Journal of the American Academy of Child and Adolescent Psychiatry最新文献

{"title":"Editorial: Placing Parenting in Context: Neighborhood Crime, Early Brain Development, and Socioemotional Outcomes","authors":"Sohye Kim PhD","doi":"10.1016/j.jaac.2024.03.002","DOIUrl":"10.1016/j.jaac.2024.03.002","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094252","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}

{"title":"Council Page","authors":"","doi":"10.1016/S0890-8567(24)00202-8","DOIUrl":"https://doi.org/10.1016/S0890-8567(24)00202-8","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487454","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}

{"title":"Family Separation at the US and Mexico Border Continues","authors":"Amanda Venta PhD , Ashely Bautista BS , Maria Cuervo BA , Alfonso Mercado PhD , Luz M. Garcini PhD , Cecilia Colunga-Rodríguez PhD , Mario Ángel-González PhD , T. Magnolia Preciado-Rodríguez PhD , Fabiola Peña Cardenas PhD , Karla Villarreal Sotelo PhD , Tony Payan PhD","doi":"10.1016/j.jaac.2023.09.546","DOIUrl":"10.1016/j.jaac.2023.09.546","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138550942","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}

{"title":"Umbrella Review: Atlas of the Meta-Analytical Evidence of Early-Onset Psychosis","authors":"Gonzalo Salazar de Pablo MD, PhD ,&nbsp;Victoria Rodriguez PhD ,&nbsp;Filippo Besana MD ,&nbsp;Serena Chiara Civardi MD ,&nbsp;Vincenzo Arienti MD ,&nbsp;Laura Maraña Garceo MD ,&nbsp;P. Andrés-Camazón MD ,&nbsp;Ana Catalan PhD ,&nbsp;Maria Rogdaki MRCPsych, PhD ,&nbsp;Chris Abbott MD ,&nbsp;Marinos Kyriakopoulos PhD, FRCPsych ,&nbsp;Paolo Fusar-Poli MD, PhD ,&nbsp;Christoph U. Correll MD ,&nbsp;Celso Arango MD, PhD","doi":"10.1016/j.jaac.2023.10.016","DOIUrl":"10.1016/j.jaac.2023.10.016","url":null,"abstract":"<div><h3>Objective</h3><p>Early-onset psychosis (EOP) refers to the development of psychosis before the age of 18 years. We aimed to summarize, for the first time, the meta-analytical evidence in the field of this vulnerable population and to provide evidence-based recommendations.</p></div><div><h3>Method</h3><p>We performed a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)–compliant, pre-registered (PROSPERO: CRD42022350868) systematic review of several databases and registers to identify meta-analyses of studies conducted in EOP individuals to conduct an umbrella review. Literature search, screening, data extraction, and quality assessment were carried out independently. Results were narratively reported, clustered across core domains. Quality assessment was performed with the Assessment of Multiple Systematic Reviews–2 (AMSTAR-2) tool.</p></div><div><h3>Results</h3><p>A total of 30 meta-analyses were included (373 individual studies, 25,983 participants, mean age 15.1 years, 38.3% female). Individuals with EOP showed more cognitive impairments compared with controls and individuals with adult/late-onset psychosis. Abnormalities were observed meta-analytically in neuroimaging markers but not in oxidative stress and inflammatory response markers. In all, 60.1% of EOP individuals had a poor prognosis. Clozapine was the antipsychotic with the highest efficacy for overall, positive, and negative symptoms. Tolerance to medication varied among the evaluated antipsychotics. The risk of discontinuation of antipsychotics for any reason or side effects was low or equal compared to placebo.</p></div><div><h3>Conclusion</h3><p>EOP is associated with cognitive impairment, involuntary admissions, and poor prognosis. Antipsychotics can be efficacious in EOP, but tolerability and safety need to be taken into consideration. Clozapine should be considered in EOP individuals who are resistant to 2 non-clozapine antipsychotics. Further meta-analytical research is needed on response to psychological interventions and other prognostic factors.</p></div><div><h3>Plain language summary</h3><p>This umbrella review summarized the meta-analytical knowledge from 30 meta-analyses on early-onset psychosis. Early-onset psychosis refers to the development of psychosis before the age of 18 years and is associated with cognitive impairment, hospitalization, and poor prognosis. Individuals with early-onset psychosis show more cognitive impairments and abnormalities compared with controls. Clozapine was the antipsychotic with the highest efficacy for positive, negative, and overall symptoms and should be considered in individuals with early-onset psychosis.</p></div><div><h3>Study preregistration information</h3><p>Early Onset Psychosis: Umbrella Review on Diagnosis, Prognosis and Treatment factors; <span>https://www.crd.york.ac.uk/PROSPERO/</span><svg><path></path></svg>; CRD42022350868.</p></div>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0890856724000066/pdfft?md5=9de1c95e22b6eb263019621127b0de57&pid=1-s2.0-S0890856724000066-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139550815","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}

{"title":"Child and Youth Artwork","authors":"","doi":"10.1016/S0890-8567(24)00228-4","DOIUrl":"https://doi.org/10.1016/S0890-8567(24)00228-4","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487456","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}

{"title":"Editorial: Can Mobile Crisis Response Help Mitigate Racialized Disparities in Acute Child Mental Health Care?","authors":"Lisa R. Fortuna MD, MPH, MDiv","doi":"10.1016/j.jaac.2023.11.007","DOIUrl":"10.1016/j.jaac.2023.11.007","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138551024","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}

{"title":"What Makes Us Who We Are?","authors":"Justin Schreiber DO, MPH (Assistant Editor),&nbsp;Misty C. Richards MD, MS (Assistant Editor)","doi":"10.1016/j.jaac.2024.03.014","DOIUrl":"10.1016/j.jaac.2024.03.014","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759163","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}

{"title":"Wicked: The Musical","authors":"Elizabeth Lobel MD ,&nbsp;Thomas Pak MD, PhD","doi":"10.1016/j.jaac.2024.04.001","DOIUrl":"10.1016/j.jaac.2024.04.001","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793264","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}

{"title":"Rethinking Racial Matching in Children's Mental Health: The Need for Racially Conscious Therapists.","authors":"Wendy Chu, Ty A Robinson","doi":"10.1016/j.jaac.2024.05.025","DOIUrl":"10.1016/j.jaac.2024.05.025","url":null,"abstract":"<p><p>In a given year, 1 in 6 youth will experience a mental health disorder.¹ Prevalence data reveal that anxiety (9.4%), attention-deficit/hyperactivity disorder (9.8%), and behavior problems (8.9%) are the most common mental disorders in youth.² With the coronavirus disease (COVID-19) pandemic, psychiatric needs skyrocketed because of factors such as isolation from social networks, disruption in routines, reduction in physical activities, and increased social media use.³ As a result, symptoms of depression and anxiety doubled and suicide attempts rose, which illuminated the mental health crisis among children and adolescents.^4,5 More concerning, this trend has had a disproportionate impact on racially minoritized communities, who also had to grapple with significant compounding stressors related to inequitable health care access, police brutality, xenophobia, and more.⁶ For instance, exposure to personal and indirect racial discrimination through channels such as social media resulted in elevated worry and stress among Black and Asian American youth.⁶ Furthermore, across different racial groups, the percentage of youth injured from a suicide attempt only increased for Black youth from 2019 to 2021.⁷ Despite these needs, mental health service use rates among racially minoritized youth remain low compared to those of their White counterparts. Moreover, once and if care is provided, racially minoritized youth report poorer quality services, contributing to premature termination and unmet mental health needs.⁸ Thus, strategies that promote racially minoritized youths' engagement in services are warranted to address mental health inequities.</p>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498325","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}

{"title":"Wawata—Moon Dreaming: Daily Wisdom Guided by Hina, the Māori Moon","authors":"","doi":"10.1016/j.jaac.2024.06.002","DOIUrl":"10.1016/j.jaac.2024.06.002","url":null,"abstract":"","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049107","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}