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How to document for caregivers, teachers, and clinicians 如何为护理人员、教师和临床医生提供文件记录
Pub Date : 2024-01-29 DOI: 10.1002/cbl.30769
Brooke M. DeWitt Ph.D.

Within the practice of school psychology there is growing research and focus on making sure psychoeducational reports are clear and understandable for stakeholders. This style of report writing, sometimes called the consumer-responsive approach, focuses on accessibility and utility of reports (Lichtenstein & Ecker, 2019). This type of documentation is also a helpful guide for other clinical documentation beyond psychoeducational reports. Given recent changes in electronic medical records to increase patient and caregiver access to records, the consumer-responsive approach offers a model to guide practices that ensure clinical documentation is accessible and useful to primary stakeholders and consumers.

在学校心理学的实践中,越来越多的研究和关注点放在了确保心理教育报告对利益相关者来说清晰易懂上。这种报告写作风格有时也被称为 "消费者响应式方法",其重点在于报告的可及性和实用性(Lichtenstein & Ecker, 2019)。除心理教育报告外,这种类型的文档对其他临床文档也是一种有益的指导。鉴于最近电子病历的变化增加了患者和护理人员对病历的访问,消费者响应式方法提供了一种指导实践的模式,以确保临床文件对主要利益相关者和消费者是可访问的和有用的。
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引用次数: 0
Sleep health, nutrition, and cardiometabolic risk 睡眠健康、营养和心脏代谢风险
Pub Date : 2024-01-29 DOI: 10.1002/cbl.30770
Elizabeth S. Wagner M.D., MPH, Katelyn Fox Ph.D., R.D., Justin Parent Ph.D.

Sleep deficiencies (e.g., insufficient sleep, irregular timing of sleep, poor quality of sleep) in childhood are highly prevalent and have consistently been shown to negatively impact both physical and mental health. Adverse outcomes of childhood sleep deficiencies include higher rates of obesity, depression, anxiety, and emotional dysregulation (Palmer et al., 2023). Importantly, research has shown that sleep difficulties often precede the development of these adverse health outcomes and represent a modifiable risk factor (McMakin & Alfano, 2015). Given that sleep is a critical element of a child's life, good and sufficient sleep (quality and quantity) should be given extra attention by parents to help their children thrive, and to limit the chance that their child develops severe and less modifiable mental or physical health issues (Meltzer et al., 2021). Sleep is, therefore, a critical dimension of a child's health that should be given attention, especially for those at high risk for the development of obesity and related cardiometabolic sequelae.

睡眠不足(如睡眠不足、睡眠时间不规律、睡眠质量差)在儿童时期非常普遍,并一直被证明会对身心健康产生负面影响。儿童睡眠不足的不良后果包括肥胖、抑郁、焦虑和情绪失调的发生率较高(Palmer 等人,2023 年)。重要的是,研究表明,睡眠障碍往往发生在这些不良健康后果之前,是一种可改变的风险因素(McMakin & Alfano, 2015)。鉴于睡眠是儿童生活中的关键因素,父母应格外关注良好而充足的睡眠(质与量),以帮助孩子茁壮成长,并限制孩子出现严重且不易改变的心理或身体健康问题的机会(Meltzer 等人,2021 年)。因此,睡眠是儿童健康的一个关键维度,应予以关注,尤其是那些肥胖和相关心脏代谢后遗症的高风险儿童。
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引用次数: 0
Clinical considerations for adolescents with eating disorders who use nicotine 使用尼古丁的进食障碍青少年的临床注意事项
Pub Date : 2024-01-10 DOI: 10.1002/cbl.30764
Emily A. Beckmann M.A., Melissa Pielech Ph.D., Justin Parent Ph.D.

Adolescence is a developmental period in which individuals demonstrate increased likelihood of engaging in disordered eating and risk-taking behaviors, such as substance use. Nicotine use, in particular, (e.g., via vaping, combustible cigarettes, smokeless tobacco) is pervasive among middle and high school students. In 2022, 17.4% of middle school and high school students reported current nicotine vaping. Daily use of nicotine was reported among 27.6% of current users (Cooper et al., 2022). Research posits that eating disorders and nicotine use are highly comorbid. A recent study by Ganson and Nagata (2021) found that nearly 20% of participating adolescents with an eating disorder also used nicotine within the past 30 days. This is problematic, as nicotine use increases the mortality rate for eating disorders, which already has the second highest rate of all mental health disorders. Nicotine use may also exacerbate many of the medical complications associated with eating disorders (e.g., neuroendocrinal, dental, nutritional) and negatively impact eating disorder recovery (Ganson & Nagata, 2021).

青春期是一个人的成长阶段,在此期间,出现饮食失调和冒险行为(如使用药物)的可能性增加。尤其是尼古丁的使用(如通过吸食电子烟、可燃香烟、无烟烟草)在初高中学生中十分普遍。2022 年,17.4% 的初中生和高中生表示目前正在吸食尼古丁。据报告,27.6%的当前使用者每天使用尼古丁(Cooper 等人,2022 年)。研究表明,饮食失调和尼古丁的使用是高度并发的。Ganson 和 Nagata(2021 年)最近的一项研究发现,近 20% 患有饮食失调的青少年在过去 30 天内也使用过尼古丁。这很成问题,因为尼古丁的使用会增加饮食失调症的死亡率,而饮食失调症的死亡率在所有精神疾病中已经位居第二。尼古丁的使用还可能加剧与进食障碍相关的许多医疗并发症(如神经内分泌、牙科、营养),并对进食障碍的康复产生负面影响(Ganson & Nagata, 2021)。
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引用次数: 0
Deaths related to antipsychotics associated with higher doses 与抗精神病药物有关的死亡与高剂量有关
Pub Date : 2024-01-10 DOI: 10.1002/cbl.30766
Alison Knopf

Prescribers will need to focus on dose when considering mortality and antipsychotic prescribing, according to a new study.

一项新的研究表明,在考虑死亡率和抗精神病药物处方时,处方者需要关注剂量。
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引用次数: 0
Keep your eye on… 关注...
Pub Date : 2024-01-10 DOI: 10.1002/cbl.30765
Alison Knopf

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引用次数: 0
Managing the meltdown: Supporting autistic youth through episodes 管理崩溃:帮助自闭症青少年度过发作期
Pub Date : 2024-01-10 DOI: 10.1002/cbl.30763
Kathryn Lachance Ph.D.

As of 2023, about one in 36 children met criteria for autism spectrum disorder (ASD), an increase from previous estimates by the Autism and Developmental Disabilities Monitoring Network from 2000–2018 (Christensen, 2016). With the autistic population growing both in those who meet criteria for the diagnosis and in their public presence, the likelihood of interacting with autistic individuals in health care, emergency situations, and educational settings is on the rise. In fact, autistic individuals have both higher rates of presenting in the emergency department and having contact with law enforcement compared to the general population. As such, understanding how we as professionals can support autistic youth in high-stress situations becomes imperative.

截至 2023 年,大约每 36 名儿童中就有一名符合自闭症谱系障碍(ASD)的标准,比自闭症和发育障碍监测网络此前在 2000-2018 年间的估计有所上升(Christensen,2016 年)。随着自闭症人群中符合诊断标准的人数和在公众面前出现的人数不断增加,在医疗保健、紧急情况和教育环境中与自闭症患者互动的可能性也在上升。事实上,与普通人群相比,自闭症患者在急诊科就诊和与执法部门接触的比例都更高。因此,了解我们作为专业人员如何在高压力情况下为自闭症青少年提供支持已成为当务之急。
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引用次数: 0
How to start a conversation about drugs and health with your teen 如何与青少年开始关于毒品和健康的对话
Pub Date : 2024-01-10 DOI: 10.1002/cbl.30768
Alison Knopf

Here are some helpful ways to talk to your adolescent child about drugs.

以下是一些与青春期孩子谈论毒品的有用方法。
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引用次数: 0
School personnel suicide prevention training: No clear option 学校工作人员自杀预防培训:没有明确的选择
Pub Date : 2024-01-10 DOI: 10.1002/cbl.30767
Margaret Paccione-Dyszlewski Ph.D.

Youth and young adult deaths from suicide have been increasing in the United States over the past two decades. According to the Centers for Disease Control and Prevention's National Center for Health Statistics for those between the ages of 10 and 24 from 2011 to 2021 the death by suicide rate rose 60% to 11.0 per 100,000. Paralleling these highly troubling rates of death by suicide is information from the Centers for Disease Control (CDC) Youth Risk Behavior Survey Data Summary and Trends Report: 2011–2021. The report reinforces a picture of our nation's youth in serious mental health crisis. In response to the 2021 survey an increasing number of students reported persistent feelings of sadness and hopelessness. This included 57% of girls, 29% of boys and 69% of LGBTQ students. More than 20% of teens reported having seriously considered suicide!

在过去二十年里,美国青少年死于自杀的人数不断增加。根据美国疾病控制和预防中心国家卫生统计中心的数据,从2011年到2021年,10至24岁的青少年自杀死亡率上升了60%,达到每10万人中有11人自杀身亡。与这些令人担忧的自杀死亡率同时出现的还有美国疾病控制中心(CDC)的《青少年危险行为调查数据总结与趋势报告》中的信息:2011-2021.该报告进一步说明了我国青少年正处于严重的心理健康危机之中。在 2021 年的调查中,越来越多的学生表示持续感到悲伤和绝望。其中包括 57% 的女生、29% 的男生和 69% 的 LGBTQ 学生。超过 20% 的青少年表示曾认真考虑过自杀!
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引用次数: 0
Sexual misconduct among elementary and middle school-aged children in partial hospitalization setting 部分住院治疗环境中中小学学龄儿童的不当性行为
Pub Date : 2023-12-11 DOI: 10.1002/cbl.30756
Margaret Azar Psy.D.

Often discussions of sexual misconduct of minors center on adult-on-child incidents; however, the frequency of student-on-student sexual misconduct has been on the rise. Sexual misconduct is defined as any conduct which is sexual in nature and is unwelcome and engaged in without consent. Sexual misconduct can include a range of behaviors including sexual harassment and unwanted touching. Recent data indicates that one-half to three-quarters of child sexual abuse and assault victimization experiences are committed by other children.

关于未成年人性行为不端的讨论通常集中在成人对儿童的事件上;然而,学生对学生的性行为不端的频率却在上升。性行为不端被定义为任何不受欢迎且未经同意的性行为。性行为不端可包括性骚扰和不受欢迎的触摸等一系列行为。最近的数据表明,二分之一到四分之三的儿童性虐待和性侵犯受害者是其他儿童。
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引用次数: 0
Keep your eye on… 关注...
Pub Date : 2023-12-11 DOI: 10.1002/cbl.30758
Alison Knopf

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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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