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Clinical Child Psychology and Psychiatry

Ana Calderon, Celeste Schneider, Mary Target, Nick Midgley
OBJECTIVE: Identify the core 'interaction structures' between therapists and depressed adolescents within and across two common forms of psychotherapy. METHOD: A total of 70 audio-recorded psychotherapy sessions representing short-term psychoanalytic psychotherapy (STPP) and cognitive behavioural therapy (CBT) with youth aged 12-18 years old were coded with the Adolescent Psychotherapy Q-set (APQ), a newly developed instrument. Data included different therapist-patient dyads and stages in treatment and were analysed with cluster analysis...
November 6, 2018: Clinical Child Psychology and Psychiatry
Ailbhe Ruane, Alan Carr, Valerie Moffat
In this qualitative study, we evaluated parents' and facilitators' experiences of the Group Stepping Stones Triple P (GSSTP) programme for parents of children with disabilities. The study was embedded in a randomized controlled trial (RCT) of GSSTP and carried out in the Irish public health service. Eight parents and three psychologists participated in the study. We used a semi-structured interview schedule to collect data and conducted a thematic content analysis of interview transcripts to identify particularly useful and less helpful aspects of the programme and ways that its future delivery may be improved...
November 6, 2018: Clinical Child Psychology and Psychiatry
Gerry Byrne, Michelle Sleed, Nick Midgley, Pasco Fearon, Clare Mein, Anthony Bateman, Peter Fonagy
This article introduces an innovative mentalization-based treatment (MBT) parenting intervention for families where children are at risk of maltreatment. The Lighthouse MBT Parenting Programme aims to prevent child maltreatment by promoting sensitive caregiving in parents. The programme is designed to enhance parents' capacity for curiosity about their child's inner world, to help parents 'see' (understand) their children clearly, to make sense of misunderstandings in their relationship with their child and to help parents inhibit harmful responses in those moments of misunderstanding and to repair the relationship when harmed...
November 2, 2018: Clinical Child Psychology and Psychiatry
Nastasja M de Graaf, Ilham I Manjra, Anna Hames, Claudia Zitz
BACKGROUND: Little is known about how social and cultural variants interact with gender identity development. This article aims to identify the ethnicities of children and young people referred to the United Kingdom's national Gender Identity Development Service (GIDS), and compare the ethnicity data with the UK child population and referrals to Child and Adolescent Mental Health Services (CAMHS). METHODS: GIDS referrals made between April 2012 and April 2015 for children and young people were retrieved...
October 30, 2018: Clinical Child Psychology and Psychiatry
Pierre-Paul Tellier
Gender diverse people are individuals who define their gender as different from the sex they were assigned as birth. This incongruence leads to a sense of discomfort within oneself, which according to the DSM-V is called gender dysphoria. The combination of dysphoria, ongoing stress, as outlined in the Minority Stress Theory (Meyer, 2003, Dohrenwend, 2000) and the stigma related to living in a society which traditionally defines gender as binary and rejects the notion of gender as fluid, is associated with psycho-social, mental, and physical health problems...
October 29, 2018: Clinical Child Psychology and Psychiatry
Catherine Chudleigh, Blanche Savage, Catherine Cruz, Melissa Lim, Georgia McClure, Donna M Palmer, Chris J Spooner, Kasia Kozlowska
Functional somatic symptoms (FSS) emerge when the stress system is activated in response to physical or emotional stress that is either chronic or especially intense. In such cases, the heightened state of physiological arousal and motor activation can be measured through biological markers. Our team have integrated the use of biological markers of body state - respiratory rate, heart rate (HR) and heart rate variability (HRV) measurements - as a way of helping families to understand how physical symptoms can signal activation of the body's stress systems...
October 25, 2018: Clinical Child Psychology and Psychiatry
Megan Wingfield, Ben Gurney-Smith
Dyadic developmental psychotherapy (DDP) is an attachment-focused therapy frequently used with adoptive and foster families. While the evidence base for DDP is building, national guidance has called for further trials and qualitative evidence. This study aimed to understand the experience of adoptive parents who have completed DDP therapy. Semi-structured interviews with 12 adoptive parents were analysed using interpretative phenomenological analysis. Four superordinate themes were identified: (1) increased understanding, (2) 'It's a different method of parenting generally', (3) the DDP journey and (4) 'It's a shared kind of experience you go through and come out together'...
October 25, 2018: Clinical Child Psychology and Psychiatry
Katy Phillips, Bridie Lawler Whatson, Emma Wells, Gordon Milson, Samantha Hartley
BACKGROUND: Outcome measurement is central to health service provision. In child and adolescent mental health services (CAMHS), there are established tools used to assess symptoms and track progress. However, there is a relative dearth of assessments of subjective well-being or recovery. Social connectedness is a concept linked with well-being and risk in young people. We sought to evaluate the utility and acceptability of a measure of social connectedness in inpatient CAMHS. METHOD: As part of routine clinical practice, we asked 92 young people (mean age 16 years old) on two inpatient CAMHS wards to complete the Social Connectedness Scale, alongside other assessments, and also comment on its acceptability...
October 25, 2018: Clinical Child Psychology and Psychiatry
Maria Pascali, Emilia Matera, Francesco Craig, Francesco La Torre, Paola Giordano, Francesco Margari, Giuseppina Zagaria, Mariella Margari, Lucia Margari
BACKGROUND: The prevalence of chronic pain is about 30% in children and adolescents which suffer from severe emotional distress. The aim of this observational study is to investigate cognitive, emotional and behavioral consequences of benign chronic pain in children and adolescents suffering of reumathologic diseases. MATERIALS AND METHODS: A total of 49 participants, chronic pain participants (CPPs) and controls (CGPs), affected by rheumatic diseases, were enrolled...
October 22, 2018: Clinical Child Psychology and Psychiatry
Jos Twist, Nastasja M de Graaf
There has been a recent rise in the number of people who hold a non-binary gender identity. However, the proportion of young people attending gender services who identify as non-binary has not yet been investigated. This article presents the findings from a pilot study of newly designed questionnaire, the Gender Diversity Questionnaire, which included questions about gender identity and gender expression. Responses from 251 adolescents attending the United Kingdom's National Gender Identity Development Service between June 2016 and February 2017 are reported here...
October 17, 2018: Clinical Child Psychology and Psychiatry
Rudi Dallos, Hassina Carder-Gilbert
This article reports on a multi-methods longitudinal evaluation of the PROMISE mentoring scheme which was developed in Somerset UK to offer a continuing relationship for vulnerable young people with a volunteer mentor. The overall findings indicate that mentoring was experienced very positively and contributed to both fostering a sense of trust and to reducing the insecure attachments of the young people. The findings are considered within a relational and attachment framework to offer a model of how mentoring achieves positive change...
October 15, 2018: Clinical Child Psychology and Psychiatry
Claire Reilly, Dan R Johnson, Kirstin Ferguson
The Massachusetts Youth Screening Instrument-version 2 (MAYSI-2) was developed to help identify mental health needs of young people admitted to youth detention centres. Only one study has applied the tool to a UK population and none have looked at young people who live in residential and secure care in Scotland. This study aimed to assess the validity of the MAYSI-2 in Scotland with a looked after and accommodated population. Boys and girls in a large education and care centre were asked to complete the MAYSI-2 within 72 hours of being accommodated...
September 29, 2018: Clinical Child Psychology and Psychiatry
Sarah Davidson, Annabelle Morrison, Elin Skagerberg, Ian Russell, Anna Hames
Young people are presenting to specialist gender services in higher numbers than before and many with significant psychosocial difficulties. Negative experiences of stigma, difficult peer relationships and discrimination exacerbate distress and psychological difficulties, negatively impacting wellbeing and resilience. Social support is advocated as a means of supporting young people with diverse gender identifications, such as through peer support groups. This article describes the establishment of a young persons' group in 2011 within the United Kingdom's Gender Identity Development Service (GIDS), for those attending the service as a means of enabling their coping with difficult experiences and facilitating their wellbeing and resilience through effective social support...
September 24, 2018: Clinical Child Psychology and Psychiatry
Percy Aggett, Philip Messent
No abstract text is available yet for this article.
September 15, 2018: Clinical Child Psychology and Psychiatry
Trilby Langton, Bernadette Wren, Polly Carmichael
This Special Issue of Clinical Child Psychology and Psychiatry includes a group of papers that originated in the work of the Gender Identity Development Service (GIDS), which is the nationally designated National Health Service (NHS) in the United Kingdom to work with children and adolescents experiencing significant concern and distress about their gender. This short introduction to those papers aims to set the context and explain why certain areas have been given a focus.
September 15, 2018: Clinical Child Psychology and Psychiatry
Lisa C Fellin, Jane E M Callaghan, Joanne H Alexander, Claire Harrison-Breed, Stavroula Mavrou, Maria Papathanasiou
This article describes the development of a group-based therapeutic intervention for young people (YP) who have lived with domestic violence and abuse. The intervention was informed by interviews with 107 YP, focused on their experiences of coping, resilience and agency. The intervention draws on resources from systemic, creative and narrative approaches to group work, and aims to facilitate YP's expression of distress in a way that recognizes that it is embodied, contextual and relational. The intervention also explores YP's existing strategies for coping and maintaining a sense of agency, and works to harness, enhance and further develop those skills...
August 29, 2018: Clinical Child Psychology and Psychiatry
Jill Mant, Angela Kirby, Kathy J Cox, Amos Burke
Being given a diagnosis of cancer is a significant and highly distressing event for both children and their families, but little research has been done to explore and understand children's feelings. This study aims to understand from the child's perspective what it feels like to be told you have cancer, with the hope that increased understanding can lead to improved communication and support for children and families. The study uses qualitative methodology. Six children aged 8-12 years with a new diagnosis of cancer took part in two semi-structured interviews at least one week apart...
August 26, 2018: Clinical Child Psychology and Psychiatry
Tormod Rimehaug
AIMS: To examine changes in child mental health symptoms following inpatient family unit treatment after long-term unsuccessful treatment in community and child psychiatry outpatient services. Follow-up from referral and admission to 3 and 12 months. METHODS: Standardized questionnaires measuring the child mental health symptoms and parental anxiety and depression converted to standardized scores and compared to each child's clinical diagnosis. RESULTS: Significant group mean improvement on almost all problem scales at the 3-month follow-up (T2) remaining through 12-month follow-up (T3) relative to admission (T1)...
August 22, 2018: Clinical Child Psychology and Psychiatry
Ellysia-Grace Thompson, Susan Frances Knowles, Pete Greasley
BACKGROUND: Resilience is a term used to describe an individual's adaptive coping following an adverse experience; it is important for gaining insight into the development of mental health difficulties in young people and their ability to manage adversity, informing both preventive and reactive clinical practice. METHODS: The Delphi method was used whereby a panel of 15 clinical psychologists rated 67 statements, generated from focus groups with young people and interviews with multi-disciplinary staff, in terms of their importance relating to resilience for young people with complex mental health needs...
August 18, 2018: Clinical Child Psychology and Psychiatry
Mary Burgess, Kate Lievesley, Sheila Ali, Trudie Chalder
AIMS: The purpose of this article is to describe and evaluate a home based, family focused rehabilitative approach for severely affected housebound adolescents with Chronic Fatigue Syndrome (CFS). The main aims were to facilitate a return to school, improve physical functioning, reduce fatigue and assess any adverse effects of the intervention. METHODS: Six housebound adolescents aged 11-18, diagnosed with CFS by a paediatrician, were assessed and treated at home by an experienced cognitive behaviour therapist...
August 16, 2018: Clinical Child Psychology and Psychiatry
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