Top

24-04-2024

Een ultrakorte systemische interventie voor de behandeling van psychische gezondheidssymptomen bij kinderen

Auteurs: Diane A. Philipp, Heather Prime, Joëlle Darwiche

Gepubliceerd in: Gezinstherapie Wereldwijd

Samenvatting

In dit artikel presenteren wij een klinische benadering voor onbehandelde psychische gezondheidsproblemen bij kinderen. Deze benadering is gebaseerd op tientallen jaren onderzoek naar gezinssystemen, co-ouderschap en de ontwikkeling van kinderen. We bespreken met name de Lausanne Family Play – Brief Intervention (LFP-B), een geprotocolleerde gezinssysteembenadering voor verzorger-verzorger-kind-therapie (en broers en zussen indien van toepassing). LFP‑B is een zeer korte benadering met meestal maar drie sessies (twee assessmentsessies en een video-feedbacksessie), met als doel het verminderen van de symptomatologie van het kind door het versterken van de co-ouderrelatie. We kijken naar de literatuur over systemische gezinstherapieën en geven de rationale voor het betrekken van co-ouders en kinderen bij de behandeling in de jeugd-ggz. Daarna geven we een rationale voor het gebruik van gedragsobservaties en video-feedback in de behandeling, waarbij we ons baseren op onderzoek naar vergelijkbare gezinsgerichte behandelingen (bijv. ouder-kind-therapieën). Tot slot geven we een overzicht van het LFP-B-protocol en presenteren een casusvoorbeeld.

Om het overzichtelijk te houden gebruiken we met name de term LFP, dat de speelparadigma’s LTP (één kind) of LFP (meer kinderen) omvat.

Voor dit casusvoorbeeld zijn de namen en identificeerbare informatie zijn gewijzigd. Het transcript is van één feedbacksessie, maar dit voorbeeld is een samenvoeging van verschillende klinische casussen in het behandelcentrum om het model het beste weer te geven en de privacy van de cliënt te beschermen.

Aarts, M. (2000). Marte Meo basic manual. Aarts Productions.

Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129(2), 195–215. https://doi.org/10.1037/0033-2909.129.2.195.CrossRefPubMed

Brendel, K. E., & Maynard, B. R. (2014). Child–parent interventions for childhood anxiety disorders: A systematic review and meta-analysis. Research on Social Work Practice, 24(3), 287–295. https://doi.org/10.1177/1049731513503713.CrossRef

Carr, A. (2015). The evolution of systems theory. In G. R. Weeks (red.), Handbook of family therapy (pag. 153–213). Routledge.

Carr, A. (2019). Family therapy and systemic interventions for child-focused problems: the current evidence base. Journal of Family Therapy, 41(2), 153–213. https://doi.org/10.1111/1467-6427.12226.CrossRef

Cates, C. B., Weisleder, A., Johnson, S. B., Seery, A. M., Canfield, C. F., Huberman, H., Dreyer, B. P., & Mendelsohn, A. L. (2018). Enhancing parent talk, reading, and play in primary care: Sustained impacts of the video interaction project. The Journal of Pediatrics, 199, 49–56. https://doi.org/10.1016/j.jpeds.2018.03.002.CrossRefPubMedPubMedCentral

Eldik, W. M. van, Haan, A. D. de, Parry, L. Q., Davies, P. T., Luijk, M. P., Arends, L. R., & Prinzie, P. (2020). The interparental relationship: Meta-analytic associations with children’s maladjustment and responses to interparental conflict. Psychological Bulletin, 146(7), 553–594. https://doi.org/10.1037/bul0000233.CrossRefPubMed

Fabiano, G. A., & Caserta, A. (2018). Future directions in father inclusion, engagement, retention, and positive outcomes in child and adolescent research. Journal of Clinical Child & Adolescent Psychology, 47(5), 847–862. https://doi.org/10.1080/15374416.2018.1485106.CrossRef

Feinberg, M. E. (2002). Coparenting and the transition to parenthood: A framework for prevention. Clinical Child and Family Psychology Review, 5(3), 173–195. https://doi.org/10.1023/A:1019695015110.CrossRefPubMedPubMedCentral

Fivaz-Depeursinge, E., & Corboz-Warnery, A. (1999). The primary triangle: A developmental systems view of fathers, mothers, and infants. Basic Books.

Fivaz-Depeursinge, E., & Philipp, D. A. (2014). The baby and the couple: Understanding and treating young families. Routledge.CrossRef

Frascarolo, F., & Favez, N. (2005). Une nouvelle situation pour évaluer le fonctionnnement familial: Le Jeu du Pique-Nique [A new tool for the assessment of the family: The Picnic Game. Devenir, 17, 141–151. https://doi.org/10.3917/dev.052.0141.CrossRef

Frascarolo, F., Fivaz, E., & Favez, N. (2011). Coparenting in family–infant triads: The use of observation in systemic interventions. In J. P. McHale & K. M. Lindahl (red.), Coparenting: A conceptual and clinical examination of family systems (pag. 211–230). American Psychological Association. https://doi.org/10.1037/12328-010.CrossRef

Fukkink, R. G. (2008). Video feedback in widescreen: a meta-analysis of family programs. Clinical Psychology Review, 28(6), 904–916. https://doi.org/10.1016/j.cpr.2008.01.003.CrossRefPubMed

Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRefPubMed

Harrison, L., Carducci, B., Klein, J. D., & Bhutta, Z. A. (2022). Indirect effects of COVID-19 on child and adolescent mental health: an overview of systematic reviews. BMJ Global Health, 7(12), e10713.CrossRefPubMed

Iles, J. E., Rosan, C., Wilkinson, E., & Ramchandani, P. G. (2017). Adapting and developing a video-feedback intervention for co-parents of infants at risk of externalising behaviour problems (VIPP-Co): A feasibility study. Clinical Child Psychology and Psychiatry, 22(3), 483–499. https://doi.org/10.1177/1359104517704025.CrossRefPubMed

Juffer, F., Bakermans-Kranenburg, M. J., & Ijzendoorn, M. H. van (2008). Methods of the video-feedback programs to promote positive parenting alone, with sensitive discipline, and with representational attachment discussions. In F. Juffer, M. J. Bakermans-Kranenburg & M. H. van IJzendoorn (red.), Promoting positive parenting. An attachment-based intervention (pag. 11–21). Psychology Press.

Kemenoff, S., Worchel, F., Prevatt, B., & Willson, V. (1995). The effects of video feedback in the context of Milan Systemic therapy. Journal of Family Psychology, 9(4), 446–450. https://doi.org/10.1037/0893-3200.9.4.446.CrossRef

Kennedy, H., Ball, K., & Barlow, J. (2017). How does video interaction guidance contribute to infant and parental mental health and well-being? Clinical Child Psychology and Psychiatry, 22(3), 500–517. https://doi.org/10.1177/1359104517704026.CrossRefPubMed

Madigan, S., Korczak, D., Vaillancourt, T., Racine, N., Hopkins, W., Pador, P., Hewitt, J., AlMousawi, B., McDonald, S., & Neville, R. (2023). Comparison of paediatric emergency department visits for attempted suicide, self-harm, and suicidal ideation before and during the COVID-19 pandemic: A systematic review and meta-analysis. The Lancet Psychiatry., , .

McDonough, S. C. (1995). Promoting positive early parent-infant relationships through interaction guidance. Child and Adolescent Psychiatric Clinics of North America, 4, 661–672. https://doi.org/10.1016/S1056-4993(18)30426-7.CrossRef

McHale, J. P., & Irace, K. (2011). Coparenting in diverse family systems. In J. P. McHale & K. M. Lindahl (red.), Coparenting: a conceptual and clinical examination of family systems (pag. 15–37). American Psychological Association. https://doi.org/10.1037/12328-000.CrossRef

McHale, J. P., Favez, N., & Fivaz-Depeursinge, E. (2018). The Lausanne trilogue play paradigm: breaking discoveries in family process and therapy. Journal of Child and Family Studies, 27(10), 3063–3072. https://doi.org/10.1007/s10826-018-1209-y.CrossRef

Merikangas, K. R., He, J. P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., Georgiades, K., Heaton, L., Swanson, S., & Olfson, M. (2011). Service utilization for lifetime mental disorders in US adolescents: results of the national comorbidity survey–adolescent supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 50(1), 32–45. https://doi.org/10.1016/j.jaac.2010.10.006.CrossRef

Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: a qualitative analysis of how experts promote a systemic perspective. Family Process, 52(2), 207–215. https://doi.org/10.1111/famp.12025.CrossRefPubMed

Nunes, E. C., Roten, Y. de, El Ghaziri, N., Favez, N., & Darwiche, J. (2020). Co-parenting programs: A systematic review and meta-analysis. Family Relations, 70(3), 759–776. https://doi.org/10.1111/fare.12438.CrossRef

Olhaberry, M., León, M. J., Escobar, M., Iribarren, D., Morales-reyes, I., & Álvarez, K. (2017). Video-feedback intervention to improve parental sensitivity and the quality of interactions in mother-father-infant triads. Mental Health in Family Medicine, 13, 532. https://doi.org/10.25149/1756-8358.1304029.CrossRef

Parent, J., Forehand, R., Pomerantz, H., Peisch, V., & Seehuus, M. (2017). Father participation in child psychopathology research. Journal of Abnormal Child Psychology, 45(7), 1259–1270.CrossRefPubMedPubMedCentral

Perez-Brena, N. J., Duncan, J. C., Bámaca, M. Y., & Perez, R. (2022). Progress and gaps: a systematic review of the family demographics and family subsystems represented in top family science journals 2008–2018. Journal of Family Theory & Review, 14(1), 59–78. https://doi.org/10.1111/jftr.12446.CrossRef

Philipp, D. A. (2023). Lausanne family play: assessment and video feedback intervention for parenting and coparenting. Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto. Unpublished manuscript

Philipp, D. A., Cordeiro, K., & Hayos, C. (2018). A case-series of reflective family play: therapeutic process, feasibility, and referral characteristics. Journal of Child and Family Studies, 27(10), 3117–3131. https://doi.org/10.1007/s10826-018-1192-3.CrossRef

Ran, G., Niu, X., Zhang, Q., Li, S., Liu, J., Chen, X., & Wu, J. (2021). The association between interparental conflict and youth anxiety: a three-level meta-analysis. Journal of Youth and Adolescence, 50(4), 599–612. https://doi.org/10.1007/s10964-020-01388-7.CrossRefPubMed

Retzlaff, R., Sydow, K. von, Beher, S., Haun, M. W., & Schweitzer, J. (2013). The efficacy of systemic therapy for internalizing and other disorders of childhood and adolescence: a systematic review of 38 randomized trials. Family Process, 52(4), 619–652. https://doi.org/10.1111/famp.12041.CrossRefPubMed

Schleider, J. L., & Weisz, J. R. (2017). Little treatments, promising effects? Meta-analysis of single-session interventions for youth psychiatric problems. Journal of the American Academy of Child & Adolescent Psychiatry, 56(2), 107–115. https://doi.org/10.1016/j.jaac.2016.11.007.CrossRef

Statistics Canada (2019). Toronto—A data story on ethnocultural diversity and inclusion in Canada. https://www150.statcan.gc.ca/n1/pub/11-631-x/11-631-x2019002-eng.htm

Stern, D. N. (2004). The motherhood constellation: therapeutic approaches to early relational problems. In A. J. Sameroff, S. C. McDonough & K. L. Rosenblum (red.), Treating parent-infant relationship problems: strategies for intervention (pag. 29–42). Guilford.

Sydow, K. von, Retzlaff, R., Beher, S., Haun, M. W., & Schweitzer, J. (2013). The efficacy of systemic therapy for childhood and adolescent externalizing disorders: a systematic review of 47 RCT. Family Process, 52(4), 576–618. https://doi.org/10.1111/famp.12047.CrossRef

Teubert, D., & Pinquart, M. (2010). The association between coparenting and child adjustment: a meta-analysis. Parenting: Science and Practice,, 10(4), 286–307. https://doi.org/10.1080/15295192.2010.492040.CrossRef

Tissot, H., Kuersten-Hogan, R., Frascarolo, F., Favez, N., & McHale, J. P. (2019). Parental perceptions of individual and dyadic adjustment as predictors of observed coparenting cohesion: a cross-national study. Family Process, 58(1), 129–145. https://doi.org/10.1111/famp.12359.CrossRefPubMed

Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., Jensen-Doss, A., Hawley, K. M., Krumholz Marchette, L. S., & Chu, B. C. (2017). What five decades of research tells us about the effects of youth psychological therapy: A multilevel meta-analysis and implications for science and practice. AmericanPsychologist, 72(2), 79–117. https://doi.org/10.1037/a0040360.CrossRef

Lin, J. A., Hartman-Munick, S. M., Kells, M. R., Milliren, C. E., Slater, W. A., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021). The impact of the COVID-19 pandemic on the number of adolescents/young adults seeking eating disorder-related care. Journal of Adolescent Health, 69(4), 660–663. https://doi.org/10.1016/j.jadohealth.2021.05.019.CrossRef

Minuchin, S. (1974). Families and family therapy. Harvard University Press.CrossRef

Racine, N., Cooke, J. L., Eirich, R., Korczak, D. J., McArthur, B., & Madigan, S. (2020). Child and adolescent mental illness during COVID-19: a rapid review. Psychiatry Research, 292, 113307. https://doi.org/10.1016/j.psychres.2020.113307.CrossRefPubMedPubMedCentral

Titel: Een ultrakorte systemische interventie voor de behandeling van psychische gezondheidssymptomen bij kinderen
Auteurs: Diane A. Philipp
Heather Prime
Joëlle Darwiche
Publicatiedatum: 24-04-2024
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Gezinstherapie Wereldwijd
Print ISSN: 1566-0206
Elektronisch ISSN: 1876-5874
DOI: https://doi.org/10.1007/s12440-024-00219-6

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Samenvatting

Log in om toegang te krijgen