New Frontiers in Transdiagnostic Treatment: Youth Psychotherapy for Internalizing and Externalizing Problems and Disorders

Hersh, Jacqueline; Metz, Kristina; Weisz, John R.

doi:10.1521/ijct.2016.9.2.140

Cited by 16 publications

(8 citation statements)

References 50 publications

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“…Bolton has shown lay counsellors can effectively deliver interventions across disorders among trauma survivors (Bolton et al 2014) as supported by a broader review of the use of paraprofessionals in treating PTSD in low-resource settings (Jain, 2010). Transdiagnostic protocols, which enlist a core set of elements to address a range of mental disorders, have emerging evidence of being as effective as disorder-specific treatments, and are potentially more scalable (Hersh et al 2016; Michelson & Patel, 2017).…”

Section: Treatments Of Notementioning

confidence: 99%

Psychological and psychosocial interventions for refugee children resettled in high-income countries

Fazel

2017

Epidemiol Psychiatr Sci

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Large numbers of refugee children are arriving in high-income countries. The evidence to date suggests that they have mental health needs that are higher than for the general population and that these are exacerbated by the numbers of traumatic events they have experienced and the post-migration stressors they continue to be exposed to. The importance of a thorough and thoughtful assessment is discussed. Treatments of note are described for post-traumatic stress disorder, family functioning, general mental health problems and school environments. Future opportunities to operationalise outcome measures, develop multimodal interventions and utilise implementation science methodology are considered.

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Section: Treatments Of Notementioning

confidence: 99%

Psychological and psychosocial interventions for refugee children resettled in high-income countries

Fazel

2017

Epidemiol Psychiatr Sci

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“…Since internalizing symptoms typically precede externalizing symptoms [ 28 , 29 ], there may be an inaccurate perception that fewer adolescents need mental health services due to the decrease in externalizing/conduct behaviors over time. Adolescents may need more distinct tailored services, such as the MATCH transdiagnostic program allows one to tailor services for adolescents based on their symptomology [ 77 ]. Type of symptoms (i.e., internalizing and/or externalizing) can also influence response trajectories to specific interventions, such as interventions focused on trauma and grief [ 78 ].…”

Section: Discussionmentioning

confidence: 99%

Structure and trends of externalizing and internalizing psychiatric symptoms and gender differences among adolescents in the US from 1991 to 2018

Askari

Rutherford

Mauro

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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“…The MATCH transdiagnostic programme (Modular Approach to Therapy for Children With Anxiety, Depression, Trauma, or Conduct Problems; MATCH-ADTC), for instance, employs a modular design to facilitate personalisation of psychotherapeutic intervention. Modules are drawn from evidence-supported treatments for internalising and externalising disorders, namely cognitive-behavioural therapy and BPT, with accompanying clinical-decision flowcharts to guide treatment [89]. Research studies have shown the potential for superior clinical outcomes from MATCH compared to standard treatment, suggesting sequential treatment protocols may produce incremental benefits compared to standard BPT [90,91].…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Does behavioural parent training reduce internalising symptoms (or not) among children with externalising problems? Systematic review and meta-analysis

Bloss

Brown

Sawrikar

2022

Eur Child Adolesc Psychiatry

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Behaviour parent training (BPT) is known to effectively reduce child externalising problems. However, evidence for BPT to have secondary benefits for reducing internalising symptoms remains unclear. To address this, electronic databases (PsycINFO, MEDLINE, EMBASE, CINAHL, and SCOPUS) were systematically searched for studies examining internalising outcomes from BPT among children aged 2–12 years with clinically elevated externalizing problems. Outcomes for internalising problems following BPT were analysed by meta-analysis. Of 9105 studies identified, 24 studies met the eligibility criteria. Results from meta-analysis demonstrated a significant small treatment effect size (g = − 0.41) for reducing internalising symptoms immediately after treatment. Studies showed moderate heterogeneity (I2 = 44%). Moderation analyses indicated that the overall treatment effect was robust against variations in treatment and study design characteristics. However, a review of individual study methods indicate that these results are limited by significant heterogeneity and limitations in clinical assessment. Overall, the results suggest that BPT programmes for reducing externalising problems have the potential to improve internalising outcomes, but that there is limited information to determine the reliability of these effects, highlighting the need for further investigation.

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New Frontiers in Transdiagnostic Treatment: Youth Psychotherapy for Internalizing and Externalizing Problems and Disorders

Cited by 16 publications

References 50 publications

Psychological and psychosocial interventions for refugee children resettled in high-income countries

Psychological and psychosocial interventions for refugee children resettled in high-income countries

Structure and trends of externalizing and internalizing psychiatric symptoms and gender differences among adolescents in the US from 1991 to 2018

Does behavioural parent training reduce internalising symptoms (or not) among children with externalising problems? Systematic review and meta-analysis

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