Cargando…

Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood

There are a wide range of psychosocial treatment options, delivered in different modalities, for children with disruptive behaviour. However, clinicians face many challenges in ensuring the empirically supported treatments (ESTs) they select will be effective for their patient. This has prompted stu...

Descripción completa

Detalles Bibliográficos
Autores principales: Andrade, Brendan F., Aitken, Madison, Brodkin, Sabrina, Sawrikar, Vilas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9594137/
https://www.ncbi.nlm.nih.gov/pubmed/36125210
http://dx.doi.org/10.1097/YCO.0000000000000823
_version_ 1784815339929862144
author Andrade, Brendan F.
Aitken, Madison
Brodkin, Sabrina
Sawrikar, Vilas
author_facet Andrade, Brendan F.
Aitken, Madison
Brodkin, Sabrina
Sawrikar, Vilas
author_sort Andrade, Brendan F.
collection PubMed
description There are a wide range of psychosocial treatment options, delivered in different modalities, for children with disruptive behaviour. However, clinicians face many challenges in ensuring the empirically supported treatments (ESTs) they select will be effective for their patient. This has prompted studies to generate knowledge on how to improve treatment outcomes for children with disruptive behaviour. This review identifies the major challenges in treatment selection as well as emerging research seeking to improve outcomes. RECENT FINDINGS: This review emphasizes the salience of the research-practice gap associated with establishing ESTs using narrow definitions of clinical problems. Recent research is reviewed considering the complex determinants of disruptive behaviours, including parent and family factors that influence outcomes. The review subsequently outlines recent advances in research and clinical practice guidelines aiming to surmount these challenges. Key advances discussed include examining the most impactful components of ESTs, personalizing interventions by targeting core dysfunction underlying behaviour, and addressing parent factors including mental health and cultural relevance to improve outcomes. SUMMARY: Thorough assessment of patients’ needs, combined with knowledge of treatment response predictors, are recommended to determine the most suitable treatment plan. Recent advances have focused on developing and designing interventions that meet needs in a way that is flexible and tailored.
format Online
Article
Text
id pubmed-9594137
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-95941372022-10-27 Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood Andrade, Brendan F. Aitken, Madison Brodkin, Sabrina Sawrikar, Vilas Curr Opin Psychiatry CHILD AND ADOLESCENT PSYCHIATRY: Edited by Richa Bhatia There are a wide range of psychosocial treatment options, delivered in different modalities, for children with disruptive behaviour. However, clinicians face many challenges in ensuring the empirically supported treatments (ESTs) they select will be effective for their patient. This has prompted studies to generate knowledge on how to improve treatment outcomes for children with disruptive behaviour. This review identifies the major challenges in treatment selection as well as emerging research seeking to improve outcomes. RECENT FINDINGS: This review emphasizes the salience of the research-practice gap associated with establishing ESTs using narrow definitions of clinical problems. Recent research is reviewed considering the complex determinants of disruptive behaviours, including parent and family factors that influence outcomes. The review subsequently outlines recent advances in research and clinical practice guidelines aiming to surmount these challenges. Key advances discussed include examining the most impactful components of ESTs, personalizing interventions by targeting core dysfunction underlying behaviour, and addressing parent factors including mental health and cultural relevance to improve outcomes. SUMMARY: Thorough assessment of patients’ needs, combined with knowledge of treatment response predictors, are recommended to determine the most suitable treatment plan. Recent advances have focused on developing and designing interventions that meet needs in a way that is flexible and tailored. Lippincott Williams & Wilkins 2022-11 2022-09-19 /pmc/articles/PMC9594137/ /pubmed/36125210 http://dx.doi.org/10.1097/YCO.0000000000000823 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle CHILD AND ADOLESCENT PSYCHIATRY: Edited by Richa Bhatia
Andrade, Brendan F.
Aitken, Madison
Brodkin, Sabrina
Sawrikar, Vilas
Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
title Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
title_full Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
title_fullStr Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
title_full_unstemmed Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
title_short Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
title_sort multiple needs and multiple treatments. what's a clinician to do? update on the psychosocial treatment of disruptive behaviours in childhood
topic CHILD AND ADOLESCENT PSYCHIATRY: Edited by Richa Bhatia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9594137/
https://www.ncbi.nlm.nih.gov/pubmed/36125210
http://dx.doi.org/10.1097/YCO.0000000000000823
work_keys_str_mv AT andradebrendanf multipleneedsandmultipletreatmentswhatsacliniciantodoupdateonthepsychosocialtreatmentofdisruptivebehavioursinchildhood
AT aitkenmadison multipleneedsandmultipletreatmentswhatsacliniciantodoupdateonthepsychosocialtreatmentofdisruptivebehavioursinchildhood
AT brodkinsabrina multipleneedsandmultipletreatmentswhatsacliniciantodoupdateonthepsychosocialtreatmentofdisruptivebehavioursinchildhood
AT sawrikarvilas multipleneedsandmultipletreatmentswhatsacliniciantodoupdateonthepsychosocialtreatmentofdisruptivebehavioursinchildhood