The Engagement Challenge: Feasibility and Acceptability of Cognitive Remediation for Teenagers in the Care of Youth Protection Services

IF 0.4 Q4 PEDIATRICS
Élisabeth Thibaudeau, Alexandra R.-Mercier, T. Wykes, C. Reeder, Karianne Guay, Danielle Nadeau, Geneviève Dufour, M. Cella, C. Cellard
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引用次数: 0

Abstract

History of childhood maltreatment is recognized as an important risk factor for the development of mental health and cognitive difficulties. Cognitive difficulties are associated with impairments in everyday functioning in different domains such as school or work. To date, no study has evaluated the feasibility and acceptability of cognitive remediation therapy (CRT) with teenagers with a history of childhood maltreatment. The objective was to assess the acceptability and feasibility of the CIRCuiTS program for teenagers in youth protection services and to explore the preliminary effect on clinical and neuropsychological outcomes. Ten participants were first assessed with clinical and neuropsychological measures. They then received a mean of 16 CRT sessions with the CIRCuiTS program adapted for teenagers. The same measures as baseline were repeated directly after the end of treatment, as well as 3-months and 1-year post-treatment. Descriptive statistics were used to assess feasibility and acceptability, while the preliminary effect of CIRCuiTS was assessed with Reliable Change Indices (RCIs). CIRCuiTS was considered as acceptable by both participants and therapists for the attractiveness of the program, its easiness of use and understanding and its cultural adaptability. However, the feasibility was limited with only 50% of participants having had completed CIRCuiTS. This was mostly explained by contextual factors. RCIs revealed significant improvements in several neuropsychological domains, as well as a decline in other domains. This pilot study highlights challenges that must be addressed to promote engagement to CRT for teenagers in the care of youth protection services.
参与挑战:青少年保护服务中青少年认知补救的可行性和可接受性
儿童虐待史被认为是心理健康和认知困难发展的重要危险因素。认知困难与不同领域的日常功能受损有关,如学校或工作。到目前为止,还没有研究评估认知补救疗法(CRT)对有童年虐待史的青少年的可行性和可接受性。目的是评估青少年在青少年保护服务中的可接受性和可行性,并探讨其对临床和神经心理学结果的初步影响。首先对10名参与者进行临床和神经心理学评估。然后,他们平均接受了16次针对青少年的电路项目的CRT治疗。治疗结束后直接重复与基线相同的测量,以及治疗后3个月和1年。采用描述性统计评估可行性和可接受性,采用可靠变化指数(rci)评估电路的初步效果。参与者和治疗师都认为电路是可以接受的,因为它具有吸引力,易于使用和理解,并且具有文化适应性。然而,可行性是有限的,只有50%的参与者完成了电路。这主要是由环境因素来解释的。rci在一些神经心理学领域显示出显著的改善,而在其他领域则有所下降。这项试验研究强调了必须解决的挑战,以促进青少年参与青少年保护服务。
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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