengbin Zheng, Leilei Liang, Marhaba Kiyum, Tongshuang Yuan, Junsong Fei, Kai Liu, Honghua Li, Xinli Lin","doi":"10.1186/s13034-025-00881-w","DOIUrl":"10.1186/s13034-025-00881-w","url":null,"abstract":"<p><strong>Background: </strong>Previous research on adolescents' subjective well-being has not focused on the transition from late adolescence to early adulthood. Moreover, explorations of the factors influencing adolescents' subjective well-being have mostly focused on a single level or variable. This study aimed to identify the different developmental trajectories of adolescents' subjective well-being during this transition period and the influencing factors at different levels.</p><p><strong>Methods: </strong>This study used data from the Chinese Family Panel Studies to longitudinally track 625 adolescents aged 16-19 years in 2014 for six years. This study adopted multi-party reports and collected data on four levels of adolescents: individuals, networks, families, and communities. Using the latent class growth model to distinguish the different developmental trajectories of adolescents' subjective well-being. Then, the environment-wide association study (EnWAS) was used to explore the factors influencing the categories of adolescents' subjective well-being trajectories.</p><p><strong>Results: </strong>This study identified three different developmental trajectories of subjective well-being: High initial level-relatively stable group, Medium initial level-rapidly decreasing group, Low initial level-slowly rising group. The results of EnWAS confirmed that there are 15 modifiable factors associated with the trajectory classification of adolescents' subjective well-being. The final multiple logistic regression model revealed the household book collection, tidiness of the home, desired level of education, future confidence, interpersonal relationships, social trust, sleep duration (marginal condition), all of which have significant impacts on adolescents' subjective well-being.</p><p><strong>Conclusions: </strong>Adolescents' subjective well-being trajectories from late adolescence to early adulthood show great heterogeneity. Adolescents' subjective well-being may be more influenced by the personal and family environment. Targeted interventions for various modifiable factors can significantly enhance adolescents' subjective well-being.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"21"},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669179","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":"Challenges and facilitators in treating unaccompanied young refugees with posttraumatic stress disorder in a dissemination trial: a qualitative study with psychotherapists.","authors":"Flora Katrin Dietlinger, Barbara Kasparik, Johanna Unterhitzenberger, Laura Bebra Saupe, Rita Rosner","doi":"10.1186/s13034-025-00873-w","DOIUrl":"10.1186/s13034-025-00873-w","url":null,"abstract":"<p><strong>Background: </strong>Unaccompanied young refugees (UYRs) report high rates of post-traumatic stress, depression and anxiety, and low mental health service utilization. Studies have examined the experiences of psychotherapists and refugees in psychotherapy, focusing on barriers. Our stepped-care approach aims to reduce barriers through comprehensive support, such as training and case consultation for psychotherapists and interpreters, and treatment recommendations for UYRs.</p><p><strong>Methods: </strong>A qualitative design with semi-structured interviews was employed, with 20 psychotherapists, of whom 13 were females. All psychotherapists participated in the 'BETTER CARE' project, which included trauma-focused cognitive-behavioral therapy training and case consultations. We analyzed psychotherapists' initial worries, challenges, and facilitators in treating UYRs with posttraumatic stress disorder, and compared the responses of completers' and non-completers' psychotherapists, following a mix of deductive and inductive coding.</p><p><strong>Results: </strong>Psychotherapists expressed worries similar to those documented in the literature on barriers (such as organizational challenges, emotional stress, and uncertainty about working with interpreters) prior to participating in the project. Major facilitators were the components offered by the project, such as online training, workshop and case consultations. In addition, support from the facility and caregivers and the provision of skilled interpreters who translated accurately and transparently, as well as patients' treatment readiness and language proficiency, were seen as facilitators or, when lacking, as challenges. Completers' psychotherapists were more likely to emphasize the positive aspects of the project, a positive therapeutic alliance and patients' trusting relationship with the interpreters as facilitators. In contrast, non-completers' psychotherapists were more likely to encounter structural difficulties, such as the lack of primary caregivers, greater distances, and grief symptoms among patients.</p><p><strong>Conclusions: </strong>Our findings indicate that enhancing the knowledge of psychotherapists, caregivers, and interpreters through specialized training is important for effective trauma treatment with UYRs. This training should result in increased patient readiness, caregiver support, and fostering a cooperative treatment environment, while also building a trusting relationship between patient, psychotherapist, and interpreter. As initial worries were largely unconfirmed, and completers' psychotherapists benefited more from the projects' offers, we recommend similar approaches.</p><p><strong>Trial registration: </strong>German Clinical Trials Register DRKS00017453. Registered on 11 December 2019.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"25"},"PeriodicalIF":3.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669234","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}