Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.1.7
M. Carrasco
Los comportamientos autolesivos y suicidas en adolescentes, por su creciente prevalencia como por sus fatales consecuencias, son en nuestros días un problema de salud pública que requiere de intervenciones eficaces. Con el objetivo de dilucidar los tratamientos psicológicos que, hasta la fecha, mejor funcionan para reducir o eliminar estos comportamientos, se realizó una revisión de estudios de metaanálisis y revisiones sistemáticas en las bases de datos PsycArticles, PsycInfo y MEDLINE. Los criterios de elegibilidad establecidos permitieron la selección final de 10 registros. Los resultados mostraron una elevada heterogeneidad y un alcance limitado de los tratamientos psicológicos con tamaños del efecto de pequeños a moderados tanto para las conductas autolesivas, como para la ideación suicida, la suicidabilidad y especialmente para la intención suicida. Estos efectos tendían a debilitarse o desaparecer en el medio y largo plazo. La Terapia Dialéctica Conductual (TDC) resultó ser comparativamente la que mejores resultados obtuvo de las intervenciones analizadas. El alcance restringido de los resultados y las importantes limitaciones metodológicas halladas alertan de la necesidad de más investigación, así como del futuro diseño de intervenciones específicas para este tipo de problemas.
{"title":"Eficacia de los tratamientos psicológicos para los comportamientos autolesivos suicidas y no suicidas en adolescentes","authors":"M. Carrasco","doi":"10.21134/rpcna.2023.10.1.7","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.1.7","url":null,"abstract":"Los comportamientos autolesivos y suicidas en adolescentes, por su creciente prevalencia como por sus fatales consecuencias, son en nuestros días un problema de salud pública que requiere de intervenciones eficaces. Con el objetivo de dilucidar los tratamientos psicológicos que, hasta la fecha, mejor funcionan para reducir o eliminar estos comportamientos, se realizó una revisión de estudios de metaanálisis y revisiones sistemáticas en las bases de datos PsycArticles, PsycInfo y MEDLINE. Los criterios de elegibilidad establecidos permitieron la selección final de 10 registros. Los resultados mostraron una elevada heterogeneidad y un alcance limitado de los tratamientos psicológicos con tamaños del efecto de pequeños a moderados tanto para las conductas autolesivas, como para la ideación suicida, la suicidabilidad y especialmente para la intención suicida. Estos efectos tendían a debilitarse o desaparecer en el medio y largo plazo. La Terapia Dialéctica Conductual (TDC) resultó ser comparativamente la que mejores resultados obtuvo de las intervenciones analizadas. El alcance restringido de los resultados y las importantes limitaciones metodológicas halladas alertan de la necesidad de más investigación, así como del futuro diseño de intervenciones específicas para este tipo de problemas.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68343723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.2.7
M. Rojo, Lucía Beltrán, Adrián Moll, S. Solano, Jone Martínez, Ana Gutiérrez
Effectiveness of the application of the Echomantra in an adolescent girl with anorexia nervosa and her caregiver: A case study. The aim of the ECHOMANTRA program is to facilitate the transition from hospital back into the community. ECHOMANTRA is based on interventions for carers (Experienced Carers Helping Others, ECHO; Treasure et al. 2016) and patients (Maudsley Model of Anorexia Nervosa Treatment for Adults, MANTRA; Schmidt, et al., 2014). The aim of this study was to evaluate the effectiveness of the ECHOMANTRA program, applied together with the usual treatment, in a 15-yearold adolescent girl with anorexia nervosa (AN) and her mother. A single case design and pre-post measures were used, as well as follow-up at 3 and 6 months. The patient was assessed for: eating pathology (EDE-Q), emotional state (DASS-21), psychosocial adjustment (EQ-5D-5L and CIA 3.0) and motivation to change. In the mother: expressed emotion (FQ), symptom impact (EDSIS), accommodation to illness (EAISA), emotional state (DASS-21) and her caregiver skills (CSS) were assessed. Both programs consisted of 8 on-line sessions, which were conducted individually and on a weekly basis. The results showed a reduction in AN symptomatology, increased BMI, improved emotional state, motivation to change and psychosocial adjustment; and in the mother, improved emotional state and caregiving skills, and reduced accommodation to illness, expressed emotion and the impact of symptoms. These changes were maintained at follow-up. Both patient and family valued the program as satisfactory. Both the acceptability and efficiency of treatment for AN may be improved by using ECHOMANATRA to prepare for transition from inpatient care, by giving support to both patients and their carers.
应用Echomantra治疗神经性厌食症少女及其护理者的效果:个案研究。ECHOMANTRA方案的目的是促进从医院回到社区的过渡。ECHOMANTRA是基于对护理人员的干预(有经验的护理人员帮助他人，ECHO;Treasure et al. 2016)和患者(Maudsley成人神经性厌食症治疗模型，MANTRA;Schmidt等人，2014)。本研究的目的是评估ECHOMANTRA计划与常规治疗一起应用于一位患有神经性厌食症(AN)的15岁青春期女孩及其母亲的有效性。采用单一病例设计和前后措施，并在3个月和6个月进行随访。对患者进行饮食病理(ed - q)、情绪状态(DASS-21)、心理社会适应(EQ-5D-5L和CIA 3.0)和改变动机的评估。对母亲进行情绪表达(FQ)、症状影响(EDSIS)、疾病适应(EAISA)、情绪状态(DASS-21)和照顾者技能(CSS)评估。这两个项目都包括8个在线课程，每个课程每周单独进行一次。结果显示AN症状减轻，BMI增加，情绪状态改善，改变动机和心理社会适应;母亲的情绪状态和护理技能得到改善，对疾病的适应减少，表达情绪和症状的影响。这些变化在随访中保持不变。病人和家属都认为这个项目令人满意。通过使用ECHOMANATRA准备从住院治疗过渡，并为患者及其护理人员提供支持，可以提高AN治疗的可接受性和效率。
{"title":"Desarrollo y validación española de la escala de sucesos vitales estresantes (SVE-I) en escolares (8-12 años)","authors":"M. Rojo, Lucía Beltrán, Adrián Moll, S. Solano, Jone Martínez, Ana Gutiérrez","doi":"10.21134/rpcna.2023.10.2.7","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.2.7","url":null,"abstract":"Effectiveness of the application of the Echomantra in an adolescent girl with anorexia nervosa and her caregiver: A case study. The aim of the ECHOMANTRA program is to facilitate the transition from hospital back into the community. ECHOMANTRA is based on interventions for carers (Experienced Carers Helping Others, ECHO; Treasure et al. 2016) and patients (Maudsley Model of Anorexia Nervosa Treatment for Adults, MANTRA; Schmidt, et al., 2014). The aim of this study was to evaluate the effectiveness of the ECHOMANTRA program, applied together with the usual treatment, in a 15-yearold adolescent girl with anorexia nervosa (AN) and her mother. A single case design and pre-post measures were used, as well as follow-up at 3 and 6 months. The patient was assessed for: eating pathology (EDE-Q), emotional state (DASS-21), psychosocial adjustment (EQ-5D-5L and CIA 3.0) and motivation to change. In the mother: expressed emotion (FQ), symptom impact (EDSIS), accommodation to illness (EAISA), emotional state (DASS-21) and her caregiver skills (CSS) were assessed. Both programs consisted of 8 on-line sessions, which were conducted individually and on a weekly basis. The results showed a reduction in AN symptomatology, increased BMI, improved emotional state, motivation to change and psychosocial adjustment; and in the mother, improved emotional state and caregiving skills, and reduced accommodation to illness, expressed emotion and the impact of symptoms. These changes were maintained at follow-up. Both patient and family valued the program as satisfactory. Both the acceptability and efficiency of treatment for AN may be improved by using ECHOMANATRA to prepare for transition from inpatient care, by giving support to both patients and their carers.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68343783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.2.8
Alba González Moreno, María del Mar Molero Jurado
The relationship between creativity and academic achievement in adolescence: A systematic review. Creativity is a human capacity that serves to provide original and novel answers to problems that arise in everyday life, and therefore enhances students’ development. On the other hand, academic achievement is one of the main elements used to identify whether subjects have acquired certain knowledge. The aim of this systematic review is to analyse the relationship between creativity and academic achievement in adolescent students, as well as to examine qualitatively the differences between the different dimensions that assess creativity in academic achievement. In terms of methodology, the databases Web of Science, Scopus, PsycINFO and ERIC have been consulted based on search formulas elaborated using the descriptors creativity and performance which, based on the use of eligibility criteria, have given rise to a total of 15 studies. Most of the studies indicate that there is a two-way relationship between creativity and academic performance, with the dimensions of fluency, originality and flexibility being the most examined. In addition, it has been found that certain elements of creativity such as creative expressiveness act as a moderating factor in students’ performance; although there are also studies indicating that there is no significant relationship between the two variables. A series of educational strategies or resources should be implemented to enhance student learning.
青少年创造力与学业成就的关系:系统回顾。创造力是人类的一种能力，它能为日常生活中出现的问题提供原创和新颖的答案，从而促进学生的发展。另一方面，学业成绩是用来确定受试者是否获得某种知识的主要因素之一。本系统综述的目的是分析青少年学生的创造力和学业成就之间的关系，以及定性地检查评估学业成就中创造力的不同维度之间的差异。在方法方面，根据使用描述符创造力和绩效的搜索公式，根据资格标准的使用，咨询了Web of Science、Scopus、PsycINFO和ERIC数据库，共产生了15项研究。大多数研究表明，创造力与学习成绩之间存在双向关系，其中流畅性、独创性和灵活性三个维度被研究得最多。此外，研究发现，创造力的某些要素，如创造性表达能力，在学生的表现中起着调节作用;虽然也有研究表明这两个变量之间没有显著的关系。应该实施一系列的教育策略或资源来促进学生的学习。
{"title":"Relación existente entre creatividad y rendimiento académico en la adolescencia: Una revisión sistemática","authors":"Alba González Moreno, María del Mar Molero Jurado","doi":"10.21134/rpcna.2023.10.2.8","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.2.8","url":null,"abstract":"The relationship between creativity and academic achievement in adolescence: A systematic review. Creativity is a human capacity that serves to provide original and novel answers to problems that arise in everyday life, and therefore enhances students’ development. On the other hand, academic achievement is one of the main elements used to identify whether subjects have acquired certain knowledge. The aim of this systematic review is to analyse the relationship between creativity and academic achievement in adolescent students, as well as to examine qualitatively the differences between the different dimensions that assess creativity in academic achievement. In terms of methodology, the databases Web of Science, Scopus, PsycINFO and ERIC have been consulted based on search formulas elaborated using the descriptors creativity and performance which, based on the use of eligibility criteria, have given rise to a total of 15 studies. Most of the studies indicate that there is a two-way relationship between creativity and academic performance, with the dimensions of fluency, originality and flexibility being the most examined. In addition, it has been found that certain elements of creativity such as creative expressiveness act as a moderating factor in students’ performance; although there are also studies indicating that there is no significant relationship between the two variables. A series of educational strategies or resources should be implemented to enhance student learning.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68344093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.2.5
Lucía Beltrán-Garrayo, M. Rojo, Laura Rodríguez-Mondragón,, A. R. Sepúlveda García
Weight bias internalization refers to the negative weight-related attributions applied to oneself, but it does not just occur in the highest weight statuses, but rather exists across the entire weight spectrum. There is a negative impact associated to increase psychological problems in adults, however, it has been less studied among the adolescent Spanish population. In this study, we assess the relationship between the internalization of weight bias, social attitudes towards appearance, body appreciation and self-esteem, and potential differences regarding gender and weight status. A community sample of 1258 Spanish adolescents between 12 and 18 years old (46.3% male gender; Mage = 15.58; SD = 1.59; 49.5% female gender; Mage = 15.59; SD = 1.67; and 4.1% non-binary gender; Mage = 14.86; SD = 2.86) participated in the study. The Modified Weight Bias Internalization Scale (WBIS-M), the Rosenberg Self-Esteem Scale (RSES), and the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4) were used. ANOVA’s test and bivariate correlations were performed. The results suggest that females (t = -.55; p ≤ .001) and non-binary adolescents (t = .64; p ≤ .01) have higher levels of WBI-M compared to males. Regarding weight status, the group with obesity (t = 1.39; p ≤ .001) and the group with overweight (t = -.81; p ≤ .001) have higher levels of WBI-M compared to the normal weight group. Significant correlations between WBI-M and the assessed psychological variables were found in the total sample, and across all-gender and weight categories, except for the underweight group. These results are a first approximation to the internalization of weight bias in a Spanish adolescent sample and highlight the need to introduce this concept in prevention and psychological interventions in school context.
{"title":"Weight bias internalization among adolescents in Spain: psychological correlates across gender diversity and weight status","authors":"Lucía Beltrán-Garrayo, M. Rojo, Laura Rodríguez-Mondragón,, A. R. Sepúlveda García","doi":"10.21134/rpcna.2023.10.2.5","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.2.5","url":null,"abstract":"Weight bias internalization refers to the negative weight-related attributions applied to oneself, but it does not just occur in the highest weight statuses, but rather exists across the entire weight spectrum. There is a negative impact associated to increase psychological problems in adults, however, it has been less studied among the adolescent Spanish population. In this study, we assess the relationship between the internalization of weight bias, social attitudes towards appearance, body appreciation and self-esteem, and potential differences regarding gender and weight status. A community sample of 1258 Spanish adolescents between 12 and 18 years old (46.3% male gender; Mage = 15.58; SD = 1.59; 49.5% female gender; Mage = 15.59; SD = 1.67; and 4.1% non-binary gender; Mage = 14.86; SD = 2.86) participated in the study. The Modified Weight Bias Internalization Scale (WBIS-M), the Rosenberg Self-Esteem Scale (RSES), and the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4) were used. ANOVA’s test and bivariate correlations were performed. The results suggest that females (t = -.55; p ≤ .001) and non-binary adolescents (t = .64; p ≤ .01) have higher levels of WBI-M compared to males. Regarding weight status, the group with obesity (t = 1.39; p ≤ .001) and the group with overweight (t = -.81; p ≤ .001) have higher levels of WBI-M compared to the normal weight group. Significant correlations between WBI-M and the assessed psychological variables were found in the total sample, and across all-gender and weight categories, except for the underweight group. These results are a first approximation to the internalization of weight bias in a Spanish adolescent sample and highlight the need to introduce this concept in prevention and psychological interventions in school context.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68344143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.1.4
Katina Kovacheva, M. F. Rodriguez-Muñoz
El insomnio es un problema muy frecuente en niños y adolescentes y está relacionado con numerosos resultados negativos. La evidencia sobre las intervenciones psicológicas efectivas en el tratamiento del insomnio infantil ha ido en aumento, pero carece de una síntesis exhaustiva de los hallazgos. Por ello, realizamos una revisión sistemática de revisiones sistemáticas y meta-análisis sobre la efectividad de las intervenciones psicológicas en el tratamiento del insomnio infantil. Se realizaron búsquedas en la base de datos PsycINFO, hasta julio de 2022, mediante una combinación de palabras clave. Los datos fueron extraídos de forma independiente por las dos autoras y se presentó una síntesis de los resultados. La calidad metodológica fue evaluada de forma independiente por las dos autoras, utilizando AMSTAR-2. Se incluyeron cuatro artículos que informaron, en general, sobre la efectividad de las intervenciones psicológicas para disminuir los síntomas de insomnio durante la infancia y adolescencia, tanto a corto como a largo plazo. Las revisiones incluidas fueron calificadas con una calidad metodológica baja, lo que debilita la evidencia de los resultados reportados. Se encontró que actualmente la Terapia Cognitivo Conductual es la intervención psicológica más basada en la evidencia y la más efectiva, independientemente del formato de tratamiento. Se necesitan realizar más ensayos clínicos aleatorios de alta calidad.
{"title":"El tratamiento psicológico del insomnio durante la infancia: Una revisión paraguas","authors":"Katina Kovacheva, M. F. Rodriguez-Muñoz","doi":"10.21134/rpcna.2023.10.1.4","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.1.4","url":null,"abstract":"El insomnio es un problema muy frecuente en niños y adolescentes y está relacionado con numerosos resultados negativos. La evidencia sobre las intervenciones psicológicas efectivas en el tratamiento del insomnio infantil ha ido en aumento, pero carece de una síntesis exhaustiva de los hallazgos. Por ello, realizamos una revisión sistemática de revisiones sistemáticas y meta-análisis sobre la efectividad de las intervenciones psicológicas en el tratamiento del insomnio infantil. Se realizaron búsquedas en la base de datos PsycINFO, hasta julio de 2022, mediante una combinación de palabras clave. Los datos fueron extraídos de forma independiente por las dos autoras y se presentó una síntesis de los resultados. La calidad metodológica fue evaluada de forma independiente por las dos autoras, utilizando AMSTAR-2. Se incluyeron cuatro artículos que informaron, en general, sobre la efectividad de las intervenciones psicológicas para disminuir los síntomas de insomnio durante la infancia y adolescencia, tanto a corto como a largo plazo. Las revisiones incluidas fueron calificadas con una calidad metodológica baja, lo que debilita la evidencia de los resultados reportados. Se encontró que actualmente la Terapia Cognitivo Conductual es la intervención psicológica más basada en la evidencia y la más efectiva, independientemente del formato de tratamiento. Se necesitan realizar más ensayos clínicos aleatorios de alta calidad.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49569730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.1.10
G. García-Fernández
Eating disorders (EDs) are high prevalent among adolescents with serious consequences. Evidence of effectiveness of psychological interventions for eating disorders in adolescents lacks a systematic synthesis of systematic reviews. The goal of this umbrella review is to summarize evidence from systematic reviews examining effects of psychological interventions for eating disorders targeting adolescents. Web of Science, PsycINFO and Cochrane Database of Systematic Reviews were searched for systematic reviews on effectiveness and/or efficacy of any psychological intervention aiming to treat eating disorders in terms of outcomes in adolescents (improvement of eating-disorder symptoms, weight restoration and treatment retention). The methodological quality of each study was assessed using AMSTAR 2. The original search identified 831 reviews, 9 of which were included in the overview of systematic reviews rated as having a low methodological quality. Predominant psychological interventions for EDs in adolescents are family-based interventions. The efficacy of cognitive behavioral therapy and third-wave treatments has been less researched. Anorexia nervosa and bulimia nervosa are the EDs that have been studied the most. This study provides evidence supporting the positive impact of psychological interventions on eating disorders in adolescents. Family based treatment is the most evidence-based psychological intervention. There is a need for high-quality systematic reviews as well as systematic reviews to examine if psychological interventions are effective for different eating disorders.
饮食失调(EDs)在青少年中非常普遍，后果严重。青少年饮食失调心理干预有效性的证据缺乏系统综述的系统综合。本综述的目的是总结来自系统综述的证据，这些综述检查了针对青少年饮食失调的心理干预的效果。检索Web of Science、PsycINFO和Cochrane系统评价数据库，从结果(改善饮食失调症状、体重恢复和治疗效果)方面对任何旨在治疗青少年饮食失调的心理干预的有效性和/或疗效进行系统评价。使用AMSTAR 2评估每项研究的方法学质量。最初的检索确定了831篇综述，其中9篇被列入被评为具有低方法学质量的系统综述。青少年急症的主要心理干预是家庭干预。认知行为疗法和第三波疗法的疗效研究较少。神经性厌食症和神经性贪食症是目前研究最多的EDs。本研究为心理干预对青少年饮食失调的积极影响提供了证据。以家庭为基础的治疗是最循证的心理干预。有必要进行高质量的系统评价，以及系统评价，以检查心理干预是否对不同的饮食失调有效。
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Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.2.3
Laura Molina, I. Orue, E. Calvete
The present study examined gender differences in early maladaptive schemas as an explanation for gender differences in the prevalence of eating disorder symptomatology. A total of 789 adolescents (406 boys and 383 girls) between 11 and 17 years of age (M = 14.51, SD = 1.59) completed both the Eating Attitudes Test (EAT-8) to assess eating disorder symptomatology and the Brief Version of the Young Schema Questionnaire for Adolescents and Young Adults (YSQ-3-B) to assess early maladaptive schemas. The results showed that girls had higher early maladaptive schema scores compared to boys, particularly for the disconnection and rejection domain, the impaired autonomy and performance domain, and the other-directedness domain, partially explaining their higher eating disorder symptom scores. The findings of the study are discussed considering the social and patriarchal mandates that exist regarding gender.
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Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.8
María V. Navarro Haro
La literatura científica señala que es importante llevar a cabo una intervención psicológica temprana en el trastorno de la personalidad límite (TPL) debido a que en la adolescencia es cuando se observa un mayor auge de los síntomas graves. Sin embargo, existe poca literatura científica sobre qué tratamientos psicológicos son más eficaces para esta población. El objetivo de este trabajo es realizar una revisión de revisiones sobre los datos de eficacia de los tratamientos psicológicos para adolescentes con rasgos o diagnóstico de TPL o desregulación emocional. Se seleccionaron revisiones que evaluaran la eficacia de tratamientos psicológicos en adolescentes (entre 12 y 19 años) con esta problemática. Se realizó una búsqueda de literatura científica en diversas bases de datos (Web of Science, PsycInfo, Pubmed, Dialnet) y se incluyeron un total de 5 revisiones. Resultados: La Terapia Dialéctica Comportamental para adolescentes (DBT-A) y la Terapia Basada en la Mentalización para adolescentes (MBT-A) han demostrado su eficacia para reducir la ideación suicida, los síntomas de TPL, los niveles de ansiedad y depresión, así como mejorar la adaptación social y la calidad de vida después de la intervención. Sin embargo, algunas revisiones sugieren que la MBT-A podría no ser tan efectiva debido a las altas tasas de abandonos. Las intervenciones psicológicas con más evidencia consiguen reducir los síntomas más graves y mejorar la calidad de vida de los adolescentes con este problema. Es fundamental intervenir lo antes posible, lo que ayudará a prevenir el desarrollo y cronicidad de un trastorno grave y difícil de tratar.
{"title":"Revisión de revisiones sobre la eficacia de los tratamientos psicológicos para adolescentes con trastorno de la personalidad límite","authors":"María V. Navarro Haro","doi":"10.21134/rpcna.2023.10.8","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.8","url":null,"abstract":"La literatura científica señala que es importante llevar a cabo una intervención psicológica temprana en el trastorno de la personalidad límite (TPL) debido a que en la adolescencia es cuando se observa un mayor auge de los síntomas graves. Sin embargo, existe poca literatura científica sobre qué tratamientos psicológicos son más eficaces para esta población. El objetivo de este trabajo es realizar una revisión de revisiones sobre los datos de eficacia de los tratamientos psicológicos para adolescentes con rasgos o diagnóstico de TPL o desregulación emocional. Se seleccionaron revisiones que evaluaran la eficacia de tratamientos psicológicos en adolescentes (entre 12 y 19 años) con esta problemática. Se realizó una búsqueda de literatura científica en diversas bases de datos (Web of Science, PsycInfo, Pubmed, Dialnet) y se incluyeron un total de 5 revisiones. Resultados: La Terapia Dialéctica Comportamental para adolescentes (DBT-A) y la Terapia Basada en la Mentalización para adolescentes (MBT-A) han demostrado su eficacia para reducir la ideación suicida, los síntomas de TPL, los niveles de ansiedad y depresión, así como mejorar la adaptación social y la calidad de vida después de la intervención. Sin embargo, algunas revisiones sugieren que la MBT-A podría no ser tan efectiva debido a las altas tasas de abandonos. Las intervenciones psicológicas con más evidencia consiguen reducir los síntomas más graves y mejorar la calidad de vida de los adolescentes con este problema. Es fundamental intervenir lo antes posible, lo que ayudará a prevenir el desarrollo y cronicidad de un trastorno grave y difícil de tratar.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48719178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.1.3
Teresa Galán-Luque
Anxiety disorders are highly prevalent in children and adolescents. The associated functional limitations and the negative psychological consequences have led to increased research into effective psychological interventions. What is missing, however, is a comprehensive review of the literature addressing the effectiveness of these treatments for specific disorders. A systematic review of systematic reviews and meta-analyses evaluating the effectiveness of psychological treatments for specific anxiety disorders in children and adolescents was performed. The study followed PRISMA guidelines. Four bibliographic databases were searched: MEDLINE (PubMed), PsycINFO, Web of Science (Core Collection), and The Cochrane Library. Two authors independently screened the articles by title, abstract, and full-text, according to established inclusion and exclusion criteria. Two independent authors evaluated the methodological quality of the included reviews using AMSTAR-2. Five records were included in this systematic review. Four studies included children and adolescents with specific phobias, generalized anxiety disorder, and separation anxiety disorder and one focused solely on nocturnal fears. Cognitive behavioral therapy-based interventions have been shown to be effective for the treatment of these diagnoses in both short and long term. The methodological quality of the included studies was classified as critically low. Cognitive behavioral interventions are effective in treating specific phobias, generalized anxiety disorder, and separation anxiety disorder and nighttime fears in children and adolescents. The improvement of the methodological quality and the need for further studies focusing on the effectiveness of treatments for specific disorders are discussed.
焦虑症在儿童和青少年中非常普遍。相关的功能限制和负面心理后果导致对有效心理干预的研究增加。然而，缺少的是对这些治疗特定疾病的有效性的文献的全面回顾。对评估儿童和青少年特定焦虑症心理治疗有效性的系统综述和荟萃分析进行了系统综述。该研究遵循PRISMA指南。检索了四个书目数据库:MEDLINE (PubMed)、PsycINFO、Web of Science(核心馆藏)和The Cochrane Library。两位作者根据既定的纳入和排除标准，分别对文章的标题、摘要和全文进行独立筛选。两位独立作者使用AMSTAR-2评估纳入的综述的方法学质量。本系统综述纳入了5例记录。四项研究包括患有特定恐惧症、广泛性焦虑障碍和分离焦虑障碍的儿童和青少年，一项研究仅关注夜间恐惧。基于认知行为疗法的干预已被证明对这些诊断的短期和长期治疗都是有效的。纳入研究的方法学质量被归类为极低。认知行为干预在治疗儿童和青少年的特定恐惧症、广泛性焦虑症、分离焦虑症和夜间恐惧方面是有效的。讨论了方法质量的提高和进一步研究的必要性，重点是治疗特定疾病的有效性。
{"title":"Effectiveness of psychological interventions for child and adolescent specific anxiety disorders: A systematic review of systematic reviews and meta-analyses","authors":"Teresa Galán-Luque","doi":"10.21134/rpcna.2023.10.1.3","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.1.3","url":null,"abstract":"Anxiety disorders are highly prevalent in children and adolescents. The associated functional limitations and the negative psychological consequences have led to increased research into effective psychological interventions. What is missing, however, is a comprehensive review of the literature addressing the effectiveness of these treatments for specific disorders. A systematic review of systematic reviews and meta-analyses evaluating the effectiveness of psychological treatments for specific anxiety disorders in children and adolescents was performed. The study followed PRISMA guidelines. Four bibliographic databases were searched: MEDLINE (PubMed), PsycINFO, Web of Science (Core Collection), and The Cochrane Library. Two authors independently screened the articles by title, abstract, and full-text, according to established inclusion and exclusion criteria. Two independent authors evaluated the methodological quality of the included reviews using AMSTAR-2. Five records were included in this systematic review. Four studies included children and adolescents with specific phobias, generalized anxiety disorder, and separation anxiety disorder and one focused solely on nocturnal fears. Cognitive behavioral therapy-based interventions have been shown to be effective for the treatment of these diagnoses in both short and long term. The methodological quality of the included studies was classified as critically low. Cognitive behavioral interventions are effective in treating specific phobias, generalized anxiety disorder, and separation anxiety disorder and nighttime fears in children and adolescents. The improvement of the methodological quality and the need for further studies focusing on the effectiveness of treatments for specific disorders are discussed.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68344041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.21134/rpcna.2023.10.1.5
Sofía Maset-Sánchez
Behavioural addictions such as Internet addiction (IA) and, more specifically, Internet gaming disorder (IGD) or video game addiction, have increased their prevalence in recent years in the child and adolescent population. The aim of the present study was to review and synthesise the existing evidence on the effectiveness of psychological treatments for addressing this addiction, as well as to compare them with other types of treatment. To this end, an in-depth search for systematic reviews and meta-analyses was carried out across different databases (WOS, Scopus, PubmMed, Cochrane), inclusion and exclusion criteria were set, and guidelines for the search strategy were defined, as well as the study selection method. A total of 14 reviews and meta-analyses were reviewed. The results showed that cognitive behavioural therapy (CBT) was the most studied psychological treatment, consistently showing effectiveness in reducing the symptoms and severity of IA/IGD. Furthermore, CBT appeared to be more effective when combined with other types of treatment such as pharmacological treatment. It is concluded that there is a need to investigate the effectiveness of psychological treatments for IA/IGD separately in order to provide appropriate interventions to reduce the severity of addiction and improve the quality of life and well-being of children and adolescents.
{"title":"How effective are psychological treatments for internet gaming disorder? An umbrella review","authors":"Sofía Maset-Sánchez","doi":"10.21134/rpcna.2023.10.1.5","DOIUrl":"https://doi.org/10.21134/rpcna.2023.10.1.5","url":null,"abstract":"Behavioural addictions such as Internet addiction (IA) and, more specifically, Internet gaming disorder (IGD) or video game addiction, have increased their prevalence in recent years in the child and adolescent population. The aim of the present study was to review and synthesise the existing evidence on the effectiveness of psychological treatments for addressing this addiction, as well as to compare them with other types of treatment. To this end, an in-depth search for systematic reviews and meta-analyses was carried out across different databases (WOS, Scopus, PubmMed, Cochrane), inclusion and exclusion criteria were set, and guidelines for the search strategy were defined, as well as the study selection method. A total of 14 reviews and meta-analyses were reviewed. The results showed that cognitive behavioural therapy (CBT) was the most studied psychological treatment, consistently showing effectiveness in reducing the symptoms and severity of IA/IGD. Furthermore, CBT appeared to be more effective when combined with other types of treatment such as pharmacological treatment. It is concluded that there is a need to investigate the effectiveness of psychological treatments for IA/IGD separately in order to provide appropriate interventions to reduce the severity of addiction and improve the quality of life and well-being of children and adolescents.","PeriodicalId":43399,"journal":{"name":"Revista de Psicologia Clinica con Ninos y Adolescentes","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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