Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.09.008
Danella M. Hafeman MD, PhD, Boris Birmaher MD
{"title":"Editorial: A Meta-Analysis of the Treatment of Acute Mania in Youth: Why Do Atypical Antipsychotics Work Better Than Mood Stabilizers?","authors":"Danella M. Hafeman MD, PhD, Boris Birmaher MD","doi":"10.1016/j.jaac.2024.09.008","DOIUrl":"10.1016/j.jaac.2024.09.008","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 102-104"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.05.016
Carol Vidal MD, PhD , Aviva K. Olsavsky MD , Paula D. Riggs MD
{"title":"Editorial: Adolescent Substance Use Prevention and Treatment Is Our Wheelhouse","authors":"Carol Vidal MD, PhD , Aviva K. Olsavsky MD , Paula D. Riggs MD","doi":"10.1016/j.jaac.2024.05.016","DOIUrl":"10.1016/j.jaac.2024.05.016","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 99-101"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/S0890-8567(24)01999-3
{"title":"Council Page","authors":"","doi":"10.1016/S0890-8567(24)01999-3","DOIUrl":"10.1016/S0890-8567(24)01999-3","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Page A2"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/S0890-8567(24)01998-1
{"title":"Editorial Board Page","authors":"","doi":"10.1016/S0890-8567(24)01998-1","DOIUrl":"10.1016/S0890-8567(24)01998-1","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Page A1"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.03.005
Jessica R. Lunsford-Avery PhD , Mary A. Carskadon PhD , Scott H. Kollins PhD , Andrew D. Krystal MD
<div><h3>Objective</h3><div><span>Few studies have characterized the nature of sleep problems among adolescents with attention-deficit/hyperactivity disorder (ADHD) using polysomnography (PSG). Additionally, although adolescents with ADHD and adolescents with sleep disturbances display similar neurocognitive deficits, the role of sleep in contributing to neurocognitive impairment </span>in adolescent ADHD<span> is unknown. This study investigated differences in PSG-measured sleep among adolescents with ADHD compared with non-psychiatric controls and associations with neurocognition.</span></div></div><div><h3>Method</h3><div><span>Medication-free adolescents aged 13 to 17 (N = 62, n = 31 with ADHD; mean age = 15.3 years; 50% female) completed a diagnostic evaluation, 3 nights of ambulatory PSG, the Cambridge Neuropsychological Test Automated Battery, and subjective reports of sleep and executive functioning. </span>Linear regressions covarying for age, sex, and pubertal status examined group differences in sleep indices, and partial Pearson correlations assessed relations between sleep and neurocognition.</div></div><div><h3>Results</h3><div><span>Although adolescents with ADHD did not exhibit differences in PSG-measured sleep duration, awakenings, or latency (</span><em>p</em><span>s > .05) compared with non-psychiatric controls, they displayed lower slow wave sleep percentage (β = −.40) and non–rapid eye movement (NREM) electroencephalogram (EEG) delta power (β = −.29). They also exhibited greater stage 2 percentage (β = .41), NREM EEG sigma power (β = .41), and elevated self-reported sleep disturbances (</span><em>p</em>s < .05). Lower NREM EEG delta power, increased high-frequency power, and slower decline in NREM EEG delta power overnight were associated with poorer neurocognition among adolescents with ADHD.</div></div><div><h3>Conclusion</h3><div>Adolescents with ADHD reported more sleep disturbances than non-psychiatric controls and exhibited differences in sleep stage distribution and NREM sleep<span> EEG frequency. Sleep-EEG spectral indices were associated with impaired neurocognition, suggesting that physiological sleep processes may underlie neurocognitive deficits in ADHD. Future studies may clarify whether sleep plays a causal role in neurocognitive impairments in adolescent ADHD and whether interventions normalizing sleep improve neurocognition.</span></div></div><div><h3>Plain language summary</h3><div>This study investigated the sleep physiology in a sample of 62 adolescents, 31 with attention-deficit/hyperactivity disorder (ADHD) and 31 with no psychiatric diagnoses, aged 13 to 17. The authors found that medication-free adolescents with ADHD displayed reduced time in deep slow wave sleep, and increased time in lighter stage 2 sleep, than adolescents without a psychiatric diagnosis. Results indicate that disruptions in the amount and pattern of slow wave electroencephalogram (EEG) activity, as well as increased high freque
{"title":"Sleep Physiology and Neurocognition Among Adolescents With Attention-Deficit/Hyperactivity Disorder","authors":"Jessica R. Lunsford-Avery PhD , Mary A. Carskadon PhD , Scott H. Kollins PhD , Andrew D. Krystal MD","doi":"10.1016/j.jaac.2024.03.005","DOIUrl":"10.1016/j.jaac.2024.03.005","url":null,"abstract":"<div><h3>Objective</h3><div><span>Few studies have characterized the nature of sleep problems among adolescents with attention-deficit/hyperactivity disorder (ADHD) using polysomnography (PSG). Additionally, although adolescents with ADHD and adolescents with sleep disturbances display similar neurocognitive deficits, the role of sleep in contributing to neurocognitive impairment </span>in adolescent ADHD<span> is unknown. This study investigated differences in PSG-measured sleep among adolescents with ADHD compared with non-psychiatric controls and associations with neurocognition.</span></div></div><div><h3>Method</h3><div><span>Medication-free adolescents aged 13 to 17 (N = 62, n = 31 with ADHD; mean age = 15.3 years; 50% female) completed a diagnostic evaluation, 3 nights of ambulatory PSG, the Cambridge Neuropsychological Test Automated Battery, and subjective reports of sleep and executive functioning. </span>Linear regressions covarying for age, sex, and pubertal status examined group differences in sleep indices, and partial Pearson correlations assessed relations between sleep and neurocognition.</div></div><div><h3>Results</h3><div><span>Although adolescents with ADHD did not exhibit differences in PSG-measured sleep duration, awakenings, or latency (</span><em>p</em><span>s > .05) compared with non-psychiatric controls, they displayed lower slow wave sleep percentage (β = −.40) and non–rapid eye movement (NREM) electroencephalogram (EEG) delta power (β = −.29). They also exhibited greater stage 2 percentage (β = .41), NREM EEG sigma power (β = .41), and elevated self-reported sleep disturbances (</span><em>p</em>s < .05). Lower NREM EEG delta power, increased high-frequency power, and slower decline in NREM EEG delta power overnight were associated with poorer neurocognition among adolescents with ADHD.</div></div><div><h3>Conclusion</h3><div>Adolescents with ADHD reported more sleep disturbances than non-psychiatric controls and exhibited differences in sleep stage distribution and NREM sleep<span> EEG frequency. Sleep-EEG spectral indices were associated with impaired neurocognition, suggesting that physiological sleep processes may underlie neurocognitive deficits in ADHD. Future studies may clarify whether sleep plays a causal role in neurocognitive impairments in adolescent ADHD and whether interventions normalizing sleep improve neurocognition.</span></div></div><div><h3>Plain language summary</h3><div>This study investigated the sleep physiology in a sample of 62 adolescents, 31 with attention-deficit/hyperactivity disorder (ADHD) and 31 with no psychiatric diagnoses, aged 13 to 17. The authors found that medication-free adolescents with ADHD displayed reduced time in deep slow wave sleep, and increased time in lighter stage 2 sleep, than adolescents without a psychiatric diagnosis. Results indicate that disruptions in the amount and pattern of slow wave electroencephalogram (EEG) activity, as well as increased high freque","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 276-289"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.03.010
Justine W. Welsh MD , Alex R. Dopp PhD , Rebecca M. Durham BS , Siara I. Sitar MS , Lora L. Passetti MS , Sarah B. Hunter PhD , Mark D. Godley PhD , Ken C. Winters PhD
Objective
In 2014, the US National Institute on Drug Abuse released the “Principles of Adolescent Substance Use Disorder Treatment,” summarizing previously established evidence and outlining principles of effective assessment, treatment, and aftercare for substance use disorders (SUD). Winters et al. (2018)1 updated these principles to be developmentally appropriate for adolescents. This review builds on that formative work and recommends updated adolescent assessment, treatment, and aftercare principles and practices.
Method
The Cochrane, MEDLINE-PubMed, and PsychInfo databases were searched for relevant studies with new data about adolescent substance use services. This article updates the 13 original principles; condenses the 8 original modalities into 5 practices; and highlights implications for public policy approaches, future funding, and research.
Results
Key recommendations from the principles include integrating care for co-occurring mental health disorders and SUDs, improving service accessibility including through the educational system, maintaining engagement, and addressing tension between agencies when collaborating with other youth service systems. Updates to the treatment practices include adoption of Screening, Brief Intervention and Referral to Treatment (SBIRT), investment in social programs and family involvement in treatment, expanding access to behavioral therapies and medications, increasing funding to harm reduction services, supporting reimbursement for continuing care services, and increasing investment in research.
Conclusion
These revised principles of adolescent assessment, treatment, and aftercare approaches and practices aim to establish guidance and evidence-based practices for treatment providers, while encouraging necessary support from policymakers and funding agencies to improve the standard of care for adolescent SUD services.
Plain language summary
In this review article and building upon previous work in this area, the authors describe principles and practices for adolescent substance use treatment and identified areas of treatment in need of further research. The authors also outline recommendations for policy changes and support for funding to implement these principles and practices to further improve the standard of care for adolescent substance use disorders services.
{"title":"Narrative Review: Revised Principles and Practice Recommendations for Adolescent Substance Use Treatment and Policy","authors":"Justine W. Welsh MD , Alex R. Dopp PhD , Rebecca M. Durham BS , Siara I. Sitar MS , Lora L. Passetti MS , Sarah B. Hunter PhD , Mark D. Godley PhD , Ken C. Winters PhD","doi":"10.1016/j.jaac.2024.03.010","DOIUrl":"10.1016/j.jaac.2024.03.010","url":null,"abstract":"<div><h3>Objective</h3><div>In 2014, the US National Institute on Drug Abuse released the “Principles of Adolescent Substance Use Disorder Treatment,” summarizing previously established evidence and outlining principles of effective assessment, treatment, and aftercare for substance use disorders (SUD). Winters <em>et al.</em> (2018)<span><span><sup>1</sup></span></span> updated these principles to be developmentally appropriate for adolescents. This review builds on that formative work and recommends updated adolescent assessment, treatment, and aftercare principles and practices.</div></div><div><h3>Method</h3><div>The Cochrane, MEDLINE-PubMed, and PsychInfo databases were searched for relevant studies with new data about adolescent substance use services. This article updates the 13 original principles; condenses the 8 original modalities into 5 practices; and highlights implications for public policy approaches, future funding, and research.</div></div><div><h3>Results</h3><div>Key recommendations from the principles include integrating care for co-occurring mental health disorders and SUDs, improving service accessibility including through the educational system, maintaining engagement, and addressing tension between agencies when collaborating with other youth service systems. Updates to the treatment practices include adoption of Screening, Brief Intervention and Referral to Treatment (SBIRT), investment in social programs and family involvement in treatment, expanding access to behavioral therapies and medications, increasing funding to harm reduction services, supporting reimbursement for continuing care services, and increasing investment in research.</div></div><div><h3>Conclusion</h3><div>These revised principles of adolescent assessment, treatment, and aftercare approaches and practices aim to establish guidance and evidence-based practices for treatment providers, while encouraging necessary support from policymakers and funding agencies to improve the standard of care for adolescent SUD services.</div></div><div><h3>Plain language summary</h3><div>In this review article and building upon previous work in this area, the authors describe principles and practices for adolescent substance use treatment and identified areas of treatment in need of further research. The authors also outline recommendations for policy changes and support for funding to implement these principles and practices to further improve the standard of care for adolescent substance use disorders services.</div></div>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 123-142"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.04.010
P. Evelyna Kambanis PhD , Nassim Tabri PhD , Iman McPherson BS , Julia E. Gydus BS , Megan Kuhnle MS , Casey M. Stern BA , Elisa Asanza MSN, MPH, CNP , Kendra R. Becker PhD , Lauren Breithaupt PhD , Melissa Freizinger PhD , Lydia A. Shrier MD, MPH , Elana M. Bern MD, MPH , Kamryn T. Eddy PhD , Madhusmita Misra MD, MPH , Nadia Micali MD, PhD , Elizabeth A. Lawson MD, MMSc , Jennifer J. Thomas PhD
Objective
To evaluate the 2-year course and outcomes of full and subthreshold avoidant/restrictive food intake disorder (ARFID) in youth aged 9 to 23 years at baseline using a prospective longitudinal design to characterize the remission and persistence of ARFID, evaluate diagnostic crossover, and identify predictors of outcome. Greater severity in each ARFID profile—sensory sensitivity, fear of aversive consequences, and lack of interest—was hypothesized to predict greater likelihood of illness persistence, controlling for age, sex, body mass index percentile, ARFID treatment status, and baseline diagnosis.
Method
Participants (N = 100; age range, 9-23 years; 49% female; 91% White) were followed over 2 years. The Pica, ARFID, and Rumination Disorder Interview was used across 3 time points (baseline, year 1, year 2) to measure the severity of each ARFID profile and evaluate illness persistence or remission, and the Eating Disorder Assessment for DSM-5 was used to evaluate diagnostic crossover.
Results
Across the 2-year follow-up period, half the participants persisted with their original diagnosis, and 3% of participants experienced a diagnostic shift to anorexia nervosa. Greater severity in the sensory sensitivity and lack of interest profiles was associated with higher likelihood of ARFID persistence at year 1 only; greater severity in the fear of aversive consequences profile was associated with higher likelihood of ARFID remission at year 2 only.
Conclusion
Findings underscore the distinctiveness of ARFID from other eating disorders and emphasize its persistence over 2 years. Results also highlight the predictive validity and prognostic value of the ARFID profiles (ie, sensory sensitivity, fear of aversive consequences, lack of interest).
Plain language summary
In this longitudinal study, the authors examined the course and outcomes of avoidant/restrictive food intake disorder (ARFID) in a sample of 100 youth aged 9 to 23 years over the course of 2 years. Across the 2-year follow-up period, half the sample persisted with their original diagnosis, and 3% of participants developed anorexia nervosa. Results indicate that profiles of greater sensory sensitivity to food and lack of interest in food/eating were associated with higher likelihood of ARFID persistence at year 1 only, whereas greater severity in the fear of aversive consequences of eating was associated with higher likelihood of ARFID remission at year 2 only. These findings highlight the persistence of ARFID and suggest that outcomes may vary depending on an individual’s ARFID presentation.
{"title":"Prospective 2-Year Course and Predictors of Outcome in Avoidant/Restrictive Food Intake Disorder","authors":"P. Evelyna Kambanis PhD , Nassim Tabri PhD , Iman McPherson BS , Julia E. Gydus BS , Megan Kuhnle MS , Casey M. Stern BA , Elisa Asanza MSN, MPH, CNP , Kendra R. Becker PhD , Lauren Breithaupt PhD , Melissa Freizinger PhD , Lydia A. Shrier MD, MPH , Elana M. Bern MD, MPH , Kamryn T. Eddy PhD , Madhusmita Misra MD, MPH , Nadia Micali MD, PhD , Elizabeth A. Lawson MD, MMSc , Jennifer J. Thomas PhD","doi":"10.1016/j.jaac.2024.04.010","DOIUrl":"10.1016/j.jaac.2024.04.010","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the 2-year course and outcomes of full and subthreshold avoidant/restrictive food intake disorder (ARFID) in youth aged 9 to 23 years at baseline using a prospective longitudinal design to characterize the remission and persistence of ARFID, evaluate diagnostic crossover, and identify predictors of outcome. Greater severity in each ARFID profile—sensory sensitivity, fear of aversive consequences, and lack of interest—was hypothesized to predict greater likelihood of illness persistence, controlling for age, sex, body mass index percentile, ARFID treatment status, and baseline diagnosis.</div></div><div><h3>Method</h3><div><span>Participants (N = 100; age range, 9-23 years; 49% female; 91% White) were followed over 2 years. The Pica, ARFID, and Rumination Disorder<span> Interview was used across 3 time points (baseline, year 1, year 2) to measure the severity of each ARFID profile and evaluate illness persistence or remission, and the Eating Disorder Assessment for </span></span><em>DSM-5</em> was used to evaluate diagnostic crossover.</div></div><div><h3>Results</h3><div>Across the 2-year follow-up period, half the participants persisted with their original diagnosis, and 3% of participants experienced a diagnostic shift to anorexia nervosa. Greater severity in the sensory sensitivity and lack of interest profiles was associated with higher likelihood of ARFID persistence at year 1 only; greater severity in the fear of aversive consequences profile was associated with higher likelihood of ARFID remission at year 2 only.</div></div><div><h3>Conclusion</h3><div>Findings underscore the distinctiveness of ARFID from other eating disorders and emphasize its persistence over 2 years. Results also highlight the predictive validity and prognostic value of the ARFID profiles (ie, sensory sensitivity, fear of aversive consequences, lack of interest).</div></div><div><h3>Plain language summary</h3><div>In this longitudinal study, the authors examined the course and outcomes of avoidant/restrictive food intake disorder (ARFID) in a sample of 100 youth aged 9 to 23 years over the course of 2 years. Across the 2-year follow-up period, half the sample persisted with their original diagnosis, and 3% of participants developed anorexia nervosa. Results indicate that profiles of greater sensory sensitivity to food and lack of interest in food/eating were associated with higher likelihood of ARFID persistence at year 1 only, whereas greater severity in the fear of aversive consequences of eating was associated with higher likelihood of ARFID remission at year 2 only. These findings highlight the persistence of ARFID and suggest that outcomes may vary depending on an individual’s ARFID presentation.</div></div>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 262-275"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.05.012
Rebecca C. Kamody PhD , Michael H. Bloch MD, MS
{"title":"Editorial: Adolescent Eating Disorders Are Increasing and We Need to Do More","authors":"Rebecca C. Kamody PhD , Michael H. Bloch MD, MS","doi":"10.1016/j.jaac.2024.05.012","DOIUrl":"10.1016/j.jaac.2024.05.012","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 105-107"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/S0890-8567(24)02001-X
{"title":"Child and Youth Artwork","authors":"","doi":"10.1016/S0890-8567(24)02001-X","DOIUrl":"10.1016/S0890-8567(24)02001-X","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Page A11"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143166905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.02.017
Andrea Danese MD, PhD , Dmytro Martsenkovskyi MD, PhD , Barbara Remberk MD, PhD , Monika Youssef Khalil MD , Emma Diggins MB BChir , Eleanor Keiller MA , Saba Masood MSc , Isang Awah PhD , Corrado Barbui MD , Renée Beer MSc , Rachel Calam MClinPsychol, PhD , Marcio Gagliato PhD , Tine K. Jensen PhD , Zlatina Kostova PhD , James F. Leckman MD, PhD , Stephanie J. Lewis MBBS, PhD , Boris Lorberg MD , Olha Myshakivska MD, PhD , Elisa Pfeiffer PhD , Rita Rosner PhD , John R. Weisz PhD
<div><h3>Objective</h3><div>More than 200 million children and adolescents live in countries affected by violent conflict, are likely to have complex mental health needs, and struggle to access traditional mental health services. Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support. We performed a scoping review to map existing digital mental health interventions relevant for children and adolescents affected by war, to examine the strength of the evidence base, and to inform the development of future interventions.</div></div><div><h3>Method</h3><div>Based on a pre-registered strategy, we systematically searched MEDLINE, Embase, Global Health, APA PsychInfo, and Google Scholar from the creation of each database to September 30, 2022, identifying k = 6,843 studies. Our systematic search was complemented by extensive consultation with experts from the GROW Network.</div></div><div><h3>Results</h3><div>The systematic search identified 6 relevant studies: 1 study evaluating digital mental health interventions for children and adolescents affected by war, and 5 studies for those affected by disasters. Experts identified 35 interventions of possible relevance. The interventions spanned from universal prevention to specialist-guided treatment. Most interventions directly targeted young people and parents or carers/caregivers and were self-guided. A quarter of the interventions were tested through randomized controlled trials. Because most interventions were not culturally or linguistically adapted to relevant contexts, their implementation potential was unclear.</div></div><div><h3>Conclusion</h3><div>There is very limited evidence for the use of digital mental health interventions for children and adolescents affected by war at present. The review provides a framework to inform the development of new interventions.</div></div><div><h3>Plain language summary</h3><div>Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support for children and adolescents living in war affected regions. In this scoping review, the authors identified 1 study evaluating digital mental health interventions for children and adolescents affected by war and 5 for those affected by disasters. In addition, 35 interventions were identified through expert consultation as of possible relevance. The authors found very limited evidence for the use of digital mental health interventions for children and adolescents affected by war, and given this provide a framework to inform the development of new interventions.</div></div><div><h3>Diversity & Inclusion Statement</h3><div>We actively worked to promote sex and gender balance in our author group.</div></div><div><h3>Study preregistration information</h3><div>Digital mental health interventions for children and young people affected by war: a scoping review; <span><span>https://osf.io/</span><svg><pat
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