⭐今日精選 TOP Picks
Affective Neuroscience Personality Scales as Indicators of SSRI Treatment Response in Youths with Major Depressive Episodes: A Retrospective Cohort Study.
Journal of child and adolescent psychopharmacology · Affective Neuroscience Personality Scales as Indicators of SSRI Treatment Response in Youths with Major Depressive Episodes: A Retrospective Cohort Study.
ANPS的SADNESS與CARE分數低預示SSRI治療反應不佳，可作為個體化治療指標。
P青少年（12-20歲）主憂鬱症患者
I選擇性血清素再吸取抑制劑（SSRI）治療
C基線前的ANPS評分作為預測因素
O較低的ANPS-SADNESS與CARE分數與較低的臨床全球改善（CGI-I≤2）機率相關，顯示反應較差。
Scalable prediction of suicidal risk in university students: a three steps machine learning approach in university settings.
Scientific reports · Scalable prediction of suicidal risk in university students: a three steps machine learning approach in university settings.
結合情境與心理測量變數的機器學習模型能提升自殺風險預測AUC至0.80，提供可擴大至大學的篩檢框架。
P大學生（n=470）
I三階段機器學習模型（情境變數→心理測量變數→整合模型）
C僅心理測量模型與整合模型比較
O整合模型AUC=0.80，顯著高於僅心理測量模型AUC=0.77與情境變數模型AUC=0.72。
Evidence based interventions for bipolar disorder across phases and age groups: living umbrella review, evaluation, analysis, and communication hub (U-REACH) project.
BMJ (Clinical research ed.) · Evidence based interventions for bipolar disorder across phases and age groups: living umbrella review, evaluation, analysis, and communication hub (U-REACH) project.
涵蓋77項系統性回顧與meta分析，提供跨年齡段雙相性躁狂症藥物與非藥物介入的徹底證據等級，支援臨床決策平台。
P雙相性躁狂症患者（各年齡層）
I系統性回顧與網路/meta分析的證據整合
C高/中/低GRADE證據等級比較
O證據等級分布：高236、中827、低986、極低461，平台提供決策工具。
Therapist-Facilitated Virtual Reality Intervention for Social Anxiety Among Youth: Protocol for a Randomized Controlled Trial.
JMIR research protocols · Therapist-Facilitated Virtual Reality Intervention for Social Anxiety Among Youth: Protocol for a Randomized Controlled Trial.
提出6次 therapist‑facilitated VR曝露干預，目標在15-25歲青少年中降低社交焦慮與抑鬱症狀，採單盲隨機對照設計。
P青少年（15-25歲）社交焦慮患者
I六次 therapist‑facilitated VR曝露訓練，包含生理監測與AI自適應支援
C等待名單對照組
O預期降低SPIN（社交焦慮量表）與PHC（健康問卷）分數，並評估成本效益。
Differential relationship of morning and evening components of earliness‑lateness with sex and compromised sleep, mood, and health.
Chronobiology international · Differential relationship of morning and evening components of earliness‑lateness with sex and compromised sleep, mood, and health.
研究顯示女性較少報告晚上遲鋒，早晨遲鋒與睡眠、情緒與健康問題密切相關，提供 chronotype 干預的依據。
P大學生（男性188例、女性1143例）
I測量早晨與黃昏遲鋒成分，並分析與睡眠、情緒、健康的關聯
C性別與遲鋒組合的關聯比較
O早晨遲鋒與健康問題顯著相關，黃昏遲鋒不增加此關聯，且與性別呈中性關係。
Association between trauma exposure and mental health among adolescents with attention‑deficit hyperactivity disorder.
European journal of psychotraumatology · Association of trauma exposure and mental health among adolescents with attention‑deficit hyperactivity disorder.
青少年ADHD者更易遭遇人際創傷，且創傷反應與焦慮、抑鬱症狀呈強正相關，提示需在臨床評估中納入創傷篩檢。
P台灣12-18歲ADHD青少年（n=295）
I描述性與回歸分析，探討創傷暴露與心理結果的關聯
C與控制組比較，分層分析ADHD與創傷交互作用
O物理攻擊與威脅暴露與ADHD顯著相關，創傷反應受焦慮、抑鬱預測。
Improving Screening for Adolescent Substance Use and Mental Health in Primary Care.
American journal of medical quality · Improving Screening for Adolescent Substance Use and Mental Health in Primary Care.
TEAMSS品質改善合作項目提升篩檢率，從35%提升至75%酒精濫用篩檢，同時提升抑鬱、焦慮與自殺風險篩檢比例。
P160名臨床醫師（27個兒童與青少年醫療診所）
I虛擬學習合作平台 + 個別教練
C介入前 vs. 介入後篩檢與追蹤率比較
O篩檢率提升至75%，追蹤率提升至86%，顯示可行且有效。
The Utilization of Dental Services Among Indonesian Youth: A Nationwide Study Based on the Expanded Andersen Behavioral Model.
International dental journal · The Utilization of Dental Services Among Indonesian Youth: A Nationwide Study Based on the Expanded Andersen Behavioral Model.
僅7.6%青少年曾使用過牙科服務，臨床需求與結構性可及性為主要預測因子，非心理因素。
P印尼15-24歲青少年（n=3332）
I使用擴展安德森行為模型之回歸分析
C女、都市、保險與臨床需求的比較
O臨床需求（口腔疼痛、龋齒）與使用率呈強相關，心理因素不顯著。
📚其他值得關注的文獻
Resilience assessed by Resilience Scale (RS-14) in young people living with chronic kidney disease and its relationship with depressive and anxiety symptoms.
Pediatric nephrology (Berlin, Germany)
探討慢性腎病青少年韌性與情緒症狀的關聯，顯示韌性可緩解焦慮與抑鬱。
Real-world ADHD pharmacological treatment patterns and their association with negative clinical outcomes in youth with comorbid autism: a Swedish population-based study.
BMJ mental health
描述ADHD藥物使用模式，顯示與自殺與藥物濫用相關的不良結果。
Alcohol Expectancies, Emotional States, and Alcohol-Related Consequences among Junior College Students in China: A Full Mediation Model of Alcohol Consumption.
Alcohol (Fayetteville, N.Y.)
情緒與酒精期待透過飲酒行為完全中介其對酒精負面後果的影響。
Psilocybin-associated microRNA changes in the pig brain: Establishing an nCounter pipeline for cross-species microRNA quantification.
European journal of pharmacology
提出保守的nCounter微RNA分析流程，識別psilocybin引起的miRNA改變。
Parental Coping, Affective Symptoms, and Affective Reactions to Parenting Stress in Parents of Adolescents During COVID-19.
Child psychiatry and human development
探討父母情緒症狀與應對策略與青少年情緒問題的關聯。
Association of Mental Health, Quality of Life, and Sport Specialization Using the Wisconsin Sport Specialization Questionnaire Among Adolescent Athletes.
Orthopaedic journal of sports medicine
高特化度與較差心理健康、較高疼痛干擾相關。
Association Between Social Media Use and Cyberbullying Victimization and Perpetration Among Children and Adolescents: A Three-Level Meta-Analysis.
Trauma, violence & abuse
社交媒體使用與網路欺凌受害、行為的正向相關，臨床樣本效應較大。