The DSM-5(-TR) expanded the definition of Mild Intellectual Disability (MID) to include adaptive functioning (AF) alongside intelligence quotient (IQ). In this population-based study, we examined behavioural and emotional problems in children with MID and matched controls from early childhood to adolescence. We evaluated how three operationalizations of MID, varying by IQ and AF, influence outcomes. Cognitive assessments and parent-reported problems from 4,643 children from 1.5 to 15 years (T1 to T5) in the Generation R Study were used. MID was defined as: (1) IQ ≤ 75; (2) IQ ≤ 75 with impairments in AF; (3) IQ ≤ 85 with impairments in AF. Propensity score matching ensured comparable MID and non-MID groups. Linear mixed-effects models were employed to assess multiple domains of psychopathology over time. Across all MID definitions, children with MID exhibited elevated behavioural and emotional problems compared to matched controls. Children meeting the criteria for MID3, the broadest definition, showed the highest problem levels, with elevated ADHD (β = 0.37, pFDR < 0.001), affective (β = 0.25, pFDR < 0.001), and autistic problem scores (β = 0.25, pFDR < 0.001) at baseline, with differences widening over time. Children with MID1 and MID2 also displayed unfavourable ADHD trajectories, although no baseline differences were observed. The findings suggest the extent of mental health problems depends on how MID is operationalized and suggest that psychopathology may be particularly present in children with borderline intellectual disability, 75 ≤ IQ ≤ 85.

BACKGROUND:Resilience, defined as the capacity to recover from difficulties or to adapt well to stressors, challenges, and adversities in life, is increasingly studied, yet its role in a range of alcohol-related outcomes remains unclear, including alcohol consumption, risky drinking, and alcohol use disorder. This review synthesises available evidence while considering variability across populations, contexts, and measurement approaches. METHODS:We systematically searched MEDLINE, PsycINFO, CINAHL, and Web of Science for observational studies examining the relationship between individual-level resilience and alcohol-related outcomes. Two independent reviewers screened records and extracted data, with disagreements resolved by consensus. We included studies published on or after 1 January 2014 that reported an association or provided sufficient data to determine its direction. Random-effects meta-analysis was used to estimate pooled associations for studies reporting comparable effect sizes (odds ratios or correlation coefficients), and narrative synthesis was used for studies not amenable to meta-analysis. RESULTS:A total of 66 studies met the inclusion criteria and were included in the review. Approximately two-fifths (42.6%) were conducted in high school or college student populations, and 65.3% were conducted in high-income countries, primarily the United States. Meta-analysis of 24 studies showed that higher resilience was associated with lower odds of alcohol-related outcomes (pooled OR = 0.91, 95% CI = 0.87-0.95), although the observed heterogeneity was substantial (I2 = 99.9%, p < 0.001). Consistent with this, the narrative synthesis indicated that associations between resilience and alcohol outcomes varied by life stage, high-risk or clinically vulnerable populations, cultural context, and resilience dimensions, with emotion-regulation and coping-related components showing more consistent protective associations than competence- or achievement-oriented traits. CONCLUSION:While resilience shows a small protective association with alcohol use and related harms, but effects are highly context-dependent and specific by dimension. Given most evidence is cross-sectional with substantial heterogeneity, resilience should not be considered as a standalone target for prevention. Future research should prioritise longitudinal designs, standardised measurement and a clear differentiation between resilience components to clarify how specific dimensions of resilience influence alcohol outcomes across diverse populations. Prospero Registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD42024520281.

BACKGROUND:The link between a therapist's motivational interviewing skills and the subsequent response of individuals with mild intellectual disabilities to borderline intellectual functioning (MID-BIF) is unknown. This study examines this sequential relationship and describes change talk (CT) in individuals with MID-BIF during substance use disorder (SUD) treatment. METHOD:In this study, 35 treatment sessions were sequentially coded using the Motivational Interviewing Sequential Code for Observing Process Exchanges. Observed and expected frequencies of transitions, transitional probabilities, odds ratios and 95% confidence intervals were calculated in Generalized Sequential Querier software. Furthermore, frequencies of CT in IBM SPSS statistics were calculated. RESULTS:Questions and reflections of CT and two-sided questions were followed by CT. Questions and reflections of counter change talk (CCT) and two-sided questions were followed by CCT. Individuals expressed all kinds of CT utterances. CONCLUSIONS:Questions and reflections of CT are powerful skills in evoking CT in individuals with MID-BIF during SUD treatment.

Adolescents with post-traumatic stress disorder (PTSD) often experience persistent hyperarousal, even in the absence of immediate danger or threats. Hyperarousal can severely impair daily functioning through increased reactivity, hypervigilance, and attention difficulties. When initial trauma-focused treatments are as yet ineffective or rejected by the client, clinical guidelines emphasize the importance of developing self-regulation strategies. As hyperarousal is part of the predominant PTSD symptom cluster, targeting arousal regulation may enhance overall trauma-focused treatment. This article introduces a literature-informed, consensus-based music therapy micro-intervention aimed at modulating hyperarousal and improving arousal regulation in adolescents with PTSD or trauma-related hyperarousal through singing or rapping. Using the music therapy micro-intervention format, a detailed description of the intervention, its theoretical and scientific foundations, the musical working mechanisms, and a stepwise procedure are proposed to provide music therapists with new opportunities to address hyperarousal in clinical practice.

IntroductionTake it Personal!+ is a treatment program for individuals with Mild Intellectual Disability or Borderline Intellectual Functioning (MID-BIF) and Substance Use Disorder (SUD). It is supported by a mobile health application (mHealth), and researchers found it can reduce Substance Use (SU). Aims: This study aimed to explore the usability of the treatment program in as experienced by clients and their confidants.MethodsWe conducted post-treatment, semi-structured interviews with clients (n = 8) and their confidants (n = 8). We coded transcripts according to thematic analysis and using inductive and deductive methods. Subsequently, we analyzed connections between the codes and grouped them into themes using axial coding.ResultsOverall clients and confidants experienced the treatment program as usable, and most mentioned the program helped to reduce SU. The clients and confidants reported the presence of a confidant was helpful. Some clients and confidants reported the mHealth application was helpful. Components that were perceived as effective were self-control skills, daily registration exercise and discussing quantity of SU non-judgingly. Perceived impeding factors were video calling and a non-supportive network.ConclusionThis study shows that Take it Personal!+ is an useable treatment program for individuals with MID-BIF and SUD, that helps to decrease their self-reported SU. Nevertheless, there is room for improvement for further adapting the treatment, which will be discussed.

BACKGROUND:Previous cross-sectional research provided evidence for a relationship between environmental tobacco smoke (ETS) exposure and symptoms indicative of nicotine dependence in adolescent never- and experimental smokers. This study aims to examine temporal associations between nicotine dependence-like symptoms and ETS exposure, and whether this differs between never- and experimental smokers. METHODS:Ecological momentary assessment data were collected in a sample of Dutch adolescent never-smokers (n = 105; Mage = 14.48; 30.5% male) and experimental smokers (n = 72; Mage = 16.57; 30.6% male). Participants self-rated dependence-related symptoms (pleasant, unpleasant, autonomy over smoking, dizziness, wanting, withdrawal-related symptoms) and ETS exposure three times a day for three weeks. Binomial generalized linear mixed effects models were applied examining 1) the association between ETS exposure and symptoms within the same interval, 2) whether ETS exposure precedes symptoms, and 3) vice versa. RESULTS:Analyses revealed a positive association between unpleasant symptoms and ETS exposure during ETS exposure for never-smokers. The experimental smokers experienced less autonomy over smoking within the same time interval, less wanting shortly after ETS exposure and fewer pleasant symptoms in the interval preceding ETS exposure. We did not find that ETS exposure precedes dependence-like symptoms. CONCLUSIONS:Temporal effects of ETS exposure differ between never- and experimental smokers. ETS exposure has a potentially aversive effect in never-smokers, while in experimental smokers may potentially contribute to developing nicotine dependence. Future research should increase the frequency of momentary assessments to investigate the processes in more detail.

The COVID-19 pandemic and its measures have profoundly affected adolescents’ lives, including their health behaviors. As a host of research indicates that adolescent health behaviors cluster together and that adolescents can respond differently to the pandemic, we examined adolescents’ changes in clusters of health behaviors and its correlates during different phases of the pandemic. A total of 710 Dutch adolescents (53

This study examined the association between adolescents’ social adjustment and their social media use (SMU) patterns. Participants were 716 Dutch adolescents (Mage = 13.2 years, 48.3% girls). Latent profile analysis of self-reported time spent on SMU, intensity of online peer communication, and problematic SMU yielded four distinct patterns: problematic heavy use (n = 129), non-problematic heavy use (n = 262), moderate use (n = 197), and low use (n = 128). Adolescents' peer-reported social status and behaviors were associated with the SMU patterns. Withdrawn or more prosocial adolescents were less likely to engage in SMU overall. Popular or proactive aggressive adolescents were likely to show non-problematic heavy SMU, while disliked, reactively aggressive, or less pro-social adolescents showed some risk for problematic SMU. The findings suggest a distinction be-tween heavy and problematic SMU and that adolescents’ risk for problematic SMU varied between subtypes of social status and behaviors.

This study sought to identify factors associated with parenting across Western Europe, Eastern Europe and China countries, and determine whether the associations between parental attitudes and child's mental health differ across countries. This cross-sectional study included mothers and their children. European data were drawn from the School Child Mental Health in Europe study, conducted in the Netherlands, Germany, Lithuania, Bulgaria and Romania, including 4104 dyads. Chinese data were collected from the Dongli District of Tianjin, including 1000 dyads. Parental attitudes were auto reported using Parenting Scale and Parent Behavior and Attitude Questionnaire. Children's mental health was auto reported using the Dominic Interactive. Parenting vary across cultures and impact children's mental health differently. Whatever the parental attitudes, the main determinants were related to family configuration, parental well-being and place of residence. Some associations were culture-specific: parent's distress associated with laxness, over-reactivity and low autonomy-promoting attitudes in Europe. Single parenting correlated with low autonomy-promoting attitudes in China but low caring in Western Europe. Urban parents exhibited less laxness and low caring in Eastern Europe. The impact on children's mental health also varied: over-reactivity was linked to internalized and externalized disorders in Western Europe, verbosity associated with internalized and externalized disorders in China, and low caring was linked to externalized disorders in Eastern Europe. Parental diverse attitudes are associated with different children mental health problems; these associations are not identical in the different regions emphasizing the need to tailor existing supporting parental interventions with a culturally sensitive approach.

As poverty in the U.S. is increasing and the income gap continues to rise, addressing disparities in socioeconomic status (SES) has become a national priority. This study employs the Interactionist Model, a well-established theoretical framework for examining the intergenerational transmission of SES. Specifically, using longitudinal data from a sample of 998 adolescents, 47.2% of whom are females, from diverse ethnic backgrounds, we investigated how parents' SES influences both their material and immaterial resources, and subsequently affects their offspring’s SES through inhibitory control during adolescence. Our findings support an indirect effect wherein parental SES influences the SES of the next generation via parental material and immaterial investments. Additionally, we demonstrate that immaterial investments influence the next generation's SES, mediated by inhibitory control. The implications of these findings are further discussed.

People spontaneously adjust their emotions to others when they interact. This temporal coupling of emotions is an adaptive process facilitating social bonding. The present study examined differences in coupling patterns during parent-child versus peer interactions in adolescence, a developmental period marked by evolving parent-child dynamics and bond formation with peers. Because adolescents prioritize peer bonding while gradually asserting their autonomy from parental influence, we hypothesized that peer dyads showed stronger coupling than parent-adolescent dyads. Adolescents (age 16) with diverse ethnic backgrounds (N = 615; 50.2% female; 46.8% European American, 31.2% African American, 5.0% Hispanic, 3.0% Asian or Pacific Islander, 2.0% Native American, and 12.0% multiple ethnic backgrounds) participated in two videotaped interaction tasks: one with a parent and one with a self-nominated peer. Parent and peer interactions included discussions on positive and negative topics. Both dyad members' emotions were coded in real time. Cross-recurrence quantification analyses and growth-curve modeling revealed concurrent emotion coupling patterns, with peer dyads showing stronger coupling than parent-adolescent dyads. Moreover, peer dyads showed the most pronounced coupling patterns when they discussed personal problems, while parent-adolescent dyads showed the most pronounced coupling patterns when they discussed the planning of a fun activity. Our findings emphasize the importance of microlevel emotion dynamics in understanding larger scale developmental shifts in relationships during adolescence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Background Challenging behaviors like aggression and self-injury are dangerous for clients and staff in residential care. These behaviors are not well understood and therefore often labeled as "complex". Yet it remains vague what this supposed complexity entails at the individual level. This case-study used a three-step mixed-methods analytical strategy, inspired by complex systems theory. First, we construed a holistic summary of relevant factors in her daily life. Second, we described her challenging behavioral trajectory by identifying stable phases. Third, instability and extraordinary events in her environment were evaluated as potential change-inducing mechanisms between different phases.Case presentation A woman, living at a residential facility, diagnosed with mild intellectual disability and borderline personality disorder, who shows a chronic pattern of aggressive and self-injurious incidents. She used ecological momentary assessments to self-rate challenging behaviors daily for 560 days.Conclusions A qualitative summary of caretaker records revealed many internal and environmental factors relevant to her daily life. Her clinician narrowed these down to 11 staff hypothesized risk- and protective factors, such as reliving trauma, experiencing pain, receiving medical care or compliments. Coercive measures increased the chance of challenging behavior the day after and psychological therapy sessions decreased the chance of self-injury the day after. The majority of contemporaneous and lagged associations between these 11 factors and self-reported challenging behaviors were non-significant, indicating that challenging behaviors are not governed by mono-causal if-then relations, speaking to its complex nature. Despite this complexity there were patterns in the temporal ordering of incidents. Aggression and self-injury occurred on respectively 13% and 50% of the 560 days. On this timeline 11 distinct stable phases were identified that alternated between four unique states: high levels of aggression and self-injury, average aggression and self-injury, low aggression and self-injury, and low aggression with high self-injury. Eight out of ten transitions between phases were triggered by extraordinary events in her environment, or preceded by increased fluctuations in her self-ratings, or a combination of these two. Desirable patterns emerged more often and were less easily malleable, indicating that when she experiences bad times, keeping in mind that better times lie ahead is hopeful and realistic.

Individuals with mild intellectual disabilities or borderline intellectual functioning are at increased risk to develop a substance use disorder-however, effective treatment programs adapted to this target group are scarce. This study evaluated the effectiveness of Take it Personal!+ in individuals with mild intellectual disabilities or borderline intellectual functioning and substance use disorder. Take it Personal!+ is a personalized treatment based on motivational interviewing and cognitive-behavioral therapy supported by an mHealth application. Data were collected in a nonconcurrent multiple baseline single-case experimental design across individuals with four phases (i.e., baseline, treatment, posttreatment, and follow-up). Twelve participants were randomly allocated to baseline lengths varying between 7 and 11 days. Substance use quantity was assessed during baseline, treatment, and posttreatment with a daily survey using a mobile application. Visual analysis was supported with statistical analysis of the daily surveys by calculating three effect size measures in 10 participants (two participants were excluded from this analysis due to a compliance rate below 50%). Secondary, substance use severity was assessed with standardized questionnaires at baseline, posttreatment, and follow-up and analyzed by calculating the Reliable Change Index. Based on visual analysis of the daily surveys, 10 out of 12 participants showed a decrease in mean substance use quantity from baseline to treatment and, if posttreatment data were available, to posttreatment. Statistical analysis showed an effect of Take it Personal!+ in terms of a decrease in daily substance use in 8 of 10 participants from baseline to treatment and if posttreatment data were available, also to posttreatment. In addition, data of the standardized questionnaires showed a decrease in substance use severity in 8 of 12 participants. These results support the effectiveness of Take it Personal!+ in decreasing substance use in individuals with mild intellectual disabilities or borderline intellectual functioning.

Background: Staff-client relationships impact the quality of support and life of people with severe to profound intellectual disabilities and challenging behavior, but are challenging to build due to clients' intense, complex and varying support needs. The present study explores the perspectives of professionals and relatives on what affects these interpersonal relationships. Method: 17 professionals and 11 relatives participated in focus groups and interviews. Data collection and analysis was performed in collaboration with a co-researcher. Data were synthesized thematically. Results: Interpersonal relationships constituted equivalence, striving for mutual understanding, trust and exploring clients' potential. The combination of staff characteristics (enthusiasm/passion, patience, resilience, creativity/humor, flexibility) and expertise (knowledge, vulnerability/sincerity, self-reflection) enabled staff to build these relationships. The importance of involving relatives was addressed. Contextual influences included the team (cooperation, flexibility, culture), organization (cooperation, boundary conditions) and setting (predictability, interior/atmosphere). Conclusions: The findings make practical knowledge explicit and scientifically underpinned for this specific population.

Aim: Many adolescents in residential care have experienced traumatic events and suffer from posttraumatic stress. This study examined the effectiveness of Muse, a game-based meditation intervention, as an addition to treatment as usual (TAU) for traumatized adolescents in residential care.Methods: Seventy-seven traumatized adolescents (10 – 18 years old) received either Muse and TAU (n = 37) or treatment as usual alone (n = 40). TAU consisted of evidence-based treatments that did not specifically target posttraumatic symptoms. Outcomes were measured at T1, T2, and two-months follow-up (FU). Primary outcomes were posttraumatic symptoms (self-report and mentor-report) and stress (self-report) at T2. Secondary outcomes included anxiety, depression, and aggression at T2, and all outcomes at follow-up.Results: The Muse group showed significantly greater improvements than the control group at T2 regarding self-reported posttraumatic symptoms, stress, anxiety, depression, and aggression. Mentor reports showed marginally significant decreases in posttraumatic stress at T2. There were no differences between the groups at FU, except for a marginally significant difference in self-reported posttraumatic symptoms, where the Muse participants showed larger decreases.Conclusions: Game-based meditation therapy is a promising intervention that is more effective than treatment as usual alone. Implications of these findings for the role of game-based meditation interventions for traumatized adolescents in residential care are discussed.

Idiographic personality networks are gaining popularity for modeling individual differences, but their validity requires stability, which seems contradicted by theory and empirics. This study employs conventional idiographic network analysis to evaluate inter- and intra-individual variation in youngsters with a mild intellectual disability (N = 26; Mage=23) who completed 60 daily self-reports. Results show high between-person heterogeneity in network structures, even within subgroups with a similar personality profile. Repeatedly estimating idiographic networks in a sliding 30-day window revealed within-person network variability throughout the 60 days. Both theory and our study suggest non-stationarity, which invalidates aggregated network estimates. This is problematic because capturing individuals’ stable personality networks is required to subsequently assess individual differences. We discuss implications for modeling and theory building.

There is a negative association between intelligence and psychopathology. We analyzed data on intelligence and psychopathology to assess this association in seven-year-old Dutch twin pairs (ranging from 616 to 14,150 depending on the phenotype) and estimated the degree to which genetic and environmental factors common to intelligence and psychopathology explain the association. Secondly, we examined whether genetic and environmental effects on psychopathology are moderated by intelligence. We found that intelligence, as assessed by psychometric IQ tests, correlated negatively with childhood psychopathology, as assessed by the DSM-oriented scales of the Child Behavior Check List (CBCL). The correlations ranged between − .09 and − .15 and were mainly explained by common genetic factors. Intelligence moderated genetic and environmental effects on anxiety and negative affect, but not those on ADHD, ODD, and autism. The heritability of anxiety and negative affect was greatest in individuals with below-average intelligence. We discuss mechanisms through which this effect could arise, and we end with some recommendations for future research.

BACKGROUND:To date, most large surveys on the mental health of children under 11 years old have relied exclusively on data collected from parents and teachers, with no information from children themselves. However, these children are valuable informants despite their young age. OBJECTIVE:To evaluate the effects of adding young children's self-evaluation of internalizing disorders to a combined teacher/parent-based algorithm using data from a European survey carried out in Italy, Bulgaria, and in the Netherlands. METHOD:Comparing concordances with the Development and Well-Being Assessment (DAWBA; considered as the gold standard) of a Strengths and Difficulties Questionnaire's (SDQ) parent/teacher-based predictive algorithm, with and without integrating a child self-evaluation. The child self-evaluation was using the Dominic Interactive (DI), a computerized, pictorial, self-administered questionnaire for young children, which followed DSM 5 diagnoses definitions for internalized disorders. The concordance comparisons concerned 238 children, 5 to 12 years old from out-patient clinics, double evaluated, using kappa concordance test . Subsequent variations in disorder prevalence were evaluated in cross-sectional surveys in the general populations of the three study countries (n = 3,442). RESULTS:Adding self-evaluated child DI-based 'probable' internalizing disorder diagnoses to the SDQ parent/teacher algorithm increased concordance with gold standard: kappa increased from .25 (.14-.37) to .36 (.23-.49). In terms of population-based data, this addition increased the prevalence of 'probable' emotional disorders from 2.00 % (1.56-2.53) to 3.63 % (3.03-4.31) and revealed an expected gender difference. CONCLUSION:The inclusion of young children's self-reported data on internalizing disorders is a valuable addition to the generally used combined parent/teacher-based SDQ algorithm, and therefore better reflects the true prevalence of these disorders in these children. Further evaluation on larger validation samples is required.