Child and Adolescent Mental Health最新文献

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Barriers and facilitators of implementation of evidence-based interventions in children and young people's mental health care – a systematic review 在儿童和青少年心理健康护理中实施循证干预措施的障碍和促进因素--系统综述。
IF 6.8 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-08-22 DOI: 10.1111/camh.12672
Araminta Peters-Corbett, Sheryl Parke, Holly Bear, Timothy Clarke
{"title":"Barriers and facilitators of implementation of evidence-based interventions in children and young people's mental health care – a systematic review","authors":"Araminta Peters-Corbett,&nbsp;Sheryl Parke,&nbsp;Holly Bear,&nbsp;Timothy Clarke","doi":"10.1111/camh.12672","DOIUrl":"10.1111/camh.12672","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Effective evidence-based practices (EBP) for children and young people's (CYP) mental health exist, however, there is low uptake in clinical practice and interventions do not always reach those in need. This review aimed to comprehensively identify and synthesise the barriers and facilitators to implementing EBP in CYP mental health care, mapped according to an implementation framework in order to make pragmatic recommendations for practitioners, commissioners and researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following the PRISMA guidelines, an electronic search of PsycINFO, MEDLINE, CINAHL and Embase in 2021 yielded 1830 results. In total, 107 abstracts were screened, 57 of which were included for full-text review and 26 were included for data extraction and analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified a number of organisational and clinician-level barriers which impede the implementation of evidence in ‘real world’ practice. Barriers included lack of access to funding; poor access to resources; clinician attitudes and flexibility of EBP. Facilitators included targeted funding and access to resources; supportive staff and leadership committed to innovation and skills in the EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although the process of translating research into practice is challenging and the solutions are not straightforward, we have identified a set of practical recommendations for ways in which implementation practices can improve. Researchers, commissioners, funders and practitioners can work together to improve the implementation of EBP in CYP mental health settings by ensuring funding is available, prioritise implementation beyond the end of trials, upskill staff on integrating EBP into care, ensure EBPs are flexible and are co-produced with service users.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration</h3>\u0000 \u0000 <p>This review was registered on PROSPERO international prospective register of systematic reviews (CRD42021252995).</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"242-265"},"PeriodicalIF":6.8,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Short Research Article: RESEED – the perceived impact of an enhanced usual care model of a novel, teacher-led, task-shifting initiative for child mental health 研究短文:RESEED--教师主导的儿童心理健康任务转移新举措的增强型常规护理模式的感知影响。
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-08-10 DOI: 10.1111/camh.12673
Setareh Ekhteraei, Juliana L. Vanderburg, Choden Dukpa, Priscilla Giri, Surekha Bhattarai, Arpana Thapa, Catherine Shrestha, Bradley N. Gaynes, Molly M. Lamb, Michael Matergia, Christina M. Cruz
{"title":"Short Research Article: RESEED – the perceived impact of an enhanced usual care model of a novel, teacher-led, task-shifting initiative for child mental health","authors":"Setareh Ekhteraei,&nbsp;Juliana L. Vanderburg,&nbsp;Choden Dukpa,&nbsp;Priscilla Giri,&nbsp;Surekha Bhattarai,&nbsp;Arpana Thapa,&nbsp;Catherine Shrestha,&nbsp;Bradley N. Gaynes,&nbsp;Molly M. Lamb,&nbsp;Michael Matergia,&nbsp;Christina M. Cruz","doi":"10.1111/camh.12673","DOIUrl":"10.1111/camh.12673","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Task-shifted, teacher-led care may begin to bridge the child mental health care gap in low- and middle-income countries by improving mental health literacy. We explore the perceived impact of RESEED (Responding to Students' Emotions through Education), an abbreviated version of Tealeaf (Teachers Leading the Frontlines).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After classroom implementation of tools from a 3-day training on child mental health and cognitive behavioral techniques in Darjeeling, India, 29 teachers participated in focus group discussions (FGDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inductive content analyses of FGDs demonstrated RESEED's acceptability, positive overall impact, and barriers<i>.</i></p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Stepped levels of teacher-led care may support child mental health in resource-limited settings through mental reframing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"113-118"},"PeriodicalIF":6.1,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Primum non nocere – are adverse events accurately reported in studies on psychological interventions for children? 社论:首要非中心——儿童心理干预研究中是否准确报告了不良事件?
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-08-02 DOI: 10.1111/camh.12669
Marianna Purgato, Samuele Cortese
{"title":"Editorial: Primum non nocere – are adverse events accurately reported in studies on psychological interventions for children?","authors":"Marianna Purgato,&nbsp;Samuele Cortese","doi":"10.1111/camh.12669","DOIUrl":"10.1111/camh.12669","url":null,"abstract":"<p>Adverse Events (AEs) are defined as any unfavorable and unintended sign or symptom, that may occur during or after receipt of any intervention. The principle of non-maleficence requires careful consideration to ensure that existing or new psychological interventions are not harmful before they can be considered beneficial. In this context, the safety of psychological interventions, including the possible occurrence of AEs, is increasingly important for patients, families, and clinicians. The evaluation of AEs is crucial to obtain a complete understanding of the risk/benefit balance of psychological interventions. There is a need for researchers and clinicians to assess and report AEs comprehensively and in a coordinated manner. It is necessary to have more accurate data on the recording of AEs in protocols to enhance transparency and consistency, as well as to improve practice. Finally, and to facilitate this process, there is a need for standards for data collection.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 3","pages":"351-353"},"PeriodicalIF":6.1,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10289481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical research updates 临床研究进展
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-08-02 DOI: 10.1111/camh.12658
Marinos Kyriakopoulos, Anastasia Kouklidou, Sofia Leopoulou, Kyriaki Stavrou
{"title":"Clinical research updates","authors":"Marinos Kyriakopoulos,&nbsp;Anastasia Kouklidou,&nbsp;Sofia Leopoulou,&nbsp;Kyriaki Stavrou","doi":"10.1111/camh.12658","DOIUrl":"10.1111/camh.12658","url":null,"abstract":"&lt;p&gt;Anastasia Kouklidou&lt;/p&gt;&lt;p&gt;European University of Cyprus, Nicosia, Cyprus&lt;/p&gt;&lt;p&gt;Early-onset psychosis (EOP) is defined by its onset before the age of 18 years. Negative symptoms, including decreased motivation, interest, and expressive functions such as alogia and blunted affect, are commonly present in EOP. Earlier onset of such symptoms is associated with a greater number of them at follow-up, and their severity is associated with poor outcomes. They also occasionally predominate in children and adolescents who are at clinical high risk for psychosis (CHR-P). The identification of negative symptoms in children and adolescents with psychosis or at CHR-P can be challenging, their prevalence is unclear, and there is little evidence for their treatment.&lt;/p&gt;&lt;p&gt;Gonzalo Salazar de Pablo et al. (2022) conducted a systematic review and meta-analysis which aimed at providing meta-analytical evidence and a comprehensive review of the status and advances in the diagnosis, prognosis, and treatment of negative symptoms in children and adolescents with EOP and at CHR-P. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was used. Eligible studies were original studies, abstracts, conference proceedings, cross-sectional studies, longitudinal studies, randomized clinical trials, and other intervention studies providing information regarding negative symptoms in children and adolescents (mean age &lt; 18 years) with EOP or at CHR-P. Publication bias and heterogeneity among studies were assessed. A total of 133 studies with 9055 children and adolescents (mean age 15.5 years; 54.1% males) were included in the systematic review. The prevalence of negative symptoms in EOP was 61% and in CHR-P was 80%. A total of 20 studies (&lt;i&gt;N&lt;/i&gt; = 1799 individuals) were further included in the meta-analysis. Negative symptoms were associated with poorer prognostic, functional, neurobiological, cognitive, and intervention outcomes in EOP and CHR-P. Sample prevalence of schizophrenia was not associated with high prevalence of negative symptoms. Obesity in EOP was associated with less severe negative symptoms. An improvement of negative symptoms was found at 12-month follow-up but not at 24 or ≥36 months compared with baseline in CHR-P. Clozapine may be more efficacious in reducing negative symptoms in treatment-resistant EOP compared to other antipsychotics. There is no consistent evidence in relation to comparative efficacy of other second-generation antipsychotics and no data on the efficacy of antidepressants in relation to negative symptoms in EOP. There is limited evidence favoring psychosocial interventions for negative symptoms. Early intervention services contribute to a reduction of negative symptom severity after 6–24 months compared with treatment as usual.&lt;/p&gt;&lt;p&gt;This is the first systematic review and meta-analysis on the prevalence of negative symptoms in children and adolescents with EOP and at CHR-P. Negative symptoms are commo","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 3","pages":"466-467"},"PeriodicalIF":6.1,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12658","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic alliance in the treatment of adolescent substance misuse: a systematic review 青少年药物滥用治疗中的治疗联盟:系统回顾。
IF 6.8 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-08-01 DOI: 10.1111/camh.12671
Iniyah Sulaman, Samantha Hartley, Rachel Elvins
{"title":"Therapeutic alliance in the treatment of adolescent substance misuse: a systematic review","authors":"Iniyah Sulaman,&nbsp;Samantha Hartley,&nbsp;Rachel Elvins","doi":"10.1111/camh.12671","DOIUrl":"10.1111/camh.12671","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Therapeutic alliance has been found to play an influential role in predicting outcomes for adults and adolescents in psychotherapy. However, thus far, the information concerning the impact of therapeutic alliance on outcomes for adolescents in treatment for substance misuse has not yet been critically synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In accordance with PRISMA guidelines, the current review aimed to systematically collate published research investigating the association between alliance and outcomes for adolescents undergoing substance misuse treatment. Database searching produced 1083 records, with 16 studies meeting eligibility criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve out of the 16 studies (75%) reported significant alliance–outcome relationships, whereby higher alliance ratings predicted better treatment outcomes, as well as improved engagement and retention in treatment. In addition, the review explored the conditions whereby alliances better predict outcomes, with reference to the alliance rater, the timing of the alliance rating and comorbid diagnoses. These results, however, largely remain inconclusive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The evidence as it stands demonstrates the importance of the therapeutic alliance in predicting outcomes for adolescents in substance misuse treatments. The implications of the review's findings and recommendations for future research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 3","pages":"226-241"},"PeriodicalIF":6.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review: Adverse event monitoring and reporting in studies of pediatric psychosocial interventions: a systematic review 综述:儿童心理社会干预研究中的不良事件监测和报告:一项系统综述
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-07-18 DOI: 10.1111/camh.12661
Kalee Lodewyk, Alexa Bagnell, Darren B. Courtney, Amanda S. Newton
{"title":"Review: Adverse event monitoring and reporting in studies of pediatric psychosocial interventions: a systematic review","authors":"Kalee Lodewyk,&nbsp;Alexa Bagnell,&nbsp;Darren B. Courtney,&nbsp;Amanda S. Newton","doi":"10.1111/camh.12661","DOIUrl":"10.1111/camh.12661","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adverse event monitoring in studies of psychotherapy is crucial to clinical decision-making, particularly for weighing of benefits and harms of treatment approaches. In this systematic review, we identified how adverse events are defined, measured, and reported in studies of psychosocial interventions for children with mental disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Medline, PsycINFO, Embase, ProQuest Dissertations and Theses Global, and the Cochrane Library were searched from January 2011–January 2023, and Google Scholar from January 2011–February 2023. English language experimental and quasi-experimental studies that evaluated the efficacy or effectiveness of psychosocial interventions for childhood mental disorders were included. Information on the definition, assessment, and report of adverse events was extracted using a checklist based on Good Clinical Practice guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this review, 117 studies were included. Studies most commonly involved treating anxiety disorders or obsessive-compulsive disorder (32/117; 27%); 44% of the experimental interventions tested (52/117) were cognitive behavioral therapies. Adverse events were monitored in 36 studies (36/117; 31%) with a protocol used in 19 of these studies to guide monitoring (19/36; 53%). Twenty-seven different events were monitored across the studies with hospitalization the most frequently monitored (3/36; 8%). Event severity was fully assessed in 6 studies (17%) and partially assessed in 12 studies (33%). Only 4/36 studies (11%) included assessing events for cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>To date, adverse events have been inconsistently defined, measured and reported in psychosocial intervention studies of childhood mental health disorders. Information on adverse events is an essential knowledge component for understanding the potential impacts and risks of therapeutic interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 3","pages":"425-437"},"PeriodicalIF":6.1,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9932139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Narrative Matters: Hidden LIVE – Adam's story – a mental health theatre production as an example of participatory principles and practices 叙事问题:隐藏的生活-亚当的故事-精神健康戏剧生产作为参与性原则和实践的一个例子
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-07-17 DOI: 10.1111/camh.12664
Andrew C. Grundy, Paul Hine, Aneela McAvoy, Karina Lovell
{"title":"Narrative Matters: Hidden LIVE – Adam's story – a mental health theatre production as an example of participatory principles and practices","authors":"Andrew C. Grundy,&nbsp;Paul Hine,&nbsp;Aneela McAvoy,&nbsp;Karina Lovell","doi":"10.1111/camh.12664","DOIUrl":"10.1111/camh.12664","url":null,"abstract":"<p>This article presents the co-production principles underpinning the co-creation of a multimedia theatre production on young people's mental health.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"28 4","pages":"562-564"},"PeriodicalIF":6.1,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-producing a complex psychosocial intervention during COVID-19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi) 在 COVID-19 期间,与英格兰从青少年安全医院过渡到成人服务的青少年共同制定复杂的心理干预措施:前进干预(MFi)。
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-07-16 DOI: 10.1111/camh.12667
Maria Livanou, Marcus Bull, Ifigeneia Manitsa, Jodie Hunt, Rebecca Lane, Anya Heneghan
{"title":"Co-producing a complex psychosocial intervention during COVID-19 with young people transitioning from adolescent secure hospitals to adult services in England: Moving Forward intervention (MFi)","authors":"Maria Livanou,&nbsp;Marcus Bull,&nbsp;Ifigeneia Manitsa,&nbsp;Jodie Hunt,&nbsp;Rebecca Lane,&nbsp;Anya Heneghan","doi":"10.1111/camh.12667","DOIUrl":"10.1111/camh.12667","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Young people moving from adolescent secure hospitals to adult care present with multiple and complex needs which often remain unmet during transition periods. This paper delineates the process of developing and co-producing the moving forward intervention (MFi), which aims to address the psychosocial needs of transitioning youth who have limited access to well-researched and tailored service provisions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>An extensive search of the relevant literature was conducted to generate themes and guide the co-production phase. Fourteen Advisory Group Meetings were held virtually during COVID-19 to design the MFi module content with 17 keyworkers, 2 parents and 13 young people aged 17–18 years across six adolescent secure hospitals in England. Thematic analysis was used to reflect on the field notes discussed in the Advisory Groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Co-produced themes from the literature and the Advisory Groups informed the development of the proposed intervention. Three overarching themes pertinent to expectations in adult services, improving communication gaps between services and facilitating the <i>letting go period</i> emerged from the co-production phase. It was suggested the MFi is co-delivered by a peer with lived experience to build trust and create hopefulness among young people. The importance of promoting graded transitions through standardised procedures was highlighted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current findings promote evidence-based initiatives and build robust practice frameworks that inform treatment and policy guidelines. The young people, parents and keyworkers found the MFi supportive and valued the co-production experience. As such, co-production has been a vital tool in promoting patient engagement and empowerment, and reducing service inequalities, especially in adolescent secure hospitals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"43-55"},"PeriodicalIF":6.1,"publicationDate":"2023-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Four Steps To My Future (4STMF): acceptability, feasibility and exploratory outcomes of a universal school-based mental health and well-being programme, delivered to young adolescents in South Africa 迈向我未来的四个步骤(4STMF):面向南非青少年的校本心理健康和幸福普及计划的可接受性、可行性和探索性成果。
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-07-13 DOI: 10.1111/camh.12660
Bronwynè Coetzee, Maria Loades, Suzanne Human, Hermine Gericke, Gerrit Laning, Martin Kidd, Paul Stallard
{"title":"Four Steps To My Future (4STMF): acceptability, feasibility and exploratory outcomes of a universal school-based mental health and well-being programme, delivered to young adolescents in South Africa","authors":"Bronwynè Coetzee,&nbsp;Maria Loades,&nbsp;Suzanne Human,&nbsp;Hermine Gericke,&nbsp;Gerrit Laning,&nbsp;Martin Kidd,&nbsp;Paul Stallard","doi":"10.1111/camh.12660","DOIUrl":"10.1111/camh.12660","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Mental health disorders affect many children in South Africa, where vulnerability is high, and treatment is limited. We sought to determine the feasibility and acceptability of a universally delivered classroom-based programme for the promotion of mental health in young adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We pilot tested an 8 session, cognitive-behavioural therapy-based programme, 4 Steps To My Future (4STMF) in two schools. Participants were grade 5 learners (<i>n</i> = 222; Mean<sub>age</sub> = 10.62 (Standard deviation = 0.69)). 4STMF was delivered in class time by trained psychology postgraduates. Feasibility (rates of parental opt-out, child assent, assessment completion at baseline and follow-up, programme completion, session attendance and programme fidelity), acceptability (teacher feedback and focus groups with learners), as well as demographic data and data on a battery of a psychological measures were collected at baseline, postintervention and at one-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most eligible learners at both schools agreed to participate (85% – school 1; 91% – school 2) with more than 80% completing postintervention measures. Learner session attendance and programme fidelity were high. Teachers rated facilitators highly on confidence, preparedness, enthusiasm and classroom management and observed children to be enjoying the programme. Focus group data suggest that learners liked the programme, could recall the content and had shared some of the content with their family. An exploratory analysis of outcomes showed significant pre–post differences on self-esteem at school 1 and on emotion regulation at school 1 and school 2, maintained at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This pilot study has shown that 4STMF can acceptably and feasibly be delivered, at classroom level, as a universal school-based prevention programme to young adolescent learners in South African primary schools. The programme could fit in with school context, could be delivered by nonspecialists, showed significant improvements on self-esteem and emotion regulation and was liked by the learners.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":"29 1","pages":"22-32"},"PeriodicalIF":6.1,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/camh.12660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9832255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An additional note on help-seeking as some gaps are bigger than others: a commentary on ‘Don't mind the gap – why do we not care about the gender gap in mental health?’ Patalay and Demkowicz (2023) 关于寻求帮助的另一个说明,因为有些差距比其他差距更大:一篇关于“不要介意差距——为什么我们不关心心理健康方面的性别差距?”Patalay and Demkowicz (2023)
IF 6.1 3区 医学
Child and Adolescent Mental Health Pub Date : 2023-07-13 DOI: 10.1111/camh.12670
Amy McCulloch, Sarah Parry
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