A Single-Session, Web-Based Parenting Intervention to Prevent Adolescent Depression and Anxiety Disorders: Randomized Controlled Trial

Cardamone-Breen, Mairead C; Jorm, Anthony F; Lawrence, Katherine; Rapee, Ronald M.; Mackinnon, Andrew; Yap, Marie Bee Hui

doi:10.2196/jmir.9499

Cited by 55 publications

(72 citation statements)

References 98 publications

(124 reference statements)

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“…We used a modified version of the Brief Spence Children's Anxiety Scale and were unable to locate Australian data to directly compare our data. We compared depressive symptoms in our sample to one previous Australian study of 349 children aged 12-15 years, but did not find any differences (Cardamone-Breen et al, 2018). This may be positive and suggest that there is no increase in depression in young adolescents during the pandemic.…”

Section: Covid-19 and Increased Mental Health Risksmentioning

confidence: 71%

“…We compared our CPAS findings to four studies with pre-pandemic data available on our key parent and child outcomes measures. We compared to Australian published data on parent mental health for 497 parents aged 18-86 years with a dependent child (Crawford, Cayley, Wilson, Lovibond, & Hartley, 2011), and on parent-report of child depression for 349 children aged 12-15 years (Cardamone-Breen et al, 2018). To compare other parent and family outcomes, we also analyzed original data from two additional studies.…”

Section: Pre-pandemic Australian Datasetsmentioning

confidence: 99%

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Child, parent, and family mental health and functioning in Australia during COVID-19: Comparison to pre-pandemic data

Westrupp¹,

Bennett²,

Berkowitz³

et al. 2020

Preprint

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The COVID-19 pandemic presents significant risks to the mental health and wellbeing of families. This study aimed to examine: (1) patterns of parent and child (0–18 years) mental health, parent substance use, couple conflict, parenting practices, and family functioning during COVID-19 compared to pre-pandemic data; and (2) associations between parent, child, and family outcomes during the pandemic and both pre-existing risk factors and COVID-19 stressors. Participants were Australian mothers (81%) and fathers aged 18 years and over who were parents of a child 0–18 years (N=2,365). Parents completed an online self-report survey assessing mental health, substance use, couple conflict, parenting, and family functioning during ‘stage three’ COVID-19 restrictions in April 2020. Data were compared to pre-pandemic data from four Australian population-based cohorts. Compared to pre-pandemic estimates, during the pandemic period parents reported higher rates of parent mental health symptoms (Cohen’s d=0.26-.81, all p<.001), higher parenting irritability (d=0.17-.46, all p<.001), lower family positive expressiveness (d=-0.18, p<.001), and higher alcohol consumption (22% vs 12% drinking four or more days per week, p<.001). In multivariable analyses, pre-existing financial deprivation and COVID-19 stressors were associated with greater severity in parent and child mental health symptoms, parent emotion dysregulation, parenting irritability, couple conflict and family positive/negative expressiveness. Parents and children with pre-existing mental health conditions had elevated difficulties during the pandemic across most domains. Our data suggest wide-ranging, detrimental family impacts associated with the COVID-19 pandemic; and support policy actions to assist families with financial supports, leave entitlements, and social housing.

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Section: Covid-19 and Increased Mental Health Risksmentioning

confidence: 71%

Section: Pre-pandemic Australian Datasetsmentioning

confidence: 99%

Child, parent, and family mental health and functioning in Australia during COVID-19: Comparison to pre-pandemic data

Westrupp¹,

Bennett²,

Berkowitz³

et al. 2020

Preprint

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“…The average number of participants across studies was n = 208.60, and ranged broadly from 33 to 916 participants. Male youth were well represented across many studies, constituting more than 50% of the young people in 14 studies (Baker et al, ; Cardamone‐Breen et al, ; DuPaul et al, ; Enebrink et al, ; Hinton et al, ; Irvine et al, ; Jones et al, ; Morawska et al, ; Sanders et al, ; Sanders et al, ; Sourander et al, ; Van Zeijl et al, ; Yap et al, ), on average making up 44.6% of youth participants. In contrast, male caregivers were severely underrepresented (on average 5.0%), with only three studies including more than 10% male caregivers (Khanna et al, ; MacKenzie & Hilgedick, ; Yap et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…No male caregivers were primary recipients of the intervention in eight studies (Breitensteinet al, 2016; Fang et al, 2010; Hemdi & Daley, ; Sanders et al, ; Schinke et al, ; Schinke et al, ; Schwinn et al, ; Van Zeijl et al, ). In most studies, the majority (>50%) of the sample were educated with post‐secondary qualifications ( n = 14, Baker et al, ; Cardamone‐Breen et al, ; Day & Sanders, ; DuPaul et al, ; Fang et al, ; Hemdi & Daley, ; Jones et al, ; Khanna et al, ; Morgan et al, ; Sanders et al, ; Sanders et al, ; Schinke et al, ; Schinke et al, ; Schwinn et al, ; Yap et al, ). While most studies did not adequately report the employment status of their participants ( n = 14, DuPaul et al, ; Enebrink et al, 2012; Fang et al, ; Khanna et al, ; Kuravackel et al, ; MacKenzie & Hilgedick, ; Morawska et al, ; Morgan et al, ; Nixon et al, ; Sanders et al, ; Schinke et al, ; Schinke et al, ; Schinke et al, 2009b; Sourander et al, ; Van Zeijl et al, 2006), of those that did, most reported over 50% of their sample engaged in employed work of some description ( n = 8, Baker et al, ; Cardamone‐Breen et al, ; Day & Sanders, ; Hinton et al, ; Irvine et al, ; Sanders et al, ; Schwinn et al, ; Yap et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Nineteen studies reported strategies to enhance engagement (Baker et al, ; Breitenstein et al, 2016; Cardamone‐Breen et al, ; Day & Sanders, ; DuPaul et al, ; Fang et al, ; Hemdi & Daley, ; Hinton et al, ; Irvine et al, ; Jones et al, ; Kuravackel et al, ; MacKenzie & Hilgedick, ; Morawska et al, ; Morgan et al, ; Sanders et al, ; Sanders et al, ; Schwinn et al, ; Sourander et al, ; Yap et al, ), outlined either in the primary article describing the randomised controlled trial evaluation of the intervention, or the program development article. Of these, 12 described utilising a strategy intended to enhance engagement with underserved parent populations (Baker et al, ; Breitenstein et al, 2016; Day & Sanders, ; Fang et al, ; Hemdi & Daley, ; Irvine et al, ; Jones et al, ; Kuravackel et al, ; Morawska et al, ; Morgan et al, ; Sanders et al, ; Schwinn et al, ).…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of technology‐assisted parenting programs for mental health problems in youth aged 0–18 years: Applicability to underserved Australian communities

Hansen

Broomfield

Yap

2019

Australian Journal of Psychology

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Objective: Youth mental health problems have been identified as a major public health concern. However, there are a number of parent populations that remain under-engaged with face-to-face parenting programs, which include fathers, and parents of lower socioeconomic position and rural location. This review aimed to evaluate the evidence for technology-assisted parenting programs for youth mental health and parenting outcomes; as well as the extent to which they engage underserved parent populations and how they can be better tailored for these groups in an Australian context. Methods: Employing the PRISMA method, we conducted a systematic review of randomised controlled trials of technology-assisted parenting programs for youth mental health problems. Results: We identified 43 articles that met inclusion criteria, consisting of 25 randomised controlled trials along with 8 and 10 articles describing intervention development and follow-up, respectively. Some evidence was found to support the use of technology-assisted parenting programs, particularly to improve externalising problems and parenting skills. Additionally, program development and recruitment strategies to engage underserved parents were under-utilised among studies reviewed. Conclusions: Findings from this review indicate that technology-assisted parenting programs may present an effective alternative to traditional face-to-face programs. However, more comprehensive and evidence-based strategies are required for program development and recruitment to capitalise on the advantages of technologyassisted programs to enhance engagement with underserved parent populations. Further research should investigate program attributes and engagement strategies for diverse parent populations.

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How expectations and therapeutic style influence counselling outcome

Schamong

D’Astolfo

Bollmann

et al. 2022

Couns and Psychother Res

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ObjectiveWith a lack of experimental designs in psychotherapy/counselling process research, evidence is limited regarding which therapeutic style is helpful for which patient and the role of expectations. Therefore, the aim of this experimental study was to manipulate the therapeutic style and clients' expectations towards psychological counselling and investigate their effects on counselling outcome.MethodEighty healthy participants (74% female, Mage = 31.2 years, SDage = 12.21) received a single counselling session focussing on interpersonal conflicts. We defined two therapeutic styles (relationship‐focussed vs. problem‐focussed) based on the interpersonal circumplex, and participants were led to believe they would receive one of the two styles. In the actual counselling session, they received either the expected or the contrary, resulting in a 2 x 2 design. Primary outcome rated by participants was subjective impairment caused by the conflict 2 weeks after the session; secondary outcomes were satisfaction with the session and perceived working alliance.ResultsThe successful implementation of the proposed therapeutic styles was confirmed by adherence ratings (U = 25.50, p < 0.001) and ratings of counsellors’ behaviour in the circumplex model (p < 0.001) for the friendly and hostile dimensions. Impairment was significantly reduced 2 weeks after the counselling session, but this effect was dependent on neither the therapeutic style, clients' expectations, nor their interaction.DiscussionThe study provides the first evidence that a single counselling session appears to be effective in alleviating impairment caused by an interpersonal conflict, independent of the counselling style and client expectations. The novel experimental design provides a basis for further process research in psychological counselling and psychotherapy.

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A Single-Session, Web-Based Parenting Intervention to Prevent Adolescent Depression and Anxiety Disorders: Randomized Controlled Trial

Cited by 55 publications

References 98 publications

Child, parent, and family mental health and functioning in Australia during COVID-19: Comparison to pre-pandemic data

Child, parent, and family mental health and functioning in Australia during COVID-19: Comparison to pre-pandemic data

A systematic review of technology‐assisted parenting programs for mental health problems in youth aged 0–18 years: Applicability to underserved Australian communities

How expectations and therapeutic style influence counselling outcome

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