Evidence-based practice in child and adolescent mental health最新文献

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Improved Resilience and Academics Following A School-based Resilience Intervention: A Randomized Controlled Trial 以学校为基础的弹性干预后的弹性改善和学业:一项随机对照试验
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-20 DOI: 10.1080/23794925.2022.2025630
Brendan A. Rich, Nina S. Starin, Christopher J. Senior, Melissa M. Zarger, Colleen M. Cummings, Anahi Collado, M. Alvord
{"title":"Improved Resilience and Academics Following A School-based Resilience Intervention: A Randomized Controlled Trial","authors":"Brendan A. Rich, Nina S. Starin, Christopher J. Senior, Melissa M. Zarger, Colleen M. Cummings, Anahi Collado, M. Alvord","doi":"10.1080/23794925.2022.2025630","DOIUrl":"https://doi.org/10.1080/23794925.2022.2025630","url":null,"abstract":"ABSTRACT Enhancing resilience is valuable to youth from economically marginalized communities given that they often face greater challenges and hardships than their peers from more affluent communities. Efforts to increase resilience skills in these youth are hampered because they disproportionately encounter barriers in access to mental health interventions. Implementing school-based services may be optimal to address these inequalities. This project explores the effectiveness of a school-based group intervention (the Resilience Builder Program®) related to resilience and academic functioning in a sample of children from economically marginalized communities. Students (N = 169) with social-emotional difficulties were recruited from five elementary schools and randomly assigned to participate in the Resilience Builder Program® (RBP) immediately or following a semester delay. Participants, their parents, and teachers completed measures of resilience (BASC-2, RSCA) and academic functioning (ACES). Results found a significant relationship between resilience and stronger academic functioning (i.e., engagement and motivation). RBP participants, their parents, and teachers reported greater increases in resilience compared to the delay group. Teachers reported significant increases in students’ study skills, academic engagement, interpersonal skills, and academic motivation compared to the delay group. RBP participants reported significantly greater study skills and academic engagement, compared to the delay group. Findings indicate school-based RBP effectively promotes resilience skills and academic functioning in children who often face significant barriers to accessing mental health care.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"252 - 268"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46876685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Improving Social Anxiety and Social Responsiveness in Autism Spectrum Disorder through PEERS® 通过PEERS®改善自闭症谱系障碍患者的社交焦虑和社交反应
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-02 DOI: 10.1080/23794925.2021.2013138
R. Factor, C. Moody, Katherine Y. Sung, E. Laugeson
{"title":"Improving Social Anxiety and Social Responsiveness in Autism Spectrum Disorder through PEERS®","authors":"R. Factor, C. Moody, Katherine Y. Sung, E. Laugeson","doi":"10.1080/23794925.2021.2013138","DOIUrl":"https://doi.org/10.1080/23794925.2021.2013138","url":null,"abstract":"ABSTRACT Autistic individuals often experience anxiety at higher rates than typically developing individuals, which could worsen social impairment. While anxiety is highly linked to social skills, social anxiety symptoms have not often been investigated within the context of social skills interventions. The present study compared changes in social anxiety and social responsiveness in 154 adolescents and young adults on the autism spectrum participating in the Program for the Education and Enrichment of Relational Skills (PEERS®) social skills intervention. Results indicate that social anxiety symptoms significantly improved following treatment for both adolescents and young adults. Although young adults reported higher levels of anxiety overall, age group did not moderate social anxiety outcome, with both groups demonstrating comparable social anxiety improvements following treatment. Further, greater improvements in social responsiveness following PEERS® were associated with greater reductions in social anxiety symptoms. We also examined reporter agreement (e.g., self- and caregiver-reports), which indicated these reports were largely consistent, though correlations between adolescent and caregiver-report increased from pre- to post-treatment. Findings suggest that social skills interventions may play a critical role in the reduction of mental health symptoms, such as anxiety symptoms, for autistic adolescents and young adults.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"142 - 159"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44202046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Mental Health Interventions in Youth with Autism Spectrum Disorder and Other Intellectual and Developmental Disabilities: Introduction to Special Issue 青少年自闭症谱系障碍及其他智力和发育障碍的心理健康干预:特刊导论
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-02 DOI: 10.1080/23794925.2021.2018953
Meghan Miller, Lauren Brookman-Frazee, J. Reaven
{"title":"Mental Health Interventions in Youth with Autism Spectrum Disorder and Other Intellectual and Developmental Disabilities: Introduction to Special Issue","authors":"Meghan Miller, Lauren Brookman-Frazee, J. Reaven","doi":"10.1080/23794925.2021.2018953","DOIUrl":"https://doi.org/10.1080/23794925.2021.2018953","url":null,"abstract":"Psychiatry & Behavioral Sciences, University of California Davis, Sacramento, California, USA; MIND Institute, University of California Davis, Sacramento, California, USA; Psychiatry, University of California San Diego, La Jolla, California, USA; Child and Adolescent Services Research Center, San Diego, California, USA; Rady Children’s Hospital, Autism Discovery Institute, San Diego, California, USA; Psychiatry and Pediatrics, University of Colorado, Aurora, Colorado, USA","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48936700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Roadmap for Measurement-based Care Implementation in Intensive Outpatient Treatment Settings for Children and Adolescents. 在儿童和青少年密集门诊治疗设置中基于测量的护理实施路线图。
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 DOI: 10.1080/23794925.2021.1975518
Amber W Childs, Elizabeth H Connors
{"title":"A Roadmap for Measurement-based Care Implementation in Intensive Outpatient Treatment Settings for Children and Adolescents.","authors":"Amber W Childs,&nbsp;Elizabeth H Connors","doi":"10.1080/23794925.2021.1975518","DOIUrl":"https://doi.org/10.1080/23794925.2021.1975518","url":null,"abstract":"<p><p>Measurement-based care (MBC), the routine collection and use of patient-reported data to monitor progress and tailor treatment, has been predominantly studied in adult treatment settings. Although growing evidence supports MBC effectiveness with youth in outpatient settings and university training clinics, there is a substantial dearth of findings about successful implementation of MBC in \"real world\" youth treatment settings, particularly intensive settings offering group-based treatment. The current manuscript provides a foundational model of MBC implementation for \"real world\" intensive outpatient programs (IOP) for youth using the organizational framework of the Consolidated Framework for Implementation Research (CFIR). We also illustrate MBC implementation within a hospital-based adolescent psychiatric IOP, including enhancements to the foundational model and timely discussion of adjustments necessitated by the COVID-19 pandemic and transition to telehealth. Given the promising transdiagnostic and transtheoretical applicability of MBC, coupled with the MBC mandate for Joint Commission accredited health-care systems, IOP programs are well-positioned to adopt, implement and sustain MBC with careful attention to a phased, multilevel implementation approach.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 4","pages":"419-438"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9856214/pdf/nihms-1766591.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10614268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Often Undiagnosed but Treatable: Case Vignettes and Clinical Considerations for Assessing Anxiety Disorders in Youth with Autism Spectrum Disorder and Intellectual Disability. 经常无法诊断但可治疗:评估自闭症谱系障碍和智力残疾青少年焦虑障碍的病例回顾和临床考虑。
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 DOI: 10.1080/23794925.2021.1923090
Breanna Winder-Patel, Megan E Tudor, Connor M Kerns, Konnor Davis, Christine Wu Nordahl, David G Amaral, Marjorie Solomon
{"title":"Often Undiagnosed but Treatable: Case Vignettes and Clinical Considerations for Assessing Anxiety Disorders in Youth with Autism Spectrum Disorder and Intellectual Disability.","authors":"Breanna Winder-Patel,&nbsp;Megan E Tudor,&nbsp;Connor M Kerns,&nbsp;Konnor Davis,&nbsp;Christine Wu Nordahl,&nbsp;David G Amaral,&nbsp;Marjorie Solomon","doi":"10.1080/23794925.2021.1923090","DOIUrl":"https://doi.org/10.1080/23794925.2021.1923090","url":null,"abstract":"ABSTRACT Varying rates of anxiety have been reported in children with Autism Spectrum Disorder (ASD) and Intellectual Disability (ID). Recent reports, using an adapted semi-structured interview approach, suggest that the risk for anxiety in these children is equal to that found in those with ASD and average or above average IQ. This wide range in rates derives from the challenges associated with assessing anxiety in those with limited language/severe developmental delays. Three case vignettes are presented to illustrate an approach for conducting a developmentally sensitive parent interview in order to detect anxiety in those with ASD and ID. Since accurate assessment of anxiety is critical to the important goal of guiding appropriate mental health treatment, practical assessment considerations from our research and the literature are provided including: 1) considering whether a child with ASD and ID might have an anxiety disorder that is undiagnosed, 2) using semi-structured interviews validated for children with ASD with a focus on behavioral examples, 3) considering the Defense Cascade or 6Fs, 4) considering physical symptoms of anxiety, 5) differentiating anticipatory anxiety/fearful avoidance from other underlying emotions, 6) considering idiosyncratic coping methods, 7) considering whether “distinct” areas of anxiety are present, and 8) considering clinician training. A discussion of developmentally appropriate treatment options for the three cases is included. Limitations and future directions regarding clinician training are explored.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"24-40"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916744/pdf/nihms-1714333.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10463886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Measurement-Based Care in the Adolescent Partial Hospital Setting: Implementation, Challenges, & Future Directions. 青少年部分住院治疗中基于测量的护理:实施、挑战和未来方向。
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 Epub Date: 2021-10-13 DOI: 10.1080/23794925.2021.1981178
Jessica Lavender, Margaret M Benningfield, Jessica A Merritt, Rachel L Gibson, Alexandra H Bettis
{"title":"Measurement-Based Care in the Adolescent Partial Hospital Setting: Implementation, Challenges, & Future Directions.","authors":"Jessica Lavender, Margaret M Benningfield, Jessica A Merritt, Rachel L Gibson, Alexandra H Bettis","doi":"10.1080/23794925.2021.1981178","DOIUrl":"10.1080/23794925.2021.1981178","url":null,"abstract":"<p><p>In this paper, we describe the process of implementing measurement-based care (MBC) in the adolescent partial hospital program setting. First, we outline the rationale for incorporating MBC in this treatment setting. Second, we describe the partial hospital setting in which implementation took place, including the patient population, treatment providers, and structure of programming. Next, we outline the initial implementation of standardized assessments into our programming, including key initial considerations and challenges during implementation. We describe the importance of considering the primary symptom presentations of the patient population when selecting assessment tools, the importance of leveraging existing electronic health record tools to efficiently track and record data collection, and the ability to integrate assessments into clinical workflows. Fourth, we present data describing compliance with implementation, patient outcomes, and providers' attitudes towards and knowledge of MBC following implementation. We found after the initial implementation period, compliance was high. We also found providers had an overall positive perception of the use of MBC, reporting they perceived it to be helpful to both their clinical practice and patient outcomes. Finally, we discuss future directions for best utilizing standardized assessments in intensive treatment settings.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 4","pages":"439-451"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9683479/pdf/nihms-1741898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10458398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delays in autism diagnosis for U.S. Spanish-speaking families: The contribution of appointment availability. 美国西班牙语家庭自闭症诊断的延迟:预约可用性的贡献。
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 DOI: 10.1080/23794925.2021.2001772
Alison E Chavez, Melanie S Feldman, Alice S Carter, Abbey Eisenhower, Thomas I Mackie, Leah Ramella, Noah Hoch, R Christopher Sheldrick
{"title":"Delays in autism diagnosis for U.S. Spanish-speaking families: The contribution of appointment availability.","authors":"Alison E Chavez,&nbsp;Melanie S Feldman,&nbsp;Alice S Carter,&nbsp;Abbey Eisenhower,&nbsp;Thomas I Mackie,&nbsp;Leah Ramella,&nbsp;Noah Hoch,&nbsp;R Christopher Sheldrick","doi":"10.1080/23794925.2021.2001772","DOIUrl":"https://doi.org/10.1080/23794925.2021.2001772","url":null,"abstract":"<p><p>Promoting equity in health services requires an understanding of the mechanisms that produce disparities. Utilizing a sequential, mixed-methods, explanatory study design, we analyzed child-, family-, and organizational-level factors and their association with wait times for an ASD diagnostic evaluation among 353 families scheduled for English and Spanish language appointments (27% Spanish language). A subset of parents and caregivers participated in English and Spanish language focus groups to provide their perspectives on the diagnostic process. Spanish language was associated with greater completion of, and time to evaluations than English language. The only variable found to mediate associations with time-to-evaluation was appointment availability - an organizational factor. Qualitative results elucidate potential explanations for greater Spanish language evaluation completion (e.g., fewer community-based diagnostic options). Results serve as a case study to support the utility and importance of analyzing the influence of organizational-level factors on delays and disparities for childhood health and mental health services. We discuss our findings in relation to strategies that can be widely applied to support equitable services access for childhood diagnostic and intervention services.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 2","pages":"275-293"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273058/pdf/nihms-1766977.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10807829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Recommendations for building telemental health relationships with youth: A systematic review and resource for clinicians. 与青年建立远程心理健康关系的建议:临床医生的系统审查和资源。
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 DOI: 10.1080/23794925.2021.1970050
Ruben G Martinez, Ilana Seager van Dyk, Juliet L Kroll, Natacha D Emerson, Brenda Bursch
{"title":"Recommendations for building telemental health relationships with youth: A systematic review and resource for clinicians.","authors":"Ruben G Martinez,&nbsp;Ilana Seager van Dyk,&nbsp;Juliet L Kroll,&nbsp;Natacha D Emerson,&nbsp;Brenda Bursch","doi":"10.1080/23794925.2021.1970050","DOIUrl":"https://doi.org/10.1080/23794925.2021.1970050","url":null,"abstract":"ABSTRACT Introduction Telemental health is a growing medium for delivering psychotherapy to youth. While significant research has been devoted to relationship building in telemental health, creating meaningful relationships with youth remains complicated. Clinical tools are needed to support clinicians as they transition to telemental health due to the COVID-19 pandemic. This systematic review identifies recommendations for building rapport with youth over telehealth and serves as the basis for a clinician-friendly document to aid in clinician training and ongoing consultation. Method Three major databases were searched: PsycINFO, Web of Science Social Sciences Index, and PubMed. A total of N = 18 works met inclusion. Three doctoral-level clinical psychologists double-reviewed all articles, extracted recommendations from each article, synthesized recommendations into conceptual themes, and combined recommendations in order to create a clinician-friendly list of recommendations for building the telemental health relationship. Results Identified literature spanned a number of methodologies and characteristics. Recommendations were identified for all stages of the telemental health treatment span and included 195 recommendations spanning 12 broad themes. Some themes that emerged related to clinician behaviors, introducing and orienting to telemental health, and logistical considerations. Summaries of themes and recommendations are provided, as well as descriptive information related to reviewed works Discussion Recommendations were fairly consistent across works. We discuss implications of these themes for research on the telemental health relationship, clinical applications of our findings, and the need for increased resource-sharing and crowd-sourcing to support clinicians building telemental health relationships with youth.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 3","pages":"349-362"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562612/pdf/nihms-1736418.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Parent Coaching Fidelity Trajectories of In-Person and Telehealth Sessions during the COVID-19 Pandemic. COVID-19大流行期间面对面和远程医疗会议的家长指导保真度轨迹
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 DOI: 10.1080/23794925.2021.1996300
E B Caron, Evan C Kipp, Amanda H Costello, Kristin Bernard, Stevie S Schein, Caroline K P Roben, Mary Dozier
{"title":"Parent Coaching Fidelity Trajectories of In-Person and Telehealth Sessions during the COVID-19 Pandemic.","authors":"E B Caron,&nbsp;Evan C Kipp,&nbsp;Amanda H Costello,&nbsp;Kristin Bernard,&nbsp;Stevie S Schein,&nbsp;Caroline K P Roben,&nbsp;Mary Dozier","doi":"10.1080/23794925.2021.1996300","DOIUrl":"https://doi.org/10.1080/23794925.2021.1996300","url":null,"abstract":"<p><p>The COVID-19 pandemic has posed significant challenges to delivery of preventive and mental health services, and providers have rapidly transitioned to telehealth service provision. Factors such as sudden isolation, financial strain, and physical and mental health stress presented unique challenges for providers and families and highlight the need for accessible and effective services. Thus, providers' fidelity of implementation during the pandemic is an important area for research. The current observational study compared providers' fidelity across in-person and telehealth-delivered sessions before and during the COVID-19 pandemic in Attachment and Biobehavioral Catch-up (ABC), a preventive parent coaching intervention for infants and toddlers. Participants included 24 providers (95% female, 42% White, <i>M</i> age = 37) who participated in ABC training and consultation during the COVID-19 pandemic. Providers' fidelity data (<i>N</i> = 593 sessions) were modeled longitudinally using hierarchical linear modeling, and separate intercepts and slopes were estimated for in-person and telehealth-delivered sessions. When data were modeled across all available sessions, results indicated that providers demonstrated improving fidelity over the course of training. When in-person and telehealth-delivered sessions were compared, providers' fidelity in telehealth-delivered ABC sessions was not significantly different from their fidelity in in-person sessions. Providers demonstrated improving fidelity over time in telehealth-delivered sessions. Thus, providers were able to maintain and improve ABC fidelity during the COVID-19 pandemic when provided with implementation support. Rapid transition to telehealth delivery can be successful when ongoing support such as consultation is provided.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 3","pages":"341-348"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536531/pdf/nihms-1751697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10826347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Clinical Update: The Role of Family Accommodation in Youth Anxiety Treatment Outcomes. 临床更新:家庭包容在青少年焦虑症治疗结果中的作用。
Evidence-based practice in child and adolescent mental health Pub Date : 2022-01-01 Epub Date: 2021-10-12 DOI: 10.1080/23794925.2021.1981175
Rebecca G Etkin, Sigal Zilcha-Mano, Eli R Lebowitz
{"title":"Clinical Update: The Role of Family Accommodation in Youth Anxiety Treatment Outcomes.","authors":"Rebecca G Etkin, Sigal Zilcha-Mano, Eli R Lebowitz","doi":"10.1080/23794925.2021.1981175","DOIUrl":"10.1080/23794925.2021.1981175","url":null,"abstract":"<p><p>Over the past several years, <i>family accommodation</i> (FA) has gained increasing recognition for its role in child and adolescent anxiety disorders. Recent clinical trials highlight the importance of assessing and addressing FA within the context of treatment, with findings showing that FA is a significant predictor of treatment success. This clinical update was prompted by such findings, and specifically findings from a study by Zilcha-Mano and colleagues (2020) which suggest that the <i>level of agreement</i> between child- and parent-reports of FA has differential effects on outcomes for child- and parent-based treatments. In this article we aim to provide (1) a brief overview of the research pointing to the reduction of FA as a critical ingredient of youth anxiety treatment, and (2) a summary and in-depth discussion of the study by Zilcha-Mano et al. (2020) that speaks to the potential importance of leveraging multi-informant reports of FA. With regard to the latter aim, we offer preliminary suggestions for how clinicians might incorporate measures of FA into their practice to maximize benefits for anxious youth and their families. We also offer suggestions for how future research can build on these novel findings, advance methods of FA assessment, and promote its clinical utility.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 3","pages":"295-305"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9576190/pdf/nihms-1741894.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10464442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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