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The Social Ecology of Psychotherapy: Community-Level Influences on Adolescent Mental Health Treatment 心理治疗的社会生态:社区层面对青少年心理健康治疗的影响
Pub Date : 2026-01-07 DOI: 10.1080/15374416.2025.2579284
Zabin Patel-Syed, Jill Ehrenreich-May, Golda S. Ginsburg, Amanda Jensen-Doss
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引用次数: 0
Expanding Integrity Measurement in Mental Health Care: A Coding System of Targets, Practices, and Steps 在精神卫生保健中扩展完整性测量:目标、实践和步骤的编码系统
Pub Date : 2026-01-07 DOI: 10.1080/15374416.2025.2587175
Eleanor G. Wu, Kimberly D. Becker, Wendy Chu, Jonathan K. Ahuna, Davielle Lakind, Meredith R. Boyd, Kendal Reeder, Hyun Seon Park, Kendra S. Knudsen, Karen Guan, Sophie Arkin, W. Joshua Bradley, Bruce F. Chorpita
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引用次数: 0
Toward Methods for Assessing Racial Socialization in Early Childhood in Black American Families 美国黑人家庭早期儿童种族社会化评估方法研究
Pub Date : 2026-01-07 DOI: 10.1080/15374416.2025.2592948
Kate Keenan, Leslie Anderson, Kimberley Mbayiwa, Sarah Walton, Marquesa Moore, Cherrelle J. Gipson, Marisha Humphries, Jiayan Li, Breanna Yartey, Chinara Wyke
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引用次数: 0
Young Children's PTS Symptom Improvement During ARC Treatment: Caregiver Functioning and Conjoint Sessions as Moderators. ARC治疗期间幼儿PTS症状改善:照顾者功能和联合治疗作为调节因素。
Pub Date : 2025-12-22 DOI: 10.1080/15374416.2025.2585443
Ulziimaa Chimed-Ochir,Christian M Connell,Jason M Lang,Kellie G Randall,Kristine M Kinniburgh,Daniel K Cooper
OBJECTIVECaregiver involvement in trauma-focused treatments for young children has shown improved outcomes. However, it remains unclear whether child outcomes are influenced by the dosage of conjoint participation and caregiver functioning during treatment. The current study examined changes in preschool-aged children's posttraumatic stress (PTS) symptom severity during the Attachment, Regulation, and Competency (ARC) treatment and whether the change was moderated by caregiver PTS symptoms and the dosage of conjoint participation over 9 months post-intake.METHODOne hundred ninety caregiver-child dyads (63.2% birth/adoptive mother; children M age = 5.39 years, SD = 1.02; 43.7% girls; 46.9% White/Non-Hispanic, 10.5% Black/Non-Hispanic, 6.3% Other/Non-Hispanic, 36.3% Hispanic children) received ARC treatment. This was a naturalistic observational study conducted without a comparison group. Caregiver and child PTS symptoms were measured using caregiver-reported Young Child PTSD Checklist (YCPC) and PTSD Checklist for DSM-5 (PCL-5) at baseline and quarterly during the 9-month observation period. Clinicians reported the treatment dosage on a monthly basis.RESULTSConsistent with our hypotheses, multilevel modeling revealed that PTS symptoms generally improved for children whose caregivers reported lower PTS symptom severity, regardless of the dosage of conjoint sessions. Among dyads with higher caregiver PTS symptom severity, changes in child PTS symptoms were moderated by the dosage of conjoint sessions during ARC treatment.CONCLUSIONSThese findings suggest that while ARC treatment may be helpful in reducing PTS symptom severity among young children, conjoint caregiver-child sessions are especially important when caregivers report elevated levels of PTS symptoms.
目的:照顾者参与以创伤为重点的幼儿治疗已显示出改善的结果。然而,目前尚不清楚儿童结局是否受到治疗期间共同参与剂量和照顾者功能的影响。本研究调查了学龄前儿童创伤后应激(PTS)症状严重程度在依恋、调节和能力(ARC)治疗期间的变化,以及这种变化是否被护理者PTS症状和治疗后9个月的联合参与剂量所缓和。方法90对照料者-儿童双联体(63.2%为生母/养母;儿童M年龄= 5.39岁,SD = 1.02; 43.7%为女孩;46.9%为白人/非西班牙裔儿童,10.5%为黑人/非西班牙裔儿童,6.3%为其他/非西班牙裔儿童,36.3%为西班牙裔儿童)接受ARC治疗。这是一项没有对照组的自然观察性研究。在9个月的观察期内,使用照顾者报告的幼儿PTSD检查表(YCPC)和DSM-5 PTSD检查表(PCL-5)在基线和季度测量照顾者和儿童PTS症状。临床医生每月报告治疗剂量。结果与我们的假设一致,多水平模型显示,无论联合治疗的剂量如何,照顾者报告的PTS症状严重程度较低的儿童PTS症状普遍得到改善。在照顾者PTS症状严重程度较高的二人组中,儿童PTS症状的变化被ARC治疗期间联合疗程的剂量所缓和。结论:这些研究结果表明,虽然ARC治疗可能有助于减轻幼儿PTS症状的严重程度,但当护理人员报告PTS症状水平升高时,护理人员与儿童的联合治疗尤为重要。
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引用次数: 0
A Meta-Analysis of the Prevalence of ADHD in Youth Across Racial and Ethnic Groups. 不同种族和民族青少年ADHD患病率的荟萃分析。
Pub Date : 2025-12-12 DOI: 10.1080/15374416.2025.2592952
Andrea L Glenn,Shelby Hunter,Olivia K Thompson
OBJECTIVETo compare the prevalence of attention-deficit/hyperactivity disorder (ADHD) among Asian, Black, Latino, and White children and adolescents across studies while considering method of diagnosis.METHODStudies were included if they reported the prevalence of ADHD among at least two different racial/ethnic groups in an unselected population. Studies were grouped based on the method of diagnosis; studies involving juvenile offenders were analyzed separately. A total of 9,019 articles were retrieved and 371 articles were evaluated. After excluding studies with overlapping datasets, 28 studies were included in the population-based meta-analysis, and five studies were included in the meta-analysis involving juvenile offenders.RESULTSFor studies asking caregivers if the child had received a diagnosis of ADHD (k = 23), the pooled prevalence of ADHD was lower for Latino (6.1%) and Asian (2.6%) youth than White youth (10.5%); the prevalence in Black youth (9.4%) was not significantly different from White youth. Among juvenile offenders (k = 5), the prevalence of ADHD was significantly lower in Black (19.1%) and Latino (17.0%) youth than in White youth (31.9%).CONCLUSIONSThe present study finds some racial/ethnic differences in prevalence rates of ADHD. The study demonstrates that the type of sample and method for assessing ADHD diagnosis are important to consider.
目的比较不同研究中亚洲、黑人、拉丁裔和白人儿童和青少年注意缺陷/多动障碍(ADHD)的患病率,同时考虑诊断方法。方法在未选择的人群中,如果研究报告了至少两个不同种族/民族的ADHD患病率,则纳入研究。根据诊断方法对研究进行分组;涉及少年犯的研究被单独分析。共检索到9019篇文献,评价了371篇。在排除数据集重叠的研究后,28项研究被纳入基于人群的荟萃分析,5项研究被纳入涉及少年犯的荟萃分析。结果在询问照顾者儿童是否被诊断为ADHD (k = 23)的研究中,拉丁裔青少年(6.1%)和亚裔青少年(2.6%)的ADHD总患病率低于白人青少年(10.5%);黑人青年的患病率(9.4%)与白人青年无显著差异。在青少年罪犯(k = 5)中,黑人青少年(19.1%)和拉丁裔青少年(17.0%)的ADHD患病率明显低于白人青少年(31.9%)。结论本研究发现ADHD患病率存在种族差异。研究表明,评估ADHD诊断的样本类型和方法是重要的考虑因素。
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引用次数: 0
Suicide Ideation Subtypes That Predict a Future and Earlier Suicide Attempt Among Adolescents. 预测青少年未来和早期自杀企图的自杀意念亚型。
Pub Date : 2025-12-09 DOI: 10.1080/15374416.2025.2585444
Regina Miranda,Ana Ortin-Peralta,Beverlin Rosario-Williams,Christina Rombola,Jhovelis Mañaná,Jackaira Espinal,Muhammad Waseem
OBJECTIVEA major limitation in understanding which forms of adolescent suicide ideation might predict the risk of a future suicide attempt is that current assessments of adolescents presenting to emergency departments do not consider suicide ideation subtype in assessing risk. The current study examined whether adolescent suicide ideation subtypes, assessed via interview, would differentially predict an increased risk of a future suicide attempt over time.METHODAdolescents (N = 131) (78% female; 84% Hispanic/Latine), ages 12-19, who presented with suicide ideation (n = 85) or a suicide attempt (n = 46) were recruited primarily from an emergency department and outpatient clinics in New York City for a longitudinal study. Adolescents were interviewed and classified into three suicide ideation subtypes (brief, intermittent, and persistent suicide ideation) and followed up to 3 times over 12 months.RESULTSA higher proportion of adolescents with persistent suicide ideation made a suicide attempt at follow-up (47%), compared to those with brief ideation (21%), p < .05. A survival analysis suggested that persistent suicide ideation was associated with a significantly greater risk of making a future suicide attempt sooner (HR = 3.64; 95% CI = 1.61-8.24), compared to brief suicide ideation, with a similar trend for intermittent suicide ideation (HR = 2.30; 95% CI = 1.00-5.28).CONCLUSIONSAdolescents who present for clinical care with persistent or intermittent suicide ideation may warrant more immediate clinical attention to prevent risk of a future suicide attempt.
目的:在了解青少年自杀意念的哪些形式可能预测未来自杀企图的风险方面,一个主要的限制是,目前对到急诊室就诊的青少年的评估在评估风险时没有考虑自杀意念亚型。目前的研究考察了通过访谈评估的青少年自杀意念亚型是否会随着时间的推移而不同地预测未来自杀企图的风险增加。方法主要从纽约市的急诊科和门诊招募了年龄在12-19岁的青少年(N = 131)(78%为女性,84%为西班牙裔/拉丁裔),他们表现出自杀意念(N = 85)或自杀未遂(N = 46),进行了一项纵向研究。对青少年进行访谈,并将其分为三种自杀意念亚型(短暂、间歇性和持续性自杀意念),并在12个月内随访3次。结果持续性自杀意念青少年在随访中自杀未遂的比例(47%)高于短暂性自杀意念青少年(21%),p < 0.05。一项生存分析表明,与短暂的自杀意念相比,持续的自杀意念与未来更早自杀企图的风险显著增加相关(HR = 3.64; 95% CI = 1.61-8.24),间歇性的自杀意念也有类似的趋势(HR = 2.30; 95% CI = 1.00-5.28)。结论:接受临床治疗的持续性或间歇性自杀意念的青少年可能需要更及时的临床关注,以防止未来自杀企图的风险。
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引用次数: 0
Resilience of Families with Children Across COVID-19: A Mixed Methods Analysis of Stability and Change COVID-19期间有子女家庭的复原力:稳定性与变化的混合方法分析
Pub Date : 2025-11-19 DOI: 10.1080/15374416.2025.2579276
Lauren Eales, Gail M. Ferguson
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引用次数: 0
Acknowledgments 致谢
Pub Date : 2025-11-14 DOI: 10.1080/15374416.2025.2579415
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引用次数: 0
Changes to Family Life, Youth COVID-19 Pandemic-Related Traumatic Stress, and the Youth Mental Health Crisis 家庭生活的变化、青少年与COVID-19大流行相关的创伤压力和青少年心理健康危机
Pub Date : 2025-10-17 DOI: 10.1080/15374416.2025.2556658
Amy E. Margolis, Andrew Law, Emily A. Knapp, Paige Greenwood, Molly Algermissen, Lyndsay A. Avalos, Zoe Birnhak, Courtney Blackwell, Carrie Breton, Nicole R. Bush, Cristiane Duarte, Jean Frazier, Jody Ganiban, Julie Herbstman, Ixel Hernandez, Julie A. Hofheimer, Margaret R. Karagas, David Pagliaccio, Bruce Ramphal, Jacob W. Cohen, Danielle Roubinov, Darby Saxbe, Rebecca Schmidt, Phillip Sherlock, Carmen Velez-Vega, Xiaodan Tang, Virginia Rauh, Johnnye Lewis, Ghassan Hamra, Theresa M. Bastain
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引用次数: 0
Gender Matters: How Girls and Boys Express Multisystemic Resilience in the Context of Maternal Syndemics. 性别问题:女孩和男孩如何在孕产妇疾病背景下表达多系统适应力。
Pub Date : 2025-09-24 DOI: 10.1080/15374416.2025.2562520
Kathryn H Howell,Idia B Thurston,Taylor R Napier,Danielle V Porter,James G Murphy,Hongmei Zhang
OBJECTIVESubstance use, violence, and HIV/AIDS (i.e. SAVA) are three adversities known to cluster and contribute to other poor health outcomes among marginalized communities due to structural factors including racism and poverty. Most research on SAVA has focused on negative outcomes (e.g. psychopathology) among those directly affected. To address important gaps in the literature, the current study explored how child gender moderates the associations between maternal SAVA severity and child individual, relational, community, and cultural resilience.METHODParticipants included 263 children (Mage = 12.11, SD = 2.77; 59% girls; 82% Black) and their maternal caregivers. SAVA severity was examined as a continuous latent variable and resilience levels were calculated via confirmatory factor analysis based on manifest variables.RESULTSAfter adjusting for covariates, linear regression analyses indicated that, among girls but not boys, lower maternal SAVA severity was associated with higher individual (β = -0.22, p = .04, d = 0.01) and community (β = -0.27, p = .02, d = 0.02) level resilience. Further, across all children, lower maternal SAVA severity was associated with higher cultural resilience (β = -0.24, p < .001, d = 0.04). The association between maternal SAVA and relational resilience was not statistically significant.CONCLUSIONSMaternal SAVA impacts child resilience, but this effect is not uniform, as findings illustrated differential effects of SAVA by child gender and resilience level. This work emphasizes the critical need to assess and understand unique drivers of child resilience in order to intervene effectively on co-occurring adversities.
药物使用、暴力和艾滋病毒/艾滋病(即SAVA)是已知的三种逆境,由于种族主义和贫困等结构性因素,在边缘化社区中聚集并导致其他不良健康结果。大多数关于SAVA的研究都集中在直接受影响者的负面结果(例如精神病理)上。为了解决文献中的重要空白,本研究探讨了儿童性别如何调节母亲SAVA严重程度与儿童个体、关系、社区和文化弹性之间的关联。方法纳入263名儿童及其母亲照顾者(年龄≥12.11,SD = 2.77,女童59%,黑人82%)。将SAVA严重程度作为连续潜在变量进行检验,并通过基于显变量的验证性因子分析计算恢复力水平。结果校正协变量后,线性回归分析显示,在女孩中,母亲SAVA严重程度越低,个体越高(β = -0.22, p =。04, d = 0.01)和群落(β = -0.27, p = 0.01)。2, d = 0.02)水平弹性。此外,在所有儿童中,较低的母亲SAVA严重程度与较高的文化复原力相关(β = -0.24, p <)。001, d = 0.04)。母亲SAVA与关系恢复力之间的相关性无统计学意义。结论母亲的SAVA对儿童心理弹性有影响,但这种影响并不均匀,研究结果表明,不同性别和心理弹性水平对SAVA的影响存在差异。这项工作强调了评估和理解儿童适应能力的独特驱动因素的迫切需要,以便有效地干预共同发生的逆境。
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Journal of Clinical Child & Adolescent Psychology
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