[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-459489-105":59,"doc-detail-459489-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","from-experience-to-evidence-evidence-based-psychotherapy-in-child-and-adolescent-psychiatry","From Experience to Evidence - Evidence-Based Psychotherapy in Child and Adolescent Psychiatry","","From Experience to Evidence argues for evidence-based medicine as an essential foundation for child and adolescent psychotherapy. It traces empiricism from early medical observation to modern frameworks such as GRADE, explaining how evaluating bias, inconsistency, indirectness, imprecision, and publication bias strengthens clinical decisions. The editorial contrasts the comparatively research-supported basis of biological treatments with the rigor challenges historically faced by psychotherapy, especially in developmentally heterogeneous pediatric contexts. It introduces a special section presenting interventions with demonstrated efficacy and practical guidance for clinicians and researchers.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/from-experience-to-evidence-evidence-based-psychotherapy-in-child-and-adolescent-psychiatry/459489/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/from-experience-to-evidence-evidence-based-psychotherapy-in-child-and-adolescent-psychiatry/459489.png","ImageObject",300,407,{"name":92,"@type":93},"Rhys","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the editorial mean by “evidence-based” in child and adolescent psychotherapy?","Question",{"text":112,"@type":113},"It frames evidence-based practice as an essential, not optional, approach that turns individual clinical experience into cumulative scientific knowledge, supported by systematic research designs and clinical expertise.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does GRADE improve assessment of medical evidence?",{"text":117,"@type":113},"GRADE evaluates the risk of bias and other limitations such as inconsistency, indirectness, imprecision, and publication bias, clarifying the boundaries and limitations of medical knowledge.",{"name":119,"@type":110,"acceptedAnswer":120},"Why is evaluating psychotherapy outcomes more difficult for children and adolescents?",{"text":121,"@type":113},"The editorial highlights developmental heterogeneity, multi-system influences involving families and environments, limits of outcome measurement, ethical constraints, and confounding effects of natural development.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},459489,1790756024,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":24,"preview_page_count":4},687207024643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","EDITORIAL  \nJ Korean Acad Child Adolesc Psychiatry 2026;37(1):2-3 [https://doi.org/10.5765/jkacap.250064](https://doi.org/10.5765/jkacap.250064)  \neISSN 2233-9183  \nFrom Experience to Evidence: Evidence-Based Psychotherapy in Child and Adolescent Psychiatry  \nJae Hyun Yoo  \nDepartment of Psychiatry, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea  \nFrom the earliest days of medicine, physicians during the Hippocratic era sought to separate disease from divine intervention. Instead, they treated disease as a subject of repeated clinical observation and practical experience. During the Hellenistic period, the empirical school of medicine emphasized remembering and passing down effective treatments, rather than focusing on theoretical explanations of disease causation. This empirical perspective was later formalized by Galen and gradually developed into modern medicine during the Middle Ages and the Renaissance. Modern medicine emphasizes direct observation and anatomical investigation. Contemporary evidence-based medicine (EBM) ultimately draws from this enduring tradition of patient observation and the systematic recording of clinical experience [1].  \nAlthough empiricism provides the philosophical foundation of medicine, modern clinical practice has progressed by incorporating mathematical reasoning and scientific methodology. This integration allows for the formulation of hypotheses and their systematic testing. Likewise, the assessment of evidence has advanced beyond the traditional “evidence pyramid” [2-4], which is based solely on study design, to include comprehensive frameworks such as the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) [5]. This model evaluates risk of bias, inconsistency, indirectness, imprecision, and publication bias. These developments have helped clarify the boundaries and limitations of medical knowledge, thereby reinforcing clinical decision-making with the goal of delivering the best possible care to patients.  \nPsychiatry has followed this broader trajectory of change. In particular, biological treatments, such as pharmacotherapy, brain stimulation, and light therapy, are supported by substantial research examining their mechanisms and efficacy. These treatments are also grounded in relatively robust theoretical models. In contrast, although psychotherapy has long been a part of psychiatric practice, it has historically  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ([https://creativecommons.org/licenses/by-nc/4.0](https://creativecommons.org/licenses/by-nc/4.0)) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nemphasized theoretical explanations and has lacked a strong foundation of rigorously validated efficacy data. This discrepancy reflects several inherent challenges in the field, includingthe central role of a patient’s unique context and narrative, the reliance on the therapeutic relationship, the individualized nature of interventions, and the structural difficulties associated with manualization, double-masked designs, and large-scale trials. These challenges are even more pronounced in child and adolescent psychotherapy. Developmental heterogeneity, the multisystemic involvement of families and environments, limitations in outcome measurement, ethical constraints, and the confounding effects of natural development all complicate the evaluation of treatment outcomes in this population.  \nNevertheless, EBM is an essential, not optional, approach in child and adolescent psychotherapy. A commitment to EBM protects patients, supports the equitable allocation of limited clinical resources, enhances the validity and reproducibility of clinical decision-making, and transforms individual clinical experience into cumulative scientific knowledge. In development","cbCaist6awGGLvBb","https://ap.wps.com/l/cbCaist6awGGLvBb","pdf",184300,"English","# Editorial\n## Historical foundations of evidence-based medicine\n## Evidence frameworks beyond the evidence pyramid (GRADE)\n## Why psychotherapy evidence is harder in youth psychiatry\n## Role of EBM in clinical practice\n## Overview of the special section and featured studies","[{\"question\":\"What does the editorial mean by “evidence-based” in child and adolescent psychotherapy?\",\"answer\":\"It frames evidence-based practice as an essential, not optional, approach that turns individual clinical experience into cumulative scientific knowledge, supported by systematic research designs and clinical expertise.\"},{\"question\":\"How does GRADE improve assessment of medical evidence?\",\"answer\":\"GRADE evaluates the risk of bias and other limitations such as inconsistency, indirectness, imprecision, and publication bias, clarifying the boundaries and limitations of medical knowledge.\"},{\"question\":\"Why is evaluating psychotherapy outcomes more difficult for children and adolescents?\",\"answer\":\"The editorial highlights developmental heterogeneity, multi-system influences involving families and environments, limits of outcome measurement, ethical constraints, and confounding effects of natural development.\"}]","From Experience to Evidence - Evidence-Based Psychotherapy in Child and Adolescent Psychiatry | PDF"]