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Annual Research Review: Psychosis in children and adolescents: key updates from the past 2 decades on psychotic disorders, psychotic experiences, and psychosis risk 年度研究综述:儿童和青少年精神病:过去20年关于精神病障碍、精神病经历和精神病风险的重要更新
IF 6.5 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-01-03 DOI: 10.1111/jcpp.14088
Ian Kelleher

Psychosis in children and adolescents has been studied on a spectrum from (common) psychotic experiences to (rare) early-onset schizophrenia spectrum disorders. This research review looks at the state-of-the-art for research across the psychosis spectrum, from evidence on psychotic experiences in community and clinical samples of children and adolescents to findings from psychosis risk syndrome research, to evidence on early-onset psychotic disorders. The review also looks at new opportunities to capture psychosis risk in childhood and adolescence, including opportunities for early intervention, identifies important unanswered questions, and points to future directions for prevention research.

儿童和青少年精神病的研究范围从(常见的)精神病经历到(罕见的)早发性精神分裂症谱系障碍。本研究综述着眼于精神病谱系研究的最新进展,从社区和儿童和青少年临床样本的精神病经历证据,到精神病风险综合征研究的发现,再到早发性精神病的证据。该综述还着眼于捕捉儿童和青少年精神病风险的新机会,包括早期干预的机会,确定重要的未解问题,并指出未来预防研究的方向。
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引用次数: 0
Intersectional marginalized identities as predictors of time until first reported suicide attempt among preadolescent youth using survival analysis. 交叉边缘身份作为预测时间,直到第一次报告自杀企图在青春期前的青少年使用生存分析。
IF 6.5 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-01-03 DOI: 10.1111/jcpp.14075
Annabelle M Mournet, John K Kellerman, Jessica L Hamilton, Evan M Kleiman

Background: Suicide attempts and deaths among children are increasing in the United States, yet suicide in this preadolescent population remains understudied. A clearer understanding of which youth experience early onset of suicidal behavior is crucial for predicting risk and identifying youth best suited to early intervention. This paper examines how intersectional marginalized identities may predict the onset of suicidal behaviors among preadolescent youth.

Methods: The Adolescent Brain and Cognitive Development (ABCD) Study is a prospective cohort study with annual assessments of youth ages 9 and 10 and their caregivers. Lifetime suicide attempts and preparatory suicidal behaviors were assessed annually. Survival models examined overall trends and demographic differences in the onset of suicidal behaviors.

Results: The final sample included 11,223 participants (mean age = 9.9 years old, SD = 7.5 months). 5,280 (47%) reported a minoritized racial/ethnic identity, and 1,410 (12.6%) were categorized as sexual or gender minorities. 208 suicide attempts and 143 instances of preparatory suicidal behaviors were reported across the study period. An interaction effect was found such that youth who hold multiple minoritized identities (i.e., sexual and gender minority youth from minoritized racial/ethnic backgrounds) were at elevated risk for onset of both suicide attempts (HR = 2.97, 95% CI = 1.59-5.56, p = .001) and preparatory suicidal behaviors (b = 3.09, 95% CI = 1.38-6.93, p = .006).

Conclusions: Intersectional marginalized identities were associated with earlier onset of suicide attempts and preparatory suicidal behaviors. Findings suggest that early interventions for minoritized youth may be important to reduce the rapidly increasing suicide rate among preadolescent youth.

背景:在美国,儿童的自杀企图和死亡人数正在增加,但这一青春期前人群的自杀行为仍未得到充分研究。更清楚地了解哪些青少年经历过自杀行为的早期发作,对于预测风险和确定最适合早期干预的青少年至关重要。本文探讨了交叉边缘身份如何预测青春期前青少年自杀行为的发生。方法:青少年大脑和认知发展(ABCD)研究是一项前瞻性队列研究,每年对9岁和10岁的青少年及其照顾者进行评估。每年对终生自杀企图和预备自杀行为进行评估。生存模型研究了自杀行为发生的总体趋势和人口统计学差异。结果:最终样本包括11,223名参与者(平均年龄= 9.9岁,SD = 7.5个月)。5280人(47%)报告了自己的少数种族/民族身份,1410人(12.6%)被归类为性或性别少数群体。在整个研究期间,报告了208例自杀企图和143例预备自杀行为。研究发现,具有多重少数群体身份的青少年(即来自少数种族/民族背景的性少数和性别少数青少年)发生自杀企图(HR = 2.97, 95% CI = 1.59-5.56, p = .001)和预备自杀行为(b = 3.09, 95% CI = 1.38-6.93, p = .006)的风险均较高。结论:交叉边缘身份与早期自杀企图和预备自杀行为有关。研究结果表明,对少数族裔青少年的早期干预可能对降低青春期前青少年中迅速增加的自杀率很重要。
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引用次数: 0
The intergenerational impact of mothers and fathers on children's word reading development. 父母对儿童文字阅读发展的代际影响。
IF 6.5 1区 医学 Q1 PSYCHIATRY Pub Date : 2025-01-02 DOI: 10.1111/jcpp.14107
Germán Grande, Tonje Amland, Elsje van Bergen, Monica Melby-Lervåg, Arne Lervåg

Background: Numerous studies have investigated the associations between the home literacy environment (HLE) and children's word reading skills. However, these associations may partly reflect shared genetic factors since parents provide both the reading environment and their child's genetic predisposition to reading. Hence, the relationship between the HLE and children's reading is genetically confounded. To address this, parents' reading abilities have been suggested as a covariate, serving as a proxy for genetic transmission. The few studies that have incorporated this covariate control have made no distinction between the HLE reported by each parent or controlled for different skills in parents and children. We predicted children's reading development over time by the reading abilities of both parents as covariates and both parents' self-reported HLE as predictors.

Methods: We analyzed data from 242 unrelated children, 193 mothers, and 144 fathers. Children's word reading was assessed in Grades 1 and 3, and parents' word reading was assessed on a single occasion. Predictors of children's reading development included literacy resources and shared reading activities.

Results: Children's reading in Grade 3 was predicted by mothers' engagement in reading activities and by literacy resources at home, even after controlling for the genetic proxy of parental reading abilities. The longitudinal rate of change from Grades 1 to 3 was not associated with the HLE or parental reading.

Conclusions: Our finding that parental reading skills predicted children's word reading beyond children's initial word reading underscores the importance of considering genetic confounding in research on the home environment. Beyond parental reading abilities, children's skills were predicted by literacy resources in the home and by how often mothers engage in reading activities with their children. This suggests true environmental effects.

背景:许多研究调查了家庭识字环境(HLE)与儿童文字阅读能力之间的联系。然而,这些关联可能部分反映了共同的遗传因素,因为父母既提供了阅读环境,也提供了孩子的阅读遗传倾向。因此,HLE 与儿童阅读之间的关系受到遗传因素的干扰。为了解决这个问题,有人建议将父母的阅读能力作为协变量,作为遗传传递的替代变量。少数几项研究将这一协变量控制纳入其中,但这些研究并没有区分父母各自报告的 HLE,也没有控制父母和子女的不同技能。我们以父母双方的阅读能力作为协变量,以父母双方自我报告的 HLE 作为预测因子,预测儿童随着时间推移的阅读发展:我们分析了 242 名无血缘关系儿童、193 名母亲和 144 名父亲的数据。儿童的单词阅读能力在一年级和三年级时进行评估,而父母的单词阅读能力则在一个场合进行评估。儿童阅读发展的预测因素包括识字资源和共享阅读活动:结果:即使控制了父母阅读能力的遗传替代因素,母亲参与阅读活动和家庭识字资源也能预测儿童三年级的阅读能力。从一年级到三年级的纵向变化率与 HLE 或父母的阅读能力无关:我们发现,父母的阅读能力对儿童单词阅读能力的预测超出了儿童最初的单词阅读能力,这突出了在家庭环境研究中考虑遗传混杂因素的重要性。除了父母的阅读能力外,家庭中的识字资源以及母亲与孩子一起进行阅读活动的频率也能预测儿童的阅读能力。这表明环境确实会产生影响。
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引用次数: 0
Examining longitudinal associations between interpersonal outcomes and general psychopathology factors across preadolescence using random intercept cross‐lagged panel model 使用随机截距交叉滞后面板模型检验青春期前人际关系结果与一般精神病理因素之间的纵向关联
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-28 DOI: 10.1111/jcpp.14105
Tom Chin‐Han Wu, Alex Lloyd, Essi Viding, Pasco Fearon
BackgroundInterpersonal outcomes and mental health problems are closely associated. However, their reciprocal influence has not been directly examined while considering the temporal stability of these constructs, as well as shared and unique variance associated with internalising, externalising and attention problems. Using random intercept cross‐lagged panel models (RI‐CLPM), we tested the hypotheses that negative bidirectional associations at the between‐person and negative cross‐lagged effects at the within‐person level would emerge between interpersonal outcomes (friendship quality and perceived popularity) and mental health problems (i.e. general psychopathology factor) during preadolescence.MethodsParticipants (n = 918) were from the NICHD Study of Early Child Care and Youth Development. Psychopathology, consisting of a general psychopathology factor (p‐factor) and three specific factors (internalising, externalising and attention problems), was derived from mother‐reported Child Behaviour Checklist symptoms. Friendship quality was assessed using the self‐reported Friendship Quality Questionnaire. Popularity was assessed using teacher‐reported popularity ranking. Four RI‐CLPM were estimated to examine the associations between interpersonal outcomes and psychopathology at between‐ and within‐person levels across four timepoints (mean ages 8–11).ResultsAt the between‐person level, popularity scores, but not friendship quality, were negatively associated with p‐factor scores (β = −.33). At the within‐person level, we found (i) p‐factor scores at age 9 negatively predicted friendship quality and popularity at age 10, but not at other ages (β = −.16 to −.19); (ii) specific externalising factor scores at age 10 negatively predicted friendship quality at age 11 (β = −.10) and specific internalising factor scores at ages 8 and 9 positively predicted friendship quality at ages 9 and 10 (β = .09–.12) and (iii) popularity at age 10 negatively predicted specific internalising factor scores at age 11 (β = −.12).ConclusionsPsychopathology was found to influence interpersonal outcomes during preadolescence, while the reverse effects were less readily observed, once between‐person level effects were accounted for.
人际交往结果与心理健康问题密切相关。然而,在考虑这些构念的时间稳定性以及与内化、外化和注意力问题相关的共享和独特方差时,它们的相互影响尚未被直接检验。使用随机截距交叉滞后面板模型(RI - CLPM),我们检验了在青春期前人际关系结果(友谊质量和感知受欢迎程度)和心理健康问题(即一般精神病理因素)之间会出现人际之间负双向关联和人内部负交叉滞后效应的假设。方法研究对象(n = 918)来自NICHD早期儿童保育和青少年发展研究。精神病理学包括一般精神病理学因素(p - factor)和三个特定因素(内化、外化和注意力问题),来源于母亲报告的儿童行为检查表症状。使用自我报告的友谊质量问卷来评估友谊质量。使用教师报告的受欢迎程度排名来评估受欢迎程度。在四个时间点(平均年龄8-11岁),估计了四个RI - CLPM来检查人际关系结果和精神病理之间的关系。结果在人际水平上,受欢迎程度得分与p因子得分呈负相关,而友谊质量与p因子得分呈负相关(β = - 0.33)。在个人层面上,我们发现(i) 9岁时的p因子得分负向预测10岁时的友谊质量和受欢迎程度,但在其他年龄段则没有(β = -)。16 ~ - 0.19);(ii) 10岁时特定外化因子得分负向预测11岁时友谊质量(β = - 0.10), 8岁和9岁时特定内化因子得分正向预测9岁和10岁时友谊质量(β = 0.09 - 0.12), (iii) 10岁时受欢迎程度负向预测11岁时特定内化因子得分(β = - 0.12)。结论:在青春期前,我们发现心理病理会影响人际交往结果,而一旦考虑到人与人之间的影响,就不太容易观察到相反的影响。
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引用次数: 0
Parent–child relationship quality buffers the association between mothers' adverse childhood experiences and physiological synchrony 亲子关系质量对母亲童年不良经历与生理同步性的关系起缓冲作用
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-27 DOI: 10.1111/jcpp.14108
Sarah A.O. Gray, Jonas G. Miller, Erin B. Glackin, Virginia Hatch, Stacy S. Drury
BackgroundFamily environment plays a critical role in shaping stress response systems. Concordance between mothers' and children's physiological states, specifically their Respiratory Sinus Arrhythmia (RSA), reflects dyadic co‐regulation. Negative or weakened RSA synchrony during interactions is linked to various psychosocial risks, but existing research has focused on risks in the mother or child as opposed to the dyad. This study examined the association between maternal‐child RSA synchrony and maternal ACEs, given documented associations with offspring RSA, as well as more proximal documented risks, including maternal psychopathology and children's early adversity and psychopathology. Given that sensitive parent–child relationships are a powerful source of resilience, we tested whether parent–child relationship quality buffered associations between maternal ACEs and RSA synchrony.MethodsIn a community sample of mother–child dyads experiencing high sociodemographic risk and oversampled for exposure to adversity, mothers (n = 123) reported on their ACEs (43.1% ≥4), their 3–5‐year‐old children's exposure to violence, and psychological symptoms. Dyads completed a puzzle task while EKG was recorded, from which maternal and child RSA was derived; parent–child relationship quality during interactions was coded observationally. Multilevel models examined within‐dyad mother–child RSA synchrony across the interaction and between‐dyad predictors of synchrony.ResultsParent–child relationship quality and maternal ACEs co‐contributed to offspring and dyadic physiology. Maternal ACEs predicted dampened RSA in the child and dampened RSA synchrony in the dyad, only among dyads with low observer‐rated parent–child relationship quality during the interaction. In other words, high‐quality parent–child relationship quality buffered the association between maternal ACEs and dampened offspring and dyadic physiology.ConclusionsResults suggest that mothers' early adversity may disrupt physiological regulation at both the individual child and dyadic level. High‐quality parent–child relationships mitigated this effect.
家庭环境对应激反应系统的形成起着至关重要的作用。母亲和儿童生理状态的一致性,特别是他们的呼吸窦性心律失常(RSA),反映了二元协同调节。在互动过程中,消极或减弱的RSA同步与各种社会心理风险有关,但现有的研究主要集中在母亲或孩子的风险上,而不是二联体。本研究考察了母子RSA同步与母亲ace之间的关系,考虑到与后代RSA的文献关联,以及更近端的文献风险,包括母亲精神病理和儿童早期逆境和精神病理。鉴于敏感的亲子关系是弹性的强大来源,我们测试了亲子关系质量是否缓冲了母亲ace和RSA同步之间的关联。方法在一个社区样本中,在经历高社会人口统计学风险和逆境暴露的母子二人组中,母亲(n = 123)报告了她们的ace(43.1%≥4)、她们3-5岁的孩子暴露于暴力和心理症状。二人组在完成拼图任务的同时记录心电图,由此得出母婴RSA;亲子互动过程中的亲子关系质量通过观察编码。多层模型检验了跨交互和跨同步预测因子的母子RSA同步。结果亲子关系质量与母亲ace对子代和二代生理有共同影响。只有在互动过程中观察者评价的亲子关系质量较低的两对夫妻中,母亲的ace预测了子女的RSA和二对夫妻的RSA同步性受到抑制。换句话说,高质量的亲子关系质量缓冲了母亲ace与受潮后代和二元生理之间的关联。结论母亲的早期逆境可能在个体和双体水平上扰乱生理调节。高质量的亲子关系减轻了这种影响。
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引用次数: 0
Research Review: Shared and distinct structural and functional brain alterations in adolescents with major depressive disorder' – a multimodal meta‐analysis 研究综述:重度抑郁症青少年大脑结构和功能改变的共同和不同——一项多模态荟萃分析
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-27 DOI: 10.1111/jcpp.14104
Baolin Wu, Xun Zhang, Hongsheng Xie, Baoshuai Zhang, Yanxin Ling, Ruoqiu Gan, Lihua Qiu, Neil Roberts, Zhiyun Jia, Qiyong Gong
BackgroundNeuroimaging studies have identified brain structural and functional alterations in adolescents with major depressive disorder (MDD); however, the results are inconsistent, and whether patients exhibit spatially convergent structural and functional brain abnormalities remains unclear.MethodsWe conducted voxel‐wise meta‐analysis of voxel‐based morphometry (VBM) and resting‐state functional studies, respectively, to identify regional gray matter volume (GMV) and brain activity alterations in adolescent MDD patients. Multimodal analysis was performed to examine the overlap of regional GMV and brain activity alterations. Meta‐regression analysis was conducted to evaluate the potential effects of clinical variables.ResultsTen whole‐brain VBM studies (403 patients and 319 controls) and 14 resting‐state functional studies (510 patients and 474 controls) were included. Adolescent MDD patients showed conjoint structural and functional alterations in the left medial/dorsolateral prefrontal cortex, lateral temporal cortex and sensorimotor regions, and left insula. Adolescent MDD patients showed structural‐specific abnormalities in the subcortical and prefrontal‐limbic regions and functional‐specific abnormalities in the right insula, right superior occipital gyrus, left inferior frontal gyrus and left precuneus. Meta‐regression analyses revealed that the mean age of adolescents with MDD was positively associated with GMV in the right superior temporal gyrus and negatively associated with brain activity in the right insula, and the symptom severity of adolescents with MDD was positively associated with brain activity in the right superior occipital gyrus.ConclusionsThis meta‐analysis identified complicated patterns of conjoint and dissociated brain alterations in adolescent MDD patients, which may advance our understanding of the neurobiology of adolescent MDD.
神经影像学研究已经确定了青少年重度抑郁症(MDD)的大脑结构和功能改变;然而,结果并不一致,患者是否表现出空间收敛性结构和功能脑异常仍不清楚。方法:我们分别对基于体素的形态测量(VBM)和静息状态功能研究进行了体素的meta分析,以确定青少年MDD患者的区域灰质体积(GMV)和脑活动改变。进行多模态分析以检查区域GMV和大脑活动改变的重叠。Meta -回归分析评估临床变量的潜在影响。结果纳入了10项全脑VBM研究(403例患者和319例对照)和14项静息状态功能研究(510例患者和474例对照)。青少年MDD患者在左侧前额叶内侧/背外侧皮层、外侧颞叶皮层和感觉运动区以及左侧脑岛表现出联合的结构和功能改变。青春期MDD患者在皮质下和前额叶边缘区表现出结构特异性异常,在右侧脑岛、右侧枕上回、左侧额下回和左侧楔前叶区表现出功能特异性异常。Meta回归分析显示,青少年MDD患者的平均年龄与右颞上回GMV呈正相关,与右脑岛脑活动呈负相关,青少年MDD患者的症状严重程度与右枕上回脑活动呈正相关。结论:该荟萃分析确定了青少年MDD患者联合和分离性脑改变的复杂模式,这可能会促进我们对青少年MDD神经生物学的理解。
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引用次数: 0
Annual Research Review: How did COVID-19 affect young children's language environment and language development? A scoping review 年度研究综述:COVID - 19如何影响幼儿的语言环境和语言发展?范围审查
IF 6.5 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-27 DOI: 10.1111/jcpp.14102
Cecilia Zuniga-Montanez, Catherine Davies, Laurie Ligoxygakis, Draško Kašćelan, Nayeli Gonzalez-Gomez

A diverse body of research conducted since the start of Covid-19 has investigated the impact of the pandemic on children's environments and their language development. This scoping review synthesises the peer-reviewed research literature on this topic between 2020 and 2023. Following the Joanna Briggs Institute methodology and the PRISMA extension for scoping reviews, we searched five databases for studies that fulfilled the following inclusion criteria: studies with neurotypical (monolingual or multilingual) 0-6-year-old children; studies focusing on any area of language development, including sources describing literacy or educational practices that impacted language development; studies focusing in the context of the COVID-19 pandemic, with no restrictions of geographical location or language used by participants. Ninety-four eligible studies were identified for review. The extracted data were synthesised using frequency tables and narrative descriptions. Eligible studies used a wide range of data collection periods, methods, research sites, sample ages, sizes, and roles to fulfil 15 broad aims. They show that children's language-learning environments were significantly impacted, with variability over time and across the socioeconomic spectrum. Together they investigated diverse language domains, as well as several home, educational, and demographic factors that were hypothesised to impact children's language development. Of those studies that focused on language outcomes, most converge to suggest a decline in typical expectations of children's language development, including their social communication, vocabulary, morphosyntax, literacy, and language of schooling, as well as general communication skills, school readiness, and other areas of academic progress. Our synthesis suggests that children's language and environment were significantly impacted by COVID-19. This scoping review will support families, researchers, practitioners, and policymakers working with pandemic-era children to further understand the effects of the pandemic on children's development.

自2019冠状病毒病开始以来,开展了多种研究,调查了疫情对儿童环境和语言发展的影响。本综述综合了2020年至2023年间同行评议的关于该主题的研究文献。根据乔安娜布里格斯研究所的方法和PRISMA扩展的范围审查,我们检索了五个数据库,以寻找符合以下纳入标准的研究:0 - 6岁神经典型(单语或多语)儿童的研究;关注语言发展的任何领域的研究,包括描述影响语言发展的读写能力或教育实践的来源;以COVID - 19大流行为背景的研究,不受地理位置或参与者使用语言的限制。94项符合条件的研究被纳入评估。提取的数据使用频率表和叙述性描述进行综合。符合条件的研究使用了广泛的数据收集期、方法、研究地点、样本年龄、规模和角色,以实现15个广泛的目标。研究表明,儿童的语言学习环境受到了显著的影响,而且随着时间的推移和社会经济的变化而变化。他们一起调查了不同的语言领域,以及一些家庭、教育和人口因素,这些因素被假设会影响儿童的语言发展。在那些关注语言结果的研究中,大多数都一致认为,对儿童语言发展的典型期望有所下降,包括他们的社会沟通、词汇、形态语法、读写能力和学校语言,以及一般沟通技巧、入学准备和其他学术进步领域。我们的综合研究表明,儿童的语言和环境受到COVID - 19的显著影响。这一范围审查将支持从事大流行时期儿童工作的家庭、研究人员、从业人员和政策制定者进一步了解大流行对儿童发展的影响。
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引用次数: 0
Annual Research Review: Adolescent social media use is not a monolith: toward the study of specific social media components and individual differences 年度研究回顾:青少年社交媒体的使用不是一个整体,而是对特定社交媒体成分和个体差异的研究
IF 6.5 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-23 DOI: 10.1111/jcpp.14085
Anne J. Maheux, Kaitlyn Burnell, Maria T. Maza, Kara A. Fox, Eva H. Telzer, Mitchell J. Prinstein

Social media have drastically changed the context of adolescent development. To date, the majority of research investigating the effects of these changes has measured time spent on social media, yielding inconclusive results—likely because this approach conceptualizes social media as a monolith. Social media experiences are complex and diverse, as are adolescents themselves. Emerging research has identified several specific components of social media that have varied associations with adolescent mental health, as well as individual difference factors that may alter these associations across adolescents. In this annual research review, we synthesize evidence regarding heterogeneity in social media effects related to (a) specific components of social media and (b) adolescents' individual differences regarding social media use and effects. We first focus on the specific social media components—content, features, and functions—that may be especially relevant for adolescent development. These include functions designed to foster relationships and social connections (e.g., social media feeds, ‘friends’), hateful content, notifications, risky content, and algorithmically curated content, among others. Next, we provide an overview of for whom these effects may matter most. We review research on individual differences that may explain some heterogeneity in social media effects, including gender/sex, age, marginalized status, neurobiological and social sensitivities, and other preexisting vulnerabilities to mental health concerns. The nascent work in these areas suggests many specific constructs and considerations that could drive future research examining nuanced and precise questions that go beyond ‘screen time’. We discuss avenues for researchers to leverage methodological advancements and address how specific social media experiences and individual differences shape developmental outcomes.

社交媒体极大地改变了青少年发展的环境。迄今为止,大多数调查这些变化影响的研究都测量了人们花在社交媒体上的时间,结果并不确定——可能是因为这种方法将社交媒体概念化为一个整体。社交媒体体验是复杂而多样的,青少年本身也是如此。新兴研究已经确定了社交媒体的几个特定组成部分与青少年心理健康有不同的关联,以及可能改变青少年之间这些关联的个体差异因素。在这篇年度研究综述中,我们综合了有关社交媒体影响异质性的证据,这些证据涉及(a)社交媒体的特定组成部分和(b)青少年在社交媒体使用和影响方面的个体差异。我们首先关注具体的社交媒体组成部分——内容、特征和功能——这些可能与青少年发展特别相关。这些包括旨在促进关系和社会联系的功能(例如,社交媒体动态,“朋友”),仇恨内容,通知,风险内容和算法策划内容等。接下来,我们将概述这些影响可能对谁最重要。我们回顾了可能解释社交媒体影响异质性的个体差异研究,包括性别/性别、年龄、边缘地位、神经生物学和社会敏感性,以及其他先前存在的心理健康问题脆弱性。这些领域的新工作提出了许多具体的构想和考虑因素,可以推动未来的研究,研究超越“屏幕时间”的微妙而精确的问题。我们讨论了研究人员利用方法进步的途径,并解决了具体的社交媒体体验和个体差异如何影响发展结果。
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引用次数: 0
Are ADHD trajectories shaped by the social environment? A longitudinal study of maternal influences on the preschool origins of delay aversion ADHD的发展轨迹是由社会环境塑造的吗?母亲对学龄前延迟厌恶起源影响的纵向研究
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-23 DOI: 10.1111/jcpp.14103
Wendy W.Y. Chan, Kathy Kar‐man Shum, Johnny Downs, Edmund J.S. Sonuga‐Barke
BackgroundAttention‐deficit/hyperactivity disorder (ADHD) is commonly attributed to neuro‐cognitive deficits of genetic and/or prenatal/perinatal environmental origins. Sonuga‐Barke proposed an alternative formulation, suggesting that ADHD behaviors are functional expressions of delay aversion—a strong motivational disposition to avoid or escape negative affective states evoked by delay. It is hypothesized that the strength of this disposition, though neuro‐biologically rooted, is exacerbated by early negative social interactions during waiting‐related encounters. This paper reports findings from an initial proof‐of‐concept study that specifically tests this hypothesis in a nonclinical sample.MethodsPreschoolers (n = 112; mean age = 46.2 months) and their parents from London, UK, and Hong Kong participated in a longitudinal study. The Parent–Child Delay Frustration Task (PC‐DeFT) and two nonwaiting control tasks were administered at baseline. Children's performance, behavioral and emotional responses, and parents' reactions were observed. Teachers rated children's ADHD behaviors and delay aversion at baseline and follow‐up (12–18 months later).ResultsAt baseline, children's maladaptive performance and parental negative reactions during the PC‐DeFT were correlated with each other and with teacher ratings of ADHD and delay aversion. Negative parental reactions during the PC‐DeFT at baseline predicted an increase in teacher‐rated ADHD behaviors at follow‐up, but similar associations were not observed for baseline parental responses in the nonwaiting tasks. The increase in child ADHD symptoms associated with negative parental reactions at baseline was statistically mediated by delay aversion. These longitudinal effects were consistent across the UK and HK samples.ConclusionsThe findings provide the first evidence that parent's negative reactions to preschooler's attempts to manage delay are associated with increases in ADHD behaviors overtime, and linked to delay aversion increases. They underscore the potential significance of the early social environment as a contributor to developmental trajectory of ADHD behaviors. Future studies with clinical samples over an extended time‐frame using a range of different aversive environments (i.e. difficult tasks to complete) are indicated.
注意缺陷/多动障碍(ADHD)通常归因于遗传和/或产前/围产期环境的神经认知缺陷。Sonuga‐Barke提出了另一种说法,认为ADHD行为是延迟厌恶的功能性表达——一种强烈的动机倾向,以避免或逃避由延迟引起的消极情感状态。据推测,这种倾向的强度,虽然是神经生物学上的根源,但在与等待相关的遭遇中,早期的负面社会互动会加剧。本文报告了一项初步的概念证明研究的结果,该研究在非临床样本中专门测试了这一假设。方法学龄前儿童(n = 112;平均年龄= 46.2个月)和他们来自英国伦敦和香港的父母参加了一项纵向研究。亲子延迟挫折任务(PC - DeFT)和两个非等待控制任务在基线时进行。观察儿童的表现、行为和情绪反应以及家长的反应。教师在基线和随访(12-18个月后)对儿童的ADHD行为和延迟厌恶进行评分。结果在PC - DeFT期间,儿童的适应不良表现和父母的负面反应基线相互相关,并与教师对ADHD和延迟厌恶的评分相关。在PC - DeFT的基线阶段,父母的消极反应预示着教师评价的ADHD行为在随访时的增加,但在非等待任务中,父母的基线反应没有观察到类似的关联。儿童ADHD症状的增加与父母在基线时的负面反应相关,在统计学上由延迟厌恶介导。这些纵向影响在英国和香港的样本中是一致的。研究结果首次证明,父母对学龄前儿童试图管理延迟的负面反应与多动症行为的增加有关,并与延迟厌恶情绪的增加有关。他们强调了早期社会环境对ADHD行为发展轨迹的潜在重要性。未来的临床研究将在更长的时间框架内使用一系列不同的厌恶环境(即难以完成的任务)。
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引用次数: 0
The challenge and promise of disentangling neurodevelopmental conditions a commentary on Davis et al. (2024) 解开神经发育状况的挑战与前景——对Davis等人的评论(2024)
IF 7.6 1区 医学 Q1 PSYCHIATRY Pub Date : 2024-12-21 DOI: 10.1111/jcpp.14106
Joe Bathelt
This commentary evaluates the study by Davis et al. on the early behavioural manifestations of autism spectrum condition (ASC) and attention deficit hyperactivity disorder (ADHD) in preschool children. Davis et al. show how children who later receive dual diagnoses exhibit significantly more severe symptoms and greater behavioural challenges compared to their peers. The study's methodological strengths, including its prospective longitudinal design and well‐validated measures, are highlighted. However, the commentary also critiques the reliance on the traditional diagnostic paradigm, advocating for a shift towards data‐driven or dimensional approaches to better capture the complexities of neurodevelopmental conditions. By adopting such methodologies, the commentary suggests improvements in clinical practices through more personalised interventions, thereby advancing our understanding and treatment of ASC and ADHD.
本文评价了Davis等人关于学龄前儿童自闭症谱系障碍(ASC)和注意缺陷多动障碍(ADHD)早期行为表现的研究。戴维斯等人展示了后来接受双重诊断的儿童如何表现出比同龄人更严重的症状和更大的行为挑战。该研究的方法学优势,包括前瞻性纵向设计和经过充分验证的测量,都得到了强调。然而,该评论也批评了对传统诊断范式的依赖,主张转向数据驱动或维度方法,以更好地捕捉神经发育状况的复杂性。通过采用这些方法,评论建议通过更个性化的干预措施改善临床实践,从而促进我们对ASC和ADHD的理解和治疗。
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引用次数: 0
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Journal of Child Psychology and Psychiatry
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