Annual Research Review: Building a science of personalized intervention for youth mental health / Mei Yi NG in Journal of Child Psychology and Psychiatry, 57-3 (March 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-3 (March 2016) . - p.216-236 Titre : Annual Research Review: Building a science of personalized intervention for youth mental health Type de document : Texte imprimé et/ou numérique Auteurs : Mei Yi NG, Auteur ; John R. WEISZ, Auteur Article en page(s) : p.216-236 Langues : Anglais (eng) Mots-clés : Children  adolescents  psychotherapy  personalized intervention  tailoring treatments Index. décimale : PER Périodiques Résumé : Background Within the past decade, health care service and research priorities have shifted from evidence-based medicine to personalized medicine. In mental health care, a similar shift to personalized intervention may boost the effectiveness and clinical utility of empirically supported therapies (ESTs). The emerging science of personalized intervention will need to encompass evidence-based methods for determining which problems to target and in which order, selecting treatments and deciding whether and how to combine them, and informing ongoing clinical decision-making through monitoring of treatment response throughout episodes of care. We review efforts to develop these methods, drawing primarily from psychotherapy research with youths. Then we propose strategies for building a science of personalized intervention in youth mental health. Findings The growing evidence base for personalizing interventions includes research on therapies adapted for specific subgroups; treatments targeting youths’ environments; modular therapies; sequential, multiple assignment, randomized trials; measurement feedback systems; meta-analyses comparing treatments for specific patient characteristics; data-mining decision trees; and individualized metrics. Conclusion The science of personalized intervention presents questions that can be addressed in several ways. First, to evaluate and organize personalized interventions, we propose modifying the system used to evaluate and organize ESTs. Second, to help personalizing research keep pace with practice needs, we propose exploiting existing randomized trial data to inform personalizing approaches, prioritizing the personalizing approaches likely to have the greatest impact, conducting more idiographic research, and studying tailoring strategies in usual care. Third, to encourage clinicians’ use of personalized intervention research to inform their practice, we propose expanding outlets for research summaries and case studies, developing heuristic frameworks that incorporate personalizing approaches into practice, and integrating personalizing approaches into service delivery systems. Finally, to build a richer understanding of how and why treatments work for particular individuals, we propose accelerating research to identify mediators within and across RCTs, to isolate mechanisms of change, and to inform the shift from diagnoses to psychopathological processes. This ambitious agenda for personalized intervention science, although challenging, could markedly alter the nature of mental health care and the benefit provided to youths and families. En ligne : http://dx.doi.org/10.1111/jcpp.12470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282 [article] Annual Research Review: Building a science of personalized intervention for youth mental health [Texte imprimé et/ou numérique] / Mei Yi NG, Auteur ; John R. WEISZ, Auteur . - p.216-236. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-3 (March 2016) . - p.216-236 Mots-clés : Children  adolescents  psychotherapy  personalized intervention  tailoring treatments Index. décimale : PER Périodiques Résumé : Background Within the past decade, health care service and research priorities have shifted from evidence-based medicine to personalized medicine. In mental health care, a similar shift to personalized intervention may boost the effectiveness and clinical utility of empirically supported therapies (ESTs). The emerging science of personalized intervention will need to encompass evidence-based methods for determining which problems to target and in which order, selecting treatments and deciding whether and how to combine them, and informing ongoing clinical decision-making through monitoring of treatment response throughout episodes of care. We review efforts to develop these methods, drawing primarily from psychotherapy research with youths. Then we propose strategies for building a science of personalized intervention in youth mental health. Findings The growing evidence base for personalizing interventions includes research on therapies adapted for specific subgroups; treatments targeting youths’ environments; modular therapies; sequential, multiple assignment, randomized trials; measurement feedback systems; meta-analyses comparing treatments for specific patient characteristics; data-mining decision trees; and individualized metrics. Conclusion The science of personalized intervention presents questions that can be addressed in several ways. First, to evaluate and organize personalized interventions, we propose modifying the system used to evaluate and organize ESTs. Second, to help personalizing research keep pace with practice needs, we propose exploiting existing randomized trial data to inform personalizing approaches, prioritizing the personalizing approaches likely to have the greatest impact, conducting more idiographic research, and studying tailoring strategies in usual care. Third, to encourage clinicians’ use of personalized intervention research to inform their practice, we propose expanding outlets for research summaries and case studies, developing heuristic frameworks that incorporate personalizing approaches into practice, and integrating personalizing approaches into service delivery systems. Finally, to build a richer understanding of how and why treatments work for particular individuals, we propose accelerating research to identify mediators within and across RCTs, to isolate mechanisms of change, and to inform the shift from diagnoses to psychopathological processes. This ambitious agenda for personalized intervention science, although challenging, could markedly alter the nature of mental health care and the benefit provided to youths and families. En ligne : http://dx.doi.org/10.1111/jcpp.12470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282

Culture, Coping, and Context: Primary and Secondary Control among Thai and American Youth / Carolyn A. MCCARTY in Journal of Child Psychology and Psychiatry, 40-5 (July 1999)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 40-5 (July 1999) . - p.809-818 Titre : Culture, Coping, and Context: Primary and Secondary Control among Thai and American Youth Type de document : Texte imprimé et/ou numérique Auteurs : Carolyn A. MCCARTY, Auteur ; John R. WEISZ, Auteur ; Kanchana WANITROMANEE, Auteur ; Karen L. EASTMAN, Auteur ; Somsong SUWANLERT, Auteur ; Wanchai CHAIYASIT, Auteur ; Eve BROTMAN BAND, Auteur Année de publication : 1999 Article en page(s) : p.809-818 Langues : Anglais (eng) Mots-clés : Coping  culture  primary and secondary control  children  adolescents  Thailand  stress  cross-cultural Index. décimale : PER Périodiques Résumé : Do cultural values and traditions influence the development of coping styles ? To address this question, we compared self-reports of coping by 6–14-year-olds in Thailand and the U.S. One hundred and forty-one children were interviewed about six common stressors: separation from a friend, injection in a doctor's office, adult anger, peer animosity, school failure, and physical injury. Children's self-reported coping methods were coded as overt or covert. Coping goals were coded as reflecting primary control (attempts to influence objective conditions), secondary control (attempts to adjust oneself to objective conditions), or relinquished control. Although findings revealed numerous cross-national similarities, there were also multiple main and interaction effects involving culture, suggesting that sociocultural context may be critical to our understanding of child coping. Consistent with literature on Thai culture, Thai children reported more than twice as much covert coping as American children for stressors involving adult authority figures (i.e. adult anger, injection in doctor's office). Thai children also reported more secondary control goals than Americans when coping with separation, but American children were five times as likely as Thais to adopt secondary control goals for coping with injury. The findings support a model of coping development in which culture and stressor characteristics interact, with societal differences most likely to be found in situations where culture-specific norms become salient. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124 [article] Culture, Coping, and Context: Primary and Secondary Control among Thai and American Youth [Texte imprimé et/ou numérique] / Carolyn A. MCCARTY, Auteur ; John R. WEISZ, Auteur ; Kanchana WANITROMANEE, Auteur ; Karen L. EASTMAN, Auteur ; Somsong SUWANLERT, Auteur ; Wanchai CHAIYASIT, Auteur ; Eve BROTMAN BAND, Auteur . - 1999 . - p.809-818. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 40-5 (July 1999) . - p.809-818 Mots-clés : Coping  culture  primary and secondary control  children  adolescents  Thailand  stress  cross-cultural Index. décimale : PER Périodiques Résumé : Do cultural values and traditions influence the development of coping styles ? To address this question, we compared self-reports of coping by 6–14-year-olds in Thailand and the U.S. One hundred and forty-one children were interviewed about six common stressors: separation from a friend, injection in a doctor's office, adult anger, peer animosity, school failure, and physical injury. Children's self-reported coping methods were coded as overt or covert. Coping goals were coded as reflecting primary control (attempts to influence objective conditions), secondary control (attempts to adjust oneself to objective conditions), or relinquished control. Although findings revealed numerous cross-national similarities, there were also multiple main and interaction effects involving culture, suggesting that sociocultural context may be critical to our understanding of child coping. Consistent with literature on Thai culture, Thai children reported more than twice as much covert coping as American children for stressors involving adult authority figures (i.e. adult anger, injection in doctor's office). Thai children also reported more secondary control goals than Americans when coping with separation, but American children were five times as likely as Thais to adopt secondary control goals for coping with injury. The findings support a model of coping development in which culture and stressor characteristics interact, with societal differences most likely to be found in situations where culture-specific norms become salient. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124

Dimensions of adversity in association with adolescents' depression symptoms: Distinct moderating roles of cognitive and autonomic function / Rachel A. VAUGHN-COAXUM in Development and Psychopathology, 32-3 (August 2020)  

Public ISBD [article]  inDevelopment and Psychopathology > 32-3 (August 2020) . - p.817-830 Titre : Dimensions of adversity in association with adolescents' depression symptoms: Distinct moderating roles of cognitive and autonomic function Type de document : Texte imprimé et/ou numérique Auteurs : Rachel A. VAUGHN-COAXUM, Auteur ; Neha DHAWAN, Auteur ; Margaret A. SHERIDAN, Auteur ; Mackenzie J. HART, Auteur ; John R. WEISZ, Auteur Article en page(s) : p.817-830 Langues : Anglais (eng) Mots-clés : childhood adversity  depression  deprivation  psychophysiology  threat Index. décimale : PER Périodiques Résumé : Exposure to adverse events is prevalent among youths and robustly associated with risk for depression, particularly during adolescence. The Dimensional Model of Adversity and Psychopathology (DMAP) distinguishes between adverse events that expose youths to deprivation versus threat, positing unique mechanisms of risk (cognitive functioning deficits for deprivation, and altered fear and emotion learning for threat) that may require different approaches to intervention. We examined whether deprivation and threat were distinctly associated with behavioral measures of cognitive processes and autonomic nervous system function in relation to depression symptom severity in a community sample of early adolescents (n = 117; mean age 12.73 years; 54.7% male). Consistent with DMAP, associations between threat and depression symptoms, and between economic deprivation and depression symptoms, were distinctly moderated by physiological and cognitive functions, respectively, at baseline but not follow-up. Under conditions of greater cognitive inhibition, less exposure to deprivation was associated with lower symptom severity. Under conditions of blunted resting-state autonomic response (electrodermal activity and respiratory sinus arrhythmia), greater exposure to threat was associated with higher symptom severity. Our findings support the view that understanding risk for youth depression requires parsing adversity: examining distinct roles played by deprivation and threat, and the associated cognitive and biological processes. En ligne : http://dx.doi.org/10.1017/s0954579419001172 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 [article] Dimensions of adversity in association with adolescents' depression symptoms: Distinct moderating roles of cognitive and autonomic function [Texte imprimé et/ou numérique] / Rachel A. VAUGHN-COAXUM, Auteur ; Neha DHAWAN, Auteur ; Margaret A. SHERIDAN, Auteur ; Mackenzie J. HART, Auteur ; John R. WEISZ, Auteur . - p.817-830. Langues : Anglais (eng) in Development and Psychopathology > 32-3 (August 2020) . - p.817-830 Mots-clés : childhood adversity  depression  deprivation  psychophysiology  threat Index. décimale : PER Périodiques Résumé : Exposure to adverse events is prevalent among youths and robustly associated with risk for depression, particularly during adolescence. The Dimensional Model of Adversity and Psychopathology (DMAP) distinguishes between adverse events that expose youths to deprivation versus threat, positing unique mechanisms of risk (cognitive functioning deficits for deprivation, and altered fear and emotion learning for threat) that may require different approaches to intervention. We examined whether deprivation and threat were distinctly associated with behavioral measures of cognitive processes and autonomic nervous system function in relation to depression symptom severity in a community sample of early adolescents (n = 117; mean age 12.73 years; 54.7% male). Consistent with DMAP, associations between threat and depression symptoms, and between economic deprivation and depression symptoms, were distinctly moderated by physiological and cognitive functions, respectively, at baseline but not follow-up. Under conditions of greater cognitive inhibition, less exposure to deprivation was associated with lower symptom severity. Under conditions of blunted resting-state autonomic response (electrodermal activity and respiratory sinus arrhythmia), greater exposure to threat was associated with higher symptom severity. Our findings support the view that understanding risk for youth depression requires parsing adversity: examining distinct roles played by deprivation and threat, and the associated cognitive and biological processes. En ligne : http://dx.doi.org/10.1017/s0954579419001172 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429

Family process and youth internalizing problems: A triadic model of etiology and intervention / Jessica L. SCHLEIDER in Development and Psychopathology, 29-1 (February 2017)  

Public ISBD [article]  inDevelopment and Psychopathology > 29-1 (February 2017) . - p.273-301 Titre : Family process and youth internalizing problems: A triadic model of etiology and intervention Type de document : Texte imprimé et/ou numérique Auteurs : Jessica L. SCHLEIDER, Auteur ; John R. WEISZ, Auteur Article en page(s) : p.273-301 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : AbstractDespite major advances in the development of interventions for youth anxiety and depression, approximately 30% of youths with anxiety do not respond to cognitive behavioral treatment, and youth depression treatments yield modest symptom decreases overall. Identifying networks of modifiable risk and maintenance factors that contribute to both youth anxiety and depression (i.e., internalizing problems) may enhance and broaden treatment benefits by informing the development of mechanism-targeted interventions. A particularly powerful network is the rich array of family processes linked to internalizing problems (e.g., parenting styles, parental mental health problems, and sibling relationships). Here, we propose a new theoretical model, the triadic modelof family process, to organize theory and evidence around modifiable, transdiagnostic family factors that may contribute to youth internalizing problems. We describe the model's implications for intervention, and we propose strategies for testing the model in future research. The model provides a framework for studying associations among family processes, their relation to youth internalizing problems, and family-based strategies for strengthening prevention and treatment. En ligne : http://dx.doi.org/10.1017/s095457941600016x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=298 [article] Family process and youth internalizing problems: A triadic model of etiology and intervention [Texte imprimé et/ou numérique] / Jessica L. SCHLEIDER, Auteur ; John R. WEISZ, Auteur . - p.273-301. Langues : Anglais (eng) in Development and Psychopathology > 29-1 (February 2017) . - p.273-301 Index. décimale : PER Périodiques Résumé : AbstractDespite major advances in the development of interventions for youth anxiety and depression, approximately 30% of youths with anxiety do not respond to cognitive behavioral treatment, and youth depression treatments yield modest symptom decreases overall. Identifying networks of modifiable risk and maintenance factors that contribute to both youth anxiety and depression (i.e., internalizing problems) may enhance and broaden treatment benefits by informing the development of mechanism-targeted interventions. A particularly powerful network is the rich array of family processes linked to internalizing problems (e.g., parenting styles, parental mental health problems, and sibling relationships). Here, we propose a new theoretical model, the triadic modelof family process, to organize theory and evidence around modifiable, transdiagnostic family factors that may contribute to youth internalizing problems. We describe the model's implications for intervention, and we propose strategies for testing the model in future research. The model provides a framework for studying associations among family processes, their relation to youth internalizing problems, and family-based strategies for strengthening prevention and treatment. En ligne : http://dx.doi.org/10.1017/s095457941600016x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=298

Identifying intervention strategies for preventing the mental health consequences of childhood adversity: A modified Delphi study / Leslie R. RITH-NAJARIAN in Development and Psychopathology, 33-2 (May 2021)  

Public ISBD [article]  inDevelopment and Psychopathology > 33-2 (May 2021) . - p.748-765 Titre : Identifying intervention strategies for preventing the mental health consequences of childhood adversity: A modified Delphi study Type de document : Texte imprimé et/ou numérique Auteurs : Leslie R. RITH-NAJARIAN, Auteur ; Noah S. TRIPLETT, Auteur ; John R. WEISZ, Auteur ; Katie A. MCLAUGHLIN, Auteur Année de publication : 2021 Article en page(s) : p.748-765 Langues : Anglais (eng) Mots-clés : Delphi study  childhood adversity  intervention development  prevention  psychopathology Index. décimale : PER Périodiques Résumé : Exposure to childhood adversity is a powerful risk factor for psychopathology. Despite extensive efforts, we have not yet identified effective or scalable interventions that prevent the emergence of mental health problems in children who have experienced adversity. In this modified Delphi study, we identified intervention strategies for effectively targeting both the neurodevelopmental mechanisms linking childhood adversity and psychopathology - including heightened emotional reactivity, difficulties with emotion regulation, blunted reward processing, and social information processing biases, as well as a range of psychopathology symptoms. We iteratively synthesized information from experts in the field and relevant meta-analyses through three surveys, first with experts in intervention development, prevention, and childhood adversity (n = 32), and then within our study team (n = 8). The results produced increasing stability and good consensus on intervention strategy recommendations for specific neurodevelopmental mechanisms and symptom presentations and on strength of evidence ratings of intervention strategies targeting youth and parents. More broadly, our findings highlight how intervention decision making can be informed by meta-analyses, enhanced by aggregate group feedback, saturated before consensus, and persistently subjective or even contradictory. Ultimately, the results converged on several promising intervention strategies for prevention programming with adversity-exposed youth, which will be tested in an upcoming clinical trial. En ligne : http://dx.doi.org/10.1017/s0954579420002059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Identifying intervention strategies for preventing the mental health consequences of childhood adversity: A modified Delphi study [Texte imprimé et/ou numérique] / Leslie R. RITH-NAJARIAN, Auteur ; Noah S. TRIPLETT, Auteur ; John R. WEISZ, Auteur ; Katie A. MCLAUGHLIN, Auteur . - 2021 . - p.748-765. Langues : Anglais (eng) in Development and Psychopathology > 33-2 (May 2021) . - p.748-765 Mots-clés : Delphi study  childhood adversity  intervention development  prevention  psychopathology Index. décimale : PER Périodiques Résumé : Exposure to childhood adversity is a powerful risk factor for psychopathology. Despite extensive efforts, we have not yet identified effective or scalable interventions that prevent the emergence of mental health problems in children who have experienced adversity. In this modified Delphi study, we identified intervention strategies for effectively targeting both the neurodevelopmental mechanisms linking childhood adversity and psychopathology - including heightened emotional reactivity, difficulties with emotion regulation, blunted reward processing, and social information processing biases, as well as a range of psychopathology symptoms. We iteratively synthesized information from experts in the field and relevant meta-analyses through three surveys, first with experts in intervention development, prevention, and childhood adversity (n = 32), and then within our study team (n = 8). The results produced increasing stability and good consensus on intervention strategy recommendations for specific neurodevelopmental mechanisms and symptom presentations and on strength of evidence ratings of intervention strategies targeting youth and parents. More broadly, our findings highlight how intervention decision making can be informed by meta-analyses, enhanced by aggregate group feedback, saturated before consensus, and persistently subjective or even contradictory. Ultimately, the results converged on several promising intervention strategies for prevention programming with adversity-exposed youth, which will be tested in an upcoming clinical trial. En ligne : http://dx.doi.org/10.1017/s0954579420002059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

Leveraging the developmental science of psychosocial risk to strengthen youth psychotherapy / Rachel A. VAUGHN-COAXUM in Development and Psychopathology, 33-2 (May 2021)  

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Practitioner Review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches / Lauren Krumholz MARCHETTE in Journal of Child Psychology and Psychiatry, 58-9 (September 2017)  

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A single?session growth mindset intervention for adolescent anxiety and depression: 9?month outcomes of a randomized trial / Jessica SCHLEIDER in Journal of Child Psychology and Psychiatry, 59-2 (February 2018)  

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Symptom differentiation of anxiety and depression across youth development and clinic-referred/nonreferred samples: An examination of competing factor structures of the Child Behavior Checklist DSM-oriented scales / Maggi PRICE in Development and Psychopathology, 25-4 (November 2013)  

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The Therapy Process Observational Coding System for Child Psychotherapy Strategies Scale / Bryce D. MCLEOD in Journal of Clinical Child & Adolescent Psychology, 39-3 (May-June 2010)  

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The Youth Self Report: Applicability and Validity Across Younger and Older Youths / Chad EBESUTANI in Journal of Clinical Child & Adolescent Psychology, 40-2 (March-April 2011)  

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