Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"The impact of physical exercise on internalizing and externalizing problem behaviors among middle school students: correlation and regression prediction analysis.","authors":"Jingtao Wu, Xinjuan Zhao, Yanhong Shao, Wanli Zang, Hu Jun, Wenjun Yu","doi":"10.1186/s13034-025-00903-7","DOIUrl":"https://doi.org/10.1186/s13034-025-00903-7","url":null,"abstract":"<p><strong>Background: </strong>This study explored the impact of physical exercise on internalizing and externalizing problem behaviors among Chinese middle school students.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 6368 middle school students from Sichuan, Guangdong, Shandong, Henan, and Jiangxi provinces, using the International Physical Activity Questionnaire (IPAQ), Achenbach Youth Self-Report (YSR), and Depression-Anxiety-Stress Scales (DASS). Latent class analysis, multiple linear regression, and Kendall's tau coefficient tests were employed to analyze the data.</p><p><strong>Results: </strong>Physical exercise significantly reduced externalizing problem behaviors, including impulsivity (β = 0.188, p < 0.001), hostility (β = 0.129, p < 0.001), and aggressiveness (β = 0.158, p < 0.001), and also alleviated depression (β = 0.087, p < 0.01). Latent class analysis revealed that students with high levels of exercise had significantly fewer externalizing behaviors compared to low-level exercisers (p < 0.001). High-intensity exercise had greater effects, particularly on impulsivity and hostility. Rural male students exhibited higher levels of aggressiveness and hostility, while urban female students benefited more from exercise interventions.</p><p><strong>Conclusion: </strong>Physical exercise has a significant positive impact on reducing externalizing problem behaviors, especially impulsivity, hostility, and aggressiveness, among middle school students. However, its effects on internalizing behaviors are relatively limited. Intervention strategies should consider individual characteristics such as gender and location to maximize effectiveness.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"45"},"PeriodicalIF":3.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062523","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":"Understanding the impact of COVID-19 on comorbid depression, anxiety and eating disorders in adolescent psychiatric inpatients: a network analysis.","authors":"Charlotte M K Milewczyk, Martin Holtmann, Tanja Legenbauer, Laura M Derks","doi":"10.1186/s13034-025-00899-0","DOIUrl":"https://doi.org/10.1186/s13034-025-00899-0","url":null,"abstract":"<p><strong>Background: </strong>Many studies have aimed to understand the impact of the COVID-19 pandemic on mental health. However, less research has focused on the changes in symptom clusters of comorbid disorders. To understand the impact of the COVID-19 pandemic it is necessary to evaluate the relationships between symptoms of comorbid disorders. This was the first study to compare comorbidity networks of depression, anxiety and eating disorder (ED) symptoms to investigate the overall connectivity of symptoms before and during the onset of the pandemic.</p><p><strong>Methods: </strong>Self-report questionnaire data from 1361 adolescent psychiatric inpatients (M_age = 15.32, SD = 1.47) were used for this study. A network analysis was conducted including 52 questionnaire items of depression, anxiety and eating disorder to identify and compare core symptoms and bridge symptoms in a pre and a peri pandemic sample.</p><p><strong>Results: </strong>A significantly higher network density and overall connectivity were found in the peri pandemic sample. Links between feelings of failure in the depression cluster and worry what other people think in the anxiety cluster as well as between difficulties getting rid of bad/ silly thoughts in the anxiety cluster and suicidal thoughts in the depression cluster emerged as the strongest pathways in both networks. Body image disturbance emerged as the strongest bridge symptom for eating disorders in both networks. There were no significant differences in the most prominent core and bridge symptoms between the networks, indicating a high stability of core symptoms and pathways across circumstances.</p><p><strong>Conclusions: </strong>Our findings suggest a multidimensional relationship between symptoms of depression, anxiety, and eating disorders. The persistence of symptom pathways after the onset of the pandemic implies that these pathways may be responsible for the occurrence of comorbidity and should be primary targets of psychotherapy for affected patients. Addressing core and bridge symptoms in the therapy of comorbid disorders should be a priority and may be more effective than conventional treatment strategies.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"44"},"PeriodicalIF":3.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965327","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":"Heterogeneity of early-onset conduct problems: assessing different profiles, predictors and outcomes across childhood.","authors":"Beatriz Díaz-Vázquez, María Álvarez-Voces, Estrella Romero, Laura López-Romero","doi":"10.1186/s13034-025-00897-2","DOIUrl":"https://doi.org/10.1186/s13034-025-00897-2","url":null,"abstract":"<p><strong>Background: </strong>Among early-onset conduct problems (CP), associated with more disruptive behaviors of greater intensity and stability, several domains have been proposed from a variable-centered perspective to capture their heterogeneity: oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder (ADHD), and callous-unemotional traits (CU). Using a person-centered approach, the present study aims to identify distinct profiles of child CP, examining different predictors and developmental outcomes.</p><p><strong>Methods: </strong>Data included parent- and teacher-reported questionnaires from an ongoing longitudinal study (ELISA). Latent profiles were identified first in a community sample (n = 2,103; age 4-8 years; 50.9% boys) and replicated in a high-CP subsample (n = 168; 70.24% boys).</p><p><strong>Results: </strong>Four profiles emerged in the community sample (Normative Development, Daring/Impulsive, Low prosociality + Fear; Low prosociality + Psychopathic Traits [PP]), and three in the high-CP sample (same except the normative). The identified CP profiles aligned with the ADHD and CU domains, but not the ODD domain. Differences in activity, punitive and inconsistent parenting emerge as the most significant predictors. Regarding the outcomes, the Low prosociality + PP profile stands out as the group with the most severe emotional, social and behavioral maladjustment.</p><p><strong>Conclusions: </strong>These findings highlight the heterogeneity within CP, and the importance of designing specific and tailored interventions for each identified profile.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"43"},"PeriodicalIF":3.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143954952","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":"Experiences in child and adolescent psychiatry training: an international qualitative study.","authors":"Peter Deschamps, Brian Jacobs, Anna Sofie Hansen, Tjhin Wiguna, Suaad Moussa, Aisha Sanober Chachar, André Luiz Schuh Teixeira da Rosa, Víctor Pereira-Sánchez, Marie-Aude Piot","doi":"10.1186/s13034-025-00871-y","DOIUrl":"10.1186/s13034-025-00871-y","url":null,"abstract":"<p><strong>Background: </strong>Experiences of medical specialist trainees in psychiatry can be informative for those who seek to improve post-graduate training. This study aimed to explore the experience of child and adolescent psychiatry (CAP) trainees across different training settings and cultures worldwide to seek out similarities and differences.</p><p><strong>Methods: </strong>A convenience sample of CAP-trainees (n = 36) and -trainers (n = 54) was recruited internationally. All provided a narrative account on aspects of training in their region (n = 27 different countries), either first-person (trainees) or through external perception (trainers). Thematic analysis was used for inductive treatment of the data.</p><p><strong>Results: </strong>Trainees' and trainers' perspectives covered psychological security of the educational framework (including a comprehensive curriculum; social support and recognition of local context), specific skills to be acquired during training and the effects of the social-cultural dimension on mental health (training). Trainers' perspectives highlighted the importance of support and training for supervisors; an overall view to make sense of the training framework; and of looking at training through objective and subjective frameworks of thinking to understand and guide trainees' pathways.</p><p><strong>Conclusions: </strong>Experiences from international psychiatry trainees suggest themes that may guide further development of international standards in psychiatry specialist training on a tailored and consistent supervision framework for trainees. For their trainers, a learning community may offer ongoing support, supervision skill development and help reflect on overall views on systems of care.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"42"},"PeriodicalIF":3.4,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787925","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":"Psychosocial stress factors in families with preterm infants during the Covid-19 pandemic: a cross-sectional study.","authors":"Alina Fendel, Tamara Fuschlberger, Anna Friedmann, Ina Nehring, Marcus Krüger, Volker Mall, Verena Kraus","doi":"10.1186/s13034-025-00890-9","DOIUrl":"10.1186/s13034-025-00890-9","url":null,"abstract":"<p><strong>Background: </strong>The Covid-19 pandemic restrictions severely impacted parents' and children's mental and physical health. Families with pre-existing stress factors may have been particularly affected. Parental stress following premature birth is well acknowledged. The addition of the pandemic restrictions to stressors related to premature birth may constitute an especially high-risk factor for family stress and thereby neuropsychological development. Accessibility to special preterm follow-up care programs is important for neuropsychological development and faced additional relevance in the face of pandemic related stressors. We studied the hypothesis that families with preterm born infants were particularly adversely affected by the pandemic-related restrictions in comparison to families with term born infants. Specific stress factors were explored as well as the accessibility of support programs.</p><p><strong>Methods: </strong>In this cross-sectional study, families were recruited in a neonatology unit with the highest level of care according to German regulations. A questionnaire on perceived pandemic stress factors including amongst others: social contacts, family support, intrafamilial conflicts, leisure activities, and family planning was completed by 101 parents of prematurely born infants while pandemic related restrictions were still in place. We distinguished preterm infants with low gestational age and birth weight from other preterm infants and term born infants. T-tests, Chi-Square tests, Kruskal-Wallis tests, and binary logistic regression analysis were applied to compare the subgroups.</p><p><strong>Results: </strong>The stress levels resulting from restricted social contacts, family conflicts and accessibility to family support services were significantly higher in families with term-born infants. The accessibility of targeted follow-up care programs for preterm infants was significantly lower for moderate and late preterm infants. The pandemic has had an influence on the decision of parents to have more children in both groups.</p><p><strong>Conclusion: </strong>Families with preterm infants were less stressed by the pandemic than those with term infants. Targeted follow-up care focused on high-risk groups and left moderate and late preterm infants without medical check-ups. This reflects the general focus in society on high-risk populations during the pandemic. The pandemic had an influence on family planning in both groups.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"41"},"PeriodicalIF":3.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787927","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":"Meta-analysis of behavioral treatments for selective mutism: findings from selective mutism questionnaire (SMQ) and school speech questionnaire (SSQ).","authors":"Daichi Iimura, Natsuki Tsujita, Mizuki Aoki, Hiromichi Hagihara","doi":"10.1186/s13034-025-00891-8","DOIUrl":"10.1186/s13034-025-00891-8","url":null,"abstract":"<p><strong>Background: </strong>This meta-analysis aims to assess the efficacy of behavioral therapy for selective mutism (SM) using the Selective Mutism Questionnaire (SMQ) and School Speech Questionnaire (SSQ).</p><p><strong>Methods: </strong>We analyzed 12 articles involving 472 participants and comprising three randomized controlled trials and nine before-after or multiple baseline study designs.</p><p><strong>Results: </strong>Our findings indicate a significant improvement in symptoms of SM, as indicated by the SMQ total, the SMQ subsections scores (school, home, and public), and the SSQ. The mean SMQ total score improved by 0.51 [95% confidence interval of 0.32-0.70] with a large effect size (Hedges' adjusted g = 1.00 [0.62-1.39]). This effect did not differ significantly based on the study design. Based on the treatment strategy, web-based treatment demonstrated less improvement (0.12 [- 0.11-0.36]) compared with face-to-face treatment (0.59 [0.39-0.80]).</p><p><strong>Conclusions: </strong>This meta-analysis revealed that SM treatment significantly improved their speaking behavior measured by the SMQ and SSQ, though potential subgroups that influence the treatment efficacy remain. SMQ has also shown validity and responsiveness as an outcome tool for behavioral therapy for SM. Further clinical practices with randomized controlled trials are recommended to clarify the potential differences of treatment or target populations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"40"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779209","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 mediating role of depression and moderating role of self-consciousness in the relationship between parental negative control and adolescents' perceived school climate.","authors":"Jiajie He, He Xiao, Jian Mao, Peizhi Zhong, Junfeng Wei, Wenhao Gu, Yangang Nie","doi":"10.1186/s13034-025-00896-3","DOIUrl":"10.1186/s13034-025-00896-3","url":null,"abstract":"<p><strong>Background: </strong>A positive school climate benefits adolescents in multiple developmental dimensions. However, theoretical frameworks suggest that detrimental parenting practices can trigger adolescents' negative emotional states, which may skew their perceptions of school climate. Although self-consciousness, a critical intrapersonal trait, may mitigate these adverse effects, limited research has empirically explored its moderating role in the context where negative parenting influences adolescents' mental health and school-related outcomes. Thereby, this study investigates how parental negative control influences adolescents' perceived school climate via depression, with self-consciousness moderating the link between parental negative control and depression.</p><p><strong>Methods: </strong>A short-term longitudinal design was employed, with the data collected from a sample of Chinese adolescents (N_T1 = 733, N_T2=711). Self-reports were used to measure parental negative control, depressive symptoms, self-consciousness, and perceived school climate. Structural equation modeling was conducted to assess the mediating effect of depression and the moderating effect of self-consciousness.</p><p><strong>Results: </strong>The findings show that depression mediates the relationship between parental negative control and perceived school climate. Adolescents experiencing higher levels of negative control reported more depressive symptoms, which were associated with lower perceptions of school climate. Self-consciousness moderates the link between parental negative control and depression, with adolescents exhibiting higher self-consciousness showing less vulnerability to the adverse effects of negative control.</p><p><strong>Conclusions: </strong>This study reveals the detrimental impact of parental negative control and depression on adolescents' perceived school climate while highlighting the protective role of self-consciousness. Interventions can target families engaged in maladaptive parenting practices and adolescents with psychopathological symptoms, focusing on enhancing family dynamics and adolescents' self-processes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"37"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771569","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 increased risk of cyberbullying and its negative impact on mental health among sexual minority college students compared to their peers.","authors":"Man Luo, Zhizhou Duan, Wenqun Luo, Zhiping Niu","doi":"10.1186/s13034-025-00895-4","DOIUrl":"10.1186/s13034-025-00895-4","url":null,"abstract":"<p><strong>Backgrounds: </strong>This study explores the relationship between cyberbullying, mental health, and sexual minority groups, focusing on the specific impact of cyberbullying on these individuals' mental wellbeing. Previous research has indicated that sexual minorities face higher levels of cyberbullying on social media. Therefore, this study aims to gain deeper insights into the mental health consequences and potential mitigating factors for this vulnerable population.</p><p><strong>Methods: </strong>We employed a questionnaire survey method and convenience sampling to collect data. Participants' psychosocial traits were assessed using established scales measuring stress, anxiety, depression, cyberbullying, loneliness, and sleep quality. Data analysis included Propensity Score Matching (PSM) and causal mediation analysis.</p><p><strong>Results: </strong>Of the participants, 204 identified as belonging to sexual minority groups, constituting 7.1% of the overall sample. The correlation results indicated that individuals in the sexual minority group experienced higher levels of cyberbullying (r = 0.276, p < 0.001). Cyberbullying was found to partially mediate the relationship between sexual minority status and several mental health issues, including depressive symptoms (0.32, 95% CI 0.19-0.53; P < 0.001), anxiety symptoms (0.52, 95% CI 0.30-0.88; P < 0.001), and loneliness (0.40, 95% CI 0.23-0.69; P < 0.001). Additionally, cyberbullying fully mediated the relationship between sexual minority status and both stress and sleep quality.</p><p><strong>Conclusion: </strong>These findings highlight that cyberbullying serves as a significant mediator in the mental health challenges faced by sexual minorities.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"36"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771566","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":"Depression in left-behind adolescents from single-parent families: a nomogram based on multidimensional risk factors.","authors":"Wang-Cheng Cen, Cheng-Han Li, Wen-Jing Yan, Yu-Qi Sun","doi":"10.1186/s13034-025-00894-5","DOIUrl":"10.1186/s13034-025-00894-5","url":null,"abstract":"<p><strong>Background: </strong>Depression is a significant issue affecting adolescents' mental health. While depression research is relatively extensive, studies focusing on left-behind adolescents from single-parent families remain limited. Due to their unique family structure, this group is more susceptible to multiple stressors, increasing their risk of depression.</p><p><strong>Objective: </strong>This study aims to construct a predictive model based on a nomogram to identify the multidimensional characteristics of depression risk among left-behind adolescents from single-parent families, providing theoretical and practical evidence for early screening and targeted mental health interventions.</p><p><strong>Methods: </strong>Cross-sectional data from the China Psychological Health Guardian Project (CPHG) were utilized to select samples of left-behind adolescents aged 12-20 years from single-parent families (N = 3731). Key variables were identified using Lasso regression, followed by the optimization of the model through binary logistic regression. A nomogram prediction model was then constructed based on significant variables.</p><p><strong>Results: </strong>The study identified gender, age, duration of parental separation, family satisfaction, parental education levels, substance dependence, weekday sleep duration, weekend mobile phone use duration, and chronic diseases as key predictors of depression risk. The nomogram model demonstrated good discriminatory and predictive accuracy, with AUC values of 0.771 and 0.759 in the training and validation sets, respectively.</p><p><strong>Conclusion: </strong>By integrating multidimensional variables, this study developed a predictive model for depression risk among left-behind adolescents from single-parent families, providing scientific evidence for the early identification and intervention of high-risk individuals.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"39"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771544","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":"Personal growth through navigating the world as an artist: a qualitative study of the impact of creativity camp on adolescents with depression.","authors":"Yuko Taniguchi, Olivia Costa, Athen Ortega, Shanze Hayee, Josie Friedman, Michaelle E DiMaggio-Potter, Jered Bright, Peng Wu, Angie P Mejia, Gail A Bernstein, Bryon A Mueller, Bonnie Klimes-Dougan, Wilma Koutstaal, Kathryn R Cullen","doi":"10.1186/s13034-025-00893-6","DOIUrl":"10.1186/s13034-025-00893-6","url":null,"abstract":"<p><strong>Background: </strong>A growing body of literature suggests that creative arts interventions can effectively support mental health and well-being in young people. We recently reported that after participating in \"Creativity Camp\"- a 2-week creative arts group intervention- 69 adolescents with depression showed significantly reduced depression symptoms and improved ratings of well-being. To understand the key processes impacting adolescents during and after this intervention, this study applies a multi-informant qualitative data approach.</p><p><strong>Method: </strong>Qualitative data collection methods included participatory observation notes taken during the Creativity Camp sessions and interviewing the adolescents and their parents or guardians at the end of the intervention and six months later. We analyzed data using Constructivist Grounded Theory and triangulated the findings from both sets of data to gain comprehensive and reliable interpretation.</p><p><strong>Results: </strong>We found several key processes in the adolescents' experiences during and after camp: internal negotiation between novelty and discomfort, exploring playfulness and responsibility, discovering the uniqueness of self and others, flexible approach toward life, and an expanded view of creativity. From parent interviews, we found that their children expanded personal boundaries and enthusiasm through deep engagement, empowered perspective, and sustained enthusiasm. Triangulating the data from both sources, we constructed a theory that explains the benefits of Creativity Camp on adolescent well-being: \"Personal growth by navigating the world as an artist.\"</p><p><strong>Discussion: </strong>The qualitative analysis identified key processes from the Creativity Camp intervention, along with changes and long-term impacts that may have fostered personal growth. The framework of navigating the world through an artist's lens as a pathway to personal growth presents a novel contribution to existing knowledge and practice in art-based interventions for adolescents with depression. This insight can help shape the design of future arts-in-health approaches for supporting adolescent mental health.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"38"},"PeriodicalIF":3.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771563","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}