Trajectories of parent criticism across treatment for youth self-harm / Madison AITKEN in Journal of Child Psychology and Psychiatry, 66-10 (October 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-10 (October 2025) . - p.1449-1460 Titre : Trajectories of parent criticism across treatment for youth self-harm Type de document : texte imprimé Auteurs : Madison AITKEN, Auteur ; Florence PERQUIER, Auteur ; Bomi PARK, Auteur ; Daniela CARVALHO, Auteur ; Alexandra WRIGHT-HUGHES, Auteur ; David COTTRELL, Auteur ; Peter SZATMARI, Auteur Article en page(s) : p.1449-1460 Langues : Anglais (eng) Mots-clés : Parent–child relationships  adolescence  self-harm  psychotherapy  expressed emotion Index. décimale : PER Périodiques Résumé : Background Criticism from parents is a risk factor for poor youth mental health, including self-harm and limited response to psychosocial interventions. We identified trajectories of change in parent criticism across treatment for youth self-harm (suicide attempts and non-suicidal self-injury) and compared these trajectories on treatment outcomes. Methods This is a preregistered secondary analysis of data from the Self-harm Intervention: Family Therapy trial. Participants (N 831, 11 17 years; 89% girls, 11% boys; 84% White) were clinically referred for self-harm and randomly assigned to family therapy or usual care. A growth mixture model identified trajectories of parent self-reported criticism across baseline, 3, and 6 months. Trajectories were compared on youth self-harm, suicidal ideation, depression, and hopelessness, and parent mental distress (baseline, and change from baseline to 12 and 12 18 months). Results Four trajectories of parent criticism were identified: High and remaining elevated despite a small decrease (51.6%); sharply decreasing (7.6%); low/stable (37.2%); and increasing (3.6%). Youth with parents in the high with small decrease class had more severe baseline suicidal behavior. Treatment type was not related to criticism trajectory. Parent mental distress increased in the increasing criticism class. Youth with parents in the increasing class showed less improvement in suicidal ideation at 12-month follow-up compared to the high with small decrease and sharply decreasing classes. Conclusions Current treatments for youth self-harm may not reduce parent criticism to subclinical levels. Increasing parent criticism may forecast poorer response to a range of treatments for youth self-harm and be indicative of increases in parent mental distress. En ligne : https://doi.org/10.1111/jcpp.14144 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=568 [article] Trajectories of parent criticism across treatment for youth self-harm [texte imprimé] / Madison AITKEN, Auteur ; Florence PERQUIER, Auteur ; Bomi PARK, Auteur ; Daniela CARVALHO, Auteur ; Alexandra WRIGHT-HUGHES, Auteur ; David COTTRELL, Auteur ; Peter SZATMARI, Auteur . - p.1449-1460. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-10 (October 2025) . - p.1449-1460 Mots-clés : Parent–child relationships  adolescence  self-harm  psychotherapy  expressed emotion Index. décimale : PER Périodiques Résumé : Background Criticism from parents is a risk factor for poor youth mental health, including self-harm and limited response to psychosocial interventions. We identified trajectories of change in parent criticism across treatment for youth self-harm (suicide attempts and non-suicidal self-injury) and compared these trajectories on treatment outcomes. Methods This is a preregistered secondary analysis of data from the Self-harm Intervention: Family Therapy trial. Participants (N 831, 11 17 years; 89% girls, 11% boys; 84% White) were clinically referred for self-harm and randomly assigned to family therapy or usual care. A growth mixture model identified trajectories of parent self-reported criticism across baseline, 3, and 6 months. Trajectories were compared on youth self-harm, suicidal ideation, depression, and hopelessness, and parent mental distress (baseline, and change from baseline to 12 and 12 18 months). Results Four trajectories of parent criticism were identified: High and remaining elevated despite a small decrease (51.6%); sharply decreasing (7.6%); low/stable (37.2%); and increasing (3.6%). Youth with parents in the high with small decrease class had more severe baseline suicidal behavior. Treatment type was not related to criticism trajectory. Parent mental distress increased in the increasing criticism class. Youth with parents in the increasing class showed less improvement in suicidal ideation at 12-month follow-up compared to the high with small decrease and sharply decreasing classes. Conclusions Current treatments for youth self-harm may not reduce parent criticism to subclinical levels. Increasing parent criticism may forecast poorer response to a range of treatments for youth self-harm and be indicative of increases in parent mental distress. En ligne : https://doi.org/10.1111/jcpp.14144 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=568

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