Behavioral Difficulties Research Articles

Leisure activities of adolescents-associations with demographic characteristics, well-being and parental leisure engagement.

The present study aimed to investigate associations between leisure activities and well-being, behavioral difficulties, and parental leisure time engagement. A total of 959 adolescents aged 10 to 18 years were included in the present study. We assessed their leisure activities (e.g., family time, meeting friends, screen time, sports participation), well-being (Kidscreen-27) and behavioral difficulties (Strengths and Difficulties Questionnaire SDQ) using questionnaires. The leisure behavior of parents was assessed using a parent version of the leisure activities questionnaire. We applied linear and logistic mixed-effect models to assess associations, adjusting for age, sex, and SES. The associations between leisure activities and well-being differed depending on the type of activity. Active leisure (e.g., family time, meeting friends, café visits, visiting a museum/art exhibition/cinema, visiting a concert/opera, voluntary work, sports participation) was associated with better well-being, especially physical well-being, and fewer behavioral difficulties. Passive leisure activities (screen time, chilling) were associated with lower well-being and more behavioral difficulties. We also observed that adolescents reported more frequently participation in the described leisure activities if their parents did so. We need to promote active leisure behavior among young people and their parents to improve adolescents' well-being. Most previous studies on leisure behavior have focused on screen time and sports participation, but we examined a variety of leisure activities including family time, meeting friends, café visits, visiting a museum/art exhibition/cinema, visiting a concert/opera, voluntary work, chilling and sports participation and screen time. Active leisure activities are associated with better well-being and less behavioral problems. Parents' leisure time participation is associated with higher participation of their children in these activities. We need to promote active leisure behavior among adolescents and their parents to improve overall well-being.

Prenatal maternal stress: triangulating evidence for intrauterine exposure effects on birth and early childhood outcomes across multiple approaches

BackgroundMaternal stress during pregnancy may impact offspring development via changes in the intrauterine environment. However, genetic and environmental factors shared between mothers and children might skew our understanding of this pathway. This study assesses whether prenatal maternal stress has causal links to offspring outcomes: birthweight, gestational age, or emotional and behavioral difficulties, triangulating across methods that account for various measured and unmeasured confounders.MethodsWe used data from the Norwegian Mother, Father, and Child Cohort Study (MoBa), including maternal reports on prenatal stress at work, at home, and via stressful life events as exposures. Outcomes were children’s birthweight and gestational age, from the Medical Birth Registry of Norway, and maternal reports on early offspring emotional and behavioral difficulties. We assessed associations using four approaches: sibling control analyses, gene-environment interaction analyses, intergenerational Mendelian randomization (MR), and negative control (i.e., postnatal stress) analyses.ResultsMaternal prenatal stress was observationally associated with offspring lower birthweight (e.g., βwork = − 0.01 [95%CI: − 0.02, − 0.01]), earlier birth (e.g., βwork = − 0.04 [95%CI: − 0.04, − 0.03])), and more emotional (e.g., βevents = 0.08 [95%CI: 0.07, 0.09]) and behavioral difficulties (e.g., βrelationship = 0.08 [95%CI: 0.07, 0.09]) in the full sample (N = 112,784). However, sibling control analyses (N = 36,511) revealed substantial attenuation of all associations after accounting for familial factors. Gene-environment interaction models (N = 76,288) showed no clear evidence of moderation of associations by mothers’ polygenic scores for traits linked to stress sensitivity. Intergenerational MR analyses (N = 29,288) showed no clear evidence of causal effects of maternal plasma cortisol on any offspring outcomes. Negative control exposure analyses revealed similar effect sizes whether exposures were measured prenatally or postnatally.ConclusionsOur results indicate that links between prenatal maternal stress and variation in early offspring outcomes are more likely to be confounded than causal. While no observational study can rule out causality, the consistency of our findings across different approaches is striking. Other sources of prenatal stress or more extreme levels may represent intrauterine causal risk factors for offspring development. Nonetheless, our research contributes to identifying boundary conditions of the fetal programming and developmental origins of health and disease hypotheses, which may not be as universal as sometimes assumed.

Alcohol Consumption and Autoimmune Diseases.

Alcohol is the second-most misused substance after tobacco. It has been identified as a causal factor in more than 200 diseases and 5.3% of all deaths and is associated with significant behavioral, social, and economic difficulties. As alcohol consumption may modulate the immune system's regulatory mechanisms to avoid attacking the body's tissues, it has been proven to play a dichotomic role in autoimmune diseases (ADs) based on the quantity of consumption. In this review, we report updated evidence on the role of alcohol in ADs, with a focus on alcohol addiction and the human biological immune system and the relationship between them, with alcohol as a risk or protective factor. Then, in this narrative review, we report the main evidence on the most studied ADs where alcohol represents a key modulator, including autoimmune thyroiditis, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, diabetes, allergic rhinitis, and primary biliary cholangitis. Alcohol at low-moderate dosages seems mostly to have a protective role in these diseases, while at higher dosages, the collateral risks surpass possible benefits. The specific mechanisms by which low-to-moderate alcohol intake relieves AD symptoms are not yet fully understood; however, emerging studies suggest that alcohol may have a systemic immunomodulatory effect, potentially altering the balance of anti-inflammatory innate and adaptive immune cells, as well as cytokines (via the NF-κB or NLRP3 pathways). It might influence the composition of the gut microbiome (increasing amounts of beneficial gut microbes) and the production of their fatty acid metabolites, such as short-chain fatty acids (SCFAs) and polyunsaturated fatty acids (PUFAs), as well as elevated concentrations of acetate, high-density lipoprotein (HDL), and nitric oxide (NO). Unfortunately, a definite acceptable daily intake (ADI) of ethanol is complicated to establish because of the many mechanisms associated with alcohol consumption such that despite the interesting content of these findings, there is a limit to their applicability and risks should be weighed in cases of alcoholic drinking recommendations. The aim of future studies should be to modulate those beneficial pathways involved in the alcohol-protective role of ADs with various strategies to avoid the risks associated with alcohol intake.

Decision-Making Styles, Prosociality, and Behavioral Difficulties in Adolescent Offenders: The Mediating Role of Life Satisfaction and Emotional Experiences.

Research on adolescents suggests that decision-making styles, emotional experiences, and life satisfaction play a crucial role in emotional and behavioral difficulties and the development of prosocial behaviors. This study analyzed the relationship between decision-making styles, prosociality, and difficulties among adolescent offenders, as well as the mediating role of life satisfaction and emotional experiences in this relationship. A total of 457 adolescents aged from 14 to 19 years (M = 16.23; S.D. = 1.31; 32.2% female) participated in this study. The variables of interest were assessed using self-reports and descriptive, reliability, correlational, predictive, and mediation analyses were performed. A significant association was found between the study variables. Non-rational decision-making styles and negative emotional experiences influenced difficulties, whereas rational decision-making, life satisfaction, and positive emotional experiences influenced prosocial behavior. Furthermore, the results show that the relationship between rational decision-making and prosocial behavior is mediated by life satisfaction, emotional balance, and positive emotional experiences. Similarly, negative emotional experiences mediated the relationship between a hypervigilance decision-making style and emotional and behavioral difficulties. The results of this study indicate the importance of intervening in decision-making styles, emotional management, and life satisfaction in offending adolescents to decrease behavioral and emotional difficulties and favor prosocial behavior.

Inclusion of Students with ADHD in Secondary School Through an Innovative Motor Science Educational Curriculum

This experimental study evaluated the effectiveness of an innovative motor science teaching program aimed at promoting the inclusion and involvement of students with Attention Deficit/Hyperactivity Disorder (ADHD) in secondary school. Sixty students (30 in the sample group and 30 in the control group) participated in the program, while 10 specially trained motor education teachers implemented the activities. The quantitative analysis showed a significant improvement in school inclusion scores (as measured by the Ainscow Inclusion Scale) and school engagement scores (Student Engagement Scale), with a strong positive correlation between the two parameters (r = 0.62, p < 0.01). The qualitative analysis, based on interviews with teachers, revealed positive perceptions of the program and emphasized the importance of training to address behavioral difficulties and ensure an inclusive school environment. The results suggest that customized motor education programs, combined with targeted training for teachers, can foster greater inclusion of students with ADHD in the school setting.

The impact of ovulation-suppressing contraceptives on behavioral and functional difficulties in borderline personality disorder.

Borderline Personality Disorder (BPD) is characterized by rapidly shifting emotional, interpersonal, and behavioral symptoms, often co-morbid with mood and anxiety disorders. Females are more likely to be diagnosed with BPD than males and exhibit greater functional impairment. Hormonal fluctuations may influence the manifestation of BPD symptoms. Here, we investigated the influence of ovulation-suppressing contraceptives on behavioral and functional difficulties in BPD. The sample included 348 females ages 18-50 undergoing residential treatment for psychiatric disorders, with 131 having a BPD diagnosis. Patients were categorized by their contraceptive method: Ovulation-suppressing contraceptives (N = 145) and naturally cycling (N = 203). Interaction models tested the impact of ovulation-suppressing contraceptives on the relationship between BPD diagnosis and behavioral and functional difficulties at admission and discharge, assessed by the four Behavior and Symptom Identification Scale (BASIS-32) domains: difficulties in relationships, daily living, depression/anxiety, and impulsivity. Females with a BPD diagnosis were more likely to use ovulation-suppressing contraceptives compared to those without BPD (p = 0.04). However, ovulation-suppressing contraceptive use was not associated with behavioral and functional difficulties at admission, discharge, or over time. Ovulation-suppressing contraceptives moderated the association between BPD diagnosis and difficulties in relationships (p = 0.004), difficulties in daily living (p = 0.01), and depression/anxiety symptoms (p = 0.004). Specifically, patients with BPD experienced more behavioral and functional difficulties only if naturally cycling, whereas patients without BPD showed higher symptom severity only if using ovulation-suppressing contraceptives. Our findings suggest that the impact of ovulation-suppressing contraceptives on behavioral and functional difficulties varies depending on BPD diagnosis and underscores the need for further clinical studies.

A co-designed health education model to improve outcomes for children with emotional and behavioural difficulties: a study of acceptability, feasibility and impacts

ObjectiveTo assess the acceptability and impacts of a co-designed health education model aiming to improve outcomes for children with emotional and behavioural difficulties.DesignQualitative focus group study.SettingSix primary schools from metropolitan...

Longitudinal study of care needs and behavioural changes in people living with dementia using in-home assessment data

BackgroundPeople living with dementia often experience changes in independence and daily living, affecting their well-being and quality of life. Behavioural changes correlate with cognitive decline, functional impairment, caregiver distress, and care availability.MethodsWe use data from a 3-year prospective observational study of 141 people with dementia at home, using the Bristol Activities of Daily Living Scale, Neuropsychiatric Inventory and cognitive assessments, alongside self-reported and healthcare-related data.ResultsHere we show, psychiatric behavioural symptoms and difficulties in activities of daily living, fluctuate alongside cognitive decline. 677 activities of daily living and 632 psychiatric behaviour questionnaires are available at intervals of 3 months. Clustering shows three severity-based groups. Mild cognitive decline associates with higher caregiver anxiety, while the most severe group interacts more with community services, but less with hospitals.ConclusionsWe characterise behavioural symptoms and difficulties in activities of daily living in dementia, offering clinically relevant insights not commonly considered in current practice. We provide a holistic overview of participants’ health during their progression of dementia.

Associations of Perceived School and Year Group Climate with Mental Health Among Children Aged 7-to-11 Years

Abstract Schools are an important setting for interventions to improve mental health. There is growing evidence that school climate – sometimes expressed as the perceptions that children have about the relationships, safety, values, and beliefs within their school – can impact child mental health. Poor child mental health is associated with feelings of distress as well deficits in functioning. However, while most studies have focused on school climate, climate at lower levels of nesting, including year group, may be important. Cross-sectional data on emotional and behavioural difficulties from 32,606 children in primary schools in Wales (ages 7–11, year groups 3–6) were collected via a school survey, delivered online and within the classroom environment to all children who consented, and analysed using multilevel modelling. Models were then extended to consider how aggregated measures of year group and school climate are associated with mental health outcomes. The unadjusted variance partition coefficients (VPCs) indicated that 2.8% of the variance in emotional difficulties and 3.2% in behavioural difficulties were attributable to differences in the year group, while school-level differences represented 2.4% and 3.5%, respectively. More positive year group and school climate were associated with more positive mental health outcomes. School and year group climate are independently associated with primary school children’s mental health. Interventions to support mental health should aim to optimise the whole school climate, as well as climate within year group clusters.

Mediating Role of Parent-Child Conflict in the Association Between Parental Anxiety and Emotional Behavioral Problems Among Children With Leukemia.

There is a documented risk of emotional and behavioral disorders in children with leukemia. Assessing the factors contributing to their behavioral disorders is particularly important from a prevention perspective. The aim of this study was to study the influencing factors of internalizing and externalizing behaviors in children with leukemia from the perspective of adult family members. Cluster sampling was utilized to recruit a sample of 219 children diagnosed with leukemia. The caregivers of these children completed assessments on parental anxiety, parent-child conflict, and internalizing and externalizing child behavior problems. Study findings indicate that children diagnosed with leukemia exhibit significant internalizing and externalizing behavior problems. Parental anxiety has a positive direct impact on both the internalizing and externalizing behavioral difficulties experienced by their children. Furthermore, parental anxiety indirectly influences the occurrence of internalizing and externalizing behavior problems through parent-child conflict. Findings underscore the potential for enhancing the parent-child relationship as a means to mitigate children's internalizing and externalizing problems by reducing parent-child conflict and parental anxiety. The child and family-centered care approach in pediatric nursing is fundamental in assessing and addressing the needs of the child and family. To ameliorate emotional behavior issues in children with leukemia, the quality of the parent-child relationship needs to be considered as a pivotal component of family-based interventions and clinical practice.

An evaluation of the collateral child and parent outcomes of telehealth-delivered behavioral sleep intervention for Autistic children

PurposeThis research follows two studies that examined the efficacy and acceptability of a stepped-care model of behavioral sleep intervention (BSI) delivered to parents of Autistic children via telehealth (Clarke et al., 2024a, 2024b). The current study investigated the collateral benefits of these interventions on Autistic children’s internalizing and externalizing behaviors, health-related quality of life, and parent ratings of relationship quality, depression, anxiety, stress, and personal sleep quality. Methods and ResultsData were available for 17 Autistic children (aged 3–17 years) and 22 parent participants (16 mothers, six fathers) who had received a telehealth-delivered behavioral sleep intervention (TDBSI). Parents completed a range of psychometric assessments at baseline and within six weeks of completing the program. Alongside reduced sleep problem severity (SPS), significant improvements, as indexed by non-negligible Cohen’s d values whose 95 % confidence intervals did not cross zero, were observed in children’s emotional and behavioral difficulties and health-related quality of life. Parents also reported that improvement in their child’s sleep positively influenced their own sleep quality and emotional well-being. There were no significant changes in parental relationship quality post-intervention, probably a ceiling effect. ConclusionTDBSIs have the potential to generate collateral benefits for Autistic children and their families. This finding is consistent with the limited existent research, suggesting that improved sleep may enhance child and parent well-being. Future research should focus on understanding the mechanisms underlying collateral change, including variations in effects among children and parents, and the durability across different telehealth modalities (i.e., self-directed versus therapist-guided) and follow-up intervals.

Need for School Psychology Services in Bangladesh: Perspectives and Challenges

Bangladesh has experienced rapid economic growth and significant progress in expanding access to education over the past two decades. However, comprehensive programs that address the psychological and academic needs of children remain largely absent. The country faces a shortage of qualified professionals to manage students’ behavioral, emotional, social, and learning difficulties. School psychology is still in its nascent stage and has yet to be recognized as an independent discipline. This study aims to explore the perspectives of key stakeholders, including educators, psychologists, policymakers, parents, and students, on the importance of school psychology services. To gather insights, we conducted focus group discussions, interviews, and personal communications, alongside a review of relevant literature. The results show widespread agreement on the necessity of school psychology services to support mental health, address learning challenges, and promote overall students' well-being. At the same time, significant challenges were identified, such as the scarcity of trained professionals, limited resources, lack of awareness, and cultural stigma surrounding mental health issues. The study concludes by emphasizing the urgent need for policy support and capacity-building initiatives to overcome these barriers and ensure the successful implementation of school psychology services in Bangladesh. This paper underscores the critical role of school psychologists in enhancing both academic and mental health outcomes for millions of children across the country. Bangladesh Journal of Psychology, Vol. 24, December 2024, pp. 23-32

Parental Factors Moderate the Association Between COVID-19 Disruption and Adolescent Emotional and Behavioural Difficulties

Past work shows that COVID-19 impacted adolescent mental health, but the moderating role of parental factors remains unclear. Ninety-one parent-adolescent dyads (ages 12–15) completed online surveys. Parents reported on COVID-19 disruption within their household, their mental health, parental reflective functioning (i.e., ability to consider the mental state of their child), and their adolescent’s emotional and behavioural difficulties. Adolescents rated their own emotional and behavioural difficulties and perception of parental support. Positive associations between household COVID-19 disruption and adolescent difficulties emerged, regardless of informant. However, parental factors linked to adolescent difficulties varied by informant. Parental reflective functioning moderated the association between COVID-19 disruption and adolescent difficulties (parent-report). COVID-19 disruption showed some stronger associations with adolescent difficulties than other parental stress measures, but not consistently. Findings replicate and extend prior work, emphasizing the negative association between COVID-19 disruption and adolescent mental health, while highlighting parental reflective functioning’s potential for mitigating adolescent difficulties.

Parental Burnout in Israeli Parents of Children with ASD During Wartime: The Role of Child Behavior, Parental Emotion Regulation, Stress, and Social Support.

During emergencies like wartime, parents of children with Autism Spectrum Disorder (ASD) face heightened challenges, potentially leading to Parental Burnout (PB). Wartime conditions can exacerbate children's behavioral difficulties, contributing to PB. Protective factors such as successful Emotional Regulation (ER) and perceived social support may mitigate PB. This study aims to compare child behavioral problems, parental ER difficulties, perceived social support, stress, and PB between parents of children with ASD and Typical Development (TD) during wartime. It also investigates how ER difficulties, perceived social support, and stress moderate the relationship between child behavioral problems and PB. The study included 213 Israeli parents: 101 parents of children diagnosed with ASD and 112 parents of TD children. Participants were recruited during the "Swords of Iron" War using purposive sampling via online platforms. Findings indicate that children with ASD exhibited higher levels of behavioral problems, and their parents experienced increased difficulties in ER, stress, and PB, alongside decreased perceived social support compared to parents of TD children. Moderation analysis revealed that ER difficulties, perceived social support, and stress moderated the direct association between child behavioral problems and PB specifically among parents of TD children. This study underscores the heightened vulnerability of parents with ASD-diagnosed children during wartime, emphasizing the importance of understanding how these circumstances impact parental well-being and available resources. Effective interventions should target enhancing ER, social support, and addressing parental stress, PB, and child behavioral issues, underscoring the need for prioritized services despite wartime challenges.

Changes in Parental Involvement and Parental Expectations During High School for Students With Emotional and Behavioral Difficulties

Home-based parental involvement and parental expectations in school are strong predictors of academic outcomes for high school students. Given this, we explored whether changes in parental involvement and parental expectations during high school were correlated with academic functioning for students with emotional or behavioral difficulties ( N = 888) compared with their peers ( N = 4,148). We found that home-based parental involvement was stable during high school for both groups of students. There was a decrease in parental educational expectations during high school that was equivalent between both groups. Students with elevated emotional and behavioral difficulties had significant correlations between increases in home-based involvement and increases in both parental expectations and grade point average, whereas the peer group had significant, yet trivial correlations among the constructs.

Prenatal exposure to endocrine disrupting chemicals and the association with behavioural difficulties in 7-year-old children in the SELMA study.

Endocrine disrupting chemicals (EDCs) can cross the placenta and thereby expose the fetus, which may lead to developmental consequences. It is still unclear which chemicals are of concern regarding neurodevelopment and specifically behaviour, when being exposed to a mixture. The objective is to determine associations between prenatal exposure to EDCs and behavioural difficulties. Furthermore, we investigated sex-specific associations and determined chemicals of concern in significant regressions. Associations between prenatal exposure to EDCs (both as single compounds and their mixtures) and behavioural outcomes using the Strengths and Difficulties Questionnaire (SDQ) were estimated in 607 mother-child pairs in the Swedish Environmental Longitudinal, Mother and Child, Asthma and Allergy (SELMA) study. Levels for chemical compounds were measured in either urine or serum (median of 10 weeks of gestation). Associations were estimated for the total SDQ score (quasipoisson regression) and a 90th percentile cut-off (logistic regression). Exposure for EDC mixtures (phenols, phthalates, PFAS and persistent chlorinated) was studied using weighted quantile sum (WQS) regression with deciles and with and without repeated holdout validation techniques. The models were adjusted for selected covariates. The odds for behavioural difficulties increased in girls with higher chemical exposures (OR 1.77, 95% CI 1.67, 1.87) using the full sample and borderline for the validation set (OR 1.31, 95% CI 0.93, 1.85) with 94/100 positive betas in the 100 repeated holdout validations. Chemicals of concern for girls are mostly short-lived chemicals and more specifically plasticizers. No pattern of significant associations was detected for boys. There is an indication of increased behavioural difficulties for girls in the SELMA population with higher exposure to mixtures of EDCs. Using the repeated holdout validation techniques, the inference is more stable, reproducible and generalisable. Prenatal exposure to mixtures of environmental chemicals should be considered when assessing the safety of chemicals. Growing evidence points towards a "mixture effect" where different environmental chemicals might act jointly where individual compounds may be below a level of concern, but the combination may have an effect on human health. We are constantly exposed to a complicated mixture pattern that is individual for every person as this mixture depends on personal choices of lifestyle, diet and housing to name a few. Our study suggests that prenatal exposure to EDCs might adversely affect the behaviour of children and especially girls. Hence, risk assessment needs to improve and sex-specific mechanisms should be included in assessments.

Investigating the reasons behind a later or missed diagnosis of attention‐deficit/hyperactivity disorder in young people: A population cohort study

AbstractBackgroundAttention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental condition, more often diagnosed in males. In many individuals, particularly females, ADHD is diagnosed later or missed, the reasons for this are not fully understood. Timely diagnosis is needed to provide support, management, and treatment to improve outcomes. This study aimed to understand why some young people with ADHD experience later or missed diagnosis and to consider sex differences.MethodsThis study included 9991 (females = 43.69%) individuals from the Millenium Cohort Study, a UK based population study which defined recognised ADHD by a parent‐reported clinician diagnosis, and unrecognised ADHD by parent‐reported questionnaires. Behavioural and emotional difficulties, engagement in leisure activities, and parental characteristics, were compared between those recognised earlier (by ages 5/7, n = 264, f = 19.3%) versus later (by ages 11/14, n = 260, f = 21.2%), and those recognised (n = 524, f = 20.2%) versus unrecognised (n = 1,138, f = 38.7%) using logistic regression, with odds ratios (OR) and 95% confidence intervals (CI) analysed. Sex differences were investigated with an interaction analysis.ResultsThose recognised with ADHD earlier had more peer, conduct, and emotional problems, emotional dysregulation, lower cognitive ability, and poorer prosocial skills compared with those recognised later, ORs ranged from 0.27 (95% CI = 018, 0.41) to 1.20 (95% CI = 1.20, 1.32). Similar findings were seen when comparing those with recognised and unrecognised ADHD; ORs ranged from 0.11 (95% CI = 0.09, 0.15) to 1.31 (95% CI = 1.19, 1.43). Additionally, those recognised were more likely to have diagnosed autism and have less reported physical activity. Sex stratification showed that recognised males had higher emotional dysregulation than unrecognised males, but this was not seen in females.ConclusionsOur findings highlight the need to consider ADHD referral, regardless of cognitive and prosocial ability or comorbidities, if children are displaying ADHD symptoms. Additionally, symptoms of ADHD not traditionally included in screening criteria, such as emotional dysregulation, should be considered to improve gender‐inclusive recognition of ADHD.

Problematic school functioning and substance use among Gabonese students: Moderating effect of basic psychological needs frustration

ABSTRACT Many studies have been conducted in Africa on the use of psychoactive substances among high school students. However, few studies have examined the psychological mechanisms underlying this consumption. Grounded in self-determination theory (SDT), the present study explored the moderating role of the frustration of basic psychological needs on the relation between problematic school functioning (i.e. academic, emotional, and behavioral difficulties) and the consumption of alcohol and cannabis. The sample consisted of 367 Gabonese students (54% girls; Mage = 18.25). The results showed two direct links: behavioral difficulties positively predicted alcohol use, while emotional difficulties positively predicted cannabis use. Two moderating effects related to behavioral difficulties were also observed: (1) youths with these difficulties are more likely to drink alcohol when they perceive that their need for autonomy is frustrated, and (2) they are more likely to use cannabis when their need for relatedness is frustrated. The results of this study are discussed within SDT framework. The study’s implications and limitations are also addressed.

Subtypes of mental health difficulties and levels of resilience in Spanish adolescents

Emotional and behavioral difficulties are common among adolescents, and the role of psychological resilience in mitigating their impact needs further investigation. This study aimed to examine profiles of mental health difficulties combined with resilience levels in 1,425 Spanish adolescents at-risk. The participants were 1425 adolescents (59.9% girls). Mental health profiles were determined using the Strengths and Difficulties Questionnaire and the Connor-Davidson Resilience Scale (CD-RISC-10) via Latent Profile Analysis and compared for sociodemographic variables and mental health associated variables. Five profiles emerged: Subclinical (16%), Externalizing Problems (19%), Internalizing Problems (22%), Low Risk (32.5%), and Well-Adjusted (10%). Females had higher risk. Well-Adjusted and Low-Risk profiles differed significantly in all variables. Well-Adjusted profile had the lowest distress and psychosocial difficulties, and the highest quality of life; while the Subclinical profile showed the opposite pattern. Identifying and validating risk groups for emotional and behavioral difficulties, considering resilience, enables interventions promoting emotional well-being and preventing mental health challenges.

Perspectives on Integrating Biological Assessments to Address the Health Effects of Childhood Adversities.

A majority of adults in the United States (US) report a range of stressful and potentially traumatic childhood experiences (e.g., physical or sexual abuse, witnessing violence, neglect). Such adversities are associated with a range of mental (e.g., anxiety, mood, and behavioral difficulties) and physical (e.g., cardiovascular illnesses, diabetes, asthma) health problems. Increasingly, precision medicine approaches seek to prevent and treat such multifinal downstream health problems by identifying common etiological pathways (e.g., inflammation and immune pathways) and candidate biomarkers to target interventions. In this context, we review the rationale for continued research to identify biomarkers of childhood adversity. Building on the bioecological theory, we emphasize that individual neurobiological profiles develop within multiple ecological levels (individual, family, neighborhood, macrosocial) that confer both risk and protective factors that can attenuate or amplify biological effects of childhood adversity. Given the limited data on adversity-associated biomarkers for children and adolescents, we discuss future recommendations for research, implications for clinical care, and ethical considerations. Preventing childhood adversity and supporting adversity- and trauma-informed systemic intervention approaches remains our primary recommendation. We highlight the continued need to consider both biomarkers of risk and protective factors across ecological levels in future research.