Systematic Review: United States Workforce for Autism-Related Child Healthcare Services
A diversity of United States health professional disciplines provide services for children with autism spectrum disorder (ASD). We conducted a systematic review examining the availability, distribution and competencies of the U.S. workforce for autism-related child healthcare services, and assess studies ’ strength of evidence. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 28, 2019 Category: Psychiatry Authors: Ryan K. McBain, Vishnupriya Kareddy, Jonathan H. Cantor, Bradley D. Stein, Hao Yu Tags: Review Source Type: research

Editorial: What Do Cannabis-Related Differences in Corticostriatal Circuitry Subserving Cognitive Control Mean?
Increasingly permissive attitudes and laws surrounding cannabis have been accompanied by more prevalent use and increased perceptions of its safety.1 However, in stark contrast to this sea-change, remarkably little is known about the potential consequences and etiology of cannabis involvement. In particular, it is unclear what biological mechanisms may undergird associations with negative outcomes (eg, reduced cognition, increased psychosis, depression)2 and whether these substrates arise from cannabis use and/or represent predispositional risk factors. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 28, 2019 Category: Psychiatry Authors: David A.A. Baranger, Ryan Bogdan Tags: Editorial Source Type: research

Editorial: Evaluating the Clinical and Financial Outcomes of Implementing Dialectical Behavior Therapy on a Psychiatric Inpatient Unit: A Change in Practice and Culture
Applying and evaluating evidence based treatments (EBTs) across the mental health care continuum continues to gain support and cultivate strategies for development, training, implementation and evaluation.1 However, there is a disconnect between science and practice, resulting in limited implementation of EBTs in real-world clinical settings such as outpatient, partial hospitalization programs (PHP), intensive outpatient programs (IOP), psychiatric inpatient hospitalization (IP), and residential care. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 28, 2019 Category: Psychiatry Authors: Jarrod M. Leffler Tags: Editorial Source Type: research

Editorial: Room for Improvement in the Treatment of Youth Depression
Psychotherapy has been studied for decades and is often used to treat youth who are depressed. How well does it work? Eckshtain et al. answered this question with a thoughtful, complex meta-analysis of 53 psychotherapy trials.1 Psychotherapy was significantly superior relative to control groups. More revealingly, treatment effects were small-to-moderate (g = .49) when compared to no-treatment, small (g = .29) when compared to a broad range of usual care interventions, and middling and statistically insignificant (g = .16) relative to placebo interventions (nearly all placebo psychotherapies merely controlling for therapist...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 28, 2019 Category: Psychiatry Authors: Glen I. Spielmans Tags: Editorial Source Type: research

Classifying Mood Symptom Trajectories in Adolescents with Bipolar Disorder
The Course and Outcome of Bipolar Youth study (Birmaher and colleagues) found that children and adolescents with bipolar spectrum disorders followed one of four distinct mood trajectories over 8 years of follow-up, with as many as 25% showing a predominantly euthymic course. We evaluated whether similar patterns of illness course are observed in adolescents with bipolar I and II disorder who participated in a 2-year clinical trial. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 28, 2019 Category: Psychiatry Authors: Marc J. Weintraub, Christopher D. Schneck, David A. Axelson, Boris Birmaher, Robert A. Kowatch, David J. Miklowitz Tags: New Research Source Type: research

The Need for a Developmentally Based Measure of Social Communication Skills
The ability to demonstrate and quantify changes in social communication skills has been hindered by a lack of existing measures with appropriate standardization and psychometric properties. Such a measure would be helpful for research in many populations but would be particularly crucial for detecting incremental changes in youth with neurodevelopmental disorders who might gain skills but still lag substantially behind same-age peers. Although study designs and statistical methods are under development to try to account for slow and/or nonlinear, but potentially meaningful, improvements,1 there is a dearth of measures desi...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Somer Bishop, Cristan Farmer, Aaron Kaat, Stelios Georgiades, Stephen Kanne, Audrey Thurm Tags: Translations Source Type: research

What Is “High Risk” and What Are We Actually Supposed to Do About It?
Regulatory agencies are increasingly taking on the important issue of effective risk assessment, risk stratification, and treatment planning for youth with psychiatric illness.1 The Joint Commission mandates a suicide assessment for patients “who exhibit suicidal behavior or who have screened positive for suicidal ideation” followed by risk stratification: after “this assessment, patients should be classified as high, medium or low risk of suicide.”2 We anticipate that just as screening for depression and suicidality was initial ly restricted to emergency departments and inpatient units before being...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Schuyler W. Henderson, Ruth Gerson, Blake Phillips Tags: Commentary Source Type: research

Gender Equality: Beyond the Binary
The passion that the women ’s movement has evoked in the past few years is inspiring. Children joined their moms in marches in many cities across the United States. Teens saw their favorite artists and celebrities tweeting #MeToo and exclaiming “time’s up” with fervor. We all witnessed the public outing and profession al demise of sexists and rapists. Critical progress was made, and the issue certainly deserves its day and more. But were some kids watching girl-power fight back, and wishing that gender equality included them, as well? (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Julie Chilton Tags: Book forum Source Type: research

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I was excited to review Affirmative Mental Health Care for Transgender and Gender Diverse Youth: A Clinical Guide, as it came highly recommended by some colleagues, and I respect the work of the editors. However, I was also slightly skeptical about how this book would be different from other anthologies on transgender health care. I was not disappointed! This was a fast read with digestible information and excellent case examples to highlight how to provide affirmative care for transgender and gender diverse (TGD) youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Christy Olezeski Tags: Book forum Source Type: research

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Transgender and gender expansive youth face increased challenges in many realms, including home, school, foster care, the legal system, and health care. They have a disproportionately elevated risk of developing depression and suicidality, but continue to be pathologized and invalidated by clinicians without adequate knowledge of the relevant issues. This can make it extremely difficult for transgender youth to access safe and gender-affirming mental health services. As members of the child psychiatry community, we must educate ourselves to become competent providers and advocates for this vulnerable, often underserved pop...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Mamatha Challa Tags: Book forum Source Type: research

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Nonfiction books earmarked for young adults are not generally a genre I find interesting. Lily and Dunkin surprised me; this story captivated me so completely that I finished it in 48 hours. Although Donna Gephart writes for a younger audience, her work deals with universal issues that affect everyone. In addition, although her book was new to me, it has won multiple awards since its publication —National Public Radio’s Best Kids’ Book of 2016, Amazon’s Top Children’s Book of 2016, and the 2016 Rainbow Awards Best Transgender Fiction& Biography/Memoir Book. (Source: Journal of the American...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Nicole Mavrides Tags: Book forum Source Type: research

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When people change their physical sex traits and their social gender presentation to align with their affirmed gender (frequently referred to as “transitioning”), the breadth and enormity of the experience is hard to adequately describe. There have been plenty of books using narrative to recount personal experiences of transition, but First Year Out by Sabrina Symington uniquely paints the process of physical and social transition throug h the medium of graphic novel. Readers intimately walk alongside Lily, a transgender woman, as she navigates her first year of transition from male to female. (Source: Journal ...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Nathaniel G. Sharon Tags: Book forum Source Type: research

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In science, [ …] novelty emerges only with difficulty, manifested by resistance, against a background provided by expectation.— Thomas Kuhn (1962)1 (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Authors: Amy Lynn Meadows Tags: Book forum Source Type: research

Editorial Board
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Source Type: research

Council Page
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Source Type: research

Table of Contents
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 24, 2019 Category: Psychiatry Source Type: research

Development of Three Web-Based Computerized Versions of the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-COMP) Child Psychiatric Diagnostic Interview: Preliminary Validity Data
To present initial validity data on three web-based computerized versions of the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-COMP). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 17, 2019 Category: Psychiatry Authors: Lisa Townsend, Kenneth Kobak, Catherine Kearney, Michael Milham, Charissa Andreotti, Jasmine Escalera, Lindsay Alexander, Mary Kay Gill, Boris Birmaher, Raeanne Sylvester, Dawn Rice, Alison Deep, Joan Kaufman Tags: New Research Source Type: research

Editorial: Hoarding and Obsessive-Compulsive Disorder
Hoarding disorder is more than surplus clothes and belongings that could be remedied by a visit from Marie Kondo (https://konmari.com). It is officially recognized as a distinct condition in the DSM-5 and placed under obsessive-compulsive conditions.1 Prior to the designation in the DSM-5, hoarding was regarded as a diagnostic element in obsessive-compulsive personality disorder or a symptom nested within obsessive-compulsive disorder (OCD). 2 In the DSM-5, hoarding disorder is defined by great reluctance or outright refusal to discard belongings – including articles of limited value. (Source: Journal of the American...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 17, 2019 Category: Psychiatry Authors: Lawrence Scahill Tags: Editorial Source Type: research

Editorial: Home-Visiting Interventions and Caregiver Mental Health
This article highlights three critical issues fundamental to the promise of home-visiting interventions to advance developmental potential for families with young children globally: the opportunity to attend to caregiver mental health, the need for more integr ated interventions that expand on the platform of early childhood development (ECD) to address broader issues in the home environment (eg, poverty, malnutrition, family violence) which may contribute to caregiver and child wellbeing overall and the promise of implementation science to study both eff ectiveness and implementation questions simultaneously. (Source: Jou...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 17, 2019 Category: Psychiatry Authors: Theresa S. Betancourt Tags: Editorial Source Type: research

Genetic Associations Between Executive Functions and a General Factor of Psychopathology
Symptoms of psychopathology covary across diagnostic boundaries, and a family history of elevated symptoms for a single psychiatric disorder places an individual at heightened risk for a broad range of other psychiatric disorders. Both twin-based and genome-wide molecular methods indicate a strong genetic basis for the familial aggregation of psychiatric disease. This has led researchers to prioritize the search for highly heritable childhood risk factors for transdiagnostic psychopathology. Cognitive abilities that involve the selective control and regulation of attention, known as executive functions (EFs), are a promisi...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 15, 2019 Category: Psychiatry Authors: K. Paige Harden, Laura E. Engelhardt, Frank D. Mann, Megan W. Patterson, Andrew D. Grotzinger, Stephanie L. Savicki, Megan L. Thibodeaux, Samantha M. Freis, Jennifer L. Tackett, Jessica A. Church, Elliot M. Tucker-Drob Tags: New Research Source Type: research

Brain Development and Stochastic Processes During Prenatal and Early Life: You Can ’t Lose It if You’ve Never Had It; But It’s Better To Have It and Lose It, Than Never Ever to Have Had It at All
Brain development, although largely driven by genetic processes, also is influenced by environmental factors. However, there has been little discussion in the psychiatric literature on the role of stochastic, or chance, events that take place during neurodevelopment. Studies suggest that the brain capitalizes on and regulates the extent of stochastic processes during development. Furthermore, because neurodevelopment is influenced by environmental factors, there is emerging evidence that fostering those positive environmental factors during prenatal and early life could optimize neurodevelopment and provide greater resilie...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 14, 2019 Category: Psychiatry Authors: Tonya White Tags: In context Source Type: research

Editorial: Better Treatments and the Importance of Publishing Negative Clinical Trials
We need better treatments for children with mental health problems, particularly those struggling with depression and suicidality. Every reader of this editorial already knows this. While our best treatments help many children and adolescents, some experience only modest improvements such that they are still burdened with much of the weight of mental illness. And some experience no benefit at all. These conclusions are supported by two recent meta analytic studies. In a comprehensive meta-analysis of the efficacy of treatments for anxiety, attention-deficit/hyperactivity disorder, conduct problems, and depression, outcomes...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 10, 2019 Category: Psychiatry Authors: Douglas K. Novins, Elizabeth McCauley Tags: Editorial Source Type: research

Time-Dependent Effects of Exposure to Physical and Sexual Violence on Psychopathology Symptoms in Late Childhood: In Search of Sensitive Periods in Development
Exposure to interpersonal violence is a known risk factor for psychopathology. However, it is unclear whether there are sensitive periods when exposure is most deleterious. We aimed to determine if there were time-periods when physical or sexual violence exposure was associated with greater child psychopathology. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 9, 2019 Category: Psychiatry Authors: Erin C. Dunn, Kristen Nishimi, Alexander Neumann, Alice Renaud, Charlotte A.M. Cecil, Ezra S. Susser, Henning Tiemeier Tags: New Research Source Type: research

Antipsychotic Use Among Youths in Foster Care Enrolled in a Specialized Managed Care Organization Intervention
This study examined a multimodal antipsychotic intervention implemented by a specialized MMCO for youths in foster care with routine mental health screening, health passports, elective psychiatric consultation line, and retrospective drug utilization reviews to determine whether this multimodal intervention significantly reduced antipsychotic dispensing for youths with conditions without U.S. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 6, 2019 Category: Psychiatry Authors: Thomas I. Mackie, Sharon Cook, Stephen Crystal, Mark Olfson, Ayse Akincigil Tags: New research Source Type: research

Antipsychotic Use Among Youth in Foster Care Enrolled in a Specialized Managed Care Organization Intervention
This study examines a multi-modal antipsychotic intervention implemented by a specialized MMCO for youth in foster care with 1) routine mental health screening; 2) health passports; 3) elective psychiatric consultation line; and 4) retrospective drug utilization reviews. We examine whether this multi-modal intervention significantly reduced antipsychotic dispensing for youth with conditions without FDA-approved indications. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 6, 2019 Category: Psychiatry Authors: Thomas I. Mackie, Sharon Cook, Stephen Crystal, Mark Olfson, Ayse Akincigil Tags: New Research Source Type: research

Editorial: Conduct Disorder as a Neurodevelopmental Condition: White Matter Brain Microstructure and the Importance of Gender, Callous Traits, and Development
While conduct disorder (CD) is a very prevalent mental disorder in young people, little research funding is allocated to investigating its etiology.1 This is needed as the presence of CD can greatly impact the young person ’s life across various domains, as well as impact their family, peers and society at large. Hence, a better understanding of the neurodevelopment of CD is important for tailoring treatment and prevention strategies. And as we know that CD symptomatology varies across affected individuals, the corr esponding neural correlates might also be different for different people. (Source: Journal of the Amer...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 4, 2019 Category: Psychiatry Authors: Koen Bolhuis Tags: Editorial Source Type: research

Adrenarcheal Timing Longitudinally Predicts Anxiety Symptoms Via Amygdala Connectivity During Emotion Processing
This study aimed to examine longitudinally whether adrenarcheal timing (adrenarcheal hormone levels independent of age) and tempo (change in hormone levels over time) were associated with amygdala functional connectivity, and how this in turn related to anxiety symptoms in the transition from childhood to adolescence. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 2, 2019 Category: Psychiatry Authors: Marjolein E.A. Barendse, Julian G. Simmons, George Patton, Lisa Mundy, Michelle L. Byrne, Marc L. Seal, Nicholas B. Allen, Sarah Whittle Tags: New Research Source Type: research

Editorial: Linking Emotional and Behavioral Dysregulation in Adolescents to Regulatory Cortex
A major goal of psychiatric neuroscience is to identify brain regions and circuits that underlie clinical phenomena towards more precise understanding of their nature and treatment.1 These are early days in this effort, especially for pediatric mental health, but already there is evidence that brain changes may herald psychosis in youth at genetic risk for schizophrenia2 or response to therapy in youth with anxiety.3 Elucidating these brain-behavior relationships requires one to identify a clinically meaningful phenotype and associate it with specific brain regions or circuits that plausibly underlie the phenotype. (Source...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 2, 2019 Category: Psychiatry Authors: Joel Stoddard Tags: Editorial Source Type: research

A Novel Approach to Tackling Bullying in Schools: Personality-Targeted Intervention for Adolescent Victims and Bullies in Australia
To examine the secondary effects of a personality-targeted intervention on bullying and harms among adolescent victims and bullies. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 30, 2019 Category: Psychiatry Authors: Erin V. Kelly, Nicola C. Newton, Lexine A. Stapinski, Patricia J. Conrod, Emma L. Barrett, Katrina E. Champion, Maree Teesson Tags: New Research Source Type: research

Editorial: The Impact of Parental Psychopathology on Family Functioning: Prioritizing Transdiagnostic Interventions With Parents and Families
Bipolar disorder (BD) in children and adolescents is a severe, refractory illness linked with poor mental and physical health and functional outcomes and conferring significant risk over the course of development.1 To date, pharmacotherapy and psychosocial treatment studies have largely focused on symptom reduction and remission as primary outcomes. However, researchers and clinicians who study and treat youth with bipolar spectrum disorders are familiar with a host of functional impairments that often persist even after symptoms have been stabilized. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 29, 2019 Category: Psychiatry Authors: Amy E. West, Victoria E. Cosgrove Tags: Editorial Source Type: research

Internalizing and Externalizing Symptoms Are Associated With Different Trajectories of Cortical Development During Late Childhood
Investigation of neurobiological differences between internalizing and externalizing symptoms in children is needed to better understand the unique pathophysiology of each, which may ultimately better target treatments and interventions. Longitudinal studies are critical given the marked brain development that occurs in childhood; however, few such studies exist and results are inconsistent. The aim of this study was to longitudinally investigate associations between internalizing and externalizing symptoms, and cortical thinning during late childhood. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 29, 2019 Category: Psychiatry Authors: Sarah Whittle, Nandita Vijayakumar, Julian G. Simmons, Nicholas B. Allen Tags: New Research Source Type: research

Editorial: Bullying and Suicide Risk: Restructuring Prevention, Identification, and Treatment to Address a Global Mental Health Crisis
Bullying is a global phenomenon with significant mental health consequences. Although bullying prevention programs have garnered attention over the last several years, the results of these programs have been mixed, at best. As Koyanagi et al.1 highlight in this issue of the Journal, the consequences of bullying can be dire, particularly when they occur during a critical developmental period. Using the Global School-based Student Health Survey, this paper reports on a sample of over 130,000 youth age 12-15 sampled in a structured manner across 48 countries with a range of geographic representation and some socioeconomic div...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 29, 2019 Category: Psychiatry Authors: Niranjan S. Karnik, Dominika A. Winiarski Tags: Editorial Source Type: research

Editorial: Making Sense of Youth Psychotherapy Dropout From Depression Treatment
Adolescent depression is a prevalent disorder that increases risk for significant functional impairment and suicidality.1-3 Several psychotherapies are available, and it has been widely assumed that failure to complete these therapies will undermine benefit. The important study by O ’Keeffe et al. raises questions about that assumption.4 (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 29, 2019 Category: Psychiatry Authors: Dikla Eckshtain, John R. Weisz Tags: Editorial Source Type: research

Association Between the Release of Netflix ’s 13 Reasons Why and Suicide Rates in the United States: An Interrupted Times Series Analysis
To estimate the association between the release of the Netflix series 13 Reasons Why and suicide rates in the US. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 28, 2019 Category: Psychiatry Authors: Jeffrey A. Bridge, Joel B. Greenhouse, Donna Ruch, Jack Stevens, John Ackerman, Arielle H. Sheftall, Lisa M. Horowitz, Kelly J. Kelleher, John V. Campo Tags: New Research Source Type: research

Mental Health Promotion and Disease Prevention: It ’s About Time
Over the past decade, our field has observed rapidly rising rates of mental illness in children and adolescents. The numbers are sobering. Nearly 50% of teens 13 to 18 years of age meet DSM criteria for at least 1 disorder and 27.6% meet criteria for a “severe disorder.”1 Adverse childhood experiences affect more than 50% of children and predispose these individuals to not only academic and behavioral problems throughout their youth, but also future physical disability, such as obesity, hypertension, and diabetes, as adults.2 By 14 years of ag e, accidents, suicide, and homicide assert themselves as the leading...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Jess P. Shatkin Tags: Commentary Source Type: research

Computational Modeling in Pediatric Mental Health
Computational modeling has recently become of great interest to mental health clinicians as a tool for discovering the nature of pathophysiology and for clinical assessment, prediction, and treatment. Computational psychiatry is a term used to describe the application of computational modeling to behavioral and mental health problems. The National Institute of Mental Health (NIMH) has taken an interest in computational modeling, suggesting applications of interest, such as understanding the neural basis of mental illness, discovering new treatments, and predicting treatment response.1 In this brief overview, our goal is to...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Joel Stoddard, Matt Jones Tags: Translations Source Type: research

“The Father of BPD” John G. Gunderson, 1942−2019
On January 11th, our field lost a giant when John G. Gunderson, MD, passed away. During my time as a fellow and attending at McLean Hospital, he was my supervisor and mentor. Very early in my training, Dr.  Gunderson showed me how rewarding it is to work with patients with borderline personality disorder (BPD). He taught me that these patients can and often do get better, and it fundamentally influenced the trajectory of my career. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Carlene MacMillan Tags: Book forum Source Type: research

Correction
In the article “Variability in Autism Symptom Trajectories Using Repeated Observations From 14 to 36 Months of Age,” by Kim et al., published in the November 2018 issue of the Journal of the American Academy of Child and Adolescent Psychiatry (2018;57:837-848.e2), the trajectory graph for Figure 2 contained an error in the plotting of Calibrated Severity Scores Restricted and Repetitive Behaviors (CSS RRB). In the original Figure 2, CSS RRB for 3 children were incorrectly coded as 0. The updated CSS RRB is now corrected as 1, and the revised Figure 2 is published here. (Source: Journal of the Ame...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Tags: Correction Source Type: research

Correction
In the article “Amygdala Functional Connectivity During Self-Face Processing in Depressed Adolescents With Recent Suicide Attempt,” by Alarcón et al., published in the February 2019 issue of the Journal of the American Academy of Child and Adolescent Psychiatry (2019;58:221-231), Figure 2 contained an error . The banner for the main effect group blocked the clusters and coordinates for the top view of the brains. This error has been fixed in the figure below, and localization of the inferior parietal lobule can now be seen in green. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Tags: Correction Source Type: research

Editorial Board
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Source Type: research

Council Page
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Source Type: research

Table of Contents
(Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Source Type: research

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Borderline, a documentary directed by Rebbie Ratner, provides an intimate and unflinching portrait of the life of a 45-year-old, single New Yorker named Regina. In the film, Regina faces online dating, handling ex-girlfriends, and finding a job, all in the context of also struggling with borderline personality disorder (BPD). The film does not shy away from bringing its audience into the maelstrom that is often the internal state of the typical patient with BPD. It opens with a close-up of Regina describing an altercation with a stranger on the bus: “I wanted to f*cking smash [her head] until it was pulp. (Source: Jo...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Julie M. Hall Tags: Book forum Source Type: research

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I remember kneeling on the window sill, one leg out, hot Los Angeles air against my face. I remember exactly how badly I wanted the drop to end my life, and the despair of the disappointment I felt when physically dragged off the window ledge. I remember the moment on the plane back to New York when I decided to get sober, hearing the words “DBT” from my friend’s mouth for the first time as I was discussing my quest for treatment. I remember the moment I really began loving myself as I used the “self-soothe” skill and hugged myself, crying into my mirror, staring into my own eyes and whisperin...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Rebecca-Emma Kaplan Tags: Book forum Source Type: research

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Radically open dialectical behavioral therapy (RO-DBT) may seem, at first blush, like a mere tweak on dialectical behavior therapy (DBT). It is fairly straightforward, after all, to take the standard DBT modules (mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness) and adapt them for a niche population. This has been done already for people in need of vocational rehabilitation (DBT-ACES), pre-adolescents (DBT-C), and other types of patients. Given that DBT is one of the only evidence-based treatments that we have for wickedly thorny problems such as chronic suicidality and borderline person...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Michael Brus Tags: Book forum Source Type: research

White Matter Microstructure in Youths With Conduct Disorder: Effects of Sex and Variation in Callous Traits
Studies using diffusion tensor imaging (DTI) to investigate white matter (WM) microstructure in youths with conduct disorder (CD) have reported disparate findings. We investigated WM alterations in a large sample of youths with CD, and examined the influence of sex and callous-unemotional (CU) traits. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 25, 2019 Category: Psychiatry Authors: Jack C. Rogers, Karen Gonzalez-Madruga, Gregor Kohls, Rosalind H. Baker, Roberta L. Clanton, Ruth Pauli, Philippa Birch, Alimul I. Chowdhury, Marietta Kirchner, Jesper L.R. Andersson, Areti Smaragdi, Ignazio Puzzo, Sarah Baumann, Nora M. Raschle, Lynn V. Tags: New Research Source Type: research

Investigating Sex Differences in Emotion Recognition, Learning, and Regulation Among Youths With Conduct Disorder
Conduct disorder (CD) is a serious neurodevelopmental disorder marked by notable higher prevalence rates for boys than girls. Converging evidence suggests that CD is associated with impairments in emotion recognition, learning and regulation. However, it is not known whether there are sex differences in the relationship between CD and emotion dysfunction. Prior studies on emotion functioning in CD have so far been underpowered for investigating sex differences. Therefore, our primary aim was to characterize emotion processing skills in a large sample of girls and boys with CD compared to typically-developing controls (TDCs...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 23, 2019 Category: Psychiatry Authors: Gregor Kohls, Sarah Baumann, Malou Gundlach, Wolfgang Scharke, Anka Bernhard, Anne Martinelli, Katharina Ackermann, Linda Kersten, Martin Pr ätzlich, Helena Oldenhof, Lucres Jansen, Lisette van den Boogaard, Areti Smaragdi, Karen Gonzalez-Madruga, Harrie Tags: New Research Source Type: research

The Association of Paternal IQ With Autism Spectrum Disorders and its Comorbidities: A Population-Based Cohort Study
We examined the association between paternal intelligence and ASD, considering co-occurring intellectual disability (ID) and attention-deficit hyper-activity disorder (ADHD). (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 23, 2019 Category: Psychiatry Authors: Renee M. Gardner, Christina Dalman, Dheeraj Rai, MRCPsych, Brian K. Lee, H åkan Karlsson Tags: New Research Source Type: research

Psychiatric Symptoms and Disorders in Extremely Preterm Young Adults at 19 Years of Age and Longitudinal Findings From Middle Childhood
Since the 1980s, the long term outcomes of extremely preterm birth, before 28 weeks of gestation, have garnered considerable interest as a result of significant improvements in neonatal care and the consequent increase in survival rates. Compared with birth at full term, extremely preterm birth places infants at increased risk for neurodevelopmental disorders, intellectual impairments and psychiatric sequelae that persist throughout childhood and adolescence.1 There is now increasing interest as to the longer term outcomes for these babies; in particular, whether adverse outcomes persist or increase in adulthood, or whethe...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 19, 2019 Category: Psychiatry Authors: Samantha Johnson, Helen O ’Reilly, Yanyan Ni, Dieter Wolke, Neil Marlow Tags: Letter to the Editor Source Type: research

Neuroimaging Evidence for Right Orbitofrontal Cortex Differences in Adolescents With Emotional and Behavioral Dysregulation
To characterize the structural and functional neurobiology of a large group of adolescents exhibiting a behaviorally and emotionally dysregulated phenotype. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - April 17, 2019 Category: Psychiatry Authors: Philip A. Spechler, Bader Chaarani, Catherine Orr, Scott Mackey, Stephen T. Higgins, Tobias Banaschewski, Arun L.W. Bokde, Uli Bromberg, Christian B üchel, Erin Burke Quinlan, Patricia J. Conrod, Sylvane Desrivières, Herta Flor, Vincent Frouin, Penny Go Tags: New Research Source Type: research