Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"Beyond psychotropics: critical strategies for supporting youth in foster care.","authors":"Nicole L Hadler, Gerrit I van Schalkwyk","doi":"10.1186/s13034-025-00874-9","DOIUrl":"10.1186/s13034-025-00874-9","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"15"},"PeriodicalIF":3.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531355","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":"Moral distress among inpatient child and adolescent psychiatry staff: a mixed-methods study of experiences and associated factors.","authors":"Nora Eder, Kristin Nordenberg, Niklas Långström, Alexander Rozental, Astrid Moell","doi":"10.1186/s13034-025-00868-7","DOIUrl":"10.1186/s13034-025-00868-7","url":null,"abstract":"<p><strong>Background: </strong>Moral distress among healthcare staff is associated with emotional strain and workforce attrition but remains insufficiently explored in child and adolescent psychiatry (CAP). We investigated the experiences and factors contributing to moral distress among staff in inpatient CAP.</p><p><strong>Methods: </strong>We conducted a 2023 nationwide mixed-methods survey with 106 staff members from CAP inpatient units in Sweden. Quantitative data on moral distress were collected using the Stress of Conscience Questionnaire, while open-ended questions provided qualitative data on perceptions of moral distress and the impact of working with coercive measures. Findings were integrated using triangulation.</p><p><strong>Results: </strong>Staff reported high levels of moral distress, with physicians experiencing the highest. Triangulation revealed converging findings with younger and less experienced staff experiencing more moral distress. Aligning with the qualitative theme \"Providing care one does not believe in\", moral distress was also strongly associated with quantitative data of a demanding work environment, low social support, and intention to resign from job. The theme \"Ethical dilemmas about coercive measures\" indicated how coercive measure use could contribute to moral distress, while a more positive attitude to coercive measures was associated with lower moral distress.</p><p><strong>Conclusions: </strong>Moral distress among CAP inpatient staff in Sweden was pronounced, particularly among younger, less experienced professionals, and physicians. Addressing moral distress appears critical in supporting staff well-being, promoting workforce retention, and maintaining high-quality patient care.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"16"},"PeriodicalIF":3.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531356","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: Mental health needs in war-affected refugee children: barriers, gaps, and strategies for effective care.","authors":"Mohsen Khosravi","doi":"10.1186/s13034-024-00857-2","DOIUrl":"10.1186/s13034-024-00857-2","url":null,"abstract":"","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"14"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499581","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":"Climate change hopefulness, anxiety, and behavioral intentions among adolescents: randomized controlled trial of a brief \"selfie\" video intervention.","authors":"Laelia Benoit, Sarah R Lowe, Isaiah Thomas, Doron Amsalem, Andrés Martin","doi":"10.1186/s13034-025-00872-x","DOIUrl":"10.1186/s13034-025-00872-x","url":null,"abstract":"<p><strong>Aim: </strong>We tested the utility of showing \"selfie\" videos to increase adolescents' climate change hope, agency, and behavioral intentions, and to decrease their climate anxiety.</p><p><strong>Methods: </strong>We conducted a randomized controlled trial among healthy volunteers, ages 14 to 18, enrolled through a crowdsourcing platform. We randomly assigned participants (N = 1039) to view one of three 110-s-long video interventions featuring the same adolescent protagonist: positive (depicting an action-oriented stance); negative (defeatist stance); and control (neutral stance and unrelated content). The primary outcome was climate change hope; secondary outcomes were climate change anxiety, behavioral intention scales, and 100-point sliders about hopefulness and agency.</p><p><strong>Results: </strong>Viewing positive \"selfie\" videos proved effective among adolescents in increasing hopefulness and a sense of agency regarding climate change (< 0.001), but not in decreasing climate anxiety or increasing intentions to engage in pro-environmental behaviors.</p><p><strong>Conclusion: </strong>Brief video-based interventions featuring adolescent protagonists showed potential to increase hope and agency regarding climate change. While this single exposure did not directly affect anxiety levels or behavioral intentions, future research should examine whether repeated exposure and different \"doses\" of such interventions might influence these outcomes. The ubiquity and reach of social media hold promise to scale these inexpensive and specifically tailored interventions.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"13"},"PeriodicalIF":3.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476465","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":"Psychopathological symptoms in school-aged children after a traumatic event.","authors":"K S Plümacher, J K Loy, S Bender, M Krischer","doi":"10.1186/s13034-025-00869-6","DOIUrl":"10.1186/s13034-025-00869-6","url":null,"abstract":"<p><strong>Background: </strong>Traumatic experiences in childhood can have far-reaching and serious consequences for the development of those affected. Little is known about the age- and sex-specific symptom patterns in children and adolescents following a traumatic event. These do not always manifest in symptoms that meet the diagnostic criteria for post-traumatic stress disorder according to ICD 10.</p><p><strong>Methods: </strong>In an outpatient cohort of 84 children and adolescents aged 6 to 18 years, we utilised the dimensional Child Behaviour Checklist (CBCL) to analyse symptoms occurring within twelve months of a traumatic event as defined in ICD 10. Regression models were applied to examine the effects of sex, age, and their interaction. CBCL (sub-)scales from caregivers served as the outcome variables.</p><p><strong>Results: </strong>The most severe symptoms were externalising symptoms found in boys aged six to below twelve years, while girls of the same age showed the fewest symptoms. No fully consistent picture regarding age- and sex-effects was found across the (sub-)scales, however, the most consistent finding for all scales was an interaction between age and sex, resulting in a convergence between boys and girls with age. Adolescent males and females were affected to a similar extent.</p><p><strong>Conclusion: </strong>Knowledge of age- and sex-specific patterns in children and adolescents following a traumatic event is essential to recognise possibly trauma-related symptoms at an early stage, initiate adequate treatment. Considering that trauma can exacerbate or complicate externalising symptoms, and vice versa, it is crucial to integrate trauma-specific interventions into the treatment plan for those affected. Developing comprehensive, age- and sex-specific diagnostic criteria for trauma-related disorders might not only improve early detection and treatment but also ensure that interventions address both emotional and behavioural dimensions effectively. Future research should focus on refining these criteria and exploring the interplay between trauma and co-occurring conditions to enhance treatment outcomes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"12"},"PeriodicalIF":3.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476466","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":"Multiple forms of discrimination and obsessive-compulsive disorder: a prospective cohort study.","authors":"Jason M Nagata, Jonanne Talebloo, Thang Diep, Joan Shim, Abubakr A A Al-Shoaibi, Kyle T Ganson, Alexander Testa, Jinbo He, Jason M Lavender, Fiona C Baker","doi":"10.1186/s13034-025-00864-x","DOIUrl":"10.1186/s13034-025-00864-x","url":null,"abstract":"<p><strong>Background: </strong>Discrimination increases the risk for adverse mental health in minority populations, with studies showing elevated rates of obsessive-compulsive disorder (OCD) in Black adults facing racial discrimination. Yet, there is a lack of longitudinal research on the different forms of discrimination in relation to OCD risk in early adolescence. The objective of this study was to examine the prospective associations between multiple forms of discrimination and OCD in a national sample of U.S. early adolescents.</p><p><strong>Methods: </strong>We examined prospective cohort data from Year 2 (2018-2020, ages 10-13) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development Study (N = 7,983). Multiple logistic regression models were used to analyze associations between Year 2 past 12-month experiences of discrimination (based on race and ethnicity, country of origin, sexual orientation, weight, and combined multi-discrimination) and Year 3 probable OCD (Child Behavior Checklist; based on dichotomized t-score indicating high risk), adjusting for theoretically relevant covariates including age, sex, sexual orientation, race and ethnicity, country of origin, household income, parent education, depression, body mass index category, study site, and Year 2 probable OCD.</p><p><strong>Results: </strong>Adjusting for all covariates, multi-discrimination (OR = 1.67; 95% CI 1.23, 2.27), racial discrimination (OR = 2.77; 95% CI 1.32, 5.80), sexual orientation discrimination (OR = 2.51; 95% CI 1.11, 5.64), and weight discrimination (OR = 2.51; 95% CI 1.13, 5.59) at Year 2 were prospectively associated with developing probable OCD at Year 3. There were no significant findings for discrimination based on country of origin.</p><p><strong>Conclusions: </strong>Early adolescents who have experienced several forms of discrimination have higher odds of developing probable OCD, suggesting the utility of screening for OCD in even younger adolescents who have encountered discrimination. Educators can play a role in guiding adolescents experiencing discrimination to appropriate resources for accessing mental healthcare.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"11"},"PeriodicalIF":3.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448385","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 associations between family conflict, intergenerational transmission, and adolescents' depressive symptoms: evidence from China Family Panel studies (2016-2020).","authors":"Yu Jin, Jiayi Liu, Pan Li, Yunquan Hu, Xintian Hong, Xiaoliang Li, Yongyong Teng, Mingxing Huang, Yuanyuan Wang","doi":"10.1186/s13034-025-00866-9","DOIUrl":"10.1186/s13034-025-00866-9","url":null,"abstract":"<p><strong>Background: </strong>Adolescent depression is increasing globally, and family conflict may contribute to its transmission across generations. However, longitudinal evidence on these dynamics remains sparse. This study examines the longitudinal associations between family conflict and adolescents' and parents' depressive symptoms from three waves of data.</p><p><strong>Methods: </strong>Data from the 2016-2020 China Family Panel Studies (CFPS) were analyzed, including 1,772 adolescents (Mean age = 12.4, SD = 1.68 in 2016) and their parents. Family conflict was measured using three questions from adolescents, while depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale (CESD). Multiplelinear regression, latent growth models (LGM), and cross-lagged panel models (CLPM) were employed to examine longitudinal associations between family conflict and depressive symptoms.</p><p><strong>Results: </strong>The results revealed that family conflict correlated with adolescents' depressive symptoms (r = 0.580,p < 0.001). Adolescents' depressive symptoms also exacerbated family conflict (β1 = 0.030, p < 0.05; β2 = 0.032, p < 0.01) across three waves, while family conflict had a limited contribution to parents' depressive symptoms. Mothers' depressive symptoms influenced adolescents' depressive symptoms significantly (β = 0.043,p < 0.05), while adolescents' depressive symptoms were transmitted to fathers' depressive symptoms (β = 0.080,p < 0.01) between Wave 2 and Wave 3. Moreover, the mother's education level negatively predicted adolescents' depressive symptoms (β = -0.296,p < 0.05).</p><p><strong>Conclusions: </strong>Family conflict plays a critical role in adolescents' depressive symptoms and its intergenerational transmission. The findings underscore the pivotal role of family dynamics in mental health, especially in the development of adolescents' depressive symptoms. Interventions aimed at reducing family conflict may help mitigate depressive symptoms across generations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"10"},"PeriodicalIF":3.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender differences in symptom interactions between problematic smartphone use and social anxiety in adolescents: a network analysis.","authors":"Sipu Guo, Xinyuan Zou, Yanqiang Tao, Yichao Lv, Xiangping Liu, Silin Huang","doi":"10.1186/s13034-025-00865-w","DOIUrl":"10.1186/s13034-025-00865-w","url":null,"abstract":"<p><strong>Background: </strong>Increased prevalence of problematic smartphone use (PSU) in adolescents, results in a cycle of interaction between PSU and social anxiety. However, it is still unknown whether PSU and social anxiety symptoms have interacted among adolescents and whether there are gender differences in these symptoms. Therefore, this study investigated the gender differences in the symptom interactions between PSU and social anxiety via symptom network analysis.</p><p><strong>Methods: </strong>This study included 2918 adolescents (52.71% boys; M_age = 14.73, SD_age = 1.39) from junior and senior high schools in China. The Mobile Phone Addiction Index and Social Anxiety Scale were used to evaluate symptomatology and networks. Network analysis and network comparison tests were used to determine the network structure, centrality, bridge symptoms and gender differences in the PSU-social anxiety network among adolescents.</p><p><strong>Results: </strong>The most influential symptoms were \"productivity loss\" and \"afraid of negative evaluation\". \"Afraid of negative evaluation\" was the bridge through which PSU was related to social anxiety. Gender differences were not found in network strength but occurred in network structure. Although girls reported more social anxiety, boys had a tighter network structure. The correlation between PSU and social anxiety was greater in boys than in girls. The \"inability to control craving\" was particularly critical for girls, while \"feeling anxious and lost\" was prominent for boys.</p><p><strong>Conclusions: </strong>The current study highlights the symptom interactions between PSU and social anxiety among adolescents and the gender differences in network structures. Further intervention that targets \"afraid of negative evaluation\" may disassociate the interaction between PSU and social anxiety symptoms. In particular, changing girls' cognitive ability (e.g., inhibition) and boys' negative emotions are potentially effective means of intervention. The limitations of the cross-sectional design and data-driven methodology necessitate interpreting the results with caution.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"9"},"PeriodicalIF":3.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425078","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 effect of parental psychological flexibility on children's behavioral problems: a moderated mediation model.","authors":"Jia Wang, Ru-De Liu, Jingmin Lin","doi":"10.1186/s13034-025-00863-y","DOIUrl":"10.1186/s13034-025-00863-y","url":null,"abstract":"<p><strong>Background: </strong>Building upon previous research suggesting that parental psychological flexibility is negatively associate with children's behavioral problems, this study examined a moderated mediation model to explore the effect of parental psychological flexibility on children's internalizing and externalizing problems. Specifically, parent-child conflict is considered as a mediator while parental phubbing is examined as a moderator.</p><p><strong>Methods: </strong>This study employed a cross-sectional design, with a total of 1060 parents of preschool-aged children participating. The parents completed a series of surveys, including the Parental Psychological Flexibility Questionnaire, the short form of the Child-Parent Relationship Scale, the Parental Phubbing Scale, and the Strengths and Difficulties Questionnaire regarding their children. The moderated mediation model was assessed using SPSS PROCESS 4.1.</p><p><strong>Results: </strong>The results indicated that parental psychological flexibility negatively predicted children's behavioral problems through the mediating effect of parent-child conflict, with this relationship being moderated by parental phubbing; an increase in phubbing weakened the negative correlation between parental psychological flexibility and parent-child conflict, thereby further weakened the negative correlation between parental psychological flexibility and children's behavioral problems.</p><p><strong>Conclusion: </strong>These findings offer potential strategies for parents to mitigate the risk of their children developing internalizing or externalizing problems, by enhancing parental psychological flexibility and reducing instances of phubbing behavior.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"8"},"PeriodicalIF":3.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413582","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":"Investigating factors influencing utilization of trauma-focused cognitive behavioral therapy among unaccompanied young refugees: an exploratory analysis.","authors":"Barbara Kasparik, Madina Farani, Elisa Pfeiffer, Cedric Sachser, Rita Rosner","doi":"10.1186/s13034-025-00862-z","DOIUrl":"10.1186/s13034-025-00862-z","url":null,"abstract":"<p><strong>Background: </strong>Unaccompanied young refugees (UYRs) exhibit elevated levels of mental distress, including posttraumatic stress symptoms (PTSS), depression and anxiety. Despite the considerable psychological burden, UYRs frequently lack access to mental health care (MHC). The factors that contribute to higher rates of treatment utilization among UYR remain poorly understood. Untreated PTSS can result in chronic impairment, underscoring the importance of identifying these factors. The aim of this study is to investigate factors associated with the intention and actual utilization of MHC of UYRs living in child and youth welfare facilities in Germany.</p><p><strong>Method: </strong>This study is part of the multi-site project BETTER CARE which aims to implement a stepped and collaborative care approach. A sample of N = 139 UYRs who had received a treatment recommendation for trauma-focused cognitive behavioral therapy (TF-CBT) was analyzed. Binomial logistic regression was performed to identify factors predicting the likelihood of intention to seek MHC. In addition, the association between intention to seek MHC and actual utilization was determined using a chi square test.</p><p><strong>Results: </strong>The results demonstrated a significant correlation between age (η = 0.25, p <.01), length of stay in Germany (η = 0.28, p <.01), and severity of PTSD symptoms (η = 0.26, p <.01) with intention to use MHC. In the logistic regression analysis, PTSD emerged as a significant predictor of intended use (B = 2.66, p <.05). The utilization of MHC was found to be closely associated with the initial intention to use (χ²(1) = 88.846, p <.001).</p><p><strong>Conclusions: </strong>The findings contribute to an expanding body of literature on the mental health requirements and service utilization patterns among UYRs, offering insights for policymakers, mental health professionals, and child welfare services striving to enhance care for this vulnerable population.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"7"},"PeriodicalIF":3.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363785","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}