Defining young people ’s mental health self-care: a systematic review and co-development approach
This study highlights the gap between current academic understandings of young people’s mental health self-care and young people’s experienc e. The presented definition will enable future research to begin from an understanding of self-care which is relevant to young people with experience of mental health difficulties. (Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - November 10, 2023 Category: Psychiatry Source Type: research

Functional network characteristics in adolescent psychotic mood disorder: associations with symptom severity and treatment effects
This study indicated that functional networks are more severely impaired in patients with psychotic symptoms. Topological properties, particularly those associated with the STG, hold promise as emerging metrics for assessing symptoms and treatment efficacy in patients with psychotic s ymptoms. (Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - November 7, 2023 Category: Psychiatry Source Type: research

Parent –child relationship, parenting behaviors, and adolescents’ depressive symptoms after an earthquake: unraveling within-adolescent associations from between-adolescent differences
In conclusion, shortly after trauma, interventions should focus on improving parent–child relationship and relieving adolescents’ depressive symp toms. Over the longer term after trauma, relieving adolescents’ depressive symptoms should be prioritized to avoid its eroding effects on parent–child relationship and parenting behaviors, and to break the “vicious cycle”. (Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - November 4, 2023 Category: Psychiatry Source Type: research

Atypical neurocognitive functioning in children and adolescents with obsessive –compulsive disorder (OCD)
In this study, we investigated neurocognitive functioning in a large and representative sample of newly diagnosed children and adolescents with OCD compared to non-psychiatric controls. Children an d adolescents with OCD (n = 119) and non-psychiatric controls (n = 90) underwent psychopathological assessment, intelligence testing, and a neurocognitive test battery spanning cognitive flexibility, planning and decision-making, working memory, fluency, and processing speed. The MANOVA main effect revealed that children and adolescents with OCD performed si gnificantly worse than the control group (p <  .001,\({\...
Source: European Child and Adolescent Psychiatry - November 2, 2023 Category: Psychiatry Source Type: research

Use of the experience sampling method in adolescents with Duchenne muscular dystrophy: a feasibility study
AbstractExperience sampling methods (ESM) using mobile health (mHealth) technology with a smartphone application are increasingly used in clinical practice and research. Still, recommendations are limited in young people, and adaptations may be necessary. Patients with Duchenne muscular dystrophy (DMD) are chronically treated with steroids from a young age. However, the impact of intermittent treatment schedules on fluctuations in somatic, cognitive and behavioural symptoms is poorly investigated. Existing studies are often cross-sectional and occur in controlled clinical settings, which do not provide sufficiently detaile...
Source: European Child and Adolescent Psychiatry - November 1, 2023 Category: Psychiatry Source Type: research

Somatic symptoms in school refusal: a qualitative study among children, adolescents, and their parents during the COVID-19 pandemic
AbstractSchool refusal (SR) is commonly associated with somatic symptoms that are temporally related to school attendance. Abdominal pain, headache, vomiting, and musculoskeletal pain are frequently encountered and are usually not caused by a physical disease. School refusers, parents and health care workers are often puzzled by these impairing symptoms. In this qualitative study, we assessed somatic symptoms in a population encompassing both school refusers and their parents. We aimed at better understanding experiences and strategies in the management of these debilitating symptoms, while also investigating the journey o...
Source: European Child and Adolescent Psychiatry - October 11, 2023 Category: Psychiatry Source Type: research

MDMA-assisted psychotherapy for PTSD in adolescents: rationale, potential, risks, and considerations
We present a rationale for considering MDMA-AP for treating PTSD among adolescents. Evidence suggests that as an adjunct to therapy, MDMA may reduce avoidance and enable trauma processing, strengthen therapeutic alliance, enhance extinction learning and trauma-related reappraisal, and hold potential beyond PTSD symptoms. Drawing on existing trauma-focused treatments, we suggest possible adaptations to MDMA-AP for use with adolescents, focusing on (1) reinforcing motivation, (2) the development of a strong therapeutic alliance, (3) additional emotion and behavior management techniques, (4) more directive exposure-based meth...
Source: European Child and Adolescent Psychiatry - October 10, 2023 Category: Psychiatry Source Type: research

Cumulative comorbidity between neurodevelopmental, internalising, and externalising disorders in childhood: a network approach
AbstractCumulative comorbidity of mental disorders is common, but the extent and patterns of comorbid psychopathology in childhood are not well established. The current study aimed to elucidate the emergent patterns of cumulative mental disorder comorbidity in children using network analysis of diagnoses recorded between birth and age 12  years. Participants were 90,269 children (mean age 12.7 years; 51.8% male) within the New South Wales Child Development Study (NSW-CDS)—a longitudinal record-linkage cohort study of Australian children born in NSW between 2002 and 2005. Binary indicators for eight types of mental diso...
Source: European Child and Adolescent Psychiatry - October 10, 2023 Category: Psychiatry Source Type: research

Green social prescribing to enhance child and adolescent mental health
(Source: European Child and Adolescent Psychiatry)
Source: European Child and Adolescent Psychiatry - October 10, 2023 Category: Psychiatry Source Type: research

Generation climate crisis, COVID-19, and Russia –Ukraine-War: global crises and mental health in adolescents
AbstractClimate change, COVID-19, and the Russia-Ukraine War are some of the great challenges of our time. These global crises affect young people in a particularly vulnerable phase of their lives. The current study aimed to assess the impact of these crises on mental health (depression, anxiety, and health-related quality of life) in secondary school students in Germany. Furthermore, we assessed known predictors of mental health, such as socio-economic factors, individual life stressors, and resilience factors (self-efficacy, expressive flexibility) as covariates. In our sample of 3998 pupils, pandemic- and climate-relate...
Source: European Child and Adolescent Psychiatry - October 9, 2023 Category: Psychiatry Source Type: research

Rates and predictors of service disengagement in adolescents with first episode psychosis: results from the 2-year follow-up of the Pr-EP program
AbstractService disengagement is a major concern for “Early Intervention in Psychosis” (EIP). Indeed, understanding predictors of engagement is important for the effectiveness of mental health interventions, to improve outcome and quality of life, also in adolescents with first episode psychosis (FEP). No specific European investigation on this to pic in adolescence has been reported in the literature to date. The aim of this study was to investigate service disengagement rate and predictors in an Italian sample of FEP adolescents treated within an EIP program during a 2-year follow-up period. All participants were ado...
Source: European Child and Adolescent Psychiatry - October 9, 2023 Category: Psychiatry Source Type: research

The effect of parenting behaviours on adolescents ’ rumination: a systematic review of longitudinal studies
AbstractRumination is an emotional regulation mechanism strongly associated with the development and maintenance of internalising psychopathology in adolescence and adulthood. Parenting behaviours (PBs) play a pivotal role in the development of rumination in children and adolescents. Nonetheless, the specific PBs that can either protect against or increase the risk of rumination development remain poorly understood. This systematic review aimed to explore the (1) temporal associations between PBs and adolescents ’ rumination and (2) potential moderators influencing these associations. We conducted a comprehensive search ...
Source: European Child and Adolescent Psychiatry - October 9, 2023 Category: Psychiatry Source Type: research

Multi-method examination of cognitive disengagement syndrome and ADHD inattentive symptoms in relation to early adolescents ’ academic functioning
AbstractCognitive disengagement syndrome (CDS), previously referred to as sluggish cognitive tempo, is a set of symptoms characterized by excessive daydreaming, mental fogginess, and slowed behavior/thinking. Studies examining the association between CDS and academic functioning have reported mixed findings and have relied upon limited measures of CDS, broad ratings of academic impairment, and/or focused only on elementary-aged children. The current study examined the relationship between CDS and academic functioning in adolescents using a comprehensive, multi-informant, multi-method design. Participants were 302 adolescen...
Source: European Child and Adolescent Psychiatry - October 7, 2023 Category: Psychiatry Source Type: research

Association of maternal hypertension during pregnancy with brain structure and behavioral problems in early adolescence
AbstractEmerging evidence suggests an association between maternal hypertension during pregnancy and mental health in the offspring. However, less is known about the role of hypertensive pregnancy in behavioral symptoms and brain structures of the offspring as well as in their developmental changes. Here, we utilized neuroimaging and behavioral data from 11,878 participants aged 9 –10 years and their 2-year follow-up from the Adolescent Brain Cognitive Development (ABCD) study to investigate the long-term effects of maternal hypertension during pregnancy on early adolescent behavior and brain anatomy. Specifically, adol...
Source: European Child and Adolescent Psychiatry - October 6, 2023 Category: Psychiatry Source Type: research

Fear conditioning and fear generalization in children and adolescents with anxiety disorders
AbstractOvergeneralization of conditioned fear is associated with anxiety disorders (AD). Most results stem from studies done in adult patients, but studies with children are rare, although the median onset of anxiety disorders lies already in childhood. Thus, the goal of the present study was to examine fear learning and generalization in youth participants, aged 10 –17 years, with AD (n = 39) compared to healthy controls (HC) (n = 40). A discriminative fear conditioning and generalization paradigm was used. Ratings of arousal, valence, and US expectancy (the probability of an aversive noise following each stim...
Source: European Child and Adolescent Psychiatry - October 4, 2023 Category: Psychiatry Source Type: research