Top

Gepubliceerd in:

03-09-2022 | Original Paper

Resilience Is Associated with Improved Emotion Regulation and Internalizing Symptoms Following Transdiagnostic Treatment in a Diverse Sample of Children

Auteurs: Simone Chad-Friedman, Colleen M. Cummings, Nina D. Shiffrin, Mary K. Alvord, Brendan A. Rich

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2023

Abstract

The study of child psychotherapy effectiveness is increasingly focused on identifying factors that predict positive outcomes. While prior studies suggest children’s resilience (i.e., self-esteem, social-support, and self-efficacy) may enhance the effectiveness of cognitive behavioral therapy (CBT), these findings are inconsistent, and it is unclear if these results extend to children from diverse racial/ethnic and socioeconomic (SES) backgrounds. This study aims to 1) evaluate associations between pre-treatment self-efficacy, self-esteem, and social support, and post-treatment internalizing symptoms and emotion regulation, and; 2) examine differences in treatment response between predominantly racial/ethnic minority and low SES youth, and predominantly White and high-SES youth. 252 children ages 7–12 years completed the Resilience Builder Program® (RBP), a group intervention, at either schools comprised of predominantly economically marginalized, ethnic/racial minority youth or at a private therapy practice, comprised of predominantly high-SES, White youth. Results showed that children in both settings significantly improved in internalizing symptoms and emotional control following participation in the RBP intervention. In the combined sample, pre-treatment social support was associated with greater improvement in post-treatment internalizing symptoms, and pre-treatment self-efficacy was associated with greater improvement in post-treatment emotional control. For children in the school setting only, higher baseline self-esteem and social support were associated with greater improvements in post-treatment internalizing symptoms and emotional control, respectively. Findings suggest that social support and self-esteem may be particularly important in enhancing treatment response for children from underrepresented ethnic/racial backgrounds and high poverty families.

vorige artikel Targeting Parental Accommodation in Anxiety: An Open Trial of the Coping Cat Accommodation Reduction Intervention

volgende artikel Unexpressed Wishes and Unmet Needs: a Mixed Methods Study of Youth Negative Experiences in Psychotherapy

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. SAGE.

Alvord, M. K., & Grados, J. J. (2005). Enhancing resilience in children: A proactive approach. Professional Psychology: Research and Practice, 36(3), 238–245. https://doi.org/10.1037/0735-7028.36.3.238.CrossRef

Alvord, M. K., Zucker, B., & Grados, J. J. (2011). Resilience Builder Program for children and adolescents: Enhancing social competence and self-regulation—A cognitive-behavioral group approach. Research Press.

Armstrong, M., Birnie-Lefcovitch, S., & Ungar, M. (2005). Pathways between social support, family well being, quality of parenting, and child resilience: What we know. Journal of Child & Family Studies, 14(2), 269–281. https://doi.org/10.1007/s10826-005-5054-4.CrossRef

Baker, J. R., & Hudson, J. L. (2013). Friendship quality predicts treatment outcome in children with anxiety disorders. Behaviour Research and Therapy, 51(1), 31–36. https://doi.org/10.1016/j.brat.2012.10.005.CrossRefPubMed

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191.CrossRefPubMed

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.

Beauchaine, T. P. (2015). Future directions in emotion dysregulation and youth psychopathology. Journal of Clinical Child & Adolescent Psychology, 44(5), 875–896. https://doi.org/10.1080/15374416.2015.1038827.CrossRef

Caprara, G. V., Barbaranelli, C., Pastorelli, C., & Cervone, D. (2004). The contribution of self-efficacy beliefs to psychosocial outcomes in adolescence: Predicting beyond global dispositional tendencies. Personality and Individual Differences, 37(4), 751–763. https://doi.org/10.1016/j.paid.2003.11.003.CrossRef

Chen, E., & Miller, G. E. (2013). Socioeconomic status and health: Mediating and moderating factors. Annual Review of Clinical Psychology, 9(1), 723–749. https://doi.org/10.1146/annurev-clinpsy-050212-185634.CrossRefPubMed

Chu, P. S., Saucier, D. A., & Hafner, E. (2010). Meta-analysis of the relationships between social support and well-being in children and adolescents. Journal of Social and Clinical Psychology, 29(6), 624–645. https://doi.org/10.1521/jscp.2010.29.6.624.CrossRef

Ciucci, E., Baroncelli, A., Grazzani, I., Ornaghi, V., & Caprin, C. (2016). Emotional arousal and regulation: Further evidence of the validity of the “How I Feel” questionnaire for use with school-age children. Journal of School Health, 86, 195–203. https://doi.org/10.1111/josh.12370.CrossRefPubMed

Cohen, J. A., & Mannarino, A. P. (2000). Predictors of treatment outcome in sexually abused children. Child Abuse & Neglect, 24(7), 983–994. https://doi.org/10.1016/S0145-2134(00)00153-8.CrossRef

Crowell, S. E., Puzia, M. E., & Yaptangco, M. (2015). The ontogeny of chronic distress: Emotion dysregulation across the life span and its implications for psychological and physical health. Current Opinion in Psychology, 3, 91–99. https://doi.org/10.1016/j.copsyc.2015.03.023.CrossRef

Curry, J., Rohde, P., Simons, A., Silva, S., Vitiello, B., Kratochvil, C., Reinecke, M., Feeny, N., Wells, K., Pathak, S., Weller, E., Rosenberg, D., Kennard, B., Robins, M., Ginsburg, G., & March, J. (2006). Predictors and moderators of acute outcome in the Treatment for Adolescents with Depression Study (TADS).Journal of the American Academy of Child & Adolescent Psychiatry, 45(12), 1427–1439. https://doi.org/10.1097/01.chi.0000240838.78984.e2.CrossRef

Driessen, E., & Hollon, S. D. (2010). Cognitive behavioral therapy for mood disorders: Efficacy, moderators and mediators. Psychiatric Clinics of North America, 33(3), 537–555. https://doi.org/10.1016/j.psc.2010.04.005.CrossRefPubMed

Dumont, M., & Provost, M. A. (1999). Resilience in adolescents: Protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. Journal of Youth and Adolescence, 28(3), 343–363. https://doi.org/10.1023/A:1021637011732.CrossRef

Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432. https://doi.org/10.1111/j.1467-8624.2010.01564.x.CrossRefPubMed

Ebersöhn, L. (2017). A resilience, health and well-being lens for education and poverty. South African Journal of Education, 37(1), 1 https://doi.org/10.4314/saje.v37i1.CrossRef

Ewing, D. L., Monsen, J. J., Thompson, E. J., Cartwright-Hatton, S., & Field, A. (2015). A Meta-analysis of transdiagnostic cognitive behavioural therapy in the treatment of child and young person anxiety disorders. Behavioural and Cognitive Psychotherapy, 43(5), 562–577. https://doi.org/10.1017/S1352465813001094.CrossRefPubMed

Fairburn, C. G., Agras, W. S., Walsh, B. T., Wilson, G. T., & Stice, E. (2004). Prediction of outcome in bulimia nervosa by early change in treatment. American Journal of Psychiatry, 161(12), 2322–2324. https://doi.org/10.1176/appi.ajp.161.12.2322.CrossRefPubMed

Feder, A., Fred-Torres, S., Southwick, S. M., & Charney, D. S. (2019). The biology of human resilience: Opportunities for enhancing resilience across the life span. Biological Psychiatry, 86(6), 443–453. https://doi.org/10.1016/j.biopsych.2019.07.012.CrossRefPubMed

Fritz, J., de Graaff, A. M., Caisley, H., van Harmelen, A.-L., & Wilkinson, P. O. (2018). A systematic review of amenable resilience factors that moderate and/or mediate the relationship between childhood adversity and mental health in young people. Frontiers in Psychiatry, 9. https://doi.org/10.3389/fpsyt.2018.00230

Fusar‐Poli, P., Solmi, M., Brondino, N., Davies, C., Chae, C., Politi, P., Borgwardt, S., Lawrie, S. M., Parnas, J., & McGuire, P. (2019). Transdiagnostic psychiatry: A systematic review. World Psychiatry, 18(2), 192–207. https://doi.org/10.1002/wps.20631.CrossRefPubMedPubMedCentral

García-Escalera, J., Chorot, P., Valiente, R. M., Reales, J. M., & Sandín, B. (2016). Efficacy of transdiagnostic cognitive-behavioral therapy for anxiety and depression in adults, children and adolescents: A meta-analysis. Revista de Psicopatología y Psicología Clínica, 21(3), 147–175. https://doi.org/10.5944/rppc.vol.21.num.3.2016.17811.CrossRef

Ginsburg, G. S., Kingery, J. N., Drake, K. L., & Grados, M. A. (2008). Predictors of treatment response in pediatric obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 868–878. https://doi.org/10.1097/CHI.0b013e3181799ebd.CrossRef

Happer, K., Brown, E. J., & Sharma-Patel, K. (2017). Children’s resilience and trauma-specific cognitive behavioral therapy: Comparing resilience as an outcome, a trait, and a process. Child Abuse & Neglect, 73, 30–41. https://doi.org/10.1016/j.chiabu.2017.09.021.CrossRef

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Second Edition. Guilford Publications.

Henderson, D. X., DeCuir-Gunby, J., & Gill, V. (2016). “It really takes a village”: A socio-ecological model of resilience for prevention among economically disadvantaged ethnic minority youth. The Journal of Primary Prevention, 37(5), 469–485. https://doi.org/10.1007/s10935-016-0446-3.CrossRefPubMed

Hinshaw, S. P. (2007). Moderators and mediators of treatment outcome for youth with ADHD: Understanding for whom and how interventions work. Journal of Pediatric Psychology, 32(6), 664–675. https://doi.org/10.1093/jpepsy/jsl055.CrossRefPubMed

IBM Corp. Released (2019). IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp

Karademas, E. C. (2006). Self-efficacy, social support and well-being: The mediating role of optimism. Personality and Individual Differences, 40(6), 1281–1290. https://doi.org/10.1016/j.paid.2005.10.019.CrossRef

Kim, G., Walden, T., Harris, V., Karrass, J., & Catron, T. (2007). Positive emotion, negative emotion, and emotion control in the externalizing problems of school-aged children. Child Psychiatry and Human Development, 37, 221–239. https://doi.org/10.1007/s10578-006-0031-8.CrossRefPubMed

Kim, J., & Cicchetti, D. (2003). Social Self-Efficacy and Behavior Problems in Maltreated and Nonmaltreated Children. Journal of Clinical Child & Adolescent Psychology, 32(1), 106–117. https://doi.org/10.1207/S15374424JCCP3201_10.CrossRef

Kiperman, S., Black, M. S., McGill, T. M., Harrell-Williams, L. M., & Kamphaus, R. W. (2014). Predicting behavior assessment system for children–second edition self-report of personality child form results using the behavioral and emotional screening system student form: A replication study with an urban, predominantly latino/a sample. Journal of Psychoeducational Assessment, 32(7), 587–596. https://doi.org/10.1177/0734282914529200.CrossRef

Landau, J. (2007). Enhancing resilience: Families and communities as agents for change. Family Process, 46(3), 351–365. https://doi.org/10.1111/j.1545-5300.2007.00216.x.CrossRefPubMed

Lawson, K. R., & Ruff, H. A. (2004). Early attention and internalizing symptoms predict later cognitive and behavioural function. International Journal of Behavioral Development, 28(2), 157–165. https://doi.org/10.1080/01650250344000361.CrossRef

Lent, S. A., & Figueira-Mcdonough, J. (2002). Gender and poverty: Self-esteem among elementary school children. Journal of Children and Poverty, 8(1), 5–22. https://doi.org/10.1080/10796120220120340.CrossRef

Lewis, K. M., Matsumoto, C., Cardinale, E., Jones, E. L., Gold, A. L., Stringaris, A., Leibenluft, E., Pine, D. S., & Brotman, M. A. (2020). Self-efficacy as a target for neuroscience research on moderators of treatment outcomes in pediatric anxiety. Journal of Child and Adolescent Psychopharmacology, 30(4), 205–214. https://doi.org/10.1089/cap.2019.0130.CrossRefPubMedPubMedCentral

Linnenbrink, E. A., & Pintrich, P. R. (2003). The role of self-efficacy beliefs instudent engagement and learning Intheclassroom. Reading & Writing Quarterly, 19(2), 119–137. https://doi.org/10.1080/10573560308223.CrossRef

Little, R. J. A., & Rubin, D. B. (1989). The analysis of social science data with missing values. Sociological Methods & Research, 18(2–3), 292–326. https://doi.org/10.1177/0049124189018002004.CrossRef

Liu, S., You, J., Ying, J., Li, X., & Shi, Q. (2020). Emotion reactivity nonsuicidal self-injury and regulatory emotional self-efficacy: Amoderated mediation model of suicide ideation. Journal of Affective Disorders, 266, 82–89. https://doi.org/10.1016/j.jad.2020.01.083.CrossRefPubMed

Marks, A. K., Woolverton, G. A., & García Coll, C. (2020). Risk and resilience in minority youth populations. Annual Review of Clinical Psychology, 16(1), 151–163. https://doi.org/10.1146/annurev-clinpsy-071119-115839.CrossRefPubMed

Masten, A. S., & Reed, M. G. J. (2002). Resilience in development. Handbook of positive psychology, 74, 88.

Motti-Stefanidi, F., & S. Masten, A. (2017). A resilience perspective on immigrant youth adaptation and development. In N. J. Cabrera & B. Leyendecker (Eds.), Handbook on positive development of minority children and youth (pp. 19–34). Springer International Publishing. https://doi.org/10.1007/978-3-319-43645-6_2

Ngo, H., VanderLaan, D. P., & Aitken, M. (2020). Self-esteem, symptom severity, and treatment response in adolescents with internalizing problems. Journal of Affective Disorders, 273, 183–191. https://doi.org/10.1016/j.jad.2020.04.045.CrossRefPubMed

Nilsen, T. S., Eisemann, M., & Kvernmo, S. (2013). Predictors and moderators of outcome in child and adolescent anxiety and depression: A systematic review of psychological treatment studies. European Child & Adolescent Psychiatry, 22(2), 69–87. https://doi.org/10.1007/s00787-012-0316-3.CrossRef

Prince-Embury, S. (2008). The Resiliency Scales for Children and Adolescents, psychological symptoms, and clinical status in adolescents. Canadian Journal of School Psychology, 23(1), 41–56. https://doi.org/10.1177/0829573508316592.CrossRef

Reynolds, C. R., & Kamphaus, R. W. (2004). Manual: Behavior assessment system for children-second edition. American Guidance Service. https://www.pearsonclinical.co.uk/Psychology/ChildMentalHealth/ChildADDADHDBehaviour/BehaviorAssessmentSystemforChildrenSecondEdition(BASC-2)/BehaviorAssessmentSystemforChildrenSecondEdition(BASC-2).aspx

Reynolds, Cecil R. (2010). Behavior Assessment System for Children. The Corsini Encyclopedia of Psychology (pp. 1–2). American Cancer Society. https://doi.org/10.1002/9780470479216.corpsy0114

Rich, B. A., Hensler, M., Rosen, H. R., Watson, C., Schmidt, J., Sanchez, L., & Alvord, M. K. (2014). Attrition from therapy effectiveness research among youth in a clinical service setting. Administration and Policy in Mental Health and Mental Health Services Research, 41(3), 343–352.CrossRefPubMed

Rich, B. A., Shiffrin, N. D., Cummings, C. M., Zarger, M. M., Berghorst, L., O’Brien, K., & Alvord, M. K. (2019). Resilience-based intervention with underserved children: Impact on self-regulation in a randomized clinical trial in schools. International Journal of Group Psychotherapy, 69(1), 30–53. https://doi.org/10.1080/00207284.2018.1479187.CrossRef

Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57(3), 316–331.CrossRefPubMed

Santiago, C. D., Kaltman, S., & Miranda, J. (2013). Poverty and mental health: How do low-income adults and children fare in psychotherapy? Journal of Clinical Psychology, 69(2), 115–126. https://doi.org/10.1002/jclp.21951.CrossRefPubMed

Sarason, B., Sarason, I., & Gurung, R. (1997). Close personal relationships and health outcomes: A key to the role of social support.

Schraufnagel, T. J. Wagner, A. W., Miranda, J., & Roy-Byrne, P. P. (2006). Treating minority patients with depression and anxiety: what doesthe evidence tell us?. General Hospital Psychiatry, 28(1), 27–36. https://doi.org/10.1016/j.genhosppsych.2005.07.002.CrossRefPubMed

Schunk, D. H. (1991). Self-efficacy and academic motivation. Educational Psychologist, 26(3–4), 207–231. https://doi.org/10.1080/00461520.1991.9653133.CrossRef

Sippel, L. M., Pietrzak, R. H., Charney, D. S., Mayes, L. C., & Southwick, S. M. (2015). How does social support enhance resilience in the trauma-exposed individual? Ecology and Society, 20(4). https://doi.org/10.5751/ES-07832-200410.

Smyth, J. M., & Arigo, D. (2009). Recent evidence supports emotion-regulation interventions for improving health in at-risk and clinical populations. Current Opinion in Psychiatry, 22(2), 205 https://doi.org/10.1097/YCO.0b013e3283252d6d.CrossRefPubMed

Spence, S. H., March, S., & Donovan, C. L. (2019). Social support as a predictor of treatment adherence and response in an open-access, self-help, internet-delivered cognitive behavior therapy program for child and adolescent anxiety. Internet Interventions, 18, 100268 https://doi.org/10.1016/j.invent.2019.100268.CrossRefPubMedPubMedCentral

Tackett, J. L. (2013). Common genetic influences on internalizing symptoms and a general psychopathology factor in childhood and adolescence. Journal of Abnormal Psychology, 122(4), 1142 https://doi.org/10.1037/a0034151.CrossRefPubMedPubMedCentral

Taylor, J. H., Lebowitz, E. R., Jakubovski, E., Coughlin, C. G., Silverman, W. K., & Bloch, M. H. (2018). Monotherapy Insufficient in Severe Anxiety? Predictors and Moderators in the Child/Adolescent Anxiety Multimodal Study. Journal of Clinical Child & Adolescent Psychology, 47, 266–281. https://doi.org/10.1080/15374416.2017.1371028.CrossRef

Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2/3), 25–52. https://doi.org/10.2307/1166137.CrossRefPubMed

Thompson, R. A. (1990). Emotion and self-regulation. In Proceedings of Nebraska symposium on motivation, 1988: Socioemotional development (pp. 367–467). University of Nebraska Press.

Thompson, R. A., Flood, M. F., & Goodvin, R. (2006). Social support and developmental psychopathology. In Developmental psychopathology: Risk, disorder, and adaptation, (Vol. 3, 2nd ed., pp. 1–37). John Wiley & Sons, Inc.

Ungar, M. (2004). A constructionist discourse on resilience: Multiple contexts, multiple realities among at-risk children and youth. Youth & Society, 35(3), 341–365. https://doi.org/10.1177/0044118X03257030.CrossRef

Usher, E. L., Li, C. R., Butz, A. R., & Rojas, J. P. (2019). Perseverant grit and self-efficacy: Are both essential for children’s academic success? Journal of Educational Psychology, 111(5), 877–902. https://doi.org/10.1037/edu0000324.CrossRef

Wadsworth, M. E., & Achenbach, T. M. (2006). Explaining the link between low socioeconomic status and psychopathology: Testing two mechanisms of the social causation hypothesis. Journal of Consulting and Clinical Psychology, 73(6), 1146 https://doi.org/10.1037/0022-006X.73.6.1146.CrossRef

Walden, T. A., Harris, V. S., & Catron, T. F. (2003). How I Feel: A Self-Report Measure of Emotional Arousal and Regulation for Children. Psychological Assessment, 15, 399–412. https://doi.org/10.1037/1040-3590.15.3.399.CrossRefPubMed

Waldrip, A. M., Malcolm, K. T., & Jensen‐Campbell, L. A. (2008). With a little help from your friends: The importance of high-quality friendships on early adolescent adjustment. Social Development, 17(4), 832–852. https://doi.org/10.1111/j.1467-9507.2008.00476.x.CrossRef

Wang, Y., Zhang, L., Kong, X., Hong, Y., Cheon, B., & Liu, J. (2016). Pathway to neural resilience: Self-esteem buffers against deleterious effects of poverty on the hippocampus. Human Brain Mapping, 37(11), 3757–3766. https://doi.org/10.1002/hbm.23273.CrossRefPubMedPubMedCentral

Weinstein, S. M., Henry, D. B., Katz, A. C., Peters, A. T., & West, A. E. (2015). Treatment moderators of child- and family-focused cognitive-behavioral therapy for pediatric bipolar disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 54(2), 116–125. https://doi.org/10.1016/j.jaac.2014.11.007.CrossRef

Weiss, J. A., Thomson, K., Riosa, P. B., Albaum, C., Chan, V., Maughan, A., Tablon, P., & Black, K. (2018). A randomized waitlist-controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism. Journal of Child Psychology and Psychiatry, 59(11), 1180–1191. https://doi.org/10.1111/jcpp.12915.CrossRefPubMed

Wright, M. O., & Masten, A. S. (2015). Pathways to resilience in context. In L. C. Theron, L. Liebenberg, & M. Ungar (Eds.), Youth resilience and culture: Commonalities and complexities (pp. 3–22). Springer Netherlands. https://doi.org/10.1007/978-94-017-9415-2_1.

Titel: Resilience Is Associated with Improved Emotion Regulation and Internalizing Symptoms Following Transdiagnostic Treatment in a Diverse Sample of Children
Auteurs: Simone Chad-Friedman
Colleen M. Cummings
Nina D. Shiffrin
Mary K. Alvord
Brendan A. Rich
Publicatiedatum: 03-09-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 2/2023
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-022-02424-9

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2023

Mental Health Trajectories of Latinx Female Caregivers and Young Children During COVID-19: A Longitudinal Analysis

What Works in Preventing Emerging Social Anxiety: Exposure, Cognitive Restructuring, or a Combination?

Felons Need Not Apply: The Tough-on-crime Era’s Felony Welfare Benefits Ban and its Impact on Families with a Formerly Incarcerated Parent

A Concurrent Mixed-Methods Study of Midwestern Latino Parents Participation and Preferences for Parenting Education Programs

Targeting Parental Accommodation in Anxiety: An Open Trial of the Coping Cat Accommodation Reduction Intervention

Unexpressed Wishes and Unmet Needs: a Mixed Methods Study of Youth Negative Experiences in Psychotherapy