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Changing or Acknowledging Cognitions: A Meta-Analysis of Reducing Depression in Adolescence 改变或承认认知:减少青少年抑郁的荟萃分析
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-02-26 DOI: 10.1177/10634266231154209
Şeyma Uluköylü, Patty Leijten, M. Assink
Negative cognitions play a key role in the development and maintenance of depression. To reduce depressive symptoms, most interventions either encourage adolescents to change negative cognitions, theorizing that the presence of negative cognitions underlies depression, or to acknowledge negative cognitions, theorizing that one’s reaction to negative cognitions underlies depression. We compared these two therapeutic strategies in a multilevel meta-analysis of the effects of changing versus acknowledging cognitions on adolescent depression. We searched three databases in June 2022 and identified 104 randomized controlled trials (335 effect sizes). The sample comprised 27,978 adolescents (sample mean age 14−18 years) with all levels of depressive symptoms ( Mage = 15.6 years; 63% female; 65% ethnic majority). The overall effect of interventions on depression was small ( d = 0.21, p < .001). We found no evidence that either strategy was superior to the other. Strategies to acknowledge ( d = 0.23, p = .016) or change cognitions ( d = 0.20, p < .001) both reduced adolescent depression. Our findings suggest, though based on self-reported outcomes, that both strategies are effective in reducing adolescent depression, which allows for flexibility for clinicians and patients. The next step to further understand these strategies is to scrutinize the relative effects of single versus combined approaches to change and acknowledge negative cognitions.
消极认知在抑郁症的发展和维持中起着关键作用。为了减轻抑郁症状,大多数干预措施要么鼓励青少年改变消极认知,从理论上认为消极认知的存在是抑郁的基础,要么承认消极认知,从理论上认为一个人对消极认知的反应是抑郁的基础。我们对改变认知与承认认知对青少年抑郁症的影响进行了多层次荟萃分析,比较了这两种治疗策略。我们于2022年6月检索了三个数据库,确定了104个随机对照试验(335个效应量)。样本包括27,978名青少年(样本平均年龄14 - 18岁),有不同程度的抑郁症状(年龄= 15.6岁;63%的女性;占65%的少数民族)。干预措施对抑郁症的总体影响较小(d = 0.21, p < 0.001)。我们没有发现任何证据表明哪一种策略优于另一种策略。承认策略(d = 0.23, p = 0.016)和改变认知策略(d = 0.20, p < 0.001)均可降低青少年抑郁。我们的研究结果表明,尽管基于自我报告的结果,但这两种策略在减少青少年抑郁症方面都是有效的,这给临床医生和患者提供了灵活性。进一步了解这些策略的下一步是仔细检查改变和承认消极认知的单一方法和联合方法的相对效果。
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引用次数: 0
School Refusal in Adolescence: Personality Traits and Their Influence on Treatment Outcome 青少年拒学:人格特质及其对治疗结果的影响
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-02-21 DOI: 10.1177/10634266231151903
Christina M. C. E. de Groot, D. Heyne, A. Boon
There has been little attention to personality in research on school refusal (SR). This study examined personality traits among 41 adolescents receiving cognitive–behavioral therapy (CBT) during participation in a School Refusal Program. Traits were examined via clinical scales and 2-point code types derived from the Minnesota Multiphasic Personality Inventory—Adolescent. The influence of personality traits on treatment outcome was examined at post-treatment and 1-year follow-up. At pretreatment, eight of the 10 clinical scales were disproportionately skewed toward the “high to very high” range relative to a norm group. Social introversion and depressive symptomatology were significantly increased relative to the norm group, and nearly one-half of the adolescents were characterized by code type 2-3/3-2 (depression/hysteria) or 2-0/0-2 (depression/social introversion). Adolescents characterized by a 2-0/0-2 code type were almost twice as likely (odds ratio = 1.78) to be treatment responders at post-treatment. There was no relation between personality traits and treatment outcome at follow-up. The small sample size limits generalization of the study’s findings. If the results are replicated, personality traits may provide useful indications for personalizing treatment when employing interventions recommended in CBT manuals for SR.
在拒绝学业的研究中,人格因素一直受到较少的关注。本研究对41名接受认知行为疗法(CBT)的青少年进行了人格特征分析。通过临床量表和来自明尼苏达州多相人格量表-青少年的2点代码类型来检查特征。在治疗后和1年随访中检查人格特质对治疗结果的影响。在预处理时,10个临床量表中有8个相对于标准组不成比例地偏向“高到非常高”的范围。与正常组相比,社会内向和抑郁症状显著增加,近一半的青少年表现为2-3/3-2(抑郁/歇斯底里)或2-0/0-2(抑郁/社会内向)。以2-0/0-2编码类型为特征的青少年在治疗后成为治疗应答者的可能性几乎是治疗应答者的两倍(优势比= 1.78)。随访时人格特征与治疗结果无相关性。小样本量限制了研究结果的推广。如果结果是重复的,人格特征可能为采用CBT手册中推荐的针对SR的干预措施提供有用的个性化治疗指示。
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引用次数: 1
There’s No Place Like Us: Beyond Fidelity of Implementation in Rural Contexts 没有像我们这样的地方:在农村环境中超越执行的保真度
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-02-18 DOI: 10.1177/10634266231155856
Margaret P. Weiss, D. Rowe, Pamela J. Mims, Thomas W. Farmer
Rural schools experience difficulty in filling teaching positions at higher rates than non-rural schools. Recruiting and retaining teachers are critical in these districts; however, because the term “rural” is variable, a one-size-fits-all response is not possible. Rural communities tend to be geographically remote, have a low critical mass of students with distinct disabilities, and have relatively few resources to provide differential support for students. In this context, special educators may find themselves in circumstances where they operate as general specialists who are responsible for addressing a broad range of student needs without the support of other related service providers (e.g., school psychologists, curriculum specialists, school counselors, speech and language pathologists). Garwood’s article provides a catalyst to consider ecological system factors that affect burnout, attrition, and, as a consequence, instruction, particularly for students with disabilities. In this response, we view this issue from a perspective of rural schools, where the system contexts are varied and directly impact teacher-level variables, such as the ability to implement evidence-based practices (EBPs) with fidelity. Taking a developmental systems approach, we describe what makes rural settings unique and how these characteristics interact with the critical features of EBPs, as well as suggest how preparation and induction programs might better prepare and sustain teachers to adapt instruction to these rural contexts. We conclude with implications for practice and policy.
与非农村学校相比,农村学校在填补教师职位方面存在困难。招聘和留住教师在这些地区至关重要;然而,由于“农村”一词是可变的,因此不可能采取一刀切的应对措施。农村社区往往地理位置偏远,具有明显残疾的学生的临界质量较低,并且为学生提供差别支持的资源相对较少。在这种情况下,特殊教育工作者可能会发现自己处于一般专家的地位,负责解决学生的广泛需求,而没有其他相关服务提供者(例如,学校心理学家、课程专家、学校辅导员、言语和语言病理学家)的支持。Garwood的文章提供了一种催化剂,可以考虑影响倦怠、损耗以及教学的生态系统因素,特别是对残疾学生。在本回应中,我们从农村学校的角度来看待这一问题,农村学校的制度背景各不相同,并直接影响教师水平的变量,例如忠实地实施循证实践(ebp)的能力。采用发展系统的方法,我们描述了农村环境的独特之处,以及这些特征如何与ebp的关键特征相互作用,并提出了准备和诱导计划如何更好地准备和支持教师适应这些农村环境的教学。最后,我们提出了对实践和政策的启示。
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引用次数: 0
What Parents Think Versus What Parents Do: Examining Parental Accommodation Beliefs and Behaviors in Relation to Youth Anxiety in the Presence of Externalizing Concerns 父母所想的与父母所做的:在外化关注的存在下,检查父母的适应信念和行为与青少年焦虑的关系
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-02-09 DOI: 10.1177/10634266231154205
Austen McGuire, Katie Kriegshauser, J. Blossom
Anxiety and externalizing concerns create notable challenges for families. One factor that has been widely studied in relation to anxiety concerns, which may also be influenced by externalizing symptoms, is parental accommodation. Most research on parental accommodation has tended to focus on behaviors, while not accounting for accommodation beliefs. The current study sought to examine the relation between both parental accommodation beliefs and behaviors and also determine to what extent externalizing symptoms may influence this relation in youth. Treatment-seeking youth ( N = 260; Mage = 13.48, range: 8–17) and their caregivers completed measures on anxiety symptoms, externalizing symptoms, and parental accommodation. Results indicated that parental accommodation behaviors had a direct influence on anxiety-related family impairment and avoidance but not anxiety symptom severity. There were no direct associations for parental accommodation beliefs. Externalizing symptoms moderated the relation between accommodation behaviors and family impairment, suggesting that the influence of parental accommodation on reported family impairment is attenuated at greater levels of externalizing symptoms. These findings highlight the importance of considering externalizing symptoms when examining the relation between parental accommodation and anxiety presentations, as well as further researching how accommodation-specific beliefs may influence accommodation behaviors and anxiety in youth.
焦虑和外化的担忧给家庭带来了显著的挑战。与焦虑担忧相关的一个被广泛研究的因素,也可能受到外化症状的影响,就是父母的迁就。大多数关于父母迁就的研究都倾向于关注行为,而没有考虑迁就的信念。目前的研究试图检验父母迁就信念和行为之间的关系,并确定外化症状在多大程度上可能影响青少年的这种关系。寻求治疗的青年(N = 260;Mage = 13.48,范围:8-17)和他们的照顾者完成了焦虑症状、外化症状和父母适应的测量。结果表明,父母迁就行为对焦虑相关家庭损害和回避有直接影响,对焦虑症状严重程度无直接影响。父母的迁就信念没有直接的联系。外化症状缓和了迁就行为与家庭损害之间的关系,这表明父母迁就对报告的家庭损害的影响在外化症状水平较高时减弱。这些发现强调了在检查父母住宿与焦虑表现之间的关系时考虑外化症状的重要性,以及进一步研究住宿特定信念如何影响青少年的住宿行为和焦虑。
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引用次数: 0
School Leadership, Climate, and Professional Isolation as Predictors of Special Education Teachers’ Stress and Coping Profiles 学校领导、氛围和职业隔离对特殊教育教师压力和应对的影响
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-02-01 DOI: 10.1177/10634266221148974
K. Herman, James Sebastian, Colleen L. Eddy, W. Reinke
Much recent literature has highlighted the stressful nature of teaching and its relations with teacher and student well-being. The present study extended this literature to focus on special education teachers. We first conducted a latent class analysis to characterize patterns of stress and coping among special education teachers (N = 404). Consistent with several prior studies with general education teachers and principals, we found three profiles: normative (high stress/high coping), maladaptive (high stress/low coping), and adaptive (low stress/high coping). Next, we examined school contextual predictors of these profiles including leadership characteristics (collegial, instructional), density of special education teachers (an indicator of professional isolation), and climate factors (teacher affiliation, school structure and support, safety, expectations). The maladaptive class was distinguished by a lower proportion of special education teachers, worse perceptions of school disciplinary structure and school safety, and higher academic expectations. The findings have implications for improving the burnout model presented in the special series overview and for creating school contexts that improve special education teacher well-being, persistence, and implementation fidelity.
最近的许多文献都强调了教学的压力性质及其与教师和学生福祉的关系。本研究将此文献延伸至特殊教育教师。我们首先对特殊教育教师(N = 404)的压力和应对模式进行了潜在阶级分析。与先前对通识教育教师和校长的研究一致,我们发现了三种特征:规范(高压力/高应对)、适应不良(高压力/低应对)和适应(低压力/高应对)。接下来,我们研究了这些概况的学校背景预测因素,包括领导特征(学院、教学)、特殊教育教师密度(专业隔离的一个指标)和气候因素(教师隶属关系、学校结构和支持、安全性、期望)。适应不良班级的特点是特殊教育教师的比例较低,对学校纪律结构和学校安全的看法较差,学业期望较高。研究结果对改进特别系列概述中提出的职业倦怠模型和创造改善特殊教育教师幸福感、持久性和实施保真度的学校环境具有启示意义。
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引用次数: 1
Teacher Burnout and Supporting Teachers of Students with Emotional and Behavioral Disorders 情绪与行为障碍学生的教师倦怠与支持教师
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-02-01 DOI: 10.1177/10634266221149970
K. Granger, K. Sutherland, M. Conroy, Emma Dear, Ashley Morse
This article will provide a brief reflection on Garwood’s summary of research on special education teacher burnout and fidelity of implementation in delivery of evidence-based behavioral interventions. Subsequently, we provide a conceptual and empirical summary of key issues for supporting teachers of students with emotional and behavioral disorders (EBDs) through the lens of BEST in CLASS (a Tier 2 intervention supporting teacher’s use of evidence-based practices with students with or at risk for EBD). This summary will (a) outline the theoretical structure that supports how BEST in CLASS may improve teacher–student relationships and reduce teacher burnout, (b) demonstrate the influence of BEST in CLASS on teacher burnout in a sample of elementary school teachers and discuss findings, (c) propose that researchers consider burnout within the context of dynamic classroom systems, and (d) link these suggestions to theoretical frameworks. We conclude with a discussion of Garwood’s call to action and implications for future research.
本文将简要回顾Garwood对特殊教育教师职业倦怠和基于证据的行为干预实施忠实度的研究总结。随后,我们通过BEST in CLASS(一种二级干预,支持教师对患有或有患EBD风险的学生使用循证实践)的视角,对支持患有情绪和行为障碍(EBD)学生的教师的关键问题进行了概念和实证总结。本摘要将(a)概述支持BEST in CLASS如何改善师生关系和减少教师倦怠的理论结构,(b)在小学教师样本中展示BEST in CLASS对教师倦怠的影响,并讨论研究结果,(c)建议研究人员在动态课堂系统的背景下考虑倦怠,(d)将这些建议与理论框架联系起来。最后,我们讨论了加伍德的行动呼吁和对未来研究的影响。
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引用次数: 2
The Crucial Role of Administrators in Shaping Working Conditions for Teachers of Students With EBD 管理者在塑造EBD学生教师工作条件中的关键作用
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-01-29 DOI: 10.1177/10634266221149933
Allison F. Gilmour, Lia E. Sandilos
School administrators make decisions that directly affect the educational context in which teachers work and students learn. In this commentary, we argue that addressing the burnout of individual special educators without attending to school working conditions may do little to improve teachers’ burnout and the outcomes of students with emotional/behavioral disorders (EBD). We review the literature regarding the importance of working conditions, specifically collegial supports, workload and time pressure, professional development and in-service training, and safety, for teachers’ affect and career decisions, and literature showing how administrators’ choices are related to working conditions. Students with EBD are served within schools, not just by special educators acting independently and alone. Improving implementation of evidence-based practices for students with EBD through addressing teacher burnout requires attention to the broader school system and the ways in which administrators make choices that support or constrain the abilities of the teachers within their schools.
学校管理者做出的决定直接影响到教师工作和学生学习的教育环境。在这篇评论中,我们认为,在不关注学校工作条件的情况下解决个别特殊教育工作者的倦怠问题,可能对改善教师的倦怠和情绪/行为障碍(EBD)学生的结果几乎没有帮助。我们回顾了有关工作条件的重要性的文献,特别是学院支持、工作量和时间压力、专业发展和在职培训以及安全,对教师的影响和职业决策,以及有关管理人员的选择如何与工作条件相关的文献。患有EBD的学生在学校里接受服务,而不仅仅是由独立和单独行动的特殊教育工作者。通过解决教师倦怠问题来改善对EBD学生的循证实践的实施,需要关注更广泛的学校系统,以及管理者在学校内做出支持或限制教师能力的选择的方式。
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引用次数: 2
A Cross-Sectional Study of Children’s Irritability Determining the Links Between Their Ego-Resilience and Symptoms of Anxiety and Depression 儿童易怒与自我恢复力与焦虑和抑郁症状之间关系的横断面研究
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-01-14 DOI: 10.1177/10634266221149361
J. Busch, Clara Bleckmann, Lisa Schettgen, E. Krey, G. Siefen
Children’s ego-resilience (within-person capacities that facilitate psychological resistance) and irritability (increased proneness to experience negative affective states following environmental stressors) are critical determinants of their mental health. Here, we investigated how ego-resilience engages with irritability when linked to symptoms of anxiety and depression. We analyzed cross-sectional survey data from a combined clinical and nonclinical sample. Overall, 228 children ( Mage = 12.52, SDage = 2.69; 41.7% female) reported on symptoms of depression/anxiety, ego-resilience, and irritability. Moderated hierarchical regression analyses showed that ego-resilience was negatively associated with symptoms of anxiety and depression and that irritability was positively related to heightened symptom levels. Ego-resilience and irritability had overall stronger associations with symptoms of depression than anxiety. Irritability moderated the association between ego-resilience and depression, such that the effects of ego-resilience were stronger among highly irritable children. We discuss our findings within environmental and biological sensitivity frameworks. Future research must substantiate our findings and determine whether sensitivity frameworks help better understand the potentially interrelated impact of ego-resilience with irritability on children’s mental health.
儿童的自我恢复力(促进心理抵抗的个人能力)和易怒(在环境压力刺激后更容易经历消极情感状态)是他们心理健康的关键决定因素。在这里,我们调查了当与焦虑和抑郁症状相关时,自我恢复力是如何与易怒相关联的。我们分析了来自临床和非临床样本的横断面调查数据。总共228个孩子(法师= 12.52,年龄= 2.69;41.7%女性)报告有抑郁/焦虑、自我恢复力和易怒的症状。适度层次回归分析显示,自我恢复力与焦虑和抑郁症状呈负相关,易怒与症状水平升高呈正相关。总体而言,自我恢复力和易怒与抑郁症状的关联比焦虑更强。易怒调节了自我恢复力和抑郁之间的联系,因此自我恢复力的影响在高度易怒的儿童中更强。我们在环境和生物敏感性框架内讨论我们的发现。未来的研究必须证实我们的发现,并确定敏感性框架是否有助于更好地理解自我恢复力与易怒对儿童心理健康的潜在相互影响。
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引用次数: 0
Supporting the Fraction Magnitude Understanding of Students With Significant Behavior Problems 支持有重大行为问题学生的分数量级理解
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-01-14 DOI: 10.1177/10634266221149357
Emma Fisher, Minyi Shih Dennis
The purpose of this study was to examine the effects of a number line intervention with supported self-explanation on student understanding of fraction magnitude and quality of explanation. Participants were three middle school students with significant behavior problems. Participants were given eight lessons containing explicit instruction for fraction number line placement and self-explanation. A multiple-probe design was used to evaluate the effects of the intervention. Visual analysis and Tau- U showed the intervention was very effective for improving student placement of fractions on the number line and increasing the quality of student explanations for their answers. Discussion of results and implications for future research and practitioners are included.
本研究的目的是检验支持自我解释的数轴干预对学生理解分数大小和解释质量的影响。研究对象为三名存在严重行为问题的中学生。参与者被给予八节课,包括分数数轴放置和自我解释的明确指导。采用多探头设计来评估干预的效果。视觉分析和Tau- U显示,干预对提高学生分数在数轴上的位置和提高学生对答案的解释质量非常有效。讨论结果和对未来的研究和从业者的影响。
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引用次数: 0
Special Education Teachers of Color Burnout, Working Conditions, and Recommendations for EBD Research 特殊教育教师的有色人种职业倦怠、工作条件与EBD研究建议
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2023-01-12 DOI: 10.1177/10634266221146495
LaRon A. Scott, Elizabeth F. Bettini, Nelson C. Brunsting
This article is in direct response to Garwood’s call to action about burnout and the special education teacher workforce. While Garwood’s call to action is critically needed, we contend that the call is incomplete as it lacks emphasis on factors linking sociocultural identity and burnout. Therefore, in this article, we discuss the significance of elevating sociocultural identity, specifically race and ethnicity, into research about special education teacher burnout. We argue that any research on special education teacher burnout that does not include race and ethnicity is overlooking the racialization of special education teachers’ working conditions, and ultimately is incapable of addressing one of the most pressing issues in the special education field—retaining teachers of color. Recommendations for researchers to address sociocultural identities (i.e., race and ethnicity) in their research, specifically about special education teachers of color teaching students with emotional and behavioral disorders, are addressed.
这篇文章是对加伍德关于职业倦怠和特殊教育教师队伍的呼吁的直接回应。虽然加伍德的行动呼吁是迫切需要的,但我们认为这一呼吁是不完整的,因为它缺乏对社会文化认同和倦怠之间联系因素的强调。因此,在本文中,我们探讨提升社会文化认同,特别是种族和民族认同在特殊教育教师职业倦怠研究中的意义。我们认为,任何关于特殊教育教师职业倦怠的研究,如果不考虑种族和民族因素,就会忽视特殊教育教师工作条件的种族化,最终无法解决特殊教育领域最紧迫的问题之一——保留有色人种教师。建议研究人员在他们的研究中解决社会文化认同(即种族和民族)问题,特别是关于有色人种特殊教育教师教有情感和行为障碍的学生。
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引用次数: 0
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Journal of Emotional and Behavioral Disorders
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