Commentary: Metaknowledge is power: envisioning models to address unmet mental health needs: reflections on Kazdin (2019) / Bruce F. CHORPITA in Journal of Child Psychology and Psychiatry, 60-4 (April 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-4 (April 2019) . - p.473-476 Titre : Commentary: Metaknowledge is power: envisioning models to address unmet mental health needs: reflections on Kazdin (2019) Type de document : texte imprimé Auteurs : Bruce F. CHORPITA, Auteur Article en page(s) : p.473-476 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Despite having more knowledge and resources at our disposal than ever before in history, the human suffering due to mental health concerns is extensive and mostly untreated. Kazdin (Journal of Child Psychology and Psychiatry, 2019) calls for a significant departure from prevailing conventions of psychotherapy delivery, noting that the traditional formats, settings, and workforce limit the potential of science to help those in need. This paper supports and extends Kazdin's argument, urging an additional shift in perspective about treatments altogether. A reconceptualization of treatment protocols as knowledge resources is offered, such that the strategy to reduce human suffering becomes one of flexibly moving knowledge of how to address mental health concerns to any and all contexts in which those problems can be addressed, whether or not a treatment is used. A dedicated pursuit of metaknowledge-knowing how to structure, coordinate, and apply knowledge-promises to lift the world's collective therapeutic intelligence and thereby move us closer to the goal of substantively addressing the global mental health burden. En ligne : https://dx.doi.org/10.1111/jcpp.13034 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=388 [article] Commentary: Metaknowledge is power: envisioning models to address unmet mental health needs: reflections on Kazdin (2019) [texte imprimé] / Bruce F. CHORPITA, Auteur . - p.473-476. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-4 (April 2019) . - p.473-476 Index. décimale : PER Périodiques Résumé : Despite having more knowledge and resources at our disposal than ever before in history, the human suffering due to mental health concerns is extensive and mostly untreated. Kazdin (Journal of Child Psychology and Psychiatry, 2019) calls for a significant departure from prevailing conventions of psychotherapy delivery, noting that the traditional formats, settings, and workforce limit the potential of science to help those in need. This paper supports and extends Kazdin's argument, urging an additional shift in perspective about treatments altogether. A reconceptualization of treatment protocols as knowledge resources is offered, such that the strategy to reduce human suffering becomes one of flexibly moving knowledge of how to address mental health concerns to any and all contexts in which those problems can be addressed, whether or not a treatment is used. A dedicated pursuit of metaknowledge-knowing how to structure, coordinate, and apply knowledge-promises to lift the world's collective therapeutic intelligence and thereby move us closer to the goal of substantively addressing the global mental health burden. En ligne : https://dx.doi.org/10.1111/jcpp.13034 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=388

Emergent life events in the delivery of a caregiver-mediated evidence-based intervention for children with autism spectrum disorder in publicly funded mental health services / Teresa LIND in Autism, 24-5 (July 2020)  

Public ISBD [article]  inAutism > 24-5 (July 2020) . - p.1286-1299 Titre : Emergent life events in the delivery of a caregiver-mediated evidence-based intervention for children with autism spectrum disorder in publicly funded mental health services Type de document : texte imprimé Auteurs : Teresa LIND, Auteur ; Anna S. LAU, Auteur ; Christopher GOMEZ, Auteur ; Adriana RODRIGUEZ, Auteur ; Karen GUAN, Auteur ; Colby CHLEBOWSKI, Auteur ; Aimee ZHANG, Auteur ; Bruce F. CHORPITA, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.1286-1299 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  emergent life events  evidence-based intervention  fidelity  implementation  mental health services Index. décimale : PER Périodiques Résumé : Mental health clinicians often report significant challenges when delivering evidence-based interventions (EBI) in community settings, particularly when unexpected client stressors (or emergent life events; ELEs) interfere with the therapy process. The current study sought to extend the study of ELEs to children with Autism Spectrum Disorder (ASD) by examining the occurrence and impact of ELEs in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with ASD. This intervention was An Individualized Mental Health Intervention for children with ASD (referred to as AIM HI). Participants included 38 clinicians and child clients who were enrolled in a community effectiveness trial of AIM HI. Video recordings of 100 therapy sessions were coded for caregiver-reported ELEs and also how well clinicians adhered to the AIM HI protocol. Results indicated that mild to severe ELEs were reported in 36% of therapy sessions, and were reported for 58% of children at some point during the intervention. Children who had a greater number of diagnoses (in addition to the autism diagnosis) tended to have more ELEs. In addition, clinicians with less years of experience tended to have sessions with more ELEs. There was no significant link between ELEs and how well clinicians adhered to the AIM HI protocol. Findings offer implications for the implementation of EBI, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of EBIs. En ligne : http://dx.doi.org/10.1177/1362361319881084 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=427 [article] Emergent life events in the delivery of a caregiver-mediated evidence-based intervention for children with autism spectrum disorder in publicly funded mental health services [texte imprimé] / Teresa LIND, Auteur ; Anna S. LAU, Auteur ; Christopher GOMEZ, Auteur ; Adriana RODRIGUEZ, Auteur ; Karen GUAN, Auteur ; Colby CHLEBOWSKI, Auteur ; Aimee ZHANG, Auteur ; Bruce F. CHORPITA, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.1286-1299. Langues : Anglais (eng) in Autism > 24-5 (July 2020) . - p.1286-1299 Mots-clés : autism spectrum disorder  emergent life events  evidence-based intervention  fidelity  implementation  mental health services Index. décimale : PER Périodiques Résumé : Mental health clinicians often report significant challenges when delivering evidence-based interventions (EBI) in community settings, particularly when unexpected client stressors (or emergent life events; ELEs) interfere with the therapy process. The current study sought to extend the study of ELEs to children with Autism Spectrum Disorder (ASD) by examining the occurrence and impact of ELEs in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with ASD. This intervention was An Individualized Mental Health Intervention for children with ASD (referred to as AIM HI). Participants included 38 clinicians and child clients who were enrolled in a community effectiveness trial of AIM HI. Video recordings of 100 therapy sessions were coded for caregiver-reported ELEs and also how well clinicians adhered to the AIM HI protocol. Results indicated that mild to severe ELEs were reported in 36% of therapy sessions, and were reported for 58% of children at some point during the intervention. Children who had a greater number of diagnoses (in addition to the autism diagnosis) tended to have more ELEs. In addition, clinicians with less years of experience tended to have sessions with more ELEs. There was no significant link between ELEs and how well clinicians adhered to the AIM HI protocol. Findings offer implications for the implementation of EBI, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of EBIs. En ligne : http://dx.doi.org/10.1177/1362361319881084 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=427

Psychometric Properties of the Penn State Worry Questionnaire for Children in a Large Clinical Sample / Sarah L. PESTLE in Journal of Clinical Child & Adolescent Psychology, 37-2 (April-June 2008)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 37-2 (April-June 2008) . - p.465-471 Titre : Psychometric Properties of the Penn State Worry Questionnaire for Children in a Large Clinical Sample Type de document : texte imprimé Auteurs : Sarah L. PESTLE, Auteur ; Jason SCHIFFMAN, Auteur ; Bruce F. CHORPITA, Auteur Année de publication : 2008 Article en page(s) : p.465-471 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The Penn State Worry Questionnaire for Children (PSWQ-C; Chorpita, Tracey, Brown, Collica, & Barlow, 1997) is a 14-item self-report measure of worry in children and adolescents. Although the PSWQ-C has demonstrated favorable psychometric properties in small clinical and large community samples, this study represents the first psychometric evaluation of the PSWQ-C in a large clinical sample (N = 491). Factor analysis indicated a two-factor structure, in contrast to all previously published findings on the measure. The PSWQ-C demonstrated favorable psychometric properties in this sample, including high internal consistency, high convergent validity with related constructs, and acceptable discriminative validity between diagnostic categories. The performance of the 3 reverse-scored items was closely examined, and results indicated retaining all 14 items. En ligne : http://dx.doi.org/10.1080/15374410801955896 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454 [article] Psychometric Properties of the Penn State Worry Questionnaire for Children in a Large Clinical Sample [texte imprimé] / Sarah L. PESTLE, Auteur ; Jason SCHIFFMAN, Auteur ; Bruce F. CHORPITA, Auteur . - 2008 . - p.465-471. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 37-2 (April-June 2008) . - p.465-471 Index. décimale : PER Périodiques Résumé : The Penn State Worry Questionnaire for Children (PSWQ-C; Chorpita, Tracey, Brown, Collica, & Barlow, 1997) is a 14-item self-report measure of worry in children and adolescents. Although the PSWQ-C has demonstrated favorable psychometric properties in small clinical and large community samples, this study represents the first psychometric evaluation of the PSWQ-C in a large clinical sample (N = 491). Factor analysis indicated a two-factor structure, in contrast to all previously published findings on the measure. The PSWQ-C demonstrated favorable psychometric properties in this sample, including high internal consistency, high convergent validity with related constructs, and acceptable discriminative validity between diagnostic categories. The performance of the 3 reverse-scored items was closely examined, and results indicated retaining all 14 items. En ligne : http://dx.doi.org/10.1080/15374410801955896 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454

Sudden gains in modular CBT for mental health disorders in children and young people with epilepsy / Alvin RICHARDS-BELLE in Journal of Child Psychology and Psychiatry, 66-10 (October 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-10 (October 2025) . - p.1526-1538 Titre : Sudden gains in modular CBT for mental health disorders in children and young people with epilepsy Type de document : texte imprimé Auteurs : Alvin RICHARDS-BELLE, Auteur ; Daniela LINTON, Auteur ; J. Helen CROSS, Auteur ; Isobel HEYMAN, Auteur ; Emma DALRYMPLE, Auteur ; Bruce F. CHORPITA, Auteur ; Sophia VARADKAR, Auteur ; Mariam SHAH, Auteur ; MICE STUDY GROUP, Auteur ; Roz SHAFRAN, Auteur ; Sophie D. BENNETT, Auteur Article en page(s) : p.1526-1538 Langues : Anglais (eng) Mots-clés : Children and young people  epilepsy  long-term conditions  mental health disorders  CBT Index. décimale : PER Périodiques Résumé : Background Sudden gains (rapid, large, stable improvements in symptoms) are common in psychological therapy and are associated with favourable outcomes, but no studies have investigated sudden gains in children and young people (CYP) with a chronic physical condition. Methods Within-group study nested in the Mental Health Intervention for Children with Epilepsy (MICE) randomised trial of modular cognitive-behavioural therapy for CYP with epilepsy, utilising goal-based outcomes (GBOs) and standardised session-by-session measures (including the brief parental self-efficacy scale and Strengths and Difficulties Questionnaire [SDQ] session-by-session measure). The occurrence and potential predictors of sudden gains, and the association of sudden gains with outcomes at final session and follow-up were investigated using multivariable logistic and linear regression. Results Among 147 participants (mean age: 10.4 years, 49% female) and across nine measures, 39% experienced between two and four sudden gains, most frequently on the mean GBO (occurrence, 44.9%). Characteristics such as intellectual disability, pretreatment scores and the number of sessions received were associated with significantly greater odds of sudden gains in some measures, whereas nonwhite ethnicity and nonemployment of the primary caregiver were associated with reduced odds. Sudden gains were associated with favourable final-session scores for mean GBO (GBO, adjusted mean difference [aMD]: 0.9, 95% CI: 0.3 to 1.6, p = .004, D 0.63), parental self-efficacy (aMD: 1.2, 95% CI, 0.1 to 2.4, p .027, D 0.37) and the SDQ session-by-session measure (aMD: -1.7, 95% CI, 3.0 to 0.3, p .014, D -0.44), but not with 6-month adjusted SDQ total difficulties scores. Conclusions Sudden gains were common in this population, occurring most frequently on personalised measures, and were associated with favourable final-session scores. Personalised measures taken at each session with a focus on sudden gains may be a useful adjunct to treatment. Future research and clinical practice should investigate how to increase the occurrence of sudden gains in CYP with long-term conditions receiving psychological therapy. En ligne : https://doi.org/10.1111/jcpp.14164 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=568 [article] Sudden gains in modular CBT for mental health disorders in children and young people with epilepsy [texte imprimé] / Alvin RICHARDS-BELLE, Auteur ; Daniela LINTON, Auteur ; J. Helen CROSS, Auteur ; Isobel HEYMAN, Auteur ; Emma DALRYMPLE, Auteur ; Bruce F. CHORPITA, Auteur ; Sophia VARADKAR, Auteur ; Mariam SHAH, Auteur ; MICE STUDY GROUP, Auteur ; Roz SHAFRAN, Auteur ; Sophie D. BENNETT, Auteur . - p.1526-1538. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-10 (October 2025) . - p.1526-1538 Mots-clés : Children and young people  epilepsy  long-term conditions  mental health disorders  CBT Index. décimale : PER Périodiques Résumé : Background Sudden gains (rapid, large, stable improvements in symptoms) are common in psychological therapy and are associated with favourable outcomes, but no studies have investigated sudden gains in children and young people (CYP) with a chronic physical condition. Methods Within-group study nested in the Mental Health Intervention for Children with Epilepsy (MICE) randomised trial of modular cognitive-behavioural therapy for CYP with epilepsy, utilising goal-based outcomes (GBOs) and standardised session-by-session measures (including the brief parental self-efficacy scale and Strengths and Difficulties Questionnaire [SDQ] session-by-session measure). The occurrence and potential predictors of sudden gains, and the association of sudden gains with outcomes at final session and follow-up were investigated using multivariable logistic and linear regression. Results Among 147 participants (mean age: 10.4 years, 49% female) and across nine measures, 39% experienced between two and four sudden gains, most frequently on the mean GBO (occurrence, 44.9%). Characteristics such as intellectual disability, pretreatment scores and the number of sessions received were associated with significantly greater odds of sudden gains in some measures, whereas nonwhite ethnicity and nonemployment of the primary caregiver were associated with reduced odds. Sudden gains were associated with favourable final-session scores for mean GBO (GBO, adjusted mean difference [aMD]: 0.9, 95% CI: 0.3 to 1.6, p = .004, D 0.63), parental self-efficacy (aMD: 1.2, 95% CI, 0.1 to 2.4, p .027, D 0.37) and the SDQ session-by-session measure (aMD: -1.7, 95% CI, 3.0 to 0.3, p .014, D -0.44), but not with 6-month adjusted SDQ total difficulties scores. Conclusions Sudden gains were common in this population, occurring most frequently on personalised measures, and were associated with favourable final-session scores. Personalised measures taken at each session with a focus on sudden gains may be a useful adjunct to treatment. Future research and clinical practice should investigate how to increase the occurrence of sudden gains in CYP with long-term conditions receiving psychological therapy. En ligne : https://doi.org/10.1111/jcpp.14164 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=568

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)  

Public ISBD [article]  inDevelopment and Psychopathology > 25-4 (November 2013) . - p.1005-1015 Titre : 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 Type de document : texte imprimé Auteurs : Maggi PRICE, Auteur ; Charmaine HIGA-MCMILLAN, Auteur ; Chad EBESUTANI, Auteur ; Kelsie OKAMURA, Auteur ; Brad J. NAKAMURA, Auteur ; Bruce F. CHORPITA, Auteur ; John R. WEISZ, Auteur Article en page(s) : p.1005-1015 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : This study examined the psychometric properties of the DSM-oriented scales of the Child Behavior Checklist (Achenbach, Dumenci, Rescorla, 2003) using confirmatory factor analysis to compare the six-factor structure of the DSM-oriented scales to competing models consistent with developmental theories of symptom differentiation. We tested these models on both clinic-referred (N = 757) and school-based, nonreferred (N = 713) samples of youths in order to assess the generalizability of the factorial structures. Although previous research has supported the fit of the six-factor DSM-oriented structure in a normative sample of youths ages 7 to 18 (Achenbach Rescorla, 2001), tripartite model research indicates that anxiety and depressive symptomology are less differentiated among children compared to adolescents (Jacques Mash, 2004). We thus examined the relative fit of a six- and a five-factor model (collapsing anxiety and depression) with younger (ages 7–10) and older (ages 11–18) youth subsamples. The results revealed that the six-factor model fit the best in all samples except among younger nonclinical children. The results extended the generalizability of the rationally derived six-factor structure of the DSM-oriented scales to clinic-referred youths and provided further support to the notion that younger children in nonclinical samples exhibit less differentiated symptoms of anxiety and depression. En ligne : http://dx.doi.org/10.1017/S0954579413000333 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=219 [article] 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 [texte imprimé] / Maggi PRICE, Auteur ; Charmaine HIGA-MCMILLAN, Auteur ; Chad EBESUTANI, Auteur ; Kelsie OKAMURA, Auteur ; Brad J. NAKAMURA, Auteur ; Bruce F. CHORPITA, Auteur ; John R. WEISZ, Auteur . - p.1005-1015. Langues : Anglais (eng) in Development and Psychopathology > 25-4 (November 2013) . - p.1005-1015 Index. décimale : PER Périodiques Résumé : This study examined the psychometric properties of the DSM-oriented scales of the Child Behavior Checklist (Achenbach, Dumenci, Rescorla, 2003) using confirmatory factor analysis to compare the six-factor structure of the DSM-oriented scales to competing models consistent with developmental theories of symptom differentiation. We tested these models on both clinic-referred (N = 757) and school-based, nonreferred (N = 713) samples of youths in order to assess the generalizability of the factorial structures. Although previous research has supported the fit of the six-factor DSM-oriented structure in a normative sample of youths ages 7 to 18 (Achenbach Rescorla, 2001), tripartite model research indicates that anxiety and depressive symptomology are less differentiated among children compared to adolescents (Jacques Mash, 2004). We thus examined the relative fit of a six- and a five-factor model (collapsing anxiety and depression) with younger (ages 7–10) and older (ages 11–18) youth subsamples. The results revealed that the six-factor model fit the best in all samples except among younger nonclinical children. The results extended the generalizability of the rationally derived six-factor structure of the DSM-oriented scales to clinic-referred youths and provided further support to the notion that younger children in nonclinical samples exhibit less differentiated symptoms of anxiety and depression. En ligne : http://dx.doi.org/10.1017/S0954579413000333 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=219

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)  

Permalink

---

1 (1 - 6 / 6) Par page : 25 50 100 200