Evidence map›Paper›PMID 42416638›Full record

ArticleJCPP advances2026

Positive developmental cascades: Strength development reduces support needs in children.

Melody R Altschuler, Xiaoran Tong, Punit Shah, Edelyn Verona, Julianne M Bowling, Robert F Krueger, Roman Kotov, Jordan H McAllister, Michaela Voit, Sachina Paudel and 3 more

Abstract read
In one paragraph

Article in JCPP advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Melody R AltschulerCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0000-0002-3524-8642
Xiaoran TongCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0000-0002-4648-3330
Punit ShahDepartment of Psychology University of Bath Bath UK.ORCID https://orcid.org/0000-0001-5497-4765
Edelyn VeronaDepartment of Psychology and Center for Justice Research & Policy University of South Florida Tampa Florida USA.ORCID https://orcid.org/0000-0002-3739-5283
Julianne M BowlingCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0009-0004-3704-9489
Robert F KruegerDepartment of Psychology University of Minnesota Minneapolis Minnesota USA.ORCID https://orcid.org/0000-0001-9127-5509
Roman KotovDepartment of Psychiatry Stony Brook University Stony Brook New York USA.ORCID https://orcid.org/0000-0001-9569-8381
Jordan H McAllisterCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0000-0001-5832-345X
Michaela VoitCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0009-0000-0037-2718
Sachina PaudelCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0000-0002-6020-4545
Scott C LeonDepartment of Psychology Loyola University Chicago Chicago Illinois USA.ORCID https://orcid.org/0000-0003-2567-4557
Shashwat KalaDepartment of Psychiatry Massachusetts General Hospital Boston Massachusetts USA.ORCID https://orcid.org/0000-0003-3403-6442
John S LyonsCenter for Innovation in Population Health University of Kentucky Lexington Kentucky USA.ORCID https://orcid.org/0000-0003-3585-683X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Strength development in children across a range of psychiatric diagnoses may reduce needs for mental health, social, and functioning support over time. A strength-based adjunct to child and adolescent mental health may foster the developmental context most helpful for achieving desired outcomes with positive developmental cascading effects. Methods: We longitudinally examined changes across 5 years in the Child and Adolescent Needs and Strengths Assessment in 2- to 18-year-old children ( Results: First, children who began with a greater number of strengths consistently had fewer support needs, not only at entry but also at one, two, three, four, and five years later. Second, initial strengths appeared to have cumulative positive cascades with reduced support needs over time; each additional strength a child possessed at the beginning of service was associated with a progressively faster decrease in their support needs each subsequent year. Furthermore, developing more strengths during the service period also predicted lower support needs one, two, three, four, and five years later. Finally, the impact of developing strengths over time varied depending on the child's age. Developing more strengths was linked to an increasingly rapid reduction in support needs each year for 2- to 5-year-olds. In contrast, developing more strengths was linked to a progressively slower reduction in support needs each year for 11- to 15-year-olds. Conclusion: We provide empirical support suggesting both the clinical utility of strength-based behavioral health care and the value of strength development in relation to reduction in support needs as a transdiagnostic clinical dimension. In turn, positive developmental cascading effects during a sensitive period early in development suggest the importance of early intervention. Strength-based mental health classification and treatment systems can be balanced with a traditional mental health symptom focus to more broadly leverage individuals' abilities for adaptation.

Indexed as

behavioral healthdevelopmental cascadesdevelopmental psychopathologymental healthsensitive periodstrengthssupport needs

Identifiers

PMID42416638
PMCPMC13338963

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.