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Nezu, Arthur M.; Nezu, Christine Maguth

doi:10.1023/a:1016653407338

Cited by 36 publications

(13 citation statements)

References 14 publications

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“…Problem-solving is a component of many treatment models for trauma (Cohen et al, 2012; Lenz & Hollenbaugh, 2015; Mazza et al, 2016; Nezu et al, 2013; Rivard et al, 2005; Rosner et al, 2014) that can also be administered without advanced clinical training or education. Problem-solving skills can be trained by a variety of adults in different settings by using consistent skill steps (see Nezu & Nezu, 2001; Tierney et al, 2016, p. 139). In residential programs, direct care staff can train youth to use problem-solving skills in everyday situations while in the program, at home and in school to promote generalization (Sheridan et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Evaluating social skills training for youth with trauma symptoms in residential programs.

Tyler¹,

Aitken²,

Ringle³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Youth who receive services in residential programs have high rates of traumatic exposure and associated symptoms of Posttraumatic Stress Disorder (PTSD). Little information is available on specific social skills training that could be beneficial for youth in residential programs with PTSD. This study examined changes in behavioral incidents and psychopathology in youth receiving group home services based on training they received across three categories of social skills (i.e., self-advocacy, emotional regulation, problem-solving). Method: The sample included archival data on youth (N ϭ 677) ages 10 -18 years (M ϭ 15.7 years, SD ϭ 1.53). Hierarchical Linear Modeling was used to examine the frequency of disruptive and self-injurious behaviors over 12 months as it relates to reported traumatic symptoms at admission and the presence of the three types of social skills objectives. Analysis of Covariance was conducted to test whether the social skill objectives differentially predicted changes in youth psychopathology from intake to discharge for youth with low and high trauma symptoms. Results: Youth with high trauma symptoms who received training on problem-solving skills had significantly greater decrease in emotional problems from intake to discharge compared to youth with high trauma symptoms who did not receive problem-solving training (d ϭ Ϫ.54). Conclusion: Problem-solving training could be further developed and tested to maximize the support youth with trauma symptoms receive in trauma-informed residential programs. Clinical Impact StatementYouth with high levels of trauma who received social skills training on problem-solving skills from direct care staff in a residential program had significantly greater decreases in emotional problems compared to youth with high levels of trauma who did not receive this training. Further development and testing of social skills training, in areas such as problem-solving, could improve the traumainformed services provided by direct care staff in residential programs.

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Section: Discussionmentioning

confidence: 99%

Evaluating social skills training for youth with trauma symptoms in residential programs.

Tyler¹,

Aitken²,

Ringle³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

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“…This study has proven that the hardiness and parenting sense of competence play the role as buffers against the surfacing of parenting stress. Therefore, there is a chance to make training for parents on how to build positive thinking for reducing parenting stress; for example, Cognitive Behavior Therapy [81], and Problem Solving Therapy [82].…”

Section: Discussionmentioning

confidence: 99%

Sense of Competence as Mediator on Parenting Stress

Daulay¹,

Ramdhani²,

Hadjam³

2018

TOPSYJ

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Background:Mothers who have children with special needs are prone to parenting stress due to the limitations of the children.Objectives:This study aimed to test the contributions of hardiness, social support and child’s maladaptive behaviors as mediated by parenting sense of competence to parenting stress in mothers of children with special-need.Methods:The participants of this study were 256 mothers. Five variables used were hardiness, social support, child’s maladaptive behavior, parenting sense of competence, and parenting stress, which shaped the structural model of the study. The data of this study were analyzed in two stages, using a structural equation modeling to assess a full model and post-hoc analysis to assess the differences of parenting stress based on types of the children’s disabilities.Results:The results: 1) parenting stress was directly influenced by hardiness, social support, child’s maladaptive behavior, and parenting sense of competence; 2) The relationship between hardiness and parenting stress was mediated by parenting sense of competence; 3) the mothers having children with autism spectrum disorder went through parenting stress higher than those raising children with other types of special need.Conclusion:The importance of parenting sense of competence as the mediator variable is discussed The determinant of parenting stress is directly affected by a child’s maladaptive behavior that has a positive correlation with parenting stress. The hardiness and parenting sense of competence as mother’s internal strength has a negative correlation with parenting stress, and so do the social support as external strength.

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“…questions ( Textbox 1 ). Stress management literature—particularly literature related to CBT techniques [ 26 , 41 , 42 ]—was used to derive conversations for stress relief. Using this approach, our novice design team created chatbots based on three techniques (ie, worst-case scenario, problem solving, and positive thinking).…”

Section: Methodsmentioning

confidence: 99%

A Suite of Mobile Conversational Agents for Daily Stress Management (Popbots): Mixed Methods Exploratory Study

Mauriello¹,

Tantivasadakarn²,

Mora-Mendoza³

et al. 2021

JMIR Form Res

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Background Approximately 60%-80% of the primary care visits have a psychological stress component, but only 3% of patients receive stress management advice during these visits. Given recent advances in natural language processing, there is renewed interest in mental health chatbots. Conversational agents that can understand a user’s problems and deliver advice that mitigates the effects of daily stress could be an effective public health tool. However, such systems are complex to build and costly to develop. Objective To address these challenges, our aim is to develop and evaluate a fully automated mobile suite of shallow chatbots—we call them Popbots—that may serve as a new species of chatbots and further complement human assistance in an ecosystem of stress management support. Methods After conducting an exploratory Wizard of Oz study (N=14) to evaluate the feasibility of a suite of multiple chatbots, we conducted a web-based study (N=47) to evaluate the implementation of our prototype. Each participant was randomly assigned to a different chatbot designed on the basis of a proven cognitive or behavioral intervention method. To measure the effectiveness of the chatbots, the participants’ stress levels were determined using self-reported psychometric evaluations (eg, web-based daily surveys and Patient Health Questionnaire-4). The participants in these studies were recruited through email and enrolled on the web, and some of them participated in follow-up interviews that were conducted in person or on the web (as necessary). Results Of the 47 participants, 31 (66%) completed the main study. The findings suggest that the users viewed the conversations with our chatbots as helpful or at least neutral and came away with increasingly positive sentiment toward the use of chatbots for proactive stress management. Moreover, those users who used the system more often (ie, they had more than or equal to the median number of conversations) noted a decrease in depression symptoms compared with those who used the system less often based on a Wilcoxon signed-rank test (W=91.50; Z=−2.54; P=.01; r=0.47). The follow-up interviews with a subset of the participants indicated that half of the common daily stressors could be discussed with chatbots, potentially reducing the burden on human coping resources. Conclusions Our work suggests that suites of shallow chatbots may offer benefits for both users and designers. As a result, this study’s contributions include the design and evaluation of a novel suite of shallow chatbots for daily stress management, a summary of benefits and challenges associated with random delivery of multiple conversational interventions, and design guidelines and directions for future research into similar systems, including authoring chatbot systems and artificial intelligence–enabled recommendation algorithms.

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Untitled

Cited by 36 publications

References 14 publications

Evaluating social skills training for youth with trauma symptoms in residential programs.

Evaluating social skills training for youth with trauma symptoms in residential programs.

Sense of Competence as Mediator on Parenting Stress

A Suite of Mobile Conversational Agents for Daily Stress Management (Popbots): Mixed Methods Exploratory Study

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