Editorial Perspective: How can we develop effective and timely interventions for young people with chronic loneliness? / Pamela QUALTER ; Sophie BENNETT ; Anton KÄLL ; Gerhard ANDERSSON ; Roz SHAFRAN in Journal of Child Psychology and Psychiatry, 66-5 (May 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-5 (May 2025) . - p.767-770 Titre : Editorial Perspective: How can we develop effective and timely interventions for young people with chronic loneliness? Type de document : texte imprimé Auteurs : Pamela QUALTER, Auteur ; Sophie BENNETT, Auteur ; Anton KÄLL, Auteur ; Gerhard ANDERSSON, Auteur ; Roz SHAFRAN, Auteur Article en page(s) : p.767-770 Langues : Anglais (eng) Mots-clés : Loneliness  intervention  prevention  mental health  therapy Index. décimale : PER Périodiques Résumé : Loneliness is an adaptive experience evolved to create motivation to engage in social relationships. However, for some young people, loneliness can become chronic which can have serious negative health consequences. Despite this, there is a relative lack of evidence for interventions. In this editorial perspective, we highlight four main barriers to the timely development and dissemination of evidence-based support for young people experiencing loneliness. We hypothesise that these challenges could be mitigated by (a) routinely assessing loneliness as part of routine outcome measures (ROMs), (b) utilising modular interventions incorporating intrapersonal, interpersonal and social strategies alongside system-level support and policy changes, (c) evaluating interventions through SCEDs prior to RCTs and (d) delivering interventions flexibly (e.g. via the internet or within non-clinical settings). En ligne : https://doi.org/10.1111/jcpp.14097 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=554 [article] Editorial Perspective: How can we develop effective and timely interventions for young people with chronic loneliness? [texte imprimé] / Pamela QUALTER, Auteur ; Sophie BENNETT, Auteur ; Anton KÄLL, Auteur ; Gerhard ANDERSSON, Auteur ; Roz SHAFRAN, Auteur . - p.767-770. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-5 (May 2025) . - p.767-770 Mots-clés : Loneliness  intervention  prevention  mental health  therapy Index. décimale : PER Périodiques Résumé : Loneliness is an adaptive experience evolved to create motivation to engage in social relationships. However, for some young people, loneliness can become chronic which can have serious negative health consequences. Despite this, there is a relative lack of evidence for interventions. In this editorial perspective, we highlight four main barriers to the timely development and dissemination of evidence-based support for young people experiencing loneliness. We hypothesise that these challenges could be mitigated by (a) routinely assessing loneliness as part of routine outcome measures (ROMs), (b) utilising modular interventions incorporating intrapersonal, interpersonal and social strategies alongside system-level support and policy changes, (c) evaluating interventions through SCEDs prior to RCTs and (d) delivering interventions flexibly (e.g. via the internet or within non-clinical settings). En ligne : https://doi.org/10.1111/jcpp.14097 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=554

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 CHORPITA, Auteur ; Sophia VARADKAR, Auteur ; Mariam SHAH, Auteur ; Mice Study GROUP, Auteur ; Roz SHAFRAN, Auteur ; Sophie 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 CHORPITA, Auteur ; Sophia VARADKAR, Auteur ; Mariam SHAH, Auteur ; Mice Study GROUP, Auteur ; Roz SHAFRAN, Auteur ; Sophie 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

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