Child and Adolescent Psychiatry and Mental Health最新文献

{"title":"The relationship between callous-unemotional traits and internalizing psychopathology in adolescent psychiatric inpatients: a network analysis.","authors":"Laura Maria Derks, Eni Sabine Becker, Wolf-Gero Lange, Mike Rinck, Anna Lena Dapprich, Martin Holtmann, Tanja Legenbauer","doi":"10.1186/s13034-024-00853-6","DOIUrl":"10.1186/s13034-024-00853-6","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have investigated the relevance of callous-unemotional traits in relation to externalizing psychopathology among children and adolescents. However, less research has examined the connections between callous-unemotional traits and internalizing psychopathology and findings were inconsistent. Consequently, the present study aimed to elucidate the role of callous-unemotional traits in the context of depression and anxiety while controlling for conduct problems, age, and gender.</p><p><strong>Methods: </strong>The study utilized self-report questionnaire data from 978 adolescent psychiatric inpatients (M_age = 15.18, SD = 1.44) presenting a range of psychopathological conditions. A network analysis was conducted, incorporating callous-unemotional traits, depressive symptoms, anxiety symptoms, conduct problems, and covariates (age, gender). Additionally, comparisons were made between the networks of inpatients diagnosed with conduct disorders and those with internalizing disorders.</p><p><strong>Results: </strong>The findings indicated that callous-unemotional traits were relevant within the general network, as well as in both the conduct disorder and internalizing networks. In both contexts, callous-unemotional traits were predominately positively associated with depression and conduct problems. Within the conduct disorder network, callous-unemotional traits exhibited primarily negative associations with anxiety, whereas the relationships within the internalizing network were more varied.</p><p><strong>Conclusions: </strong>Our findings suggest that callous-unemotional traits hold substantial relevance for internalizing symptoms, supporting the notion that these traits should be considered potentially transdiagnostic factors.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"163"},"PeriodicalIF":3.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892545","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":"Crafting inclusive parenting programs- considerations for deaf families: a qualitative study.","authors":"Asher Emmanuel Ikwara, Rebecca Nabagesera, Isaac Isiko","doi":"10.1186/s13034-024-00852-7","DOIUrl":"10.1186/s13034-024-00852-7","url":null,"abstract":"<p><strong>Background: </strong>The parenting of children by deaf parents has many challenges that require a barrier-breaking approach to ensure inclusivity and accessibility. Therefore, this study explored pathways for crafting inclusive parenting programs, fostering a future where every family thrives, regardless of hearing ability.</p><p><strong>Methods: </strong>This was a qualitative study that employed in-depth interviews with 20 deaf parents and utilized thematic content analysis. This study was carried out at events organized by the Uganda National Association of the Deaf (UNAD) at Makerere College School. Deaf parents were purposively selected from attendees at events organised by the Uganda National Association of the Deaf (UNAD) during the specified celebrations.</p><p><strong>Results: </strong>An analysis of interviews with deaf parents identified six crucial themes for inclusive parenting programs. Language education was highlighted for strengthening family bonds. Communication and relationship building emphasized equal treatment and love for deaf children. Cultural sensitivity and education were deemed essential, as visual tools and district associations were used. Tailoring content for deaf children emphasized playful and educational materials, such as sign language videos. The utilization of technology for accessible programs and the promotion of community involvement are recognized as critical components.</p><p><strong>Conclusion: </strong>This study emphasized the unique experiences of deaf parents, highlighting the need for sign language education, cultural sensitivity, and technology while addressing challenges like limited resources, stigma, and advocacy gaps in parenting programs.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"162"},"PeriodicalIF":3.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863435","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 therapeutic effects of probiotics on core and associated behavioral symptoms of autism spectrum disorders: a systematic review and meta-analysis.","authors":"Jen-Chin Lee, Chia-Min Chen, Cheuk-Kwan Sun, I-Ting Tsai, Yu-Shian Cheng, Hsien-Jane Chiu, Ming Yu Wang, Yen-Hsiang Tang, Kuo-Chuan Hung","doi":"10.1186/s13034-024-00848-3","DOIUrl":"10.1186/s13034-024-00848-3","url":null,"abstract":"<p><strong>Background: </strong>We aimed at investigating the efficacies of probiotics in alleviating the core and associated symptoms of autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>Randomized placebo-controlled trials were identified from major electronic databases from inception to Nov 2023. The outcomes of interests including improvements in the total and associated symptoms of ASD were quantitatively expressed as effect size (ES) based on standardized mean difference (SMD) with 95% confidence interval (CI).</p><p><strong>Results: </strong>Ten studies with 522 participants (mean age = 8.11) were included in this meta-analysis. The primary results revealed significant improvement in total symptoms in the probiotics group compared with the controls (SMD = - 0.19, p = 0.03, ten studies, n = 522) but not the core symptoms (i.e., repetitive restricted behaviors, As affiliations 3 and 5 are same, we have deleted the duplicate affiliations and renumbered accordingly. Please check and confirm.problems with social behaviors/communication). Subgroup analyses demonstrated improvement in total symptoms in probiotics users relative to their controls only in studies using multiple-strain probiotics (SMD = - 0.26, p = 0.03, five studies, n = 288) but not studies using single-strain regimens. Secondary results showed improvement in adaptation (SMD = 0.37, p = 0.03, three studies, n = 139) and an improvement trend in anxiety symptoms in the probiotics group compared with controls (SMD = - 0.29, 95% CI - 0.60 to 0.02, p = 0.07, three studies, n = 163) but failed to demonstrate greater improvement in the former regarding symptoms of irritability/aggression, hyperactivity/impulsivity, inattention, and parental stress.</p><p><strong>Conclusions: </strong>Our study supported probiotics use against the overall behavioral symptoms of ASD, mainly in individuals receiving multiple-strain probiotics as supplements. However, our results showed that probiotics use was only associated with improvement in adaptation and perhaps anxiety, but not core symptoms, highlighting the impact of adaptation on quality of life rather than just the core symptoms. Nevertheless, the limited number of included trials warrants further large-scale clinical investigations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"161"},"PeriodicalIF":3.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863440","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":"Cannabinoids for treating psychiatric disorders in youth: a systematic review of randomized controlled trials.","authors":"Patrick Köck, Andrzej Badek, Maximilian Meyer, Arndt-Lukas Klaassen, Marc Walter, Jochen Kindler","doi":"10.1186/s13034-024-00846-5","DOIUrl":"10.1186/s13034-024-00846-5","url":null,"abstract":"<p><strong>Background: </strong>Cannabinoids have been of increasing interest mainly due to their putative efficacy in a wide array of psychiatric, psychosomatic, and neurological conditions.</p><p><strong>Aims: </strong>This systematic review aims to synthesize results from randomized placebo-controlled trials regarding the efficacy and the dosage of cannabinoids as therapeutics in psychiatric disorders in children, adolescents, and young adults.</p><p><strong>Methods: </strong>All publications up to June 30th, 2024, were included from PubMed and Embase. Eligibility criteria in accordance with the PRISMA-guidelines was applied. RCTs providing pre- and post-treatment parameters on cannabinoid therapies for mental disorders in comparison to controls in an age range from 0 to 25 years were included. Effect sizes were calculated as Hedges' g for primary outcomes, and a multilevel random-effects meta-analysis was conducted to account for dependent outcomes from same study populations.</p><p><strong>Results: </strong>We identified 7603 records, of which 8 independent clinical trials (reported in 9 publications) met the pre-established eligibility criteria, comprising 474 unique participants (245 treatment, 229 control). Analysis of 13 primary outcomes (of 7 clinical trials) revealed a modest positive overall effect for symptom improvement or normalization of brain physiology (Hedges' g = 0.308, 95% CI: 0.167, 0.448). Autism spectrum disorder studies showed the most consistent evidence (g = 0.264, 95% CI: 0.107, 0.421), while other conditions showed wider confidence intervals. Age-stratified analysis showed that adult populations (mean age 23.3 years, n = 5 outcomes) demonstrated higher effect sizes (g = 0.463, SD = 0.402) compared to pediatric populations (mean age 11.8 years, n = 8 outcomes; g = 0.318, SD = 0.212). Whole plant preparations (g = 0.328, 95% CI: 0.083, 0.573) and pharmaceutical cannabinoids (g = 0.292, 95% CI: 0.069, 0.515) showed comparable effects. CBD dosages ranged from 17.5 mg to 600 mg per day, with no significant correlation between dosage and effect size (ρ = -0.014, p = 0.963). Mild to moderate side effects were reported, but no serious adverse events. Risk of bias assessment ranged from low (n = 3) to high (n = 5).</p><p><strong>Conclusion: </strong>While meta-analysis of effect sizes for primary outcomes revealed modest positive effects, particularly for autism spectrum disorders, the current evidence remains insufficient to broadly recommend cannabinoids for treating mental disorders in youth populations. Larger, controlled studies with standardized outcomes are needed to establish definitive clinical recommendations.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"158"},"PeriodicalIF":3.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853192","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":"Temporal trends and social inequities in adolescent and young adult mental health disorders in Catalonia, Spain: a 2008-2022 primary care cohort study.","authors":"Ana Lozano-Sánchez, Enric Aragonès, Tomàs López-Jiménez, Matthew Bennett, Stella Evangelidou, Esther Francisco, Myriam García, Estel Malgosa, Núria Codern-Bové, Claudia Guzmán-Molina, Constanza Jacques-Aviñó","doi":"10.1186/s13034-024-00849-2","DOIUrl":"10.1186/s13034-024-00849-2","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of mental health disorders in children, teens, and young adults is rising at an alarming rate. This study aims to explore time trends in the incidence of mental disorders among young people in Catalonia, Spain from 2008 to 2022, focusing on the effects of the COVID-19 pandemic and from the perspective of social inequities.</p><p><strong>Methods: </strong>A cohort study using primary care records from the SIDIAP database was conducted. It included 2,088,641 individuals aged 10 to 24 years. We examined the incidence of depressive, anxiety, eating, and attention deficit/hyperactivity disorders, stratified by sex, age, deprivation, and nationality.</p><p><strong>Results: </strong>All disorders reflected an increasing trend throughout the study period: depressive disorders (IRR: 2.44, 95% CI: 2.31-2.59), anxiety disorders (IRR: 2.33, 95% CI: 2.27-2.39), ADHD (IRR: 2.33, 95%CI: 2.17-2.50), and eating disorders (IRR: 3.29, 95% CI: 3.01-3.59). A significant increase in incidence was observed after the outbreak of the COVID-19 pandemic. In 2022, anxiety disorders were most frequent, with an incidence rate (IR) of 2,537 per 100,000 persons-year (95% CI: 2,503-2,571). Depressive disorders followed with an IR of 471 (95% CI: 458-486), ADHD with an IR of 306 (95% CI: 295-317) and eating disorders with an IR of 249 (95% CI: 239-259). Significant associations were reported with sex, age, deprivation, and nationality.</p><p><strong>Conclusion: </strong>The incidence of all studied disorders has steadily increased, reaching unprecedented levels during the pandemic. Understanding these trends is essential for an appropriate healthcare response, while addressing the non-medical determinants, requires action across all sectors of society.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"159"},"PeriodicalIF":3.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853242","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":"Navigating recovery in childhood OCD: a qualitative analysis of barriers and facilitators.","authors":"Lakshmi Sravanti, Rajendra Kiragasur Madegowda, Arul Jayendra Pradeep Velusamy, John Vijay Sagar Kommu, Satish Chandra Girimaji, Shekhar Seshadri","doi":"10.1186/s13034-024-00851-8","DOIUrl":"10.1186/s13034-024-00851-8","url":null,"abstract":"<p><strong>Objective: </strong>The objective is to examine barriers and facilitators to recovery in children and adolescents with obsessive-compulsive disorder (OCD) using a qualitative approach.</p><p><strong>Methods: </strong>Ten semi-structured interviews were conducted, audio-recorded, and analyzed using thematic analysis. Findings were validated through investigator triangulation, peer validation and member check.</p><p><strong>Results: </strong>Barriers to recovery were internal-lack of awareness; poor motivation to seek treatment; and perceived stigma, or external-poor parental support; parental anxiety; inadequate awareness in schools; social misconceptions about illness; myths about medication; and frustrations in treatment processes. Facilitators were internal-will and determination; self-discipline; keeping calm; sense of purpose, and external-general awareness; parental support; peer support; and good therapeutic engagement.</p><p><strong>Conclusions: </strong>To the best of our knowledge, this is the first study to explore barriers and facilitators to recovery in-depth in pediatric OCD. Findings underscore the importance of tailored interventions, robust support networks, and cultural sensitivity for successful recovery outcomes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"160"},"PeriodicalIF":3.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853239","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":"Psychometric properties of the parent-rated assessment scale of positive and negative parenting behavior (FPNE) in a German sample of school-aged children.","authors":"Vanessa Holas, Ann-Kathrin Thöne, Christina Dose, Stephanie Gebauer, Christopher Hautmann, Anja Görtz-Dorten, Lea Teresa Kohl, Julia Plück, Anne-Katrin Treier, Tobias Banaschewski, Ulrike Ravens-Sieberer, Veit Rößner, Charlotte Hanisch, Michael Kölch, Martin Holtmann, Katja Becker, Tobias Renner, Julia Geissler, Jasmin Wenning, Michael Huss, Luise Poustka, Manfred Döpfner","doi":"10.1186/s13034-024-00850-9","DOIUrl":"10.1186/s13034-024-00850-9","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to develop and psychometrically evaluate a parent-rated parenting assessment scale including positive and negative dimensions of parenting. Factorial validity, reliability, measurement invariance, latent mean differences and construct validity of the Assessment Scale of Positive and Negative Parenting Behavior (FPNE) were tested in a pooled sample of five studies of 1,879 school-aged children (6.00 to 12.11 years).</p><p><strong>Methods: </strong>Exploratory factor analysis (EFA) was performed on a first randomized split-half sample, and confirmatory factor analysis (CFA) and exploratory structural equation modeling (ESEM) were conducted in the second half of the sample. Measurement invariance tests were conducted to assess factor structure equivalence across gender and age.</p><p><strong>Results: </strong>The EFA results supported a two-factor structure and the CFA results revealed a model with two correlated factors (Positive Parenting, Negative Parenting), which included 23 items and showed acceptable model fit and good psychometric properties. ESEM did not yield a model with significantly better model fit. Internal consistencies were acceptable. Adequate concurrent validity was demonstrated by low to moderate correlations between the FPNE and similar constructs. The factor structure was invariant (configural, metric, scalar) across different age groups and gender. Tests of latent mean differences revealed that older children scored significantly higher on negative parenting than younger children, while boys showed lower levels of positive parenting and higher levels of negative parenting compared to girls. All effect sizes were small.</p><p><strong>Conclusions: </strong>The results suggest that the FPNE is a reliable and valid instrument for the assessment of parenting.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"157"},"PeriodicalIF":3.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11648292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834331","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 paternal influence on early childhood development in Africa: implications for child and adolescent mental health.","authors":"Augustus Osborne, Bright Opoku Ahinkorah","doi":"10.1186/s13034-024-00847-4","DOIUrl":"10.1186/s13034-024-00847-4","url":null,"abstract":"<p><p>This commentary examines the influence of fathers in early childhood development in Africa and its implications for child and adolescent mental health. Historically overshadowed by maternal influence, research increasingly highlights the multifaceted impact of paternal involvement on children's cognitive, emotional, social, and behavioural development. Fathers contribute uniquely to children's mental growth through stimulating play and rich language interaction. Their emotional engagement fosters children's self-esteem and resilience. Moreover, fathers influence social skills by modelling interactions and encouraging exploration. Paternal involvement is linked to improved behaviour regulation. Beyond direct interaction, factors such as paternal mental health, economic stability, and co-parenting dynamics also shape child outcomes. Despite the impact of engaged fatherhood on children's cognitive, emotional, and social development, many fathers encounter barriers such as economic pressures, cultural norms, and migration. These challenges often hinder their ability to participate actively in their children's lives, resulting in a disconnect that can affect family dynamics and child well-being. Addressing cultural and societal barriers to father involvement is crucial to optimise child development. To address these issues, the paper outlines several key policy implications aimed at promoting paternal involvement. This commentary serves as a foundation for further exploration of fathers' complex and vital role in shaping children's lives.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"156"},"PeriodicalIF":3.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791215","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 latent profile analysis of cognitive emotion regulation strategies in relation to negative emotions and NSSI among Chinese junior high school students.","authors":"Peiyu Zhang, Yuanqi Xiong, Jingyu Shi","doi":"10.1186/s13034-024-00838-5","DOIUrl":"10.1186/s13034-024-00838-5","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the latent profiles of cognitive emotion regulation strategy (CERS) and its relationship with negative emotions and Non-Suicidal Self-Injury (NSSI) in Chinese junior high school students, although CERS is thought to be strongly associated with emotional-behavioral problems in adolescents.</p><p><strong>Methods: </strong>A total of 2807 junior high school students in Yunnan Province, China, were selected for the study. They were measured with the Cognitive Emotion Regulation Questionnaire (CERQ), the Non-Suicidal Self-Injury Questionnaire, and the Depression-Anxiety-Stress Scale. Latent profile analysis was used to explore latent profiles of CERS among students, and the one-way ANOVA or c² test was used to explore the relationship between the profiles and depression, anxiety, stress or NSSI.</p><p><strong>Results: </strong>(1) Latent profile analysis revealed five CERS types: 'Maladaptive group' (32.25%), 'Moderate adaptive-low maladaptive group' (24.68%), 'Rigid group' (19.73%), 'High adaptive-moderate maladaptive group' (14.42%), and 'Sensitive group' (8.82%). (2) The multivariable logistic regression analyses showed that with increasing age (OR = 0.812, 95% CI = 0.66-0.99, p < 0.05), junior high school students were less likely to be in the 'Moderate adaptive-low maladaptive group', and males (OR = 0. 698, 95% CI = 0.52-0.94, p < 0.05) were less likely to be classified as 'Moderate adaptive-low maladaptive group'; (3) ANOVA and c² test results showed that the differences between the different latent profiles of junior high school students on anxiety, depression, stress and NSSI indicators were statistically significant (p < 0.05). The 'Sensitive group' had the highest risk of emotional-behavioral problems and the 'Moderate adaptive-low maladaptive group' had the lowest risk of emotional-behavioral problems.</p><p><strong>Conclusion: </strong>Negative emotions and NSSI in junior high school students are closely related to their CERS profiles, and it is important to use targeted strategies to prevent and intervene in emotional-behavioral problems for individuals with different CERS subtypes.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"155"},"PeriodicalIF":3.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142778839","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":"Cognitive behavioral therapy for pediatric obsessive-compulsive disorder delivered via internet videoconferencing: a manualized sensor-assisted feasibility approach.","authors":"Carolin S Klein, Annika K Alt, Anja Pascher, Jan Kühnhausen, Lennart Seizer, Winfried Ilg, Annika Thierfelder, Jonas Primbs, Michael Menth, Gottfried M Barth, Caterina Gawrilow, Annette Conzelmann, Tobias J Renner, Karsten Hollmann","doi":"10.1186/s13034-024-00844-7","DOIUrl":"10.1186/s13034-024-00844-7","url":null,"abstract":"<p><strong>Background: </strong>Between 1 and 4% of children and adolescents suffer from obsessive-compulsive disorder (OCD) worldwide, but the majority of these young people do not have access to cognitive behavioral therapy (CBT) as a first-line treatment. CBT delivered via online videoconferencing (vCBT) offers a new way to provide young people with therapy, especially in the home environment where symptoms usually occur.</p><p><strong>Methods: </strong>In this study, we investigated the feasibility of a newly revised vCBT manual, symptom change during treatment, and effects on family life and social functioning. 20 patients with OCD, aged 12-18 years, were treated during 14 weekly sessions while using a multimodal sensor system that assessed their physiological and behavioral responses during therapy. Treatment was delivered in real time via an online videoconferencing platform. Measurements of feasibility, acceptance, and implementation were evaluated descriptively, and clinical measures were assessed with t tests.</p><p><strong>Results: </strong>The primary results showed that patients and parents perceived the manual-based vCBT as feasible and easy to understand. According to the therapists' ratings, all treatment modules and the content could be carried out in accordance with the manual. As a secondary outcome, OCD symptoms improved significantly during treatment (p <.001, d = 1.87), revealed by an average decrease of more than half in the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS) score. As the psychotherapy could be implemented directly in the patients' home environment, low barriers to participation were reported, and the majority of participants reported improvements in family life after treatment.</p><p><strong>Conclusions: </strong>In summary, the results of this feasibility study indicated a successful application of manual-based psychotherapy delivered via videoconferencing for pediatric OCD supported by a sensor system. This method should be further investigated in future randomized controlled trials with larger patient samples.</p><p><strong>Clinical trial registration: </strong>[ www.</p><p><strong>Clinicaltrials: </strong>gov ], identifier [NCT05291611], first submission: 2021-12-10.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"18 1","pages":"154"},"PeriodicalIF":3.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142778885","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}