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Annual Research Review: Breaking cycles of violence – a systematic review and common practice elements analysis of psychosocial interventions for children and youth affected by armed conflict / Felicity L. BROWN in Journal of Child Psychology and Psychiatry, 58-4 (April 2017)
[article]
Titre : Annual Research Review: Breaking cycles of violence – a systematic review and common practice elements analysis of psychosocial interventions for children and youth affected by armed conflict Type de document : Texte imprimé et/ou numérique Auteurs : Felicity L. BROWN, Auteur ; Anne M. DE GRAAFF, Auteur ; Jeannie ANNAN, Auteur ; Theresa S. BETANCOURT, Auteur Article en page(s) : p.507-524 Langues : Anglais (eng) Mots-clés : Armed conflict war violence developing countries children adolescents youth mental health well-being psychosocial treatment systematic review Index. décimale : PER Périodiques Résumé : Background Globally, one in 10 children live in regions affected by armed conflict. Children exposed to armed conflict are vulnerable to social and emotional difficulties, along with disrupted educational and occupational opportunities. Most armed conflicts occur in low- and middle-income countries (LMICs), where mental health systems are limited and can be further weakened by the context of war. Research is needed to determine feasible and cost-effective psychosocial interventions that can be delivered safely by available mental health workforces (including nonspecialists). A vital first step toward achieving this is to examine evidence-based psychosocial interventions and identify the common therapeutic techniques being used across these treatments. Methods A systematic review of psychosocial interventions for conflict-affected children and youth living in LMICs was performed. Studies were identified through database searches (PsycINFO, PubMed, Cochrane Central Register of Controlled Trials, PILOTS and Web of Science Core Collection), hand-searching of reference lists, and contacting expert researchers. The PracticeWise coding system was used to distill the practice elements within clinical protocols. Results Twenty-eight randomized controlled trials and controlled trials conducted in conflict-affected settings, and 25 efficacious treatments were identified. Several practice elements were found across more than 50% of the intervention protocols of these treatments. These were access promotion, psychoeducation for children and parents, insight building, rapport building techniques, cognitive strategies, use of narratives, exposure techniques, and relapse prevention. Conclusions Identification of the common practice elements of effective interventions for conflict-affected children and youth can inform essential future treatment development, implementation, and evaluation for this vulnerable population. To further advance the field, research should focus on identifying which of these elements are the active ingredients for clinical change, along with attention to costs of delivery, training, supervision and how to sustain quality implementation over time. En ligne : http://dx.doi.org/10.1111/jcpp.12671 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=305
in Journal of Child Psychology and Psychiatry > 58-4 (April 2017) . - p.507-524[article] Annual Research Review: Breaking cycles of violence – a systematic review and common practice elements analysis of psychosocial interventions for children and youth affected by armed conflict [Texte imprimé et/ou numérique] / Felicity L. BROWN, Auteur ; Anne M. DE GRAAFF, Auteur ; Jeannie ANNAN, Auteur ; Theresa S. BETANCOURT, Auteur . - p.507-524.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 58-4 (April 2017) . - p.507-524
Mots-clés : Armed conflict war violence developing countries children adolescents youth mental health well-being psychosocial treatment systematic review Index. décimale : PER Périodiques Résumé : Background Globally, one in 10 children live in regions affected by armed conflict. Children exposed to armed conflict are vulnerable to social and emotional difficulties, along with disrupted educational and occupational opportunities. Most armed conflicts occur in low- and middle-income countries (LMICs), where mental health systems are limited and can be further weakened by the context of war. Research is needed to determine feasible and cost-effective psychosocial interventions that can be delivered safely by available mental health workforces (including nonspecialists). A vital first step toward achieving this is to examine evidence-based psychosocial interventions and identify the common therapeutic techniques being used across these treatments. Methods A systematic review of psychosocial interventions for conflict-affected children and youth living in LMICs was performed. Studies were identified through database searches (PsycINFO, PubMed, Cochrane Central Register of Controlled Trials, PILOTS and Web of Science Core Collection), hand-searching of reference lists, and contacting expert researchers. The PracticeWise coding system was used to distill the practice elements within clinical protocols. Results Twenty-eight randomized controlled trials and controlled trials conducted in conflict-affected settings, and 25 efficacious treatments were identified. Several practice elements were found across more than 50% of the intervention protocols of these treatments. These were access promotion, psychoeducation for children and parents, insight building, rapport building techniques, cognitive strategies, use of narratives, exposure techniques, and relapse prevention. Conclusions Identification of the common practice elements of effective interventions for conflict-affected children and youth can inform essential future treatment development, implementation, and evaluation for this vulnerable population. To further advance the field, research should focus on identifying which of these elements are the active ingredients for clinical change, along with attention to costs of delivery, training, supervision and how to sustain quality implementation over time. En ligne : http://dx.doi.org/10.1111/jcpp.12671 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=305 Cognitive Enhancement Therapy for Adults with Autism Spectrum Disorder: Results of an 18-month Feasibility Study / Shaun M. EACK in Journal of Autism and Developmental Disorders, 43-12 (December 2013)
[article]
Titre : Cognitive Enhancement Therapy for Adults with Autism Spectrum Disorder: Results of an 18-month Feasibility Study Type de document : Texte imprimé et/ou numérique Auteurs : Shaun M. EACK, Auteur ; Deborah P. GREENWALD, Auteur ; Susan S. HOGARTY, Auteur ; Amber L. BAHORIK, Auteur ; Maralee Y. LITSCHGE, Auteur ; Carla A. MAZEFSKY, Auteur ; Nancy J. MINSHEW, Auteur Article en page(s) : p.2866-2877 Langues : Anglais (eng) Mots-clés : Cognitive Enhancement Therapy Cognitive rehabilitation Cognitive remediation Psychosocial treatment Cognitive therapy Adult treatment Autism Autism spectrum disorder Index. décimale : PER Périodiques Résumé : Adults with autism experience significant impairments in social and non-social information processing for which few treatments have been developed. This study conducted an 18-month uncontrolled trial of Cognitive Enhancement Therapy (CET), a comprehensive cognitive rehabilitation intervention, in 14 verbal adults with autism spectrum disorder to investigate its feasibility, acceptability, and initial efficacy in treating these impairments. Results indicated that CET was satisfying to participants, with high treatment attendance and retention. Effects on cognitive deficits and social behavior were also large (d = 1.40–2.29) and statistically significant (all p .001). These findings suggest that CET is a feasible, acceptable, and potentially effective intervention for remediating the social and non-social cognitive impairments in verbal adults with autism. En ligne : http://dx.doi.org/10.1007/s10803-013-1834-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=218
in Journal of Autism and Developmental Disorders > 43-12 (December 2013) . - p.2866-2877[article] Cognitive Enhancement Therapy for Adults with Autism Spectrum Disorder: Results of an 18-month Feasibility Study [Texte imprimé et/ou numérique] / Shaun M. EACK, Auteur ; Deborah P. GREENWALD, Auteur ; Susan S. HOGARTY, Auteur ; Amber L. BAHORIK, Auteur ; Maralee Y. LITSCHGE, Auteur ; Carla A. MAZEFSKY, Auteur ; Nancy J. MINSHEW, Auteur . - p.2866-2877.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 43-12 (December 2013) . - p.2866-2877
Mots-clés : Cognitive Enhancement Therapy Cognitive rehabilitation Cognitive remediation Psychosocial treatment Cognitive therapy Adult treatment Autism Autism spectrum disorder Index. décimale : PER Périodiques Résumé : Adults with autism experience significant impairments in social and non-social information processing for which few treatments have been developed. This study conducted an 18-month uncontrolled trial of Cognitive Enhancement Therapy (CET), a comprehensive cognitive rehabilitation intervention, in 14 verbal adults with autism spectrum disorder to investigate its feasibility, acceptability, and initial efficacy in treating these impairments. Results indicated that CET was satisfying to participants, with high treatment attendance and retention. Effects on cognitive deficits and social behavior were also large (d = 1.40–2.29) and statistically significant (all p .001). These findings suggest that CET is a feasible, acceptable, and potentially effective intervention for remediating the social and non-social cognitive impairments in verbal adults with autism. En ligne : http://dx.doi.org/10.1007/s10803-013-1834-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=218