In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Dr. Clara Faria — academic clinical fellow in child psychiatry — is joined by Alina Marinca, PhD student in Psychological Medicine at Queen Mary University of London and clinical psychologist, whose research is funded by the London Interdisciplinary School of Science Doctoral Training Partnership.

Alina shares findings from her JCPP Advances paper  ‘Sleep disturbance as a transdiagnostic marker of children's mental health difficulties: A network analysis of item-level associations between different types of sleep problems and different behavioural and emotional symptoms'.

The study draws on data from the Development of Emotional Resilience observational cohort — a school-based sample of over 500 primary school children aged 7 to 12 from East London, one of the most ethnically diverse and economically deprived urban cohorts in UK child mental health research.

Using network analysis — a powerful statistical approach that maps relationships between symptoms simultaneously — the study examines how specific sleep problems relate to emotional difficulties (anxiety and depression) and behavioural difficulties (hyperactivity, inattention, and conduct problems) in middle childhood, moving beyond the composite sleep scores that have dominated previous research.

The headline finding is striking: sleep anxiety and general anxiety emerge as the most central, influential nodes in the network — sitting at the core of children's emotional and behavioural difficulties and functioning as a transdiagnostic mechanism across multiple mental health conditions. Emotional symptoms were found to be more tightly interwoven with sleep problems than behavioural symptoms, a developmentally meaningful finding with direct implications for how we assess and treat sleep disturbances in primary school-aged children.

Alina and Clara discuss what this means for school-based mental health intervention, why sleep should no longer be treated as a secondary or peripheral feature of child mental health, and how a modular, targeted approach focusing on sleep-related anxiety could benefit children, parents, educators, and clinicians alike. The episode closes with a preview of Alina's next research phase: a longitudinal network analysis tracking whether these core sleep and anxiety symptoms remain stable over time.

Essential listening for anyone working in child mental health, sleep research, school-based intervention, or child and adolescent psychiatry.

Read the CAMH journal paper ‘Sleep disturbance as a transdiagnostic marker of children's mental health difficulties: A network analysis of item-level associations between different types of sleep problems and different behavioural and emotional symptoms'
Alina A. Marinca, Julia E. Michalek, Alice M. Gregory, Afia Ali, Jennifer Y. F. Lau
First published: 04 March 2026 https://doi.org/10.1002/jcv2.70104

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In this episode of Mind the Kids, the podcast from the Association for Child and Adolescent Mental Health (ACAMH), host Dr. Clara Faria — academic clinical fellow in child psychiatry — is joined by Professor Lauren Kenworthy, Division Chief, Neuropsychology Director, Center for Autism Spectrum Disorders Pediatric Neuropsychologist, at the Children's National Hospital, based in Washington DC.

Professor Kenworthy shares findings from her landmark study, 'Executive Function Challenges Persist into Young Adulthood and Predict Mental Health Outcomes in Autism', published in JCPP — ACAMH's flagship peer-reviewed journal. Drawing on over 300 autistic individuals and more than 900 observations spanning ages 2 to 25, this is one of the most comprehensive longitudinal investigations into executive function trajectories and mental health outcomes in autism to date.

The episode unpacks what executive functions are — the brain-based cognitive abilities governing flexibility, working memory, and impulse control — and why they matter so profoundly for the mental health of autistic young people. With approximately 70% of autistic children and 63% of autistic adults experiencing mental health challenges at any given time, Professor Kenworthy explains why understanding the relationship between executive dysfunction and depression and anxiety in autism is not just academically important, but urgent.

Among the most striking findings: executive function challenges — particularly cognitive inflexibility — remain clinically elevated from early childhood all the way through young adulthood, persisting even in young people who have had access to clinical support. Anxiety symptoms worsen significantly for autistic girls, with measurable divergence from their male peers emerging around age 12 — a finding with major implications for autism diagnosis, gender differences in autism, and targeted mental health intervention.

Professor Kenworthy also shares her work developing Unstuck and On Target, a school-based executive function intervention designed to be delivered by educators — not just clinicians — addressing the urgent need for scalable, real-world, evidence-based autism support in schools. The conversation covers participatory research, the 12-year evidence-to-implementation gap, the limits of existing interventions including ABA, and why autistic voices must be central to the future of autism research and intervention design.

Essential listening for clinicians, researchers, educators, and anyone with a stake in autism mental health, early intervention, and neurodevelopmental research.

Read the paper 'Executive function challenges persist into young adulthood and predict mental health outcomes in autism' https://doi.org/10.1111/jcpp.70149
Lauren Kenworthy, Lauren Baczewski, Alan H. Gerber, Cara E. Pugliese, A. Chelsea Armour, Kelsey D. Csumitta, Gabrielle E. Reimann, Caroline Candy, Gregory L. Wallace, Matthew S. Fritz
First published: 11 April 2026

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This episode of the Mind the Kids podcast features Dr. Joanne Park, clinical psychologist and Principal Investigator of the Parenting Resilient Kids (Park) Lab at Mount Royal University, Canada. Hosted by Clara Faria, the conversation explores emerging research on “climate worry” in early adolescence, drawing on Dr. Park’s recent publication in Child and Adolescent Mental Health.

Dr. Park examines whether concerns about climate change represent a distinct psychological construct or are simply an extension of generalised anxiety. The discussion unpacks the difference between affective climate worry—emotional responses to climate change—and cognitive climate worry, which reflects more developed fears about future impact. Importantly, the findings suggest that climate worry is not only common among younger adolescents but may also have unique associations with wellbeing, independent of general anxiety.

The episode also highlights key developmental, social, and gender-related factors shaping how young people experience climate-related distress. Dr. Park discusses why girls and gender-diverse adolescents may report higher levels of climate worry, and considers how clinicians, educators, and parents can respond without over-pathologising what may be a rational reaction to the climate crisis.

This conversation is essential listening for clinicians, researchers, and educators interested in child and adolescent mental health, particularly those working with anxiety, emotional development, and the psychological impact of global challenges. It also offers practical insight into how to support young people in managing climate-related concerns through adaptive coping and resilience-building strategies.

Read the CAMH journal paper ‘Prevalence, conceptual distinctiveness, and cross-sectional correlates of climate worry in Canadian adolescents’ - https://doi.org/10.1111/camh.70076
Joanne L. Park, Audrey-Ann Deneault, Brae Anne McArthur, Suzanne Tough, Sheri Madigan
First published: 18 February 2026

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In this episode of the Mind the Kids, Clara Faria speaks with Professor Nathalie Auger and Professor Howard Steiger about new research exploring how maternal anorexia nervosa may influence children’s mental health and neurodevelopment.

Using a large population-based cohort, the study examines links between maternal eating disorders and outcomes such as anorexia nervosa, attentional difficulties, and other psychiatric risks in offspring. The discussion highlights the role of genetic vulnerability, environmental exposure, and epigenetic mechanisms, offering a nuanced understanding of how risk is transmitted across generations.

The episode also considers important clinical implications, including the benefits of early treatment, the importance of reducing stigma, and how supporting maternal mental health can improve outcomes for future generations.

A must-listen for professionals in child and adolescent mental health, psychiatry, psychology, and anyone interested in eating disorders and developmental research.

Read the CAMH journal paper ‘Maternal anorexia nervosa and risk of mental and neurodevelopmental morbidity in offspring'
Sam Amar, Gabriel Côté-Corriveau, Mimi Israël, Howard Steiger, Nancy Low, Nicholas Chadi, Émilie Brousseau, Nahantara Lafleur, Nathalie Auger
First published: 02 December 2025 https://doi.org/10.1111/camh.70051

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In this episode of Mind the Kids, Clara Faria is joined by Dr. Ariadna Albajara-Saenz and Dr. Amirah Wahdi to discuss adolescent mental health in low- and middle-income countries, drawing on findings from a major cross-country study published in JCPP Advances. 

The conversation explores mental health measurement across 12 countries in Eastern and Southern Africa and Southeast Asia, the challenges of comparing data across cultures, and why issues such as food insecurity, gender, and service access matter for global child and adolescent mental health research.

Together, they examine the importance of culturally sensitive mental health measures, the complexities of conducting large-scale international surveys, and what future research should prioritise to improve understanding and support for young people worldwide.

Read the paper ‘Mental health measures among adolescents in 12 low- and middle-income countries: Measurement invariance and cross-sectional analyses of Disrupting Harm survey data’ - https://doi.org/10.1002/jcv2.70087
Ariadna Albajara Sáenz, Sebastian Kurten, Jennifer Saxton, Daniel Kardefelt-Winther, Tamsin Ford, Amy Orben, Simon R. White
First published: 04 December 2025

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Welcome to Mind the Kids, exploring cutting-edge child and adolescent mental health research. In this episode host Clara Faria, a child psychiatry fellow, welcomes Professor Tamsin Ford, University of Cambridge to discuss over diagnosis.

The episode covers key surveys from Tamsin's group looking at data including ADHD and autism trends. Plus Clara and Tamsin talk about emotional disorder increases, rigorous multi-informant assessments, NHS waiting lists, school-based supports, private sector challenges, and AI's potential for equitable care. Don't miss this evidence-based discussion for parents, teachers, and professionals!

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Welcome to Mind the Kids, the ACAMH podcast where research meets real-world practice in child and adolescent mental health. In this episode, 'Anxiety, does the apple fall far from the tree?', Dr. Jane Gilmour and Professor Umar Toseeb explore whether anxiety runs in families, what the latest research says about clinically anxious parents and children’s anxiety disorders, and how genetic, environmental, and family factors may shape risk.

Joining them is Dr Sigrid Elfström, lead author of a population-based study published in the Journal of Child Psychology and Psychiatry. The conversation also looks at why diagnosis is not destiny, why prevention matters, and how to communicate risk without parent blaming.

They discuss whether anxiety can be transmitted through family processes, what the findings mean in practice, and how clinicians and parents can think about risk without assuming it is deterministic.

This episode covers: Children’s anxiety disorders. Clinically anxious parents. Parent-child mental health. Genetic and environmental influences. Family processes and prevention. Evidence-based child mental health research.

Read the paper 'A detailed investigation of anxiety disorders in children of clinically anxious parents: a population-based study' - https://doi.org/10.1111/jcpp.70085
Sigrid Elfström, Susanne Wicks, Christina Dalman, Johan Åhlén
First published: 04 December 2025

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What does it take to support children’s mental health and learning when their classrooms are in the middle of a conflict zone?

In this Mind the Kids episode ‘Delivering School Intervention: Culture, Context and Conflict’ we explore how research can really work for children and young people in the real world, not just on paper.

Dr. Jane Gilmour and Professor Umar Toseeb sit down with Professor Jean Francois Trani to delve into a classroom based psychosocial intervention delivered in rural Afghan primary schools during a period of political upheaval.

Together, they unpack how an international research team and local community partners co designed and delivered a universal, school based programme that aimed to improve mental health, boost learning, and reduce stigma in a setting marked by decades of conflict. They discuss what it means to adapt activities to local culture, the difference between accumulated and intergenerational trauma, and why task shifting to trained community members can be so powerful in low resource settings.

If you’re interested in community led interventions, global South research, or how universal school provision can support both wellbeing and inclusion, you won’t want to miss this.

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Why do so many studies – and headlines – focus on what goes wrong in childhood, when some young people go through adversity and still find ways to thrive?

In this episode of Mind the Kids, 'Protecting Mental Health, the Power of Positive', Dr. Jamie Hanson talks to hosts Dr. Jane Gilmour and Prof Umar Toseeb, about how early life adversity, positive affect, and internalizing difficulties like anxiety and depression are connected over time, using data from the large ABCD cohort in the United States. They unpack what counts as “early life adversity” beyond classic ACEs, what psychologists really mean by positive affect (and why it is not just the absence of negative mood), and how different trajectories of positivity across middle childhood may help explain which young people are most at risk – and who might be buffered.
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The conversation moves from theory to practice: why optimism and joy are trainable, how strength‑based programmes and everyday passions (sport, music, clubs, “the best apple I’ve ever had”) can support resilience, and what this all means for schools, policymakers, and anyone trying to help children grow after difficult early experiences.

You can read the main JCPP paper discussed in this episode, “Positive affect as a developmental mediator of early adversity and internalizing psychopathology" at https://doi.org/10.1111/jcpp.70104

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Why do some teenagers seem permanently jet lagged, wide awake at midnight and exhausted at 8am? And what does that actually do to their mood, their learning, and their long term mental health?

In this episode of Mind the Kids, titled ‘Regular sleep, the balm of hurt minds’, Dr. Konstantin Drexl joins hosts Dr. Jane Gilmour and Professor Umar Toseeb, to unpack the science of adolescent sleep: from what terms like chronotype, circadian rhythm and REM sleep really mean, to how sleep loss and anxiety feed into each other in everyday life.

Together, they explore why regular sleep can act as a protective factor for some young people, why others seem especially sensitive to even small disruptions, and what this might mean for school start times, smartphones at bedtime, and whole family sleep hygiene. Whether you are a parent, teacher, clinician or researcher, this conversation offers clear, practical insights into how supporting teenage sleep could be one of the simplest ways to support teenage minds.

You can read the main JCPP Advances paper discussed in this episode, “Toward an idiographic understanding of the role of sleep-mood dynamics in adolescents' internalizing symptoms” https://doi.org/10.1002/jcv2.70082

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