Lecture 3: Prevention in children and adolescents Flashcards

1
Q

Preventive interventions for children and adolescents should emphasize…

A
  1. Promoting competence
  2. Reducing ineffective resolution
  3. Age-specific developmental opportunities and constraints

Ineffective resolution = when a problem or conflict is not successfully resolved or addressed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Research suggests that we can identify…

A

… particular groups of children and families who are at risk to develop problems, and that we can intervene before problems become serious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is developmental psychology?

A

The study of the development of psychological disorders with a life course perspective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Provide some examples of developmental tasks

7 items

A
  1. Physiological homeostasis
  2. Differentiation and regulation of affects (understand, express and manage emotions)
  3. Attachment development
  4. Development of self, self-esteem, identity
  5. Representational capacities (allows people to think, reason and remember)
  6. Effective relationships with peers
  7. Adjustment to school
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Developmental pathways can, for example, …

A

…deviate toward anxious attachment and depression (due to life events) or toward hostility and delinquency (due to life events).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are (general) risk factors for mental health problems?

2 key subjects - 9 examples

A
  1. Quality of relationships
  2. Safety of environment

E.g.:
- Psychopathology in family member(s)
- Marital conflicts between parents
- Single parent family
- Strict inconsistent disciplining
- Parents low in warmth and involvement
- Insecure attachment relationships
- Conflicts with siblings/ peers
- Unsafe neighbourhood
- Low SES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What can be the focus of family/ relational interventions?

A
  1. Reducing the risk for developmental delays
  2. Improving the quality of parenting behavior
  3. Prevention of child maltreatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are different preventive intervention methods for families?

A
  • E-mental health
  • Unstructured home visits
  • Psycho-education
  • Video feedback
  • Meetings with parents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is meant by preventions focused on ‘at risk for developmental delays?

A

Prevention aimed at subgroups with a possible risk for developmental delays (e.g. language development)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are examples of interventions aimed at the quality of parent behavior?

A
  • The provision of soft baby carriers to increase physcial contact
  • Video-feedback intervention to promote positive parenting (VIPP)
  • STEEP/ instapje (method: educational material, coach and playpartner, Design: control + experimental)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Why is prevention of maltreatment needed? And what provide 3 example interventions

A

Insecure disorganized attachment is an important risk factor for the development of mental disorders

Example interventions:
- Attachment and Behavioral Catch-up (ABC)
- Child Parent Psychotherapy (CPP)
- Parent Child Interaction Therapy (PCIT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the goal, working mechanism and content of the Attachment and Behavioral Catch-up (ABC) intervention?

A

Goal:
- Decrease frightening behavior and enhance sensitive nurturing care among parents at risk for child maltreatment

Working mechanism:
- Attachment theory

Content:
- 10 sessions encourage the parent to provide sensitive care when the child is distressed, avoid frightening behavior and follow the childs’ lead when in a calm state.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are risk factors for maltreatment by parent?

5 items

A
  1. Low SES
  2. Unemployment
  3. Ethnic minority
  4. Large Family
  5. Single parent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are possible ways to improve the quality of peer relationships?

3 items

A
  1. Cooperative learning
  2. Peer and cross-age tutoring
  3. Anti bullying interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the Good Behavior Game? (GBG)

And what are its main components?

A

In intervention aimed at reducing aggressive behavior in primary school

Components:
- Team membership
- Classroom rules
- Monitoring behavior
- Reinforcing appropriate behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the results of the Good Behavior Game? What dit they find?

|3 items

A
  1. GBG is effective if teachers implement it correctly
  2. Interaction effect for gender
    - Girls: lower relational agression = less anxiety and depression
    - Boys: lower physcial bullying = less anxiety and depression
  3. Gender and context were moderators of outcome
    - Effective for highly aggressive boys in high-agressive classrooms (change of climate)
    - Not so effective for highly agressive boys in low-agressive classrooms (family factors outside program)
17
Q

What are specific topics for prevention in youth?

A
  • School drop-out
  • Substance use
  • Risky sexual behavior
  • Delinquincy and violence
  • Youth suicide
  • Cognitive problems (mindset/ self-esteem)
18
Q

What is Interpersonal Psychotherapy for Adolescents (IPT-A)?

Content + focus

A

12 week program with
- Individual sessions
- Sessions with parents
- Parent-sessions

Focus areas:
- Grief
- Interpersonal role disputes (conflicts)
- Role transitions (changes in expectations/ responsibilities)
- Interpersonal deficits (difficulty in establishing/ maintaining healthy relationships)

19
Q

Why is prevention important in addition to treatment?

A
  • Children only get treatment if parent/ school/ caregivers think they need it
  • Only 20% of families/ children who need treatment apply for therapy

= Large niche for preventive interventions

20
Q

What is the general aim of prevention programs for children and adolescents?

3 items

A
  • Reducing stress = enhancing security
  • Reducing developmental delays
  • Improving chances for further development