We’ve Come a Long Way, Baby!: Evolution and Revolution in CBT with Youth

Friedberg, Robert D.; Hoyman, Lisa C.; Behar, Simone; Tabbarah, Sarah; Pacholec, Nina M.; Keller, Marisa; Thordarson, Micaela A.

doi:10.1007/s10942-014-0178-3

Cited by 20 publications

(13 citation statements)

References 44 publications

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“…A second way to enhance scalability of evidence-based treatments is to consider digital, or internet-based, versions rather than those using in-person delivery. Growing research indicates that digital interventions are feasible and acceptable for youth (Friedberg et al, 2014;Richardson, Stallard, & Velleman, 2010) and may be just as efficacious as in-person delivery (Werner-Seidler, Johnston, & Christensen, 2018;Zachariae, Lyby, Ritterband, & O'Toole, 2016). Moreover, young people are likely to choose electronic versions of interventions when available (de Bruin, Bogels, Oort, & Meijer, 2015).…”

Section: Scalable and Adaptive Treatmentsmentioning

confidence: 99%

Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth

Glenn

Esposito

Porter

et al. 2019

Journal of Clinical Child & Adolescent Psychology

143

140

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Objective: The current review provides an evidence base update of psychosocial treatments for self-injurious thoughts and behaviors (SITBs) in youth. Method: A systematic search was conducted of two major scientific databases (PsycInfo and PubMed) and ClinicalTrials.gov for relevant randomized controlled trials (RCTs) published prior to June 2018. Results: The search identified 26 RCTs examining interventions for SITBs in youth: 17 were included in the 2015 review and 9 trials were new to this update. The biggest change since the prior review was the evaluation of Dialectical Behavior Therapy for Adolescents (DBT-A) as the first Level 1: Well-established intervention for reducing deliberate self-harm (composite of nonsuicidal and suicidal self-injury) and suicide ideation in youth and Level 2: Probably efficacious for reducing nonsuicidal self-injury and suicide attempts. Five other interventions were rated as Level 2: Probably efficacious for reducing SITBs in youth, with the new addition of Integrated Family Therapy. Conclusions: This evidence base update indicates that there are a few promising treatments for reducing SITBs in youth. Efficacious interventions typically include a significant family or parent training component as well as skills training (e.g., emotion regulation skills). Aside from DBT-A, few treatments have been examined in more than one RCT. Given that replication by independent research groups is needed to evaluate an intervention as Well-established, future research should focus on replicating the five promising interventions currently evaluated as Probably efficacious. In addition, an important future direction is to develop brief efficacious interventions that may be scalable to reach large numbers of youth.

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Section: Scalable and Adaptive Treatmentsmentioning

confidence: 99%

Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth

Glenn

Esposito

Porter

et al. 2019

Journal of Clinical Child & Adolescent Psychology

143

140

View full text Add to dashboard Cite

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“…The potential benefits of this conceptually unified approach have been enumerated elsewhere (Friedberg et al., ; Rohde, ); these treatments have the potential to reduce the number of separate protocols that clinicians must learn and, therefore, to increase clinician and supervisor efficiency while increasing capacity to meet the needs of individual complex clients and complex, variegated caseloads (Girio‐Herrera & Ehrenreich‐May, ). These efforts also reflect a thoughtful approach to putative mechanisms of change, streamlining the delivery of evidence‐based care when those processes appear to overlap (Rohde, ).…”

Section: Structured Methods For Addressing Comorbidity: Three Evidencmentioning

confidence: 99%

Review: Comprehensive treatments for youth comorbidity – evidence‐guided approaches to a complicated problem

Bearman

Weisz

2015

Child Adoles Ment Health

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Background: Evidence-based treatments (EBTs) with a single-disorder focus have improved the potential for youth mental health care, yet may be an imperfect fit to clinical care settings where diagnostic comorbidity and co-occurring problems are commonplace. Most EBTs were developed to treat one diagnosis or problem (or a small homogenous cluster), but most clinically referred youths present with multiple disorders and problems. Findings: Three emerging approaches may help address the comorbidity that is so common in treated youths. Conceptually unified treatments target presumed causal and maintaining factors that are shared among more than one disorder or problem area; preliminary open trials and case studies show promising results. Modular protocols combine the 'practice elements' that commonly appear in separate single-disorder EBTs and repackage them into coordinated delivery systems; one modular protocol, MATCH, has produced positive findings in a randomized effectiveness trial. Monitoring and Feedback Systems (MFSs) provide real-time data on client progress to inform clinical decision-making, encompassing comorbid and co-occurring problems; one study shows beneficial effects in everyday practice with diverse youth problems. Conclusions: All three approaches -conceptually unified, modular, and MFS -can be strengthened by increased research attention to treatment integrity, clinician user-appeal, design simplicity, and the infrastructure necessary for successful implementation. Key Practitioner Message• Most evidence-based treatments (EBTs) for youths were developed to treat a single target disorder or problem domain, or a homogenous cluster, but most clinically referred youths present with multiple disorders and problems.• When client comorbidity is not directly addressed by EBTs, clinicians may be left without evidence-based guidance. To address this gap, three approaches warrant attention.• Unified manuals that address presumed causal and maintaining factors of more than one disorder may be of value, particularly for problems with shared theoretical and empirical literatures.• Modular approaches to EBTs may be an effective way for clinicians to treat multi-problem and comorbid youths, even those with conceptually distinct conditions, and one approach, MATCH, has been found to be effective in a randomized trial.• Monitoring and feedback systems provide real-time case-specific evidence that can guide the clinical decision-making required in treating comorbid clients, regardless of the treatment approach employed.

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“…Roer as unhas, chupar os dedos, compulsões e hipervigilâncias são outros sintomas comportamentais comuns de ansiedade. As crianças podem se envolver nesses comportamentos para se acalmar ou para lidar com situações ameaçadoras (FRIEDBERG;McCLURE, 2014). Estudos retrospectivos sugerem que existe uma continuidade na presença dos transtornos de ansiedade da infância e adolescência para a idade adulta, no entanto, no transtorno de ansiedade de separação, pode ocorrer dois processos distintos: a) remissão dos sintomas e b) evolução para outros quadros psicopatológicos, em particular para Transtorno de Ansiedade Generalizada ou Transtorno de Pânico ou Depressão (SUVEG, 2005).…”

Section: Transtorno De Ansiedade De Separação Na Infânciaunclassified

Restrição De Frutose Na Dieta E a Prática De Exercício Físico Resistido Como Estratégia Promotora Da Saúde Em Indivíduos Com Esteatose Hepática Não Alcoólica

Freitas¹,

Santos²,

Manochio-Pina³

2020

A Psicologia Em Suas Diversas Áreas De Atuação 3

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

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We’ve Come a Long Way, Baby!: Evolution and Revolution in CBT with Youth

Cited by 20 publications

References 44 publications

Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth

Evidence Base Update of Psychosocial Treatments for Self-Injurious Thoughts and Behaviors in Youth

Review: Comprehensive treatments for youth comorbidity – evidence‐guided approaches to a complicated problem

Restrição De Frutose Na Dieta E a Prática De Exercício Físico Resistido Como Estratégia Promotora Da Saúde Em Indivíduos Com Esteatose Hepática Não Alcoólica

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