Pub Date : 2026-01-13DOI: 10.1016/j.jadohealth.2025.11.011
Eline M. Meuleman, Maartje M. van Stralen, Wilma E. Waterlander, Nanda E. van der Poel, Carry M. Renders, Vincent Busch
Preadolescent mental wellbeing is influenced by several interconnecting factors spanning individual, familial, and societal levels. Despite the potential of complex systems methods based in system dynamics to increase the understanding of these interdependencies, their application in youth mental wellbeing remains limited. This paper is the first to identify the underlying system dynamics that drive the mental wellbeing of preadolescents by integrating insights from a literature review and focus groups with scientific experts into a comprehensive causal loop diagram (CLD). The study followed three steps: a scoping umbrella literature review was performed to identify factors underlying preadolescents' mental wellbeing; focus groups with scientific experts were held to identify system dynamics (e.g., feedback loops, underlying mechanisms); and finally, a CLD was built and validated. The resulting CLD comprised nine subsystems based on underlying mechanisms: increasing pressure, seeking for own identity, parenting challenges, neighborhood ties, safety and security, healthy habits, always online, mental health talk, and supportive bonds. Thirty-eight feedback loops underlie these mechanisms, most of them being reinforcing. The CLD and its identified system dynamics highlight the complexity of preadolescent mental wellbeing and underscore the necessity of developing actions that target multiple leverage points across different system levels to drive change. By viewing this complex health issue through a systems lens, practitioners and policymakers should be better equipped to look beyond individual determinants and consider the broader structures, goals, and beliefs - laying the groundwork for sustainable, systemic change to benefit preadolescents' mental wellbeing.
{"title":"System Dynamics of Preadolescent Mental Wellbeing: A Causal Loop Diagram of the Scientific Evidence","authors":"Eline M. Meuleman, Maartje M. van Stralen, Wilma E. Waterlander, Nanda E. van der Poel, Carry M. Renders, Vincent Busch","doi":"10.1016/j.jadohealth.2025.11.011","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.11.011","url":null,"abstract":"Preadolescent mental wellbeing is influenced by several interconnecting factors spanning individual, familial, and societal levels. Despite the potential of complex systems methods based in system dynamics to increase the understanding of these interdependencies, their application in youth mental wellbeing remains limited. This paper is the first to identify the underlying system dynamics that drive the mental wellbeing of preadolescents by integrating insights from a literature review and focus groups with scientific experts into a comprehensive causal loop diagram (CLD). The study followed three steps: a scoping umbrella literature review was performed to identify factors underlying preadolescents' mental wellbeing; focus groups with scientific experts were held to identify system dynamics (e.g., feedback loops, underlying mechanisms); and finally, a CLD was built and validated. The resulting CLD comprised nine subsystems based on underlying mechanisms: increasing pressure, seeking for own identity, parenting challenges, neighborhood ties, safety and security, healthy habits, always online, mental health talk, and supportive bonds. Thirty-eight feedback loops underlie these mechanisms, most of them being reinforcing. The CLD and its identified system dynamics highlight the complexity of preadolescent mental wellbeing and underscore the necessity of developing actions that target multiple leverage points across different system levels to drive change. By viewing this complex health issue through a systems lens, practitioners and policymakers should be better equipped to look beyond individual determinants and consider the broader structures, goals, and beliefs - laying the groundwork for sustainable, systemic change to benefit preadolescents' mental wellbeing.","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"225 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-12DOI: 10.1016/j.jadohealth.2025.10.020
Dominic Sisti Ph.D. , Sejal B. Shah M.D.
{"title":"Bedless Adolescent Psychiatry: The Ethical Challenge to End Psychiatric Boarding","authors":"Dominic Sisti Ph.D. , Sejal B. Shah M.D.","doi":"10.1016/j.jadohealth.2025.10.020","DOIUrl":"10.1016/j.jadohealth.2025.10.020","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 2","pages":"Pages 223-225"},"PeriodicalIF":4.5,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-12DOI: 10.1016/j.jadohealth.2025.11.018
Carol A. Ford M.D., Cherrie B. Boyer Ph.D. (Deputy Editor), Carolyn T. Halpern Ph.D., Debra K. Katzman M.D., David A. Ross B.M.B.Ch., Ph.D., Teresa Dal Santo Ph.D., Tor D. Berg
{"title":"The Distinguished Dozen: 2025 Journal of Adolescent Health Articles Making Distinguished Contributions to Adolescent and Young Adult Health","authors":"Carol A. Ford M.D., Cherrie B. Boyer Ph.D. (Deputy Editor), Carolyn T. Halpern Ph.D., Debra K. Katzman M.D., David A. Ross B.M.B.Ch., Ph.D., Teresa Dal Santo Ph.D., Tor D. Berg","doi":"10.1016/j.jadohealth.2025.11.018","DOIUrl":"10.1016/j.jadohealth.2025.11.018","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 2","pages":"Pages 203-207"},"PeriodicalIF":4.5,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-12DOI: 10.1016/j.jadohealth.2025.11.017
Vedika S. Agrawal M.D., Jenny K.R. Francis M.D., M.P.H.
{"title":"When Safety is Stolen: The Relationship Between Forced Sex and No Contraceptive Use Among Adolescents in High School in the United States","authors":"Vedika S. Agrawal M.D., Jenny K.R. Francis M.D., M.P.H.","doi":"10.1016/j.jadohealth.2025.11.017","DOIUrl":"10.1016/j.jadohealth.2025.11.017","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 2","pages":"Pages 211-212"},"PeriodicalIF":4.5,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-12DOI: 10.1016/j.jadohealth.2025.11.015
Raffaela Schiavon M.D.
{"title":"Adolescent Maternal Health — A Call for Comprehensive Research and Targeted Interventions","authors":"Raffaela Schiavon M.D.","doi":"10.1016/j.jadohealth.2025.11.015","DOIUrl":"10.1016/j.jadohealth.2025.11.015","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 2","pages":"Pages 208-210"},"PeriodicalIF":4.5,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-27DOI: 10.1016/j.jadohealth.2025.10.024
Terri Voepel-Lewis, Sarah Stoddard, Deanna Marriott, Rebecca J. Evans-Polce, Todd I. Herrenkohl, Julia Seng, Eric L. Scott, Lara Khadr, Carol J. Boyd
{"title":"Social Environmental Factors Help to Explain Early Substance Use Initiation Among Youth With Comorbid Psychological and Somatic Symptom Trajectories","authors":"Terri Voepel-Lewis, Sarah Stoddard, Deanna Marriott, Rebecca J. Evans-Polce, Todd I. Herrenkohl, Julia Seng, Eric L. Scott, Lara Khadr, Carol J. Boyd","doi":"10.1016/j.jadohealth.2025.10.024","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.10.024","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"169 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-27DOI: 10.1016/j.jadohealth.2025.11.019
Alon Coret, Amy Robinson
{"title":"Diffuse Reticulate Purpura in an Adolescent Female With Anorexia Nervosa: A Case Report","authors":"Alon Coret, Amy Robinson","doi":"10.1016/j.jadohealth.2025.11.019","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.11.019","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"29 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-27DOI: 10.1016/j.jadohealth.2025.11.007
Nicholas Szoko, Tyia Wilson, Alexander T. Riley, Kathleen M. Carley, Marc Zimmerman, Elizabeth Miller, Kaleab Z. Abebe, Alison J. Culyba
{"title":"Strengthening Connections for Change: A Pilot Cluster-Randomized Trial of an Adolescent-Adult Social Network-Based Intervention","authors":"Nicholas Szoko, Tyia Wilson, Alexander T. Riley, Kathleen M. Carley, Marc Zimmerman, Elizabeth Miller, Kaleab Z. Abebe, Alison J. Culyba","doi":"10.1016/j.jadohealth.2025.11.007","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.11.007","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"33 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-19DOI: 10.1016/j.jadohealth.2025.10.007
Morayo Akande, Kathryn Van Eck, Xingyun Wu, Eliana M. Perrin, Lingxin Hao, Pamela A. Matson, Elizabeth M. Ozer, Arik V. Marcell
{"title":"Well-Visit Attendance From Mid-Adolescence to Young Adulthood: Who Remains Engaged?","authors":"Morayo Akande, Kathryn Van Eck, Xingyun Wu, Eliana M. Perrin, Lingxin Hao, Pamela A. Matson, Elizabeth M. Ozer, Arik V. Marcell","doi":"10.1016/j.jadohealth.2025.10.007","DOIUrl":"https://doi.org/10.1016/j.jadohealth.2025.10.007","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"172 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145784582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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