23 recherche sur le mot-clé 'therapy'

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

Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR Congo: a randomised controlled trial / John MCMULLEN in Journal of Child Psychology and Psychiatry, 54-11 (November 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-11 (November 2013) . - p.1231-1241 Titre : Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR Congo: a randomised controlled trial Type de document : texte imprimé Auteurs : John MCMULLEN, Auteur ; Paul O'CALLAGHAN, Auteur ; Ciaran SHANNON, Auteur ; Alastair BLACK, Auteur ; John EAKIN, Auteur Article en page(s) : p.1231-1241 Langues : Anglais (eng) Mots-clés : Children  group  posttraumatic stress  psychosocial distress  therapy  war Index. décimale : PER Périodiques Résumé : Background The Democratic Republic of Congo (DRC) has been home to the world's deadliest conflict since World War II and is reported to have the largest number of child soldiers in the world. Despite evidence of the debilitating impact of war, no group-based mental health or psychosocial intervention has been evaluated in a randomised controlled trial for psychologically distressed former child soldiers. Method A randomised controlled trial involving 50 boys, aged 13–17, including former child soldiers (n = 39) and other war-affected boys (n = 11). They were randomly assigned to an intervention group, or wait-list control group. The intervention group received a 15-session, group-based, culturally adapted Trauma-Focused Cognitive–Behavioural Therapy (TF-CBT) intervention. Assessment interviews were completed at baseline, postintervention and 3-month follow-up (intervention group). Results Analysis of Covariance (ANCOVA) demonstrated that, in comparison to the wait-list control group, the TF-CBT intervention group had highly significant reductions in posttraumatic stress symptoms, overall psychosocial distress, depression or anxiety-like symptoms, conduct problems and a significant increase in prosocial behaviour (p .001 for all). Effect sizes were higher when former child soldier scores were separated for sub-analysis. Three-month follow-up of the intervention group found that treatment gains were maintained. Conclusions A culturally modified, group-based TF-CBT intervention was effective in reducing posttraumatic stress and psychosocial distress in former child soldiers and other war-affected boys. En ligne : http://dx.doi.org/10.1111/jcpp.12094 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217 [article] Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR Congo: a randomised controlled trial [texte imprimé] / John MCMULLEN, Auteur ; Paul O'CALLAGHAN, Auteur ; Ciaran SHANNON, Auteur ; Alastair BLACK, Auteur ; John EAKIN, Auteur . - p.1231-1241. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-11 (November 2013) . - p.1231-1241 Mots-clés : Children  group  posttraumatic stress  psychosocial distress  therapy  war Index. décimale : PER Périodiques Résumé : Background The Democratic Republic of Congo (DRC) has been home to the world's deadliest conflict since World War II and is reported to have the largest number of child soldiers in the world. Despite evidence of the debilitating impact of war, no group-based mental health or psychosocial intervention has been evaluated in a randomised controlled trial for psychologically distressed former child soldiers. Method A randomised controlled trial involving 50 boys, aged 13–17, including former child soldiers (n = 39) and other war-affected boys (n = 11). They were randomly assigned to an intervention group, or wait-list control group. The intervention group received a 15-session, group-based, culturally adapted Trauma-Focused Cognitive–Behavioural Therapy (TF-CBT) intervention. Assessment interviews were completed at baseline, postintervention and 3-month follow-up (intervention group). Results Analysis of Covariance (ANCOVA) demonstrated that, in comparison to the wait-list control group, the TF-CBT intervention group had highly significant reductions in posttraumatic stress symptoms, overall psychosocial distress, depression or anxiety-like symptoms, conduct problems and a significant increase in prosocial behaviour (p .001 for all). Effect sizes were higher when former child soldier scores were separated for sub-analysis. Three-month follow-up of the intervention group found that treatment gains were maintained. Conclusions A culturally modified, group-based TF-CBT intervention was effective in reducing posttraumatic stress and psychosocial distress in former child soldiers and other war-affected boys. En ligne : http://dx.doi.org/10.1111/jcpp.12094 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217

How can we make therapy better for autistic adults? Autistic adults" ratings of helpfulness of adaptations to therapy / Kristyn SOMMER ; Amanda COOK in Autism, 29-6 (June 2025)  

Public ISBD [article]  inAutism > 29-6 (June 2025) . - p.1540-1553 Titre : How can we make therapy better for autistic adults? Autistic adults" ratings of helpfulness of adaptations to therapy Type de document : texte imprimé Auteurs : Kristyn SOMMER, Auteur ; Amanda COOK, Auteur Article en page(s) : p.1540-1553 Langues : Anglais (eng) Mots-clés : accommodations  adaptations  autism  mental health  therapy Index. décimale : PER Périodiques Résumé : Autistic people are at elevated risk of mental health conditions and experience significant barriers to effective support. While adaptations to therapy for autistic people have been proposed by clinicians, there is limited research on how helpful autistic people themselves rate these. We aimed to address this gap. Participants were 130 autistic adults aged 18 to 64 years (85.4% female) who completed an online survey of the helpfulness of 55 therapy adaptations. Overall, we found positive ratings of helpfulness for approximately half of the adaptations. However, significant variability was found at an individual level with most adaptations rated from not helpful through to extremely helpful. Neurodiversity-affirming adaptations were rated highest overall. Participants shared additional adaptations including general good practice, financial, modality, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Findings highlight similarities and differences between clinician and autistic people?s perspectives, underscoring the need to include autistic people. Limitations of the restricted sample and generalizability are acknowledged. Future research including more diverse samples would be of value to expand on this research. The need to understand general preferences of autistic people and to individualize to the specific client is underscored by findings to begin bridging the mental health support gap for autistic people.Lay Abstract Autistic people experience more mental health conditions like depression or anxiety than non-autistic people. They are also more likely to experience difficulties in accessing mental health supports Clinicians have published suggestions on how to improve therapy for autistic people. However, whether these ways to adapt (i.e. adaptations) therapy for autistic people are seen as helpful by autistic people themselves has not been investigated. We recruited 130 autistic adults to complete an online survey. They rated 55 adaptations to therapy from "Not at all helpful" to "Extremely helpful." We also asked for ideas of additional adaptations. Adaptations classified as neurodiversity affirming (e.g. having a therapist that embraces differences in brains and provides support to affirm neurodivergent identity) were rated highest. Approximately half of adaptations were rated positively at a group level. However, for almost every adaptation at least one person rated it as not at all helpful and at least one rated it as extremely helpful. Additional adaptations were around general good practice, financial cost, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Our findings add how helpful autistic people themselves rate adaptations to therapy and similarities and differences to clinicians. This is important to consider how these perspectives can differ. Findings also identify additional suggestions that clinicians could use in their practice and ideas for future research. Findings can help autistic adults in advocating for adaptations to therapy that address their needs by providing a list of possible adaptations. Furthermore, findings may help clinicians to better support their autistic clients. En ligne : https://dx.doi.org/10.1177/13623613251313569 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558 [article] How can we make therapy better for autistic adults? Autistic adults" ratings of helpfulness of adaptations to therapy [texte imprimé] / Kristyn SOMMER, Auteur ; Amanda COOK, Auteur . - p.1540-1553. Langues : Anglais (eng) in Autism > 29-6 (June 2025) . - p.1540-1553 Mots-clés : accommodations  adaptations  autism  mental health  therapy Index. décimale : PER Périodiques Résumé : Autistic people are at elevated risk of mental health conditions and experience significant barriers to effective support. While adaptations to therapy for autistic people have been proposed by clinicians, there is limited research on how helpful autistic people themselves rate these. We aimed to address this gap. Participants were 130 autistic adults aged 18 to 64 years (85.4% female) who completed an online survey of the helpfulness of 55 therapy adaptations. Overall, we found positive ratings of helpfulness for approximately half of the adaptations. However, significant variability was found at an individual level with most adaptations rated from not helpful through to extremely helpful. Neurodiversity-affirming adaptations were rated highest overall. Participants shared additional adaptations including general good practice, financial, modality, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Findings highlight similarities and differences between clinician and autistic people?s perspectives, underscoring the need to include autistic people. Limitations of the restricted sample and generalizability are acknowledged. Future research including more diverse samples would be of value to expand on this research. The need to understand general preferences of autistic people and to individualize to the specific client is underscored by findings to begin bridging the mental health support gap for autistic people.Lay Abstract Autistic people experience more mental health conditions like depression or anxiety than non-autistic people. They are also more likely to experience difficulties in accessing mental health supports Clinicians have published suggestions on how to improve therapy for autistic people. However, whether these ways to adapt (i.e. adaptations) therapy for autistic people are seen as helpful by autistic people themselves has not been investigated. We recruited 130 autistic adults to complete an online survey. They rated 55 adaptations to therapy from "Not at all helpful" to "Extremely helpful." We also asked for ideas of additional adaptations. Adaptations classified as neurodiversity affirming (e.g. having a therapist that embraces differences in brains and provides support to affirm neurodivergent identity) were rated highest. Approximately half of adaptations were rated positively at a group level. However, for almost every adaptation at least one person rated it as not at all helpful and at least one rated it as extremely helpful. Additional adaptations were around general good practice, financial cost, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Our findings add how helpful autistic people themselves rate adaptations to therapy and similarities and differences to clinicians. This is important to consider how these perspectives can differ. Findings also identify additional suggestions that clinicians could use in their practice and ideas for future research. Findings can help autistic adults in advocating for adaptations to therapy that address their needs by providing a list of possible adaptations. Furthermore, findings may help clinicians to better support their autistic clients. En ligne : https://dx.doi.org/10.1177/13623613251313569 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558

Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response / Susan H. SPENCE in Journal of Child Psychology and Psychiatry, 61-8 (August 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.914-927 Titre : Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response Type de document : texte imprimé Auteurs : Susan H. SPENCE, Auteur ; Samantha J. PROSSER, Auteur ; Sonja MARCH, Auteur ; Caroline L. DONOVAN, Auteur Article en page(s) : p.914-927 Langues : Anglais (eng) Mots-clés : Anxiety  outcome  prediction  therapy Index. décimale : PER Périodiques Résumé : BACKGROUND: In general, Internet-delivered cognitive behavior therapy (iCBT) produces significant reductions in child and adolescent anxiety, but a proportion of participants continue to show clinical levels of anxiety after treatment. It is important to identify demographic, clinical, and family factors that predict who is most likely to benefit from iCBT in order to better tailor treatment to individual needs. METHODS: Participants were 175 young people (7-18 years) with an anxiety disorder, and at least one of their parents, who completed an iCBT intervention with minimal therapist support. Multilevel modeling (MLM) examined predictors of response to iCBT as measured by the slope for changes in the primary outcome measures of child- and parent-reported anxiety scores, from pretreatment, to 12-weeks, 6-month, and 12-month follow-ups, controlling for pretreatment total clinician severity ratings of all anxiety diagnoses. RESULTS: Child age, gender, father age, parental education, parental mental health, parenting style, and family adaptability and cohesion did not significantly predict changes in anxiety in the multivariate analyses. For child-reported anxiety, greater reductions were predicted by a separation anxiety disorder diagnosis (SEP) and elevated depression, with lower reductions predicted by poor couple relationship quality. For parent-reported child anxiety, greater reductions were predicted by higher pretreatment total CSRs, SEP, and lower family income, with lower reductions for children of older mothers. Irrespective of these predictors of change, children in general showed reductions in anxiety to within the normal range. CONCLUSIONS: Overall, children responded well to iCBT irrespective of the demographic, clinical, and family factors examined here. Poor couple relationship quality and older mother age were risk factors for less positive response to iCBT in terms of reductions in anxiety symptoms although still to within the normal range. En ligne : http://dx.doi.org/10.1111/jcpp.13257 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 [article] Internet-delivered cognitive behavior therapy with minimal therapist support for anxious children and adolescents: predictors of response [texte imprimé] / Susan H. SPENCE, Auteur ; Samantha J. PROSSER, Auteur ; Sonja MARCH, Auteur ; Caroline L. DONOVAN, Auteur . - p.914-927. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.914-927 Mots-clés : Anxiety  outcome  prediction  therapy Index. décimale : PER Périodiques Résumé : BACKGROUND: In general, Internet-delivered cognitive behavior therapy (iCBT) produces significant reductions in child and adolescent anxiety, but a proportion of participants continue to show clinical levels of anxiety after treatment. It is important to identify demographic, clinical, and family factors that predict who is most likely to benefit from iCBT in order to better tailor treatment to individual needs. METHODS: Participants were 175 young people (7-18 years) with an anxiety disorder, and at least one of their parents, who completed an iCBT intervention with minimal therapist support. Multilevel modeling (MLM) examined predictors of response to iCBT as measured by the slope for changes in the primary outcome measures of child- and parent-reported anxiety scores, from pretreatment, to 12-weeks, 6-month, and 12-month follow-ups, controlling for pretreatment total clinician severity ratings of all anxiety diagnoses. RESULTS: Child age, gender, father age, parental education, parental mental health, parenting style, and family adaptability and cohesion did not significantly predict changes in anxiety in the multivariate analyses. For child-reported anxiety, greater reductions were predicted by a separation anxiety disorder diagnosis (SEP) and elevated depression, with lower reductions predicted by poor couple relationship quality. For parent-reported child anxiety, greater reductions were predicted by higher pretreatment total CSRs, SEP, and lower family income, with lower reductions for children of older mothers. Irrespective of these predictors of change, children in general showed reductions in anxiety to within the normal range. CONCLUSIONS: Overall, children responded well to iCBT irrespective of the demographic, clinical, and family factors examined here. Poor couple relationship quality and older mother age were risk factors for less positive response to iCBT in terms of reductions in anxiety symptoms although still to within the normal range. En ligne : http://dx.doi.org/10.1111/jcpp.13257 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429

Child and Family Characteristics Influencing Intervention Choices in Autism Spectrum Disorders / Elena PATTEN in Focus on Autism and Other Developmental Disabilities, 28-3 (September 2013)  

Public ISBD [article]  inFocus on Autism and Other Developmental Disabilities > 28-3 (September 2013) . - p.138-146 Titre : Child and Family Characteristics Influencing Intervention Choices in Autism Spectrum Disorders Type de document : texte imprimé Auteurs : Elena PATTEN, Auteur ; Grace T. BARANEK, Auteur ; Linda R. WATSON, Auteur ; Beth SCHULTZ, Auteur Article en page(s) : p.138-146 Langues : Anglais (eng) Mots-clés : autism  sensory  therapy  intervention  services Index. décimale : PER Périodiques Résumé : A myriad of treatment options are available for children with autism spectrum disorders, yet little is understood regarding characteristics of parents (e.g., education) and children (e.g., severity of autism symptoms) that influence types and numbers of therapies utilized. Interviews from 70 caregivers were analyzed to determine potential influences on utilization (e.g., start of first services, use of traditional services). Only three variables predicted utilization of specific therapies: severity of sensory processing problems was associated with earlier initiation of services in general, and higher maternal and paternal education were associated with the use of dietary and/or vitamin therapy as well as with the use of a greater number of services. None of the other variables studied had predictive value, although the influence of variables not examined in this study remains to be explored. En ligne : http://dx.doi.org/10.1177/1088357612468028 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=210 [article] Child and Family Characteristics Influencing Intervention Choices in Autism Spectrum Disorders [texte imprimé] / Elena PATTEN, Auteur ; Grace T. BARANEK, Auteur ; Linda R. WATSON, Auteur ; Beth SCHULTZ, Auteur . - p.138-146. Langues : Anglais (eng) in Focus on Autism and Other Developmental Disabilities > 28-3 (September 2013) . - p.138-146 Mots-clés : autism  sensory  therapy  intervention  services Index. décimale : PER Périodiques Résumé : A myriad of treatment options are available for children with autism spectrum disorders, yet little is understood regarding characteristics of parents (e.g., education) and children (e.g., severity of autism symptoms) that influence types and numbers of therapies utilized. Interviews from 70 caregivers were analyzed to determine potential influences on utilization (e.g., start of first services, use of traditional services). Only three variables predicted utilization of specific therapies: severity of sensory processing problems was associated with earlier initiation of services in general, and higher maternal and paternal education were associated with the use of dietary and/or vitamin therapy as well as with the use of a greater number of services. None of the other variables studied had predictive value, although the influence of variables not examined in this study remains to be explored. En ligne : http://dx.doi.org/10.1177/1088357612468028 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=210

Community-based service use in preschool children with autism spectrum disorder and associations with insurance status / Eric RUBENSTEIN in Research in Autism Spectrum Disorders, 66 (October 2019)  

Permalink

Developing Inner Speech to Help Autistic Individuals Improve Their Self-Regulation Ability: A Pilot Randomized-Controlled Trial / Janice NATHAN ; Barry R. NATHAN ; Miriam SHEYNBLYUM ; Valire Carr COPELAND ; Carla A. MAZEFSKY ; Shaun M. EACK in Autism Research, 18-7 (July 2025)  

Permalink

A qualitative study on perspective of parents of children with autism on the nature of parent-professional relationship in Kerala, India / Rajani RAMACHANDRAN in Autism, 24-6 (August 2020)  

Permalink

Systematic Review of Disparities and Differences in the Access and Use of Allied Health Services Amongst Children with Autism Spectrum Disorders / Aaron R. DALLMAN in Journal of Autism and Developmental Disorders, 51-4 (April 2021)  

Permalink

A systematic review of the effectiveness and efficacy of clinician-led psychological interventions for parents of children with ASD / Kieron MERRIMAN in Research in Autism Spectrum Disorders, 76 (August 2020)  

Permalink