Telephone-guided self-help for mental health difficulties in neurological conditions: a randomised pilot trial

Bennett, Sophie; Heyman, Isobel; Coughtrey, Anna; Varadkar, Sophia; Stephenson, Terence; Shafran, Roz

doi:10.1136/archdischild-2019-318577

Cited by 1 publication

(1 citation statement)

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“…The current literature on low-intensity mental health interventions for the paediatric population is emerging and suggests that it is not only feasible and acceptable (Bennett et al, 2017b;Bennett et al, 2021a; but also effective for emotional and behavioural difficulties in children with long-term physical health conditions (Catanzano et al, 2020). Low-intensity interventions may have particular value in this group as they minimise the need for further hospital visits in groups who may already be disadvantaged through school absences.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions: a case series

Ching

Bennett

Rojas

et al. 2022

tCBT

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Children with genetic conditions may experience significant mental health difficulties such as anxiety and challenging behaviour. However, understanding of the feasibility and effectiveness of psychological interventions for emotional and behavioural problems in the context of genetic conditions is limited. Low-intensity psychological interventions have demonstrated promise in paediatric populations and may be able to address their mental health difficulties. A case series design was used to assess the feasibility of low-intensity interventions for emotional and behavioural difficulties in children and young people with genetic conditions recruited from a mental health drop-in centre at a tertiary hospital. Participants received seven weekly sessions with a trained practitioner. The intervention was based on existing modular treatments and evidence-based self-help materials. Feasibility and treatment satisfaction were assessed, as well as measures of symptoms of anxiety and challenging behaviour, treatment goals and quality of life, at baseline, during treatment and 6-month follow-up. Five participants received treatment for challenging behaviour, one for anxiety, and one for obsessive compulsive disorder. All participants completed treatment. Clinically significant change in the SDQ Total score was found in three participants. All participants demonstrated progress in goals and symptoms of emotional and behavioural difficulties over the course of treatment. Low-intensity psychological interventions for emotional and behavioural difficulties in children and young people with genetic conditions is feasible, acceptable and potentially beneficial. Further research is warranted to examine the effectiveness of the intervention and its use in clinical paediatric settings. Key learning aims (1) To gain a basic understanding of low-intensity psychological intervention in children and young people with genetic conditions. (2) To enhance understanding of the practicalities and acceptability of delivering low-intensity psychological intervention to children and young people with genetic conditions and co-morbid emotional and behavioural difficulties. (3) To learn about the potential clinical benefits of delivering low-intensity psychological intervention to children and young people with genetic conditions in the context of stepped care.

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Section: Introductionmentioning

confidence: 99%