Brain disorders and psychopathology

Heyman, Isobel; Skuse, David; Goodman, Robert

doi:10.1002/9781118381953.ch31

Cited by 5 publications

(3 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Parent training programmes (PTPs) are recommended by the National Institute for Health and Care Excellence for behaviours that challenge in typically developing children and those with intellectual disabilities 14 15. It has been suggested that these same interventions can be delivered as effectively to children with neurological conditions as those without 16. Given the bidirectional relationship between challenging behaviour and stress associated with parenting a child with a neurological condition, PTPs hold potential value for this population.…”

Section: Introductionmentioning

confidence: 99%

Group-based parent training programme for children with neurological conditions: a feasibility study

Parikh,

Faulkner,

Hadji-Michael

et al. 2023

Arch Dis Child

Self Cite

View full text Add to dashboard Cite

Objective and designThis study aimed to determine the feasibility and effectiveness of a parent training programme for parents of children with neurological conditions and behaviours that challenge.SettingChild and adolescent mental health service within a specialist children’s hospital.ParticipantsParents of 31 children with neurological conditions and behaviours that challenge.InterventionsParents attended a 6-week evidence-based behavioural parenting programme delivered in a group format, either face-to-face or remote.Main outcome measuresFeasibility was determined by attendance rates. Effectiveness was analysed primarily using parent-reported measures of child behaviour (Strengths and Difficulties Questionnaire, Paediatric Quality of Life and Goal-Based Outcomes). Secondary measures of parental well-being were also reported (Brief Parental Self-Efficacy Scale, Depression Anxiety Stress Scale Short Form and Parental Sense of Competence). Paired t-tests or Wilcoxon rank-sum tests were conducted to analyse differences preintervention and postintervention.ResultsThe attendance rates for the face-to-face and remote groups were 80% and 79%, respectively. Medium to large effect sizes were reported for most measures of child behaviour and parental well-being. There were statistically significant improvements found postintervention in children’s behaviour (p=0.014), quality of life (p<0.001), goal-based outcomes (p<0.001), parental self-efficacy (p<0.001) and parental anxiety (p=0.030). Anecdotal feedback showed that parents indicated the group format was acceptable.ConclusionsThe group parenting intervention for parents of children with heterogeneous neurological conditions and behaviours that challenge appears feasible and effective in improving child behaviour and parental well-being.

show abstract

Section: Introductionmentioning

confidence: 99%

Group-based parent training programme for children with neurological conditions: a feasibility study

Parikh,

Faulkner,

Hadji-Michael

et al. 2023

Arch Dis Child

Self Cite

View full text Add to dashboard Cite

show abstract

“…The relationship between epilepsy and behavioural and emotional symptoms is complex as such symptoms may be affected by anti-epileptic medications (Aldenkamp et al, 2016), surgery (Besag et al, 2016) and seizure location/ activity. Children and young people with epilepsy are also more likely to have autism spectrum disorder (Clarke et al, 2005), attention deficit hyperactivity disorder (ADHD; Dunn et al, 2003) and intellectual disability (Sillanpää, 2004), which themselves are associated with greater risk of psychiatric disorder (Heyman et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Guided Self-help Teletherapy for Behavioural Difficulties in Children with Epilepsy

Bennett

Heyman

Varadkar

et al. 2021

J Clin Psychol Med Settings

Self Cite

View full text Add to dashboard Cite

Behavioural difficulties impact greatly upon quality of life for children with chronic illness and their families but are often not identified or adequately treated, possibly due to the separation of physical and mental health services. This case study describes the content and outcomes of guided self-help teletherapy for behavioural difficulties in a child with epilepsy and complex needs using an evidence-based behavioural parenting protocol delivered within a paediatric hospital setting. Behavioural difficulties and progress towards the family’s self-identified goals were monitored at each session. Validated measures of mental health and quality of life in children were completed before and after intervention and satisfaction was measured at the end of treatment. Measures demonstrated clear progress towards the family’s goals and reduction in weekly ratings of behavioural difficulties. This case demonstrates that a guided self-help teletherapy approach delivered from within the paediatric setting may be one way of meeting unmet need.

show abstract

“…The relationship between epilepsy and behavioural and emotional symptoms is complex, as such symptoms may be affected by medications [9], surgery [10] and seizure location/activity. Children and young people with epilepsy are also more likely to have autism spectrum disorder [11], attention deficit hyperactivity disorder (ADHD) [12] and intellectual disability [13], conditions which themselves are associated with a greater risk of mental health disorders [14]. …”

Section: Introductionmentioning

confidence: 99%

Guided self-help interventions for mental health disorders in children with neurological conditions: study protocol for a pilot randomised controlled trial

Bennett¹,

Heyman

Coughtrey

et al. 2016

Trials

Self Cite

View full text Add to dashboard Cite

BackgroundRates of mental health disorders are significantly greater in children with physical illnesses than in physically well children. Children with neurological conditions, such as epilepsy, are known to have particularly high rates of mental health disorders. Despite this, mental health problems in children with neurological conditions have remained under-recognised and under-treated in clinical settings. Evidence-based guided self-help interventions are efficacious in reducing symptoms of mental health disorders in children, but their efficacy in reducing symptoms of common mental health disorders in children with neurological conditions has not been investigated. We aim to pilot a guided self-help intervention for the treatment of mental health disorders in children with neurological conditions.Methods/designA pilot randomised controlled trial with 18 patients with neurological conditions and mental health disorders will be conducted. Participants attending specialist neurology clinics at a National UK Children’s Hospital will be randomised to receive guided self-help for common mental health disorders or to a 12-week waiting list control. Participants in the treatment group will receive 10 sessions of guided self-help delivered over the telephone. The waiting list control group will receive the intervention after a waiting period of 12 weeks. The primary outcome measure is reduction in symptoms of mental health disorders. Exclusion criteria are limited to those at significant risk of harm to self or others, the presence of primary mental health disorder other than anxiety, depression or disruptive behaviour (e.g. psychosis, eating disorder, obsessive-compulsive disorder) or intellectual disability at a level meaning potential participants would be unable to access the intervention. The study has ethical approval from the Camden and Islington NHS Research Ethics Committee, registration number 14.LO.1353. Results will be disseminated to patients, the wider public, clinicians and researchers through publication in journals and presentation at conferences.DiscussionThis is the first study to investigate guided self-help interventions for mental health problems in children with neurological conditions, a group which is currently under-represented in mental health research. The intervention is modular and adapted from an empirically supported cognitive behavioural treatment. The generalisability and broad inclusion criteria are strengths but may also lead to some weaknesses.Trial registrationCurrent Controlled Trials: ISRCTN21184717. Registered on 25 September 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1663-z) contains supplementary material, which is available to authorized users.

show abstract

Brain disorders and psychopathology

Cited by 5 publications

References 66 publications

Group-based parent training programme for children with neurological conditions: a feasibility study

Group-based parent training programme for children with neurological conditions: a feasibility study

Guided Self-help Teletherapy for Behavioural Difficulties in Children with Epilepsy

Guided self-help interventions for mental health disorders in children with neurological conditions: study protocol for a pilot randomised controlled trial

Contact Info

Product

Resources

About