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

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Aiming to broaden understanding of issues raised in articles in this journal. 旨在扩大对本期刊文章中提出的问题的理解。
IF 2.9 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
John D McLennan
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引用次数: 0
Dr. Sophie Flor-Henry interviewed by Lind Grant Oyeye. Sophie Flor Henry博士接受了Lind Grant Oyeye的采访。
IF 2.3 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
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引用次数: 0
Rejoinder 2: Educating kids during a pandemic: More "farmers," fewer experts. 复辩状2：在疫情期间教育孩子：更多的“农民”，更少的专家。
IF 2.9 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
Joel G Ray
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引用次数: 0
Meeting the service needs of youth with and without a self-reported mental health diagnosis during COVID-19. 满足新冠肺炎期间有和没有自我报告的心理健康诊断的青少年的服务需求。
IF 2.3 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
Ashley Radomski, Paula Cloutier, Christine Polihronis, Nicole Sheridan, Purnima Sundar, Mario Cappelli

Background: The COVID-19 pandemic catalyzed major changes in how youth mental health (MH) services are delivered. Understanding youth's MH, awareness and use of services since the pandemic, and differences between youth with and without a MH diagnosis, can help us optimize MH services during the pandemic and beyond.

Objectives: We investigated youth's MH and service use one year into the pandemic and explored differences between those with and without a self-reported MH diagnosis.

Methods: In February 2021, we administered a web-based survey to youth, 12-25 years, in Ontario. Data from 1373 out of 1497 (91.72%) participants were analyzed. We assessed differences in MH and service use between those with (N=623, 45.38%) and without (N=750, 54.62%) a self-reported MH diagnosis. Logistic regressions were used to explore MH diagnosis as a predictor of service use while controlling for confounders.

Results: 86.73% of participants reported worse MH since COVID-19, with no between-group differences. Participants with a MH diagnosis had higher rates of MH problems, service awareness and use, compared to those without a diagnosis. MH diagnosis was the strongest predictor of service use. Gender and affordability of basic needs also independently predicted use of distinct services.

Conclusion: Various services are required to mitigate the negative effects of the pandemic on youth MH and meet their service needs. Whether youth have a MH diagnosis may be important to understanding what services they are aware of and use. Sustaining pandemic-related service changes require increasing youth's awareness of digital interventions and overcoming other barriers to care.

背景：新冠肺炎大流行促使青年心理健康（MH）服务的提供方式发生了重大变化。了解青年的MH、自疫情以来对服务的认识和使用，以及诊断为MH和未诊断为MH的青年之间的差异，可以帮助我们在疫情期间及以后优化MH服务。目的：我们调查了疫情一年后年轻人的MH和服务使用情况，并探讨了有和没有自我报告的MH诊断的人之间的差异。方法：2021年2月，我们对安大略省12-25岁的青年进行了一项基于网络的调查。对1497名参与者中1373人（91.72%）的数据进行了分析。我们评估了有（N=623，45.38%）和没有（N=750，54.62%）自我报告MH诊断的患者在MH和服务使用方面的差异。使用Logistic回归来探索MH诊断作为服务使用的预测因素，同时控制混杂因素。结果：自新冠肺炎以来，86.73%的参与者报告了更严重的MH，没有组间差异。与未确诊的参与者相比，确诊为MH的参与者有更高的MH问题发生率、服务意识和使用率。MH诊断是服务使用的最强预测因素。性别和基本需求的可负担性也独立预测了不同服务的使用情况。结论：需要提供各种服务，以减轻疫情对青年MH的负面影响，满足他们的服务需求。年轻人是否被诊断为MH，对于了解他们所了解和使用的服务可能很重要。要维持与疫情相关的服务变革，就需要提高青年对数字干预的认识，并克服其他护理障碍。
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引用次数: 0
Commentary: School closures, the pandemic, and pediatric mental health: Scrutinizing the evidence. 评论：学校停课、疫情和儿科心理健康：仔细审查证据。
IF 2.3 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
Tyler R Black, Punit Virk, Melissa L Woodward, Jonathan N Stea, Quynh Doan

The COVID-19 pandemic arrived with significant hardship. The secondary impacts of the pandemic and our response with respect to pediatric mental health has been a subject of significant discussion in the lay public, media, and decision-maker groups. The initiatives to control SARS-CoV-2 have become politicized. A narrative emerged early that strategies to mitigate the spread of the virus were harming children's mental health. Position statements from professional organizations in Canada have been used to support this claim. The aim of this commentary is to provide a reanalysis of some of the data and research methodology used to support these position statements. Some of the direct claims such as "online learning is harmful," should be supported by a strong evidence base with significant consensus that speaks directly to causality. We find that the quality of the studies and the heterogeneity of the results does not support the strength of the unequivocal claims made by these position statements. In a sample of the current literature examining the issue, we find that outcomes range from improvements to deteriorations. Earlier studies relying on cross-sectional surveys typically have shown stronger negative effects than longitudinal cohort studies, which often have also shown groups of children experiencing no changes to measured mental health characteristics or groups that have experienced improvements. We argue it is imperative that policymakers use the highest quality evidence in making the best decisions. We as professionals must avoid discussing only one side of heterogeneous evidence.

新冠肺炎大流行带来了重大困难。疫情的次要影响以及我们对儿科心理健康的反应一直是非专业公众、媒体和决策者群体中重要讨论的主题。控制严重急性呼吸系统综合征冠状病毒2型的举措已经变得政治化。早期出现的一种说法是，减缓病毒传播的策略正在损害儿童的心理健康。加拿大专业组织的立场声明被用来支持这一说法。本评论的目的是对用于支持这些立场声明的一些数据和研究方法进行重新分析。一些直接的说法，如“在线学习是有害的”，应该得到强有力的证据基础的支持，这些证据基础具有直接说明因果关系的重要共识。我们发现，研究的质量和结果的异质性并不支持这些立场声明所作的明确声明的强度。在当前研究该问题的文献样本中，我们发现结果从改善到恶化不等。早期基于横断面调查的研究通常显示出比纵向队列研究更强的负面影响，纵向队列研究通常也显示，儿童群体的心理健康特征没有变化，或者群体的心理状况有所改善。我们认为，决策者在做出最佳决策时必须使用最高质量的证据。作为专业人士，我们必须避免只讨论异质证据的一面。
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引用次数: 0
Training in the Psychiatry of Developmental Disabilities. 发育障碍精神病学培训。
IF 2.3 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
Sarah O'Flanagan, Rob Nicolson
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引用次数: 0
Response to Rejoinders: The importance of balanced, clear, and specific science communication. 对复辩状的回应：平衡、清晰和具体的科学交流的重要性。
IF 2.9 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
Punit Virk, Melissa L Woodward, Quynh Doan, Tyler R Black
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引用次数: 0
Introduction: The influence of COVID-19 pandemic policy on child and adolescent mental health: strong signal or mostly noise? 简介：新冠肺炎疫情政策对儿童和青少年心理健康的影响：强信号还是主要噪音？
IF 2.9 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
John D Haltigan
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引用次数: 0
Canadian Academy of Child & Adolescent Psychiatry 2022 Award Winners. 加拿大儿童和青少年精神病学学会2022年度获奖者。
IF 2.3 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
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引用次数: 0
Arts and Literature & Nature (ALAN). 艺术与文学与自然（ALAN）。
IF 2.3 Q2 PSYCHIATRY
Journal of the Canadian Academy of Child and Adolescent Psychiatry
Pub Date : 2023-05-01
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引用次数: 0
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