The Experts below are selected from a list of 177654 Experts worldwide ranked by ideXlab platform
Robin V Weersing - One of the best experts on this subject based on the ideXlab platform.
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what five decades of research tells us about the effects of youth psychological therapy a multilevel meta analysis and implications for science and practice
American Psychologist, 2017Co-Authors: John R Weisz, Sofie Kuppens, Dikla Eckshtain, Ana M Ugueto, Rachel A Vaughncoaxum, Amanda Jensendoss, Kristin M Hawley, Lauren Krumholz Marchette, Brian C Chu, Robin V WeersingAbstract:Across 5 decades, hundreds of randomized trials have tested psychological therapies for youth internalizing (anxiety, depression) and externalizing (misconduct, attention deficit and hyperactivity disorder) disorders and problems. Since the last broad-based youth meta-analysis in 1995, the number of trials has almost tripled and data-analytic methods have been refined. We applied these methods to the expanded study pool (447 studies; 30,431 youths), synthesizing 50 years of findings and identifying implications for research and practice. We assessed overall effect size (ES) and moderator effects using multilevel modeling to address ES dependency that is common, but typically not modeled, in meta-analyses. Mean posttreatment ES was 0.46; the probability that a youth in the treatment Condition would fare better than a youth in the control Condition was 63%. Effects varied according to multiple moderators, including the problem targeted in treatment: Mean ES at posttreatment was strongest for anxiety (0.61), weakest for depression (0.29), and nonsignificant for multiproblem treatment (0.15). ESs differed across control Conditions, with "usual care" emerging as a potent Comparison Condition, and across informants, highlighting the need to obtain and integrate multiple perspectives on outcome. Effects of therapy type varied by informant; only youth-focused behavioral therapies (including cognitive-behavioral therapy) showed similar and robust effects across youth, parent, and teacher reports. Effects did not differ for Caucasian versus minority samples, but more diverse samples are needed. The findings underscore the benefits of psychological treatments as well as the need for improved therapies and more representative, informative, and rigorous intervention science. (PsycINFO Database Record
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what five decades of research tells us about the effects of youth psychological therapy a multilevel meta analysis and implications for science and practice
American Psychologist, 2017Co-Authors: John R Weisz, Sofie Kuppens, Dikla Eckshtain, Ana M Ugueto, Rachel A Vaughncoaxum, Amanda Jensendoss, Kristin M Hawley, Lauren Krumholz Marchette, Mei Yi Ng, Robin V WeersingAbstract:textabstractAcross 5 decades, hundreds of randomized trials have tested psychological therapies for youth internalizing (anxiety, depression) and externalizing (misconduct, attention deficit and hyperactivity disorder) disorders and problems. Since the last broad-based youth metaanalysis in 1995, the number of trials has almost tripled and data-analytic methods have been refined. We applied these methods to the expanded study pool (447 studies; 30,431 youths), synthesizing 50 years of findings and identifying implications for research and practice. We assessed overall effect size (ES) and moderator effects using multilevel modeling to address ES dependency that is common, but typically not modeled, in meta-analyses. Mean posttreatment ES was 0.46; the probability that a youth in the treatment Condition would fare better than a youth in the control Condition was 63%. Effects varied according to multiple moderators, including the problem targeted in treatment: Mean ES at posttreatment was strongest for anxiety (0.61), weakest for depression (0.29), and nonsignificant for multiprob lem treatment (0.15). ESs differed across control Conditions, with "usual care" emerging as a potent Comparison Condition, and across informants, highlighting the need to obtain and integrate multiple perspectives on outcome. Effects of therapy type varied by informant; only youth-focused behavioral therapies (including cognitive-behavioral therapy) showed similar and robust effects across youth, parent, and teacher reports. Effects did not differ for Caucasian versus minority samples, but more diverse samples are needed. The findings underscore the benefits of psychological treatments as well as the need for improved therapies and more representative, informative, and rigorous intervention science.
Michael P Carey - One of the best experts on this subject based on the ideXlab platform.
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efficacy of behavioral interventions to increase condom use and reduce sexually transmitted infections a meta analysis 1991 to 2010
Journal of Acquired Immune Deficiency Syndromes, 2011Co-Authors: Lori A J Scottsheldon, Tania B Huedomedina, Michelle R Warren, Blair T Johnson, Michael P CareyAbstract:OBJECTIVE: In the absence of an effective HIV vaccine, safer sexual practices are necessary to avert new infections. Therefore, we examined the efficacy of behavioral interventions to increase condom use and reduce sexually transmitted infections (STIs), including HIV. DESIGN: Studies that examined a behavioral intervention focusing on reducing sexual risk, used a randomized controlled trial or a quasi-experimental design with a Comparison Condition, and provided needed information to calculate effect sizes for condom use and any type of STI, including HIV. METHODS: Studies were retrieved from electronic databases (eg, PubMed, PsycINFO) and reference sections of relevant papers. Forty-two studies with 67 separate interventions (N = 40,665; M age = 26 years; 68% women; 59% Black) were included. Independent raters coded participant characteristics, design and methodological features, and intervention content. Weighted mean effect sizes, using both fixed-effects and random-effects models, were calculated. Potential moderators of intervention efficacy were assessed. RESULTS: Compared with controls, intervention participants increased their condom use [d+ = 0.17, 95% confidence interval (CI) = 0.04, 0.29; k = 67], had fewer incident STIs (d+ = 0.16, 95% CI = 0.04, 0.29; k = 62), including HIV (d+ = 0.46, 95% CI = 0.13, 0.79; k = 13). Sample (eg, ethnicity) and intervention features (eg, skills training) moderated the efficacy of the intervention. CONCLUSIONS: Behavioral interventions reduce sexual risk behavior and avert STIs and HIV. Translation and widespread dissemination of effective behavioral interventions are needed.
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computer delivered interventions to reduce college student drinking a meta analysis
Addiction, 2009Co-Authors: Kate B Carey, Lori A J Scottsheldon, Jennifer C Elliott, Jamie R Bolles, Michael P CareyAbstract:Aims This meta-analysis evaluates the efficacy of computer-delivered interventions (CDIs) to reduce alcohol use among college students. Methods We included 35 manuscripts with 43 separate interventions, and calculated both between-group and within-group effect sizes for alcohol consumption and alcohol-related problems. Effects sizes were calculated for short-term (/=6 weeks) intervals. All studies were coded for study descriptors, participant characteristics and intervention components. Results The effects of CDIs depended on the nature of the Comparison Condition: CDIs reduced quantity and frequency measures relative to assessment-only controls, but rarely differed from Comparison Conditions that included alcohol-relevant content. Small-to-medium within-group effect sizes can be expected for CDIs at short- and long-term follow-ups; these changes are less than or equivalent to the within-group effect sizes observed for more intensive interventions. Conclusions CDIs reduce the quantity and frequency of drinking among college students. CDIs are generally equivalent to alternative alcohol-related Comparison interventions. Language: en
Aaron Rakow - One of the best experts on this subject based on the ideXlab platform.
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efficacy and moderators of a family group cognitive behavioral preventive intervention for children of parents with depression
Journal of Consulting and Clinical Psychology, 2015Co-Authors: Bruce E Compas, Rex Forehand, Jennifer C Thigpen, Gary Keller, Emily Hardcastle, Kelly H Watson, Emily Garai, Laura Mckee, Jennifer P Dunbar, Aaron RakowAbstract:OBJECTIVE Building on an earlier study (Compas, Forehand, Thigpen, et al., 2011), tests of main effects and potential moderators of a family group cognitive-behavioral (FGCB) preventive intervention for children of parents with a history of depression are reported. METHOD Assessed a sample of 180 families (242 children ages 9-15 years) in a randomized controlled trial assessed at 2, 6, 12, 18 and 24 months after baseline. RESULTS Significant effects favoring the FGCB intervention over a written information Comparison Condition were found on measures of children's symptoms of depression, mixed anxiety/depression, internalizing problems, and externalizing problems, with multiple effects maintained at 18 and 24 months, and on incidence of child episodes of major depressive disorder over the 24 months. Effects were stronger for child self-reports than for parent reports. Minimal evidence was found for child age, child gender, parental education, parental depressive symptoms, or presence of a current parental depressive episode at baseline as moderators of the FGCB intervention. CONCLUSIONS The findings provide support for sustained and robust effects of this preventive intervention.
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coping and parenting mediators of 12 month outcomes of a family group cognitive behavioral preventive intervention with families of depressed parents
Journal of Consulting and Clinical Psychology, 2010Co-Authors: Bruce E Compas, Rex Forehand, Gary Keller, Emily Hardcastle, David A Cole, Aaron Rakow, Jennifer E Champion, Kristen L Reeslund, Jessica M Fear, Emily GaraiAbstract:In a randomized clinical trial with 111 families of parents with a history of major depressive disorder (86% mothers; 86% Caucasian), changes in adolescents’ (mean age 11 years; 42% female) coping and parents’ parenting skills were examined as mediators of the effects of a family group cognitive behavioral preventive intervention on adolescents’ internalizing and externalizing symptoms. Changes in hypothesized mediators were assessed at 6-months and changes in adolescents’ symptoms were measured at 12-month follow-up. Significant differences favoring the family intervention as compared with a written information Comparison Condition were found for changes in composite measures of parent-adolescent reports of adolescents’ use of secondary control coping skills and direct observations of parents’ positive parenting skills. Changes in adolescents’ secondary control coping and positive parenting mediated the effects of the intervention on depressive, internalizing and externalizing symptoms accounting for approximately half of the effect of the intervention on the outcomes. Further, reciprocal relations between children’s internalizing symptoms and parenting were found from baseline to 6-month follow-up. Implications for the prevention of psychopathology in offspring of depressed parents are highlighted.
Emily Garai - One of the best experts on this subject based on the ideXlab platform.
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efficacy and moderators of a family group cognitive behavioral preventive intervention for children of parents with depression
Journal of Consulting and Clinical Psychology, 2015Co-Authors: Bruce E Compas, Rex Forehand, Jennifer C Thigpen, Gary Keller, Emily Hardcastle, Kelly H Watson, Emily Garai, Laura Mckee, Jennifer P Dunbar, Aaron RakowAbstract:OBJECTIVE Building on an earlier study (Compas, Forehand, Thigpen, et al., 2011), tests of main effects and potential moderators of a family group cognitive-behavioral (FGCB) preventive intervention for children of parents with a history of depression are reported. METHOD Assessed a sample of 180 families (242 children ages 9-15 years) in a randomized controlled trial assessed at 2, 6, 12, 18 and 24 months after baseline. RESULTS Significant effects favoring the FGCB intervention over a written information Comparison Condition were found on measures of children's symptoms of depression, mixed anxiety/depression, internalizing problems, and externalizing problems, with multiple effects maintained at 18 and 24 months, and on incidence of child episodes of major depressive disorder over the 24 months. Effects were stronger for child self-reports than for parent reports. Minimal evidence was found for child age, child gender, parental education, parental depressive symptoms, or presence of a current parental depressive episode at baseline as moderators of the FGCB intervention. CONCLUSIONS The findings provide support for sustained and robust effects of this preventive intervention.
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coping and parenting mediators of 12 month outcomes of a family group cognitive behavioral preventive intervention with families of depressed parents
Journal of Consulting and Clinical Psychology, 2010Co-Authors: Bruce E Compas, Rex Forehand, Gary Keller, Emily Hardcastle, David A Cole, Aaron Rakow, Jennifer E Champion, Kristen L Reeslund, Jessica M Fear, Emily GaraiAbstract:In a randomized clinical trial with 111 families of parents with a history of major depressive disorder (86% mothers; 86% Caucasian), changes in adolescents’ (mean age 11 years; 42% female) coping and parents’ parenting skills were examined as mediators of the effects of a family group cognitive behavioral preventive intervention on adolescents’ internalizing and externalizing symptoms. Changes in hypothesized mediators were assessed at 6-months and changes in adolescents’ symptoms were measured at 12-month follow-up. Significant differences favoring the family intervention as compared with a written information Comparison Condition were found for changes in composite measures of parent-adolescent reports of adolescents’ use of secondary control coping skills and direct observations of parents’ positive parenting skills. Changes in adolescents’ secondary control coping and positive parenting mediated the effects of the intervention on depressive, internalizing and externalizing symptoms accounting for approximately half of the effect of the intervention on the outcomes. Further, reciprocal relations between children’s internalizing symptoms and parenting were found from baseline to 6-month follow-up. Implications for the prevention of psychopathology in offspring of depressed parents are highlighted.
Bruce E Compas - One of the best experts on this subject based on the ideXlab platform.
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efficacy and moderators of a family group cognitive behavioral preventive intervention for children of parents with depression
Journal of Consulting and Clinical Psychology, 2015Co-Authors: Bruce E Compas, Rex Forehand, Jennifer C Thigpen, Gary Keller, Emily Hardcastle, Kelly H Watson, Emily Garai, Laura Mckee, Jennifer P Dunbar, Aaron RakowAbstract:OBJECTIVE Building on an earlier study (Compas, Forehand, Thigpen, et al., 2011), tests of main effects and potential moderators of a family group cognitive-behavioral (FGCB) preventive intervention for children of parents with a history of depression are reported. METHOD Assessed a sample of 180 families (242 children ages 9-15 years) in a randomized controlled trial assessed at 2, 6, 12, 18 and 24 months after baseline. RESULTS Significant effects favoring the FGCB intervention over a written information Comparison Condition were found on measures of children's symptoms of depression, mixed anxiety/depression, internalizing problems, and externalizing problems, with multiple effects maintained at 18 and 24 months, and on incidence of child episodes of major depressive disorder over the 24 months. Effects were stronger for child self-reports than for parent reports. Minimal evidence was found for child age, child gender, parental education, parental depressive symptoms, or presence of a current parental depressive episode at baseline as moderators of the FGCB intervention. CONCLUSIONS The findings provide support for sustained and robust effects of this preventive intervention.
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coping and parenting mediators of 12 month outcomes of a family group cognitive behavioral preventive intervention with families of depressed parents
Journal of Consulting and Clinical Psychology, 2010Co-Authors: Bruce E Compas, Rex Forehand, Gary Keller, Emily Hardcastle, David A Cole, Aaron Rakow, Jennifer E Champion, Kristen L Reeslund, Jessica M Fear, Emily GaraiAbstract:In a randomized clinical trial with 111 families of parents with a history of major depressive disorder (86% mothers; 86% Caucasian), changes in adolescents’ (mean age 11 years; 42% female) coping and parents’ parenting skills were examined as mediators of the effects of a family group cognitive behavioral preventive intervention on adolescents’ internalizing and externalizing symptoms. Changes in hypothesized mediators were assessed at 6-months and changes in adolescents’ symptoms were measured at 12-month follow-up. Significant differences favoring the family intervention as compared with a written information Comparison Condition were found for changes in composite measures of parent-adolescent reports of adolescents’ use of secondary control coping skills and direct observations of parents’ positive parenting skills. Changes in adolescents’ secondary control coping and positive parenting mediated the effects of the intervention on depressive, internalizing and externalizing symptoms accounting for approximately half of the effect of the intervention on the outcomes. Further, reciprocal relations between children’s internalizing symptoms and parenting were found from baseline to 6-month follow-up. Implications for the prevention of psychopathology in offspring of depressed parents are highlighted.