Child Psychiatry Hum Dev [JOURNAL]
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200 papers
Daily Parental Responses To Disruptive Child Behavior: A Multilevel Latent Profile Analysis.
Nieterau M, Melendez-Torres GJ, Overbeek G … +2 more , Shaw DS, Leijten P
Child Psychiatry Hum Dev · 2025 Jun · PMID 40536741 · Publisher ↗
The goal of the present study was to identify patterns of daily disruptive child behavior and parental responses to this behavior, as well as investigate the occurrence of these patterns over 14 days. We examined daily p...
The goal of the present study was to identify patterns of daily disruptive child behavior and parental responses to this behavior, as well as investigate the occurrence of these patterns over 14 days. We examined daily parental reports on disruptive child behavior, harsh parental responses, and giving in to children's demands from 156 families (M = 5.88; 47% girls) collected over 14 days (2,067 assessments). Using multilevel latent profile analyses, we identified four behavioral patterns. Most families alternated between days with less and days with more disruptive behavior and harshness. Giving in to children's demands was rare in all families. Our findings indicate that in most families with elevated disruptive child behavior, behavioral patterns vary across days, with disruptive behavior and parental harshness, but not giving in to children's demands, co-varying. Our findings also indicate how day-to-day stability varies between families.
Housing Hardship and Child Behavior Problems from Early Childhood to Adolescence.
Marçal KE, Reasonover C
Child Psychiatry Hum Dev · 2025 Jun · PMID 40536740 · Publisher ↗
Inability to afford stable housing is widespread throughout the United States among families with children. The struggle to afford monthly rent or mortgage payments can disrupt healthy family functioning and child well-b...
Inability to afford stable housing is widespread throughout the United States among families with children. The struggle to afford monthly rent or mortgage payments can disrupt healthy family functioning and child well-being. The present study examined the link between missed rent or mortgage payments and child behavior problems in infancy through adolescence. Two longitudinal growth curve models tested concurrent and lagged effects between missed rent or mortgage payments and child internalizing and externalizing at ages 1, 3, 5, 9, and 15. Results suggested families' inability to afford housing had lagged effects on children's internalizing behaviors, and concurrent effects on externalizing behaviors. The present study points to the immediate and lasting impacts of housing hardship on children, and the potential to support healthy child development through increased access to affordable housing.
Cognitive Control Difficulties Differentiate Callous-Unemotional Traits from Conduct Problems: A Pre-Registered Double-Blind Randomized Controlled Trial Analysis.
Winters DE, Spitz J, Raymond K … +5 more , Natvig C, Waller R, Mikulich-Gilbertson SK, Schacht JP, Sakai JT
Child Psychiatry Hum Dev · 2025 Jun · PMID 40526364 · Full text
Cognition's role in youth antisocial phenotypes, particularly callous-unemotional (CU) traits (e.g., lack of remorse, guilt, and empathy) and conduct problems (CP; e.g., disruptive and aggressive behaviors), remains deba...
Cognition's role in youth antisocial phenotypes, particularly callous-unemotional (CU) traits (e.g., lack of remorse, guilt, and empathy) and conduct problems (CP; e.g., disruptive and aggressive behaviors), remains debated. Recent findings suggest the need to distinguish inhibitory processes, as selective control (inhibiting a prepotent response for an alternative) rather than passive control (non-response action restraint) has been linked, independent of CP, to affective deficits in CU traits. However, it is not known whether CU traits relate to a general difficulty with cognitive demands or a specific impairment in selective control. The present study tested whether CU traits were differentially related to passive versus selective control, accounting for CP. Using a randomized parallel-arm trial with test and control groups, data from 85 participants (aged 12-14, 47% female) were analyzed with mixed effects models to account for individual variance. Results indicated that CU traits were associated with better passive control but worse selective control, while CP showed no significant effects when CU traits were included. This pattern was consistent across accuracy, reaction times, and contrasts between trial types (e.g., selective > passive). Further analyses suggested that CU traits were linked to a rigid cognitive style specifically during selective control trials. These findings highlight a selective control deficit unique to CU traits, distinguishing them from CP. Moreover, evidence of a rigid cognitive strategy aligns with research on adult psychopathy, suggesting potential difficulties with cognitive resource allocation. Thus, selective control may be an important feature for understanding antisocial etiological pathways.
Adaptive Functioning in School: A Multidimensional Questionnaire for Assessing Functional Challenges Beyond Symptoms in Students with ADHD.
Zheng Q, Hui BKH, Li J … +1 more , Shum KK
Child Psychiatry Hum Dev · 2025 Jun · PMID 40526363 · Publisher ↗
Adaptive functioning in school settings remains understudied in ADHD research, despite its critical role in supporting students in navigating social, organizational, and emotional demands in daily school life. Existing t...
Adaptive functioning in school settings remains understudied in ADHD research, despite its critical role in supporting students in navigating social, organizational, and emotional demands in daily school life. Existing tools often prioritize symptom severity or isolated domains (e.g., executive function, academics, and behaviors), lacking a multidimensional, school-contextualized assessment. This study introduces the Adaptive Functioning in School Questionnaire (AFSQ), a teacher-reported measure designed to identify adaptive functioning challenges students face in school by assessing the following five domains: 1) social and behavioral adaptation; 2) practical organization; 3) academic task management; 4) emotional comprehension and expression; and 5) emotion regulation and conflict resolution. Participants included 564 students with ADHD (M age = 9.42 years) and 93 community peers (90% non-ADHD; M age = 9.36 years), along with their teachers. Factor analyses confirmed the AFSQ's robust five-factor structure, and convergent validity was supported by strong correlations with executive function (|r| =.62-.71) and social skills (|r| =.58-.66). Students with ADHD exhibited greater adaptive challenges across all domains compared to neurotypical peers, with large effect sizes (d =.82-1.34). While inattention predicted adaptive functioning broadly, Oppositional Defiant Disorder/symptoms (ODD) uniquely exacerbated social-behavioral and emotional challenges in students with ADHD, highlighting the need for tailored interventions in comorbid cases. The AFSQ demonstrates strong reliability (α =.83-.96) and validity, offering educators and clinicians a school-specific tool to identify individualized support needs and guide targeted support strategies beyond symptom profiles.
Recreational Fear Across Childhood. A Cross-Sectional Study of Scary Activities that Children Enjoy.
Taranu M, Clasen M, Rosas FE … +2 more , Dodd H, Andersen MM
Child Psychiatry Hum Dev · 2025 Jun · PMID 40522538 · Publisher ↗
This study investigated the prevalence of children's engagement in recreational fear activities - i.e., playful engagement with scary stimuli where both fear and enjoyment are experienced. A detailed survey of 1,600 pare...
This study investigated the prevalence of children's engagement in recreational fear activities - i.e., playful engagement with scary stimuli where both fear and enjoyment are experienced. A detailed survey of 1,600 parents/caregivers (67% female) of children aged 1-17 years (50% female) asked about their child's enjoyment of recreational fear activities across 19 activity categories, as well as with whom, where and how often they engage in these activities. 93% of children were reported to enjoy at least one recreational fear activity. Distinct age-related trends in engagement were found for different activity types. The results showcase that, despite rarely being studied in children, enjoyment of recreational fear is common across children's activities and development.
The Relationship Between Socioemotional Strengths and Self-Stigma Experiences of Youth with ADHD and their Parents.
Jelinkova K, Charabin E, Miller C … +3 more , Siemens T, Bath AC, Climie EA
Child Psychiatry Hum Dev · 2025 Jun · PMID 40498240 · Publisher ↗
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder often associated with stigmatization, both from others and internally through self-stigma. This study explored how self-stigma relates to p...
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder often associated with stigmatization, both from others and internally through self-stigma. This study explored how self-stigma relates to perceptions of socioemotional strengths in youth with ADHD and their parents. A total of 44 youth-parent dyads participated, completing strength-based and self-stigma measures. Hierarchical multiple regressions were conducted to determine the relation between youth or parent self-stigma and the perceptions of youth strengths. Partial correlations were used to examine associations between self-stigma and specific strength domains. Results indicated that higher youth self-stigma was significantly associated with lower self-rated strengths across all socioemotional domains, while higher parent self-stigma was linked to lower parent-rated strengths in family involvement and intrapersonal areas. Notably, youth self-stigma did not predict parent-rated strengths, and vice versa, suggesting self-stigma biases perceptions rather than reflecting objective differences in strengths. These findings highlight the potential negative impact of self-stigma on self- and parent-perceptions of youth capabilities and underscore the importance of interventions that target stigma reduction and promote strength-based perspectives. Future research should explore causality and the potential buffering role of strengths against the harmful effects of self-stigma.
Longitudinal Changes in Preschoolers' Self-reported Psychological and Social Problems: Feasibility, Reliability, and Cross-informant Agreement.
Chan MH, Feng X, Gong Y … +1 more , Inboden K
Child Psychiatry Hum Dev · 2025 Jun · PMID 40493134 · Publisher ↗
For decades, parental reports were used to assess children's psychological symptoms and social problems. The Berkeley Puppet Interview (BPI) utilizes hand puppets to collect questionnaire-style interview data from childr...
For decades, parental reports were used to assess children's psychological symptoms and social problems. The Berkeley Puppet Interview (BPI) utilizes hand puppets to collect questionnaire-style interview data from children, allowing consideration of children's own perspective. The current longitudinal study compared the feasibility and reliability of preschoolers' self-report with BPI at age 4 (M = 4.03, SD = 0.16; 52% boy, 82% White American) and 5 (M = 5.22, SD = 0.36) as well as cross-informant agreement among children, mothers, alternate caregivers (> 90% biological fathers), and coders. Children completed Symptom, Prosocial, and Parenting scales of BPI and their parents completed surveys assessing similar constructs. Our findings revealed both similarities and changes across ages. Specifically, the reliability and cross-informant agreement of the broad Symptom and Parenting scales were promising at both timepoints; however, 4-year-olds showed lower internal consistency in Social scales. Recommendations for how to refine and utilize BPI appropriately in young children in future research and the importance of cross-informant design were discussed.
Understanding Disclosure Decisions in Parents of Children with Attention Deficit/Hyperactivity Disorder.
Mateo-Arriero I, Perry Y, Ohan JL
Child Psychiatry Hum Dev · 2025 Jun · PMID 40488932 · Publisher ↗
Parents of children with attention-deficit/hyperactivity disorder (ADHD) often make disclosure decisions about their child's ADHD on their behalf. While disclosure can facilitate access to support, it risks stigma. Despi...
Parents of children with attention-deficit/hyperactivity disorder (ADHD) often make disclosure decisions about their child's ADHD on their behalf. While disclosure can facilitate access to support, it risks stigma. Despite ADHD being one of the most common neurodevelopmental conditions, little is known about parent's experiences in relating information about their child's ADHD diagnosis or medication use, to others. This study aimed to understand this decision-making process in parents of children with ADHD. Fifteen parents completed semi-structured interviews about their lived experience of making these decisions. Reflexive thematic analysis was used to analyse the data. Five themes were organised to follow parents' decision-making process, starting with 'consider who to tell', followed by themes reflecting different disclosure goals: benefit the child, manage stigma, access support, and express identity. Findings highlighted a lack of support for parents through this decision-making process, and the opportunity to develop ways to provide this support in the future.
Associations among Caregiving Helplessness, Parenting Stress and Child Callous-Unemotional Traits in a Clinic-Referred Sample.
Johns AD, McMahon C, Kohlhoff J
Child Psychiatry Hum Dev · 2025 Jun · PMID 40478422 · Publisher ↗
This study explored whether caregiving helplessness and parenting stress were associated with callous-unemotional (CU) traits in a clinic-referred sample of 92 children (3-9 years). Mothers (N = 92) and fathers (N = 35)...
This study explored whether caregiving helplessness and parenting stress were associated with callous-unemotional (CU) traits in a clinic-referred sample of 92 children (3-9 years). Mothers (N = 92) and fathers (N = 35) of children with diagnosed conduct disorders (72% male) completed questionnaires assessing caregiving helplessness, parenting stress, child CU traits and conduct problems. Regression analyses revealed that among mothers, when controlling for family demographic variables and child conduct problems, lower reversed caregiving (child caring for an overwhelmed parent) and higher parenting stress were associated with higher child CU traits. For fathers, more frightened or frightening caregiving and lower reversed caregiving and parent helplessness were associated with higher child CU traits. These findings suggest that parent representations of caregiving helplessness are a useful construct to explore for children with CU traits and conduct problems. Interventions for children with higher CU traits could incorporate approaches that target parenting stress for mothers and fear-related caregiving representations for fathers. Future research should explore reasons for the different caregiving representations for mothers and fathers.
A Randomized Clinical Trial Comparing the Effectiveness of Emotion-Focused and Behavioral Parent Training in Families of School-aged Children with Attention-Deficit/Hyperactivity Disorder.
Zargarinejad G, Shortt JW, Eddy JM … +5 more , Ebadi Zare S, Gharraee B, Farahani H, Aghebati A, Shirazi E
Child Psychiatry Hum Dev · 2025 Jun · PMID 40478421 · Publisher ↗
Behavioral Parent Training (BPT) is a well-established intervention for Attention-Deficit/Hyperactivity Disorder; however, it has been criticized for its limited focus on enhancing parental emotion regulation (ER) skills...
Behavioral Parent Training (BPT) is a well-established intervention for Attention-Deficit/Hyperactivity Disorder; however, it has been criticized for its limited focus on enhancing parental emotion regulation (ER) skills, which are crucial for supporting children's emotional development. This gap underscores the need to examine the effectiveness of ER-focused parental interventions in comparison to BPT. The present study aimed to compare the effectiveness of an EF parenting and a BPT intervention on various child- and mother-related outcomes in families of school-aged children with ADHD. Fifty-nine participants were randomly assigned to an EF intervention (The Emotions Program), a BPT intervention (Triple P Positive Parenting Program), or a waitlist control group, with data from forty-seven participants (mean child age = 8.00; SD = 1.38; 72.3% boys) included in the final analyses. The treatment groups received structured, manual-based interventions, while the waitlist group received the BPT intervention after the final assessment. Assessments were conducted at pre-intervention, post-intervention, and a two-month follow-up. Results from repeated-measures ANOVAs and post-hoc analyses indicated that both EF and BPT led to significant improvements compared to the control group, though each approach had distinct effects. Both interventions significantly reduced child conduct problem scores; however, EF was particularly effective in decreasing non-supportive maternal reactions, alleviating parenting stress, and improving parental emotion regulation, while BPT showed greater effectiveness in reducing ADHD symptoms and child emotion dysregulation. These findings highlight the importance of tailoring interventions to address specific parental and child needs, suggesting that integrating EF and BPT approaches may provide a more comprehensive framework for supporting families of children with ADHD.
A Pilot Randomized Controlled Trial Evaluating the Effectiveness of the Parenting C.A.R.E. Program: A Virtual Synchronously Delivered Intervention.
Edels R, Hou QQ, Montreuil TC
Child Psychiatry Hum Dev · 2025 Jun · PMID 40471477 · Publisher ↗
This study examined the effectiveness of the Parenting CARE Program, a virtual, synchronously delivered parenting intervention aimed at improving child emotion regulation (ER) by enhancing parental ER and emotion sociali...
This study examined the effectiveness of the Parenting CARE Program, a virtual, synchronously delivered parenting intervention aimed at improving child emotion regulation (ER) by enhancing parental ER and emotion socialization (ES) skills. In a pilot randomized controlled trial, 105 parents of children aged 8 to 13 were randomly assigned to the intervention group (n = 57) or control group (n = 48). Two-way mixed ANOVAs were used to evaluate changes in parental ES, parental ER, and child ER from T1 to T2. A significant interaction between time and group was found for overall parent emotion dismissing scores, showing a greater decrease in parents' dismissing responses to their child's emotions for the intervention group compared to the control group. The difference between intervention and control emotion dismissing scores was observed to be approaching significance at T2. No significant time x group interactions were observed for overall supportive ES behaviours, parent ER difficulties, or child ER difficulties, despite improvements observed over time for the intervention group across parent and child ER difficulties. Secondary analyses revealed significant reductions in punitive and overriding ES behaviours for the intervention group, compared to the control group. The intervention demonstrated feasibility, with 75% of participants completing at least four sessions, and high satisfaction rates were reported by participants. These findings suggest potential benefits of the intervention in improving parent ES, parent ER, and child ER, although further research is needed to explore long-term effects.
Neglect and Behavior Problems in Early Childhood: A Test of Indirect Effects Through Emotion Knowledge.
Bennett DS, Robinson J, Sullivan MW … +1 more , Lewis M
Child Psychiatry Hum Dev · 2025 May · PMID 40448905 · Publisher ↗
Neglected children are at-risk for behavior problems, although the processes by which such problems develop are poorly understood. We examined whether Emotion Knowledge (EK) mediated the relationship between neglect and...
Neglected children are at-risk for behavior problems, although the processes by which such problems develop are poorly understood. We examined whether Emotion Knowledge (EK) mediated the relationship between neglect and young children's behavior problems. In a community sample (N = 127), neglect history was assessed at 4.0 years using Child Protective Services records (44% neglected); at 4.5 years children completed an EK assessment (expression recognition; expression labeling; and situational knowledge); and at 6- to 7-years teachers rated children's behavior problems on the Teacher Report Form. Neglect predicted greater total behavior problems (r = .227, p =.035), while the EK composite predicted fewer total behavior problems (r =-.383, p <.001). Neglect did not predict EK (r =-.162, p =.069) nor were indirect effects significant at the 95% credible interval in Bayesian mediation models. While significant mediation was not identified, findings suggest that early screening of EK skills and implementation of interventions to enhance such skills could help to prevent the onset or worsening of behavior problems among young children.
"The Way the System is Working Out, It's Not Working at All": Parent Perspectives on Social Determinants of Health and ADHD Symptoms in Preschoolers.
Spencer AE, McMahon TP, Mondesir R … +12 more , Garriga-Cerni N, Savage M, Smith MC, Loubeau JK, Sikov J, Kobayashi I, Singh J, Dayal R, Ladino V, Borba C, Garg A, Silverstein M
Child Psychiatry Hum Dev · 2025 May · PMID 40445243 · Full text
Adverse social determinants of health (SDH) are associated with higher risk for ADHD and worse prognosis. Understanding the reason for this association is critical for planning interventions to reduce inequities in ADHD...
Adverse social determinants of health (SDH) are associated with higher risk for ADHD and worse prognosis. Understanding the reason for this association is critical for planning interventions to reduce inequities in ADHD outcomes. To answer this question, we conducted a qualitative study with parents of preschoolers aged 3-5 years old with ADHD symptoms, recruited from a safety net hospital, to understand their perspectives on the relationship between SDH and ADHD symptoms. Nineteen parents (53% Black, 26% Latine, 16% White; median income $32,500) completed in-depth interviews, and the data was analyzed using thematic analysis. Parents described bidirectional relationships between three main themes: (1) unmet social needs, (2) child ADHD symptoms, and (3) parent stress. Our findings suggest that early intervention to address unmet social needs in the child's environment and support parent mental health could be tested to improve symptom trajectories in preschoolers with emerging ADHD.
The Mediating Role of Interpersonal Relationships in the Link Between Maladaptive Personality Traits and Quality of Life in Referred Youth.
van den Hanenberg DAM, Schuiringa HD, van Aken MAG … +3 more , De Clercq BJ, Laceulle OM, van der Heijden PT
Child Psychiatry Hum Dev · 2025 May · PMID 40439966 · Publisher ↗
Youth with maladaptive personality traits often experience diminished quality of life (QoL) as well as difficulties in interpersonal relationships. The present study aims to investigate the mediating role of perceived so...
Youth with maladaptive personality traits often experience diminished quality of life (QoL) as well as difficulties in interpersonal relationships. The present study aims to investigate the mediating role of perceived social support and conflicts with parents in the link between maladaptive personality traits and QoL. The sample consists of 110 youth referred to outpatient treatment (M = 21.3 years; range= 16-29 years) from a mental health institute in the Netherlands who filled out various questionnaires. Results indicate that youth with higher levels of negative affectivity, detachment, and psychoticism experience a lower level of QoL. Additionally, higher levels of negative affectivity, detachment, disinhibition, antagonism, and psychoticism are related to less perceived social support from father, which in turn is associated with lower perceived QoL. In other words, social support from father was a significant mediator and accounted for 18% up to 94.4% of the variance of the direct effect. However, social support from mother and conflicts with both parents are not significant mediators. Findings demonstrate that the direct association between maladaptive personality traits and QoL is, to a substantial extent, explained by social support from father. Therefore, it is important to investigate interpersonal relations separately for father and mother.
Lifetime Contacts with Child Welfare Services among Children and Adolescents with ADHD: A Population-Based Registry Study.
Chaulagain A, Widding-Havneraas T, Lyhmann I … +3 more , Halmøy A, Bjelland I, Mykletun A
Child Psychiatry Hum Dev · 2025 May · PMID 40434614 · Publisher ↗
Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents often face challenges that may lead to contact with child welfare services (CWS). However, there is a lack of studies addres...
Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents often face challenges that may lead to contact with child welfare services (CWS). However, there is a lack of studies addressing this issue. This study assessed the rate and association between ADHD and different types of CWS contact compared to the general population. We also examined whether individual and parental characteristics were associated with CWS contact among children and adolescents with ADHD. We employed a longitudinal research design and examined an 18-year age trajectory for a cohort of 8,051 children and adolescents aged 5 to 18 years diagnosed with ADHD between 2009 and 2011, linking several Norwegian nationwide registries. Descriptive statistics and logistic regression analysis assessed rate and association between ADHD and CWS contact. Chi-square tests and t-tests examined associations between individual and parental characteristics and CWS contact among those with ADHD. Children and adolescents with ADHD had considerably higher rate of any CWS contacts (32.7%) compared to the general population (6.1%). ADHD was significantly associated with both out-of-home placement (aOR = 7.3, 95% CI: 5.2-10.2) and supportive interventions (aOR = 6.3, 95% CI: 5.1-7.7). Among those with ADHD, comorbid conduct disorder and a criminal record were significantly associated with CWS contact compared to those without CWS contact. Additionally, they were more likely to have unmarried parents and parents with lower income and educational level. These findings provide novel insight into the relationship between ADHD and contact with CWS. Future research should examine the impact of clinical and behavioral treatment of ADHD on contact with CWS.
The Long-Term Effects of Prenatal Alcohol Exposure on Offspring: Insights from the ALSPAC Cohort.
Ogunjimi E, Guebert AF, Anderson T … +3 more , Derkson J, Okonji PE, Mela M
Child Psychiatry Hum Dev · 2025 May · PMID 40411731 · Publisher ↗
Prenatal alcohol exposure (PAE) is a significant public health concern, associated with adverse developmental outcomes throughout the lifespan. The Avon Longitudinal Study of Parents and Children (ALSPAC), a globally rec...
Prenatal alcohol exposure (PAE) is a significant public health concern, associated with adverse developmental outcomes throughout the lifespan. The Avon Longitudinal Study of Parents and Children (ALSPAC), a globally recognized longitudinal birth cohort, provides a robust dataset for examining the effects of PAE on physical, cognitive, and behavioral health outcomes. A structured search was conducted to identify peer-reviewed studies that utilized ALSPAC data to explore the effects of PAE. Studies were included if they satisfied the inclusion criteria (i.e., published between in English language 1999-2024, and examined the associations between PAE and outcomes in children and adolescents. The results reveal mixed findings. While conclusions from some studies suggest significant association exist between moderate levels of PAE and mild cognitive deficits and/or increase behavioral problems, especially in specific domains such as hyperactivity and inattention, other studies showed no relationship between low-to-moderate PAEs and cognitive or behavioral outcomes. Conversely, higher PAE levels were more often significantly associated with adverse outcomes such as reduced Intelligence Quotient (IQ), behavioral and emotional problems, lower birth weight, increased risk of depression, and adolescent drug and alcohol-related problems. ALSPAC-based studies demonstrate that higher levels of PAE are linked to significant risks for cognitive, behavioral, and physical development, even though low-level PAE exposure may not cause significant harm to development. The findings underscore the necessity of cautious public health engagement concerning alcohol consumption during pregnancy and emphasize the significance of critical consideration of multiple confounding factors.
Harsh Parenting and Problematic Smartphone Use: The Chain Mediating Effects of Attention to Negative Information and Social Anxiety.
Zhou H, Wang S, Lin Y … +2 more , Jiang H, Lu J
Child Psychiatry Hum Dev · 2025 May · PMID 40411730 · Publisher ↗
Harsh parenting has been shown to be associated with problematic smartphone use among adolescents. However, few studies have explored the relationship between harsh parenting and problematic smartphone use through a dual...
Harsh parenting has been shown to be associated with problematic smartphone use among adolescents. However, few studies have explored the relationship between harsh parenting and problematic smartphone use through a dual-system framework that integrates both emotional and cognitive processing. We aim to investigate the serial mediation effects of attention to negative information and social anxiety in the relationship between harsh parenting and problematic smartphone use among adolescents. The study involved 276 adolescents (mean age = 13.93; SD = 0.82; 42.4% boys) from two middle schools in southeastern China. We assessed harsh parenting, attention to negative information, social anxiety and problematic smartphone use over three waves at three-month intervals. The result show that attention to negative information (T2) serve as independent mediator between harsh parenting (T1) and problematic smartphone use (T3). Also, attention to negative information (T2) and social anxiety (T2) serve as chain mediators between harsh parenting (T1) and problematic smartphone use (T3). However, the direct effect of harsh parenting (T1) on social anxiety (T2) was not significant. These findings suggest that attention to negative information and social anxiety serve as key cognitive and emotional mechanisms linking harsh parenting to problematic smartphone use in adolescents.
School Anxiety Accommodation in Youth: Prevalence and Patterns Among Teachers.
Håland ÅT, Bertelsen TB
Child Psychiatry Hum Dev · 2026 Feb · PMID 40411729 · Full text
This study addressed the pressing need to investigate the prevalence and nature of teachers' anxiety-accommodating behaviors across different grades. Employing a cross-sectional design, we disseminated a questionnaire to...
This study addressed the pressing need to investigate the prevalence and nature of teachers' anxiety-accommodating behaviors across different grades. Employing a cross-sectional design, we disseminated a questionnaire to 1200 (243 responded) teachers within the Kristiansand municipality in Norway, spanning elementary to high schools. The findings revealed a pronounced trend: every teacher reported at least one anxiety-accommodating behavior, with 71% indicating frequent use. Factor analysis further elucidated two primary accommodation strategies: 'Modification' and 'Participation', which had distinct correlations to the grade levels taught. These findings fit with parental accommodation patterns for anxiety observed in the community, suggesting similar accommodation behaviors among community members and teachers. Given this widespread prevalence of anxiety accommodation, coupled with the limited availability of school-based CBT interventions, this study revealed a significant divergence from evidence-based practices that focus primarily on confronting anxiety provoking situations. The potential biases of self-reporting and the study's regional focus stand as limitations. However, the clear implication is the urgent need for tailored interventions aimed at reducing anxiety accommodating behaviors for educators, paralleling similar strategies designed for parents with the goal of improving the way school personnel manage and help to mitigate student anxiety in the school environment.
Everybody @ease - reaching Out To Vulnerable Subgroups of Young People with Mental Health Problems in the Netherlands: an Adaptation of the Standard @ease Working Method.
Crombach CMW, Janssen SER, Daemen M … +3 more , Klaassen RMC, van Amelsvoort T, Leijdesdorff SMJ
Child Psychiatry Hum Dev · 2025 May · PMID 40408015 · Publisher ↗
Young people with mental health problems do not always receive appropriate care. This study aims to increase understanding of the barriers and facilitators that young people face in their pathways towards care, by making...
Young people with mental health problems do not always receive appropriate care. This study aims to increase understanding of the barriers and facilitators that young people face in their pathways towards care, by making use of targeted outreach activities by @ease, a youth-friendly walk -in center in the Netherlands. A questionnaire enquiring demographic characteristics, symptom levels and levels of functioning was administered to young people as part of a pilot-outreach program at @ease. Semi-structured interviews were conducted with participants to explore their attitudes towards and experiences with mental health care and how these influenced their help-seeking. Sixty-six participants were included in the pilot-outreach @ease program. Main themes concerning participant help-seeking were 'beliefs about self and others', 'accessibility of care', 'social network' and 'previous experiences with mental health care'. Participants also gave suggestions for care improvement. The outreach pilot successfully reached young people previously underrepresented through the regular @ease program. A key finding is that participants' previous experiences with mental health care played an important role in shaping their attitudes towards future help-seeking for mental health problems, influencing them both positively and negatively.
Patterns of Non-Suicidal Self Injury Methods among Korean Youths: Associations with Sociodemographic, Psychosocial, and Clinical Characteristics.
Kim I, Park G, Jung H … +1 more , Lee D
Child Psychiatry Hum Dev · 2025 May · PMID 40402174 · Publisher ↗
To identify heterogeneous patterns of non-suicidal self-injury among Korean youths and examine the associations with sociodemographic, psychosocial, and clinical characteristics. We studied 701 Korean youths aged 9 to 24...
To identify heterogeneous patterns of non-suicidal self-injury among Korean youths and examine the associations with sociodemographic, psychosocial, and clinical characteristics. We studied 701 Korean youths aged 9 to 24 with a history of NSSI. Using latent class analysis (LCA), we identified NSSI patterns within the sample, employing R3STEP and DU3STEP features to explore predictors and distal outcomes across identified classes. Eight NSSI methods were included as indicators of LCA (e.g., cutting skin, hitting oneself, pulling out hair, and burning skin). Predictors encompassed sociodemographic factors, receipt of mental health services, and traumatic experiences. Distal outcomes evaluated NSSI-related psychosocial and clinical characteristics (e.g., NSSI severity, suicide behavior, self-esteem, automatic thoughts). As a result of LCA, we identified a 4-class model: Skin-damaging (15.84%), Hitting/Cutting (32.10%), Cutting (25.68%), and Multiple methods (26.39%). Significant predictors included past or present psychiatric treatments and the number of traumatic experiences. Distal outcomes differed across the classes overall, with Multiple Methods demonstrating the most severe psychosocial and clinical symptoms and Skin-damaging milder than other classes. Specifically, youths in Multiple Methods class showed the most severe NSSI, the highest social exposure to NSSI, most frequent automatic negative thoughts, highest suicidal behaviors, lowest self-esteem, least positive body image, and minimal time spent on body care and protection. This study reveals heterogeneous NSSI patterns among Korean youths, with associations with sociodemographic, psychosocial, and clinical characteristics. The findings emphasize the importance of pattern-based screening and tailored interventions for youths based on their NSSI patterns.
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