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Journal of Clinical Child and Adolescent Psychology

Armando A Pina, Antonio J Polo, Stanley J Huey
This is the official update on the status of evidence-based psychosocial interventions for ethnic minority youth. Compared to a decade ago, there has been expansion of well-designed intervention studies, growth in the number (not type) of interventions meeting evidence-based criteria, and greater focus on testing ethnicity/race moderator effects. In terms of standard of evidence, 4 psychosocial interventions are now well-established and 10 are probably efficacious or possibly efficacious, with most protocols drawing on cognitive and behavioral change procedures and/or family systems models...
February 12, 2019: Journal of Clinical Child and Adolescent Psychology
Jordan A Booker, Nicole N Capriola-Hall, Ross W Greene, Thomas H Ollendick
This study examined the degree to which the parent-child relationship uniquely predicted clinical outcomes in externalizing problems and adaptive skills in children meeting diagnostic criteria for oppositional defiant disorder and whether facets of this relationship moderated the effects of two unique psychosocial treatments. We recruited 134 children and their parents (38.06% female; M age = 9.52 years, range = 7-14; 83.58% White). Families were randomly assigned to 1 of 2 treatments: Parent Management Training (PMT) and Collaborative and Proactive Solutions (CPS)...
February 7, 2019: Journal of Clinical Child and Adolescent Psychology
Bonnie Y Ohye, Rafaella J Jakubovic, Rebecca Zakarian, Eric Bui
To address the unique behavioral health challenges facing military-connected children (MCC) during parental deployment and reintegration, we developed a low-cost, low-burden school-based intervention, Staying Strong With Schools (SSWS). SSWS builds upon best educational practice by formalizing relationships between administrators, guidance staff, teachers, and parents to enhance social connection to support psychosocial functioning of MCC. We previously evaluated the feasibility and acceptability of the intervention in an open pilot with 2 elementary schools, finding high feasibility and high acceptability...
February 7, 2019: Journal of Clinical Child and Adolescent Psychology
Chardée A Galán, Frances L Wang, Daniel S Shaw, Erika E Forbes
Although conduct problems (CP) and hyperactivity/attention problems (HAP) are thought to covary with regularity, few studies have traced the probability of co-occurring CP and HAP longitudinally, particularly beginning in the toddler period. Further, there is little research examining how early co-occurring trajectories of CP and HAP predict functioning across several domains through late adolescence and early adulthood. Using a cohort of 284 low-income boys, we examined whether separate developmental trajectories of overt CP and HAP symptomatology from ages 2 to 10 relate to violent behavior, established correlates of antisocial behavior, impulsivity, and internalizing problems in adolescence and early adulthood...
January 31, 2019: Journal of Clinical Child and Adolescent Psychology
Justin D Smith, Jenna Rudo-Stern, Thomas J Dishion, Elizabeth A Stormshak, Samantha Montag, Kimbree Brown, Karina Ramos, Daniel S Shaw, Melvin N Wilson
Assessment of fidelity that is effective, efficient, and differentiates from usual practices is critical for effectively implementing evidence-based programs for families. This quasi-experiemntal study sought to determine whether observational ratings of fidelity to the Family Check-Up (FCU) could differentiate between levels of clinician training in the model, and from services as usual, and whether rating segments of sessions could be equivalent to rating complete sessions. Coders rated 75 videotaped sessions-complete and 20-min segments-for fidelity, using a valid and reliable rating system across three groups: (a) highly trained in FCU with universal, routine monitoring; (b) minimally trained in FCU with optional, variable monitoring; and (c) services as usual with no training in the FCU...
January 31, 2019: Journal of Clinical Child and Adolescent Psychology
Elizabeth B Owens, Stephen P Hinshaw
We aimed to identify adolescent mediators of the significant and sizable link between childhood attention deficit/hyperactivity disorder (ADHD) and later unplanned pregnancy in our prospectively followed, all-female sample. Participants included an ethnically diverse (47% non-White) sample of women with (n = 140) and without (n = 88) childhood ADHD who were assessed 4 times across childhood, adolescence, and adulthood. Potential mediators were measured via self, parent, and teacher report on questionnaires and interviews and by objective testing...
January 28, 2019: Journal of Clinical Child and Adolescent Psychology
Irene J K Park, Han Du, Lijuan Wang, David R Williams, Margarita Alegría
The present study investigated the moderating role of parents' ethnic-racial socialization practices (T1) in the link between adolescents' discrimination experiences (T1-T3) and adolescent anxiety and depression, respectively (T1-T3). Using a 3-wave longitudinal design with multiple informants (adolescent, mother, father) reporting on parents' ethnic-racial socialization practices, the data analytic sample comprised a total of 251 (T1) Mexican-origin families from the midwestern United States. Mother and father reports of their own ethnic-racial socialization practices (i...
January 28, 2019: Journal of Clinical Child and Adolescent Psychology
Brittany M Merrill, Brooke S G Molina, Stefany Coxe, Elizabeth M Gnagy, Amy R Altszuler, Fiona L Macphee, Anne S Morrow, Elisa M Trucco, William E Pelham
Adults with childhood attention-deficit hyperactivity disorder (ADHD) experience impairment in core functional domains (e.g., educational attainment, occupational status, social relationships, substance abuse, and criminal behavior), but it is currently unclear which impairments co-occur and whether subgroups experience differentiable patterns, none, or all aforementioned functional domains. Latent profile analysis (LPA) was used to characterize patterns of impairment. Data from the Pittsburgh ADHD Longitudinal Study were used...
January 28, 2019: Journal of Clinical Child and Adolescent Psychology
Aaron Hogue, Molly Bobek, Sarah Dauber, Craig E Henderson, Bryce D McLeod, Michael A Southam-Gerow
Family therapy has the strongest evidence base for treating adolescent conduct and substance use problems, yet there remain substantial barriers to widespread delivery of this approach in community settings. This study aimed to promote the feasibility of implementing family-based interventions in usual care by empirically distilling the core practice elements of three manualized treatments. The study sampled 302 high-fidelity treatment sessions from 196 cases enrolled in 1 of 3 manualized family therapy models: multidimensional family therapy (102 sessions/56 cases), brief strategic family therapy (100 sessions/94 cases), or functional family therapy (100 sessions/46 cases)...
January 18, 2019: Journal of Clinical Child and Adolescent Psychology
John R Weisz, Rachel A Vaughn-Coaxum, Spencer C Evans, Kristel Thomassin, Jacqueline Hersh, Erica H Lee, Mei Yi Ng, Nancy Lau, Jacquelyn N Raftery-Helmer, Patrick Mair
An emerging trend in youth psychotherapy is measurement-based care (MBC): treatment guided by frequent measurement of client response, with ongoing feedback to the treating clinician. MBC is especially needed for treatment that addresses internalizing and externalizing problems, which are common among treatment-seeking youths. A very brief measure is needed, for frequent administration, generating both youth- and caregiver-reports, meeting psychometric standards, and available at no cost. We developed such a measure to monitor youth response during psychotherapy for internalizing and externalizing problems...
January 18, 2019: Journal of Clinical Child and Adolescent Psychology
Yllza Xerxa, Leslie A Rescorla, Fadila Serdarevic, Marinus H Van IJzendorn, Vincent W Jaddoe, Frank C Verhulst, Maartje P C M Luijk, Henning Tiemeier
Parental separation is a major adverse childhood experience. Parental separation is generally preceded by conflict, which is itself a risk factor for child problem behavior. Whether parental separation independent of conflict has negative effects on child problem behavior is unclear. This study was embedded in Generation R, a population-based cohort followed from fetal life until age 9 years. Information on family conflict was obtained from 5,808 mothers and fathers. The 4-way decomposition method was used to apportion the effects of prenatal family conflict and parental separation on child problem behavior into 4 nonoverlapping components...
January 18, 2019: Journal of Clinical Child and Adolescent Psychology
May Yeh, Katina Lambros, Katherine Tsai, Argero Zerr, Duyen Trang, Kristen McCabe, William Ganger
Client-therapist consensus has been hypothesized to be an important element of culturally competent care. However, little is known about the relationship between explanatory model agreement and treatment engagement, particularly for services involving adolescents, where both parent and youth perspectives may need to be considered. This longitudinal study collected youth, parent, and therapist survey data on etiological beliefs as well as therapist-rated treatment engagement related to a culturally diverse sample of 285 outpatient mental health service-using youth (aged 12-18, M = 14...
January 17, 2019: Journal of Clinical Child and Adolescent Psychology
Heather A Yarger, Kristin Bernard, E B Caron, Allison Wallin, Mary Dozier
Children adopted internationally are often dysregulated biologically and behaviorally due to prior experiences of institutional care or caregiving changes and thus are in need of enhanced parental care. The present study assessed whether parents randomized to receive Attachment and Biobehavioral Catch-up (ABC) demonstrated significant improvements in parenting quality when compared to parents receiving a control intervention. Participants were 120 internationally adopted children and their adoptive parents...
January 16, 2019: Journal of Clinical Child and Adolescent Psychology
Anna R Van Meter, Diana Paksarian, Kathleen Ries Merikangas
Suicide is the second leading cause of death among young people. Both mental illness and social factors are associated with suicide in adolescents, and youth with mental disorders often experience social deficits, which may compound risk. The cumulative effects of mental disorders and social factors on suicidal ideation and behaviors (SIB) in adolescents have not previously been explored. Adolescents 13-18 years of age (N = 6,447; 49% female, 65% non-Hispanic White) participated in the National Comorbidity Survey Replication Adolescent Supplement...
January 16, 2019: Journal of Clinical Child and Adolescent Psychology
Julia W Felton, Julia M Shadur, Mazneen Havewala, Stefanie Gonçalves, Carl W Lejuez
Adolescence is characterized by significant increases in substance use problems. Although early depressive symptoms have been linked to adolescent substance use, recent literature reviews highlight important inconsistencies in these relations that may be accounted for by behavioral disinhibition factors. The current study aims to examine impulsivity as a specific moderator of the relation between early depressive symptoms and trajectories of substance use using a 6-year, prospective longitudinal design. Participants included 247 male and female adolescents (52...
January 15, 2019: Journal of Clinical Child and Adolescent Psychology
Irwin Sandler, Sharlene Wolchik, Gina Mazza, Heather Gunn, Jenn-Yun Tein, Cady Berkel, Sarah Jones, Michele Porter
This study presents findings from a randomized effectiveness trial of the New Beginnings Program (NBP), which has demonstrated efficacy in 2 prior randomized efficacy trials. Family courts in 4 counties facilitated recruitment of divorcing and separating parents, and providers in community agencies delivered the program. Participants were 830 parents of children ages 3-18 who were randomized to receive either the 10-session NBP or an active 2-session comparison condition in which parents learned about the same parenting skills but did not complete home practice of these skills...
January 15, 2019: Journal of Clinical Child and Adolescent Psychology
Erin Kang, Kenneth D Gadow, Matthew D Lerner
This study compared atypical communication characteristics (ACCs) in clinic-referred youth with and without autism spectrum disorder (ASD), identified subgroups based on different patterns of ACCs in youth with ASD, and determined if ACC subgroups result in meaningful clinical phenotypes in their relation to psychopathology and functional outcomes. Youth 6-18 years of age (N= 947; M age = 11.41; 72% male; 84% Caucasian) with and without ASD were assessed using Child and Adolescent Symptom Inventory-4R and the Parent Questionnaire, which included a checklist of ACCs...
January 15, 2019: Journal of Clinical Child and Adolescent Psychology
Joseph F McGuire, Patricia Z Tan, John Piacentini
This report examined the nature of obsessive-compulsive disorder (OCD) symptoms nominated for treatment and investigate improvement in OCD symptom dimensions. Youth with OCD (N = 71) participated in a clinical trial that compared exposure-based cognitive behavior therapy (CBT) to psychoeducation plus relaxation training (PRT). Participants completed a baseline assessment to characterize OCD severity. Next, parents and youth collaboratively developed an OCD symptom treatment hierarchy. Afterward, these symptoms were independently reassessed at each session by youth and parents...
January 15, 2019: Journal of Clinical Child and Adolescent Psychology
Carlos E Yeguez, Timothy F Page, Yasmin Rey, Wendy K Silverman, Jeremy W Pettit
To address the high demand for youth anxiety treatment, researchers have begun to evaluate stepped care approaches to use limited resources efficiently. Quantifying cost savings can inform policy decisions about optimal ways to use limited resources. This study presents a cost analysis of a stepped care treatment approach for anxiety disorders in youth. Youths (N = 112) completed an 8-session computer-administered attention bias modification treatment (Step 1), and families were given the option to "step up" to cognitive behavioral therapy (CBT; Step 2)...
January 15, 2019: Journal of Clinical Child and Adolescent Psychology
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January 15, 2019: Journal of Clinical Child and Adolescent Psychology
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