- by Shiv PatilCONCLUSION: PET provides insight into the effects of DBS on the molecular activity of the brain, which may improve patient selection for surgery, prognostication, and long-term monitoring.
- by Anya C EnglishBackground: Decades of randomized controlled trials (RCTs) support cognitive behavioral therapy (CBT) for pediatric anxiety, but exclusion criteria may limit generalizability to routine settings. We examined common exclusion criteria in recent CBT RCTs for pediatric anxiety, trends in these criteria over time, and whether meeting RCT exclusion criteria affects outcomes in a naturalistic sample. Methods: We reviewed 81 RCTs from the past 25 years assessing CBT for pediatric anxiety or related…
- by Ruoyu MaCONCLUSIONS: This systematic review, meta-analysis, and case study suggest that circuit-based neuromodulation-particularly targeting the fronto-limbic circuit-may offer the most consistent benefit for treatment-refractory OCD. Larger, longer-term, and circuit-informed trials are needed to optimize individualized neuromodulation strategies.
- by Michelangelo Di LuzioBackground: It is well documented in the scientific literature that obsessive-compulsive disorder (OCD) and various eating disorders may present overlapping psychopathological traits. Exploring these aspects could help to identify underlying features that connect different diagnostic categories. However, evidence is lacking regarding certain less-studied eating disorders, such as avoidant/restrictive food intake disorder (ARFID). The aim of this review is to investigate the presence of…
- by Shivani M ReddyCONCLUSIONS: TMS probably improves clinical response in OCD and may improve symptom severity in GAD, OCD, and PTSD. Further research should determine optimal brain targets and TMS treatment parameters and assess the durability of outcomes at longer term follow-up times, to better support clinical decision making and coverage determinations.
- by Marina Serrano-OrtizObsessive-compulsive disorder (OCD) is a frequent condition in the pediatric population, with significant clinical impact and high comorbidity. This umbrella review aimed to synthesize evidence from systematic reviews and meta-analyses on the efficacy of interventions for OCD in individuals under 18 years of age. Searches were conducted in five electronic databases up to July 2025. A total of 28 systematic reviews and meta-analyses published between 2003 and 2025 were included, assessing the…
- by Matthias PallamarBackground/Objectives: Juvenile osteochondritis dissecans (JOCD) of the knee is commonly treated using conservative or joint-preserving surgical techniques. While clinical outcomes are generally favorable, the risk of early cartilage degeneration remains unclear. Joint space width (JSW) on weight-bearing radiographs serves as an indirect marker of cartilage health. Artificial intelligence (AI)-based JSW assessment may enable sensitive and reproducible detection of early degenerative changes….
- by Lyndon BooneCONCLUSION: Despite high methodological heterogeneity and small sample sizes in the primary literature, these findings underscore the potential of neuroimaging to inform patient selection and clarify mechanisms of OCD lesioning therapy. Network analyses may provide a framework for considering novel therapeutic targets. Future prospective research should verify the role of the anterior cingulate cortex in predicting treatment response, and further explore mechanistic changes in distributed brain…
- by Acácio Moreira-NetoNo abstract
- by Steffen MassanneckAlthough virtual reality has been used in psychotherapy since the 1990s, research and clinical practice have focused strongly on its application in exposure therapy. Over the last decade, the emergence of a new generation of virtual reality devices has led to a surge in virtual reality applications, which are also gaining traction in other areas of mental health care. The use of virtual reality in children and adolescent psychotherapy is especially interesting because it provides engaging and…
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