Journal of Child and Adolescent Mental Health最新文献

Objectives: Among adolescents, suicide is a critical global concern, yet research is limited in low- and middle-income countries. The primary aim of this study is to investigate the interrelations among suicide-related factors (specifically, suicidal ideation, suicide literacy, attitudes toward suicide, and intended help-seeking sources) when experiencing suicidality in Vietnam. Additionally, it examines sex differences across these factors and identifies significant predictors of help-seeking intention for suicidality.Methods: A sample of 2 976 Vietnamese adolescents (mean age = 16.0 years, SD = 1.35 years; female = 50.6%) completed self-report measures as part of their annual school screenings.Results: More than one in four adolescents experienced some level of suicidal ideation. Overall, suicide literacy was low, particularly among males, who also reported higher levels of stigmatisation toward suicide. Low suicide literacy was linked to increased stigmatisation of suicidal individuals. Adolescents most commonly sought help from family and friends, rather than from professionals. Contrary to our hypothesis that females, those with lower stigma, and those with higher suicidal ideation would be more likely to seek help, it was found that males, those with higher stigma, and those with lower suicidal ideation demonstrated stronger help-seeking intentions. Additionally, male adolescents exhibited a polarised pattern, reporting both high intentions to seek and not seek help.Conclusion: These findings highlight the need for culturally sensitive and sex-based suicide prevention and intervention for Vietnamese adolescents, as cultural factors and sex roles may shape their perceptions and approaches to addressing suicide.

Background: Adolescence, acknowledged as a transformative developmental phase marked by socio-emotional challenges, introduces an elevated susceptibility to loneliness. As adolescents are exposed to loneliness, they concurrently navigate the dynamic landscape of problematic videogame use, characterised by deleterious gaming patterns with consequential impacts across various life domains. Empirical evidence indicates a significant correlation between experiences of cyberbullying victimisation and heightened feelings of loneliness, particularly within the context of peer relationships during this developmental epoch.Objectives: This study examined the critical relationships among loneliness, cyberbullying victimisation, and problematic videogame use, considering loneliness as a potential precursor to adverse developmental outcomes. Further, it assesses sex differences in these associations, seeking to elucidate the pathways through which these variables exert influence on the psychological well-being of adolescents.Methods: This study included 438 adolescents from Central Italy (50% boys), aged 11 to 16 (mean = 12.7 years, SD = 1.4 years). Participants completed a self-reported questionnaire during school hours.Results: Overall, 10.5% of participants reported experiencing cyberbullying victimisation, with no significant sex differences. Structural Equation Modelling revealed a significant association between loneliness with peers and well-being, mediated by cyberbullying victimisation and problematic videogame use. A significant interaction effect was found between sex and nervousness during gameplay, showing that nervousness was more strongly associated with problematic videogame use in boys compared to girls.Conclusions: These findings underscore the importance of targeted interventions to reduce peer-related loneliness in adolescence. Future research should explore the longitudinal, bidirectional effects of loneliness in adolescence on both problematic behaviours and well-being.

Background: COVID-19 mitigation measures disrupted many youths' lives. The burden that pandemic changes induced on children and adolescent's mental health requires further research.Objective: This study explores the associations between lifestyle changes during the COVID-19 pandemic and distress and/or social impairment (herein abbreviated as "distress") among children and adolescents in Montréal, Canada.Methods: Data were collected as part of a longitudinal survey and serology study of two to 20-year-olds at five different time points between October 2020 and June 2023. The outcome, distress, was the dichotomised score on the Strengths and Difficulties Questionnaire impact supplement. Lifestyle changes included changes in sleep, eating, and physical activity, among others. Adjusted risk ratios (RR) measuring associations between lifestyle changes and distress were estimated using regression models.Results: The 2 183 participants contributed 5 359 observations across the five waves of data collection. The crude prevalence of distress was 14.4% (95% CI 13.2, 15.7). In the adjusted analyses, distress was associated with spending both less and more time sleeping (e.g., less: RR = 2.28; 95% CI: 1.98, 2.98), less time engaged in physical activity (RR = 2.14; 95% CI: 1.78, 2.57), and with social media use of greater than three hours per day versus none (RR = 2.22, 95% CI: 1.69, 2.92).Conclusion: This study found that certain lifestyle changes occurring during the COVID-19 pandemic were associated with distress and social impairment among children and adolescents.

Introduction: Resilience is central to young children's healthy and happy development. The Child and Youth Resilience Measure (CYRM-R) has been widely used in several countries. However, its construct validity among young children in rural South Africa has not been examined. We investigated the construct structure of the CYRM-R for foundation-phase learners (i.e., grades R/0-3) in rural primary schools in South Africa.Methods: The CYRM-R was translated into the local language Setswana and tested on 1 088 learners attending 10 schools in socioeconomically disadvantaged rural communities in the North West province. Confirmatory factor analysis (CFA) was conducted to validate the CYRM-R scale and examine its construct structure.Results: Our findings suggested a two-factor (i.e., personal resilience, caregiver resilience) structure of the CYRM-R with some items removed or reclassified as preferable or relative to other examined solutions. CFA results showed that the optimal model represents a good fit to the data (RMSEA = 0.037, CFI = 0.929, TFI = 0.915), explaining 83.4% of the variance.Conclusion: The Setswana version of the CYRM-R is a reliable and valid measure of resilience in young children in a rural South African context and can be used to assess resilience in young children in Setswana-speaking populations.

Background: Justice-involved female youth from minority racial groups are a hard-to-reach youth population that are removed from schools, families, and communities. They are under-represented in school survey data. The present study aimed to utilise the Interpersonal-Psychological Theory of Suicide to examine the distinct patterns of risk and protective factors of suicide thoughts and behaviours (STBs) among black girls in juvenile justice facilities.Methods: Utilising state-wide screening data of black girls in juvenile justice facilities (n = 1 564; mean age = 13.55 years, SD = 1.69 years) collected over 11 years (2009 to 2019), the study employed latent profile analysis to identify different profiles of risk behaviour related to suicide. The "Mclust" package, an R statistical package, was used to conduct the latent profile analysis.Results: Six latent profiles emerged based on nine indicators of thwarted belongingness, burdensomeness, and acquired capacity. Membership in these latent groups significantly predicted lifetime and current suicide ideation and attempts.Conclusions: The Interpersonal-Psychological Theory of Suicide showed potential applicability to the population of justice-involved black girls. There was heterogeneity in suicide vulnerability in this population. Mental health, substance use, and traumatic experiences simultaneously characterised the suicide-vulnerable subgroups among justice-involved black girls.

Objective: We aimed to determine the prevalence and factors associated with loneliness among adolescent students in three South Asian countries.Methods: We used data from the latest Global School-Based Health Survey of Afghanistan, Bangladesh, and Pakistan. A two-stage cluster sampling design was used to collect the cross-sectional survey data. Data from 8 089 in-school adolescents were analysed using STATA 14.0.Results: Among all the participants, the prevalence of loneliness was 14.9%. The prevalence of loneliness was significantly higher in females (19.7%), Afghan adolescents (35.5%), participants having anxiety-induced sleep disturbance (51.4%), often experiencing bullying (28.9%), feeling hungry often or always (23.9%), suffering parental emotional neglect (21.2%), and spending ≥ 8 hours/day leisure time (35.8%), than their counterparts. The final adjusted model of multiple logistic regression showed that females (OR = 1.36, 95% CI: 1.02 -1.80), having no close friends (OR = 2.00, 95% CI: 1.30 - 3.10), having an anxiety-induced sleep disturbance (OR = 5.25, 95% CI: 3.75 - 7.34), being bullied 1 to 2 days in the past month (OR = 2.13, 95% CI: 1.60 - 2.84), being physically attacked 2 or more times in the past year (OR = 1.69, 95% CI: 1.26 - 2.26), suffering parental emotional neglect (OR = 1.67, 95% CI: 1.18-2.34), and current tobacco user (OR = 2.70, 95% CI: 1.39 - 5.25) had significantly higher odds of having loneliness.Conclusion: We found a higher prevalence of loneliness and identified several risk factors among in-school adolescents in three South Asian countries. To reduce loneliness among in-school adolescents, target-oriented interventions, such as peer, parental, and counselling support, are needed at schools.

Background: Literature suggests a link between maternal mental health and adverse child developmental outcomes. However, we do not know to what extent this is true in low and middle-income settings, and most studies do not explore mental health longitudinally since birth.Objective: We aimed to assess the association between maternal mental health and early child development outcomes in southern Brazil.Methods: We studied 992 mother-child pairs in a birth cohort from 2019 to 2022. We used standardised instruments to assess maternal depression, anxiety, and distress at different time points during the perinatal period. We used Group Based Trajectory Modelling to create maternal mental health trajectories. We assessed these trajectories associated with the child's social, language, cognitive, and motor development at 24 months using Poisson multiple regression models.Results: Children of mothers with elevated symptoms of depression experienced an 80% [RR = 1.80; 95%CI(1.19-2.71)] increase in language delays, 23% [RR = 1.23; 95%CI(1.01-1.51)] in cognitive delays, and 40% [RR = 1.40; 95%CI(1.07-1.83)] in motor delays. Children of mothers experiencing increasing symptoms of anxiety to moderate levels had 38% [RR = 1.38' 95%CI(1.07-1.82)] more language delays and 20% [RR = 1.20; 95%CI(1.05-1.38)] more cognitive delays. Low subjective distress led to 54% [RR = 1.54; 95%CI(1.15-2.05)] more language delays.Conclusion: Our findings underscore the effect of maternal mental health on child developmental outcomes among this sample in southern Brazil.

Background: Young people with an Intellectual and Developmental Disability (IDD) often face ineffective and exclusionary post-school transition practices, leading to poor mental health in early adulthood.Objective: This scoping review aimed to map existing literature on mental health for young people with IDD during the post-school transition period including how IDD and mental health are characterised in this context and the extent to which community members with lived experience are included in the design and/or production of research.Methods: In collaboration with a co-researcher, we used the JBI framework and PRISMA guidelines in accordance with a published protocol. A tiered search was conducted in PsycINFO, Medline, ERIC, Web of Science, and Family and Society Studies Worldwide.Findings: The search identified 28 articles that met the inclusion criteria. Articles were published between 2011 and 2023 and conducted across four countries. Thirteen applied a quantitative study design, eight were qualitative, three used a mixed-methods design, and the remaining were reviews. Most articles focused on autism. The majority discussed mental health in terms of its impact on transitioning from school or as a co-occurring condition.Conclusions: There is a growing body of literature highlighting the challenges young people with disabilities face when transitioning from high school. However, there is a notable gap in the representation of diverse IDD populations and mental health emerged variably, often as an incidental finding rather than a primary focus.

Objective: The study aimed to investigate the association between adolescents' subjective well-being and parenting, as well as the moderating role of peer relationships between the negative aspects of parenting and subjective well-being.Method: Adolescents (n = 331) attending Junior High School and High School (aged 12-18 years) in the broader area of Attica, Greece, participated in the study. Participants completed the Berne Questionnaire of Subjective Well-Being/Youth Form, the 40-item Egna Minnen Beträffande Uppfostran Child Version (EMBU-C) questionnaire (for ages 7-16 years), and the Friendship Quality Scale.Results: There was a positive association between parental emotional warmth and adolescents' satisfaction, as well as between parental rejection and adolescents' ill-being. Furthermore, closeness to friends moderated the association between adolescents' ill-being and rejection by mothers and fathers. Girls and older adolescents had higher scores in the negative factors of subjective well-being, while girls scored higher in all friendship factors. Finally, based on adolescents' perceptions, mothers had significantly higher scores than fathers in all parenting variables.Conclusions: Findings highlight the significance of the implementation of tailored interventions in schools and families for promoting adolescents' well-being.