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How social is social media for transgender and gender-diverse youth? Association of online social experiences with internalizing mental health problems Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-17 Lena Herrmann, Claus Barkmann, Carola Bindt, Sarah Hohmann, Saskia Fahrenkrug, Inga Becker-Hebly
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Problems in peer relationships and low engagement in romantic relationships in preterm born adolescents: effects of maternal warmth in early childhood Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-16 Ayten Bilgin, Dieter Wolke, Hayley Trower, Nicole Baumann, Katri Räikkönen, Kati Heinonen, Eero Kajantie, Daniel Schnitzlein, Sakari Lemola
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Mental and physical health in children of women with a history of anorexia nervosa Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-13 Sandra Rydberg Dobrescu, Lisa Dinkler, Carina Gillberg, Christopher Gillberg, Maria Råstam, Elisabet Wentz
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Assessing adverse childhood experiences in young refugees: a systematic review of available questionnaires Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-07 Shaymaa Abdelhamid, Eline Kraaijenvanger, Joachim Fischer, Maria Steinisch
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Generation time-out grows up: young adults’ reports about childhood time-out use and their mental health, attachment, and emotion regulation Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-05
Abstract Time-out (TO) is a widely utilised parental discipline technique with a strong evidence-base that nonetheless has attracted controversy regarding potential adverse effects on mental health in developing children. Associations between TO implementation and mental health outcomes have rarely been investigated, especially through the eyes of children who grew up experiencing TO. This study recruited
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Resilience strengthening in youth with a chronic medical condition: a randomized controlled feasibility trial of a combined app and coaching program Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-02 Anne Christine Bischops, L. Sieper, J. Dukart, N. K. Schaal, C. Reinauer, P. T. Oommen, C. Tomoiaga, O. David, E. Mayatepek, T. Meissner
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Child- and parent-related determinants for out-of-home care in a nationwide population with neurodevelopmental disorders: a register-based Finnish birth cohort 1997 study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-02
Abstract Neurodevelopmental disorders (NDDs) are among the most common health issues in childhood and adolescence. Psychiatric disorders are known to be overrepresented among children using child welfare services and placed in out-of-home care (OHC). Child- and parent-related determinants for OHC among a national population with NDDs were evaluated utilising longitudinal register data from the national
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Internet- and mobile-based anxiety and depression interventions for children and adolescents: efficacy and negative effects - a systematic review and meta-analysis Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-03-02 Patrick Dülsen, Harald Baumeister
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Whole-family programmes for families living with parental mental illness: a systematic review and meta-analysis Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-23
Abstract Several interventions have been developed to support families living with parental mental illness (PMI). Recent evidence suggests that programmes with whole-family components may have greater positive effects for families, thereby also reducing costs to health and social care systems. This review aimed to identify whole-family interventions, their common characteristics, effectiveness and
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Do maternal anxiety and depressive symptoms predict anxiety in children with and without ADHD at 8 years? Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-20 Christine Baalsrud Ingeborgrud, Beate Oerbeck, Svein Friis, Are Hugo Pripp, Pål Zeiner, Heidi Aase, Guido Biele, Søren Dalsgaard, Kristin Romvig Overgaard
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Developmental origins of psycho-cardiometabolic multimorbidity in adolescence and their underlying pathways through methylation markers: a two-cohort study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-17 Priyanka Choudhary, Justiina Ronkainen, Jennie Carson, Ville Karhunen, Ashleigh Lin, Phillip E. Melton, Marjo-Riitta Jarvelin, Jouko Miettunen, Rae-Chi Huang, Sylvain Sebert
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Transmission of depressive symptoms in the nuclear family: a cross-sectional and cross-lagged network perspective Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-16 Wenrui Zhang, Ting He, Qinglu Wu, Peilian Chi, Xiuyun Lin
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Position Paper: fragmented youth healthcare services in the Netherlands endanger treatment of teenage boys with psychiatric disorders Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-16 Rinske IJsselhof, Amy Hintjens, Anne Pelzer, Edward Nieuwenhuis
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Secular trends in mental health problems among young people in Norway: a review and meta-analysis Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-16 Thomas Potrebny, Sondre Aasen Nilsen, Anders Bakken, Tilmann von Soest, Kirsti Kvaløy, Oddrun Samdal, Børge Sivertsen, Heidi Aase, Lasse Bang
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“You cannot just stop life for just that”: a qualitative study on children’s experiences on refugee journey to Sweden Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-15 Erica Mattelin, Natalie Söderlind, Laura Korhonen
Children with refugee backgrounds are often exposed to violence and other adverse experiences with well-known detrimental consequences on mental health. However, the current group of approximately 40 million child refugees is heterogeneous, stressing the importance of first-person perspectives in understanding children’s unique experiences and needs related to the migration process. Identifying contextual
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Is neighbourhood deprivation in primary school-aged children associated with their mental health and does this association change over 30 months? Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-14 Katie Finning, Amy Haeffner, Sohum Patel, Bryony Longdon, Rachel Hayes, Obioha C. Ukoumunne, Tamsin Ford
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Prevalence and quality of life of 11–15-year-old adolescent young carers in France: a school-based study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-14 Jade Pilato, Géraldine Dorard, Aurélie Untas
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Protective factors for suicidal ideation: a prospective study from adolescence to adulthood Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-14
Abstract Adolescent suicidality is associated with negative outcomes in adulthood. Suicide prevention has traditionally focused on identifying risk factors, yet suicide rates have remained stable. With suicidality often going undetected—especially suicidal ideation, further knowledge about protective factors is needed. The main objective of this study was to investigate potential protective factors
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Increased risk of attention-deficit/hyperactivity disorder in adolescents with high salivary levels of copper, manganese, and zinc Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-14 D’Artagnan M. Robinson, Karen L. Edwards, Michael T. Willoughby, Katrina R. Hamilton, Clancy B. Blair, Douglas A. Granger, Elizabeth A. Thomas
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Barriers to and facilitators of user engagement with web-based mental health interventions in young people: a systematic review Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-14
Abstract Many young people (YP) are diagnosed with mental illnesses and require support. Web-based mental health interventions (W-MHIs) have been increasingly utilized by YP, healthcare providers, and parents due to reasons including convenience and anonymity. W-MHIs are effective in improving mental health in YP. However, real-world engagement with W-MHIs remains low. Therefore, understanding barriers/facilitators
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Impact of poverty and adversity on perceived family support in adolescence: findings from the UK Millennium Cohort Study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-14
Abstract Emotional support from family members may have an important effect on adolescent health outcomes, and has been identified as a target for policy to protect against the impacts of poverty and other early life adversities. However, few studies have assessed the extent to which poverty and adversity themselves influence the nature of emotional support that parents can provide to adolescents.
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Physical activity and psychopathology: are long-term developmental trajectories of physical activity in children and adolescents associated with trajectories of general mental health problems and of attention-deficit hyperactivity (ADHD) symptoms? Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-12 Parisa Ganjeh, York Hagmayer, Thomas Meyer, Ronny Kuhnert, Ulrike Ravens-Sieberer, Nicole von Steinbuechel, Aribert Rothenberger, Andreas Becker
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Randomized controlled trial of individualized arousal-biofeedback for children and adolescents with disruptive behavior disorders (DBD) Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-08 Pascal-M. Aggensteiner, Boris Böttinger, Sarah Baumeister, Sarah Hohmann, Stefan Heintz, Anna Kaiser, Alexander Häge, Julia Werhahn, Christoph Hofstetter, Susanne Walitza, Barbara Franke, Jan Buitelaar, Tobias Banaschewski, Daniel Brandeis, Nathalie E. Holz
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Childhood obesity and adolescent follow-up depressive symptoms: exploring a moderated mediation model of body esteem and gender Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-07
Abstract Obesity is a well-recognized risk factor for adolescent depressive symptoms, but mediating mechanisms of this association have scarcely been studied. This study is unique in examining an indirect pathway of this link via body esteem (BE) prospectively from childhood (8–12 years) to adolescence (13–18 years). In addition, potential gender moderation was examined. This study utilized data from
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Risk and protective factors of suicidal tendencies among freshmen in China revealed by a hierarchical regression model Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-07 Zhongrui Wang, Xiyu Li, Haiyu Xu, Tao Zhang
This study aimed to identify risk and protective factors for suicidal tendencies among college students by exploring current mental health, personal experiences, family environment, and school adaptation. A total of 11,504 freshmen in China were recruited. Suicidal tendencies were assessed using the Adolescents Suicidal Tendencies Scale (ASTS), while explored risk and protective factors included mental
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Influence of at-risk family interactions on the course of psychiatric care in adolescence Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-02 M. Robin, L. Surjous, J. Belbèze, L. Bonnardel, M. Varlet, J. Silva, J. Lamothe, A. Essadek, B. Falissard, D. Cohen, M. Corcos
Dysparenting, referring to inappropriate parental attitudes, is a vulnerability factor for mental disorders during adolescence and a therapeutic leverage, yet clinicians lack reliable tools to assess it in daily clinical practice. Moreover, the effect of this dysparenting on the amount of psychiatric care remains unclear. The Family and Care study aims to develop the at-risk family interactions and
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Peer relationships, adolescent anxiety, and life satisfaction: a moderated mediation model in Turkish and syrian samples Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-02-01 Onat Yetim, Resul Çakır, Ece Bülbül, İlham Sebea Alleil
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Participation in club sport in childhood is associated with mental health in preterm and term born adolescents Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-30 Juliane Spiegler, Usama EL-Awad, Nicole Baumann, Sakari Lemola, Dieter Wolke
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Protective factors associated with resilience among unaccompanied refugee minors after settling in Norway: a matched cross-sectional study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-29 Oda Marie Heimli, Ingrid Kvestad, Tormod Bøe, Nawar Sayyad, Sondre Aasen Nilsen, Sølve Randal, Kristin Gärtner Askeland
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Association between telomere length and neuropsychological function at 4–5 years in children from the INMA project: a cross-sectional study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-22 Irene Campos-Sánchez, Eva María Navarrete-Muñoz, Miriam Hurtado-Pomares, Jordi Júlvez, Nerea Lertxundi, Dries S. Martens, Ana Fernández-Somoano, Isolina Riaño-Galán, Mònica Guxens, Jesús María Ibarluzea, Tim Nawrot, Desirée Valera-Gran
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Child temperament as a longitudinal predictor of mother–adolescent interaction quality: are effects independent of child and maternal mental health? Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-19 Leonie Fleck, Anna Fuchs, Katharina Williams, Eva Moehler, Franz Resch, Julian Koenig, Michael Kaess
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Is irritability multidimensional: Psychometrics of The Irritability and Dysregulation of Emotion Scale (TIDES-13) Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-16 Andrew S. Dissanayake, Annie Dupuis, Paul D. Arnold, Christie L. Burton, Jennifer Crosbie, Russell J. Schachar, Tomer Levy
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Sleep measures as a predictor of suicidal ideation among high-risk adolescents Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-16
Abstract Suicide is the second leading cause of death among youth aged 15–24 years. Identifying modifiable risk factors relevant to adolescents is crucial for suicide prevention. Sleep patterns have been linked to suicidality in adults, but lack sufficient study in youth. This ecological momentary assessment (EMA) study aimed to explore the relationship between objectively and subjectively measured
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Cognitive and affective perspective taking amongst adolescent offenders with variants of callous–unemotional traits Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-10 Stavroola A. S. Anderson, David J. Hawes, Pamela C. Snow
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Impulsivity in adolescent girls diagnosed with trichotillomania: an evaluation of clinical and neuropsychological characteristics Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-09 Hande Günal Okumuş, Devrim Akdemir, Rahime Duygu Temeltürk, Makbule Esen Öksüzoğlu
The aim of this study is to compare the clinical and neuropsychological features of impulsivity in adolescent girls with trichotillomania (TTM) and healthy controls, and to assess the relationships between the severity of TTM and the impulsivity/concomitant symptoms of anxiety and depression. The study sample consisted of 43 adolescent girls who were 12 to 18 years old. The Kiddie-Schedule for Affective
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Risk-taking and self-harm behaviors as markers of adolescent borderline personality disorder Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-09 Yasmine Blaha, Marialuisa Cavelti, Stefan Lerch, Annekatrin Steinhoff, Julian Koenig, Michael Kaess
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Association of difficulties in motor skills with longitudinal changes in social skills in children with autism spectrum disorder: findings from the ELENA French Cohort Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-08
Abstract Developmental coordination disorder is a frequently co-occurring condition with autism spectrum disorder (ASD). Several cross-sectional studies have reported that children with difficulties in motor skills have a higher severity of ASD symptoms. This study aims to examine the association of difficulties in motor skills with longitudinal changes in social skills in children with ASD. Participants
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Cool and hot executive function problems in young children: linking self-regulation processes to emerging clinical symptoms Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-06 Kate L. Anning, Kate Langley, Christopher Hobson, Stephanie H. M. van Goozen
Self-regulation (SR) difficulties are implicated in a wide range of disorders which develop in childhood, including attention deficit hyperactivity disorder (ADHD), oppositional defiance disorder (ODD), anxiety and depression. However, the integration of the existing research evidence is challenging because of varying terminology and the wide range of tasks used, as well as the heterogeneity and comorbidity
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Comparison of antipsychotic drug use in children and adolescents in the Netherlands before and during the COVID-19 pandemic Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-06
Abstract This study aims to describe the patterns and trends in antipsychotic prescription among Dutch youth before and during the corona virus disease 2019 (COVID-19) pandemic (between 2017 and 2022). The study specifically aims to determine whether there has been an increase or decrease in antipsychotic prescription among this population, and whether there are any differences in prescription patterns
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Association between maltreatment, hair cortisol concentration, positive parent–child interaction, and psychosocial outcomes in Chinese preschool children Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-06 Wenjie Shan, Yunting Zhang, Jin Zhao, Li Zhao, Brian J. Hall, Joseph D. Tucker, Fan Jiang
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Core features of callous–unemotional traits: a cross-cultural comparison of youth in four countries Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-05 Jiaxin Deng, Yiyun Shou, Meng-Cheng Wang, Jennifer L. Allen, Yu Gao, David J. Hawes
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Factorial structure of the Internet Gaming Disorder questionnaire in the Italian setting: a single-factored ailment or a multifaceted condition? Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-05 Luca Milani, Douglas A. Gentile
Introduction Internet Gaming Disorder (IGD) according to DSM-5 is a behavioral addiction needing additional study. IGD in youth is correlated with anxiety, depression, attention problems, interpersonal problems, social phobia, behavior problems and low academic achievement. The aim of the present research is to contribute to the understanding of the disorder, by providing preliminary data on the factorial
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Impact of COVID-19 pandemic on prescription stimulant use among children and youth: a population-based study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-05 Tony Antoniou, Kathleen Pajer, William Gardner, Melanie Penner, Yona Lunsky, Daniel McCormack, Mina Tadrous, Muhammad Mamdani, Peter Gozdyra, David N. Juurlink, Tara Gomes
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Children and young people’s reported contact with professional services for mental health concerns: a secondary data analysis Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-04 Frances Mathews, Tamsin Jane Ford, Simon White, Obioha Chukwunyere Ukoumunne, Tamsin Newlove-Delgado
Children and young people’s mental health services have been under increasing pressure following COVID-19. Understanding, for which channels help is sought from, will highlight services needing support. This study aims to explore the professional services that parents of children, and young people get help from when they have a concern for the child’s/their mental health. Secondary analysis of data
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COVID-19 pandemic impact on adolescent mental health: a reassessment accounting for development Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-03 N. Wright, J. Hill, H. Sharp, M. Refberg-Brown, D. Crook, S. Kehl, A. Pickles
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Body mass index, internalizing behavior and executive function: examining trait-state effects from age 2 to 15 Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-03 Keman Li, Ni Yan
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Adherence to the Mediterranean diet and depressive, anxiety, and stress symptoms in Spanish adolescents: results from the EHDLA study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-03 Estela Jiménez-López, Arthur Eumann Mesas, María Eugenia Visier-Alfonso, Carlos Pascual-Morena, Vicente Martínez-Vizcaíno, Eva Herrera-Gutiérrez, José Francisco López-Gil
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Body dissatisfaction and dieting among Finnish adolescents: a 20-year population-based time-trend study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2024-01-02
Abstract Body image has an important role in the health and development of adolescents. Body dissatisfaction and dieting can become chronic and continue into adulthood. There is a lack of recent, comprehensive studies on ongoing trends on body dissatisfaction. This study assessed time-trend changes in self-reported body dissatisfaction and dieting among Finnish adolescents at four assessment points
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Gray matter asymmetry alterations in children and adolescents with comorbid autism spectrum disorder and attention-deficit/hyperactivity disorder Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-30 Cuicui Li, Rui Zhang, Yunna Zhou, Tong Li, Rui Qin, Lin Li, Xianshun Yuan, Li Wang, Ximing Wang
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Reframing stigma in Tourette syndrome: an updated scoping review Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-30
Abstract Persistent tic disorders (PTD) such as Tourette’s syndrome (TS) are common childhood-onset neurodevelopmental disorders. Stigmatization of individuals with these disorders remains an ongoing problem. The purpose of this scoping review is to serve as an updated review of the research regarding stigmatization in youth with PTD since the publication of the original systematic review about this
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Are the estimated needs for mental health care among adolescents from different socioeconomic backgrounds met equally in Sweden? A longitudinal survey-registry linkage study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-29 Joseph Jr. Muwonge, Christina Dalman, Bo Burström, Antonio Ponce de Leon, Maria Rosaria Galanti, Beata Jablonska, Anna-Clara Hollander
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Adolescent delinquency following co-occurring childhood head injuries and conduct problem symptoms: findings from a UK longitudinal birth cohort Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-28 Hannah R. Carr, James E. Hall, Valerie C. Brandt
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Longitudinal relationship between oppositional defiant disorder symptoms and attention-deficit/hyperactivity disorder symptoms in Chinese children: insights from cross-lagged panel network analyses Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-27 Wenrui Zhang, Ting He, Stephen Hinshaw, Peilian Chi, Xiuyun Lin
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Longitudinal associations of menstrual characteristics with mental health problems among Chinese girls Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-27 Danyan Yuan, Qiaoqiao Li, Nalan Zhan, Lan Zhang, Jian Wang, Mingfan Liu, Fulei Geng
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Examining bidirectional relations between sleep problems and non-suicidal self-injury/suicidal behavior in adolescents: emotion regulation difficulties and externalizing problems as mediators Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-27 Jiaping Yang, Yinqiu Zhao
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The self-perceived needs of adolescents with suicidal behaviour: a scoping review Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-26
Abstract Suicidal behaviour in adolescents is a major public health problem. Much research on this issue has focused on epidemiology and risk factors for suicidal behaviour, paying less attention to the self-perceived needs of adolescents. However, to increase engagement in suicide prevention, it is important to include the views of adolescents. A scoping review was performed to identify the available
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The supporting role of dogs in the inpatient setting: a systematic review of the therapeutic effects of animal-assisted therapy with dogs for children and adolescents in an inpatient setting Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-26 Dustin Fornefeld, Undine Zellin, Peter Schmidt, Oliver Fricke
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Shared atypical spontaneous brain activity pattern in early onset schizophrenia and autism spectrum disorders: evidence from cortical surface-based analysis Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-26 Xingyue Jin, Kun Zhang, Bin Lu, Xue Li, Chao-Gan Yan, Yasong Du, Yi Liu, Jianping Lu, Xuerong Luo, Xueping Gao, Jing Liu
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Family structure, socioeconomic status, and mental health in childhood Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-26 Laura Grüning Parache, Mandy Vogel, Christof Meigen, Wieland Kiess, Tanja Poulain
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Towards identifying the characteristics of youth with severe and enduring mental health problems in practice: a qualitative study Eur. Child Adolesc. Psychiatry (IF 6.4) Pub Date : 2023-12-26 C. H. Bansema, R. R. J. M. Vermeiren, L. Nijland, R. de Soet, J. Roeleveld, H. van Ewijk, L. A. Nooteboom
A group of youth with severe and enduring mental health problems (SEMHP) falls between the cracks of the child-and-adolescent psychiatry (CAP) system. An insufficient understanding of these youth’s mental health problems results in a failure to accurately identify and provide support to these youth. To gain a deeper understanding, the aim of this study is to explore characteristics of youth with SEMHP