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Telling Our Stories 讲述我们的故事
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.10.001
Justin Schreiber DO, MPH (Assistant Editor), Misty C. Richards MD, MS (Assistant Editor)
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引用次数: 0
Editorial: Body Dysmorphic Disorder in Children and Adolescents: Time to Act 社论:儿童和青少年的身体畸形障碍:是时候采取行动了。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.05.010
David Mataix-Cols PhD
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引用次数: 0
The Education Crisis and the Allied Role of School-Based Mental Health Care 教育危机与校本心理保健的联合作用。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.07.911
Andrew S. Chun MD, MPH , Alex S. Keuroghlian MD, MPH
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引用次数: 0
Post–COVID-19 Mental Health Distress in 13 Million Youth: A Retrospective Cohort Study of Electronic Health Records 1300万青少年在COVID-19后的心理健康困扰:电子健康记录的回顾性队列研究》。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.03.023
Yanli Zhang-James MD, PhD, John W.S. Clay BS, Rachel B. Aber BS, Hilary M. Gamble MD, Stephen V. Faraone PhD

Objective

To investigate the impact of the SARS-CoV-2 infection on the rates of mental disorders in youth.

Method

The study involved 7,519,465 children and 5,338,496 adolescents from the TriNetX Research Network, all without prior mental disorder histories. Among them, 290,145 children and 223,667 adolescents had SARS-CoV-2–positive tests or confirmed COVID-19 diagnoses. Kaplan–Meier survival analysis was used to evaluate the probability of developing new mental disorders (any codes in International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) F01-F99 category and suicidal behaviors) within 2 years post infection, compared to the propensity score–matched youth who were never infected.

Results

Within 2 years post SARS-CoV-2 infection, children had a probability of 0.15 in acquiring new psychiatric diagnoses, compared to 0.026 for matched non-infected children; adolescents had a 0.19 probability against 0.05 for their non-infected counterparts. The hazard ratio (HR) was 6.0 (95% CI = 5.8-6.3) for children and 4.2 for adolescents (95% CI = 4.1-4.4), with children vs adolescents HR of 1.4 (95% CI = 1.36-1.51). Elevated HRs were observed for almost all subcategories of mental disorders and suicidal behaviors, with variations based on sex, severity of SARS-CoV-2 infection, and viral variants. COVID-19 was similar to other respiratory infections and was associated with a similarly increased rate of mental disorders in adolescents, but had a significantly higher effect on children (HR = 1.57, 95% CI =1.53-1.61).

Conclusion

This study revealed significant mental health distress following SARS-CoV-2 infection in youth, which was more pronounced in children than in adolescents. These findings underscore the urgent need to support at-risk youth, particularly those who contracted SARS-CoV-2 at younger ages and had more severe infections.

Plain language summary

The authors of this study conducted analyses using electronic medical records from the TriNetX Research Network to investigate the impact of SARS-CoV-2 infection on the rates of mental health disorders in youth. Within 2 years after SARS-CoV-2 infection, children and adolescents were 6.0 and 4.2 times more likely to acquire a new psychiatric diagnosis, respectively. While the risk of being diagnosed with a mental health disorder following SARS-CoV-2 infection in adolescents was comparable to other respiratory infections, it had a more pronounced effect on children.
目的:研究 SARS-CoV-2 感染对青少年精神障碍发病率的影响:调查 SARS-CoV-2 感染对青少年精神障碍发病率的影响:研究涉及 TriNetX 研究网络中的 7,519,465 名儿童和 5,338,496 名青少年,他们均无精神障碍病史。其中有 290,145 名儿童和 223,667 名青少年的 SARS-CoV-2 检测结果呈阳性或确诊为 COVID-19。我们利用卡普兰-梅耶尔生存分析法评估了感染后两年内出现新精神障碍(ICD-10-CM F01-F99 类别中的任何代码和自杀行为)的概率,并与倾向得分匹配的未感染青少年进行了比较:结果发现:在感染 SARS-CoV-2 后两年内,儿童获得新的精神疾病诊断的概率为 0.15,而与之匹配的未感染儿童的概率为 0.026;青少年获得新的精神疾病诊断的概率为 0.19,而与之匹配的未感染青少年的概率为 0.05。儿童的危险比(HR)为 6.0(95% 置信区间:5.8-6.3),青少年为 4.2(95% 置信区间:4.1-4.4),儿童与青少年的危险比为 1.4(95% 置信区间:1.36-1.51)。在几乎所有精神障碍和自杀行为的子类别中都观察到了升高的HRs,并因性别、SARS-CoV-2感染的严重程度和病毒变异而有所不同。在增加青少年精神障碍发病率方面,COVID-19 与其他呼吸道感染相似,但对儿童的影响明显更大(HR 1.57,95%CI:1.53-1.61):我们的研究显示,青少年感染 SARS-CoV-2 后会出现严重的心理健康问题,其中儿童比青少年更为明显。这些发现强调了为高危青少年提供支持的紧迫性,尤其是那些感染 SARS-CoV-2 的年龄更小、感染更严重的青少年。
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引用次数: 0
Madness in the Family: Women, Care, and Illness in Japan
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.10.006
Jose Mantilla-Rivas MD
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引用次数: 0
An Imperative to Include Children’s Voices in Policy Development: Part of the Solution to Understanding the Impact of Policy on Children’s Mental Health 将儿童的声音纳入政策制定势在必行:了解政策对儿童心理健康影响的部分解决方案。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.08.488
Susan dosReis PhD , Rowan Willis-Gorman HSD , Laura N. Anderson PhD , Laura Duncan PhD , James A. Gaudino Jr. MD, MPH, MS, FACPM , Robin Taylor Wilson PhD , Camille Raynes-Greenow PhD, MPH , Katy Bell PhD , The International Network for Epidemiology in Policy (INEP)
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引用次数: 0
Council Page 委员会页面
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/S0890-8567(24)01953-1
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引用次数: 0
Epidemiology of Body Dysmorphic Disorder and Appearance Preoccupation in Youth: Prevalence, Comorbidity and Psychosocial Impairment 青少年身体畸形障碍和外貌先入为主的流行病学:流行病学:青少年身体畸形障碍和外貌先入为主:患病率、合并症和心理社会损伤。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.01.017
Georgina Krebs PhD, DClinPsy , Bruce R. Clark MB ChB, MRCPsych , Tamsin J. Ford PhD , Argyris Stringaris MD, PhD, FRCPsych

Objective

Little is known about how common and impairing body dysmorphic disorder (BDD) is in the general population of youth. We evaluated the prevalence, comorbidity, and psychosocial impairment associated with BDD and more broadly defined appearance preoccupation in young people.

Method

Data were drawn from the 2017 Mental Health of Children and Young People in England survey. BDD and psychiatric comorbidity were assessed in individuals 5 to 19 years of age (N = 7,654) according to DSM-5 criteria, using a clinician-rated standardized diagnostic assessment. Psychosocial impairment was measured with a quantitative scale and was indexed by reported self-harm and suicide attempts, as well as service use, assessed using structured interviews.

Results

The point prevalence of BDD was 1.0% (95% CI = 0.8%-1.3%). BDD was significantly more common among adolescents than children (1.9 vs 0.1%; OR = 22.5, p < .001), and among female than male participants (1.8% vs 0.3%; OR = 7.3, p < .001). Approximately 70% of young people with BDD had psychiatric comorbidity, most commonly internalizing disorders. BDD was associated with self- and parent-reported psychosocial impairment, self-harm and suicide attempts, and service utilization. Appearance preoccupation was more common than full-syndrome BDD, but showed similar age and sex effects, patterns of comorbidity, and associated impairment.

Conclusion

BDD and appearance preoccupation are relatively common, especially among adolescent girls, and are associated with substantial co-occurring psychopathology, impairment, and risk. Improved screening is needed to increase detection and diagnosis of BDD, and to facilitate access to evidence-based treatment.

Plain language summary

This study aimed to determine the prevalence, comorbidity, and psychosocial impairment associated with body dysmorphic disorder (BDD) and more broadly defined appearance preoccupation in young people. Data from an epidemiological survey of 7,654 youth aged 5 to19 years in England indicated that BDD affects approximately 1% of children and adolescents. BDD was significantly more common in adolescents compared to children and in females compared to males. Both BDD and broader appearance preoccupation were linked with high rates of psychiatric comorbidity and significant psychosocial impairment, indicating a need for better screening and access to treatment.

Study preregistration information

The epidemiology of body dysmorphic disorder the youth: prevalence, comorbidity and psychosocial impact; https://osf.io/; g83jy.
目的:人们对身体畸形障碍(BDD)在青少年中的普遍性和损害程度知之甚少。我们评估了青少年中与 BDD 和更广义的外貌妄想症相关的患病率、合并症和心理社会损伤:数据来自 2017 年英格兰儿童和青少年心理健康调查。根据DSM-5标准,采用临床医生评定的标准化诊断评估方法,对5-19岁青少年(N=7654)的BDD和精神疾病合并症进行评估。心理社会功能障碍采用定量量表进行测量,并以报告的自残和自杀企图以及服务利用情况为指标,通过结构化访谈进行评估:BDD的点流行率为1.0%(95% CI 0.8 - 1.3%)。BDD在青少年中的发生率明显高于儿童(1.9 vs 0.1%;OR = 22.5,p):BDD 和外貌强迫症相对常见,尤其是在青春期女孩中,并且与大量并发的精神病理学、风险和损伤有关。需要改进筛查工作,以提高 BDD 的发现率和诊断率,并促进获得循证治疗。
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引用次数: 0
Editorial: Mental Health Distress in Long COVID Condition Among the Pediatric Population: A Contemporary Medical Challenge 社论:儿童长期处于 COVID 状态下的心理健康困扰:当代医学的挑战。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.05.019
Jiyeon Oh MD , Jiseung Kang PhD , Dong Keon Yon MD, PhD, FACAAI, FAAAAI
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引用次数: 0
Editors’ Best of 2024 2024年最佳编辑。
IF 9.2 1区 医学 Q1 PEDIATRICS Pub Date : 2025-01-01 DOI: 10.1016/j.jaac.2024.10.007
Douglas K. Novins MD, Robert R. Althoff MD, PhD, Melissa A. Brotman PhD, Melissa P. DelBello MD, MS, Alysa E. Doyle PhD, Lisa R. Fortuna MD, MPH, MDiv, Mary A. Fristad PhD, ABPP, Christel M. Middeldorp MD, PhD, Wanjikũ F.M. Njoroge MD, Cynthia E. Rogers MD, Manpreet Kaur Singh MD, MS
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Journal of the American Academy of Child and Adolescent Psychiatry
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