The psychiatric exposome offers a powerful framework for understanding how environmental conditions shape mental health across the life course, yet existing applications often reduce exposures to static, cumulative risk inventories. The exposome construct may be advanced emphasizing two interdependent dimensions: the timing of exposures within neurodevelopment and their hierarchical weight in terms of severity, chronicity, recurrence, and ecological impact. Environmental influences are neither equivalent nor context‐independent, but operate through dynamic, nonlinear interactions across biological, relational, social, and cultural systems. Sensitive developmental periods, including prenatal life, infancy, childhood, and adolescence, may amplify or transform the impact of specific exposures, while protective contexts such as responsive caregiving, enriched learning environments, and prosocial peer relations can buffer risk and promote resilience. A developmentally sensitive exposome also supports transdiagnostic and preclinical approaches by identifying latent environmental dimensions that cut across categorical diagnoses. Methodological advances, including digital phenotyping, relational biomarkers, network analysis, and artificial intelligence, may enable real‐time modelling of exposure trajectories. Finally, developmental exposomic clocks could be considered as clinically actionable tools to estimate environmentally driven deviations in maturation, supporting early detection, precision prevention, and individualized intervention in psychiatry across diverse clinical and community mental health settings globally.
{"title":"Editorial Perspective: The developmental exposome: timing, hierarchy, and the architecture of psychiatric risk","authors":"Andrea Raballo, Michele Poletti, Antonio Preti","doi":"10.1111/jcpp.70253","DOIUrl":"https://doi.org/10.1111/jcpp.70253","url":null,"abstract":"The psychiatric exposome offers a powerful framework for understanding how environmental conditions shape mental health across the life course, yet existing applications often reduce exposures to static, cumulative risk inventories. The exposome construct may be advanced emphasizing two interdependent dimensions: the timing of exposures within neurodevelopment and their hierarchical weight in terms of severity, chronicity, recurrence, and ecological impact. Environmental influences are neither equivalent nor context‐independent, but operate through dynamic, nonlinear interactions across biological, relational, social, and cultural systems. Sensitive developmental periods, including prenatal life, infancy, childhood, and adolescence, may amplify or transform the impact of specific exposures, while protective contexts such as responsive caregiving, enriched learning environments, and prosocial peer relations can buffer risk and promote resilience. A developmentally sensitive exposome also supports transdiagnostic and preclinical approaches by identifying latent environmental dimensions that cut across categorical diagnoses. Methodological advances, including digital phenotyping, relational biomarkers, network analysis, and artificial intelligence, may enable real‐time modelling of exposure trajectories. Finally, developmental exposomic clocks could be considered as clinically actionable tools to estimate environmentally driven deviations in maturation, supporting early detection, precision prevention, and individualized intervention in psychiatry across diverse clinical and community mental health settings globally.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"13 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tonje Amland, Germán Grande, Elsje van Bergen, Monica Melby‐Lervåg, Arne Lervåg
Background Studies on the home numeracy environment (HNE) show mixed evidence of its link with children's mathematical skills. A rarely considered aspect is parents' dual role as providers of the home environment and transmitters of genetic predispositions relevant for learning. Parents' maths abilities may serve as a proxy for the genetic transmission that confounds the home–child association, as proposed in the Familial Control Method. We examined whether numeracy activities at home predict children's maths development, while accounting for parents' maths ability and children's initial skill level. Methods We analysed data from 244 Norwegian school children, 201 mothers and 146 fathers. Children's maths fluency was assessed in Grades 1, 3, 4, 5 and 6. Parents completed an HNE questionnaire and a maths assessment when children were in Grade 2. Relations among HNE, parental maths and children's maths development were tested using structural equation modelling. Results Both formal and informal HNE predicted Grade 3 maths. After controlling for parental maths, only mothers' informal HNE remained associated with Grade 3 performance. When Grade 1 maths was included, only fathers' formal activities were related to Grade 3 skills, while both parents' maths still predicted Grade 3 performance. Only Grade 1 maths predicted Grade 3 as well as subsequent growth. Conclusions The finding that parental maths predicted children's maths beyond family activities underscores the importance of addressing familial confounding in research on the home environment. To better understand the role of the HNE in maths development, research should consider parents' skills, children's early skills and HNE as a dynamic process.
对家庭计算环境(HNE)的研究表明,它与儿童的数学技能的联系的混合证据。一个很少被考虑的方面是父母作为家庭环境的提供者和与学习相关的遗传倾向的传递者的双重角色。正如《家庭控制方法》(family Control Method)中提出的那样,父母的数学能力可能是基因传递的一个代表,这种遗传传递混淆了家庭与孩子之间的联系。在考虑到父母的数学能力和孩子的初始技能水平的情况下,我们研究了在家的数学活动是否能预测孩子的数学发展。方法对244名挪威学龄儿童、201名母亲和146名父亲的数据进行分析。孩子们的数学流利程度在一年级、三年级、四年级、五年级和六年级进行了评估。当孩子们上二年级时,家长们完成了一份HNE问卷和一份数学评估。采用结构方程模型检验HNE、家长数学与儿童数学发展之间的关系。结果正式和非正式的HNE预测三年级数学。在控制了父母的数学之后,只有母亲的非正式HNE与三年级的表现有关。当包括一年级数学时,只有父亲的正式活动与三年级技能有关,而父母双方的数学仍然预测三年级的表现。只有一年级的数学预测了三年级以及随后的增长。结论父母数学预测孩子在家庭活动之外的数学能力的发现,强调了在家庭环境研究中解决家庭混杂因素的重要性。为了更好地理解HNE在数学发展中的作用,研究应该把父母的技能、孩子的早期技能和HNE作为一个动态的过程来考虑。
{"title":"Parental and early child skills outweigh home numeracy environment in predicting maths development","authors":"Tonje Amland, Germán Grande, Elsje van Bergen, Monica Melby‐Lervåg, Arne Lervåg","doi":"10.1111/jcpp.70247","DOIUrl":"https://doi.org/10.1111/jcpp.70247","url":null,"abstract":"Background Studies on the home numeracy environment (HNE) show mixed evidence of its link with children's mathematical skills. A rarely considered aspect is parents' dual role as providers of the home environment and transmitters of genetic predispositions relevant for learning. Parents' maths abilities may serve as a proxy for the genetic transmission that confounds the home–child association, as proposed in the Familial Control Method. We examined whether numeracy activities at home predict children's maths development, while accounting for parents' maths ability and children's initial skill level. Methods We analysed data from 244 Norwegian school children, 201 mothers and 146 fathers. Children's maths fluency was assessed in Grades 1, 3, 4, 5 and 6. Parents completed an HNE questionnaire and a maths assessment when children were in Grade 2. Relations among HNE, parental maths and children's maths development were tested using structural equation modelling. Results Both formal and informal HNE predicted Grade 3 maths. After controlling for parental maths, only mothers' informal HNE remained associated with Grade 3 performance. When Grade 1 maths was included, only fathers' formal activities were related to Grade 3 skills, while both parents' maths still predicted Grade 3 performance. Only Grade 1 maths predicted Grade 3 as well as subsequent growth. Conclusions The finding that parental maths predicted children's maths beyond family activities underscores the importance of addressing familial confounding in research on the home environment. To better understand the role of the HNE in maths development, research should consider parents' skills, children's early skills and HNE as a dynamic process.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"30 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Psyridou, Minna Torppa, Kati Vasalampi, Anna‐Maija Poikkeus, Marja‐Kristiina Lerkkanen, Elsje van Bergen
Background Children with attention‐deficit/hyperactivity disorder (ADHD) are at increased risk of learning difficulties. This association may reflect shared risk factors, ADHD symptoms hindering learning, or learning difficulties increasing ADHD symptoms. We aimed to map rates of co‐occurrence among ADHD, dyslexia, dyscalculia, and reading comprehension difficulties and to investigate directional influences between ADHD symptoms and reading fluency, arithmetic, and reading comprehension. Methods Reading fluency, arithmetic, and reading comprehension were assessed longitudinally in approximately 2,000 Finnish children across Grades 1–9 (ages 7–16). Attention/hyperactivity symptoms were measured with teacher ratings (Grades 1–4) and self‐reports (Grades 6–9). ADHD, dyslexia, dyscalculia, and reading comprehension difficulties were based on a 10th percentile cut‐off. Directionality between ADHD symptoms and academic skills was examined using random intercept cross‐lagged panel models (RI‐CLPMs) to separate stable traits from time‐specific states. Results Children with a learning difficulty were 1.14–1.76 times more likely to have ADHD, whereas children with one learning difficulty were 4.32–4.62 times more likely to have another. The RI‐CLPMs showed consistent autoregressive effects across all domains, indicating stable within‐person variation over time. At the between‐person level (i.e. trait), academic skills were negatively related to ADHD symptoms, especially those reported by teachers. At the within‐person level (i.e. state), ADHD symptoms were unrelated to reading fluency and arithmetic. However, at multiple time points, cross‐lagged effects emerged from ADHD symptoms to subsequent reading comprehension, indicating that elevated ADHD symptoms predicted subsequent declines in reading comprehension. Conclusions Learning difficulties co‐occurred more frequently with each other (homotypic) than with ADHD (heterotypic co‐occurrence). Both ADHD symptoms and learning difficulties showed trait‐like stability. After accounting for these, ADHD symptoms were no longer linked to reading fluency or arithmetic. However, more ADHD symptoms predicted later declines in reading comprehension, likely because comprehension requires sustained attention – often impaired in children with hyperactivity and inattention.
{"title":"ADHD symptoms and learning difficulties: co‐occurrence and directionality from Grades 1 to 9","authors":"Maria Psyridou, Minna Torppa, Kati Vasalampi, Anna‐Maija Poikkeus, Marja‐Kristiina Lerkkanen, Elsje van Bergen","doi":"10.1111/jcpp.70244","DOIUrl":"https://doi.org/10.1111/jcpp.70244","url":null,"abstract":"Background Children with attention‐deficit/hyperactivity disorder (ADHD) are at increased risk of learning difficulties. This association may reflect shared risk factors, ADHD symptoms hindering learning, or learning difficulties increasing ADHD symptoms. We aimed to map rates of co‐occurrence among ADHD, dyslexia, dyscalculia, and reading comprehension difficulties and to investigate directional influences between ADHD symptoms and reading fluency, arithmetic, and reading comprehension. Methods Reading fluency, arithmetic, and reading comprehension were assessed longitudinally in approximately 2,000 Finnish children across Grades 1–9 (ages 7–16). Attention/hyperactivity symptoms were measured with teacher ratings (Grades 1–4) and self‐reports (Grades 6–9). ADHD, dyslexia, dyscalculia, and reading comprehension difficulties were based on a 10th percentile cut‐off. Directionality between ADHD symptoms and academic skills was examined using random intercept cross‐lagged panel models (RI‐CLPMs) to separate stable traits from time‐specific states. Results Children with a learning difficulty were 1.14–1.76 times more likely to have ADHD, whereas children with one learning difficulty were 4.32–4.62 times more likely to have another. The RI‐CLPMs showed consistent autoregressive effects across all domains, indicating stable within‐person variation over time. At the between‐person level (i.e. trait), academic skills were negatively related to ADHD symptoms, especially those reported by teachers. At the within‐person level (i.e. state), ADHD symptoms were unrelated to reading fluency and arithmetic. However, at multiple time points, cross‐lagged effects emerged from ADHD symptoms to subsequent reading comprehension, indicating that elevated ADHD symptoms predicted subsequent declines in reading comprehension. Conclusions Learning difficulties co‐occurred more frequently with each other (homotypic) than with ADHD (heterotypic co‐occurrence). Both ADHD symptoms and learning difficulties showed trait‐like stability. After accounting for these, ADHD symptoms were no longer linked to reading fluency or arithmetic. However, more ADHD symptoms predicted later declines in reading comprehension, likely because comprehension requires sustained attention – often impaired in children with hyperactivity and inattention.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"12 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149151798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeffrey J. Wood, Stian Orm, Karen S. Wood, Jolie Straus, Samara Wolpe, Ashley Morrissey, Maria Cornejo Guevara, Sheila E. Crowell
Background Recent evidence suggests that many autistic individuals exhibit heightened emotional responsiveness to others' affect despite greater difficulty recognizing others' emotions and accurately inferring their perspectives. This study introduces and preliminarily evaluates the Emotion Regulation and Recognition Account (ERRA), a model proposing that susceptibility to emotion dysregulation and challenges with emotion cue interpretation jointly shape empathy‐related processing in autism. Methods Children aged 6–13 years ( Nautistic = 103; Nnon‐autistic = 40) participated; groups were matched demographically. Children watched five videos of youth exhibiting strong affect (e.g. sad and angry) and answered questions about their reactions to and understanding of the videos. These responses were coded for empathy‐related processes such as emotional contagion and perspective taking. Electrodermal reactivity to and eye gaze towards the videos were also measured. Multilevel models were employed to test hypothesized pathways in the ERRA. Results Autistic children experienced greater affective intensity but exhibited less accurate emotion recognition than non‐autistic children when observing youth exhibiting strong affect. Greater physiological and affective intensity were associated with greater attention shifting, and more frequent attention shifting among autistic children was associated with less accurate emotion recognition. Less accurate emotion recognition was, in turn, associated with less emotional synchrony and perspective taking, which were linked with less prosocial motivation. Conclusions The findings provide initial support for the ERRA by suggesting that, rather than experiencing indifference, many autistic individuals have strong affective reactions when observing others in distress. These reactions may lead to attention shifting, which can reduce awareness of others' emotional cues, potentially interrupting the unfolding of empathic understanding and responding. Empathy‐supporting interventions can build upon the affective responsiveness to others experienced by many autistic individuals.
{"title":"The emotion regulation and recognition account of empathy‐related processes in autism: a multimodal, multilevel case–control study","authors":"Jeffrey J. Wood, Stian Orm, Karen S. Wood, Jolie Straus, Samara Wolpe, Ashley Morrissey, Maria Cornejo Guevara, Sheila E. Crowell","doi":"10.1111/jcpp.70249","DOIUrl":"https://doi.org/10.1111/jcpp.70249","url":null,"abstract":"Background Recent evidence suggests that many autistic individuals exhibit heightened emotional responsiveness to others' affect despite greater difficulty recognizing others' emotions and accurately inferring their perspectives. This study introduces and preliminarily evaluates the Emotion Regulation and Recognition Account (ERRA), a model proposing that susceptibility to emotion dysregulation and challenges with emotion cue interpretation jointly shape empathy‐related processing in autism. Methods Children aged 6–13 years ( <jats:italic>N</jats:italic> <jats:sub>autistic</jats:sub> = 103; <jats:italic>N</jats:italic> <jats:sub>non‐autistic</jats:sub> = 40) participated; groups were matched demographically. Children watched five videos of youth exhibiting strong affect (e.g. sad and angry) and answered questions about their reactions to and understanding of the videos. These responses were coded for empathy‐related processes such as emotional contagion and perspective taking. Electrodermal reactivity to and eye gaze towards the videos were also measured. Multilevel models were employed to test hypothesized pathways in the ERRA. Results Autistic children experienced greater affective intensity but exhibited less accurate emotion recognition than non‐autistic children when observing youth exhibiting strong affect. Greater physiological and affective intensity were associated with greater attention shifting, and more frequent attention shifting among autistic children was associated with less accurate emotion recognition. Less accurate emotion recognition was, in turn, associated with less emotional synchrony and perspective taking, which were linked with less prosocial motivation. Conclusions The findings provide initial support for the ERRA by suggesting that, rather than experiencing indifference, many autistic individuals have strong affective reactions when observing others in distress. These reactions may lead to attention shifting, which can reduce awareness of others' emotional cues, potentially interrupting the unfolding of empathic understanding and responding. Empathy‐supporting interventions can build upon the affective responsiveness to others experienced by many autistic individuals.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"29 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Self‐injurious thoughts and behaviors (SITB) represent a significant mental health issue among Chinese adolescents. Research on smartphone‐based safety planning as digital therapeutics for SITB in China remains limited. This randomized controlled trial evaluated the efficacy and acceptability of a safety planning mobile application (LIFES) for reducing SITB in adolescents with depressive episodes. Methods Among 189 adolescents with depressive episodes screened, 122 were randomized to either the intervention group (LIFES app plus treatment as usual [TAU], n = 61) or the control group (TAU only, n = 61). Follow‐up assessments at 1, 3, and 6 months measured SITB, depression, anxiety, and sleep quality. This trial is registered with the Chinese Clinical Trial Registry (ChiCTR2300075663; https://www.chictr.org.cn/ ). Results Generalized linear mixed models showed significant time‐by‐group interaction effects for non‐suicidal self‐injury frequency ( F = 3.39, p = .018), suicide planning seriousness ( F = 2.93, p = .034), confidence in suicide completion during preparation ( F = 3.10, p = .027), suicide threat/gesture frequency ( F = 3.64, p = .013), and total suicidal behavior frequency ( F = 3.31, p = .020) after adjusting for depression and anxiety symptom severity, sleep quality, and years of education. The intervention group showed significantly greater reductions in SITB characteristics compared to the control group. User experience surveys indicated good satisfaction with the application. Conclusions This study demonstrates that safety planning‐based digital therapeutics are an effective adjunctive intervention for SITB in adolescents with depressive episodes. Future research should examine the applicability of this intervention to broader populations.
背景自伤思想和行为(SITB)是中国青少年的一个重要心理健康问题。在中国,基于智能手机的安全规划作为SITB的数字治疗方法的研究仍然有限。这项随机对照试验评估了安全计划移动应用程序(LIFES)在减少青少年抑郁发作时SITB的有效性和可接受性。方法在筛选的189例青少年抑郁发作中,122例随机分为干预组(LIFES app加常规治疗[TAU], n = 61)和对照组(仅TAU, n = 61)。1、3和6个月的随访评估测量了SITB、抑郁、焦虑和睡眠质量。本试验已在中国临床试验注册中心注册(ChiCTR2300075663; https://www.chictr.org.cn/)。广义线性混合模型结果显示大量的时间量量组交互作用为非自杀应承担的自我检测损伤频率(F = 3.39, p = .018)、自杀计划严肃性(F = 2.93, p = .034),信心在自杀完成准备(F = 3.10, p = .027),自杀威胁/动作频率(F = 3.64, p = .013)和总自杀行为频率(F = 3.31, p = .020)调整后的抑郁和焦虑症状严重程度,睡眠质量,多年的教育。与对照组相比,干预组在SITB特征方面表现出明显更大的降低。用户体验调查显示了对该应用程序的良好满意度。结论:本研究表明,基于安全计划的数字疗法是治疗青少年抑郁期SITB的有效辅助干预手段。未来的研究应该检查这种干预对更广泛人群的适用性。
{"title":"Efficacy and acceptability of digital safety planning therapy for self‐injurious thoughts and behaviors in adolescents with depressive episodes: a randomized controlled trial","authors":"Yi‐Hui Liu, Jia‐Rong Liang, Cheng‐Jia Yang, Xin‐Cheng‐Cheng Huang, Qin‐Jing Li, Dong‐Ni Wen, Fu‐Jun Jia, Cai‐Lan Hou","doi":"10.1111/jcpp.70246","DOIUrl":"https://doi.org/10.1111/jcpp.70246","url":null,"abstract":"Background Self‐injurious thoughts and behaviors (SITB) represent a significant mental health issue among Chinese adolescents. Research on smartphone‐based safety planning as digital therapeutics for SITB in China remains limited. This randomized controlled trial evaluated the efficacy and acceptability of a safety planning mobile application (LIFES) for reducing SITB in adolescents with depressive episodes. Methods Among 189 adolescents with depressive episodes screened, 122 were randomized to either the intervention group (LIFES app plus treatment as usual [TAU], <jats:italic>n</jats:italic> = 61) or the control group (TAU only, <jats:italic>n</jats:italic> = 61). Follow‐up assessments at 1, 3, and 6 months measured SITB, depression, anxiety, and sleep quality. This trial is registered with the Chinese Clinical Trial Registry (ChiCTR2300075663; <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"https://www.chictr.org.cn/\">https://www.chictr.org.cn/</jats:ext-link> ). Results Generalized linear mixed models showed significant time‐by‐group interaction effects for non‐suicidal self‐injury frequency ( <jats:italic>F</jats:italic> = 3.39, <jats:italic>p</jats:italic> = .018), suicide planning seriousness ( <jats:italic>F</jats:italic> = 2.93, <jats:italic>p</jats:italic> = .034), confidence in suicide completion during preparation ( <jats:italic>F</jats:italic> = 3.10, <jats:italic>p</jats:italic> = .027), suicide threat/gesture frequency ( <jats:italic>F</jats:italic> = 3.64, <jats:italic>p</jats:italic> = .013), and total suicidal behavior frequency ( <jats:italic>F</jats:italic> = 3.31, <jats:italic>p</jats:italic> = .020) after adjusting for depression and anxiety symptom severity, sleep quality, and years of education. The intervention group showed significantly greater reductions in SITB characteristics compared to the control group. User experience surveys indicated good satisfaction with the application. Conclusions This study demonstrates that safety planning‐based digital therapeutics are an effective adjunctive intervention for SITB in adolescents with depressive episodes. Future research should examine the applicability of this intervention to broader populations.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"407 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This commentary focuses on the cluster‐randomized controlled trial conducted by Trani et al. ( Journal of Child Psychology and Psychiatry , 2026, 67, 1127). Their study evaluated a psychosocial intervention in Afghanistan amidst the 2021 Taliban transition. The study's primary contribution lies in demonstrating how stable educational environments can serve as a critical protective buffer, shielding children from the most debilitating effects of systemic violence. I argue that the intervention provided a framework in which the classroom functioned as a site where cognitive development was facilitated through structured social exchange. Methodologically, the work serves as a model for a pragmatic randomized controlled trial that maintains high scientific standards while navigating extreme uncertainty. I examine how Trani et al. ( Journal of Child Psychology and Psychiatry , 2026, 67, 1127) establish real‐world feasibility as a scientific prerequisite for intervention research, achieved not through a compromise on rigorous scientific standards but through the deliberate application of core methodological standards that ensure the study remains scientifically sound.
{"title":"Commentary: Intervention research in a conflict setting – a commentary on Trani et al. (2026)","authors":"Katharina Galuschka","doi":"10.1111/jcpp.70251","DOIUrl":"https://doi.org/10.1111/jcpp.70251","url":null,"abstract":"This commentary focuses on the cluster‐randomized controlled trial conducted by Trani et al. ( <jats:italic>Journal of Child Psychology and Psychiatry</jats:italic> , 2026, 67, 1127). Their study evaluated a psychosocial intervention in Afghanistan amidst the 2021 Taliban transition. The study's primary contribution lies in demonstrating how stable educational environments can serve as a critical protective buffer, shielding children from the most debilitating effects of systemic violence. I argue that the intervention provided a framework in which the classroom functioned as a site where cognitive development was facilitated through structured social exchange. Methodologically, the work serves as a model for a pragmatic randomized controlled trial that maintains high scientific standards while navigating extreme uncertainty. I examine how Trani et al. ( <jats:italic>Journal of Child Psychology and Psychiatry</jats:italic> , 2026, 67, 1127) establish real‐world feasibility as a scientific prerequisite for intervention research, achieved not through a compromise on rigorous scientific standards but through the deliberate application of core methodological standards that ensure the study remains scientifically sound.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"9 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The neurodiversity movement has gained considerable momentum in recent years, asserting that conditions such as attention‐deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) represent natural variations in human neurodevelopment rather than pathological disorders (Baron‐Cohen, 2017). This perspective has found increasing resonance among people with lived experience, advocacy groups and a growing number of clinicians. Yet, it has also attracted criticism for lacking a rigorous scientific foundation, leaving it vulnerable to the charge that it is more ideological than evidence based (Sonuga‐Barke & Thapar, 2021). We argue that evolutionary psychiatry provides precisely the scientific framework that the neurodiversity movement needs. By asking why ADHD and ASD have persisted across human history, and answering through the mechanisms of natural selection, evolutionary theory transforms neurodiversity from an advocacy position into a scientifically grounded account of human variation.
{"title":"Editorial Perspective: Evolutionary psychiatry as a scientific framework for neurodiversity: implications for ADHD and ASD in children and young people","authors":"Annie Swanepoel","doi":"10.1111/jcpp.70254","DOIUrl":"https://doi.org/10.1111/jcpp.70254","url":null,"abstract":"The neurodiversity movement has gained considerable momentum in recent years, asserting that conditions such as attention‐deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) represent natural variations in human neurodevelopment rather than pathological disorders (Baron‐Cohen, 2017). This perspective has found increasing resonance among people with lived experience, advocacy groups and a growing number of clinicians. Yet, it has also attracted criticism for lacking a rigorous scientific foundation, leaving it vulnerable to the charge that it is more ideological than evidence based (Sonuga‐Barke & Thapar, 2021). We argue that evolutionary psychiatry provides precisely the scientific framework that the neurodiversity movement needs. By asking why ADHD and ASD have persisted across human history, and answering through the mechanisms of natural selection, evolutionary theory transforms neurodiversity from an advocacy position into a scientifically grounded account of human variation.","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"52 1","pages":""},"PeriodicalIF":7.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-06-10DOI: 10.1111/jcpp.70184
Fin J. E. van Uum, Yllza Xerxa, Alexander Neumann, Jean-Baptiste Pingault, Charlotte A. M. Cecil, Mina Shahisavandi, Koen Bolhuis, Boglarka Kovacs, Henning Tiemeier, Ryan L. Muetzel, Neeltje E. M. van Haren