One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial / Barry WRIGHT in Journal of Child Psychology and Psychiatry, 64-1 (January 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.39-49 Titre : One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Barry WRIGHT, Auteur ; Lucy TINDALL, Auteur ; Alexander J. SCOTT, Auteur ; Ellen LEE, Auteur ; Cindy COOPER, Auteur ; Katie BIGGS, Auteur ; Penny BEE, Auteur ; Han-I WANG, Auteur ; Lina GEGA, Auteur ; Emily HAYWARD, Auteur ; Kiera SOLAIMAN, Auteur ; M. Dawn TEARE, Auteur ; Thompson E. III DAVIS, Auteur ; Jon WILSON, Auteur ; Karina LOVELL, Auteur ; Dean MCMILLAN, Auteur ; Amy BARR, Auteur ; Hannah EDWARDS, Auteur ; Jennifer LOMAS, Auteur ; Chris TURTLE, Auteur ; Steve PARROTT, Auteur ; Catarina TEIGE, Auteur ; Tim CHATER, Auteur ; Rebecca HARGATE, Auteur ; Shezhad ALI, Auteur ; Sarah PARKINSON, Auteur ; Simon GILBODY, Auteur ; David MARSHALL, Auteur Article en page(s) : p.39-49 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background 5%-10% children and young people (CYP) experience specific phobias that impact daily functioning. Cognitive Behaviour Therapy (CBT) is recommended but has limitations. One Session Treatment (OST), a briefer alternative incorporating CBT principles, has demonstrated efficacy. The Alleviating Specific Phobias Experienced by Children Trial (ASPECT) investigated the non-inferiority of OST compared to multi-session CBT for treating specific phobias in CYP. Methods ASPECT was a pragmatic, multi-center, non-inferiority randomized controlled trial in 26 CAMHS sites, three voluntary agency services, and one university-based CYP well-being service. CYP aged 7-16 years with specific phobia were randomized to receive OST or CBT. Clinical non-inferiority and a nested cost-effectiveness evaluation was assessed 6-months post-randomization using the Behavioural Avoidance Task (BAT). Secondary outcome measures included the Anxiety Disorder Interview Schedule, Child Anxiety Impact Scale, Revised Children's Anxiety Depression Scale, goal-based outcome measure, and EQ-5DY and CHU-9D, collected blind at baseline and six-months. Results 268 CYPs were randomized to OST (n=134) or CBT (n=134). Mean BAT scores at 6 months were similar across groups in both intention-to-treat (ITT) and per-protocol (PP) populations (CBT: 7.1 (ITT, n=76), 7.4 (PP, n=57), OST: 7.4 (ITT, n=73), 7.6 (PP, n=56), on the standardized scale-adjusted mean difference for CBT compared to OST -0.123, 95% CI â’0.449 to 0.202 (ITT), mean difference â’0.204, 95% CI â’0.579 to 0.171 (PP)). These findings were wholly below the standardized non-inferiority limit of 0.4, suggesting that OST is non-inferior to CBT. No between-group differences were found on secondary outcomes. OST marginally decreased mean service use costs and maintained similar mean Quality Adjusted Life Years compared to CBT. Conclusions One Session Treatment has similar clinical effectiveness to CBT for specific phobias in CYP and may be a cost-saving alternative. En ligne : https://doi.org/10.1111/jcpp.13665 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 [article] One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial [Texte imprimé et/ou numérique] / Barry WRIGHT, Auteur ; Lucy TINDALL, Auteur ; Alexander J. SCOTT, Auteur ; Ellen LEE, Auteur ; Cindy COOPER, Auteur ; Katie BIGGS, Auteur ; Penny BEE, Auteur ; Han-I WANG, Auteur ; Lina GEGA, Auteur ; Emily HAYWARD, Auteur ; Kiera SOLAIMAN, Auteur ; M. Dawn TEARE, Auteur ; Thompson E. III DAVIS, Auteur ; Jon WILSON, Auteur ; Karina LOVELL, Auteur ; Dean MCMILLAN, Auteur ; Amy BARR, Auteur ; Hannah EDWARDS, Auteur ; Jennifer LOMAS, Auteur ; Chris TURTLE, Auteur ; Steve PARROTT, Auteur ; Catarina TEIGE, Auteur ; Tim CHATER, Auteur ; Rebecca HARGATE, Auteur ; Shezhad ALI, Auteur ; Sarah PARKINSON, Auteur ; Simon GILBODY, Auteur ; David MARSHALL, Auteur . - p.39-49. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.39-49 Index. décimale : PER Périodiques Résumé : Background 5%-10% children and young people (CYP) experience specific phobias that impact daily functioning. Cognitive Behaviour Therapy (CBT) is recommended but has limitations. One Session Treatment (OST), a briefer alternative incorporating CBT principles, has demonstrated efficacy. The Alleviating Specific Phobias Experienced by Children Trial (ASPECT) investigated the non-inferiority of OST compared to multi-session CBT for treating specific phobias in CYP. Methods ASPECT was a pragmatic, multi-center, non-inferiority randomized controlled trial in 26 CAMHS sites, three voluntary agency services, and one university-based CYP well-being service. CYP aged 7-16 years with specific phobia were randomized to receive OST or CBT. Clinical non-inferiority and a nested cost-effectiveness evaluation was assessed 6-months post-randomization using the Behavioural Avoidance Task (BAT). Secondary outcome measures included the Anxiety Disorder Interview Schedule, Child Anxiety Impact Scale, Revised Children's Anxiety Depression Scale, goal-based outcome measure, and EQ-5DY and CHU-9D, collected blind at baseline and six-months. Results 268 CYPs were randomized to OST (n=134) or CBT (n=134). Mean BAT scores at 6 months were similar across groups in both intention-to-treat (ITT) and per-protocol (PP) populations (CBT: 7.1 (ITT, n=76), 7.4 (PP, n=57), OST: 7.4 (ITT, n=73), 7.6 (PP, n=56), on the standardized scale-adjusted mean difference for CBT compared to OST -0.123, 95% CI â’0.449 to 0.202 (ITT), mean difference â’0.204, 95% CI â’0.579 to 0.171 (PP)). These findings were wholly below the standardized non-inferiority limit of 0.4, suggesting that OST is non-inferior to CBT. No between-group differences were found on secondary outcomes. OST marginally decreased mean service use costs and maintained similar mean Quality Adjusted Life Years compared to CBT. Conclusions One Session Treatment has similar clinical effectiveness to CBT for specific phobias in CYP and may be a cost-saving alternative. En ligne : https://doi.org/10.1111/jcpp.13665 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490

Social anxiety in adult males with autism spectrum disorders / Debbie SPAIN in Research in Autism Spectrum Disorders, 32 (December 2016)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 32 (December 2016) . - p.13-23 Titre : Social anxiety in adult males with autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Debbie SPAIN, Auteur ; Francesca HAPPE, Auteur ; Patrick JOHNSTON, Auteur ; Malcolm CAMPBELL, Auteur ; Jacqueline SIN, Auteur ; Eileen DALY, Auteur ; Christine ECKER, Auteur ; Martin ANSON, Auteur ; Eddie CHAPLIN, Auteur ; Karen GLASER, Auteur ; Andreina MENDEZ, Auteur ; Karina LOVELL, Auteur ; Declan G. MURPHY, Auteur Article en page(s) : p.13-23 Langues : Anglais (eng) Mots-clés : Autism spectrum  Social anxiety  Social phobia  Adults  Self-report questionnaires Index. décimale : PER Périodiques Résumé : AbstractBackground Psychiatric conditions, notably anxiety, commonly co-occur with autism spectrum disorders (ASD). Method This study investigated self-reported behavioural, cognitive and affective symptoms of social anxiety (SA) in 50 adult males with ASD. Associations between SA, core ASD symptoms and facets of neuropsychological functioning were also examined. Results Twenty-six participants (52%) endorsed levels of SA that exceeded the suggested caseness threshold for social anxiety disorder. Categorical and dimensional data analyses indicated that there were no relationships between SA symptoms, present-state or childhood ASD symptom-severity, or measures of socio-emotional processing in this sample. Conclusions Study findings suggest that severity of SA is not merely a reflection of ASD symptom-severity. Further research is needed to ascertain the prevalence of SA in adult ASD epidemiological samples, and identify causal and maintaining mechanisms for these co-morbid symptoms. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.08.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=296 [article] Social anxiety in adult males with autism spectrum disorders [Texte imprimé et/ou numérique] / Debbie SPAIN, Auteur ; Francesca HAPPE, Auteur ; Patrick JOHNSTON, Auteur ; Malcolm CAMPBELL, Auteur ; Jacqueline SIN, Auteur ; Eileen DALY, Auteur ; Christine ECKER, Auteur ; Martin ANSON, Auteur ; Eddie CHAPLIN, Auteur ; Karen GLASER, Auteur ; Andreina MENDEZ, Auteur ; Karina LOVELL, Auteur ; Declan G. MURPHY, Auteur . - p.13-23. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 32 (December 2016) . - p.13-23 Mots-clés : Autism spectrum  Social anxiety  Social phobia  Adults  Self-report questionnaires Index. décimale : PER Périodiques Résumé : AbstractBackground Psychiatric conditions, notably anxiety, commonly co-occur with autism spectrum disorders (ASD). Method This study investigated self-reported behavioural, cognitive and affective symptoms of social anxiety (SA) in 50 adult males with ASD. Associations between SA, core ASD symptoms and facets of neuropsychological functioning were also examined. Results Twenty-six participants (52%) endorsed levels of SA that exceeded the suggested caseness threshold for social anxiety disorder. Categorical and dimensional data analyses indicated that there were no relationships between SA symptoms, present-state or childhood ASD symptom-severity, or measures of socio-emotional processing in this sample. Conclusions Study findings suggest that severity of SA is not merely a reflection of ASD symptom-severity. Further research is needed to ascertain the prevalence of SA in adult ASD epidemiological samples, and identify causal and maintaining mechanisms for these co-morbid symptoms. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.08.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=296

Socio-demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the COVID-19 pandemic: time series analysis of primary care electronic health records / Louise Jane HUSSEY in Journal of Child Psychology and Psychiatry, 66-1 (January 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.16-29 Titre : Socio-demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the COVID-19 pandemic: time series analysis of primary care electronic health records Type de document : Texte imprimé et/ou numérique Auteurs : Louise Jane HUSSEY, Auteur ; Evan KONTOPANTELIS, Auteur ; Pearl L. H. MOK, Auteur ; Darren M. ASHCROFT, Auteur ; Matthew J. CARR, Auteur ; Shruti GARG, Auteur ; Carolyn A. CHEW-GRAHAM, Auteur ; Nav KAPUR, Auteur ; Karina LOVELL, Auteur ; Roger T. WEBB, Auteur Article en page(s) : p.16-29 Langues : Anglais (eng) Mots-clés : Anxiety disorders  depression  COVID-19  children and young people  ethnicity  deprivation  general practice Index. décimale : PER Périodiques Résumé : Background The impact of the COVID-19 pandemic on the mental health of children and young people (CYP) has been widely reported. Primary care electronic health records were utilised to examine trends in the diagnosing, recording and treating of these common mental disorders by ethnicity and social deprivation in Greater Manchester, England. Methods Time-series analyses conducted using Greater Manchester Care Record (GMCR) data examined all diagnosed episodes of anxiety disorders and depression and prescribing of anxiolytics and antidepressants among patients aged 6?24?years. The 41-month observation period was split into three epochs: Pre-pandemic (1/2019?2/2020); Pandemic Phase 1 (3/2020?6/2021); Pandemic Phase 2 (7/2021?5/2022). Rate ratios for all CYP specific to sex, age, ethnicity, and neighbourhood-level Indices of Multiple Deprivation (IMD) quintile were modelled using negative binomial regression. Results Depression and anxiety disorder rates were highest in females, CYP aged 19?24, and White and ?Other? ethnic groups. During Pandemic Phase 1, rates for these diagnoses fell in all demographic subgroups and then rose to similar levels as those recorded pre-pandemic. In Pandemic Phase 2, rates in Black and Mixed-ethnicity females rose to a significantly greater degree (by 54% and 62%, respectively) than those in White females. Prescribing rates increased throughout the study period, with significantly greater rises observed in non-White females and males. The temporal trends were mostly homogeneous across deprivation quintiles. Conclusion The observed fluctuations in frequency of recorded common mental illness diagnoses likely reflect service accessibility and patients' differential propensities to consult as well as changing levels of distress and psychopathology in the population. However, psychotropic medication prescribing increased throughout the observation period, possibly indicating a sustained decline in mental health among CYP, and also clinicians' responses to problems presented. The comparatively greater increases in frequencies of diagnosis recording and medication prescribing among ethnic minority groups warrants further investigation. En ligne : https://dx.doi.org/10.1111/jcpp.14026 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Socio-demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the COVID-19 pandemic: time series analysis of primary care electronic health records [Texte imprimé et/ou numérique] / Louise Jane HUSSEY, Auteur ; Evan KONTOPANTELIS, Auteur ; Pearl L. H. MOK, Auteur ; Darren M. ASHCROFT, Auteur ; Matthew J. CARR, Auteur ; Shruti GARG, Auteur ; Carolyn A. CHEW-GRAHAM, Auteur ; Nav KAPUR, Auteur ; Karina LOVELL, Auteur ; Roger T. WEBB, Auteur . - p.16-29. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.16-29 Mots-clés : Anxiety disorders  depression  COVID-19  children and young people  ethnicity  deprivation  general practice Index. décimale : PER Périodiques Résumé : Background The impact of the COVID-19 pandemic on the mental health of children and young people (CYP) has been widely reported. Primary care electronic health records were utilised to examine trends in the diagnosing, recording and treating of these common mental disorders by ethnicity and social deprivation in Greater Manchester, England. Methods Time-series analyses conducted using Greater Manchester Care Record (GMCR) data examined all diagnosed episodes of anxiety disorders and depression and prescribing of anxiolytics and antidepressants among patients aged 6?24?years. The 41-month observation period was split into three epochs: Pre-pandemic (1/2019?2/2020); Pandemic Phase 1 (3/2020?6/2021); Pandemic Phase 2 (7/2021?5/2022). Rate ratios for all CYP specific to sex, age, ethnicity, and neighbourhood-level Indices of Multiple Deprivation (IMD) quintile were modelled using negative binomial regression. Results Depression and anxiety disorder rates were highest in females, CYP aged 19?24, and White and ?Other? ethnic groups. During Pandemic Phase 1, rates for these diagnoses fell in all demographic subgroups and then rose to similar levels as those recorded pre-pandemic. In Pandemic Phase 2, rates in Black and Mixed-ethnicity females rose to a significantly greater degree (by 54% and 62%, respectively) than those in White females. Prescribing rates increased throughout the study period, with significantly greater rises observed in non-White females and males. The temporal trends were mostly homogeneous across deprivation quintiles. Conclusion The observed fluctuations in frequency of recorded common mental illness diagnoses likely reflect service accessibility and patients' differential propensities to consult as well as changing levels of distress and psychopathology in the population. However, psychotropic medication prescribing increased throughout the observation period, possibly indicating a sustained decline in mental health among CYP, and also clinicians' responses to problems presented. The comparatively greater increases in frequencies of diagnosis recording and medication prescribing among ethnic minority groups warrants further investigation. En ligne : https://dx.doi.org/10.1111/jcpp.14026 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

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