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

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Meta-Analysis: Parenting Children and Adolescents With Attention-Deficit/Hyperactivity Disorder Compared to Healthy Controls. 荟萃分析：与健康对照组相比，有注意缺陷/多动障碍的儿童和青少年的养育方式。
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-30 DOI: 10.1016/j.jaac.2025.12.016
Tudor Văidean, Anca Dobrean, Elena Predescu, Marie B H Yap, Raluca Diana Georgescu

Objective: This systematic review and meta-analysis aimed to quantify differences in parenting practices between families of children with attention-deficit/hyperactivity disorder (ADHD) and typically developing controls.

Method: We conducted a systematic review and meta-analysis of studies comparing parenting practices among children and adolescents (≤18 years) with a specialist-confirmed ADHD diagnosis and non-clinical controls. PubMed, PsycINFO, Web of Science, and Scopus were searched from inception through August 12, 2025, without language restrictions. Studies were eligible if they used validated instruments to assess at least one parenting dimension and reported comparative data. A total of 62 studies from 19 countries were included (N = 13,105; ADHD = 6,543; controls = 6,562). We computed pooled standardized mean differences (Hedges g) using random-effects models and evaluated heterogeneity (Q and I2), 95% prediction intervals, and risk of bias (Newcastle-Ottawa Scale). Meta-regression and subgroup analyses examined potential moderators.

Results: Parents of children with ADHD showed significantly lower levels of positive parenting (g = -0.37, 95% CI = -0.46 to -0.27) and higher levels of negative parenting (g = 0.47, 95% CI = 0.39 to 0.56) than controls. The strongest effects were found for authoritative parenting (g = -0.56), warmth (g = -0.45), abuse (g = 0.60), family conflict (g = 0.52), and hostility (g = 0.51). Heterogeneity was high (I2 ≥ 90%), and no consistent moderators or small-study effects were identified.

Conclusion: Parenting differs significantly between families of children with and without ADHD. Interventions should promote structured, warm, and non-coercive parenting. High heterogeneity and cross-sectional designs limit causal inference.

Study registration information: Comparison between parenting factors in the upbringing of ADHD vs. non-ADHD children and adolescents: a systematic review and meta-analysis; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024623095.

目的：本系统综述和荟萃分析旨在量化有注意缺陷多动障碍（ADHD）儿童的家庭与正常发展的对照组之间养育方式的差异。方法：我们对专家确诊ADHD的儿童和青少年（≤18岁）和非临床对照的父母教养做法进行了系统回顾和荟萃分析。PubMed, PsycINFO， Web of Science和Scopus从开始到2025年8月12日进行了搜索，没有语言限制。如果研究使用有效的工具来评估至少一个养育方面并报告比较数据，则研究是合格的。纳入了来自19个国家的62项研究（N = 13,105; ADHD = 6,543；对照= 6,562）。我们使用随机效应模型计算合并标准化平均差异（Hedges’g），并评估异质性（Q和I2）、95%预测区间和偏倚风险（纽卡斯尔-渥太华量表）。元回归和亚组分析检查了潜在的调节因素。结果：与对照组相比，ADHD儿童的父母表现出较低水平的积极父母教养（g = -0.37, 95% CI -0.46至-0.27）和较高水平的消极父母教养（g = 0.47, 95% CI 0.39至0.56）。对权威教养（g = -0.56）、温暖（g = -0.45）、虐待（g = 0.60）、家庭冲突（g = 0.52）和敌意（g = 0.51）的影响最大。异质性高（I2≥90%），未发现一致的调节因子或小研究效应。结论：ADHD患儿家庭与非ADHD患儿家庭的教养方式存在显著差异。干预措施应促进有组织的、温暖的和非强制性的养育。高异质性和横断面设计限制了因果推断。
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引用次数: 0
Child and Youth Artwork 儿童及青少年艺术作品
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/S0890-8567(25)02125-2
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引用次数: 0
Editors’ Best of 2025 2025年最佳编辑
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/j.jaac.2025.10.011
Douglas K. Novins MD, Robert R. Althoff MD, PhD, Melissa A. Brotman PhD, Melissa P. DelBello MD, 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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引用次数: 0
Hats Off: Journal Awards 2025 脱帽致敬：2025年期刊奖
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/j.jaac.2025.10.009
Douglas K. Novins MD (Editor-in-Chief), Tami D. Benton MD (President, American Academy of Child and Adolescent Psychiatry), Tonya White MD, PhD, Tony T. Yang MD, PhD (2024 Award Winners)
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引用次数: 0
Editorial Board Page 编委会页面
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/S0890-8567(25)02122-7
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引用次数: 0
Council Page 委员会页面
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/S0890-8567(25)02123-9
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引用次数: 0
Presidential Address: Working Together—Innovating for Impact: A Call to Action to Address the Crisis in Children’s Mental Health 总统演讲：共同努力-创新影响：应对儿童心理健康危机的行动呼吁
IF 9.5 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/j.jaac.2025.10.012
John T. Walkup MD
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引用次数: 0
A Neurodiverse Perspective on Autism Spectrum Disorder and the Medical Necessity of Applied Behavior Analysis 自闭症谱系障碍的神经多样性视角及应用行为分析的医学必要性
IF 13.3 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-26 DOI: 10.1016/j.jaac.2025.12.012
Darren J. Sush, Stuart L. Lustig, Lauren Presti Morrison
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引用次数: 0
Examining Associations Between the Timing of Maternal Depressive Symptoms, Parenting Behaviors, and Child Outcomes 检查母亲抑郁症状出现时间、父母行为和儿童结局之间的关系
IF 13.3 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-24 DOI: 10.1016/j.jaac.2025.12.010
Margaret M. Redic, Joan L. Luby, Anna M. Constantino-Pettit, Regina L. Triplett, Emily D. Gerstein, Michayla Ruscitti, David Loseille, Dimitrios Alexopoulos, Tara A. Smyser, Cynthia E. Rogers, Christopher D. Smyser, Deanna M. Barch
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引用次数: 0
Stratified Stepped-Care for Reducing Suicide Attempts and Self-Harm in Youth: A Randomized Clinical Trial 减少青少年自杀企图和自我伤害的分层阶梯护理：一项随机临床试验
IF 13.3 1区 医学 Q1 PEDIATRICS
Journal of the American Academy of Child and Adolescent Psychiatry
Pub Date : 2025-12-23 DOI: 10.1016/j.jaac.2025.12.008
Joan R. Asarnow PhD, Greg N. Clarke PhD, Alison J. Firemark MA, Jamie Bedics PhD, Jeanne Miranda PhD, Lily Zhang MS, Naihua Duan PhD, W.Scott Comulada DrPH
Identifying effective approaches for reducing suicide attempts and self-harm is critical for preventing suicide deaths and self-harm related morbidity. This study evaluated whether suicide attempts (SAs), self-harm, and related suicide-risk indicators are reduced when a stratified stepped-care for suicide prevention (SC-SP) intervention is added to health system quality improvement.
确定减少自杀企图和自我伤害的有效方法对于预防自杀死亡和与自我伤害有关的发病率至关重要。本研究评估了当在卫生系统质量改进中加入自杀预防分层阶梯式护理（SC-SP）干预时，自杀企图（SAs）、自我伤害和相关自杀风险指标是否会降低。
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引用次数: 0
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