Diffusion of efficacious interventions for children and adolescents with mental health problems / Ana Soledade GRAEFF-MARTINS in Journal of Child Psychology and Psychiatry, 49-3 (March 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.335–352 Titre : Diffusion of efficacious interventions for children and adolescents with mental health problems Type de document : Texte imprimé et/ou numérique Auteurs : Ana Soledade GRAEFF-MARTINS, Auteur ; Peter S. JENSEN, Auteur ; Martine F. FLAMENT, Auteur ; John FAYYAD, Auteur ; Sam TYANO, Auteur ; Luis Augusto ROHDE, Auteur Année de publication : 2008 Article en page(s) : p.335–352 Langues : Anglais (eng) Mots-clés : Children adolescent mental-health evidence-based medicine internet Index. décimale : PER Périodiques Résumé : Background: Child and adolescent mental health problems are prevalent and require adequate interventions. Despite several evidence-based interventions for these problems described in the literature, few studies addressed strategies to diffuse efficacious interventions for child mental disorders especially in developing countries. Methods: An extensive but not systematic review of the literature was performed aiming to identify evidence-based interventions for children and adolescents with mental disorders, professionals to target in disseminating these interventions, and the available strategies to diffuse information. Results: Substantial evidence-based information is available to guide preventive, psychosocial and psychopharmacological interventions. The effectiveness of treatments in real-world settings and the cost-effectiveness of interventions are rarely tested. Professionals at different levels (teachers, school counselors, social workers, general practitioners, pediatricians, child psychologists and psychiatrists) should be targeted in diffusing efficacious interventions for child mental health problems worldwide. Telepsychiatry and the internet seem to be the most promising strategies to diffuse knowledge with lower costs. Conclusions: Medical and allied professionals must incorporate child and adolescent mental health issues in their under- and postgraduate curricula, and be better prepared to critically evaluate available information. Professionals need to disseminate evidence-based programs to guide parents and teachers in developing countries to deal with child and adolescent difficulties. Countries need to explore internet solutions for dissemination of medical information. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01827.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=337 [article] Diffusion of efficacious interventions for children and adolescents with mental health problems [Texte imprimé et/ou numérique] / Ana Soledade GRAEFF-MARTINS, Auteur ; Peter S. JENSEN, Auteur ; Martine F. FLAMENT, Auteur ; John FAYYAD, Auteur ; Sam TYANO, Auteur ; Luis Augusto ROHDE, Auteur . - 2008 . - p.335–352. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.335–352 Mots-clés : Children adolescent mental-health evidence-based medicine internet Index. décimale : PER Périodiques Résumé : Background: Child and adolescent mental health problems are prevalent and require adequate interventions. Despite several evidence-based interventions for these problems described in the literature, few studies addressed strategies to diffuse efficacious interventions for child mental disorders especially in developing countries. Methods: An extensive but not systematic review of the literature was performed aiming to identify evidence-based interventions for children and adolescents with mental disorders, professionals to target in disseminating these interventions, and the available strategies to diffuse information. Results: Substantial evidence-based information is available to guide preventive, psychosocial and psychopharmacological interventions. The effectiveness of treatments in real-world settings and the cost-effectiveness of interventions are rarely tested. Professionals at different levels (teachers, school counselors, social workers, general practitioners, pediatricians, child psychologists and psychiatrists) should be targeted in diffusing efficacious interventions for child mental health problems worldwide. Telepsychiatry and the internet seem to be the most promising strategies to diffuse knowledge with lower costs. Conclusions: Medical and allied professionals must incorporate child and adolescent mental health issues in their under- and postgraduate curricula, and be better prepared to critically evaluate available information. Professionals need to disseminate evidence-based programs to guide parents and teachers in developing countries to deal with child and adolescent difficulties. Countries need to explore internet solutions for dissemination of medical information. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01827.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=337

Predictors of psychological risk and resilience among Syrian refugee children / Cassandra M. POPHAM 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.91-99 Titre : Predictors of psychological risk and resilience among Syrian refugee children Type de document : Texte imprimé et/ou numérique Auteurs : Cassandra M. POPHAM, Auteur ; Fiona S. MCEWEN, Auteur ; Elie KARAM, Auteur ; John FAYYAD, Auteur ; Georges KARAM, Auteur ; Dahlia SAAB, Auteur ; Patricia MOGHAMES, Auteur ; Michael PLUESS, Auteur Article en page(s) : p.91-99 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Objectives War-exposed refugee children are at elevated risk for mental health problems, but a notable proportion appear resilient. We aimed to investigate the proportion of Syrian refugee children who can be considered resilient, and applied a novel approach to identify factors predicting individual differences in mental health outcomes following war exposure. Methods The sample included 1,528 war-exposed Syrian refugee children and their primary caregiver living in refugee settlements in Lebanon. Children were classed as having low symptoms (LS) if they scored below clinically validated cut-offs for post-traumatic stress disorder (PTSD), depression and externalising behaviour problems. Children scoring above any cut-off were classified as having high symptoms (HS). Each LS child was matched with one HS who reported similar war exposure, to test what differentiates children with similar exposures but different outcomes. Results 19.3% of the children met our resilience criteria and were considered LS. At the individual level, protective traits (e.g. self-esteem; OR=1.51, 95% CI [1.25, 1.81]) predicted LS classification, while environmental sensitivity (OR=0.69, 95% CI [0.59, 0.82]), poorer general health (OR=0.71, 95% CI [0.58, 0.87]) and specific coping strategies (e.g. avoidance; OR=0.90, 95% CI [0.85, 0.96]) predicted HS classification. Social/environmental predictors included perceived social support (OR=1.23, 95% CI [1.02, 1.49]), loneliness and social isolation (OR=0.85, 95% CI [0.80, 0.90]), child maltreatment (OR=0.96, 95% CI [0.94, 0.97]), and caregiver mental and general health (e.g. caregiver depression; OR=0.94, 95% CI [0.92, 0.97]). Conclusions Future research should take multiple dimensions of functioning into account when defining risk for mental health problems and consider the identified predictors as potential targets for interventions. En ligne : https://doi.org/10.1111/jcpp.13670 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 [article] Predictors of psychological risk and resilience among Syrian refugee children [Texte imprimé et/ou numérique] / Cassandra M. POPHAM, Auteur ; Fiona S. MCEWEN, Auteur ; Elie KARAM, Auteur ; John FAYYAD, Auteur ; Georges KARAM, Auteur ; Dahlia SAAB, Auteur ; Patricia MOGHAMES, Auteur ; Michael PLUESS, Auteur . - p.91-99. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.91-99 Index. décimale : PER Périodiques Résumé : Objectives War-exposed refugee children are at elevated risk for mental health problems, but a notable proportion appear resilient. We aimed to investigate the proportion of Syrian refugee children who can be considered resilient, and applied a novel approach to identify factors predicting individual differences in mental health outcomes following war exposure. Methods The sample included 1,528 war-exposed Syrian refugee children and their primary caregiver living in refugee settlements in Lebanon. Children were classed as having low symptoms (LS) if they scored below clinically validated cut-offs for post-traumatic stress disorder (PTSD), depression and externalising behaviour problems. Children scoring above any cut-off were classified as having high symptoms (HS). Each LS child was matched with one HS who reported similar war exposure, to test what differentiates children with similar exposures but different outcomes. Results 19.3% of the children met our resilience criteria and were considered LS. At the individual level, protective traits (e.g. self-esteem; OR=1.51, 95% CI [1.25, 1.81]) predicted LS classification, while environmental sensitivity (OR=0.69, 95% CI [0.59, 0.82]), poorer general health (OR=0.71, 95% CI [0.58, 0.87]) and specific coping strategies (e.g. avoidance; OR=0.90, 95% CI [0.85, 0.96]) predicted HS classification. Social/environmental predictors included perceived social support (OR=1.23, 95% CI [1.02, 1.49]), loneliness and social isolation (OR=0.85, 95% CI [0.80, 0.90]), child maltreatment (OR=0.96, 95% CI [0.94, 0.97]), and caregiver mental and general health (e.g. caregiver depression; OR=0.94, 95% CI [0.92, 0.97]). Conclusions Future research should take multiple dimensions of functioning into account when defining risk for mental health problems and consider the identified predictors as potential targets for interventions. En ligne : https://doi.org/10.1111/jcpp.13670 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490

The role of environmental sensitivity in post-traumatic stress symptoms in Lebanese children and adolescents / Elie G. KARAM ; John FAYYAD ; Yuanyuan Huang ; Dahlia SAAB ; Josleen Al Barathie ; Michael PLUESS in Development and Psychopathology, 37-1 (February 2025)  

Public ISBD [article]  inDevelopment and Psychopathology > 37-1 (February 2025) . - p.251-258 Titre : The role of environmental sensitivity in post-traumatic stress symptoms in Lebanese children and adolescents : Development and Psychopathology Type de document : Texte imprimé et/ou numérique Auteurs : Elie G. KARAM, Auteur ; John FAYYAD, Auteur ; Yuanyuan Huang, Auteur ; Dahlia SAAB, Auteur ; Josleen Al Barathie, Auteur ; Michael PLUESS, Auteur Article en page(s) : p.251-258 Langues : Anglais (eng) Mots-clés : PTSD  childhood adversities  environmental sensitivity  positive home experiences  trauma Index. décimale : PER Périodiques Résumé : Children differ substantially in their sensitivity to the quality of their environment. Some are more sensitive and more likely to develop Post-Traumatic Stress Disorder (PTSD) in response to Childhood Adversities (CAs), but might also benefit more from Positive Home Experiences (PHE). The aim of this study is to investigate the role of Environmental Sensitivity (ES), CAs and PHEs in PTSD development in children and adolescents. Data was collected from N = 2,569 children/adolescents. PTSD symptoms, CAs, PHEs and ES were assessed with self-report measures. We found that higher ES and CAs emerged as risk factors for PTSD development whereas higher levels of PHEs protected against PTSD. ES moderated the effects of CAs (? = 1.08, p < .001) on PTSD symptoms in the total sample. This moderating effect was more pronounced in girls, suggesting that highly sensitive girls with high childhood adversities were more likely to have higher PTSD symptoms than girls with low levels of sensitivity (? = 1.09, p < .001). In conclusion, Environmental Sensitivity played an important role as a risk factor for PTSD and as a moderating factor that accentuated the main effects of childhood adversities, particularly in girls. En ligne : https://dx.doi.org/10.1017/S0954579423001554 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546 [article] The role of environmental sensitivity in post-traumatic stress symptoms in Lebanese children and adolescents : Development and Psychopathology [Texte imprimé et/ou numérique] / Elie G. KARAM, Auteur ; John FAYYAD, Auteur ; Yuanyuan Huang, Auteur ; Dahlia SAAB, Auteur ; Josleen Al Barathie, Auteur ; Michael PLUESS, Auteur . - p.251-258. Langues : Anglais (eng) in Development and Psychopathology > 37-1 (February 2025) . - p.251-258 Mots-clés : PTSD  childhood adversities  environmental sensitivity  positive home experiences  trauma Index. décimale : PER Périodiques Résumé : Children differ substantially in their sensitivity to the quality of their environment. Some are more sensitive and more likely to develop Post-Traumatic Stress Disorder (PTSD) in response to Childhood Adversities (CAs), but might also benefit more from Positive Home Experiences (PHE). The aim of this study is to investigate the role of Environmental Sensitivity (ES), CAs and PHEs in PTSD development in children and adolescents. Data was collected from N = 2,569 children/adolescents. PTSD symptoms, CAs, PHEs and ES were assessed with self-report measures. We found that higher ES and CAs emerged as risk factors for PTSD development whereas higher levels of PHEs protected against PTSD. ES moderated the effects of CAs (? = 1.08, p < .001) on PTSD symptoms in the total sample. This moderating effect was more pronounced in girls, suggesting that highly sensitive girls with high childhood adversities were more likely to have higher PTSD symptoms than girls with low levels of sensitivity (? = 1.09, p < .001). In conclusion, Environmental Sensitivity played an important role as a risk factor for PTSD and as a moderating factor that accentuated the main effects of childhood adversities, particularly in girls. En ligne : https://dx.doi.org/10.1017/S0954579423001554 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546

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