Pub Date : 2026-01-07DOI: 10.1080/15374416.2025.2579284
Zabin Patel-Syed, Jill Ehrenreich-May, Golda S. Ginsburg, Amanda Jensen-Doss
{"title":"The Social Ecology of Psychotherapy: Community-Level Influences on Adolescent Mental Health Treatment","authors":"Zabin Patel-Syed, Jill Ehrenreich-May, Golda S. Ginsburg, Amanda Jensen-Doss","doi":"10.1080/15374416.2025.2579284","DOIUrl":"https://doi.org/10.1080/15374416.2025.2579284","url":null,"abstract":"","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145920395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-07DOI: 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
{"title":"Expanding Integrity Measurement in Mental Health Care: A Coding System of Targets, Practices, and Steps","authors":"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","doi":"10.1080/15374416.2025.2587175","DOIUrl":"https://doi.org/10.1080/15374416.2025.2587175","url":null,"abstract":"","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145920394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-07DOI: 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
{"title":"Toward Methods for Assessing Racial Socialization in Early Childhood in Black American Families","authors":"Kate Keenan, Leslie Anderson, Kimberley Mbayiwa, Sarah Walton, Marquesa Moore, Cherrelle J. Gipson, Marisha Humphries, Jiayan Li, Breanna Yartey, Chinara Wyke","doi":"10.1080/15374416.2025.2592948","DOIUrl":"https://doi.org/10.1080/15374416.2025.2592948","url":null,"abstract":"","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145920396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-22DOI: 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.
{"title":"Young Children's PTS Symptom Improvement During ARC Treatment: Caregiver Functioning and Conjoint Sessions as Moderators.","authors":"Ulziimaa Chimed-Ochir,Christian M Connell,Jason M Lang,Kellie G Randall,Kristine M Kinniburgh,Daniel K Cooper","doi":"10.1080/15374416.2025.2585443","DOIUrl":"https://doi.org/10.1080/15374416.2025.2585443","url":null,"abstract":"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.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"56 1","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145808071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-12DOI: 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.
{"title":"A Meta-Analysis of the Prevalence of ADHD in Youth Across Racial and Ethnic Groups.","authors":"Andrea L Glenn,Shelby Hunter,Olivia K Thompson","doi":"10.1080/15374416.2025.2592952","DOIUrl":"https://doi.org/10.1080/15374416.2025.2592952","url":null,"abstract":"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.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"13 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145732778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-09DOI: 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.
{"title":"Suicide Ideation Subtypes That Predict a Future and Earlier Suicide Attempt Among Adolescents.","authors":"Regina Miranda,Ana Ortin-Peralta,Beverlin Rosario-Williams,Christina Rombola,Jhovelis Mañaná,Jackaira Espinal,Muhammad Waseem","doi":"10.1080/15374416.2025.2585444","DOIUrl":"https://doi.org/10.1080/15374416.2025.2585444","url":null,"abstract":"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.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"27 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145704511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-19DOI: 10.1080/15374416.2025.2579276
Lauren Eales, Gail M. Ferguson
{"title":"Resilience of Families with Children Across COVID-19: A Mixed Methods Analysis of Stability and Change","authors":"Lauren Eales, Gail M. Ferguson","doi":"10.1080/15374416.2025.2579276","DOIUrl":"https://doi.org/10.1080/15374416.2025.2579276","url":null,"abstract":"","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145553342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-17DOI: 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
{"title":"Changes to Family Life, Youth COVID-19 Pandemic-Related Traumatic Stress, and the Youth Mental Health Crisis","authors":"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","doi":"10.1080/15374416.2025.2556658","DOIUrl":"https://doi.org/10.1080/15374416.2025.2556658","url":null,"abstract":"","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145311618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-24DOI: 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。
{"title":"Gender Matters: How Girls and Boys Express Multisystemic Resilience in the Context of Maternal Syndemics.","authors":"Kathryn H Howell,Idia B Thurston,Taylor R Napier,Danielle V Porter,James G Murphy,Hongmei Zhang","doi":"10.1080/15374416.2025.2562520","DOIUrl":"https://doi.org/10.1080/15374416.2025.2562520","url":null,"abstract":"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.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"9 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}