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Practitioner Review: Infant mental health meets cell and molecular biology - a look to the future. 从业者评论:婴儿心理健康与细胞和分子生物学——展望未来。
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1111/jcpp.70097
Charles H Zeanah,Megan Hare,Katherine Cowhey,Stacy S Drury
BACKGROUNDA major research effort in the past two decades has begun to illuminate how experience 'gets under the skin' - that is - the cellular and molecular processes that are associated with adversity and resilience.METHODSWe selectively review three areas of this research: epigenetics, especially DNA methylation, telomere length, and inflammatory processes, and consider the implications of this work for better understanding the effects of adversity and pathways of recovery.RESULTSBecause infant mental health practitioners focus on children in the earliest years of life, they are well positioned to favorably alter the developmental trajectories of children experiencing or at risk for maladaptation. In addition to helping us develop more individually effective treatments, we consider other ways in which research advances in cell and molecular biology may be especially important to infant mental health practitioners in the future.CONCLUSIONSBetter understanding these processes will enhance effectiveness and potentially enlarge the scope of our practice.
在过去的二十年里,一项重要的研究工作已经开始阐明经历是如何“深入人心”的——也就是说,与逆境和适应力相关的细胞和分子过程。方法我们选择性地回顾了本研究的三个领域:表观遗传学,特别是DNA甲基化,端粒长度和炎症过程,并考虑这项工作对更好地理解逆境的影响和恢复途径的意义。结果:由于婴幼儿心理健康从业者关注的是生命早期的儿童,因此他们能够很好地改变正在经历或有适应不良风险的儿童的发展轨迹。除了帮助我们开发更个别有效的治疗方法外,我们还考虑了细胞和分子生物学的研究进展在其他方面可能对未来的婴儿心理健康从业人员特别重要。结论更好地了解这些过程将提高有效性,并有可能扩大我们的实践范围。
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引用次数: 0
Gut microbiome as a predictor for positive youth development transition from childhood to early adolescence: a cohort study 肠道微生物组作为从儿童期到青春期早期的积极青年发展过渡的预测因子:一项队列研究
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-01-06 DOI: 10.1111/jcpp.70109
Yujie Xu, Xiaoyu Wang, Mengxue Chen, Jingyuan Xiong, Guo Cheng
Background The gut microbiome is increasingly implicated in childhood mental health and may influence positive youth development (PYD). This study aims to characterize PYD transition patterns from childhood to adolescence and explore the predictive value of the gut microbiome. Methods This cohort study used two waves of data from the Chinese Adolescent Cohort study, including children aged 8–11 years at Wave 1, from Sichuan, Guizhou, and Chongqing provinces. PYD was assessed at both time points, and latent transition analysis identified changes over the 3‐year follow‐up period. Baseline stool samples were analyzed using 16 s rRNA sequencing. A light gradient boosting machine model was developed to link gut microbiota with PYD transition type in a training set (70%, n = 461), and validated with multinominal logistic analysis within a test set (30%, n = 200). Linear regression models were performed to assess dietary modifications on the gut microbiome. Results Three PYD transition profiles were identified: downgraded (declining to a lower pattern), promoted (advancing to a higher pattern), and stable development type (remaining in the same pattern). Fifteen microbial genera were identified as predictors of PYD transitions, and children with higher abundance of these taxa were more likely to transition to a stable or promoted profile rather than a downgraded profile (odds ratio ranging from 2.03 to 5.45). This predictive model demonstrated excellent performance, with an area under the curve of 0.91 (95% CI: 0.89, 0.93). The microbiome‐PYD transition association was more pronounced in children in earlier stages of puberty. Furthermore, a diet high in fruits, vegetables, and soybeans was positively linked with PYD stable or promoted transition type. Conclusions The gut microbiome presents predictive value in PYD transition from childhood to adolescence. Targeting these microbial taxa may inform future health promotion programs to optimize child development, particularly during the critical pubertal transition.
肠道微生物组越来越多地与儿童心理健康有关,并可能影响积极的青年发展(PYD)。本研究旨在描述PYD从儿童期到青春期的过渡模式,并探索肠道微生物组的预测价值。方法:本队列研究使用了来自中国青少年队列研究的两波数据,包括来自四川、贵州和重庆三省的8-11岁儿童。在两个时间点评估PYD,潜在转变分析确定了3年随访期间的变化。基线粪便样本采用16s rRNA测序进行分析。在训练集(70%,n = 461)中建立了轻梯度增强机模型,将肠道微生物群与PYD过渡类型联系起来,并在测试集(30%,n = 200)中进行多项逻辑分析验证。采用线性回归模型评估饮食改变对肠道微生物组的影响。结果确定了3种PYD过渡类型:降级型(下降到较低模式)、提升型(上升到较高模式)和稳定发展型(保持不变模式)。15个微生物属被确定为PYD过渡的预测因子,这些类群丰度较高的儿童更有可能过渡到稳定或提升的剖面而不是降级的剖面(比值比为2.03 ~ 5.45)。该预测模型表现出优异的性能,曲线下面积为0.91 (95% CI: 0.89, 0.93)。在青春期早期的儿童中,微生物组与PYD的过渡关系更为明显。此外,富含水果、蔬菜和大豆的饮食与PYD稳定或促进过渡型呈正相关。结论肠道微生物组对儿童期到青春期PYD的转变具有预测价值。以这些微生物类群为目标,可以为未来的健康促进计划提供信息,以优化儿童发育,特别是在关键的青春期过渡期间。
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引用次数: 0
Vitamin D supplementation in the first 2 years and autism spectrum traits at 6–8 years – a randomized clinical trial 前两年补充维生素D和6-8岁的自闭症谱系特征——一项随机临床试验
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-01-05 DOI: 10.1111/jcpp.70110
Samuel Sandboge, Vilja Seppälä, Sakari Lintula, Elisa Holmlund‐Suila, Helena Hauta‐alus, Eero Kajantie, Outi Mäkitie, Sture Andersson, Katri Räikkönen, Kati Heinonen
Background Early life vitamin D levels may be associated with autism spectrum disorder (ASD) and related traits, but causality is unknown. We examine whether higher‐than‐standard vitamin D 3 supplementation during the first 2 years, as well as higher pregnancy and childhood 25‐hydroxyvitamin D (25(OH)D) levels and their trajectories, are associated with lower ASD trait scores at ages 6–8 years in a non‐clinical cohort. Methods This secondary analysis of the double‐blind randomized clinical trial vitamin D intervention in infants (VIDI) comprised 366 Finnish children aged 6–8 years, 177 of whom were randomized to receive 400‐IU and 189 to receive 1,200‐IU daily oral vitamin D 3 supplementation between ages 2 weeks and 2 years. ASD‐related traits were assessed at mean age 7.2 years (SD 0.4) using the parent‐reported Autism Spectrum Screening Questionnaire (ASSQ). Predictor variables were supplementation group, 25(OH)D concentrations measured during pregnancy and at ages 1 and 2 years, as well as 25(OH)D trajectories (high vs. low) derived from these time points. Results None of the predictor variables of interest were associated with the outcome in the full sample. After sex stratification, among boys, 25(OH)D concentrations at 1 and 2 years were inversely associated with ASSQ scores (mean difference −0.2 of normalized SD score (95% CI −0.3 to −0.1, p = .003) and −0.2 (95% CI −0.3 to −0.05, p = .01) per 10 ng/mL 25(OH)D) after adjustment for age, breastfeeding, parental education, maternal depressive symptoms, and season of 25(OH)D assessment as was belonging to the higher 25(OH)D trajectory, −0.45 SD (95% CI −0.79 to −0.10, p = .01). Conclusions We found no indication that higher‐than‐normal vitamin D 3 supplementation between ages 0 and 2 years decreases ASD‐related trait scores at ages 6–8 years. Sex‐stratified analysis suggested an inverse association, among boys, between early life 25(OH)D concentrations and ASD‐related traits, warranting further studies on potential causal direction and sex specificity of associations.
背景:生命早期维生素D水平可能与自闭症谱系障碍(ASD)及其相关特征有关,但因果关系尚不清楚。在一项非临床队列研究中,我们研究了前两年高于标准的维生素d3补充剂,以及妊娠期和儿童期较高的25 -羟基维生素D (25(OH)D)水平及其轨迹,是否与6-8岁时较低的ASD特征评分相关。方法:对婴儿维生素D干预(VIDI)的双盲随机临床试验(双盲随机临床试验)进行二次分析,包括366名6-8岁的芬兰儿童,其中177名随机接受400 IU的每日口服维生素D补充剂,189名随机接受1200 IU的每日口服维生素D补充剂,年龄为2周至2岁。使用父母报告的自闭症谱系筛查问卷(ASSQ)在平均7.2岁(SD 0.4)时评估ASD相关特征。预测变量是补充组,怀孕期间和1岁和2岁时测量的25(OH)D浓度,以及从这些时间点得出的25(OH)D轨迹(高与低)。结果在整个样本中,没有一个相关的预测变量与结果相关。性别分层后,男孩,25 (OH) D的浓度在1和2年ASSQ评分呈负相关(平均差−0.2规范化SD得分(95% CI 0.3−−0.1,p = .003)和−0.2 (95% CI 0.3−−0.05,p = . 01)每10 ng / mL 25 (OH) D)年龄调整后,母乳喂养,父母的教育,母亲抑郁症状,和赛季25 (OH) D的评估是属于高25 (OH) D轨迹,SD−0.45 (95% CI 0.79−−0.10,p = . 01)。结论:我们没有发现任何迹象表明,0 - 2岁儿童补充高于正常水平的维生素d3会降低6-8岁儿童的ASD相关特征评分。性别分层分析表明,在男孩中,生命早期25(OH)D浓度与ASD相关特征呈负相关,这需要进一步研究潜在的因果方向和相关的性别特异性。
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引用次数: 0
The nature and nurture of primary and secondary callous–unemotional traits: evidence from two independent twin samples 主要和次要冷酷无情特征的本质和培养:来自两个独立双胞胎样本的证据
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2026-01-05 DOI: 10.1111/jcpp.70107
Rachel C. Tomlinson, Patrizia Pezzoli, Essi Viding, Stephane A. De Brito, Kelly L. Klump, S. Alexandra Burt, Luke W. Hyde
Background Callous–unemotional (CU) traits identify youth with more severe and chronic trajectories of conduct problems. However, the etiology of CU traits may be heterogeneous, undermining the search for effective treatments. The level of co‐occurring anxiety has been used to identify “primary” (lower anxiety) versus “secondary” (higher anxiety) variants of CU traits. The primary variant has been hypothesized to emerge from strong genetic influence and secondary variants as an adaptation to adversity, such as exposure to childhood maltreatment. However, little research has tested this hypothesis directly. Methods We examined whether anxiety moderates the etiology of CU traits to determine whether this phenotypic feature can help distinguish CU traits with stronger genetic or environmental risk. In two population‐based twin cohorts (initial sample: N = 1,196, aged 6–11, oversampled for exposure to neighborhood disadvantage; follow‐up sample: N = 13,486, age 7), we used genotype‐by‐environment interaction twin modeling to examine if parent‐reported child anxiety moderated the etiology of concurrent parent‐reported child CU traits. Results Anxiety moderated the etiology of CU traits across both samples, such that nonshared environmental influences increased as anxiety increased. Additionally, in the larger sample, genetic influences decreased with increasing anxiety. Conclusions These findings support theories suggesting that co‐occurring anxiety may distinguish CU traits with different origins: CU traits with higher anxiety appear more influenced by nonshared environmental factors—potentially including adversity—and may show weaker genetic influence. Assessing for co‐occurring child anxiety is likely important for diagnosing and personalizing treatments among children with CU traits.
背景:冷酷无情(CU)特征表明青少年有更严重和慢性的行为问题轨迹。然而,CU特征的病因可能是异质性的,这破坏了对有效治疗方法的研究。共同发生的焦虑水平已被用于识别CU特征的“主要”(低焦虑)和“次要”(高焦虑)变体。据推测,主要变异来自强烈的遗传影响,次要变异是对逆境的适应,如童年遭受虐待。然而,很少有研究直接验证这一假设。方法我们研究了焦虑是否会调节CU性状的病因学,以确定这种表型特征是否有助于区分具有较强遗传或环境风险的CU性状。在两个以人群为基础的双胞胎队列中(初始样本:N = 1196,年龄6-11岁,因暴露于邻里不利环境而进行过采样;后续样本:N = 13486,年龄7岁),我们使用基因型-环境相互作用双胞胎模型来检验父母报告的儿童焦虑是否缓解了同时父母报告的儿童CU特征的病因。结果在两个样本中,焦虑调节了CU特征的病因学,例如,非共享环境影响随着焦虑的增加而增加。此外,在更大的样本中,遗传影响随着焦虑程度的增加而降低。结论:这些发现支持了一些理论,即共同发生的焦虑可以区分不同来源的CU性状:焦虑程度高的CU性状受到非共享环境因素(可能包括逆境)的影响更大,而遗传影响可能更弱。评估共同发生的儿童焦虑可能对患有CU特征的儿童的诊断和个性化治疗很重要。
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引用次数: 0
Neural correlates of child temperament: The role of brain network connectivity in psychopathology risk 儿童气质的神经关联:脑网络连通性在精神病理风险中的作用
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-12-24 DOI: 10.1111/jcpp.70095
Wanze Xie, Yiyi Wang, Dashiell D. Sacks, Charles A. Nelson, Michelle Bosquet Enlow
Background Early temperament has been shown to predict socioemotional outcomes, but its neural correlates are not yet fully understood. In the current study, we investigated the relationship between early temperament and neuronal network functional connectivity (FC), and how these factors contribute to the risk of psychopathology. Methods Using a longitudinal cohort followed from infancy to age 7 ( N = 749 collected at infancy), we assessed temperament through two approaches: data‐driven profiles extracted from parent‐reported questionnaires collected from infancy to age 3 and lab‐based assessments of behavioral inhibition (BI) at age 3. Symptoms of psychopathology were measured at age 7 with the parent‐reported Child Behavior Checklist (CBCL). Resting‐state EEG data collected at ages 3, 5, and 7, along with source‐space connectivity methods, were used to examine FC within brain networks. Results Children with an emotionally and behaviorally dysregulated (EBD) profile, an identified risk factor for psychopathology, exhibited reduced FC in the frontoparietal network compared to their emotionally and behaviorally regulated (EBR) peers. BI at age 3 was also negatively correlated with FC in the ventral attention network at age 3 and the frontoparietal network at age 7. Additionally, frontoparietal FC moderated the relationship between early temperament and later attention‐deficit symptoms: EBD children showed higher levels of attention problems than their EBR peers, but only when frontoparietal FC was low. Conclusions These findings underscore the importance of network connectivity in understanding early temperament and its socioemotional outcomes. Specifically, they highlight the role of attention and control networks in the development of psychopathology, suggesting potential targets for early interventions aimed at at‐risk children.
早期气质已被证明可以预测社会情感结果,但其神经相关性尚未完全了解。在本研究中,我们探讨了早期气质与神经网络功能连接(FC)之间的关系,以及这些因素如何影响精神病理风险。方法采用从婴儿期到7岁的纵向队列(N = 749),我们通过两种方法评估气质:从婴儿期到3岁收集的父母报告的问卷中提取数据驱动的档案,以及3岁时基于实验室的行为抑制(BI)评估。在7岁时用家长报告的儿童行为检查表(CBCL)测量精神病理症状。在3岁、5岁和7岁时收集的静息状态脑电图数据,以及源空间连接方法,被用来检查大脑网络中的FC。结果情绪和行为失调(EBD)儿童与情绪和行为失调(EBR)儿童相比,其额顶叶网络中的FC减少,这是一种确定的精神病理学危险因素。3岁时BI与3岁时腹侧注意网络和7岁时额顶叶网络的FC也呈负相关。此外,额顶叶FC调节了早期气质和后期注意缺陷症状之间的关系:EBD儿童比EBR儿童表现出更高水平的注意问题,但只有当额顶叶FC较低时才会如此。这些发现强调了网络连接在理解早期气质及其社会情绪结果中的重要性。具体来说,他们强调了注意力和控制网络在精神病理学发展中的作用,提出了针对高危儿童的早期干预的潜在目标。
{"title":"Neural correlates of child temperament: The role of brain network connectivity in psychopathology risk","authors":"Wanze Xie, Yiyi Wang, Dashiell D. Sacks, Charles A. Nelson, Michelle Bosquet Enlow","doi":"10.1111/jcpp.70095","DOIUrl":"https://doi.org/10.1111/jcpp.70095","url":null,"abstract":"Background Early temperament has been shown to predict socioemotional outcomes, but its neural correlates are not yet fully understood. In the current study, we investigated the relationship between early temperament and neuronal network functional connectivity (FC), and how these factors contribute to the risk of psychopathology. Methods Using a longitudinal cohort followed from infancy to age 7 ( <jats:italic>N</jats:italic> = 749 collected at infancy), we assessed temperament through two approaches: data‐driven profiles extracted from parent‐reported questionnaires collected from infancy to age 3 and lab‐based assessments of behavioral inhibition (BI) at age 3. Symptoms of psychopathology were measured at age 7 with the parent‐reported Child Behavior Checklist (CBCL). Resting‐state EEG data collected at ages 3, 5, and 7, along with source‐space connectivity methods, were used to examine FC within brain networks. Results Children with an emotionally and behaviorally dysregulated (EBD) profile, an identified risk factor for psychopathology, exhibited reduced FC in the frontoparietal network compared to their emotionally and behaviorally regulated (EBR) peers. BI at age 3 was also negatively correlated with FC in the ventral attention network at age 3 and the frontoparietal network at age 7. Additionally, frontoparietal FC moderated the relationship between early temperament and later attention‐deficit symptoms: EBD children showed higher levels of attention problems than their EBR peers, but only when frontoparietal FC was low. Conclusions These findings underscore the importance of network connectivity in understanding early temperament and its socioemotional outcomes. Specifically, they highlight the role of attention and control networks in the development of psychopathology, suggesting potential targets for early interventions aimed at at‐risk children.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"93 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812936","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}
引用次数: 0
Reward-specific learning parameters change across normative adolescent development and are blunted in youth with high risk for depression. 奖励特异性学习参数在青春期的正常发展过程中发生变化,在抑郁症高风险的青少年中变得迟钝。
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-12-22 DOI: 10.1111/jcpp.70086
Holly Sullivan-Toole,Jeremy M Haynes,Helen Schmidt,Bart Larsen,Nathaniel Haines,Thomas M Olino
BACKGROUNDReward learning is thought to undergo refinement in adolescence, but little is known about how computational components of reinforcement learning develop. Given that adolescence is a sensitive period for reward system plasticity with associated vulnerability for depression, it is important to understand developmental trajectories of different reinforcement learning parameters in normative development and in youth at risk for depression.METHODSYouth aged 9-17 years completed the Play-or-Pass Iowa Gambling Task (PoP-IGT) across five timepoints. We calculated task metrics using a traditional scoring approach - yielding summary scores for good deck play, bad deck play, and net play - and a computational modeling approach - yielding parameters for reward learning rate, punishment learning rate, go bias, and sensitivity to win/loss frequency ignoring outcome magnitude. We examined normative developmental trajectories for each traditional and computational performance metric using multilevel models. Further, we examined whether maternal history of depression was associated with individual differences in these trajectories.RESULTSAs hypothesized, youth showed a significant age-related increase in net play (p = 0.003), a measure of overall good performance. Exploratory analyses found that youth showed significant developmental change in reward-specific learning parameters including age-related increases in win/loss frequency sensitivity (FDR  = 0.016) and age-related decreases in reward learning rate (FDR  < 0.001). In line with hypotheses, youth at high risk for depression showed lower reward learning rates in early adolescence (p = 0.041).CONCLUSIONSThe observed developmental changes in traditional and computational metrics are largely consistent with the optimization of learning from rewards across adolescence. Further, the observed developmental changes in specifically reward-related computational parameters are consistent with heightened adolescent reward system plasticity. Additionally, there was support for our hypothesis that maternal history of depression may exert a unique effect on learning from rewards specifically, but further research across additional reward learning tasks is needed.
背景:向前学习被认为在青春期经历了改进,但对于强化学习的计算组件是如何发展的知之甚少。鉴于青春期是奖励系统可塑性的敏感期,与抑郁易感性相关,了解不同强化学习参数在规范发展和抑郁风险青年中的发展轨迹非常重要。方法9-17岁的青少年在5个时间点完成了爱荷华州赌博任务(PoP-IGT)。我们使用传统的评分方法来计算任务指标——得到好的牌、坏的牌和净的牌的总结分数——以及计算建模方法——得到奖励学习率、惩罚学习率、围棋偏差和对输赢频率的敏感性的参数,而忽略了结果的大小。我们使用多层模型检查了每种传统和计算性能指标的规范性发展轨迹。此外,我们研究了母亲的抑郁史是否与这些轨迹的个体差异有关。结果,正如假设的那样,年轻人在净发挥方面表现出显著的年龄相关增长(p = 0.003),这是衡量整体良好表现的指标。探索性分析发现,青少年在奖励特定学习参数方面表现出显著的发展变化,包括与年龄相关的赢/输频率敏感性增加(FDR = 0.016)和与年龄相关的奖励学习率下降(FDR < 0.001)。与假设一致,抑郁症高风险的青少年在青春期早期表现出较低的奖励学习率(p = 0.041)。结论观察到的传统和计算指标的发展变化与青春期奖励学习的优化基本一致。此外,观察到的奖励相关计算参数的发展变化与青少年奖励系统可塑性的增强是一致的。此外,我们的假设得到了支持,即母亲的抑郁史可能对奖励学习产生独特的影响,但需要进一步研究其他奖励学习任务。
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引用次数: 0
Network structure of reward sensitivity and its temporal interactions with depression: a cross-lagged panel network analysis. 奖励敏感性的网络结构及其与抑郁的时间相互作用:一个交叉滞后的面板网络分析。
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-12-19 DOI: 10.1111/jcpp.70094
Xiaoyan Bi,Shutao Ma,Hongbo Cui,Liang Zhang,Yankun Ma
BACKGROUNDReward sensitivity plays a crucial role in shaping emotional and behavioural responses, yet its internal structure and dynamic interplay with depression remain underexplored. This study systematically examined the network structure of reward sensitivity and its associations with depression using a network analysis framework.METHODSBased on two waves of data (T1: N = 1,136, Mage = 14.33, 52.46% female; T2: N = 1,083, Mage = 14.32, 52.82% female), we constructed multiple cross-sectional and bridge networks, as well as a cross-lagged panel network model (CLPN).RESULTS(1) Cross-sectional network analysis reveals that positive feedback serves as the core node in the depression group, while hobbies dominate in the healthy group; (2) bridging network analysis identifies hobbies and positive affect as key bridging nodes linking reward sensitivity and depression; (3) CLPN analysis demonstrates that greater engagement in hobbies at baseline significantly predicts lower levels of depression 6 months later.CONCLUSIONSThis study provided a novel network perspective on the structural and temporal characteristics of reward sensitivity in depression. The findings underscored the importance of targeting specific reward types in intervention strategies and personalised mental health approaches.
正向敏感性在形成情绪和行为反应中起着至关重要的作用,但其内部结构及其与抑郁症的动态相互作用仍未得到充分研究。本研究采用网络分析框架,系统地考察了奖励敏感性的网络结构及其与抑郁的关系。方法基于两波数据(T1: N = 1,136, Mage = 14.33,女性占52.46%;T2: N = 1,083, Mage = 14.32,女性占52.82%),构建多横截面网络和桥梁网络,并构建交叉滞后面板网络模型(CLPN)。结果(1)横断面网络分析显示,抑郁组以正反馈为核心节点,健康组以爱好为主;(2)桥接网络分析发现,爱好和积极情绪是连接奖励敏感性与抑郁的关键桥接节点;(3) CLPN分析表明,在基线时更大的兴趣爱好参与显著预测6个月后抑郁水平的降低。结论本研究为研究抑郁症奖赏敏感性的结构和时间特征提供了新的网络视角。研究结果强调了在干预策略和个性化心理健康方法中针对特定奖励类型的重要性。
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引用次数: 0
Smartphone language and resting‐state EEG indicators of self‐focused attention prospectively predict major depressive disorder risk in adolescents 智能手机语言和静息状态脑电图自我集中注意力指标对青少年重度抑郁症风险的前瞻性预测
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-12-16 DOI: 10.1111/jcpp.70096
Lilian Y. Li, Nayoung Kim, Esha Trivedi, Sarah E. Sarkas, Madeline M. McGregor, Aishwarya Sritharan, Katherine Durham, Ivan Alekseichuk, Allison M. Letkiewicz, Vijay A. Mittal, David Pagliaccio, Nicholas B. Allen, Randy P. Auerbach, Stewart A. Shankman
Background Central to major depressive disorder (MDD) onset and maintenance is maladaptive self‐focused attention, which can be reliably indexed by greater: (a) usage of first‐person singular pronouns (e.g., I ) in natural language and (b) alpha oscillations in resting‐state EEG. Integrating these largely parallel bodies of research, the present study sought to explicate the associations between, and prospective predictive utility of, linguistic and neural indicators of self‐focused attention in adolescents with remitted MDD over 12 months. Methods At baseline, 126 adolescents (ages 13–18) with ( n = 66) and without ( n = 60) remitted MDD completed resting‐state EEG. Retrospective interviews determined the occurrence of major depressive episodes (MDEs) during the follow‐up period. A total of ~2.3 million messages were passively acquired from adolescents' smartphones, on which the proportion of first‐person singular pronouns was derived. Results During the 12 months, 29 (23.0%) participants developed an MDE (28 remitted MDD, 1 control). Cox regression showed that while greater usage of first‐person singular pronouns prior to MDE increased the risk for MDE (hazard ratio [HR] = 2.02, p < .001), greater resting‐state alpha power at baseline decreased the risk for MDE (HR = 0.78, p = .001). Moreover, greater alpha power predicted subsequent first‐person singular pronoun usage ( β = 0.17, p = .004). Mediation analysis indicated a marginal suppression effect (bootstrapped indirect effect p < .10), such that accounting for first‐person singular pronoun usage amplified the association between alpha power and MDE risk. Conclusions Findings highlight functionally distinct alpha mechanisms and provide support for smartphone‐based first‐person singular pronoun usage as a neurobehavioral risk factor and a potentially promising intervention target for adolescent MDD.
重度抑郁症(MDD)发病和维持的核心是不适应的自我集中注意力,这可以通过以下方式可靠地进行索引:(a)自然语言中第一人称单数代词的使用(例如,I)和(b)静息状态EEG的α振荡。整合这些基本平行的研究,本研究试图解释语言和神经指标之间的关联,以及在12个月的MDD缓解青少年中自我集中注意力的前瞻性预测效用。方法在基线时,126名(n = 66)和未(n = 60) MDD缓解的青少年(13-18岁)完成静息状态EEG。回顾性访谈确定随访期间重性抑郁发作(MDEs)的发生情况。从青少年智能手机被动获取的信息总数约为230万条,其中第一人称单数代词的比例来源于此。结果在12个月内,29名(23.0%)参与者发生MDE(28名缓解MDD, 1名对照组)。Cox回归显示,虽然在MDE之前更多地使用第一人称单数代词会增加MDE的风险(风险比[HR] = 2.02, p < 001),但基线时更大的静息状态alpha功率会降低MDE的风险(HR = 0.78, p = .001)。此外,更大的α功率预测随后的第一人称单数代词使用(β = 0.17, p = 0.004)。中介分析表明存在边际抑制效应(自举间接效应p <; .10),即第一人称单数代词的使用放大了alpha功率与MDE风险之间的关联。研究结果强调了功能上不同的alpha机制,并为智能手机第一人称单数代词的使用作为神经行为风险因素和青少年MDD潜在的有希望的干预目标提供了支持。
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引用次数: 0
Editorial: Reflecting on child effects in psychology and psychiatry research 心理学和精神病学研究中的儿童效应反思
IF 7 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-12-15 DOI: 10.1111/jcpp.70084
Mark Wade, Lydia M. Li, Stephan Collishaw

The authors explore publication trends in the Journal of Child Psychology and Psychiatry over the past 5 years regarding associations between parenting and child outcomes, with a focus on the directionality of these effects. Bibliometric analysis revealed that far more studies have examined parent-to-child associations than either child-to-parent or bidirectional associations, reflecting a significant imbalance in what researchers publishing in JCPP intend to study. However, when evaluating evidence from a subset of robust and well-designed studies, especially those that permit a test of bidirectionality, the authors see a more balanced picture, with a roughly equal number of studies finding evidence of parent-to-child, child-to-parent, and bidirectional effects. These studies used a range of methodologies and examined a diverse set of parenting behaviors and child outcomes. Overall, the findings suggest that evidence in favor of child effects is consistently observed despite being significantly understudied relative to that of parent effects. The authors emphasize the importance of studying both child and parent effects alongside one another to understand the complexity of parent–child interactions, and underscore how respect for the agency and perspectives of youth is essential to understanding how they shape the conditions in which they grow up.

作者探讨了《儿童心理学和精神病学杂志》在过去5年里关于养育子女和孩子成长之间关系的出版趋势,重点关注了这些影响的方向性。文献计量学分析显示,研究亲子关系的研究远远多于研究亲子关系或双向关系的研究,这反映了在JCPP上发表文章的研究人员意图研究的显著不平衡。然而,当评估来自一组可靠且设计良好的研究的证据时,特别是那些允许双向性测试的研究,作者看到了一个更加平衡的画面,发现父母对孩子、孩子对父母和双向效应的证据的研究数量大致相等。这些研究使用了一系列的方法,检查了不同的父母行为和孩子的结果。总的来说,研究结果表明,尽管与父母效应相比,对儿童效应的研究明显不足,但支持儿童效应的证据一直被观察到。作者强调了同时研究孩子和父母的影响对理解亲子互动的复杂性的重要性,并强调了尊重年轻人的代理和观点对于理解他们如何塑造他们成长的环境是至关重要的。
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引用次数: 0
Ambient heat and early childhood development: a cross-national analysis. 环境热与儿童早期发展:一项跨国分析。
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-12-08 DOI: 10.1111/jcpp.70081
Jorge Cuartas,Lenin H Balza,Andrés Camacho,Nicolás Gómez-Parra
BACKGROUNDIncreasing evidence suggests that climate change, along with its cascading impacts on ecosystems, societies, and communities, has significant effects on both physical and mental health. However, less is known about how exposure to excessive heat early in life may influence the development of foundational skills that shape lifelong developmental trajectories. This study examined the effects of ambient heat on early childhood development across six countries, using geographic and time-stamped data on child development and ambient temperature.METHODSOur primary outcome is the Early Childhood Development Index. We used linear probability models with geographic and seasonality fixed effects to account for baseline climatic conditions, as well as other individual and contextual covariates to address potential selection bias. The sample comprised 19,607 children aged three and four from Georgia, The Gambia, Madagascar, Malawi, Sierra Leone, and the State of Palestine, all participants in Multiple Indicators Cluster Surveys collected between 2017 and 2020. We merged these data with temperature data from the ERA5-Land Monthly Aggregated Climate Dataset, calculating the mean monthly maximum temperature children experienced from birth to interview.RESULTSWe found that children exposed to average maximum temperatures above 32°C were less likely to be developmentally on track compared to those exposed to cooler temperatures, even after accounting for baseline average climatic conditions and other covariates. Domain-specific models indicate that these effects were most pronounced in literacy and numeracy skills. Subgroup analyses revealed that the negative impacts were particularly severe for children in economically disadvantaged households and urban areas, and for those lacking access to adequate water and sanitation.CONCLUSIONSThis study highlights the potential impact of excessive heat on early childhood development, emphasizing the need for policies and interventions that enhance preparedness, adaptation, and resilience to support human development in an rapidly warming world.
越来越多的证据表明,气候变化及其对生态系统、社会和社区的连锁影响对身心健康都有重大影响。然而,对于生命早期暴露于过度高温如何影响影响终身发展轨迹的基本技能的发展,人们知之甚少。这项研究利用儿童发育和环境温度的地理和时间戳数据,调查了六个国家的环境热量对儿童早期发育的影响。方法主要观察指标为儿童早期发育指数。我们使用具有地理和季节性固定效应的线性概率模型来解释基线气候条件,以及其他个体和上下文协变量来解决潜在的选择偏差。样本包括来自格鲁吉亚、冈比亚、马达加斯加、马拉维、塞拉利昂和巴勒斯坦国的19607名3至4岁儿童,他们都是2017年至2020年收集的多指标类集调查的参与者。我们将这些数据与ERA5-Land月度汇总气候数据集的温度数据合并,计算儿童从出生到访谈期间的月平均最高温度。结果我们发现,即使在考虑了基线平均气候条件和其他协变量之后,暴露在平均最高温度高于32°C的儿童比暴露在较低温度下的儿童更不可能发育正常。特定领域的模型表明,这些影响在读写和计算技能方面最为明显。分组分析显示,对经济条件不利的家庭和城市地区的儿童以及无法获得足够的水和卫生设施的儿童来说,负面影响尤其严重。本研究强调了过热对儿童早期发育的潜在影响,强调了加强准备、适应和恢复力的政策和干预措施的必要性,以支持人类在快速变暖的世界中的发展。
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引用次数: 0
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Journal of Child Psychology and Psychiatry
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