scholarly journals Author Correction: Searching for active ingredients to combat youth anxiety and depression

Author(s):  
Catherine L. Sebastian ◽  
Inês Pote ◽  
Miranda Wolpert
2016 ◽  
Vol 29 (1) ◽  
pp. 273-301 ◽  
Author(s):  
Jessica L. Schleider ◽  
John R. Weisz

AbstractDespite major advances in the development of interventions for youth anxiety and depression, approximately 30% of youths with anxiety do not respond to cognitive behavioral treatment, and youth depression treatments yield modest symptom decreases overall. Identifying networks of modifiable risk and maintenance factors that contribute to both youth anxiety and depression (i.e., internalizing problems) may enhance and broaden treatment benefits by informing the development of mechanism-targeted interventions. A particularly powerful network is the rich array of family processes linked to internalizing problems (e.g., parenting styles, parental mental health problems, and sibling relationships). Here, we propose a new theoretical model, the triadic modelof family process, to organize theory and evidence around modifiable, transdiagnostic family factors that may contribute to youth internalizing problems. We describe the model's implications for intervention, and we propose strategies for testing the model in future research. The model provides a framework for studying associations among family processes, their relation to youth internalizing problems, and family-based strategies for strengthening prevention and treatment.


2021 ◽  
Author(s):  
◽  
Mary Dewhirst

<p>Parent-child conversations about past experiences—reminiscing—are key in children’s growing emotional competency and their psychological well-being (Salmon & Reese, 2016). Very little research, however, has investigated the relationship between parent-adolescent reminiscing conversations and adolescent psychological adjustment, which is particularly important because adolescence is a period of heightened risk for the development of rumination and internalising disorders, especially anxiety and depression (Miller-Slough & Dunsmore, 2016). This thesis extended the literature on reminiscing in three ways. First, we examined different qualities of mother-adolescent reminiscing and their relationships to psychological outcomes during the period of middle adolescence. Second, we investigated the associations between mother-adolescent reminiscing qualities and youth rumination and internalising symptoms (anxiety and depression), cross-sectionally and longitudinally to help disentangle the direction of the associations. Finally, we applied dyadic methods of coding and statistical analyses in a novel approach that modelled the transactional nature of reminiscing conversations and their associations with youth psychological outcomes.   In Study 1 we tested the discriminant and convergent validity of a dyadic coding scheme, for use on parent-adolescent conversations about past events. The aim of Study 1 was to establish the methodological foundations for examining parent-adolescent reminiscing conversations in a way that lends itself to dyadic analysis. To do this, two coding schemes (a traditional reminiscing scheme and a dyadic scheme) were applied to a community sample of 67 mother-adolescent dyad and their conversations about a past shared conflict event. Consistent with our predictions, parent-adolescent reminiscing qualities that extended the conversation and promoted highly detailed narratives were correlated with supportive interpersonal processes that endorsed co-construction and collaboration during the discussion. In contrast, qualities that discontinued the conversation were correlated with unsupportive interpersonal processes that promoted avoidance/disengagement and repetitive problem engagement. Next, we applied the dyadic coding scheme to assess the transactional relationships between parent-adolescent reminiscing qualities and youth rumination and internalising symptoms.   In Study 2 we tested the cross-sectional (Study 2a) and longitudinal (Study 2b) relationships between parent-adolescent reminiscing qualities and youth rumination, anxiety, and depression. Using the same sample of 67 mother-adolescent dyads in Study 1, transcripts of the past conflict discussions were coded dyadically for unsupportive and supportive mother and adolescent reminiscing qualities. Self-report measures of rumination, anxiety, and depression were also collected from mothers and adolescents, respectively. The adolescents then completed the same self-report measures at a follow-up time-point one year later. Overall, dyadic analyses found no significant associations between mother-adolescent reminiscing qualities and youth rumination or depression, cross-sectionally or longitudinally. We did, however, find a bi-directional relationship between unsupportive mother-adolescent reminiscing qualities and heightened anxiety symptoms cross-sectionally. The concurrent findings suggest that mothers and adolescents are mutually reinforcing youth anxiety symptoms, in part, through the promotion of emotional avoidance. Furthermore, exploratory moderation findings, indicated a significant buffering effect of youth engagement in supportive conversational qualities during reminiscing about past negative events with their mothers, and lower levels of youth anxiety over time. These findings have implications for practice and theory. First, in terms of clinical intervention, the research refines our understanding of interpersonal factors related to youth anxiety during middle adolescence, in particular the role of the parent-adolescent reminiscing conversations. Second, the current research highlights the importance of adopting interpersonal methods when studying parent-adolescent interactions as a way to accurately model and test the inherently interpersonal nature of reminiscing.</p>


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Y. F. Lau ◽  
Rebecca Watkins-Muleba ◽  
Isabelle Lee ◽  
Victoria Pile ◽  
Colette R. Hirsch

Abstract Background Anxiety and depression are common, disabling and frequently start in youth, underscoring the need for effective, accessible early interventions. Empirical data and consultations with lived experience youth representatives suggest that maladaptive cognitive patterns contribute to and maintain anxiety and depression in daily life. Promoting adaptive cognitive patterns could therefore reflect “active ingredients” in the treatment and/or prevention of youth anxiety and depression. Here, we described and compared different therapeutic techniques that equipped young people with a more flexible capacity to use attention and/or promoted a tendency to positive/benign (over threatening/negative) interpretations of uncertain situations. Methods We searched electronic databases (PubMed, PsycINFO, EMBASE, and PsycARTICLES) for studies containing words relating to: intervention; youth; anxiety and/or depression and attention and/or interpretation, and selected studies which sought to reduce self-reported anxiety/depression in youth by explicitly altering attention and/or interpretation patterns. Ten young people with lived experiences of anxiety and depression and from diverse backgrounds were consulted on the relevance of these strategies in managing emotions in their daily lives and also whether there were additional strategies that could be targeted to promote adaptive thinking styles. Results Two sets of techniques, each targeting different levels of responding with different strengths and weaknesses were identified. Cognitive bias modification training (CBM) tasks were largely able to alter attention and interpretation biases but the effects of training on clinical symptoms was more mixed. In contrast, guided instructions that teach young people to regulate their attention or to evaluate alternative explanations of personally-salient events, reduced symptoms but there was little experimental data establishing the intervention mechanism. Lived experience representatives suggested that strategies such as deliberately recalling positive past experiences or positive aspects of oneself to counteract negative thinking. Discussion CBM techniques target clear hypothesised mechanisms but require further co-design with young people to make them more engaging and augment their clinical effects. Guided instructions benefit from being embedded in clinical interventions, but lack empirical data to support their intervention mechanism, underscoring the need for more experimental work. Feedback from young people suggest that combining complimentary techniques within multi-pronged “toolboxes” to develop resilient thinking patterns in youth is empowering.


2020 ◽  
Vol 65 (10) ◽  
pp. 688-691 ◽  
Author(s):  
Darren Courtney ◽  
Priya Watson ◽  
Marco Battaglia ◽  
Benoit H. Mulsant ◽  
Peter Szatmari

2021 ◽  
Author(s):  
Jennifer Lau ◽  
Rebecca Watkins-Muleba ◽  
Isabelle Lee ◽  
Victoria Pile ◽  
Colette Hirsch

Abstract BACKGROUND: Anxiety and depression are common, disabling and frequently start in youth, underscoring the need for effective, accessible early interventions. Promoting adaptive cognitive patterns could reflect “active ingredients” in the treatment and/or prevention of youth anxiety and depression. Here, we described and compared different therapeutic techniques that equipped young people with a more flexible capacity to use attention and/or promoted a tendency to positive/benign (over threatening/negative) interpretations of uncertain situations. We also consulted young people with lived experiences on how effective these strategies are used in daily life and their views on whether additional techniques could be used to promote resilient cognitive patterns.METHODS: We searched electronic databases (PubMed, PsycINFO, EMBASE, and PsycARTICLES) for studies containing words relating to: intervention; youth; anxiety and/or depression and attention and/or interpretation, and selected studies which sought to reduce self-reported anxiety/depression in youth by explicitly altering attention and/or interpretation patterns. Ten young people with lived experiences of anxiety and depression and from diverse backgrounds were invited to give their views on our findings.RESULTS: Two sets of techniques, each targeting different levels of responding with different strengths and weaknesses were identified. Cognitive bias modification training (CBM) tasks were largely able to alter attention and interpretation biases but the effects of training on clinical symptoms was more mixed. In contrast, guided instructions that teach young people to regulate their attention or to evaluate alternative explanations of personally-salient events, reduced symptoms but there was little experimental data establishing the intervention mechanism. Young people reported on additional strategies that could be targeted to promote adaptive cognitive patterns. DISCUSSION: CBM techniques target clear hypothesised mechanisms but require further co-design with young people to make them more engaging and augment their clinical effects. Guided instructions benefit from being embedded in clinical interventions, but lack empirical data to support their intervention mechanism, underscoring the need for more experimental work. Young peoples’ feedback suggest that combining complimentary techniques within multi-pronged “toolboxes” to develop resilient thinking patterns in youth is empowering.


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