Family Therapy for Adolescent Anorexia Nervosa: The Results of a Controlled Comparison of Two Family Interventions / Ivan EISLER in Journal of Child Psychology and Psychiatry, 41-6 (September 2000)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 41-6 (September 2000) . - p.727-736 Titre : Family Therapy for Adolescent Anorexia Nervosa: The Results of a Controlled Comparison of Two Family Interventions Type de document : texte imprimé Auteurs : Ivan EISLER, Auteur ; Christopher DARE, Auteur ; Matthew HODES, Auteur ; Gerald F.M. RUSSELL, Auteur ; Elizabeth DODGE, Auteur ; Daniel LE GRANGE, Auteur Année de publication : 2000 Article en page(s) : p.727-736 Langues : Anglais (eng) Mots-clés : Adolescence  anorexia nervosa  eating disorder  evaluation  family therapy  therapy Index. décimale : PER Périodiques Résumé : This paper reports the results of a randomised treatment trial of two forms of outpatient family intervention for anorexia nervosa. Forty adolescent patients with anorexia nervosa were randomly assigned to “conjoint family therapy” (CFT) or to “separated family therapy” (SFT) using a stratified design controlling for levels of critical comments using the Expressed Emotion index. The design required therapists to undertake both forms of treatment and the distinctiveness of the two therapies was ensured by separate supervisors conducting live supervision of the treatments. Measures were undertaken on admission to the study, at 3 months, at 6 months and at the end of treatment. Considerable improvement in nutritional and psychological state occurred across both treatment groups. On global measure of outcome, the two forms of therapy were associated with equivalent end of treatment results. However, for those patients with high levels of maternal criticism towards the patient, the SFT was shown to be superior to the CFT. When individual status measures were explored, there were further differences between the treatments. Symptomatic change was more marked in the SFT whereas there was considerably more psychological change in the CFT group. There were significant changes in family measures of Expressed Emotion. Critical comments between parents and patient were significantly reduced and that between parents was also diminished. Warmth between parents increased. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125 [article] Family Therapy for Adolescent Anorexia Nervosa: The Results of a Controlled Comparison of Two Family Interventions [texte imprimé] / Ivan EISLER, Auteur ; Christopher DARE, Auteur ; Matthew HODES, Auteur ; Gerald F.M. RUSSELL, Auteur ; Elizabeth DODGE, Auteur ; Daniel LE GRANGE, Auteur . - 2000 . - p.727-736. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 41-6 (September 2000) . - p.727-736 Mots-clés : Adolescence  anorexia nervosa  eating disorder  evaluation  family therapy  therapy Index. décimale : PER Périodiques Résumé : This paper reports the results of a randomised treatment trial of two forms of outpatient family intervention for anorexia nervosa. Forty adolescent patients with anorexia nervosa were randomly assigned to “conjoint family therapy” (CFT) or to “separated family therapy” (SFT) using a stratified design controlling for levels of critical comments using the Expressed Emotion index. The design required therapists to undertake both forms of treatment and the distinctiveness of the two therapies was ensured by separate supervisors conducting live supervision of the treatments. Measures were undertaken on admission to the study, at 3 months, at 6 months and at the end of treatment. Considerable improvement in nutritional and psychological state occurred across both treatment groups. On global measure of outcome, the two forms of therapy were associated with equivalent end of treatment results. However, for those patients with high levels of maternal criticism towards the patient, the SFT was shown to be superior to the CFT. When individual status measures were explored, there were further differences between the treatments. Symptomatic change was more marked in the SFT whereas there was considerably more psychological change in the CFT group. There were significant changes in family measures of Expressed Emotion. Critical comments between parents and patient were significantly reduced and that between parents was also diminished. Warmth between parents increased. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125

Maternal Expressed Emotion and Adjustment in Children with Epilepsy / Matthew HODES in Journal of Child Psychology and Psychiatry, 40-7 (October 1999)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 40-7 (October 1999) . - p.1083-1093 Titre : Maternal Expressed Emotion and Adjustment in Children with Epilepsy Type de document : texte imprimé Auteurs : Matthew HODES, Auteur ; M. Elena GARRALDA, Auteur ; Gillian ROSE, Auteur ; Ruby SCHWARTZ, Auteur Année de publication : 1999 Article en page(s) : p.1083-1093 Langues : Anglais (eng) Mots-clés : Epilepsy  children  expressed emotion  parent-child interaction  risk factors Index. décimale : PER Périodiques Résumé : Epilepsy in childhood may alter family relationships but the relevance of these changes for the increased rates of psychopathology has been little investigated. This study uses maternal expressed emotion (EE) to examine family relationships of children with epilepsy and the association with high risk for psychiatric disorder. EE was assessed using the Camberwell Family Interview carried out with the mothers of 22 schoolchildren with chronic epilepsy who were attending a general hospital outpatient clinic. Sixteen of these children had similarly aged healthy siblings who served as controls. High risk for psychiatric disorder in the children and mothers was assessed using behavioural, mood, and self-esteem questionnaires completed by mothers, teachers, and children. It was found that mothers showed significantly more emotional overinvolvement and a trend for more hostility towards their children with epilepsy than towards sibling controls. For the 22 children with epilepsy, maternal emotional overinvolvement was not associated with child behavioural deviance. High levels of criticism and, to a lesser extent, hostility did show associations with child behavioural deviance, and the strongest links were between maternal criticism and maternal rated antisocial and overactive behaviour in the child. Fewer positive comments by mothers towards the children were associated with child emotional symptoms and lower self-esteem in a number of areas. This study suggests that further research could consider the appropriateness of psychological intervention for families in which mothers are critical and hostile and whose children show antisocial behaviour. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124 [article] Maternal Expressed Emotion and Adjustment in Children with Epilepsy [texte imprimé] / Matthew HODES, Auteur ; M. Elena GARRALDA, Auteur ; Gillian ROSE, Auteur ; Ruby SCHWARTZ, Auteur . - 1999 . - p.1083-1093. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 40-7 (October 1999) . - p.1083-1093 Mots-clés : Epilepsy  children  expressed emotion  parent-child interaction  risk factors Index. décimale : PER Périodiques Résumé : Epilepsy in childhood may alter family relationships but the relevance of these changes for the increased rates of psychopathology has been little investigated. This study uses maternal expressed emotion (EE) to examine family relationships of children with epilepsy and the association with high risk for psychiatric disorder. EE was assessed using the Camberwell Family Interview carried out with the mothers of 22 schoolchildren with chronic epilepsy who were attending a general hospital outpatient clinic. Sixteen of these children had similarly aged healthy siblings who served as controls. High risk for psychiatric disorder in the children and mothers was assessed using behavioural, mood, and self-esteem questionnaires completed by mothers, teachers, and children. It was found that mothers showed significantly more emotional overinvolvement and a trend for more hostility towards their children with epilepsy than towards sibling controls. For the 22 children with epilepsy, maternal emotional overinvolvement was not associated with child behavioural deviance. High levels of criticism and, to a lesser extent, hostility did show associations with child behavioural deviance, and the strongest links were between maternal criticism and maternal rated antisocial and overactive behaviour in the child. Fewer positive comments by mothers towards the children were associated with child emotional symptoms and lower self-esteem in a number of areas. This study suggests that further research could consider the appropriateness of psychological intervention for families in which mothers are critical and hostile and whose children show antisocial behaviour. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=124

Practitioner Review: Mental health problems of refugee children and adolescents and their management / Matthew HODES in Journal of Child Psychology and Psychiatry, 60-7 (July 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-7 (July 2019) . - p.716-731 Titre : Practitioner Review: Mental health problems of refugee children and adolescents and their management Type de document : texte imprimé Auteurs : Matthew HODES, Auteur ; Panos VOSTANIS, Auteur Article en page(s) : p.716-731 Langues : Anglais (eng) Mots-clés : Refugees  depression  posttraumatic stress disorder  service development  war trauma Index. décimale : PER Périodiques Résumé : BACKGROUND: Since 2010, the numbers of refugees have increased and around half are under 18 years of age. It is known that experience of organised violence, displacement and resettlement increases the risk for psychiatric disorders and psychosocial impairment. This review integrates recent research into the risk and protective factors for psychopathology with service and treatment issues. METHODS: We draw on and critically evaluate key systematic reviews in the selected areas, innovative robust studies and relevant government reports. RESULTS: Many refugee children show resilience and function well, even in the face of substantial adversities. The most robust findings for psychopathology are that PTSD, and posttraumatic and depressive symptoms are found at higher prevalence in those who have been exposed to war experiences. Their severity may decrease over time with resettlement, but PTSD in the most exposed may show higher continuity. More severe psychiatric disorders including psychosis may also occur. Service delivery needs to take into account socioeconomic and cultural influences but, given the high level of unmet need even in high-income countries, stepped care delivery is required. The evaluation of psychological interventions, often delivered in group settings, suggests that they can be effective for many distressed children; however, for the more impaired, a greater range of disorder-specific therapies will be required. CONCLUSIONS: Child and adolescent mental health clinicians and service providers need to be aware of the specific needs of this population and systems for service delivery. There are significant knowledge gaps in understanding risk and vulnerability, service delivery and treatment effectiveness. En ligne : http://dx.doi.org/10.1111/jcpp.13002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401 [article] Practitioner Review: Mental health problems of refugee children and adolescents and their management [texte imprimé] / Matthew HODES, Auteur ; Panos VOSTANIS, Auteur . - p.716-731. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-7 (July 2019) . - p.716-731 Mots-clés : Refugees  depression  posttraumatic stress disorder  service development  war trauma Index. décimale : PER Périodiques Résumé : BACKGROUND: Since 2010, the numbers of refugees have increased and around half are under 18 years of age. It is known that experience of organised violence, displacement and resettlement increases the risk for psychiatric disorders and psychosocial impairment. This review integrates recent research into the risk and protective factors for psychopathology with service and treatment issues. METHODS: We draw on and critically evaluate key systematic reviews in the selected areas, innovative robust studies and relevant government reports. RESULTS: Many refugee children show resilience and function well, even in the face of substantial adversities. The most robust findings for psychopathology are that PTSD, and posttraumatic and depressive symptoms are found at higher prevalence in those who have been exposed to war experiences. Their severity may decrease over time with resettlement, but PTSD in the most exposed may show higher continuity. More severe psychiatric disorders including psychosis may also occur. Service delivery needs to take into account socioeconomic and cultural influences but, given the high level of unmet need even in high-income countries, stepped care delivery is required. The evaluation of psychological interventions, often delivered in group settings, suggests that they can be effective for many distressed children; however, for the more impaired, a greater range of disorder-specific therapies will be required. CONCLUSIONS: Child and adolescent mental health clinicians and service providers need to be aware of the specific needs of this population and systems for service delivery. There are significant knowledge gaps in understanding risk and vulnerability, service delivery and treatment effectiveness. En ligne : http://dx.doi.org/10.1111/jcpp.13002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401

Risk and resilience for psychological distress amongst unaccompanied asylum seeking adolescents / Matthew HODES in Journal of Child Psychology and Psychiatry, 49-7 (July 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-7 (July 2008) . - p.723 - 732 Titre : Risk and resilience for psychological distress amongst unaccompanied asylum seeking adolescents Type de document : texte imprimé Auteurs : Matthew HODES, Auteur ; Daljit JAGDEV, Auteur ; Navin CHANDRA, Auteur ; Anna CUNNIFF, Auteur Année de publication : 2008 Article en page(s) : p.723 - 732 Langues : Anglais (eng) Mots-clés : Depressive-symptoms high-support posttraumatic-stress-symptoms refugees unaccompanied-asylum-seeking-children war-trauma Index. décimale : PER Périodiques Résumé : Background: To investigate the level of posttraumatic stress and depressive symptoms, and background risk and protective factors that might increase or ameliorate this distress amongst unaccompanied asylum-seeking children and adolescents (UASC). Methods: Cross-sectional survey carried out in London. Participants were 78 UASC aged 13–18 years, predominantly from the Balkans and Africa, compared with 35 accompanied refugee children. Measures included self-report questionnaires of war trauma, posttraumatic stress and depressive symptoms. Results: UASC had experienced high levels of losses and war trauma, and posttraumatic stress symptoms. Predictors of high posttraumatic symptoms included low-support living arrangements, female gender and trauma events, and increasing age only amongst the UASC. High depressive scores were associated with female gender, and region of origin amongst the UASC. Conclusion: UASC might have less psychological distress if offered high-support living arrangements and general support as they approach the age of 18 years, but prospective studies are required to investigate the range of risk and protective factors. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01912.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540 [article] Risk and resilience for psychological distress amongst unaccompanied asylum seeking adolescents [texte imprimé] / Matthew HODES, Auteur ; Daljit JAGDEV, Auteur ; Navin CHANDRA, Auteur ; Anna CUNNIFF, Auteur . - 2008 . - p.723 - 732. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-7 (July 2008) . - p.723 - 732 Mots-clés : Depressive-symptoms high-support posttraumatic-stress-symptoms refugees unaccompanied-asylum-seeking-children war-trauma Index. décimale : PER Périodiques Résumé : Background: To investigate the level of posttraumatic stress and depressive symptoms, and background risk and protective factors that might increase or ameliorate this distress amongst unaccompanied asylum-seeking children and adolescents (UASC). Methods: Cross-sectional survey carried out in London. Participants were 78 UASC aged 13–18 years, predominantly from the Balkans and Africa, compared with 35 accompanied refugee children. Measures included self-report questionnaires of war trauma, posttraumatic stress and depressive symptoms. Results: UASC had experienced high levels of losses and war trauma, and posttraumatic stress symptoms. Predictors of high posttraumatic symptoms included low-support living arrangements, female gender and trauma events, and increasing age only amongst the UASC. High depressive scores were associated with female gender, and region of origin amongst the UASC. Conclusion: UASC might have less psychological distress if offered high-support living arrangements and general support as they approach the age of 18 years, but prospective studies are required to investigate the range of risk and protective factors. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01912.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540

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