Annual Research Review: Immersive virtual reality and digital applied gaming interventions for the treatment of mental health problems in children and young people: the need for rigorous treatment development and clinical evaluation / Brynjar HALLDORSSON in Journal of Child Psychology and Psychiatry, 62-5 (May 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-5 (May 2021) . - p.584-605 Titre : Annual Research Review: Immersive virtual reality and digital applied gaming interventions for the treatment of mental health problems in children and young people: the need for rigorous treatment development and clinical evaluation Type de document : Texte imprimé et/ou numérique Auteurs : Brynjar HALLDORSSON, Auteur ; Claire HILL, Auteur ; Polly WAITE, Auteur ; Kate PARTRIDGE, Auteur ; Daniel FREEMAN, Auteur ; Cathy CRESWELL, Auteur Article en page(s) : p.584-605 Langues : Anglais (eng) Mots-clés : Mental health  RCT design  qualitative methods  treatment trials Index. décimale : PER Périodiques Résumé : BACKGROUND: Mental health problems in children and young people are common and can lead to poor long-term outcomes. Despite the availability of effective psychological interventions for mental health disorders, only a minority of affected children and young people access treatment. Digital interventions, such as applied games and virtual reality (VR), that target mental health problems in children and young people may hold a key to increasing access to, engagement with, and potentially the effectiveness of psychological treatments. To date, several applied games and VR interventions have been specifically developed for children and young people. This systematic review aims to identify and synthesize current data on the experience and effectiveness of applied games and VR for targeting mental health problems in children and young people (defined as average age of 18 years or below). METHODS: Electronic systematic searches were conducted in Medline, PsycINFO, CINAHL, and Web of Science. RESULTS: Nineteen studies were identified that examined nine applied games and two VR applications, and targeted symptoms of anxiety, depression, and phobias using both quantitative and qualitative methodologies. Existing evidence is at a very early stage and studies vary extensively in key methodological characteristics. For applied games, the most robust evidence is for adolescent depressive symptoms (medium clinical effect sizes). Insufficient research attention has been given to the efficacy of VR interventions in children and young people. CONCLUSIONS: The evidence to date is at a very early stage. Despite the enthusiasm for applied games and VR, existing interventions are limited in number and evidence of efficacy, and there is a clear need for further co-design, development, and evaluation of applied games and VR before they are routinely offered as treatments for children and young people with mental health problems. En ligne : http://dx.doi.org/10.1111/jcpp.13400 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445 [article] Annual Research Review: Immersive virtual reality and digital applied gaming interventions for the treatment of mental health problems in children and young people: the need for rigorous treatment development and clinical evaluation [Texte imprimé et/ou numérique] / Brynjar HALLDORSSON, Auteur ; Claire HILL, Auteur ; Polly WAITE, Auteur ; Kate PARTRIDGE, Auteur ; Daniel FREEMAN, Auteur ; Cathy CRESWELL, Auteur . - p.584-605. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-5 (May 2021) . - p.584-605 Mots-clés : Mental health  RCT design  qualitative methods  treatment trials Index. décimale : PER Périodiques Résumé : BACKGROUND: Mental health problems in children and young people are common and can lead to poor long-term outcomes. Despite the availability of effective psychological interventions for mental health disorders, only a minority of affected children and young people access treatment. Digital interventions, such as applied games and virtual reality (VR), that target mental health problems in children and young people may hold a key to increasing access to, engagement with, and potentially the effectiveness of psychological treatments. To date, several applied games and VR interventions have been specifically developed for children and young people. This systematic review aims to identify and synthesize current data on the experience and effectiveness of applied games and VR for targeting mental health problems in children and young people (defined as average age of 18 years or below). METHODS: Electronic systematic searches were conducted in Medline, PsycINFO, CINAHL, and Web of Science. RESULTS: Nineteen studies were identified that examined nine applied games and two VR applications, and targeted symptoms of anxiety, depression, and phobias using both quantitative and qualitative methodologies. Existing evidence is at a very early stage and studies vary extensively in key methodological characteristics. For applied games, the most robust evidence is for adolescent depressive symptoms (medium clinical effect sizes). Insufficient research attention has been given to the efficacy of VR interventions in children and young people. CONCLUSIONS: The evidence to date is at a very early stage. Despite the enthusiasm for applied games and VR, existing interventions are limited in number and evidence of efficacy, and there is a clear need for further co-design, development, and evaluation of applied games and VR before they are routinely offered as treatments for children and young people with mental health problems. En ligne : http://dx.doi.org/10.1111/jcpp.13400 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445

Patterns of sub-optimal change following CBT for childhood anxiety / Lizél-Antoinette BERTIE in Journal of Child Psychology and Psychiatry, 65-12 (December 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-12 (December 2024) . - p.1612-1623 Titre : Patterns of sub-optimal change following CBT for childhood anxiety Type de document : Texte imprimé et/ou numérique Auteurs : Lizél-Antoinette BERTIE, Auteur ; Kristian ARENDT, Auteur ; Jonathan R. I. COLEMAN, Auteur ; Peter COOPER, Auteur ; Cathy CRESWELL, Auteur ; Thalia C. ELEY, Auteur ; Catharina HARTMAN, Auteur ; Einar R. HEIERVANG, Auteur ; Tina IN-ALBON, Auteur ; Karen KRAUSE, Auteur ; Kathryn J. LESTER, Auteur ; Carla E. MARIN, Auteur ; Maaike NAUTA, Auteur ; Ronald M. RAPEE, Auteur ; Silvia SCHNEIDER, Auteur ; Carolyn SCHNIERING, Auteur ; Wendy K. SILVERMAN, Auteur ; Mikael THASTUM, Auteur ; Kerstin THIRLWALL, Auteur ; Polly WAITE, Auteur ; Gro Janne WERGELAND, Auteur ; Jennifer L. HUDSON, Auteur Article en page(s) : p.1612-1623 Langues : Anglais (eng) Mots-clés : Anxiety  childhood  cognitive behavioural therapy  sub-optimal response  response patterns Index. décimale : PER Périodiques Résumé : Background Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub-optimally to CBT, this study investigated youths (N?=?1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12?months following treatment. Methods Data were collected from 10 clinical sites with assessments at pre-and post-treatment and at least once more at 3, 6 or 12-month follow-up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Results Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Conclusions Sub-optimal response patterns can be partially differentiated using variables assessed at pre-treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision-making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier. En ligne : https://doi.org/10.1111/jcpp.14009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542 [article] Patterns of sub-optimal change following CBT for childhood anxiety [Texte imprimé et/ou numérique] / Lizél-Antoinette BERTIE, Auteur ; Kristian ARENDT, Auteur ; Jonathan R. I. COLEMAN, Auteur ; Peter COOPER, Auteur ; Cathy CRESWELL, Auteur ; Thalia C. ELEY, Auteur ; Catharina HARTMAN, Auteur ; Einar R. HEIERVANG, Auteur ; Tina IN-ALBON, Auteur ; Karen KRAUSE, Auteur ; Kathryn J. LESTER, Auteur ; Carla E. MARIN, Auteur ; Maaike NAUTA, Auteur ; Ronald M. RAPEE, Auteur ; Silvia SCHNEIDER, Auteur ; Carolyn SCHNIERING, Auteur ; Wendy K. SILVERMAN, Auteur ; Mikael THASTUM, Auteur ; Kerstin THIRLWALL, Auteur ; Polly WAITE, Auteur ; Gro Janne WERGELAND, Auteur ; Jennifer L. HUDSON, Auteur . - p.1612-1623. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-12 (December 2024) . - p.1612-1623 Mots-clés : Anxiety  childhood  cognitive behavioural therapy  sub-optimal response  response patterns Index. décimale : PER Périodiques Résumé : Background Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub-optimally to CBT, this study investigated youths (N?=?1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12?months following treatment. Methods Data were collected from 10 clinical sites with assessments at pre-and post-treatment and at least once more at 3, 6 or 12-month follow-up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Results Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Conclusions Sub-optimal response patterns can be partially differentiated using variables assessed at pre-treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision-making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier. En ligne : https://doi.org/10.1111/jcpp.14009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542

Practitioner Review: Anxiety disorders in children and young people - assessment and treatment / Cathy CRESWELL in Journal of Child Psychology and Psychiatry, 61-6 (June 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-6 (June 2020) . - p.628-643 Titre : Practitioner Review: Anxiety disorders in children and young people - assessment and treatment Type de document : Texte imprimé et/ou numérique Auteurs : Cathy CRESWELL, Auteur ; Polly WAITE, Auteur ; Jennie HUDSON, Auteur Article en page(s) : p.628-643 Langues : Anglais (eng) Mots-clés : Anxiety disorders  adolescents  assessment  children  intervention  treatment Index. décimale : PER Périodiques Résumé : Despite significant advancements in our knowledge of anxiety disorders in children and adolescents, they continue to be underrecognised and undertreated. It is critical that these disorders are taken seriously in children and young people as they are highly prevalent, have a negative impact on educational, social and health functioning, create a risk of ongoing anxiety and other mental health disorders across the life span and are associated with substantial economic burden. Yet very few children with anxiety disorders access evidence-based treatments, and there is an urgent need for widespread implementation of effective interventions. This review aimed to provide an overview of recent research developments that will be relevant to clinicians and policymakers, particularly focusing on the development and maintenance of child anxiety disorders and considerations for assessment and treatment. Given the critical need to increase access to effective support, we hope this review will contribute to driving forward a step change in treatment delivery for children and young people with anxiety disorders and their families. En ligne : http://dx.doi.org/10.1111/jcpp.13186 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426 [article] Practitioner Review: Anxiety disorders in children and young people - assessment and treatment [Texte imprimé et/ou numérique] / Cathy CRESWELL, Auteur ; Polly WAITE, Auteur ; Jennie HUDSON, Auteur . - p.628-643. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-6 (June 2020) . - p.628-643 Mots-clés : Anxiety disorders  adolescents  assessment  children  intervention  treatment Index. décimale : PER Périodiques Résumé : Despite significant advancements in our knowledge of anxiety disorders in children and adolescents, they continue to be underrecognised and undertreated. It is critical that these disorders are taken seriously in children and young people as they are highly prevalent, have a negative impact on educational, social and health functioning, create a risk of ongoing anxiety and other mental health disorders across the life span and are associated with substantial economic burden. Yet very few children with anxiety disorders access evidence-based treatments, and there is an urgent need for widespread implementation of effective interventions. This review aimed to provide an overview of recent research developments that will be relevant to clinicians and policymakers, particularly focusing on the development and maintenance of child anxiety disorders and considerations for assessment and treatment. Given the critical need to increase access to effective support, we hope this review will contribute to driving forward a step change in treatment delivery for children and young people with anxiety disorders and their families. En ligne : http://dx.doi.org/10.1111/jcpp.13186 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426

Randomized controlled trial of full and brief cognitive-behaviour therapy and wait-list for paediatric obsessive-compulsive disorder / Derek BOLTON in Journal of Child Psychology and Psychiatry, 52-12 (December 2011)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 52-12 (December 2011) . - p.1269-1278 Titre : Randomized controlled trial of full and brief cognitive-behaviour therapy and wait-list for paediatric obsessive-compulsive disorder Type de document : Texte imprimé et/ou numérique Auteurs : Derek BOLTON, Auteur ; Tim WILLIAMS, Auteur ; Sean PERRIN, Auteur ; Linda ATKINSON, Auteur ; Catherine GALLOP, Auteur ; Polly WAITE, Auteur ; Paul SALKOVSKIS, Auteur Année de publication : 2011 Article en page(s) : p.1269-1278 Langues : Anglais (eng) Mots-clés : CBT  obsessive-compulsive disorder  children  adolescents Index. décimale : PER Périodiques Résumé : Background:  Reviews and practice guidelines for paediatric obsessive-compulsive disorder (OCD) recommend cognitive-behaviour therapy (CBT) as the psychological treatment of choice, but note that it has not been sufficiently evaluated for children and adolescents and that more randomized controlled trials are needed. The aim of this trial was to evaluate effectiveness and optimal delivery of CBT, emphasizing cognitive interventions. Methods:  A total of 96 children and adolescents with OCD were randomly allocated to the three conditions each of approximately 12 weeks duration: full CBT (average therapist contact: 12 sessions) and brief CBT (average contact: 5 sessions, with use of therapist-guided workbooks), and wait-list/delayed treatment. The primary outcome measure was the child version of the semi-structured interviewer-based Yale-Brown Obsessive Compulsive Scale. Clinical Trial registration: http://www.controlled-trials.com/ISRCTN/; unique identifier: ISRCTN29092580. Results:  There was statistically significant symptomatic improvement in both treatment groups compared with the wait-list group, with no significant differences in outcomes between the two treatment groups. Controlled treatment effect sizes in intention-to-treat analyses were 2.2 for full CBT and 1.6 for brief CBT. Improvements were maintained at follow-up an average of 14 weeks later. Conclusions:  The findings demonstrate the benefits of CBT emphasizing cognitive interventions for children and adolescents with OCD and suggest that relatively lower therapist intensity delivery with use of therapist-guided workbooks is an efficient mode of delivery. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02419.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=146 [article] Randomized controlled trial of full and brief cognitive-behaviour therapy and wait-list for paediatric obsessive-compulsive disorder [Texte imprimé et/ou numérique] / Derek BOLTON, Auteur ; Tim WILLIAMS, Auteur ; Sean PERRIN, Auteur ; Linda ATKINSON, Auteur ; Catherine GALLOP, Auteur ; Polly WAITE, Auteur ; Paul SALKOVSKIS, Auteur . - 2011 . - p.1269-1278. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 52-12 (December 2011) . - p.1269-1278 Mots-clés : CBT  obsessive-compulsive disorder  children  adolescents Index. décimale : PER Périodiques Résumé : Background:  Reviews and practice guidelines for paediatric obsessive-compulsive disorder (OCD) recommend cognitive-behaviour therapy (CBT) as the psychological treatment of choice, but note that it has not been sufficiently evaluated for children and adolescents and that more randomized controlled trials are needed. The aim of this trial was to evaluate effectiveness and optimal delivery of CBT, emphasizing cognitive interventions. Methods:  A total of 96 children and adolescents with OCD were randomly allocated to the three conditions each of approximately 12 weeks duration: full CBT (average therapist contact: 12 sessions) and brief CBT (average contact: 5 sessions, with use of therapist-guided workbooks), and wait-list/delayed treatment. The primary outcome measure was the child version of the semi-structured interviewer-based Yale-Brown Obsessive Compulsive Scale. Clinical Trial registration: http://www.controlled-trials.com/ISRCTN/; unique identifier: ISRCTN29092580. Results:  There was statistically significant symptomatic improvement in both treatment groups compared with the wait-list group, with no significant differences in outcomes between the two treatment groups. Controlled treatment effect sizes in intention-to-treat analyses were 2.2 for full CBT and 1.6 for brief CBT. Improvements were maintained at follow-up an average of 14 weeks later. Conclusions:  The findings demonstrate the benefits of CBT emphasizing cognitive interventions for children and adolescents with OCD and suggest that relatively lower therapist intensity delivery with use of therapist-guided workbooks is an efficient mode of delivery. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02419.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=146

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