Protocolo unificado de grupo para el tratamiento de la ansiedad y la depresión en la infancia

Childhood anxiety and mood disorders are common and are associated with high levels ofimpairment. These disorders share a common etiology and risk factors, and are often experiencedconcurrently. While evidence-based interventions for youth anxiety and depressive disorders do exist,children experiencing this common comorbidity tend to experience weaker treatment outcomes inanxiety or depression focused treatments as compared to youth suffering from either disorder alone.Researchers are now investigating transdiagnostic interventions, which have potential to target commonvulnerability factors and address a wider range of concerns. The Unified Protocol for the Treatmentof Emotional Disorders in Children: Emotion Detectives (UP-C: ED) is a transdiagnostictreatment that implements a set of core principles to address common factors underlying youth anxietyand depressive disorders in a group setting. Theoretical underpinnings of the UP-C: ED are discussedalong with an in-depth presentation of treatment content. A case study is also presented detailinginitial intake, treatment conceptualization, treatment, and treatment outcomes using this modality.Los trastornos de ansiedad y del estado de ánimo son comunes y están asociados a niveleselevados de perturbación. Estos trastornos comparten etiología y factores de riesgo comunes,y frecuentemente son experimentados al mismo tiempo. Aunque existen intervenciones basadas enla evidencia para el tratamiento de los trastornos de ansiedad y del estado de ánimo en jóvenes, losniños que experimentan esta comorbilidad obtienen peores resultados terapéuticos, a través de lostratamientos focalizados en la ansiedad o en la depresión, que los niños que sólo sufren de uno deestos trastornos. Recientemente se han investigado los tratamientos transdiagnósticos, los cualestienen la capacidad de centrarse en los factores de vulnerabilidad comunes y abordar un conjuntoamplio de problemas. El Unified Protocol for Children: Emotion Detectives (UP-C: ED) es untratamiento transdiagnóstico de grupo, que implementa un conjunto de principios básicos, pensadopara abordar los factores comunes que subyacen a los trastornos de ansiedad y depresión infantojuveniles.Se discute la estructura teórica del UP-C: ED junto con una presentación exhaustiva delcontenido del tratamiento. También se presenta un estudio de caso detallando la evaluación inicial,la conceptualización del tratamiento, el tratamiento y los resultados obtenidos

Are there specific metacognitive processes associated with anxiety disorders in youth?

While Wells’ metacognitive model of generalized anxiety disorder (GAD) posits that certain metacognitive processes, such as negative meta-worry (negative beliefs about worry), are more strongly associated with symptoms of GAD than other anxiety disorders in adults, research has yet to determine whether the same pattern is true for younger individuals. We examined the relationship between several metacognitive processes and anxiety disorder diagnostic status in a sample of 98 youth aged 7–17 years. Twenty youth with GAD were compared with similarly sized groups of youth with obsessive-compulsive disorder (OCD, n = 18), social phobia (SOC, n = 20), separation anxiety disorder (SAD, n = 20), and healthy controls who were not patients (NONP, n = 20) using a self-report measure of metacognition adapted for use with young people in this age range (Metacognitions Questionnaire for Children). Contrary to expectations, only one specific metacognitive process was significantly associated with an anxiety disorder diagnosis, in that the controls endorsed a greater degree of cognitive monitoring (self-reported awareness of one’s thoughts) than those with SAD. In addition, there was a trend indicating that nonpatients scored higher than youth with GAD on this scale. These surprising results suggest potentially differing patterns in the relationships between symptoms and metacognitive awareness in anxious youth, depending on the type of anxiety disorder presentation

Project Reach: Implementation of Evidence-Based Psychotherapy Within Integrated Healthcare for Hurricane Harvey Affected Individuals

Project Reach was established to deliver evidence-based mental healthcare services to children and adults affected by Hurricane Harvey and its aftermath. Through Project Reach, an innovative multi-component assessment and treatment service is utilized to identify and treat in integrated healthcare settings both children and adults exhibiting significant behavioral health concerns in Houston. The aim is to provide sustainable, integrated mental health services through primary care and school-based settings to post-Harvey affected individuals whose emotional needs remain unmet. This paper describes the design and implementation of Project Reach as well as special considerations for implementation. The overall goal of Project Reach is to form a platform for expanding integrated services for those affected by Harvey that will maximize behavioral health outcomes while reducing cost and improving access

Panic Disorder

This chapter contains sections titled: Symptom Picture and Onset Differential Diagnosis Evidence‐Based Assessment Evidence‐Based Treatment Intensive Treatment Adaptation Parental Involvement Case Study: Lucia M

The Parents are Not Alright: A Call for Parental Mental Health Screening During the COVID-19 Pandemic

This commentary provides an overview and rationale for additive screening and prevention of mental health issues in caregivers (e.g. parents, etc.) during the COVID-19 pandemic. While universal screening is recommended, particular emphasis is placed on enhancing screening for caregivers more likely to experience increased or prolonged emotional distress during this extraordinary time, such as those with pre-existent mental health symptoms, those experiencing racism, financial challenges, health difficulties and/or bereavement. Specific recommendations for ways in which medical providers and other specialty care providers working with youth might enhance their screening procedures to be inclusive of caregivers are provided, along with prevention and intervention steps that may be initiated if mental health concerns are detected

The Parents Are Not Alright: A Call for Caregiver Mental Health Screening During the COVID-19 Pandemic.

Nearly a year into the COVID-19 pandemic, conversations about the impact of COVID-19 on children and families have shifted. Initial advice for parents stressed topics such as how to talk about the pandemic with children or cope with illness-related distress. They now focus on youth adjustment to a heavily disrupted school year and on strategies for building long-term resilience. Although these conversations often center on youth adjustment, they have-at last-started to consider the well-being of parents (and other caregivers) as well. This shift in focus is crucial given the enormous challenges that parents face right now and the direct links between their well-being and that of their children. What continues to lag, even well into the pandemic, however, is the provision of workable solutions for addressing parents mental health. While we applaud the renewed focus on parenting stress and well-being, we remain deeply concerned by the absence of a plan for intervening

Ethnicity’s Role in the Relationship Between Anxiety and Negative Interpretation Bias Among Clinically Anxious Youth: A Pilot Study

Negative interpretation bias, a correlate of anxiety, is defined as an individual’s tendency to interpret ambiguous events as negative or threatening. The current study examined associations between interpretation bias and anxiety symptoms in clinically anxious youth and potential moderators of these relationships. Thirty anxious youth and their parents participated in a clinical interview and reported on child anxiety symptoms. Youth completed implicit, explicit-personally irrelevant, and explicit-personally relevant interpretation bias measures. Child-reported anxiety was only associated with negative interpretation bias on the explicit-personally relevant measure and parent-reported social anxiety was negatively associated with positive bias on this measure. Hispanic individuals displayed marginally higher anxiety symptoms and significantly more intense negative interpretation on the implicit measure. While this pilot study revealed preliminary findings that Hispanic ethnicity may play a role in relationships between interpretation bias and anxiety, future work may further elucidate associations between interpretation bias, anxiety, and ethnicity in anxious youth

Introduction to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents History, Rationale, Adaptations

This chapter provides a brief historical and theoretical introduction to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C and UP-A), followed by practical guidance for using this volume to treat children and adolescents. The chapter situates transdiagnostic treatments within the historical development of evidence-based interventions for children and adolescents and distinguishes core-dysfunction–focused transdiagnostic treatments, such as the UP-C and UP-A, from other types of transdiagnostic treatments. The chapter reviews key core dysfunctions underlying emotional disorders that are addressed through treatment with the UP-C and UP-A. The authors discuss the rationale for this volume, which focuses on applications of the UP-C and UP-A to youth with diagnoses other than anxiety and depression and youth being treated in delivery settings outside of the standard weekly therapy format. Tips for using this volume in conjunction with the UP-C and UP-A therapist guide and workbooks are offered