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Adams V, Watson HJ, Mazzucchelli T, Jones E, Callaghan T, Bills E, Egan SJ. Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders. Eat Weight Disord 2024; 29:21. [PMID: 38523164 PMCID: PMC10961283 DOI: 10.1007/s40519-024-01650-y] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 03/10/2024] [Indexed: 03/26/2024] Open
Abstract
BACKGROUND There is a strong association between perfectionism and eating disorders. In a cognitive-behavioural model of compulsive exercise it has been suggested there are reciprocal associations between perfectionism, eating disorder pathology, and compulsive exercise. No study has examined if there is an indirect association between perfectionism and compulsive exercise through eating disorder pathology, which would inform a preliminary understanding of the cognitive-behavioural model of compulsive exercise. METHODS The sample included 301 adolescent females diagnosed with eating disorders (age M = 14.89, SD = 0.85, range 13-17). We tested models of direct and indirect associations of compulsive exercise in the relationship between perfectionism and eating disorder pathology, and direct and indirect associations of eating disorder pathology in the relationship between compulsive exercise and perfectionism. RESULTS Perfectionism was directly associated with eating disorder pathology and compulsive exercise. Perfectionism was indirectly associated with eating disorder pathology through compulsive exercise. Perfectionism also had an indirect association with compulsive exercise through eating disorder pathology. DISCUSSION The findings suggest it would be useful for future prospective research to examine the cognitive-behavioural model of compulsive exercise in adolescents with eating disorders. Compulsive exercise and perfectionism may be useful targets for future research to improve eating disorder treatment. Level of evidence Level V: Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.
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Affiliation(s)
- Vinola Adams
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Hunna J Watson
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
- Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA
- Division of Paediatrics, School of Medicine, University of Western Australia, Perth, Australia
| | - Trevor Mazzucchelli
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
- enAble Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA, 6847, Australia
| | - Emily Jones
- Eating Disorders Program, Child and Adolescent Health Service, Perth Children's Hospital, Perth, Australia
| | - Thomas Callaghan
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Elizabeth Bills
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Sarah J Egan
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia.
- enAble Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA, 6847, Australia.
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Scott JET, Luszcz MA, Walker R, Mazzucchelli T, Windsor TD. Barriers to activity engagement in older adulthood: Results of a community survey. Australas J Ageing 2022; 42:176-184. [PMID: 35962524 DOI: 10.1111/ajag.13124] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 05/30/2022] [Accepted: 07/10/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Losses that occur with age can create barriers to meaningful activity engagement, a crucial aspect of ageing well. Research on this topic is frequently qualitative, with few studies accessing large community samples. This study (a) assessed the frequency specific personal and environmental barriers (such as poor health and limited transport access), identified by older adults in previous research, were endorsed; (b) used latent class analysis (LCA) to identify population subgroups based on combinations of these barriers, and (c) examined associations of subgroups with purpose in life and quality of life. METHODS Four hundred and thirty-two randomly selected Australian adults aged 65+ years (average age 76.7, 58% female) completed a telephone survey. They were asked whether certain barriers affected engagement and provided data on sense of purpose and quality of life. RESULTS Physical health/mobility were the most frequently reported barriers, followed by sensory difficulties, financial limitations, and caring responsibilities. The LCA revealed up to three subgroups/classes of participants according to the barriers endorsed. Class 1 had low endorsement of all barriers, including physical health. The majority of Class 2 endorsed physical health barriers and other barriers more frequently than Class 1. Class 3 were comparable to Class 2, but also frequently endorsed community access barriers. Class 1 were younger and reported a greater sense of purpose and higher quality of life. CONCLUSIONS Physical health/mobility barriers to engagement are those most frequently endorsed by older adults. These barriers may increase vulnerability to, or exacerbate the impact of additional barriers, such as sensory difficulties, access to transport and lack of finances.
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Affiliation(s)
- Julia E T Scott
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Mary A Luszcz
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Ruth Walker
- College of Nursing and Health Sciences/Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia
| | - Trevor Mazzucchelli
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Tim D Windsor
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
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O'Brien A, Anderson R, Mazzucchelli T, Egan SJ. A protocol for unguided internet self-help cognitive behaviour therapy for perfectionism in adolescents at-risk of eating disorders. Internet Interv 2022; 29:100565. [PMID: 36034181 PMCID: PMC9399281 DOI: 10.1016/j.invent.2022.100565] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 11/08/2021] [Revised: 07/31/2022] [Accepted: 08/08/2022] [Indexed: 12/03/2022] Open
Abstract
UNLABELLED Perfectionism has a strong association with eating disorders, anxiety and depression. Unguided internet cognitive behaviour therapy for perfectionism has demonstrated efficacy in female adolescents without elevated eating disorder symptoms. No research to date has examined unguided internet cognitive behaviour therapy for perfectionism for adolescents with elevated eating disorder symptoms as an indicated prevention for eating disorders and co-occurring symptoms of anxiety and depression. The protocol outlines the plan for a randomised controlled trial of a co-designed, unguided internet cognitive behaviour therapy for perfectionism with female adolescents with elevated symptoms of eating disorders. The intervention will be a 4-week programme compared to a waitlist control. Outcomes on eating disorder symptoms, anxiety and depression will be measured pre and post intervention and follow-up. TRIAL REGISTRATION This trial was registered on 23 September 2020 with the Australian New Zealand Clinical Trials Registry (ACTRN12620000951954P).
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Affiliation(s)
- Amy O'Brien
- Discipline of Psychology, School of Population Health, Curtin University, GPO Box U1987, Perth 6845, Australia
| | - Rebecca Anderson
- Discipline of Psychology, School of Population Health, Curtin University, GPO Box U1987, Perth 6845, Australia,enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Trevor Mazzucchelli
- Discipline of Psychology, School of Population Health, Curtin University, GPO Box U1987, Perth 6845, Australia,enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Sarah J. Egan
- Discipline of Psychology, School of Population Health, Curtin University, GPO Box U1987, Perth 6845, Australia,enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia,Corresponding author at: enAble Institute and School of Population Health, Curtin University, Australia.
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Egan SJ, Shafran R, Wade TD, Ure S, Gill C, Wilker L, Anderson R, Mazzucchelli T, McEvoy P. A qualitative examination of low-intensity cognitive behaviour therapy to reduce anxiety and depression during the COVID-19 pandemic. CLIN PSYCHOL-UK 2022. [DOI: 10.1080/13284207.2022.2031946] [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: 11/03/2022]
Affiliation(s)
- Sarah J. Egan
- enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Roz Shafran
- Great Ormond Street Institute of Child Health, University College London, London, UK
| | - Tracey D. Wade
- Orama Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia
| | - Sarah Ure
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Christopher Gill
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Lienke Wilker
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Rebecca Anderson
- enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Trevor Mazzucchelli
- enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
| | - Peter McEvoy
- enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Australia
- Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia
- Centre for Clinical Interventions, Perth, Australia
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Scott JT, Luszcz M, Mazzucchelli T, Walker R, Windsor T. The Effect of Behavioral Activation on Older Adults' Engagement and Wellbeing: A Randomized Control Trial Protocol. Innov Aging 2021. [PMCID: PMC8969698 DOI: 10.1093/geroni/igab046.3279] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Meaningful activity engagement in later life is widely recognized as crucial for ageing well, but age-related changes and transitions can impede such participation. A behavioral activation framework can provide a person-centred, value-consistent therapeutic approach to increasing activity engagement that is both easy to administer, cost effective and accessible to a broad audience. Although there is evidence supporting the utility of behavioral activation as a treatment for depression in older adults, this study will be the first to examine whether a behavioral activation is more effective in increasing activity engagement and psychological wellbeing among a non-clinical sample of older adults, compared to a multi component positive psychology intervention. This randomized controlled trial will examine the impact of two therapeutic approaches on activity engagement and wellbeing among older adults. One hundred and fifty adults aged 65+ who have relatively lower scores on a measure of engagement with life will be randomized to either a behavioral activation-based intervention, or a multi-component positive psychology intervention. The interventions will involve six individual weekly sessions conducted via telephone or video conference. Participants will be assessed pre-, post-intervention, and at three months follow-up. Outcome measures will include activity engagement, positive affect, and psychological wellbeing. Intra-individual variability will also be assessed via micro-longitudinal data in the behavioral activation condition. This study will be the first to provide evidence to the effectiveness of behavioral activation as an intervention to increase activity engagement and wellbeing among older adults, compared to other therapeutic approaches to increase psychological wellbeing.
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Affiliation(s)
| | - Mary Luszcz
- Flinders University, Adelaide, South Australia, Australia
| | | | - Ruth Walker
- Flinders University, Adelaide, South Australia, Australia
| | - Tim Windsor
- Flinders University, Adelaide, South Australia, Australia
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Skeffington PM, Rees CS, Mazzucchelli T. Trauma exposure and post‐traumatic stress disorder within fire and emergency services in Western Australia. Australian Journal of Psychology 2020. [DOI: 10.1111/ajpy.12120] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Petra M. Skeffington
- School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia, Australia,
| | - Clare S. Rees
- School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia, Australia,
| | - Trevor Mazzucchelli
- School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia, Australia,
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Druker K, Mazzucchelli T, Hennessey N, Beilby J. An Evaluation of an Integrated Stuttering and Parent-Administered Self-Regulation Program for Early Developmental Stuttering Disorders. J Speech Lang Hear Res 2020; 63:2894-2912. [PMID: 32812840 DOI: 10.1044/2020_jslhr-19-00310] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Purpose This study reports findings from a clinical trial that implemented an early stuttering treatment program integrated with evidence-based parenting support (EBPS) to children who stutter (CWS) with concomitant self-regulation challenges manifested in elevated attention-deficit/hyperactivity disorder (eADHD) symptoms and compared those outcomes to CWS receiving stuttering treatment without EBPS. Method Participants were 76 preschool CWS and their parent(s). Thirty-six of these children presented with eADHD and were quasirandomized into two groups: stuttering treatment only (eADHDstandard) or stuttering treatment integrated with EBPS (eADHDintegrated). The remaining children did not meet criteria for eADHD symptoms and received stuttering treatment only (No-eADHDstandard). Pre, post, and 3-month follow-up measures of stuttering treatment outcomes as well as treatment effects on measures of child behavior difficulties and parenting practices were examined. Results Significant reduction in stuttering was found for all groups. However, the eADHDintegrated group showed a greater reduction in stuttering frequency than the eADHDstandard group, and at follow-up, stuttering frequencies in the eADHDintegrated group matched those of children in the No-eADHDstandard group, while stuttering in the eADHDstandard group remained significantly higher. Children with eADHD symptoms who received the integrated program also required significantly less stuttering intervention time than those children with eADHD symptoms who received stuttering treatment only. Families in the eADHDintegrated group reported large and significant improvements in child behavior and parenting practices. Conclusion This study provides support for an early treatment program for CWS. The integrated stuttering and self-regulation management program for CWS with eADHD symptoms proved successful for fluency and behavioral improvements, which were sustained at follow-up.
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Affiliation(s)
- Kerianne Druker
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Western Australia, Australia
| | - Trevor Mazzucchelli
- School of Psychology, Curtin University, Perth, Western Australia, Australia
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Australia
| | - Neville Hennessey
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Western Australia, Australia
| | - Janet Beilby
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Western Australia, Australia
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Druker K, Mazzucchelli T, Hennessey N, Beilby J. Parent perceptions of an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering. J Fluency Disord 2019; 62:105726. [PMID: 31756581 DOI: 10.1016/j.jfludis.2019.105726] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 08/16/2019] [Accepted: 11/04/2019] [Indexed: 06/10/2023]
Abstract
PURPOSE Recent research has identified approximately half of children who stutter present with self-regulation challenges. These manifest in elevated inattentive and/or impulsive behaviours, aligned with attention deficit hyperactivity disorder (ADHD) symptoms. These symptoms have been found to influence the child's responsiveness to their stuttering treatment, and may exacerbate the psychosocial consequences of stuttering for them and their families. Early stuttering intervention identifies parents as key agents of change in the management of their children's stuttering. This study sought feedback from parents regarding their experiences with an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering, addressing the child's self-regulation challenges. METHOD Eight parents of children who stutter who had co-occurring self-regulation challenges completed the integrated program. This incorporated the Triple P--Positive Parenting Program adapted for the developmental stuttering population, and the Curtin University Stuttering Program (CUSP). Semi-structured qualitative interviews were conducted to capture parents' reflections on, and experiences with, the integrated program. RESULTS Thematic analysis identified several major themes regarding the parents' experiences with the integrated program: emotional impact on parents, child self-regulation, link between stuttering and behaviour, parent self-regulation, impact on family dynamics, and overall positive perceptions of the integrated program. All of the parents indicated they would recommend the program to future parents of children who stutter. CONCLUSION This study provides insights into parents' perceptions regarding an integrated intervention approach for early stuttering and behavior management. It also indicates how adopting a holistic approach to stuttering intervention is positive and has social validity.
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Affiliation(s)
- Kerianne Druker
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Western Australia, Australia
| | | | - Neville Hennessey
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Western Australia, Australia
| | - Janet Beilby
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Western Australia, Australia.
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Druker K, Hennessey N, Mazzucchelli T, Beilby J. Elevated attention deficit hyperactivity disorder symptoms in children who stutter. J Fluency Disord 2019; 59:80-90. [PMID: 30477807 DOI: 10.1016/j.jfludis.2018.11.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 10/24/2018] [Accepted: 11/09/2018] [Indexed: 06/09/2023]
Abstract
PURPOSE This study described the proportion of children who stutter who exhibit Attention Deficit Hyperactivity Disorder (ADHD) symptoms, manifesting in inattentive and hyperactive/impulsive behaviours. Children who stutter with these challenging behaviours may not respond as quickly and successfully to stuttering treatment. A preliminary exploration of differences in treatment responsiveness for children with and without ADHD symptoms was undertaken. METHOD Participants were 185 preschool children who stutter who had completed stuttering therapy within 3 months prior to study commencement. Differences between groups of children who stutter with and without elevated ADHD symptoms were investigated, in terms of pre-treatment stuttering features (stuttering severity and typography), demographic variables (age at onset, time between onset and commencement of therapy, family history and sex) and treatment data (post-treatment stuttering severity and number of sessions to achieve discharge criteria). RESULTS One-half (50%) of participants exhibited elevated ADHD symptoms. These children required 25% more clinical intervention time to achieve successful fluency outcomes than children without elevated ADHD symptoms. Findings suggest that more ADHD symptoms, increased pre-treatment stuttering severity, and male sex were associated with poorer responsiveness to stuttering treatment. CONCLUSION The large proportion of children exhibiting elevated ADHD symptoms, and the increase in clinical contact time required in this subgroup to achieve successful fluency outcomes, is suggestive of the need for clinicians to tailor stuttering intervention to address these concomitant behaviour challenges. Findings support the use of careful caseload management strategies to account for individual differences between children, and strengthen prognostic information available to parents and clinicians.
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Affiliation(s)
- Kerianne Druker
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Western Australia, Australia
| | - Neville Hennessey
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Western Australia, Australia
| | | | - Janet Beilby
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Western Australia, Australia.
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Wong SYS, Sun YY, Chan ATY, Leung MKW, Chao DVK, Li CCK, Chan KKH, Tang WK, Mazzucchelli T, Au AML, Yip BHK. Treating Subthreshold Depression in Primary Care: A Randomized Controlled Trial of Behavioral Activation With Mindfulness. Ann Fam Med 2018; 16. [PMID: 29531101 PMCID: PMC5847348 DOI: 10.1370/afm.2206] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE We undertook a randomized controlled trial to assess the efficacy of group-based behavioral activation with mindfulness (BAM) for treating subthreshold depression in primary care in Hong Kong. METHODS We recruited adult patients aged 18 years or older with subthreshold depression from public primary care clinics and randomly assigned them to a BAM intervention group or a usual care group. The BAM group was provided with eight 2-hour weekly BAM sessions by trained allied health care workers. Patients in the usual care group received usual medical care with no additional psychological interventions. The primary outcome was depressive symptoms measured by the Beck Depression Inventory-II at 12 months. Secondary outcomes included incidence of major depressive disorder at 12 months. We assessed quality of life, activity and circumstances change, functional impairment, and anxiety at baseline, end of intervention, 5 months, and 12 months. RESULTS We randomly allocated 115 patients to the BAM intervention and 116 patients to usual care. At 12 months, compared with usual care peers, BAM patients had a slightly more favorable change in levels of depressive symptoms on the Beck Depression Inventory-II (between-group mean difference in score = -3.85; 95% CI, -6.36 to -1.34; Cohen d = -0.46, 95% CI, -0.76 to -0.16). Incidence of major depressive disorder was lower with BAM (10.8% vs 26.8%, P = .01), whereas groups did not differ significantly on other secondary outcomes at 12 months. CONCLUSIONS Group BAM appears to be efficacious for decreasing depressive symptoms and reducing the incidence of major depression among patients with subthreshold depression in primary care, although generalizability of our findings may be limited.
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Affiliation(s)
- Samuel Y S Wong
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Yu Ying Sun
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Aaroy T Y Chan
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Maria K W Leung
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - David V K Chao
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Carole C K Li
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - King K H Chan
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Wai Kwong Tang
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Trevor Mazzucchelli
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Alma M L Au
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
| | - Benjamin H K Yip
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Wong, Sun, T.Y. Chan, Yip); Fanling Family Medicine Centre, Hospital Authority, Hong Kong, China (Leung); United Christian Hospital, Hospital Authority, Hong Kong, China (Chao); Kowloon East Cluster, Hospital Authority, Hong Kong, China (Li); Kowloon Central Cluster, Hospital Authority, Hong Kong, China (K.H. Chan); Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China (Tang); School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia (Mazzucchelli); Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Au)
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Sanders MR, Pickering JA, Kirby JN, Turner KMT, Morawska A, Mazzucchelli T, Ralph A, Sofronoff K. A commentary on evidenced-based parenting programs: redressing misconceptions of the empirical support for Triple P. BMC Med 2012; 10:145. [PMID: 23173559 PMCID: PMC3532235 DOI: 10.1186/1741-7015-10-145] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Accepted: 11/22/2012] [Indexed: 11/18/2022] Open
Abstract
A meta-analytic review of the Triple P-Positive Parenting program by Wilson et al., recently published in BMC Medicine, claimed to demonstrate that although Triple P is widely disseminated and adopted, the evidence attesting to the effectiveness of the program is not as convincing as it may appear. Although this review addresses the important issue of evaluation and reporting methods within evidence-based interventions, we contend that the Wilson et al. review contains a number of significant conceptual, methodological and interpretational inadequacies that render the key conclusions of their review problematic.
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Affiliation(s)
| | | | - James N Kirby
- The University of Queensland, St Lucia, QLD 4072, Australia
| | | | - Alina Morawska
- The University of Queensland, St Lucia, QLD 4072, Australia
| | - Trevor Mazzucchelli
- The University of Queensland, St Lucia, QLD 4072, Australia
- Curtin University, Perth, WA 6102, Australia
| | - Alan Ralph
- The University of Queensland, St Lucia, QLD 4072, Australia
| | - Kate Sofronoff
- The University of Queensland, St Lucia, QLD 4072, Australia
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13
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Roberts C, Mazzucchelli T, Studman L, Sanders MR. Behavioral family intervention for children with developmental disabilities and behavioral problems. J Clin Child Adolesc Psychol 2006; 35:180-93. [PMID: 16597214 DOI: 10.1207/s15374424jccp3502_2] [Citation(s) in RCA: 147] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The outcomes of a randomized clinical trial of a new behavioral family intervention, Stepping Stones Triple P, for preschoolers with developmental and behavior problems are presented. Forty-eight children with developmental disabilities participated, 27 randomly allocated to an intervention group and 20 to a wait-list control group. Parents completed measures of parenting style and stress, and independent observers assessed parent-child interactions. The intervention was associated with fewer child behavior problems reported by mothers and independent observers, improved maternal and paternal parenting style, and decreased maternal stress. All effects were maintained at 6-month follow-up.
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Affiliation(s)
- Clare Roberts
- School of Psychology, Curtin University of Technology, Perth, Western Australia.
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Affiliation(s)
- M L Manning
- Department of Psychology, University of Western Australia, Nedlands
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