Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.07.913
Julia N. Stimpfl MD , Katherine C. Soe MD
{"title":"Transdermal Asenapine for Agitation and Irritability in a Child With Complete Intravenous Dependence","authors":"Julia N. Stimpfl MD , Katherine C. Soe MD","doi":"10.1016/j.jaac.2024.07.913","DOIUrl":"10.1016/j.jaac.2024.07.913","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 89-91"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878948","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.2024.08.002
Kara S. Bagot MD
{"title":"Editorial: Interpersonal Racial–Ethnic Discrimination and Psychopathology in the ABCD Cohort","authors":"Kara S. Bagot MD","doi":"10.1016/j.jaac.2024.08.002","DOIUrl":"10.1016/j.jaac.2024.08.002","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 114-116"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995960","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.2024.10.004
Jeffrey R. Strawn MD , Tara S. Peris PhD
{"title":"Editorial: Paternal Anxiety and Children’s Anxiety and Related Symptoms: An Overlooked Risk Factor","authors":"Jeffrey R. Strawn MD , Tara S. Peris PhD","doi":"10.1016/j.jaac.2024.10.004","DOIUrl":"10.1016/j.jaac.2024.10.004","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 108-110"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142431100","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.2024.04.005
Francesca Zecchinato MSc , Yasmin I. Ahmadzadeh PhD , Jana M. Kreppner PhD , Peter J. Lawrence PhD
<div><h3>Objective</h3><div>Anxiety disorders are highly prevalent worldwide; however, the literature lacks a meta-analytic quantification of the risk posed by fathers’ anxiety for offspring development. This systematic review and meta-analysis aimed to provide a comprehensive estimate of the magnitude of the association between paternal anxiety and emotional and behavioral problems of offspring.</div></div><div><h3>Method</h3><div>In February 2022, Web of Science, Ovid (Embase, MEDLINE, PsycINFO), Trip Database, and ProQuest were searched to identify all quantitative studies that measured anxiety in fathers and emotional and/or behavioral outcomes in offspring. No limits were set for offspring age, publication language, or publication year. Summary estimates were extracted from the primary studies. Meta-analytic random-effects 3-level models were used to calculate correlation coefficients. Quality was assessed using the Newcastle-Ottawa Scale. The study protocol was preregistered with PROSPERO (CRD42022311501) and adhered to PRISMA reporting guidelines.</div></div><div><h3>Results</h3><div>Of 11,746 records identified, 98 were included in the meta-analysis. Small but significant associations were found between paternal anxiety and offspring emotional and behavioral problems overall (<em>r</em> = 0.16, 95% CI [0.13, 0.19]) and behavioral (<em>r</em> = 0.19, 95% CI [0.13, 0.24]), emotional (<em>r</em> = 0.15, 95% CI [0.12, 0.18]), anxiety (<em>r</em> = 0.13, 95% CI [0.11, 0.16]), and depression (<em>r</em> = 0.13, 95% CI [0.03, 0.23]) problems. Some significant moderators were identified.</div></div><div><h3>Conclusion</h3><div>Paternal mental health is associated with offspring development, and the offspring of fathers with anxiety symptoms or disorders are at increased risk of negative emotional and behavioral outcomes, in line with the principles of multifinality and pleiotropy. The substantial heterogeneity among studies and the overrepresentation of White European American groups in this literature highlight the need for further research.</div></div><div><h3>Plain language summary</h3><div>In this meta-analysis of 98 studies and ∼55,000 unique participants, the authors examined the associations between fathers’ anxiety and offspring mental health difficulties. The study found small but significant associations between paternal anxiety and offspring emotional and behavioral problems (Pearson r ranging between .13 and .19). Findings from the study highlight the importance of paternal mental health in offspring development, with paternal anxiety associated with a generalized offspring vulnerability to psychopathology. The results of the study are limited by the heterogeneity among studies and overrepresentation of White European American groups highlighting the need for further research.</div></div><div><h3>Clinical guidance</h3><div><ul><li><span>•</span><span><div>Clinicians should take into account fathers’ anxiety when treating children with
目的：焦虑症在全球范围内非常普遍，然而，文献中缺乏对父亲焦虑对后代成长所造成风险的荟萃分析量化。在此，我们旨在全面评估父亲焦虑与后代情绪和行为问题之间的关联程度：在本系统综述和荟萃分析中，为了确定所有测量父亲焦虑与后代情绪和/或行为结果的定量研究，我们检索了 2022 年 2 月的 Web of Science、Ovid（Embase、MEDLINE、PsycINFO）、Trip Database 和 ProQuest。我们对后代的年龄、发表语言或年份不做限制。我们从主要研究中提取了摘要估计值。我们使用元分析随机效应三级模型来计算相关系数。研究质量采用纽卡斯尔-渥太华量表进行评估。我们的研究方案已在 PROSPERO（CRD42022311501）进行了预先注册，并遵守了 PRISMA 报告指南：我们确定了 11746 条记录，其中 98 条被纳入荟萃分析。我们发现父亲焦虑与后代的情绪和行为问题之间存在微小但重要的关联，包括总体问题（r=.16，95%CI[.13，.19]）、行为问题（r=.19，95%CI[.13，.24]）、情绪问题（r=.15，95%CI[.12，.18]）、焦虑问题（r=.13，95%CI[.11，.16]）和抑郁问题（r=.13，95%CI[.03，.23]）。我们发现了一些重要的调节因素：结论：父亲的心理健康与后代的成长有关，父亲有焦虑症状或焦虑症的后代出现负面情绪和行为结果的风险会增加，这符合多重性和多向性原则。不同研究之间存在很大的异质性，而且在这些文献中，欧洲裔美国白人群体的代表性过高，这些都凸显了进一步研究的必要性。
{"title":"A Systematic Review and Meta-Analysis: Paternal Anxiety and the Emotional and Behavioral Outcomes in Their Offspring","authors":"Francesca Zecchinato MSc , Yasmin I. Ahmadzadeh PhD , Jana M. Kreppner PhD , Peter J. Lawrence PhD","doi":"10.1016/j.jaac.2024.04.005","DOIUrl":"10.1016/j.jaac.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><div>Anxiety disorders are highly prevalent worldwide; however, the literature lacks a meta-analytic quantification of the risk posed by fathers’ anxiety for offspring development. This systematic review and meta-analysis aimed to provide a comprehensive estimate of the magnitude of the association between paternal anxiety and emotional and behavioral problems of offspring.</div></div><div><h3>Method</h3><div>In February 2022, Web of Science, Ovid (Embase, MEDLINE, PsycINFO), Trip Database, and ProQuest were searched to identify all quantitative studies that measured anxiety in fathers and emotional and/or behavioral outcomes in offspring. No limits were set for offspring age, publication language, or publication year. Summary estimates were extracted from the primary studies. Meta-analytic random-effects 3-level models were used to calculate correlation coefficients. Quality was assessed using the Newcastle-Ottawa Scale. The study protocol was preregistered with PROSPERO (CRD42022311501) and adhered to PRISMA reporting guidelines.</div></div><div><h3>Results</h3><div>Of 11,746 records identified, 98 were included in the meta-analysis. Small but significant associations were found between paternal anxiety and offspring emotional and behavioral problems overall (<em>r</em> = 0.16, 95% CI [0.13, 0.19]) and behavioral (<em>r</em> = 0.19, 95% CI [0.13, 0.24]), emotional (<em>r</em> = 0.15, 95% CI [0.12, 0.18]), anxiety (<em>r</em> = 0.13, 95% CI [0.11, 0.16]), and depression (<em>r</em> = 0.13, 95% CI [0.03, 0.23]) problems. Some significant moderators were identified.</div></div><div><h3>Conclusion</h3><div>Paternal mental health is associated with offspring development, and the offspring of fathers with anxiety symptoms or disorders are at increased risk of negative emotional and behavioral outcomes, in line with the principles of multifinality and pleiotropy. The substantial heterogeneity among studies and the overrepresentation of White European American groups in this literature highlight the need for further research.</div></div><div><h3>Plain language summary</h3><div>In this meta-analysis of 98 studies and ∼55,000 unique participants, the authors examined the associations between fathers’ anxiety and offspring mental health difficulties. The study found small but significant associations between paternal anxiety and offspring emotional and behavioral problems (Pearson r ranging between .13 and .19). Findings from the study highlight the importance of paternal mental health in offspring development, with paternal anxiety associated with a generalized offspring vulnerability to psychopathology. The results of the study are limited by the heterogeneity among studies and overrepresentation of White European American groups highlighting the need for further research.</div></div><div><h3>Clinical guidance</h3><div><ul><li><span>•</span><span><div>Clinicians should take into account fathers’ anxiety when treating children with","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 172-197"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jaac.2024.04.018
Yoonji Lee PhD Candidate , Justin P. Yuan PhD Candidate , Anderson M. Winkler MD, DPhil , Katharina Kircanski PhD , Daniel S. Pine MD , Ian H. Gotlib PhD
<div><h3>Objective</h3><div>Adolescents face significant changes in many domains of their daily lives that require them to flexibly adapt to changing environmental demands. To shift efficiently among various goals, adolescents must reconfigure their brains, disengaging from previous tasks and engaging in new activities.</div></div><div><h3>Method</h3><div>To examine this reconfiguration, we obtained resting-state and task-based functional magnetic resonance imaging (fMRI) scans in a community sample of 164 youths. We assessed the similarity of functional connectivity (FC) of the reward network between resting state and a reward-processing state, indexing the degree of reward network reconfiguration required to meet task demands. Given research documenting relations among reward network function, early life stress (ELS), and adolescent depression, we examined the association of reconfiguration efficiency with age across adolescence, the moderating effect of ELS on this association, and the relation between reconfiguration efficiency and depressive symptoms.</div></div><div><h3>Results</h3><div>We found that older adolescents showed greater reconfiguration efficiency than younger adolescents and, furthermore, that this age-related association was moderated by the experience of ELS.</div></div><div><h3>Conclusion</h3><div>These findings suggest that reconfiguration efficiency of the reward network increases over adolescence, a developmental pattern that is attenuated in adolescents exposed to severe ELS. In addition, even after controlling for the effects of age and exposure to ELS, adolescents with higher levels of depressive symptoms exhibited greater reconfiguration efficiency, suggesting that they have brain states at rest that are more strongly optimized for reward processing than do asymptomatic youth.</div></div><div><h3>Plain language summary</h3><div>Adolescents face significant changes in many domains of their lives which requires them to flexibly adapt and reconfigure their brains to disengage from previous tasks and engage in new activities. In this study of a sample of 164 youth aged 9 to 20, the authors found an age-related increase in the reconfiguration efficiency of the reward network, which was pronounced in older adolescents exposed to severe early life stress. In addition, the study findings indicate that adolescents with higher levels of depressive symptoms showed greater reconfiguration efficiency, suggesting that their brains may be more optimized for processing rewards even at rest compared to their peers without any symptoms.</div></div><div><h3>Diversity & Inclusion Statement</h3><div>We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a m
目的：青少年在日常生活的许多领域都面临着重大变化，这就要求他们灵活地适应不断变化的环境需求。为了在各种目标之间有效转换，青少年必须重新配置他们的大脑，从以前的任务中脱离出来，参与新的活动：为了研究这种重新配置，我们对 164 名青少年进行了静息状态和任务型 fMRI 扫描。我们评估了静息状态与奖赏处理状态之间奖赏网络功能连接（FC）的相似性，以反映为满足任务要求而进行的奖赏网络重构的程度。鉴于有研究表明奖赏网络功能、早期生活压力（ELS）和青少年抑郁之间存在关系，我们研究了整个青少年时期重新配置效率与年龄的关系、ELS对这种关系的调节作用以及重新配置效率与抑郁症状之间的关系：结果：我们发现，年龄较大的青少年比年龄较小的青少年表现出更高的重新配置效率，而且，这种与年龄有关的关联会受到 ELS 经验的调节：这些研究结果表明，奖赏网络的重新配置效率会随着青春期的增长而提高，而这种发展模式在遭受严重 ELS 的青少年中会减弱。此外，即使控制了年龄和ELS暴露的影响，抑郁症状较严重的青少年也表现出更高的重构效率，这表明与无症状的青少年相比，他们的大脑状态在休息时更有利于奖赏处理。
{"title":"Task–Rest Reconfiguration Efficiency of the Reward Network Across Adolescence and Its Association With Early Life Stress and Depressive Symptoms","authors":"Yoonji Lee PhD Candidate , Justin P. Yuan PhD Candidate , Anderson M. Winkler MD, DPhil , Katharina Kircanski PhD , Daniel S. Pine MD , Ian H. Gotlib PhD","doi":"10.1016/j.jaac.2024.04.018","DOIUrl":"10.1016/j.jaac.2024.04.018","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescents face significant changes in many domains of their daily lives that require them to flexibly adapt to changing environmental demands. To shift efficiently among various goals, adolescents must reconfigure their brains, disengaging from previous tasks and engaging in new activities.</div></div><div><h3>Method</h3><div>To examine this reconfiguration, we obtained resting-state and task-based functional magnetic resonance imaging (fMRI) scans in a community sample of 164 youths. We assessed the similarity of functional connectivity (FC) of the reward network between resting state and a reward-processing state, indexing the degree of reward network reconfiguration required to meet task demands. Given research documenting relations among reward network function, early life stress (ELS), and adolescent depression, we examined the association of reconfiguration efficiency with age across adolescence, the moderating effect of ELS on this association, and the relation between reconfiguration efficiency and depressive symptoms.</div></div><div><h3>Results</h3><div>We found that older adolescents showed greater reconfiguration efficiency than younger adolescents and, furthermore, that this age-related association was moderated by the experience of ELS.</div></div><div><h3>Conclusion</h3><div>These findings suggest that reconfiguration efficiency of the reward network increases over adolescence, a developmental pattern that is attenuated in adolescents exposed to severe ELS. In addition, even after controlling for the effects of age and exposure to ELS, adolescents with higher levels of depressive symptoms exhibited greater reconfiguration efficiency, suggesting that they have brain states at rest that are more strongly optimized for reward processing than do asymptomatic youth.</div></div><div><h3>Plain language summary</h3><div>Adolescents face significant changes in many domains of their lives which requires them to flexibly adapt and reconfigure their brains to disengage from previous tasks and engage in new activities. In this study of a sample of 164 youth aged 9 to 20, the authors found an age-related increase in the reconfiguration efficiency of the reward network, which was pronounced in older adolescents exposed to severe early life stress. In addition, the study findings indicate that adolescents with higher levels of depressive symptoms showed greater reconfiguration efficiency, suggesting that their brains may be more optimized for processing rewards even at rest compared to their peers without any symptoms.</div></div><div><h3>Diversity & Inclusion Statement</h3><div>We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a m","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 290-300"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327567","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.2024.11.006
Theodore A. Petti MD, MPH , Boris Lorberg MD, MBA , Raman Baweja MD, MS
{"title":"Editorial: Patient-Reported Outcome Measures in Child and Adolescent Psychiatry and Related Care","authors":"Theodore A. Petti MD, MPH , Boris Lorberg MD, MBA , Raman Baweja MD, MS","doi":"10.1016/j.jaac.2024.11.006","DOIUrl":"10.1016/j.jaac.2024.11.006","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 111-113"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643798","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.2024.11.011
Shweta Vadlamani MD, Mohsin Khan MD
{"title":"Bright Kids Who Couldn’t Care Less: How to Rekindle Your Child’s Motivation","authors":"Shweta Vadlamani MD, Mohsin Khan MD","doi":"10.1016/j.jaac.2024.11.011","DOIUrl":"10.1016/j.jaac.2024.11.011","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 303-304"},"PeriodicalIF":9.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696323","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 : 2025-01-31DOI: 10.1016/j.jaac.2025.01.023
Gail A Edelsohn
Farid and Dunham's 1939 classic psychiatric epidemiologic study of schizophrenia and psychosis in Chicago found that overall White individuals generally had lower psychiatric admission rates for psychosis than Black individuals; however, that was not the case for primarily Black areas in the city.1 In these areas, White individuals had remarkably high admission rates and Black individuals had unusually low rates. A review of 20th century studies also found an association between ethnic density and rates of schizophrenia, and proposed reduced exposure to prejudice and increased social support as underlying mechanisms.2 The ethnic density hypothesis puts forward that racial/ethnic minority groups have better mental health in spaces with relatively more individuals who share the same racial or ethnic background. A contemporary study found that ethnoracial minoritized youth at clinical high risk for psychosis who grew up in neighborhoods with high ethnic congruence had a higher likelihood of remission at the 2-year follow up.3.
{"title":"Editorial: When the Kids at School Look Like Me: Who Benefits and in What Ways?","authors":"Gail A Edelsohn","doi":"10.1016/j.jaac.2025.01.023","DOIUrl":"10.1016/j.jaac.2025.01.023","url":null,"abstract":"<p><p>Farid and Dunham's 1939 classic psychiatric epidemiologic study of schizophrenia and psychosis in Chicago found that overall White individuals generally had lower psychiatric admission rates for psychosis than Black individuals; however, that was not the case for primarily Black areas in the city.<sup>1</sup> In these areas, White individuals had remarkably high admission rates and Black individuals had unusually low rates. A review of 20th century studies also found an association between ethnic density and rates of schizophrenia, and proposed reduced exposure to prejudice and increased social support as underlying mechanisms.<sup>2</sup> The ethnic density hypothesis puts forward that racial/ethnic minority groups have better mental health in spaces with relatively more individuals who share the same racial or ethnic background. A contemporary study found that ethnoracial minoritized youth at clinical high risk for psychosis who grew up in neighborhoods with high ethnic congruence had a higher likelihood of remission at the 2-year follow up.<sup>3</sup>.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080497","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 : 2025-01-31DOI: 10.1016/j.jaac.2025.01.027
L Eugene Arnold
In this issue of the Journal, Reed and colleagues1 explore the intersection of 2 important public health problems: overweight/obesity and attention-deficit/ hyperactivity disorder (ADHD), both having a high population prevalence and tending to start in childhood. They analyzed data cross-sectionally and longitudinally from a UK birth cohort of 7,908 youth, including 442 with ADHD by either actual diagnosis or parent-rated threshold score. This epidemiologic ADHD prevalence was comparable to those in other countries, although the actual diagnosis rate was lower. They added a cross-lagged longitudinal perspective to previous reports showing a small association of obesity with ADHD, especially in adults. Their clinically important findings include the following. (1) Both disorders are associated with slightly lower birth weight, presumably reflecting a generally less favorable gestation. (2) The shift from underweight to overweight for those with ADHD occurred in preschool years, at 3 to 5 years of age. (3) ADHD symptom severity predicted overweight: for girls, "higher ADHD symptoms at ages 7, 11, and 14 predicted higher body mass index (BMI) at 11, 14, and 17, respectively." For boys, higher ADHD symptoms at age 11 predicted higher BMI at 14 years. (4) Girls had earlier onset of obesity/overweight (not necessarily a higher rate than boys with ADHD).
{"title":"Editorial: Grappling With the Relationships of Attention-Deficit/Hyperactivity Disorder and Obesity.","authors":"L Eugene Arnold","doi":"10.1016/j.jaac.2025.01.027","DOIUrl":"10.1016/j.jaac.2025.01.027","url":null,"abstract":"<p><p>In this issue of the Journal, Reed and colleagues<sup>1</sup> explore the intersection of 2 important public health problems: overweight/obesity and attention-deficit/ hyperactivity disorder (ADHD), both having a high population prevalence and tending to start in childhood. They analyzed data cross-sectionally and longitudinally from a UK birth cohort of 7,908 youth, including 442 with ADHD by either actual diagnosis or parent-rated threshold score. This epidemiologic ADHD prevalence was comparable to those in other countries, although the actual diagnosis rate was lower. They added a cross-lagged longitudinal perspective to previous reports showing a small association of obesity with ADHD, especially in adults. Their clinically important findings include the following. (1) Both disorders are associated with slightly lower birth weight, presumably reflecting a generally less favorable gestation. (2) The shift from underweight to overweight for those with ADHD occurred in preschool years, at 3 to 5 years of age. (3) ADHD symptom severity predicted overweight: for girls, \"higher ADHD symptoms at ages 7, 11, and 14 predicted higher body mass index (BMI) at 11, 14, and 17, respectively.\" For boys, higher ADHD symptoms at age 11 predicted higher BMI at 14 years. (4) Girls had earlier onset of obesity/overweight (not necessarily a higher rate than boys with ADHD).</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":" ","pages":""},"PeriodicalIF":9.2,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080487","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 : 2025-01-31DOI: 10.1016/j.jaac.2025.01.026
Justin Schreiber, Misty C Richards
When we did our first few Media Forums, we introduced you to the editors of JAACAP and JAACAP Open. What we didn't do was introduce you to the most important part of JAACAP, the editorial staff that makes sure that it runs every day. In this issue of the Media Forum, the amazing editorial staff of JAACAP, JAACAP Open, and JAACAP Connect will share with you their favorite children's books and shows, introducing you to stories that you can recommend to families or read to your own children. Hopefully, this will also give you a chance to get to know the people behind the hard work that goes into the orange journal that we all take for granted showing up every month to provide us with education and enjoyment.
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