Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response / Susan H. SPENCE in Journal of Child Psychology and Psychiatry, 61-8 (August 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.914-927 Titre : Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response Type de document : Texte imprimé et/ou numérique Auteurs : Susan H. SPENCE, Auteur ; Samantha J. PROSSER, Auteur ; Sonja MARCH, Auteur ; Caroline L. DONOVAN, Auteur Article en page(s) : p.914-927 Langues : Anglais (eng) Mots-clés : Anxiety  outcome  prediction  therapy Index. décimale : PER Périodiques Résumé : BACKGROUND: In general, Internet-delivered cognitive behavior therapy (iCBT) produces significant reductions in child and adolescent anxiety, but a proportion of participants continue to show clinical levels of anxiety after treatment. It is important to identify demographic, clinical, and family factors that predict who is most likely to benefit from iCBT in order to better tailor treatment to individual needs. METHODS: Participants were 175 young people (7-18 years) with an anxiety disorder, and at least one of their parents, who completed an iCBT intervention with minimal therapist support. Multilevel modeling (MLM) examined predictors of response to iCBT as measured by the slope for changes in the primary outcome measures of child- and parent-reported anxiety scores, from pretreatment, to 12-weeks, 6-month, and 12-month follow-ups, controlling for pretreatment total clinician severity ratings of all anxiety diagnoses. RESULTS: Child age, gender, father age, parental education, parental mental health, parenting style, and family adaptability and cohesion did not significantly predict changes in anxiety in the multivariate analyses. For child-reported anxiety, greater reductions were predicted by a separation anxiety disorder diagnosis (SEP) and elevated depression, with lower reductions predicted by poor couple relationship quality. For parent-reported child anxiety, greater reductions were predicted by higher pretreatment total CSRs, SEP, and lower family income, with lower reductions for children of older mothers. Irrespective of these predictors of change, children in general showed reductions in anxiety to within the normal range. CONCLUSIONS: Overall, children responded well to iCBT irrespective of the demographic, clinical, and family factors examined here. Poor couple relationship quality and older mother age were risk factors for less positive response to iCBT in terms of reductions in anxiety symptoms although still to within the normal range. En ligne : http://dx.doi.org/10.1111/jcpp.13257 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 [article] Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response [Texte imprimé et/ou numérique] / Susan H. SPENCE, Auteur ; Samantha J. PROSSER, Auteur ; Sonja MARCH, Auteur ; Caroline L. DONOVAN, Auteur . - p.914-927. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.914-927 Mots-clés : Anxiety  outcome  prediction  therapy Index. décimale : PER Périodiques Résumé : BACKGROUND: In general, Internet-delivered cognitive behavior therapy (iCBT) produces significant reductions in child and adolescent anxiety, but a proportion of participants continue to show clinical levels of anxiety after treatment. It is important to identify demographic, clinical, and family factors that predict who is most likely to benefit from iCBT in order to better tailor treatment to individual needs. METHODS: Participants were 175 young people (7-18 years) with an anxiety disorder, and at least one of their parents, who completed an iCBT intervention with minimal therapist support. Multilevel modeling (MLM) examined predictors of response to iCBT as measured by the slope for changes in the primary outcome measures of child- and parent-reported anxiety scores, from pretreatment, to 12-weeks, 6-month, and 12-month follow-ups, controlling for pretreatment total clinician severity ratings of all anxiety diagnoses. RESULTS: Child age, gender, father age, parental education, parental mental health, parenting style, and family adaptability and cohesion did not significantly predict changes in anxiety in the multivariate analyses. For child-reported anxiety, greater reductions were predicted by a separation anxiety disorder diagnosis (SEP) and elevated depression, with lower reductions predicted by poor couple relationship quality. For parent-reported child anxiety, greater reductions were predicted by higher pretreatment total CSRs, SEP, and lower family income, with lower reductions for children of older mothers. Irrespective of these predictors of change, children in general showed reductions in anxiety to within the normal range. CONCLUSIONS: Overall, children responded well to iCBT irrespective of the demographic, clinical, and family factors examined here. Poor couple relationship quality and older mother age were risk factors for less positive response to iCBT in terms of reductions in anxiety symptoms although still to within the normal range. En ligne : http://dx.doi.org/10.1111/jcpp.13257 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429

Parental Anxiety in the Treatment of Childhood Anxiety: A Different Story Three Years Later / Vanessa E. COBHAM in Journal of Clinical Child & Adolescent Psychology, 39-3 (May-June 2010)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 39-3 (May-June 2010) . - p.410-420 Titre : Parental Anxiety in the Treatment of Childhood Anxiety: A Different Story Three Years Later Type de document : Texte imprimé et/ou numérique Auteurs : Vanessa E. COBHAM, Auteur ; Susan H. SPENCE, Auteur ; Mark R. DADDS, Auteur ; Brett MCDERMOTT, Auteur Année de publication : 2010 Article en page(s) : p.410-420 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : This study reports on the results of a long-term follow-up of 60 (29 girls and 31 boys, all of Caucasian ethnicity) children and adolescents diagnosed with an anxiety disorder and treated 3 years earlier with child-focused cognitive behavior therapy (CBT) or child-focused CBT plus parental anxiety management (PAM). Sixty-seven children aged 7 to --14 years were assigned to either the “child anxiety only” or the “child + parental anxiety” condition based on parents' trait anxiety scores. Within conditions, participants were randomly assigned to one of the two treatment conditions. Results indicated that at follow-up, parental anxiety did not represent a risk factor for children's treatment outcome. In addition at follow-up, children who received the combined CBT + PAM intervention (regardless of parental anxiety status) were significantly more likely to be anxiety diagnosis free compared with children who received the child-focused CBT intervention only. En ligne : http://dx.doi.org/10.1080/15374411003691719 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=102 [article] Parental Anxiety in the Treatment of Childhood Anxiety: A Different Story Three Years Later [Texte imprimé et/ou numérique] / Vanessa E. COBHAM, Auteur ; Susan H. SPENCE, Auteur ; Mark R. DADDS, Auteur ; Brett MCDERMOTT, Auteur . - 2010 . - p.410-420. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 39-3 (May-June 2010) . - p.410-420 Index. décimale : PER Périodiques Résumé : This study reports on the results of a long-term follow-up of 60 (29 girls and 31 boys, all of Caucasian ethnicity) children and adolescents diagnosed with an anxiety disorder and treated 3 years earlier with child-focused cognitive behavior therapy (CBT) or child-focused CBT plus parental anxiety management (PAM). Sixty-seven children aged 7 to --14 years were assigned to either the “child anxiety only” or the “child + parental anxiety” condition based on parents' trait anxiety scores. Within conditions, participants were randomly assigned to one of the two treatment conditions. Results indicated that at follow-up, parental anxiety did not represent a risk factor for children's treatment outcome. In addition at follow-up, children who received the combined CBT + PAM intervention (regardless of parental anxiety status) were significantly more likely to be anxiety diagnosis free compared with children who received the child-focused CBT intervention only. En ligne : http://dx.doi.org/10.1080/15374411003691719 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=102

Research Review: Can we justify the widespread dissemination of universal, school-based interventions for the prevention of depression among children and adolescents? / Susan H. SPENCE in Journal of Child Psychology and Psychiatry, 48-6 (June 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-6 (June 2007) . - p.526–542 Titre : Research Review: Can we justify the widespread dissemination of universal, school-based interventions for the prevention of depression among children and adolescents? Type de document : Texte imprimé et/ou numérique Auteurs : Susan H. SPENCE, Auteur ; Alison L. SHORTT, Auteur Année de publication : 2007 Article en page(s) : p.526–542 Langues : Anglais (eng) Mots-clés : School universal depression prevention Index. décimale : PER Périodiques Résumé : This review examines the evidence concerning the efficacy and effectiveness of universal, school-based interventions designed to prevent the development of depression in children and adolescents. It evaluates the outcomes of research in relation to standards of evidence specified by the Society for Prevention Research (Flay et al., 2005). The limited evidence available brings into doubt the efficacy and effectiveness of current universal, school-based approaches to the prevention of depression, suggesting that the widespread dissemination of such interventions would be premature. Relatively brief programs, that focus specifically on enhancing individual skills and characteristics of the individual in the absence of environmental change, may be insufficient to produce lasting effects in the prevention of depression among children and adolescents. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01738.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=102 [article] Research Review: Can we justify the widespread dissemination of universal, school-based interventions for the prevention of depression among children and adolescents? [Texte imprimé et/ou numérique] / Susan H. SPENCE, Auteur ; Alison L. SHORTT, Auteur . - 2007 . - p.526–542. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-6 (June 2007) . - p.526–542 Mots-clés : School universal depression prevention Index. décimale : PER Périodiques Résumé : This review examines the evidence concerning the efficacy and effectiveness of universal, school-based interventions designed to prevent the development of depression in children and adolescents. It evaluates the outcomes of research in relation to standards of evidence specified by the Society for Prevention Research (Flay et al., 2005). The limited evidence available brings into doubt the efficacy and effectiveness of current universal, school-based approaches to the prevention of depression, suggesting that the widespread dissemination of such interventions would be premature. Relatively brief programs, that focus specifically on enhancing individual skills and characteristics of the individual in the absence of environmental change, may be insufficient to produce lasting effects in the prevention of depression among children and adolescents. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01738.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=102

Research Review: Recommendations for reporting on treatment trials for child and adolescent anxiety disorders - an international consensus statement / Cathy CRESWELL in Journal of Child Psychology and Psychiatry, 62-3 (March 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-3 (March 2021) . - p.255-269 Titre : Research Review: Recommendations for reporting on treatment trials for child and adolescent anxiety disorders - an international consensus statement Type de document : Texte imprimé et/ou numérique Auteurs : Cathy CRESWELL, Auteur ; Maaike H. NAUTA, Auteur ; Jennifer L. HUDSON, Auteur ; Sonja MARCH, Auteur ; Tessa REARDON, Auteur ; Kristian ARENDT, Auteur ; Denise H. M. BODDEN, Auteur ; Vanessa E. COBHAM, Auteur ; Caroline L. DONOVAN, Auteur ; Brynjar HALLDORSSON, Auteur ; Tina IN-ALBON, Auteur ; Shin-Ichi ISHIKAWA, Auteur ; Daniel Bach JOHNSEN, Auteur ; Maral JOLSTEDT, Auteur ; Rachel DE JONG, Auteur ; Leonie KREUZE, Auteur ; Lynn MOBACH, Auteur ; Ronald M RAPEE, Auteur ; Susan H. SPENCE, Auteur ; Mikael THASTUM, Auteur ; Elisabeth UTENS, Auteur ; Sarah VIGERLAND, Auteur ; Gro Janne WERGELAND, Auteur ; Cecilia A ESSAU, Auteur ; Anne Marie ALBANO, Auteur ; Brian CHU, Auteur ; Muniya KHANNA, Auteur ; Wendy K. SILVERMAN, Auteur ; Philip C. KENDALL, Auteur Article en page(s) : p.255-269 Langues : Anglais (eng) Mots-clés : Anxiety  treatment trials Index. décimale : PER Périodiques Résumé : BACKGROUND: Anxiety disorders in children and young people are common and bring significant personal and societal costs. Over the last two decades, there has been a substantial increase in research evaluating psychological and pharmacological treatments for anxiety disorders in children and young people and exciting and novel research has continued as the field strives to improve efficacy and effectiveness, and accessibility of interventions. This increase in research brings potential to draw together data across studies to compare treatment approaches and advance understanding of what works, how, and for whom. There are challenges to these efforts due largely to variation in studies' outcome measures and variation in the way study characteristics are reported, making it difficult to compare and/or combine studies, and this is likely to lead to faulty conclusions. Studies particularly vary in their reliance on child, parent, and/or assessor-based ratings across a range of outcomes, including remission of anxiety diagnosis, symptom reduction, and other domains of functioning (e.g., family relationships, peer relationships). METHODS: To address these challenges, we convened a series of international activities that brought together the views of key stakeholders (i.e., researchers, mental health professionals, young people, parents/caregivers) to develop recommendations for outcome measurement to be used in treatment trials for anxiety disorders in children and young people. RESULTS AND CONCLUSIONS: This article reports the results of these activities and offers recommendations for selection and reporting of outcome measures to (a) guide future research and (b) improve communication of what has been measured and reported. We offer these recommendations to promote international consistency in trial reporting and to enable the field to take full advantage of the great opportunities that come from data sharing going forward. En ligne : http://dx.doi.org/10.1111/jcpp.13283 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 [article] Research Review: Recommendations for reporting on treatment trials for child and adolescent anxiety disorders - an international consensus statement [Texte imprimé et/ou numérique] / Cathy CRESWELL, Auteur ; Maaike H. NAUTA, Auteur ; Jennifer L. HUDSON, Auteur ; Sonja MARCH, Auteur ; Tessa REARDON, Auteur ; Kristian ARENDT, Auteur ; Denise H. M. BODDEN, Auteur ; Vanessa E. COBHAM, Auteur ; Caroline L. DONOVAN, Auteur ; Brynjar HALLDORSSON, Auteur ; Tina IN-ALBON, Auteur ; Shin-Ichi ISHIKAWA, Auteur ; Daniel Bach JOHNSEN, Auteur ; Maral JOLSTEDT, Auteur ; Rachel DE JONG, Auteur ; Leonie KREUZE, Auteur ; Lynn MOBACH, Auteur ; Ronald M RAPEE, Auteur ; Susan H. SPENCE, Auteur ; Mikael THASTUM, Auteur ; Elisabeth UTENS, Auteur ; Sarah VIGERLAND, Auteur ; Gro Janne WERGELAND, Auteur ; Cecilia A ESSAU, Auteur ; Anne Marie ALBANO, Auteur ; Brian CHU, Auteur ; Muniya KHANNA, Auteur ; Wendy K. SILVERMAN, Auteur ; Philip C. KENDALL, Auteur . - p.255-269. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-3 (March 2021) . - p.255-269 Mots-clés : Anxiety  treatment trials Index. décimale : PER Périodiques Résumé : BACKGROUND: Anxiety disorders in children and young people are common and bring significant personal and societal costs. Over the last two decades, there has been a substantial increase in research evaluating psychological and pharmacological treatments for anxiety disorders in children and young people and exciting and novel research has continued as the field strives to improve efficacy and effectiveness, and accessibility of interventions. This increase in research brings potential to draw together data across studies to compare treatment approaches and advance understanding of what works, how, and for whom. There are challenges to these efforts due largely to variation in studies' outcome measures and variation in the way study characteristics are reported, making it difficult to compare and/or combine studies, and this is likely to lead to faulty conclusions. Studies particularly vary in their reliance on child, parent, and/or assessor-based ratings across a range of outcomes, including remission of anxiety diagnosis, symptom reduction, and other domains of functioning (e.g., family relationships, peer relationships). METHODS: To address these challenges, we convened a series of international activities that brought together the views of key stakeholders (i.e., researchers, mental health professionals, young people, parents/caregivers) to develop recommendations for outcome measurement to be used in treatment trials for anxiety disorders in children and young people. RESULTS AND CONCLUSIONS: This article reports the results of these activities and offers recommendations for selection and reporting of outcome measures to (a) guide future research and (b) improve communication of what has been measured and reported. We offer these recommendations to promote international consistency in trial reporting and to enable the field to take full advantage of the great opportunities that come from data sharing going forward. En ligne : http://dx.doi.org/10.1111/jcpp.13283 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443

School-based prevention of depression: a randomised controlled study of the beyondblue schools research initiative / Michael G. SAWYER in Journal of Child Psychology and Psychiatry, 51-2 (February 2010)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 51-2 (February 2010) . - p.199-209 Titre : School-based prevention of depression: a randomised controlled study of the beyondblue schools research initiative Type de document : Texte imprimé et/ou numérique Auteurs : Michael G. SAWYER, Auteur ; Susan H. SPENCE, Auteur ; Jeanie SHEFFIELD, Auteur ; Sara PFEIFER, Auteur ; Lyndal BOND, Auteur ; Brian GRAETZ, Auteur ; Debra KAY, Auteur ; George PATTON, Auteur Année de publication : 2010 Article en page(s) : p.199-209 Langues : Anglais (eng) Mots-clés : Adolescents depression universal-intervention schools Index. décimale : PER Périodiques Résumé : Background: Depressive disorders are experienced by 3–5% of the adolescent population at any point of time. They adversely affect adolescent development in a range of areas and greatly increase risk for suicide. The present study investigated the effectiveness of a universal intervention designed to reduce depressive symptoms among students commencing high school. Methods: Twenty-five pairs of secondary schools matched on socio-economic status were randomly assigned to either an intervention or a comparison group (n = 5,634 Year 8 students). The intervention extended over a 3-year period and utilised a comprehensive classroom curriculum programme, enhancements to the school climate, improvements in care pathways, and community forums. A range of measures completed by students, average age at baseline = 13.1 years (SD = .5), and teachers was used to assess changes in depressive symptoms, risk and protective factors relevant to depression, and the quality of the school environment. Results: Changes in the level of depressive symptoms and in the levels of risk and protective factors experienced by students in the two groups did not differ significantly over the 3 years of the study. Furthermore, statistically significant differences in the ratings of school climate across this time period were found only for staff-rated assessments. Conclusions: Despite using an extensive, structured programme, based on best evidence to increase protective factors and reduce risk factors at the individual and school levels, the intervention did not reduce levels of depressive symptoms among participating adolescents. The results draw attention to the difficulties faced when implementing large-scale, school-based, universal preventive interventions. These include the need to develop methods to effectively train teachers across large geographical regions to deliver new interventions with fidelity, the difficulty of engaging young adolescents with prevention programmes, and the long period of time required to implement policy and practice changes at 'whole-school' levels. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02136.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=941 [article] School-based prevention of depression: a randomised controlled study of the beyondblue schools research initiative [Texte imprimé et/ou numérique] / Michael G. SAWYER, Auteur ; Susan H. SPENCE, Auteur ; Jeanie SHEFFIELD, Auteur ; Sara PFEIFER, Auteur ; Lyndal BOND, Auteur ; Brian GRAETZ, Auteur ; Debra KAY, Auteur ; George PATTON, Auteur . - 2010 . - p.199-209. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 51-2 (February 2010) . - p.199-209 Mots-clés : Adolescents depression universal-intervention schools Index. décimale : PER Périodiques Résumé : Background: Depressive disorders are experienced by 3–5% of the adolescent population at any point of time. They adversely affect adolescent development in a range of areas and greatly increase risk for suicide. The present study investigated the effectiveness of a universal intervention designed to reduce depressive symptoms among students commencing high school. Methods: Twenty-five pairs of secondary schools matched on socio-economic status were randomly assigned to either an intervention or a comparison group (n = 5,634 Year 8 students). The intervention extended over a 3-year period and utilised a comprehensive classroom curriculum programme, enhancements to the school climate, improvements in care pathways, and community forums. A range of measures completed by students, average age at baseline = 13.1 years (SD = .5), and teachers was used to assess changes in depressive symptoms, risk and protective factors relevant to depression, and the quality of the school environment. Results: Changes in the level of depressive symptoms and in the levels of risk and protective factors experienced by students in the two groups did not differ significantly over the 3 years of the study. Furthermore, statistically significant differences in the ratings of school climate across this time period were found only for staff-rated assessments. Conclusions: Despite using an extensive, structured programme, based on best evidence to increase protective factors and reduce risk factors at the individual and school levels, the intervention did not reduce levels of depressive symptoms among participating adolescents. The results draw attention to the difficulties faced when implementing large-scale, school-based, universal preventive interventions. These include the need to develop methods to effectively train teachers across large geographical regions to deliver new interventions with fidelity, the difficulty of engaging young adolescents with prevention programmes, and the long period of time required to implement policy and practice changes at 'whole-school' levels. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02136.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=941

The Assessment of Anxiety Symptoms in Preschool-Aged Children: The Revised Preschool Anxiety Scale / Susan L. EDWARDS in Journal of Clinical Child & Adolescent Psychology, 39-3 (May-June 2010)  

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The Treatment of Childhood Social Phobia: The Effectiveness of a Social Skills Training-based, Cognitive-behavioural Intervention, with and without Parental Involvement / Susan H. SPENCE in Journal of Child Psychology and Psychiatry, 41-6 (September 2000)

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