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Protić S, Wittmann L, Taubner S, Conejo-Cerón S, Ioannou Y, Heinonen E, Saliba A, Moreno-Peral P, Volkert J, Barkauskiene R, Julia Schmidt S, Rangel Santos Henriques MI, Pinheiro Mota C, Sales CMD, Røssberg JI, Adler A, Giacomo DD, Mucha Vieira F, Drndarević N, Ulberg R, Stepisnik Perdih T, Mestre JM. Mediators of Outcome in Trauma-Focused Psychotherapy with Youth: A Systematic Review. Trauma Violence Abuse 2024:15248380231223264. [PMID: 38281152 DOI: 10.1177/15248380231223264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
This article aimed to provide a systematic narrative synthesis of existing studies on the mediators of change in psychotherapy with adolescents (10-19 years) and transition age youth (TAY) (20-29 years) who have experienced trauma-related symptoms or posttraumatic disorder. Additionally, we were interested in identifying psychotherapy-, trauma type-, and clients' age- and gender-specific mediators of treatment outcome. Following the preferred reporting items for systematic reviews and meta-analyses, a total of 3,723 studies published in PubMed and PsycINFO databases were screened against inclusion criteria, revealing 15 eligible studies. No studies with only TAY were found; therefore, all results were limited to therapy with adolescents. Cognitive mediators were tested in 66% of selected studies, followed by parents/family-related, mental-health-related, therapy-related, and behavioral mediators. Moderate evidence was found for posttraumatic cognitions, whereas therapeutic alliance seemed to be a promising candidate for future research. Striking absence of non-cognitive-behavioral therapy interventions, emotional and adolescent-specific mediators, as well as studies with males and in non-Western societies was evident. Future original studies would benefit from applying methodological rigor in respect to mediation testing.
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Affiliation(s)
- Sonja Protić
- Institute of Criminological and Sociological Research, Belgrade, Serbia
- Evangelische Hochschule Darmstadt/University of Applied Science Darmstadt, Darmstadt, Germany
| | - Lutz Wittmann
- International Psychoanalytic University Berlin, Germany
| | | | - Sonia Conejo-Cerón
- Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAN, Malaga, Andalucía, Spain
| | | | - Erkki Heinonen
- National Institute for Health and Welfare, Helsinki, Finland
- University of Oslo, Norway
| | - Andrea Saliba
- University of Malta and Mental Health Services Malta, Malta
| | - Patricia Moreno-Peral
- Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAN, Malaga, Andalucía, Spain
| | - Jana Volkert
- Clinic for Psychosomatic Medicine and Psychotherapy University of Ulm, Ulm, Germany
| | | | | | | | | | | | | | | | | | | | - Nikola Drndarević
- Institute of Criminological and Sociological Research, Belgrade, Serbia
| | - Randi Ulberg
- University of Oslo, Norway
- Diakonhjemmet Hospital, Oslo, Norway
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McFleder R, Makhotkina A, Groh J, Alina P, Imdahl F, Vogel J, Volkmann J, Saliba A, Ip C. P-47 The role of immune cells in the brain-gut network in Parkinson’s Disease. Clin Neurophysiol 2023. [DOI: 10.1016/j.clinph.2023.02.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
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Mestre JM, Taubner S, Mota CP, Rangel Henriques M, Saliba A, Heinonen E, Ramos S, Moreno-Peral P, Volkert J, Adler A, Barkauskiene R, Conejo-Cerón S, Di Giacomo D, Ioannou Y, Mucha Vieira F, Røssberg JI, Sales CMD, Schmidt SJ, Stepisnik Perdih T, Ulberg R, Protić S. Theories of Change and Mediators of Psychotherapy Effectiveness in Adolescents With Externalising Behaviours: A Systematic Review. Front Psychiatry 2022; 12:730921. [PMID: 35095586 PMCID: PMC8795767 DOI: 10.3389/fpsyt.2021.730921] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 11/05/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Externalising behaviours are becoming a remarkably prevalent problem during adolescence, often precipitating both externalising and internalising disorders in later adulthood. Psychological treatments aim to increase the social functioning of adolescents in order for them to live a more balanced life and prevent these negative trajectories. However, little is known of the intervening variables and mediators involved in these treatments' change mechanisms. We conducted a systematic review, exploring the available evidence on mediators of psychological treatments for externalising behaviours and symptoms amongst adolescents (10 to 19 years old). METHODS A systematic search was performed on Medline and PsycINFO databases, which identified studies from inception to February 23, 2020. Eligible studies included randomised controlled trials that enrolled adolescents with externalising symptoms and behaviours as, at least, one of the primary outcomes. A group of 20 reviewers from the COST-Action TREATme (CA16102) were divided into 10 pairs. Each pair independently screened studies for inclusion, extracted information from the included studies, and assessed the methodological quality of the included studies and the requirements for mediators, following Kazdin's criteria. Risk of bias of RCTs was assessed by the Mixed Methods Appraisal Tool. Extracted data from the included studies were reported using a narrative synthesis. RESULTS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA), after removing duplicates, 3,660 articles were screened. Disagreements were resolved by consensus. In a second stage, 965 full-text articles were assessed for eligibility. A total of 14 studies fulfilled all inclusion criteria. The majority were related to systemic psychological treatment approaches. Two types of mediators were identified as potentially being involved in the mechanisms of change for better social improvements of adolescents: to increase healthier parent-adolescent relationships and parental discipline. However, there were significant and non-significant results amongst the same mediators, which led to discussing the results tentatively. CONCLUSIONS Family variables were found to be the largest group of investigated mediators, followed by relational, behavioural, and emotional variables. No cognitive or treatment-specific mediators were identified. Both adequate behavioural control of adolescents' peer behaviour and a better positive balance in their relationships with their parents seemed to buffer the effects of externalising behaviours in adolescents. Several methodological limitations concerning mediation testing design, outcome measures, and mediator selection have been identified. ETHICS AND DISSEMINATION Ethical approval was not required. PROSPERO registration number: CRD42021231835.
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Affiliation(s)
- José M. Mestre
- Instituto para el Desarrollo Social y Sostenible (INDESS), Universidad de Cádiz, Cadiz, Spain
| | - Svenja Taubner
- Institute for Psychosocial Prevention, University of Heidelberg, Heidelberg, Germany
| | - Catarina Pinheiro Mota
- Department of Education and Psychology, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Margarida Rangel Henriques
- Center for Psychology at University of Porto, Porto, Portugal
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal
| | - Andrea Saliba
- Department of Psychiatry, University of Malta and Mental Health Services Malta, Valletta, Malta
| | - Erkki Heinonen
- National Institute for Health and Welfare, Helsinki, Finland
- Department of Psychology, University of Oslo, Oslo, Norway
| | - Sara Ramos
- Instituto para el Desarrollo Social y Sostenible (INDESS), Universidad de Cádiz, Cadiz, Spain
| | | | - Jana Volkert
- Institute for Psychosocial Prevention, University of Heidelberg, Heidelberg, Germany
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany
| | - Asta Adler
- Institute of Psychology, Vilnius University, Vilnius, Lithuania
| | | | | | - Dina Di Giacomo
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Yianna Ioannou
- Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
| | - Filipa Mucha Vieira
- Center for Psychology at University of Porto, Porto, Portugal
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal
| | - Jan Ivar Røssberg
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Célia M. D. Sales
- Center for Psychology at University of Porto, Porto, Portugal
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal
| | - Stefanie J. Schmidt
- Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
| | | | - Randi Ulberg
- Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway
- Department of Psychiatry, Diakonhjemmet Hospital, Oslo, Norway
| | - Sonja Protić
- Institute of Criminological and Sociological Research, Belgrade, Serbia
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Volkert J, Taubner S, Barkauskiene R, Mestre JM, Sales CMD, Thiele V, Saliba A, Protić S, Adler A, Conejo-Cerón S, Di Giacomo D, Ioannou Y, Moreno-Peral P, Vieira FM, Mota CP, Raleva M, Rangel Santos Henriques MI, Røssberg JI, Schmidt SJ, Perdih TS, Ulberg R, Heinonen E. Mediators and Theories of Change in Psychotherapy for Young People With Personality Disorders: A Systematic Review Protocol. Front Psychol 2021; 12:703095. [PMID: 34616334 PMCID: PMC8488151 DOI: 10.3389/fpsyg.2021.703095] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 08/18/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Personality disorders (PDs) are a severe health issue already prevalent among adolescents and young adults. Early detection and intervention offer the opportunity to reduce disease burden and chronicity of symptoms and to enhance long-term functional outcomes. While psychological treatments for PDs have been shown to be effective for young people, the mediators and specific change mechanisms of treatment are still unclear. Aim: As part of the “European Network of Individualized Psychotherapy Treatment of Young People with Mental Disorders” (TREATme), funded by the European Cooperation in Science and Technology (COST), we will conduct a systematic review to summarize the existing knowledge on mediators of treatment outcome and theories of change in psychotherapy for young people with personality disorders. In particular, we will evaluate whether mediators appear to be common or specific to particular age groups, treatment models, or outcome domains (e.g., psychosocial functioning, life quality, and adverse treatment effects). Method: We will follow the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement recommendations. Electronic databases (PubMed and PsycINFO) have been systematically searched for prospective, longitudinal, and case–control designs of psychological treatment studies, which examine mediators published in English. Participants will be young people between 10 and 30years of age who suffer from subclinical personality symptoms or have a personality disorder diagnosis and receive an intervention that aims at preventing, ameliorating, and/or treating psychological problems. Results: The results will be published in a peer-reviewed journal and at conference presentations and will be shared with relevant stakeholder groups. The data set will be made available to other research groups following recommendations of the open science initiative. Databases with the systematic search will be made openly available following open science initiatives. The review has been registered in PROSPERO (evaluation is pending, registration number ID 248959). Implications: This review will deliver a comprehensive overview on the empirical basis to contribute to the further development of psychological treatments for young people with personality disorders.
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Affiliation(s)
- Jana Volkert
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany.,Institute of Psychosocial Prevention, University of Heidelberg, Heidelberg, Germany
| | - Svenja Taubner
- Institute of Psychosocial Prevention, University of Heidelberg, Heidelberg, Germany
| | | | - Jose M Mestre
- Department of Psychology, University of Cádiz, Cádiz, Spain
| | - Célia M D Sales
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.,Center for Psychology, University of Porto, Porto, Portugal
| | - Vanessa Thiele
- Institute of Psychology, University of Kassel, Kassel, Germany
| | - Andrea Saliba
- Mental Health Services Malta, University of Malta, Msida, Malta
| | - Sonja Protić
- Institute of Criminological and Sociological Research Belgrade, Belgrade, Serbia
| | - Asta Adler
- Institute of Psychology, Vilnius University, Vilnius, Lithuania
| | | | - Dina Di Giacomo
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Yianna Ioannou
- Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
| | | | - Filipa Mucha Vieira
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.,Center for Psychology, University of Porto, Porto, Portugal
| | - Catarina Pinheiro Mota
- Center for Psychology, University of Porto, Porto, Portugal.,Center for Psychology, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Marija Raleva
- Department of Child and Adolescent Psychiatry, University Clinic Skopje, Skopje, North Macedonia
| | | | | | - Stefanie J Schmidt
- Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
| | | | - Randi Ulberg
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway.,Department of Psychiatry, Diakonhjemmet Hospital, Oslo, Norway
| | - Erkki Heinonen
- National Institute for Health and Welfare, Helsinki, Finland.,Department of Psychology, University of Oslo, Oslo, Norway
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Vousoura E, Gergov V, Tulbure BT, Camilleri N, Saliba A, Garcia-Lopez L, Podina IR, Prevendar T, Löffler-Stastka H, Chiarenza GA, Debbané M, Markovska-Simoska S, Milic B, Torres S, Ulberg R, Poulsen S. Predictors and moderators of outcome of psychotherapeutic interventions for mental disorders in adolescents and young adults: protocol for systematic reviews. Syst Rev 2021; 10:239. [PMID: 34462006 PMCID: PMC8404358 DOI: 10.1186/s13643-021-01788-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 08/02/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Adolescence and young adulthood is a risk period for the emergence of mental disorders. There is strong evidence that psychotherapeutic interventions are effective for most mental disorders. However, very little is known about which of the different psychotherapeutic treatment modalities are effective for whom. This large systematic review aims to address this critical gap within the literature on non-specific predictors and moderators of the outcomes of psychotherapeutic interventions among adolescents and young adults with mental disorders. METHODS The protocol is being reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) Statement. PubMed and PsycINFO databases will be searched for randomized controlled and quasi-experimental/naturalistic clinical trials. Risk of bias of all included studies will be assessed by the Mixed Methods Appraisal Tool. The quality of predictor and moderator variables will be also assessed. A narrative synthesis will be conducted for all included studies. DISCUSSION This systematic review will strengthen the evidence base on effective mental health interventions for young people, being the first to explore predictors and moderators of outcome of psychotherapeutic interventions for a wide range of mental disorders in young people. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020166756 .
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Affiliation(s)
- Eleni Vousoura
- Department of Psychology, American College of Greece - Deree, 6 Gravias Street GR-153 42 Aghia Paraskevi, Athens, Greece.
- First Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, Eginition Hospital, 74 Vas. Sofias Ave, 11528, Athens, Greece.
| | - Vera Gergov
- Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | | | - Nigel Camilleri
- Mental Health Services, Attard, Malta
- University of Malta, Msida, Malta
| | - Andrea Saliba
- Mental Health Services, Attard, Malta
- University of Malta, Msida, Malta
| | | | - Ioana R Podina
- Laboratory of Cognitive Clinical Sciences, Department of Psychology, University of Bucharest, Bucharest, Romania
| | | | | | | | - Martin Debbané
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | | | | | - Sandra Torres
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Randi Ulberg
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Department of Psychiatry, Diakonhjemmet Hospital, Oslo, Norway
| | - Stig Poulsen
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
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Conejo-Cerón S, Taubner S, Heinonen E, Adler A, Barkauskiene R, Di Giacomo D, Ioannou Y, Mestre JM, Henriques MR, Mota CP, Protić S, Raleva M, Vieira FM, Røssberg JI, Sales CMD, Saliba A, Schmidt SJ, Perdih TS, Ulberg R, Volkert J, Moreno-Peral P. Mediators in Psychological Treatments for Anxiety and Depression in Adolescents and Young People: A Protocol of a Systematic Review. Front Psychol 2021; 12:708436. [PMID: 34367033 PMCID: PMC8333613 DOI: 10.3389/fpsyg.2021.708436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 06/23/2021] [Indexed: 11/22/2022] Open
Abstract
Introduction Anxiety and depressive disorders are a significant problem that starts in childhood or adolescence and should be addressed early to avoid chronic mental conditions. There is strong evidence to demonstrate that psychological treatments are effective for these disorders, however, little is known on mediators and mechanisms of change of psychological treatment in adolescents and young adults. Understanding the pathways through which psychological treatments operate will facilitate more effective treatments. Aim We aim to conduct a systematic review, exploring the available evidence on mediators of psychological treatments for anxiety and depression in adolescents and young adults. Methods A systematic search has been performed on PubMed and PsycINFO databases to identify studies from inception to 23rd February 2020. Eligible studies include randomized controlled trials and trials (quasi-experimental) designs that have enrolled adolescents and young adults presenting with depression and/or anxiety and that have examined mediators of psychological treatments. A group of 20 reviewers from the COST-Action TREATme (CA16102) divided into 10 pairs independently screen studies for inclusion, extract information from the included studies, and assess the methodological quality of the included studies and the requirements for mediators. The methodological quality will be assessed by The Mixed Methods Appraisal Tool. Extracted data from the included studies will be collected and presented using a narrative approach. Discussion This systematic review will summarize and provide a comprehensive overview of the current evidence on mediators of psychological treatments for anxiety and depression for adolescents and young adults. Results will allow the identification of strategies to optimize intervention to enhance clinical outcomes. Ethics and dissemination Ethics approval is not required. Findings from this systematic review will be published in a peer-reviewed journal and disseminated at conferences and meetings. PROSPERO registration number: CRD42021234641.
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Affiliation(s)
| | - Svenja Taubner
- Institute for Psychosocial Prevention, University Heidelberg, Heidelberg, Germany
| | - Erkki Heinonen
- National Institute for Health and Welfare, Helsinki, Finland
| | - Asta Adler
- Institute of Psychology, Vilnius University, Vilnius, Lithuania
| | | | - Dina Di Giacomo
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Yianna Ioannou
- Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
| | - Jose M Mestre
- Department of Psychology, Universidad de Cádiz, Cádiz, Spain
| | - Margarida Rangel Henriques
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.,Center for Psychology at University of Porto, Porto, Portugal
| | - Catarina Pinheiro Mota
- Center for Psychology at University of Porto, Porto, Portugal.,Departamento de Educação e Psicologia, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Sonja Protić
- Institute of Criminological and Sociological Research, Belgrade, Serbia
| | - Marija Raleva
- Department of Child and Adolescent Psychiatry, University Clinic Skopje, Skopje, Macedonia
| | - Filipa Mucha Vieira
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.,Center for Psychology at University of Porto, Porto, Portugal
| | - Jan Ivar Røssberg
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway.,Psychiatric Research Unit, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | - Célia M D Sales
- Faculty of Psychology and Education Science, University of Porto, Porto, Portugal.,Center for Psychology at University of Porto, Porto, Portugal
| | - Andrea Saliba
- University of Malta, Mental Health Services Malta, Msida, Malta
| | - Stefanie J Schmidt
- Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
| | | | - Randi Ulberg
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway.,Department of Psychiatry, Diakonhjemmet Hospital, Oslo, Norway
| | - Jana Volkert
- Institute for Psychosocial Prevention, University Heidelberg, Heidelberg, Germany.,MSB Medical School Berlin, Berlin, Germany
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Taubner S, Saliba A, Heinonen E, Protić S, Volkert J, Adler A, Barkauskiene R, Conejo Cerón S, Di Giacomo D, Ioannou Y, Mestre JM, Moreno-Peral P, Mucha Vieira F, Mota CP, Raleva M, Rangel Santos Henriques MI, Røssberg JI, Schmidt SJ, Stepišnik Perdih T, Ulberg R, Sales CMD. Mediators and theories of change in psychotherapy with adolescents: a systematic review protocol. BMJ Open 2021; 11:e042411. [PMID: 33674369 PMCID: PMC7938978 DOI: 10.1136/bmjopen-2020-042411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Approximately 75% of mental disorders emerge before the age of 25 years but less than half receive appropriate treatment. Little is known about the mechanisms underlying the therapeutic change of adolescents in psychotherapy. The 'European Network of Individualised Psychotherapy Treatment of Young People with Mental Disorders', funded by the European Cooperation in Science and Technology, will conduct the first systematic review to summarise the existing knowledge on mediators and theories of change in psychotherapy for adolescents. METHOD A systematic review will be conducted, conforming to the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement recommendations. Electronic databases (PubMed and PsycINFO) have been systematically searched on 23 February 2020, for prospective, longitudinal and case-control designs which examine mediators of change. Participants will be adolescents between 10 and 19 years of age who suffer from a mental disorder or psychological difficulties and receive an intervention that aims at preventing, ameliorating and/or treating psychological problems. ETHICS AND DISSEMINATION Ethical approval is not required for this systematic review as no primary data will be collected. The results will be published in a peer-reviewed journals and at conference presentations and will be shared with stakeholder groups. The whole data set will be offered to other research groups following recommendations of the open science initiative. Databases with the systematic search will be made openly available following open science initiatives. PROSPERO REGISTRATION NUMBER CRD42020177535.
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Affiliation(s)
- Svenja Taubner
- Institute for Psychosocial Prevention, University Heidelberg, Heidelberg, Germany
| | - Andrea Saliba
- Mental Health Services Malta, University of Malta, Msida, Malta
| | - Erkki Heinonen
- Department of Psychology, University of Oslo, Oslo, Norway
- Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Sonja Protić
- Institute of Criminological and Sociological Research, Belgrade, Serbia
| | - Jana Volkert
- Institute for Psychosocial Prevention, University Heidelberg, Heidelberg, Germany
| | - Asta Adler
- Institute of Psychology, Vilnius University, Vilnius, Lithuania
| | | | - Sonia Conejo Cerón
- Prevention and Health Promotion Research Network (redIAPP), ISCIII, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga, IBIMA, Málaga, Spain
| | - Dina Di Giacomo
- Department of Life, Health and Enviromental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Yianna Ioannou
- Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
| | - Jose M Mestre
- Department of Psychology, University of Cadiz, Cadiz, Spain
| | - Patricia Moreno-Peral
- Instituto de Investigación Biomédica de Málaga, IBIMA, Málaga, Spain
- Primary Care Prevention and Health Promotion Network (redIAPP), Malaga, Spain
| | - Filipa Mucha Vieira
- Faculty of Psychology and Education Sciences at University of Porto (FPCEUP), Center for Psychology at University of Porto (CPUP), University of Porto, Porto, Portugal
| | - Catarina Pinheiro Mota
- Faculty of Psychology and Education Sciences at University of Porto (FPCEUP), Center for Psychology at University of Porto (CPUP), University of Porto, Porto, Portugal
- Department of Psychology, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Marija Raleva
- Institute for Marriage, Family and Systemic Practice-ALTERNATIVA, Skopje, The Former Yugoslav Republic of Macedonia
| | | | | | - Stefanie J Schmidt
- Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland
| | | | - Randi Ulberg
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Department of Psychiatry, Diakonhjemmet Hospital, Oslo, Norway
| | - Célia M D Sales
- Faculty of Psychology and Education Sciences at University of Porto (FPCEUP), Center for Psychology at University of Porto (CPUP), University of Porto, Porto, Portugal
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Saliba A, Agius D, Sciberras E, Camilleri N. A Population Service Evaluation of the ADHD Pathway of Children and Young People's Services, Malta. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.2215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
IntroductionADHD is the commonest neurodevelopmental disorder in young people (YP) aged 5–18 years. YP with untreated ADHD are 5 times more likely to develop co-morbid psychiatric disorders.ObjectivesTo carry out a population service evaluation of the assessment process and management of YP with ADHD at Child and Young People's Service (CYPS), Malta age 0–16 years for 2014.AimsTo describe the service input, assessment and treatment of YP attending CYPS and compare to ADHD NICE guidelines 2008.MethodsAll patients diagnosed with ADHD at CYPS throughout 2014 were included. The incidence of YP with ADHD on treatment age 3–16 years in Malta was calculated. Information was collected from; (i) retrospective case file review and (ii) methylphenidate and atomoxetine registry and compared with NICE guidelines.ResultsOne hundred and thirty-six YP were diagnosed with ADHD. The minimum 12-month incidence of ADHD on treatment (3–16 years) in Malta was 553 per 100,000. Pre-diagnosis assessments were more frequently performed by other YP services (n = 97, 71.3%, P ≤ 0.01). A psychiatrist or paediatrician confirmed the diagnosis in 113 (83.1%). Sixty-two (45.3%) of YP were prescribed medication, 50 (36.8%) were referred for parental skills course and 55 (40.4%) psychotherapy. Mean waiting time for first appointment was 187.6 days (CI ± 26.9, 0–720), and first specialist review was 301.0 days (CI ± 34.4, 0–800) (1–3).ConclusionsThe incidence for YP (3–16 years) with ADHD on treatment was lower than the US. Since most pre-diagnostic assessments were carried out by other services, this raised the question about the reliability and validity. We recommend a diagnostic MDT meeting following the multimodal assessment to diagnose ADHD. Medication prescribing followed NICE overall, standardising non-pharmacological management is required.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Saliba A, Saias L, Bidard F, Mathiot C, Saada V, Farace F, Vielh P, Pierga J, Viovy J. Microfluidic device for circulating tumor cell sorting, characterization, and culture. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.11068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
11068 Background: Circulating tumor cell (CTC) analysis is a promising approach to further characterize the tumor biology and the metastatic process, but has immediate clinical applications such as early predictive markers of response to chemotherapy. However, the devices that are used currently for CTC detection have a poor sensitivity. Microfluidic techniques offer new exciting perspectives in the field of cell sorting for CTC analysis. Methods: We propose here a new microfluidic system and strategy allowing the sorting of cells, their study by confoncal fluorescent microscopy and/or their subsequent culture. The core of our system is a self-organized array of superparamagnetic particles in a microchannel, allowing for the formation of a perfectly periodic and robust array. The superparamagnetic particles are coated with specific antibodies against surface antigens, in order to capture cells according to specific biomarkers. This original cell-separation microchip was integrated into a fully automated platform combining state-of-the-art microfluidic technologies, microvalves and nanofluidic pneumatic pumps. Results: Using B and T lymphocytes mixtures as a model biological system, the capture yield was better than 90%, and the specificity better than 97%. Captured cells were fully viable and were cultured in situ in the magnetic array. In clinics, immunophenotyping of circulating malignant B cells was performed using fluorescent confocal microscopy, and was successfully compared to flow cytometry data for each sample. Results on breast cancer cells will be presented at the meeting. Conclusions: This new system is a promising approach for efficient CTC sorting, analysis and culture in a completely integrated manner. No significant financial relationships to disclose.
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Affiliation(s)
- A. Saliba
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - L. Saias
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - F. Bidard
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - C. Mathiot
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - V. Saada
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - F. Farace
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - P. Vielh
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - J. Pierga
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
| | - J. Viovy
- Institut Curie, Paris, France; Institut Gustave Roussy, Villejuif, France
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Abstract
This research was conducted to identify the most efficient biomass out of five different types of biomass sources for anaerobic treatment of Olive Mill Wastewater (OMW). This study was first focused on examining the selected biomass in anaerobic batch systems with sodium acetate solutions (control study). Then, the different types of biomass were tested with raw OMW (water-diluted) and with pretreated OMW by coagulation-flocculation using Poly Aluminum Chloride (PACl) combined with hydrated lime (Ca(OH)2). Two types of biomass from wastewater treatment systems of a citrus juice producing company "PriGat" and from a citric acid manufacturing factory "Gadot", were found to be the most efficient sources of microorganisms to anaerobically treat both sodium acetate solution and OMW. Both types of biomass were examined under different concentration ranges (1-40 g l(-1)) of OMW in order to detect the maximal COD tolerance for the microorganisms. The results show that 70-85% of COD removal was reached using Gadot biomass after 8-10 days when the initial concentration of OMW was up to 5 g l(-1), while a similar removal efficiency was achieved using OMW of initial COD concentration of 10 g l(-1) in 2-4 days of contact time with the PriGat biomass. The physico-chemical pretreatment of OMW was found to enhance the anaerobic activity for the treatment of OMW with initial concentration of 20 g l(-1) using PriGat biomass. This finding is attributed to reducing the concentrations of polyphenols and other toxicants originally present in OMW upon the applied pretreatment process.
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Affiliation(s)
- I Sabbah
- The Regional Research & Development Center, The Galilee Society, PO Box 437 Shefa-Amr 20200, Israel
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Saliba A. THORACIC SURGERY: A FOLLOW‐UP STUDY OF OVER 500 TUBERCULOUS PATIENTS. Med J Aust 1957. [DOI: 10.5694/j.1326-5377.1957.tb60474.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- A. Saliba
- Bodington Chest HospitalWentworth FallsNew South Wales
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