LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 26

Search options

  1. Article ; Online: Mental health screening and assessment tools for forcibly displaced children: a systematic review.

    Verhagen, Ilse L / Noom, Marc J / Lindauer, Ramón J L / Daams, Joost G / Hein, Irma M

    European journal of psychotraumatology

    2022  Volume 13, Issue 2, Page(s) 2126468

    Abstract: ... Background: ... An unprecedentedly large number of people worldwide are forcibly displaced, of which more than 40 percent are under 18 years of age. Forcibly displaced children and youth have often been exposed to stressful life events and are ... ...

    Abstract Background: An unprecedentedly large number of people worldwide are forcibly displaced, of which more than 40 percent are under 18 years of age. Forcibly displaced children and youth have often been exposed to stressful life events and are therefore at increased risk of developing mental health issues. Hence, early screening and assessment for mental health problems is of great importance, as is research addressing this topic. However, there is a lack of evidence regarding the reliability and validity of mental health assessment tools for this population. Objective: The aim of the present study was to synthesise the existing evidence on psychometric properties of patient reported outcome measures [PROMs] for assessing the mental health of asylum-seeking, refugee and internally displaced children and youth. Method: Systematic searches of the literature were conducted in four electronic databases: MEDLINE, PsycINFO, Embase and Web of Science. The methodological quality of the studies was examined using the COSMIN Risk of Bias checklist. Furthermore, the COSMIN criteria for good measurement properties were used to evaluate the quality of the outcome measures. Results: The search yielded 4842 articles, of which 27 met eligibility criteria. The reliability, internal consistency, structural validity, hypotheses testing and criterion validity of 28 PROMs were evaluated. Conclusion: Based on the results with regard to validity and reliability, as well as feasibility, we recommend the use of several instruments to measure emotional and behavioural problems, PTSD symptoms, anxiety and depression in forcibly displaced children and youth. However, despite a call for more research on the psychometric properties of mental health assessment tools for forcibly displaced children and youth, there is still a lack of studies conducted on this topic. More research is needed in order to establish cross-cultural validity of mental health assessment tools and to provide optimal cut-off scores for this population. HIGHLIGHTS Research on the psychometric properties of mental health screening and assessment tools for forcibly displaced children and youth is slowly increasing.However, based on the current evidence on the validity and reliability of screening and assessment tools for forcibly displaced children, we are not able to recommend a core set of instruments. Instead, we provide suggestions for best practice.More research of sufficient quality is important in order to establish crsoss-cultural validity and to provide optimal cut-off scores in mental health screening and assessment tools for different populations of forcibly displaced children and youth.
    MeSH term(s) Adolescent ; Child ; Humans ; Mass Screening ; Mental Health ; Psychometrics/methods ; Refugees/psychology ; Reproducibility of Results
    Language English
    Publishing date 2022-09-29
    Publishing country United States
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2586642-4
    ISSN 2000-8066 ; 2000-8066
    ISSN (online) 2000-8066
    ISSN 2000-8066
    DOI 10.1080/20008066.2022.2126468
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article: Victims of Child Abuse Dropping Out of Trauma-Focused Treatment: A Meta-Analysis of Risk Factors.

    van der Hoeven, Mara L / Assink, Mark / Stams, Geert-Jan J M / Daams, Joost G / Lindauer, Ramón J L / Hein, Irma M

    Journal of child & adolescent trauma

    2022  Volume 16, Issue 2, Page(s) 269–283

    Abstract: A substantial number of children who experienced child maltreatment drop out of evidence-based trauma-focused treatments (TF-CBT). Identifying child, family, and treatment-related factors associated with treatment dropout is important to be able to ... ...

    Abstract A substantial number of children who experienced child maltreatment drop out of evidence-based trauma-focused treatments (TF-CBT). Identifying child, family, and treatment-related factors associated with treatment dropout is important to be able to prevent this from happening and to effectively treat children's trauma-related symptoms. Methods: A quantitative review was performed based on a systematic synthesis of the literature on potential risk factors for dropout of trauma-focused treatment in maltreated children. Results: Eight studies were included, that examined TF-CBT, reporting on 139 effects of potential risk factors for dropout. Each factor was classified into one of ten domains. Small but significant effects were found for the "Demographic and Family" risk domain (
    Supplementary information: The online version contains supplementary material available at 10.1007/s40653-022-00500-2.
    Language English
    Publishing date 2022-12-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2502136-9
    ISSN 1936-153X ; 1936-1521
    ISSN (online) 1936-153X
    ISSN 1936-1521
    DOI 10.1007/s40653-022-00500-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: A Cohort Study on the Effect of Parental Mind-Mindedness in Parent-Child Interaction Therapy.

    Meynen, Merlijn / Colonnesi, Cristina / Abrahamse, Mariëlle E / Hein, Irma / Stams, Geert-Jan J M / Lindauer, Ramón J L L

    International journal of environmental research and public health

    2022  Volume 19, Issue 8

    Abstract: Parent-child interaction therapy (PCIT) is a short-term, evidence-based intervention for caregivers with children aged between 2 and 7 who exhibit behavioral problems. PCIT is effective, but has a high attrition rate ranging from 27% to 69%. We ... ...

    Abstract Parent-child interaction therapy (PCIT) is a short-term, evidence-based intervention for caregivers with children aged between 2 and 7 who exhibit behavioral problems. PCIT is effective, but has a high attrition rate ranging from 27% to 69%. We hypothesize that a low level of parental mind-mindedness-the parent's propensity to treat the child as an intentional agent with its own thoughts and emotions-might contribute to premature attrition or cause families to profit less from treatment. To test these hypotheses, we performed a retrospective cohort study in a time-limited, home-based PCIT sample (
    MeSH term(s) Child ; Child, Preschool ; Cohort Studies ; Female ; Humans ; Parent-Child Relations ; Parenting ; Problem Behavior ; Retrospective Studies
    Language English
    Publishing date 2022-04-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19084533
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Perceptions on the function of puberty suppression of transgender adolescents who continued or discontinued treatment, their parents, and clinicians.

    Vrouenraets, Lieke J J J / de Vries, Martine C / Hein, Irma M / Arnoldussen, Marijn / Hannema, Sabine E / de Vries, Annelou L C

    International journal of transgender health

    2021  Volume 23, Issue 4, Page(s) 428–441

    Abstract: Purpose: ...

    Abstract Purpose:
    Language English
    Publishing date 2021-11-11
    Publishing country United States
    Document type Journal Article
    ISSN 2689-5277
    ISSN (online) 2689-5277
    DOI 10.1080/26895269.2021.1974324
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Wilsbekwaamheid beoordelen.

    Hein, Irma M / Blankman, C / Vellinga, Astrid / Hondius, Adger J K

    Nederlands tijdschrift voor geneeskunde

    2019  Volume 163

    Abstract: Care providers are frequently confronted with complicated questions about decision-making competence. This article offers tools to help them to deal with those questions. We also look closely at the underlying legal aspects of competence, how and when ... ...

    Title translation Assessment of decision-making competence; article for educational and training purposes.
    Abstract Care providers are frequently confronted with complicated questions about decision-making competence. This article offers tools to help them to deal with those questions. We also look closely at the underlying legal aspects of competence, how and when competence should be assessed, who is responsible for this assessment and which tools are available for this process.
    MeSH term(s) Clinical Competence ; Clinical Decision-Making ; Health Personnel/psychology ; Health Personnel/standards ; Humans ; Quality Assurance, Health Care
    Language Dutch
    Publishing date 2019-08-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 82073-8
    ISSN 1876-8784 ; 0028-2162
    ISSN (online) 1876-8784
    ISSN 0028-2162
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Common elements of evidence-based trauma therapy for children and adolescents.

    Kooij, Lieke H / van der Pol, Thimo M / Daams, Joost G / Hein, Irma M / Lindauer, Ramón J L

    European journal of psychotraumatology

    2022  Volume 13, Issue 1, Page(s) 2079845

    Abstract: ... Background: ... Numerous evidence-based trauma therapies for children and adolescents have been developed over several decades to minimize the negative outcomes of post-traumatic stress disorder (PTSD). However, PTSD remains a complex construct and is ...

    Abstract Background: Numerous evidence-based trauma therapies for children and adolescents have been developed over several decades to minimize the negative outcomes of post-traumatic stress disorder (PTSD). However, PTSD remains a complex construct and is associated with pervasive problems and high comorbidity. To gain more insight, much could be learnt from the similarities in trauma therapies. Objective: The purpose of this study is to derive common elements from evidence-based trauma therapies for children and adolescents. Method: Therapies were selected from a literature search. Five evidence-based trauma therapies were included in this study. A common element list was created through an existing and modified Delphi method, with a diverse group of Dutch trauma therapists. An element was deemed common when it appeared in three or more of the therapies. The final list was presented to international experts on the included trauma therapies. Results: A substantial commonality of techniques and mechanisms was found across the five evidence-based trauma therapies for children and adolescents, showing a strong overlap between therapies. Conclusion: The identified elements create a basis for research and clinical practice, with regard to targeted trauma therapies tailored to each individual child and his or her support system. This promotes therapy modules that are more flexible and accessible for both therapists and clients, in every environment, from specialized psychiatric units to sites with meagre resources. With current integrated knowledge, we can enhance the effectiveness of child psychiatry and refine trauma therapies.
    Highlights: Using a modified Delphi method, a substantial commonality of techniques and mechanisms is found in evidence-based trauma therapies for children and adolescents.Understanding the techniques and mechanisms of trauma therapy could be of help in refining upcoming therapies, and creates a basis for future research.Commonalities promote therapy modules that are more flexible and accessible for both therapists and clients, in environments ranging from specialized psychiatric units to sites with meagre resources.
    MeSH term(s) Adolescent ; Child ; Comorbidity ; Female ; Humans ; Male ; Psychotherapy/methods ; Stress Disorders, Post-Traumatic/therapy
    Language English
    Publishing date 2022-06-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2586642-4
    ISSN 2000-8066 ; 2000-8066
    ISSN (online) 2000-8066
    ISSN 2000-8066
    DOI 10.1080/20008198.2022.2079845
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Barriers in care for children with life-threatening conditions: a qualitative interview study in the Netherlands.

    Brouwer, Marije / Maeckelberghe, Els L M / van der Heide, Agnes / Hein, Irma / Verhagen, Eduard

    BMJ open

    2020  Volume 10, Issue 6, Page(s) e035863

    Abstract: Objective: To identify barriers, as perceived by parents, to good care for children with life-threatening conditions.: Design: In a nationwide qualitative study, we held in-depth interviews regarding end-of-life care with parents of children (aged 1 ... ...

    Abstract Objective: To identify barriers, as perceived by parents, to good care for children with life-threatening conditions.
    Design: In a nationwide qualitative study, we held in-depth interviews regarding end-of-life care with parents of children (aged 1 to 12 years) who were living with a life-threatening illness or who had died after a medical trajectory (a maximum of 5 years after the death of the child). Sampling was aimed at obtaining maximum variety for a number of factors. The interviews were transcribed and analysed.
    Setting: The Netherlands.
    Participants: 64 parents of 44 children.
    Results: Parents identified six categories of difficulties that create barriers in the care for children with a life-threatening condition. First, parents wished for more empathetic and open communication about the illness and prognosis. Second, organisational barriers create bureaucratic obstacles and a lack of continuity of care. Third, parents wished for more involvement in decision-making. Fourth, parents wished they had more support from the healthcare team on end-of-life decision-making. Fifth, parents experienced a lack of attention for the family during the illness and after the death of their child. Sixth, parents experienced an overemphasis on symptom-treatment and lack of attention for their child as a person.
    Conclusions: The barriers as perceived by parents focussed almost without exception on non-medical aspects: patient-doctor relationships; communication; decision-making, including end-of-life decision-making; and organisation. The perceived barriers indicate that care for children with a life-threatening condition focusses too much on symptoms and not enough on the human beings behind these symptoms.
    MeSH term(s) Child ; Child Care/statistics & numerical data ; Child, Preschool ; Female ; Health Services Accessibility ; Humans ; Infant ; Interviews as Topic ; Male ; Netherlands ; Parents/psychology ; Qualitative Research ; Terminal Care
    Language English
    Publishing date 2020-06-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2019-035863
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Assessing Medical Decision-Making Competence in Transgender Youth.

    Vrouenraets, Lieke J J J / de Vries, Annelou L C / de Vries, Martine C / van der Miesen, Anna I R / Hein, Irma M

    Pediatrics

    2021  Volume 148, Issue 6

    Abstract: Background: According to international transgender care guidelines, an important prerequisite for puberty suppression (PS) is transgender adolescents' competence to give informed consent (IC). In society, there is doubt whether transgender adolescents ... ...

    Abstract Background: According to international transgender care guidelines, an important prerequisite for puberty suppression (PS) is transgender adolescents' competence to give informed consent (IC). In society, there is doubt whether transgender adolescents are capable of this, which in some countries has even led to limited access to this intervention. Therefore, this study examined transgender adolescents' medical decision-making competence (MDC) to give IC for starting PS in a structured, replicable way. Additionally, potential associated variables on MDC, such as age, intelligence, sex, psychological functioning, were investigated.
    Methods: A cross-sectional semistructured interview study with 74 transgender adolescents (aged 10-18 years; 16 birth-assigned boys, 58 birth-assigned girls) within two Dutch specialized gender-identity clinics was performed. To assess MDC, judgements based on the reference standard (clinical assessment) and the MacArthur Competence Assessment Tool for Treatment (MacCAT-T), a validated semistructured interview, were used.
    Results: Of the transgender adolescents, 93.2% (reference standard judgements; 69 of 74) and 89.2% (MacCAT-T judgements; 66 of 74) were assessed competent to consent. Intermethod agreement was 87.8% (65 of 74). Interrater agreements of the reference standard and MacCAT-T-based judgements were 89.2% (198 of 222) and 86.5% (192 of 222), respectively. IQ and sex were both significantly related to MacCAT-T total score, whereas age, level of emotional and behavioral challenges, and diagnostic trajectories duration were not.
    Conclusions: By using the MacCAT-T and clinicians' assessments, 93.2% and 89.2%, respectively, of the transgender adolescents in this study were assessed competent to consent for starting PS.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Age Factors ; Child ; Child Behavior ; Clinical Decision-Making/methods ; Cross-Sectional Studies ; Female ; Humans ; Informed Consent By Minors/psychology ; Informed Consent By Minors/statistics & numerical data ; Intelligence ; Judgment ; Male ; Mental Competency/psychology ; Netherlands ; Puberty ; Reference Standards ; Transgender Persons/psychology ; Transgender Persons/statistics & numerical data
    Language English
    Publishing date 2021-11-23
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2020-049643
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article: Increasing Resource Parents' Sensitivity towards Child Posttraumatic Stress Symptoms: a Descriptive Study on a Trauma-Informed Resource Parent Training.

    Gigengack, Maj R / Hein, Irma M / Lindeboom, Robert / Lindauer, Ramón J L

    Journal of child & adolescent trauma

    2017  Volume 12, Issue 1, Page(s) 23–29

    Abstract: Resource parents are often insufficiently prepared for recognizing and managing posttraumatic stress symptoms (PTSS) in their traumatized foster children, which can put a successful foster placement at risk. The Resource Parent Curriculum (RPC) developed ...

    Abstract Resource parents are often insufficiently prepared for recognizing and managing posttraumatic stress symptoms (PTSS) in their traumatized foster children, which can put a successful foster placement at risk. The Resource Parent Curriculum (RPC) developed by the National Child Traumatic Stress Network is designed to increase resource parents' sensitivity towards child PTSS. This study explores the effect of the RPC on resource parents' recognition of child PTSS, resource parents' perceived upbringing stress in caring for their foster child, and child PTSS before entering the RPC (T0), after completing the RPC (T1) and at six-month follow-up (T2). Results (
    Language English
    Publishing date 2017-06-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2502136-9
    ISSN 1936-153X ; 1936-1521
    ISSN (online) 1936-153X
    ISSN 1936-1521
    DOI 10.1007/s40653-017-0162-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Medical decision-making competence regarding puberty suppression: perceptions of transgender adolescents, their parents and clinicians.

    Vrouenraets, Lieke Josephina Jeanne Johanna / de Vries, Annelou L C / Arnoldussen, Marijn / Hannema, Sabine E / Lindauer, Ramón J L / de Vries, Martine C / Hein, Irma M

    European child & adolescent psychiatry

    2022  Volume 32, Issue 11, Page(s) 2343–2361

    Abstract: According to international transgender care guidelines, transgender adolescents should have medical decision-making competence (MDC) to start puberty suppression (PS) and halt endogenous pubertal development. However, MDC is a debated concept in ... ...

    Abstract According to international transgender care guidelines, transgender adolescents should have medical decision-making competence (MDC) to start puberty suppression (PS) and halt endogenous pubertal development. However, MDC is a debated concept in adolescent transgender care and little is known about the transgender adolescents', their parents', and clinicians' perspectives on this. Increasing our understanding of these perspectives can improve transgender adolescent care. A qualitative interview study with adolescents attending two Dutch gender identity clinics (eight transgender adolescents who proceeded to gender-affirming hormones after PS, and six adolescents who discontinued PS) and 12 of their parents, and focus groups with ten clinicians was conducted. From thematic analysis, three themes emerged regarding transgender adolescents' MDC to start PS: (1) challenges when assessing MDC, (2) aspects that are considered when assessing MDC, and (3) MDC's relevance. The four criteria one needs to fulfill to have MDC-understanding, appreciating, reasoning, communicating a choice-were all, to a greater or lesser extent, mentioned by most participants, just as MDC being relative to a specific decision and context. Interestingly, most adolescents, parents and clinicians find understanding and appreciating PS and its consequences important for MDC. Nevertheless, most state that the adolescents did not fully understand and appreciate PS and its consequences, but were nonetheless able to decide about PS. Parents' support of their child was considered essential in the decision-making process. Clinicians find MDC difficult to assess and put into practice in a uniform way. Dissemination of knowledge about MDC to start PS would help to adequately support adolescents, parents and clinicians in the decision-making process.
    MeSH term(s) Child ; Humans ; Male ; Adolescent ; Female ; Transgender Persons ; Gender Identity ; Puberty ; Qualitative Research ; Parents
    Language English
    Publishing date 2022-09-17
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1118299-4
    ISSN 1435-165X ; 1018-8827 ; 1433-5719
    ISSN (online) 1435-165X
    ISSN 1018-8827 ; 1433-5719
    DOI 10.1007/s00787-022-02076-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top