Psychological interventions in psychosis in children and adolescents: a systematic review

Anagnostopoulou, Nefeli; Kyriakopoulos, Marinos; Alba, Anca

doi:10.1007/s00787-018-1159-3

Cited by 21 publications

(14 citation statements)

References 40 publications

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“…DEP and PSY were similalry negatively associated to family flexibility, satisfaction and communication. This result also corresponds with literature suggesting that DEP and PSY may either be exacerbated by adverse external experiences, such as those related to family functioning; or negatively impact the level of the family relationships of the carrier [25,75]. In contrast, ANX positively tied to family flexibility, satisfaction, communication and the overall family functioning (as reflected by the family ratio).…”

Section: Psychopathological Dimensions and Family Functioningsupporting

confidence: 88%

Symptom Checklist-90-Revised: A structural examination in relation to family functioning

et al. 2021

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The accurate assessment of psychopathological behaviours of adolescents and young adults is imperative. Symptom Checklist-90-Revised (SCL-90-R) is one of the most comprehensive and widely used scales addressing this purpose internationally. Interestingly, associations between the different SCL-90 symptoms and family functioning have been highlighted. Nevertheless, the scale’s factorial structure has often been challenged. To contribute in this area, this study scrutinizes the psychopathological dimensions of the Symptom Checklist-90-Revised (SCL-90-R) in a large cohort of high school students (Mean age = 16.16; SD = .911) from Greece. It addresses this aim by: a) using first order and bi-factor confirmatory factor analysis, and exploratory structural equation models and; b) investigating the factors’ associations with family functioning. A total of 2090 public Greek High School students completed the SCL-90-R and the Family Adaptability and Cohesion Scale IV (FACES-IV) covering family functioning, satisfaction and communication. Six different solutions, yielded by separate permutations of CFA, ESEM, and bifactor models, were evaluated. Based on global fit, the clarity, reliabilities and the family functioning links of the dimensions in the models, the ESEM oblique model with the theorized nine factors emerged as the optimum. This model had adequate fit, and symptom dimensions were well defined. Also six of the nine factors demonstrated external associations with family functioning, satisfaction and communication. The clinical assessment benefits of these results are discussed.

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Section: Psychopathological Dimensions and Family Functioningsupporting

confidence: 88%

Symptom Checklist-90-Revised: A structural examination in relation to family functioning

et al. 2021

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“…Psychotherapy is generally considered the most appropriate initial treatment of childhood depression [102], although a Cochrane review concluded that the relative benefits of pharmacotherapy, psychotherapy, or the combination thereof have not been clearly demonstrated empirically [103]. Psychological interventions for psychosis in adolescence appear to be helpful for cognition and functioning, if not psychosis itself [104]. However, there is very little empirical information about psychotherapy in juvenile psychotic depression.…”

Section: Treatmentmentioning

confidence: 99%

Psychotic Depression: Diagnosis, Differential Diagnosis, and Treatment

Dubovsky

Ghosh

Serotte

et al. 2020

Psychother Psychosom

119

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Psychotic depression was initially considered to be at one end of a continuum of severity of major depression. Subsequent experience demonstrated that psychosis is an independent trait that may accompany mood disorders of varying severity. While much has been learned about the impact of severe mood congruent delusions and hallucinations on the course and treatment response of depression, less is known about fleeting or mild psychosis, mood incongruent features, or psychotic symptoms that reflect traumatic experiences. Acute treatment of psychotic unipolar depression generally involves the combination of an antidepressant and an antipsychotic drug or electroconvulsive therapy. There is inadequate information about maintenance treatment of unipolar psychotic depression and acute and chronic treatment of psychotic bipolar disorder. Decision-making therefore still must rely in part on clinical experience.

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“…Indeed, they are the main centres of MSS expertise. Also, there is some evidence supporting the effectiveness of psychological interventions in Early Onset Psychosis [33]. Very few children received cognitive remediation or workshops of social abilities.…”

Section: Treatmentmentioning

confidence: 99%

Early-Onset Schizophrenia in a paediatric population of French psychiatric and medico-social care centres: A cross sectional study

et al. 2020

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Background Early-Onset Schizophrenia (EOS) is rare but severe mental health disorder in children and adolescents. Diagnosis of schizophrenia before the age of 18 years remains complex and challenging, especially in young children. In France, there are no recent reliable epidemiological data about the prevalence of EOS. The present study evaluates the EOS rate in a target clinical population of children and adolescents in psychiatric and medico-social care centres in the SouthEast of France. Methods Psychiatric and medico-social centres for children and adolescent in the geographical area have been contacted, and after receiving their agreement to participate in the study, eligible patients corresponding to inclusion criteria were selected based on patients' medical records. Main inclusion criteria were age 7 to 17 years and intelligence quotient > 35. EOS categorical diagnosis was assessed by Kiddie-SADS Present and Lifetime psychosis section. Results 37 centres participated and 302 subjects have been included in the study. The main result was the categorical diagnosis of EOS in 27 subjects, corresponding to a rate of 8.9% in the study population. Half of the patients presented mild to moderate intellectual deficiency. Interestingly, only 2.3% had a diagnosis of schizophrenia spectrum disorder noted in their medical records before standardized assessment.

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Psychological interventions in psychosis in children and adolescents: a systematic review

Abstract: There is some evidence supporting the effectiveness of psychological interventions in EOP. However, most research on adolescents is focused on CRT and its effects on cognitive deficits. More studies on the effects of psychological interventions in EOP are needed.

Cited by 21 publications

References 40 publications

Symptom Checklist-90-Revised: A structural examination in relation to family functioning

Symptom Checklist-90-Revised: A structural examination in relation to family functioning

Psychotic Depression: Diagnosis, Differential Diagnosis, and Treatment

Early-Onset Schizophrenia in a paediatric population of French psychiatric and medico-social care centres: A cross sectional study

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