Parent and Youth Preferences in the Treatment of Youth Depression

Langer, David A.; Kritikos, Tessa K; Asarnow, Joan Rosenbaum; Tompson, Martha C.

doi:10.1007/s10578-020-01006-4

Cited by 7 publications

(14 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the diagnostic evaluation, we organized the data found, according to what each of the studies evaluated and the tools that were used (Table 1). Beck's Depression Inventory (BDI-II) [33,34] Center for Epidemiological Studies Depression Scale (CES-D) [35,36] Hamilton Rating Scale for Depression (HAM-D) [34] Composite International Diagnostic Interview (CIDI) [35] Hopkins Symptom Checklist (SCL-20) [32] Child Depression Rating Scale-Revised (CDRS-R) [37] Children's Depression Inventory-Youth and Parent Versions (CDI) [37] Psychiatric functioning and distress Outcome Rating Scale (ORS) [38] Mental health functional status improvement Medical Outcomes Study (MOS-SF12) [35] Anxiety/stress symptomology Generalized Anxiety Disorder 7 (GAD-7) [28] Hamilton Rating Scale for Anxiety (HAM-A) and State-Trait Anxiety [34] Inventory (STAI) [34] Perceived Stress Scale-4 (PSS-4) [19] Symptoms of post-traumatic stress disorder PTSD Checklist (PCL) [36] Self-management Mental Health Self-Management Questionnaire (MHSQ) [28] Degree of participants' positive mental health Mental Health Continuum-Short Form (MHC-SF) [28] Perception of self-care abilities Therapeutic Self-Care Scale PAM-13 [28] Health-related quality of life:…”

Section: Resultsmentioning

confidence: 99%

“…Short-Form 8 Health Survey (SF-8) and EuroQol-5D [33] Patient-Reported Outcomes Measurement Information System (PROMIS) 28 [19] Self-efficiency General Self-Efficacy Scale (SWE) [33] Social participation Social Participation Scale [28] Coping strategies Brief COPE [28] Family assessment Family Assessment Device (FAD) Conflict Behavior Questionnaire (CBQ) Children's Expectations of Social Behavior Questionnaire (CESBQ) [34] Parent psychiatric symptomatology Behavior Symptom Inventory (BSI) [37] Youth problem behaviors Child Behavior Checklist (CBCL) [37] Social support Duke Social Support and Stress Scale [32] Process of care and the characteristics of patients with major depressive disorder Depression Outcomes Module [32] Table 1. Cont.…”

Section: Resultsmentioning

confidence: 99%

“…Two of the studies also carried out a family assessment using the Family Assessment Device (FAD) [ 34 ] and two instruments for assessing family functionality [ 37 ]. The latter also evaluated the psychiatric symptoms of the parents [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, it is recommended that there is a personalization of care, focusing on the patient’s daily life. Meeting patient preferences, especially with regard to self-care and treatment, represents a criterion of quality of care [ 29 , 34 , 35 , 36 , 37 , 42 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review

Pinho

Lopes

Correia

et al. 2021

JPM

View full text Add to dashboard Cite

People have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Thus, this review aimed to identify and synthesize the indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment and care planning, including intervention. An integrative literature review with research in seven scientific databases and a narrative analysis were carried out. Twenty articles were included, with indicators for diagnostic evaluation and care/intervention planning being extracted. Care planning focused on people with depression and/or anxiety disorder must be individualized, dynamic, flexible, andparticipatory. It must respond to the specific needs of the person, contemplating the identification of problems, the establishment of individual objectives, shared decision making, information and education, systematic feedback, and case management, and it should meet the patient’s preferences and satisfaction with care and involve the family and therapeutic management in care. The existence of comorbidities reinforces the importance of flexible and individualized care planning in order to respond to the specific health conditions of each person.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review

Pinho

Lopes

Correia

et al. 2021

JPM

View full text Add to dashboard Cite

show abstract

“…Although research supports SDM’s effectiveness for mental health concerns (e.g., Loh et al, 2007), research focused on using SDM to plan youth mental health treatments has been quite limited and mostly focused on older youth, parents only, and making medication decisions (Cheng et al, 2017). This is unfortunate, because: (a) even younger youth are capable of being involved in decision-making (Alderson et al, 2006) and have treatment preferences (Langer et al, 2021) and (b) most caregivers and youth may prefer psychotherapy to medication, meaning that medication-focused SDM may exclude the most preferred options (Lewin et al, 2014). Ideally, in addition to aligning with values of patient autonomy and empowerment, SDM may increase treatment plan satisfaction, treatment engagement, and, relatedly, treatment outcome.…”

mentioning

confidence: 99%

Shared decision-making for youth psychotherapy: A preliminary randomized clinical trial on facilitating personalized treatment.

Langer¹,

Holly²,

Wills

et al. 2022

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

Objective: Engaging youth and caregivers as active collaborators in the treatment planning process is a patient-centered approach with the potential to facilitate the personalization of established evidence-based treatments. This study is the first randomized clinical trial to evaluate shared decision-making (SDM) to plan youth psychotherapy. Method: Forty youth (7-15 years; 33% ethnic minority) were randomly assigned to psychosocial treatment planned using SDM (n = 20) or planned primarily by the clinician (n = 20). In the SDM condition, clinicians guided youth and caregivers through a collaborative treatment planning process that relies on research findings to inform three primary decisions: (a) treatment target problem(s), (b) treatment participants, and (c) treatment techniques. Assessments occurred at baseline, following treatment planning, midtreatment, and post-treatment. Results: Youth and caregivers in the SDM condition reported significantly greater involvement in the treatment planning process compared to their counterparts in the clinician-guided condition (U = 123.00, p = .037; U = 84.50, p = .014, respectively) and SDM caregivers reported significantly lower decisional conflict (U = 72.00, p = .004) and decisional regret (U = 73.50, p = .020). Supporting the feasibility of successful SDM implementation, there were no significant differences between conditions on treatment length, satisfaction with decisions, or engagement. There were no significant diagnostic or symptom differences between conditions. Conclusions: Planning psychosocial treatments in collaboration with youth and caregivers is a promising way to support youth and caregiver autonomy and plan evidence-based treatments that are responsive to patient preferences, culture, and values.What is the public health significance of this article? This is the first randomized clinical trial (RCT) evaluating shared decision-making (SDM) for youth psychotherapy. Results suggest that using SDM to plan treatments collaboratively with youth and caregivers is a feasible and acceptable option for youth with anxiety and depression.

show abstract

The psychometric properties and treatment outcomes associated with two measures of youth therapeutic alliance using naturalistic data

Mahon,

Minami,

Brown

2024

Couns and Psychother Res

View full text Add to dashboard Cite

PurposeThis is the second of two articles that examine the psychometric properties and treatment outcomes associated with two measures of the therapeutic alliance in naturalistic routine settings.MethodsData were taken from the ACORN database for youth, and, where available, parent/carer, attending for psychotherapy treatment in naturalistic settings (N = 12,573). The sample, the largest to date, included only those completing both an alliance measure and an outcome measure at every session. Two sets of three different alliance items are used across the two populations in routine practice.ResultsAnalyses revealed that the alliance explained no more than 3% of the variance in outcomes. Alliance measures exhibit ceiling effects, and as such, drawing conclusions about correlations with outcomes can be difficult. Any drop in alliance score as rated by both youth and parent/carer is predictive of outcomes, with parent/carer ratings being marginally more predictive. Where the alliance is rated as better by youth or parent/carer in comparison with ratings as worse, effect sizes are up to 50% better for the youth.ConclusionThe therapeutic alliance remains an important non‐specific treatment component; however, measures of the alliance have ceiling effects. Both youth and their parent/carer can provide important feedback to the therapist, and any drop in alliance is predictive of clinically meaningful change. As such, therapists should monitor the alliance with both youth and parent/carer. Implications for practice, training and research are considered.

show abstract

Parent and Youth Preferences in the Treatment of Youth Depression

Cited by 7 publications

References 45 publications

Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review

Patient-Centered Care for Patients with Depression or Anxiety Disorder: An Integrative Review

Shared decision-making for youth psychotherapy: A preliminary randomized clinical trial on facilitating personalized treatment.

The psychometric properties and treatment outcomes associated with two measures of youth therapeutic alliance using naturalistic data

Contact Info

Product

Resources

About