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European Child & Adolescent Psychiatry

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01.03.2015 | Editorial

Mechanisms of change in psychotherapy for children and adolescents: current state, clinical implications, and methodological and conceptual recommendations for mediation analysis

verfasst von: Stefanie J. Schmidt, Benno G. Schimmelmann

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 3/2015

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Excerpt

Considerable effort has been made to develop and evaluate psychological treatments in children and adolescents over the last five decades. This resulted in evidence-based treatments for several psychiatric disorders in children and adolescents [1‐3] with moderate average effects compared to standard care [4, 5]. Nevertheless, we still have a limited understanding of the mechanisms of change underlying these treatments [6]. Therefore, moving beyond knowing that a treatment is effective to explaining how its effects occur should become another priority in psychotherapy research in children and adolescents. For example, the beneficial effect of a cognitive–behavioural treatment on depressive symptoms in adolescents may be explained by treatment-induced changes in dysfunctional beliefs [7]. Identifying such mechanisms of change requires the application of mediation analysis to identify the intervening variables (mediators) and processes that account for the association between a specific intervention and the outcome of interest [8]. …

Schmidt SJ, Schimmelmann BG (2013) Evidence-based psychotherapy in children and adolescents: advances, methodological and conceptual limitations, and perspectives. Eur Child Adolesc Psychiatry 22:265–268CrossRefPubMed

Ferrin M, Moreno-Granados JM, Salcedo-Marin MD, Ruiz-Veguilla M, Perez-Ayala V, Taylor E (2014) Evaluation of a psychoeducation programme for parents of children and adolescents with ADHD: immediate and long-term effects using a blind randomized controlled trial. Eur Child Adolesc Psychiatry 23(8):637–647CrossRefPubMed

Diehle J, Opmeer BC, Boer F, Mannarino AP, Lindauer RLL (2015) Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: what works in children with posttraumatic stress symptoms? A randomized controlled trial. Eur Child Adolesc Psychiatry 24(2):227–236CrossRefPubMed

Weisz JR, Kuppens S, Eckshtain D, Ugueto AM, Hawley KM, Jensen-Doss A (2013) Performance of evidence-based youth psychotherapies compared with usual clinical care: a multilevel meta-analysis. JAMA Psychiatry 70(7):750–761CrossRefPubMed

Tarver J, Daley D, Lockwood J, Sayal K (2014) Are self-directed parenting interventions sufficient for externalising behavior problems in childhood? A systematic review and meta-analysis. Eur Child Adolesc Psychiatry 23(12):1123–1137CrossRefPubMed

Kazdin AE (2009) Understanding how and why psychotherapy leads to change. Psychother Res 19(4–5):418–428CrossRefPubMed

Jacobs RH, Becker SJ, Curry JF, Silva SG, Ginsburg GS, Henry DB, Reinecke MA (2014) Increasing positive outlook partially mediates the effect of empirically supported treatments on depression symptoms among adolescents. J Cogn Psychother 28(1):3–19CrossRefPubMedCentralPubMed

Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press, New York

Frazier PA, Tix AP, Barron KE (2004) Testing moderator and mediator effects in counseling psychology. J Couns Psychol 51(1):115–134CrossRef

10.

Hayes AF (2009) Beyond baron and kenny: statistical mediation analysis in the new millennium. Commun Monogr 76(4):408–420CrossRef

11.

Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51(6):1173–1182CrossRefPubMed

12.

MacKinnon DP, Fairchild AJ, Fritz MS (2007) Mediation analysis. Annu Rev Psychol 58:593–614CrossRefPubMedCentralPubMed

13.

Preacher KJ, Hayes AF (2004) SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 36(4):717–731CrossRefPubMed

14.

Preacher KJ, Kelley K (2011) Effect size measures for mediation models: quantitative strategies for communicating indirect effects. Psychol Methods 16(2):93–115CrossRefPubMed

15.

Little TD, Card NA (2013) Longitudinal structural equation modeling. Guilford Press, New York

16.

Nock MK (2007) Conceptual and design essentials for evaluating mechanisms of change. Alcohol Clin Exp Res 31(10 Suppl):4s–12sCrossRefPubMed

17.

Kazdin AE (2007) Mediators and mechanisms of change in psychotherapy research. Annu Rev Clin Psychol 3:1–27CrossRefPubMed

18.

Kraemer HC, Wilson GT, Fairburn CG, Agras WS (2002) Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry 59(10):877–883CrossRefPubMed

19.

Messer SB, Wampold BE (2006) Let`s face facts: common factors are more potent than specific therapy ingredients. Clin Psychol Sci Prac 9(1):21–25CrossRef

20.

Polanczyk GV (2013) The burden of childhood mental disorders. Eur Child Adolesc Psychiatry 22:135–137CrossRefPubMed

21.

Boustani MM, Frazier SL, Becker KD, Bechor M, Dinizulu SM, Hedemann ER, Ogle RR, Pasalich DS (2014) Common elements of adolescent prevention programs: minimizing burden while maximizing reach. Adm Policy Ment Health. doi:10.1007/s10488-014-0541-9 PubMed

22.

Van den Hoofdakker BJ, Hoekstra PJ, van der Veen-Mulders L, Sytema S, Emmelkamp PMG, Minderaa RB, Nauta MH (2014) Paternal influences on treatment outcome of behavioral parent training in children with attention-deficit/hyperactivity disorder. Eur Child Adolesc Psychiatry 23(11):1071–1079CrossRefPubMed

23.

Preacher KJ, Rucker DD, Hayes AF (2007) Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivar Behav Res 42(1):185–227CrossRef

24.

Weersing VR, Weisz JR (2002) Mechanisms of action in youth psychotherapy. J Child Psychol Psychiatry 43(1):3–29CrossRefPubMed

25.

Multisite Violence Prevention Project (2012) Mediators of effects of a selective family-focused violence prevention approach for middle school students. Prev Sci 13(1):1–14CrossRef

26.

Mehlum L, Tørmoen AJ, Ramberg M, Haga E, Diep LM, Laberg S, Larsson BS, Stanley BH, Miller AL, Sund AM, Grøholt B (2014) Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: a randomized trial. J Am Acad Child Adolesc Psychiatry 53(10):1082–1091CrossRefPubMed

27.

Venta A, Sharp C, Newlin E (2015) A descriptive study of symptom change as a function of attachment and emotion regulation in a naturalistic adolescent inpatient setting. Eur Child Adolesc Psychiatry 24(1):95–104CrossRefPubMed

28.

Wang LP, Preacher KJ (2014) Moderated mediation analysis using bayesian methods. Str Equ Model Multidiscip J 00:1–15CrossRef

29.

Timmons AC, Preacher KJ (2015) The importance of temporal design: How do measurement intervals affect the accuracy and efficiency of parameter estimates in longitudinal research? Multivariate Behav Res 50(1):41–55CrossRef

Titel: Mechanisms of change in psychotherapy for children and adolescents: current state, clinical implications, and methodological and conceptual recommendations for mediation analysis
verfasst von: Stefanie J. Schmidt
Benno G. Schimmelmann
Publikationsdatum: 01.03.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Child & Adolescent Psychiatry / Ausgabe 3/2015
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-015-0698-0

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