New Beginnings: Starting a Career as a Medical Librarian during a Global Pandemic

Objective This poster aims to discuss experiential reflections of starting a new career as a medical library professional during the global pandemic and the respective supervisorial perspective. The reflections convey some of the challenges faced while beginning a career where traditional on-the-job experience was unavailable and the issues of providing training and mentoring remotely to subordinates. Methods Written narratives from two library professionals who received their degrees during the global pandemic and their supervisors. It presents subjective pros and cons in a ‘new normal’ workplace from the reflections written by four medical library professionals. As well, it lists some of the methods they utilized to combat burnout during the COVID-19 pandemic. Results We found some of the changes resulted in quality-of-life improvements in the workplace, while other adjustments placed limitations on services provided. Collectively, we were able to scrutinize how we traditionally utilized workspace and staffing to see if there is a better approach as we go forward. The burden of the pandemic still affects the library with staff shortages as we begin to recover and move to full reopening in preparation for the new academic year. Conclusions Some of the traditional aspects of learning through on-the-job experiences were, unfortunately, limited. Alternatives for professional development were implemented, and some provided great opportunities. There have been obvious challenges to everyone’s personal and professional life since the start of the pandemic. Library professionals, traditionally, have had to adapt and evolve their job as patron needs shift which may make them more resilient. Some have found ways to thrive, and others find ways to get through the bumps

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

Wearable Sensors Outperform Behavioral Coding as Valid Marker of Childhood Anxiety and Depression

There is a significant need to develop objective measures for identifying children under the age of 8 who have anxiety and depression. If left untreated, early internalizing symptoms can lead to adolescent and adult internalizing disorders as well as comorbidity which can yield significant health problems later in life including increased risk for suicide. To this end, we propose the use of an instrumented fear induction task for identifying children with internalizing disorders, and demonstrate its efficacy in a sample of 63 children between the ages of 3 and 7. In so doing, we extract objective measures that capture the full six degree-of-freedom movement of a child using data from a belt-worn inertial measurement unit (IMU) and relate them to behavioral fear codes, parent-reported child symptoms and clinician-rated child internalizing diagnoses. We find that IMU motion data, but not behavioral codes, are associated with parent-reported child symptoms and clinician-reported child internalizing diagnosis in this sample. These results demonstrate that IMU motion data are sensitive to behaviors indicative of child psychopathology. Moreover, the proposed IMU-based approach has increased feasibility of collection and processing compared to behavioral codes, and therefore should be explored further in future studies

An Open Trial Investigation of Emotion Detectives: A Transdiagnostic Group Treatment for Children with Anxiety and Depression

Anxiety and depressive disorders are prevalent among youth and are often experienced concurrently or sequentially during development (Kroes et al., 2001; Costello, Erklani, & Angold, 2006). These disorders are also associated with weaker cognitive behavioral treatment (CBT) outcomes when experienced simultaneously in youth (e.g. Berman, Weems, Silverman, & Kurtines, 2000). Treatment research has begun to investigate the feasibility and efficacy of treating comorbid emotional disorders using transdiagnostic treatment approaches (Barlow et al., 2010; Ehrenreich et al., 2008). Evidence from adult and adolescent populations indicates that these more broadly focused treatment programs may offer benefits above and beyond disorder- and domain-specific protocols, leading to improvements in diagnostic severity and emotion regulation across a range of disorders and emotions (Ellard, Fairholme, Boisseau, Farchione, & Barlow, 2010; Ehrenreich-May & Remmes, 2010). The current study extends transdiagnostic treatment research to school-age children, ages 7-12, in a mental health clinic setting by investigating preliminary post-treatment outcomes and treatment acceptability in a recent open trial (N enrolled= 16; N completed treatment=13) of the Emotion Detectives Treatment Protocol (EDTP; Ehrenreich-May & Laird, 2009). Results revealed that participants experienced significant improvements in clinical severity ratings of principal and all related diagnoses, as well as in parent reported anxious and parent and child reported depressive symptoms at the post-treatment assessment. Additionally, parents reported gains in child coping and improvements in dysregulation across emotional domains (including worry, sadness, and anger). The EDTP had good retention rates, moderately good attendance, and parents and children reported high levels of treatment satisfaction. The results of this open trial provide preliminary evidence for the utility and acceptability of a transdiagnostic group protocol to treat both clinical anxiety disorders, as well as self- and parent-reported anxious and depressive symptoms for youth within a mental health setting. These results suggest that children may uniquely benefit from a more generalized, emotion-focused treatment modality, such as the EDTP, that can offer flexibility in its treatment targets to families as well as mental health clinicians.</p

A Multimethod Assessment of Emotion Regulation and Associations with Anxiety Symptoms in a Clinical Sample of School-Age Youth

There is a wealth of research demonstrating the relationship between emotion regulation deficits and anxiety symptoms (Zeman, Shipman & Suveg, 2002; Penza-Clyve & Zeman, 2002; Suveg & Zeman, 2004). However, rigorous investigations incorporating multimethod assessments of emotion regulation are rare (Adrian, Zeman & Viets, 2011; Thompson, 2011a). Participants were 153 children, ages 6-13 (Mage = 9.39, 51.6% male), diagnosed with a clinical anxiety disorder. Analyses indicated significant convergence between parent- and child-report of dysregulation, and between informant and observer-reports of dysregulation. No other convergence was observed. Examinations of divergence across parent- and child-report of youth inhibition, dysregulation and coping indicated that all scales differed significantly by informant. The relationship between emotion regulation and anxiety symptoms was examined via a series of canonical correlations. Analyses revealed a significant association between youth dysregulation and anxiety. Additionally, there was a significant relationship between emotion regulation and youth anxiety. Findings demonstrate that inhibition and coping were found to be the most divergent scales. Dysregulation was found to have higher levels of convergence, both between informants and across assessment methods. This is consistent with research in youth mental health demonstrating greater convergence for more observable behaviors, and divergence for internalized targets (e.g. De Los Reyes et al., 2015). Results also indicate that different measurements of emotion regulation provided incremental validity to the assessment of emotion regulation and anxiety. Overall, these results support the rationale for multimethod assessment of emotion regulation, for better understanding both the construct of emotion regulation, and its relationship with youth anxiety.</p

The Development of a Transdiagnostic, Cognitive Behavioral Group Intervention for Childhood Anxiety Disorders and Co-Occurring Depression Symptoms

Anxiety and depression are highly prevalent and frequently comorbid classes of disorder associated with significant impairment in youth. While current transdiagnostic protocols address a range of potential anxiety and depression symptoms among adult and adolescent populations, there are few similar treatment options for school-aged children with symptoms of these emotional disorders. Such a protocol could be of particular benefit to children experiencing emergent anxiety and depressive symptoms prior to adolescence, as these youth may be at risk for a more severe and protracted course of illness. For this reason, Emotion Detectives, a cognitive behavioral group treatment program, was developed as a downward extension of existent transdiagnostic protocols for emotional disorders in older populations (e.g., Barlow et al., 2010; Ehrenreich et al., 2008) for use with children ages 7 to 12 and their families. This paper will discuss the theoretical basis for Emotion Detectives and provide a description of its 15-session protocol, its unique and developmentally sensitive features, and case studies of 2 children enrolled in an ongoing open trial. ► Discusses the rationale for a transdiagnostic treatment for anxiety and depression. ► Describes the Emotion Detectives Treatment Program for children. ► Provides case studies of two participants in an open trial of Emotion Detectives

An open trial investigation of a transdiagnostic group treatment for children with anxiety and depressive symptoms

The current study investigates the feasibility and preliminary outcomes associated with a transdiagnostic emotion-focused group protocol for the treatment of anxiety disorders and depressive symptoms in youth. Twenty-two children (ages 7 to 12; M=9.79) with a principal anxiety disorder and varying levels of comorbid depressive symptoms were enrolled in an open trial of the Emotion Detectives Treatment Protocol (EDTP; Ehrenreich-May & Bilek, 2009), an intervention adapted from existent unified protocols for the treatment of emotional disorders among adults and adolescents. Results indicate that participants experienced significant improvements in clinician-rated severity of principal anxiety disorder diagnoses (d=1.38), the sum of all anxiety and depressive disorder severity ratings (d=1.07), and child-reported anxiety (d=0.47) and parent-reported depressive symptoms (d=0.54) at the posttreatment assessment. EDTP had good retention rates and reports of high satisfaction. Thus, preliminary evidence suggests that EDTP is a feasible and potentially efficacious treatment of youth anxiety disorders and co-occurring depressive symptoms. Children experiencing a range of internalizing symptoms may benefit from this more generalized, emotion-focused treatment modality, as it offers flexibility to families and the mental health clinician, while maintaining a concurrent focus on the provision of cognitive-behavioral treatment skills vital to the amelioration of anxiety and depressive disorder symptoms in youth

Universal Prevention of Anxiety and Depression in a Recreational Camp Setting: An Initial Open Trial

BACKGROUND: Anxiety and depressive disorders may pose a long-term, deleterious impact on youth, prompting a need for early and effective prevention of such concerns. A growing body of research has examined universal prevention programs targeting these emotional disorders in childhood. While most universal prevention programs are offered within the school setting, there is also a rationale for developing and investigating prevention programs within novel settings, including a recreational context. OBJECTIVE: This initial investigation utilized the Emotion Detectives Prevention Program (EDPP), a universal prevention protocol focusing on anxiety and depression symptoms within a recreational summer camp. The aims of this pilot study were to assess the EDPP’s feasibility and participant satisfaction following its initial administration in a camp setting. METHOD: Forty children (ages 7–10 years, 70.7% male) were recruited from an existent recreational sports camp and participated in a non-randomized, open trial of the EDPP. The EDPP, a 15-session program, presents cognitive-behavioral strategies in a manner that emphasizes strategy applicability across a range of emotional experiences. RESULTS: Participating children reported a significant decrease in anxiety symptoms at post–prevention. No significant change in depression symptoms or other emotion regulation indices were reported. Moderate to high participant satisfaction was indicated. CONCLUSIONS: The EDPP appears to be a feasible program for the prevention of child-reported anxiety symptoms in a camp setting. Given the novelty of the prevention context, issues inherent in the conduct of research in a recreational camp setting and future directions for research in this setting are discussed

A Randomized Controlled Pilot Trial of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is an intervention for children aged 7 to 13 targeting high negative emotion, emotional reactivity, and emotion regulation deficits common across emotional disorders. Our objective was to collect pilot randomized controlled trial (RCT) data on the efficacy of the UP-C, comparing UP-C with an active, anxiety-focused intervention. Participants were 47 children with at least one primary anxiety disorder; approximately one half had elevated depression symptoms. Participants received either UP-C or the anxiety-focused control treatment. No condition-related differences were found with respect to diagnostic remission and anxiety symptoms. However, differences in favor of UP-C were observed with respect to treatment response at follow-up, depression symptoms, sadness dysregulation, and cognitive reappraisal. Results provide preliminary evidence that the UP-C may be at least as efficacious in treating anxiety as well-supported anxiety-specific treatment protocols and may produce greater gains in certain emotion reactivity and regulation variables