Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"The interrelationship between childhood emotional abuse and aggressive behavior in the Chinese adolescent population: a network perspective.","authors":"Yuhao Wang, Yuxuan Liu, Susu Tian, Xinyi Hu, Jiayi Tian, Yingxue Wang, Yihan Wang, Chunxia Miao, Wei Wang","doi":"10.1186/s13034-025-00931-3","DOIUrl":"10.1186/s13034-025-00931-3","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"68"},"PeriodicalIF":3.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293408","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":"Parental psychopathology and expressed emotion in children with avoidant/restrictive food intake disorder.","authors":"Hannah Lea Klüber, Annick Martin, Franziska Schlensog-Schuster, Andreas Hiemisch, Wieland Kiess, Anja Hilbert, Ricarda Schmidt","doi":"10.1186/s13034-025-00929-x","DOIUrl":"10.1186/s13034-025-00929-x","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"66"},"PeriodicalIF":3.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246714","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":"Visiting a loved one in the ICU with the aid of dedicated booklets is associated with reduced separation anxiety in children and adolescents.","authors":"Giulia Lamiani, Federica Bonazza, Michela Maxia, Massimo Walter Rivolta, Giovanni Mistraletti, Elena Vegni","doi":"10.1186/s13034-025-00906-4","DOIUrl":"10.1186/s13034-025-00906-4","url":null,"abstract":"<p><strong>Background: </strong>Opening visits in Intensive Care Units (ICU) to children and adolescents encounters fears and resistance. The aim of this study was to evaluate the impact on children's psychological well-being of a prepared visit to family members hospitalized in the ICU.</p><p><strong>Methods: </strong>A quasi-experimental, pre-post-intervention design was implemented in 3 ICUs where children were allowed to visit. Children (7-17 years) with a close family member (parent, sister/brother, grandparent) hospitalized in ICU on mechanical ventilation for ≥ 48 h were eligible to participate. Within three days of the family member's admission, children completed online pre-questionnaires to assess separation anxiety, Post Traumatic Stress Disorder (PTSD) symptoms and positive and negative affects. After completion of pre-questionnaires, if parents and children expressed the desire to visit, an age-appropriate educational booklet, which was purposefully developed, was offered and the visit was planned and prepared by ICU staff. After the visit, children completed the same questionnaires. Children who did not visit completed the same questionnaires a week after having completed the pre-questionnaires.</p><p><strong>Results: </strong>25 children (8 boys; mean age = 11.3; SD = 2.4) completed pre and post-questionnaires. Children who visited (n = 17) were older than children who did not visit (U = 109.000; p = 0.016), presented higher separation anxiety (U = 102.500; p = 0.043) and lower positive affects (U = 30.000; p =0.027) at pre-questionnaires. Children who visited reported a decrease in separation anxiety (Median-pre = 8; Median-post = 5; p = 0.004), PTSD symptoms (Median-pre = 25; Median-post = 18; p = 0.008) and an increase in positive affect (Median-pre = 33; Median-post = 34; p = 0.004) at post-questionnaires. Children who did not visit reported a decrease in PTSD symptoms (Median-pre = 13; Median-post = 10; p =.018) at post-questionnaires. Compared to children who did not visit, children who visited reported a decrease in separation anxiety (U = 22.500; p =.006) at post questionnaires. All children who visited (100%) were satisfied and 94% perceived the educational booklets as useful.</p><p><strong>Conclusion: </strong>Findings suggest that a prepared visit to family members in ICU may decrease children's separation anxiety, without evident harm.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"65"},"PeriodicalIF":3.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246715","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 lifetime prevalence and associated factors of suicidal ideation and suicide attempts among high school adolescents in Ethiopia: a systematic review and meta-analysis.","authors":"Berhan Tekeba, Tadesse Tarik Tamir, Derese Abebe Gebrehana, Yohannes Abich, Nebebe Demis Baykemagn, Melaku Alelign Mengstie, Alebachew Ferede Zegeye","doi":"10.1186/s13034-025-00927-z","DOIUrl":"10.1186/s13034-025-00927-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Suicide is a major public health problem and one of the top causes of death among adolescents worldwide. The Ethiopian government works to ensure healthy lives and promote well-being in adolescents through the National Adolescent and Youth Mental Health Strategy. Despite these efforts, suicide in adolescents remains pressing in Ethiopia; however, study findings regarding suicidal ideation and suicide attempts and their associated factors in high school adolescents have been inconsistent and non-conclusive. Therefore, this review aimed to assess the pooled national prevalence and risk factors of suicidal ideation and suicide attempts among high school adolescents in Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guideline was followed for this systematic review. We searched PubMed, Embase, ScienceDirect, and Google Scholar databases. We included all observational studies that report the prevalence and associated factors of suicidal ideation and suicide attempts among high school adolescents in Ethiopia. Using a standard data extraction format, two authors separately extracted all required data. The meta-analysis was conducted using Stata version 17 statistical software. The Cochrane Q test and I² statistics were employed to evaluate the heterogeneity among the included studies. Pooled prevalence estimates, along with their 95% confidence intervals, were calculated using a random-effects model. Potential sources of heterogeneity across studies were further explored through subgroup analyses, sensitivity analysis, and meta-regression analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;The review comprised ten studies with 8,620 participants. Out of 1,451 studies identified, 10 studies were included in the analysis. As the random effect model indicated that the pooled prevalence of suicide ideation and suicide attempt among high school adolescents in Ethiopia was 16% (95% CI: 12%, 19%) and 10% (95% CI: 6%, 13%), respectively. The highest prevalence of suicidal ideation was observed after the country's implementation of HSTP II [18 (95% CI: 15-22), I²=83.94, P-value &lt; 0.001], while the lowest prevalence was depicted in adolescents aged 10-19 years [11% (95% CI 10, 13), I²=93.3, P-value &lt; 0.001]. Similarly, the highest pooled prevalence of suicide attempt was observed after the country's implementation of HSTP II [12% (95% CI: 10-13), I²=67.77, P-value &lt; 0.03], while the lowest prevalence was depicted in adolescents aged 10-19 years [5% (95% CI 1, 9), I²=94.43, P-value &lt; 0.001]. The sensitivity analysis indicated that none of the point estimates were outside of the overall 95% confidence interval. No publication bias was seen in suicide ideation. But evidence of publication bias for suicide attempts was identified through the left trim and fill analysis. Gender, disappointment with school results, family history, alcohol use, the presence or absence of fami","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"63"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224476","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":"Leveraging family and caregiver support in psychedelic-assisted therapy: considerations for the treatment of adolescents.","authors":"Sarah Forsberg, Amanda E Downey, Lindsey D Bruett, Lisa Hail, Gisele Fernandes-Osterhold, Josh D Woolley, Adele Lafrance, Marissa Raymond-Flesch","doi":"10.1186/s13034-025-00930-4","DOIUrl":"10.1186/s13034-025-00930-4","url":null,"abstract":"<p><strong>Background: </strong>Psychedelic-assisted therapy (PAT) is gaining recognition as a promising intervention for treatment-refractory mental health conditions in adults. While interest in its applications for adolescents is growing, critical gaps remain in understanding safe and effective delivery of PAT to this vulnerable population, including implications for caregiver/family (used interchangeably) involvement in the intervention. Caregivers play a crucial role in adolescent mental health treatment by supporting recovery and disrupting illness-maintaining patterns. They also benefit from resources to navigate the challenges of caregiving. This review synthesizes existing literature on evidence-based adolescent mental health treatments, best practices in PAT delivery, and family systems theory to propose a framework for integrating caregivers in adolescent PAT.</p><p><strong>Conclusion: </strong>Current literature in both PAT and adolescent mental health provides a compelling case for the direct involvement of caregivers in PAT for adolescent populations. In modern PAT, therapeutic setting (i.e., \"set and setting\") is increasingly recognized as essential for optimizing outcomes. Similarly, the family system serves as a critical setting that may shape PAT efficacy in adolescents. This review provides recommendations and unique considerations for the incorporation of caregivers into PAT protocols for adolescents to maximize safety and efficacy of the intervention.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"64"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224475","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":"Addressing international research challenges in child and adolescent mental health during global crises: experience and recommendations of the Co-SPACE international consortium.","authors":"Jennifer McMahon, Sonja March, Martha Oakes, Wendy K Silverman, Cathy Creswell, Arlen Rowe, Mohsen Rajabi, Simona Skripkauskaite","doi":"10.1186/s13034-025-00918-0","DOIUrl":"10.1186/s13034-025-00918-0","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"62"},"PeriodicalIF":3.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180436","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":"Adolescent Interpersonal Behaviours and Mental Health Across Two Swedish Cohorts: 15-Year Trends and One-Year Bidirectional Associations in a Mixed-Methods Study.","authors":"Moa Nilsson, Benjamin Claréus, Jonas Bjärehed, Marlene Bjärehed, Daiva Daukantaitė","doi":"10.1186/s13034-025-00913-5","DOIUrl":"10.1186/s13034-025-00913-5","url":null,"abstract":"<p><strong>Background and aims: </strong>Adolescent mental health has declined in recent decades. Few studies have explored whether shifts in interpersonal behaviours- both in-person and online- can help explain this decline. Using data from two Swedish cohorts (2007-2008, 2023-2024), we examined (1) 15-year time trends (2007-2008 vs. 2023-2024) in interpersonal behaviours (victimization, aggression, prosocial behaviours) and mental health (externalizing/internalizing problems); (2) one-year bidirectional associations between them; (3) the unique role of cybervictimization/cyberaggression in relation to mental health; and (4) adolescents' accounts of online experiences that made them 'feel bad'.</p><p><strong>Methods: </strong>Two longitudinal school cohorts of Swedish adolescents (2007-2008: N = 911-987, M_age = 13.71-14.76 years; 2023-2024: N = 768-806, M_age = 13.89-14.89 years) completed self-report measures of interpersonal behaviours and mental health. In 2023-2024, a subset of adolescents (n = 127, 16.5%) answered open-ended questions about negative online experiences.</p><p><strong>Results: </strong>From 2007 to 2008 to 2023-2024, prosocial behaviours moderately declined for girls and boys, while internalizing problems increased moderately for girls and weakly for boys. Meanwhile, victimization, aggression, and externalizing problems increased at a weak-to-moderate level among girls. Victimization and being treated well by others showed moderate bidirectional relationships with mental health. Cybervictimization/cyberaggression had weaker associations with mental health than did in-person behaviours. According to the qualitative analysis of negative online experiences, adolescents reported harassment, social exclusion, perceived standards/expectations, time-consuming activities, and exposure to distressing content.</p><p><strong>Conclusions: </strong>Deteriorating adolescent mental health over the past 15 years has occurred alongside rising interpersonal difficulties. The findings further suggest a reciprocal relationship between social challenges and mental health, with hostile online environments amplifying- but not primarily driving- these issues. A holistic perspective that accounts for both in-person and online experiences is essential to better understand and support adolescent well-being.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"61"},"PeriodicalIF":3.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119045","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":"Polypharmacy and pharmacogenomics in high-acuity behavioral health care for autism spectrum disorder: a retrospective study.","authors":"Sheldon R Garrison, Sophie A Schweinert, Matthew W Boyer, Maharaj Singh, Sreya Vadapalli, Jeffery M Engelmann, Rachel A Schwartz, Madeline M Hartig","doi":"10.1186/s13034-025-00915-3","DOIUrl":"10.1186/s13034-025-00915-3","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated pharmacogenomic (PGx) testing in children and adolescents with autism spectrum disorder (ASD). ASD frequently presents with co-occurring depression and anxiety. This complex phenotype often results in psychotropic medication polypharmacy. Incorporating PGx testing into the medical work-up may reduce polypharmacy and improve quality of life with symptom reduction.</p><p><strong>Methods: </strong>A retrospective electronic health record (EHR) review between January 2017 and May 2023. Individuals either received PGx testing or treatment as usual (TAU). The co-primary outcomes were instance of polypharmacy and the Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q). Secondary outcomes included length of stay, average number of psychotropic medications, readmissions and assessments measuring severity of symptoms or behavioral impact. When at least one daily psychotropic medication was prescribed and reported to have an increased probability of gene-drug interactions, the individual was classified as \"incongruent\" (PGx-I). Individuals were categorized as \"congruent\" (PGx-C) if all prescribed psychotropic medications were without potential gene-drug interactions. Polypharmacy was evaluated and compared within the PGx-C and PGx-I subgroups.</p><p><strong>Results: </strong>A total of 99 individuals with ASD were analyzed. At the time of admission, 93% of individuals were prescribed at least one psychotropic medication and over half of these individuals were prescribed medications with potential gene-drug interactions. Following PGx testing, there was an overall reduction in prescribed medications with potential gene-drug interactions. No differences were observed between the PGx and TAU groups in polypharmacy, quality of life, or symptom assessments of depression, anxiety, obsessive-compulsive disorder and body-focused repetitive behaviors. Subanalysis comparing congruent (\"use as directed\") or incongruent (\"use with caution\"), as well as exploratory analysis of only CYP2D6 and CYP2C19 gene-drug interactions, were observed to have a similar profile between treatment groups for all primary and secondary outcomes, except for the average number of psychotropic medications prescribed.</p><p><strong>Conclusions: </strong>Incorporating PGx testing into the medical workup did not improve outcomes, with all treatment groups achieving similar levels of polypharmacy and quality of life. Analysis of secondary outcomes revealed some differences in medication prescribing when stratifying by congruency; however, no differences were observed between treatment groups for all other secondary outcomes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"60"},"PeriodicalIF":3.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119048","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":"Girls, mental health problems, and offending: findings from a community sample.","authors":"Linn Persson, Anna-Karin Ivert","doi":"10.1186/s13034-025-00907-3","DOIUrl":"10.1186/s13034-025-00907-3","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems (MHPs) are associated with youth offending, but research on MHPs among specifically offending girls, particularly in community settings, is limited.</p><p><strong>Aims: </strong>To explore if MHPs were more common among adolescent girls who reported committing crimes compared to those who did not, as well as to investigate how different MHPs were associated with offending, and examine the potential effects of parental relationships, parental monitoring, and association with deviant peers.</p><p><strong>Methods: </strong>Data were drawn from the Malmö Individual and Neighbourhood Development Study (MINDS), a longitudinal study which comprises a random sample of 525 adolescents (~ 20%) born in 1995 and living in Malmö, Sweden, in 2007. The current study included the 240 girls that participated in wave two (age 16) and three (age 17) of data collection. Data were collected using a self-reported questionnaire. Independent samples T-tests analysed differences in MHPs between offending and non-offending girls. Pearson's correlation test and logistic regressions examined the association between MHPs and offending and how these associations were affected by parental relationship, parental monitoring, and deviant peers.</p><p><strong>Results: </strong>Offending girls had higher levels of MHPs than non-offending girls, with the most significant differences in hyperactivity and externalising problems. Logistic regressions partly confirmed these findings, showing strong associations between externalising problems and offending. Internalising problems showed mixed results in their association with offending.</p><p><strong>Conclusion: </strong>Girls who had offended had higher levels of both internalising and externalising MHPs compared to those who had not offended. This indicates that measures to prevent youth crime should acknowledge MHPs. Overall, more research is needed on girls' MHPs and offending, particularly on the association between internalising problems and offending.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"59"},"PeriodicalIF":3.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101426","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":"Multi-level treatment outcome evaluation in adolescents with autism spectrum disorder.","authors":"Gabriel Anton Auer, Paul Lukas Plener, Luise Poustka, Lilian Konicar","doi":"10.1186/s13034-025-00909-1","DOIUrl":"10.1186/s13034-025-00909-1","url":null,"abstract":"<p><strong>Background: </strong>Aberrant resting state electroencephalography (rsEEG) is a well-established indicator of psychopathological brain activity in clinical disorders. In Autism Spectrum Disorder (ASD), a substantial body of research reports reduced Alpha activity in the electrocortical resting state of affected individuals. However, effective interventions based on neurophysiological patterns and objective biological markers of treatment outcome remain scarce.</p><p><strong>Methods: </strong>In this randomized controlled trial, the primary objective was to examine rsEEG changes in adolescents with ASD following 24 sessions of slow cortical potential neurofeedback training (n = 21) compared to a treatment-as-usual control group (n = 20). A repeated-measures analysis of variance was used to assess group differences over time. Additionally, Pearson correlation analyses were conducted to exploratorily investigate associations between rsEEG measures and clinical psychopathology and affective well-being, as assessed via parental and self-report questionnaires at baseline and post-intervention.</p><p><strong>Results: </strong>Analyses revealed significant differences in the development of rsEEG between the intervention groups: while Alpha activity increased in the experimental neurofeedback group, it decreased in the control group, demonstrating an opposite trend. Exploratory analyses showed that Delta activity decreased in both groups, with a more pronounced decrease in the experimental group. Correlational analyses revealed significant associations between subjective-psychological and electrocortical levels: lower alpha power at baseline was related to greater severity of ASD symptoms, while both lower alpha and higher delta power were associated with greater negative affect at baseline. Increases in alpha power after NF-training were linked with enhanced positive affect, whereas reductions in delta power corresponded to decreases in negative affect.</p><p><strong>Conclusions: </strong>This study provides insights into changes in resting-state neural activity before and after clinical interventions alongside clinical-psychological assessment, overcoming single-level assessments and emphasizing the need for multi-level outcome measures for a more comprehensive treatment evaluation.</p><p><strong>Clinical trial registration: </strong>DRKS00012339.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"58"},"PeriodicalIF":3.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101427","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}