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How to support parents of children admitted to intensive mental health treatment 如何支持接受强化心理健康治疗的儿童的父母
Pub Date : 2025-10-09 DOI: 10.1002/cbl.30899
Candida Damian MD, Anne R. McGunagle LICSW, Richard M. Smith MD, C. Paula Lewis-de los Angeles MD, PhD

When children are admitted to intensive mental health treatment, whether it be inpatient or partial hospitalization programs, the entire family can be impacted, especially parents or caregivers. In our multidisciplinary experience on a med-psych inpatient unit, we often see that parents desperately want to help their distressed and ill children, but sometimes need to help themselves first. We, as a treatment team, have the opportunity to help them.

当儿童接受强化心理健康治疗时,无论是住院治疗还是部分住院治疗,整个家庭都可能受到影响,尤其是父母或照顾者。根据我们在精神医学住院病房的多学科经验,我们经常看到父母非常想帮助他们痛苦和生病的孩子,但有时需要先帮助他们自己。作为一个治疗团队,我们有机会帮助他们。
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引用次数: 0
Which came first — depression or excessive videogaming? 哪个先出现——抑郁还是过度玩电子游戏?
Pub Date : 2025-10-09 DOI: 10.1002/cbl.30902
Alison Knopf

Psychopathology is associated with the development of gaming disorder among adolescents, according to a cohort study of young adolescents. In particular, depression, anxiety, social problems, and attention deficit/hyperactivity disorder (ADHD). Addressing these underlying issues may reduce the severity incidence of gaming disorder, the researchers concluded, noting that psychopathology seemed to come first.

根据一项对青少年的队列研究,精神病理学与青少年游戏障碍的发展有关。特别是抑郁、焦虑、社交问题和注意力缺陷/多动障碍(ADHD)。研究人员总结说,解决这些潜在问题可能会降低游戏障碍的严重程度,并指出精神病理学似乎是第一位的。
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引用次数: 0
Addictive screen use common in teens, linked to suicidal behaviors 上瘾的屏幕使用在青少年中很常见,与自杀行为有关
Pub Date : 2025-10-09 DOI: 10.1002/cbl.30903
Alison Knopf

Almost one third of adolescents who use social media, video games, and mobile phones become addicted to their screens. Furthermore, addictive screen use is associated with mental health problems, including suicidal behaviors and suicidal ideation. The higher the addictive trajectory, the more likely suicidal behaviors are.

在使用社交媒体、视频游戏和手机的青少年中,近三分之一的人对屏幕上瘾。此外,上瘾的屏幕使用与心理健康问题有关,包括自杀行为和自杀意念。成瘾轨迹越高,越有可能出现自杀行为。
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引用次数: 0
Early response to H.R. 1: Treatment field united in ways to continue services 对hr 1的早期反应:治疗领域以联合的方式继续服务
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30896
Alison Knopf

It all happened just before the 4th of July, as Congress passed by the narrowest of margins the tax bill which slashed Medicaid, among other things.

这一切都发生在7月4日之前,因为国会以最微弱的优势通过了削减医疗补助和其他项目的税收法案。
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引用次数: 0
Somatic symptoms and the need for connection: Insights from attachment theory and clinical care 躯体症状和连接的需要:来自依恋理论和临床护理的见解
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30891
Emily Beckmann Ph.D., Deborah Rasile Ph.D.

Sarah is a patient we encountered while working in a medical and psychiatric partial hospital program (PHP) for children and adolescents (name and details have been altered for confidentiality). She identified as an 11-year-old, white, cisgender female. She was referred to the program by her gastroenterologist for treatment of somatic symptom disorder (SSD) and rumination disorder. (In rumination disorder, despite a functioning stomach and esophagus, the brain sends signals that cause undigested food to come back up, even though the person is not trying to vomit). For Sarah, rumination was triggered by anxiety, feeling unsupported, and emotional distress. At the time of admission, Sarah was vomiting several times a day and reported multiple somatic complaints, including blurred vision, dizziness, and musculoskeletal pain. These symptoms had a profound impact on her functioning — she was unable to attend school and could not participate in social or extracurricular activities.

Sarah是我们在一个针对儿童和青少年的医疗和精神病学部分医院项目(PHP)工作时遇到的一个病人(为了保密,姓名和详细信息已被更改)。她自称是一名11岁的白人顺性别女性。她是由她的胃肠科医生转介到该项目治疗躯体症状障碍(SSD)和反刍障碍。(在反刍障碍中,尽管胃和食道功能正常,但大脑会发出信号,导致未消化的食物倒流,即使患者并没有想要呕吐。)对莎拉来说,沉思是由焦虑、缺乏支持和情绪困扰引发的。入院时,Sarah每天呕吐几次,并报告有多种躯体不适,包括视力模糊、头晕和肌肉骨骼疼痛。这些症状对她的身体机能产生了深远的影响——她无法上学,也无法参加社交或课外活动。
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引用次数: 0
Preventing HIV with injectable lenacapavir: WHO recommendation 用可注射lenacapavir预防艾滋病毒:世卫组织的建议
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30898
Alison Knopf

The World Health Organization (WHO) released new guidelines in July recommending the use of injectable lenacapavir (LEN) twice a year as an additional pre-exposure prophylaxis (PrEP) option for HIV prevention. The landmark policy could help reshape the global HIV response, according to WHO. The guidelines were issued at the 13th International AIDS Society Conference (IAS 2025) on HIV Science, in Kigali, Rwanda.

世界卫生组织(世卫组织)于7月发布了新的指南,建议每年两次使用可注射的lenacapavir (LEN)作为预防艾滋病毒的额外暴露前预防(PrEP)选择。世卫组织表示,这一具有里程碑意义的政策可能有助于重塑全球艾滋病应对措施。该指南是在卢旺达基加利举行的第13届国际艾滋病学会艾滋病科学会议(IAS 2025)上发布的。
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引用次数: 0
Functional Neurological Disorder (FND) in children and adolescents: What to know 儿童和青少年的功能性神经障碍(FND):需要了解什么
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30892
Rebecca Laptook Ph.D., Kelsey Borner Ph.D., Heather Chapman M.D., Jessica Gore PT, DPT, MSPT, Jamie Gainor DiPietro M.D.

Limb paralysis/weakness/numbness, syncope, seizures, blindness, developmental regression, memory loss, difficulty speaking; these are all symptoms of Functional Neurological Disorder (FND), which is when a person experiences real sensory/cognitive/motor symptoms that have no underlying structural or anatomical abnormality.

肢体麻痹/无力/麻木、晕厥、癫痫、失明、发育倒退、记忆丧失、说话困难;这些都是功能性神经障碍(FND)的症状,当一个人经历真正的感觉/认知/运动症状时,没有潜在的结构或解剖异常。
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引用次数: 0
Attending to absence 出席缺席
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30897
David P. Lichtenstein Ph.D.

It's back to school for the nation's youth, but for some, it is only partially so. Spikes in student absence reflect one thorny legacy of the COVID-19 pandemic. Chronic absenteeism (commonly defined as missing 10% or more of school days) has peaked in the past few years. Nearly twice as many students (28%) hit the chronically absent mark in 2022 (Return to Learn, 2025) as in pre-pandemic years (roughly 15% of students in 2018 and 2019). In 2023, rates began to fall, but remain high — approximately 26% of students nationwide. The pattern persists here in Rhode Island, including a shocking 43% of high schoolers being chronically absent (Rhode Island Kids Count Factbook, 2025). Sadly, it is predictable that although absentee rates are elevated for all, they were significantly higher in schools with a high percentage of nonwhite students, students in poverty, and in rural and urban (compared to suburban) schools. Although slightly higher in schools with the most masking or least in-person instruction in 2021–22, the growth in chronic absenteeism appears to be a global phenomenon, cutting across nations with very different approaches to the pandemic and schooling (Wallace-Wells, 2024).

这个国家的年轻人又回到了学校,但对一些人来说,只是部分回到了学校。学生缺勤率飙升反映了COVID-19大流行的一个棘手遗留问题。长期缺勤(通常定义为缺勤10%或以上)在过去几年达到了顶峰。2022年(2025年重返校园)达到长期缺课标准的学生人数(28%)几乎是大流行前几年(2018年和2019年约占15%)的两倍。2023年,这一比例开始下降,但仍然很高,约占全国学生的26%。这种模式在罗德岛州仍然存在,包括令人震惊的43%的高中生长期缺课(罗德岛州儿童统计概况,2025年)。可悲的是,可以预见的是,尽管所有学校的缺勤率都在上升,但在非白人学生比例高、贫困学生比例高的学校,以及在农村和城市(与郊区相比)学校,缺勤率明显更高。尽管在2021-22年,在掩蔽性教学最多或面对面教学最少的学校中,慢性缺勤率略高,但它的增长似乎是一种全球现象,跨越了对疫情和学校教育采取非常不同方法的国家(Wallace-Wells, 2024年)。
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引用次数: 0
Keep your eye on… 密切关注……
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30893
Alison Knopf

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引用次数: 0
Specialized services for LGBTQ+ youth ended at 988 Suicide & Crisis Lifeline 针对LGBTQ+青年的专门服务结束于988自杀和危机生命线
Pub Date : 2025-08-20 DOI: 10.1002/cbl.30894
Alison Knopf

On July 17 the federal government officially terminated specialized services for LGBTQ+ youth calling the 988 Suicide & Crisis Lifeline. Although there may well still be such services available if young people call in, the option to “press 3” to reach specially trained counselors for this group was eliminated. CABL interviewed a source who said that if such callers do ask for help for their specific issues after calling 988, they will still get it.

7月17日,联邦政府正式终止了针对LGBTQ+青年的专门服务,即988自杀危机生命线。虽然如果年轻人打电话求助,很可能仍然有这样的服务,但“按3”联系受过专门训练的咨询师的选择被取消了。CABL采访了一位消息人士,该消息人士表示,如果这些人在拨打988后确实为他们的具体问题寻求帮助,他们仍然会得到帮助。
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引用次数: 0
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The Brown University Child and Adolescent Behavior Letter
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