scholarly journals Systematic review on the use and description of measures to evaluate psychotherapeutic interventions with children and adolescents in Brazil

2018 ◽  
Vol 40 (4) ◽  
pp. 342-351
Author(s):  
Bruna Holst ◽  
Carolina Saraiva de Macedo Lisboa ◽  
Andréia Zambon Braga ◽  
Artur Marques Strey ◽  
Déborah Brandão de Souza

Abstract Introduction: Psychotherapeutic interventions in childhood and adolescence are recognized as a mental treatment and as a tool to reduce psychological disorders in youth and adulthood. Therefore, there is an increasing concern about evidence of effectiveness of mental disorder interventions and adequacy of measurement. The objectives of this systematic review were to investigate predominant research designs and instruments used in Brazilian studies describing psychotherapeutic interventions with children and adolescents and to examine how these instruments are described regarding evidence of validity and reliability. Method: Five databases were surveyed, and for each one two independent judges performed the selection of records and applied the inclusion and exclusion criteria. Results: The final database comprised 28 papers, in which 92 instruments were referred. Fifty-seven instruments cited did not have descriptions of evidence of validity for the Brazilian population; for 31 instruments, validity evidence was mentioned, but the study did not detail which validity parameter was used; three studies described content validity evidence for their instruments. Furthermore, information about reliability was described for only two instruments. Conclusion: A lack of studies in the field of child and adolescent psychotherapy was found in Brazil. There is a significant need for the field to attend both the psychometric properties and the quality of description of research instruments. The scientific production of studies focused on the evaluation of psychotherapeutic interventions may promote evidence-based psychotherapy and justify the offer of mental treatment in different contexts.

2020 ◽  
Vol 38 (15) ◽  
pp. 1717-1798 ◽  
Author(s):  
Ryan M. Hulteen ◽  
Lisa M. Barnett ◽  
Larissa True ◽  
Natalie J. Lander ◽  
Borja del Pozo Cruz ◽  
...  

Author(s):  
Kelly Samara da Silva ◽  
Alexsandra Da Silva Bandeira ◽  
Priscila Cristina dos Santos ◽  
Luís Eduardo Argenta Malheiros ◽  
Ana Caroline F. C. de Sousa ◽  
...  

The aim of this study was to summarize studies examining the prevalence of sedentary behavior among Brazilian children and adolescents. A systematic review conducted on eight databases (PubMed, Scopus, Web of Science, LILACS, SPORTDiscus, BIREME, Scielo, and Google Scholar). The criteria applied were: original research; samples including Brazilian children and adolescents; to be a school- or population-based survey; observational studies using different measures of sedentary behavior; studies showing the prevalence of at least one component of sedentary behavior. Of the 205 studies included, 104 were analyzed. There was a greater concentration of studies in the southern (n=41) and northeastern (n=18) regions. The components more frequently investigated were watching TV (n=36) and screen time (n=32). Only three studies included children under seven years, and the age range more investigated was 10 to 19 years. Most of the studies used a self-reported questionnaire and showed variability in the cut-off point applied (from 2 to 4 hours/day). The prevalence of adolescents who met recommendations ranged from 9.4% to 68.0% for sedentary behavior (<2 hours/day) and from 16.8% to 67.2% for TV viewing (<2 hours/day). The prevalence ranged from 39.1% to 97.7% for computer use and from 47.7% to 98.0% for videogame use. Most of the studies reported that less than half of the adolescents met the recommendations of sedentary behavior and TV viewing. On the other hand, more than half of them devoted less than two hours a day to computer and videogame use.


BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018241 ◽  
Author(s):  
Miriam Garrido-Miguel ◽  
Iván Cavero-Redondo ◽  
Celia Álvarez-Bueno ◽  
Fernando Rodriguez-Artalejo ◽  
Luis Moreno Aznar ◽  
...  

IntroductionIncreasing prevalence of both thinness and excess weight during childhood and adolescence is a significant public health issue because of short-term health consequences and long-term tracking of weight status. Monitoring weight status in Europe may serve to identify countries and regions where rates of these disorders are either slowing down or increasing to evaluate recent policies aimed at appropriate body weight, and to direct future interventions. This study protocol provides a standardised and transparent methodology to improve estimating trends of thinness, overweight and obesity in children aged 3–18 years and adolescents across the European region between 2000 and 2017.Methods and analysisThis protocol is guided by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the Cochrane Collaboration Handbook. To identify relevant studies, a search will be conducted in MEDLINE, EMBASE, Cochrane Library, CINAHL and Web of Science databases. From the selected studies, relevant references will be screened as supplemental sources. Finally, open search in websites from health institutions will be conducted to identify weight status data not published in scientific journals. Cross-sectional, follow-up studies and panel surveys reporting weight status (objectively measured height and weight) according to the International Obesity Task Force criteria, and written in English or Spanish will be included. Subgroup analyses will be carried out by gender, age, study year and country or European region.DiscussionThis study will provide a comprehensive description of weight status of children and adolescents across Europe from 2000 to 2017. The results will be disseminated in a peer-reviewed journal. This study will use data exclusively from published research or institutional literature, so institutional ethical approval is not required.PROSPERO registration numberCRD42017056917.


2011 ◽  
Vol 12 (10) ◽  
pp. 781-799 ◽  
Author(s):  
D. R. Lubans ◽  
K. Hesketh ◽  
D. P. Cliff ◽  
L. M. Barnett ◽  
J. Salmon ◽  
...  

2016 ◽  
Vol 30 ◽  
pp. 85-96 ◽  
Author(s):  
Marcus V. Nascimento-Ferreira ◽  
Tatiana S. Collese ◽  
Augusto César F. de Moraes ◽  
Tara Rendo-Urteaga ◽  
Luis A. Moreno ◽  
...  

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Andrew Beck ◽  
John C. LeBlanc ◽  
Kate Morissette ◽  
Candyce Hamel ◽  
Becky Skidmore ◽  
...  

Abstract Background Major depressive disorder is common, debilitating, and affects feelings, thoughts, mood, and behaviors. Childhood and adolescence are critical periods for the development of depression and adolescence is marked by an increased incidence of mental health disorders. This protocol outlines the planned scope and methods for a systematic review update that will evaluate the benefits and harms of screening for depression in children and adolescents. Methods This review will update a previously published systematic review by Roseman and colleagues. Eligible studies are randomized controlled trials (RCTs) assessing formal screening in primary care to identify children or adolescents not already self-reporting symptoms of, diagnosed with, or treated for depression. If no or only a single RCT is available, we will consider controlled studies without random assignment. Studies of participants with characteristics associated with an elevated risk of depression will be analyzed separately. Outcomes of interest are symptoms of depression, classification of major depressive disorder based on a validated diagnostic interview, suicidality, health-related quality of life, social function, impact on lifestyle behavior (e.g., substance use, school performance, lost time at work, or school), false-positive results, overdiagnosis, overtreatment, labeling, and other harms such as those arising from treatment. We will search MEDLINE, Embase, PsycINFO, CINAHL, the Cochrane Library, and grey literature sources. Two reviewers will independently screen the titles and abstracts using the liberal accelerated method. Full-text screening will be performed independently by two reviewers using pre-specified eligibility criteria. Data extraction and risk of bias assessments will be performed independently by two reviewers. Pre-planned analyses, including subgroup and sensitivity analyses, are detailed within this protocol. Two independent reviewers will assess and finalize through consensus the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, and prepare GRADE evidence profiles and summary of findings tables for each outcome of interest. Discussion The systematic review will provide a current state of the evidence of benefits and harms of depression screening in children and adolescents. These findings will be used by the Canadian Task Force on Preventive Health Care to inform the development of recommendations on depression screening. Systematic review registration PROSPERO CRD42020150373


Author(s):  
Ashley S. Castro ◽  
Gerald P. Koocher ◽  
Eric Peist

Psychotherapy with children and adolescents presents its own set of unique ethical challenges and considerations. Unlike psychotherapy with adults, children are often referred to therapy by adults (e.g., parents or teachers), meaning that the circumstances and context for which they present to therapists or clinicians differ from the circumstances of most adults. This chapter provides an overview of ethical considerations specific to children and adolescents including issues of competence, confidentiality, boundaries, use of specific therapeutic techniques, and attention to diversity. The authors advocate for moving away from a traditional bioethical or risk management approach with clients, towards a relational approach to child and adolescent psychotherapy ethics, in which therapists and clinicians pay special attention to context, family dynamics, and culture. It is essential that mental health professionals involved in psychotherapy with children and adolescents engage in continuous reflection on ethical issues and work to best understand their clients in context so they can provide optimal services.


2020 ◽  
Author(s):  
Luana de Oliveira Leite ◽  
Jacqueline Costa Dias Pitangueira ◽  
Nadjane Ferreira Damascena ◽  
Priscila Ribas de Farias Costa

Abstract Context Studies have indicated that homocysteine levels are nontraditional markers for cardiovascular disease. The onset of atherosclerotic disease begins in childhood and adolescence; thus, prevention of its risk factors should occur early. Objective This systematic review and meta-analysis was conducted to summarize the association between high homocysteine levels and traditional cardiovascular risk factors in children and adolescents. Data Sources This systematic review and meta-analysis were developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the protocol was submitted to PROSPERO. Only observational studies in children and adolescents with homocysteine levels as an exposure variable and cardiovascular risk factors as outcome variables were included and searched in the following electronic bibliographic databases: PubMed/MEDLINE, Web of Science, Embase, Latin American and Caribbean Literature in Health Sciences, Ovid and Scopus. Data Extraction Two authors independently extracted data from eligible studies. The methodological quality of the studies was assessed using the Newcastle-Ottawa scale. Data Analysis Seven studies were included in the systematic review; they were published from 1999 to 2017, predominantly were of a cross-sectional design, and mainly evaluated adolescents. In the meta-analysis (n = 6), cross-sectional studies (n = 3) identified that high homocysteine levels were positive and weakly correlated with overweight in children and adolescents (odds ratio, 1.08; 95%CI, 1.04–1.11). Conclusion High homocysteine levels were weakly associated with overweight in children and adolescents in the reviewed cross-sectional studies. However, for the other traditional cardiovascular risk factors, the findings, although important, were inconclusive. Additional robust longitudinal studies are recommended to be conducted to better identify these associations. Systematic Review Registration: PROSPERO registration no. CRD42018086252.


2021 ◽  
Author(s):  
Franziska Beck ◽  
Florian A. Engel ◽  
Anne Kerstin Reimers

Abstract Background: Regular physical activity during childhood and adolescence is associated with health benefits. Consequently, numerous health promotion programs for children and adolescents emphasize the enhancement of physical activity. However, the ActivityStat hypothesis states that increases in physical activity in one domain are compensated for by decreasing physical activity in another domain. Currently, little is known about how physical activity varies in children and adolescents within intervals of one and multiple days. Objectives: This systematic review provides an overview of studies that analyze changes in (overall) physical activity, which are assessed with objective measurements, or compensatory mechanisms caused by increases or decreases in physical activity in a specific domain in children and adolescents.Methods: A systematic search of electronic databases (PubMed, Scopus, Web of Science, SportDiscus) was performed with a priori defined inclusion criteria. Two independent researchers screened the literature and identified and rated the methodological quality of the studies. Results: A total of 77 peer-reviewed articles were included that analyze compensatory mechanisms with multiple methodological approaches. Of 40,829 participants, 16,265 indicated compensation associated with physical activity. Subgroup analyses separated by study design, participants, measurement instrument, physical activity context, and intervention duration also showed mixed results toward indication of compensation. Quality assessment of the included studies revealed high quality (mean = 0.866).Conclusion: This review provides inconclusive results about compensation in relation to physical activity. A trend toward increased compensation in interventional studies and in interventions of longer duration can be observed.


2012 ◽  
Vol 42 (9) ◽  
pp. 1857-1863 ◽  
Author(s):  
I. Kelleher ◽  
D. Connor ◽  
M. C. Clarke ◽  
N. Devlin ◽  
M. Harley ◽  
...  

BackgroundPsychotic symptoms occur more frequently in the general population than psychotic disorder and index risk for psychopathology. Multiple studies have reported on the prevalence of these symptoms using self-report questionnaires or clinical interviews but there is a lack of consensus about the prevalence of psychotic symptoms among children and adolescents.MethodWe conducted a systematic review of all published literature on psychotic symptom prevalence in two age groups, children aged 9–12 years and adolescents aged 13–18 years, searching through electronic databases PubMed, Ovid Medline, PsycINFO and EMBASE up to June 2011, and extracted prevalence rates.ResultsWe identified 19 population studies that reported on psychotic symptom prevalence among children and adolescents. The median prevalence of psychotic symptoms was 17% among children aged 9–12 years and 7.5% among adolescents aged 13–18 years.ConclusionsPsychotic symptoms are relatively common in young people, especially in childhood. Prevalence is higher in younger (9–12 years) compared to older (13–18 years) children.


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