{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T06:04:46Z","timestamp":1784354686659,"version":"3.55.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Shanghai Public Health System Construction Three-Year Public Health Action Plan Key Discipline Project","award":["GWV-10.1-XK19"],"award-info":[{"award-number":["GWV-10.1-XK19"]}]},{"name":"Excellent Youth Medical Talents Training Program of Pudong Health Bureau of Shanghai","award":["PWRq2021-09"],"award-info":[{"award-number":["PWRq2021-09"]}]},{"name":"Mental Health from the National Center for Mental Health, the China Education Development Foundation, and the Center for Student Services and Development, Ministry of Education","award":["XS25A013"],"award-info":[{"award-number":["XS25A013"]}]},{"name":"An Implementation Project to Enhance the Effectiveness of Mental Health Services for Children and Adolescents in Shanghai","award":["China Medical Board 23-538"],"award-info":[{"award-number":["China Medical Board 23-538"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescents have increasingly been reported as identifying as transgender or gender-diverse and seeking gender-affirming care. Nonetheless, the proportion receiving gender-affirming medical treatment remains low; in the United States, fewer than 100 out of every 100,000 17-year-old adolescents assigned male at birth receive gender-affirming medical treatment. Attention-deficit hyperactivity disorder (ADHD), the most common childhood neurodevelopmental disorder, is a major public health concern and shows elevated prevalence among transgender and gender-diverse adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>This case presents a 15-year-old adolescent with ADHD and co-morbidities, including gender dysphoria, harmful use of substances, and childhood mood disorders. After antipsychotic and antidepressant pharmacotherapy combined with psychological interventions, the patient demonstrated improved emotional regulation and diminished impulsive behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underscores the need for life course-oriented care that addresses transgender-specific stressors and incorporates preventive substance abuse strategies. It also emphasises the urgent need for research into comorbidity-tailored pharmacotherapy to balance ADHD treatment efficacy with gender-affirming hormone safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045261417379","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T17:20:51Z","timestamp":1768324851000},"page":"777-784","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Complex ADHD in a Transgender Adolescent: Case Study and Clinical Implications"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2277-3413","authenticated-orcid":false,"given":"Yiran","family":"Wang","sequence":"first","affiliation":[{"name":"Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqing","family":"Jiang","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Li","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"issue":"2","key":"e_1_3_5_2_1","doi-asserted-by":"crossref","first-page":"391","DOI":"10.7705\/biomedica.5082","article-title":"Aplicaci\u00f3n de la teor\u00eda de la \u201csindemia\u201d para entender el sexo sin protecci\u00f3n y el sexo comercial: Un estudio transversal en hombres que tienen sexo con hombres (HSH), mujeres transexuales y hombres que no tienen sexo con hombres en Colombia [Application of the \u2018syndemics\u2019 theory to explain unprotected sex and transactional sex: A crosssectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia]","volume":"40","author":"Alvarado B.","year":"2020","unstructured":"Alvarado B., Mueses H. F., Galindo J., Mart\u00ednez-Cajas J. L. (2020). Aplicaci\u00f3n de la teor\u00eda de la \u201csindemia\u201d para entender el sexo sin protecci\u00f3n y el sexo comercial: Un estudio transversal en hombres que tienen sexo con hombres (HSH), mujeres transexuales y hombres que no tienen sexo con hombres en Colombia [Application of the \u2018syndemics\u2019 theory to explain unprotected sex and transactional sex: A crosssectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia]. Biomedica: Revista del Instituto Nacional de Salud, 40(2), 391\u2013403. https:\/\/doi.org\/10.7705\/biomedica.5082","journal-title":"Biomedica: Revista del Instituto Nacional de Salud"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.07.071"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000770"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2025.2264"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304727"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3845"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-72219-6_50"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-022-02500-7"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106544"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci12030366"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12499"},{"key":"e_1_3_5_13_1","volume-title":"Medicamenteuze en niet-medicamenteuze aanpak van ADHD (ADVIES nr. 9547)","author":"Gezondheidsraad H.","year":"2021","unstructured":"Gezondheidsraad H. (2021) Medicamenteuze en niet-medicamenteuze aanpak van ADHD (ADVIES nr. 9547). [Pharmacological and non-pharmacological management of ADHD ]."},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2022.3"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40894-019-00130-0"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000373"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114477"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2016.1266644"},{"key":"e_1_3_5_19_1","volume-title":"Zorgstandaard ADHD","author":"Standaarden G.","year":"2019","unstructured":"Standaarden G. (2019). Zorgstandaard ADHD. [ADHD Care Standards]."},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-021-01195-6"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719000643"},{"key":"e_1_3_5_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-020-17794-1"}],"container-title":["Clinical Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045261417379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591045261417379","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045261417379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:43:25Z","timestamp":1784353405000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591045261417379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/13591045261417379"],"URL":"https:\/\/doi.org\/10.1177\/13591045261417379","relation":{},"ISSN":["1359-1045","1461-7021"],"issn-type":[{"value":"1359-1045","type":"print"},{"value":"1461-7021","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]}}}