Exploring Barriers to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) Treatment Completion

Description
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children impacted by trauma. Despite decades of empirical support for its efficacy, many children do not complete the full course of TF-CBT as designed. Up to 27% of children

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children impacted by trauma. Despite decades of empirical support for its efficacy, many children do not complete the full course of TF-CBT as designed. Up to 27% of children do not receive the full dose of treatment, limiting treatment effectiveness. Number of traumatic experiences, avoidance, post-traumatic stress symptoms, and foster care show mixed associations with treatment completion across evidence-based treatments overall, and it remains unknown if these same factors contribute to early termination of TF-CBT. Given documented barriers to participation (e.g., lack of parental involvement), further analysis using TF-CBT data is warranted. Thus, this study sought to identify client characteristics (e.g., residence status [living with parents versus not], number of trauma types [not including number of experiences], UCLA PTSD RI-5 scores and symptomology, and demographics [white, male, age]) associated with premature dropout or treatment transfer compared with treatment completion. The study used secondary baseline data from a statewide implementation of TF-CBT (N = 562 children). Multinomial logistic regression analyses revelated that children with a greater number of trauma types were significantly more likely to drop out of treatment or have their treatment transferred than complete TF-CBT. Under PTSD symptoms, children with higher arousal were more likely to transfer but children with higher re-experiencing symptoms were more likely to complete. This suggests that TF-CBT treatment may not be as accomplishable for children with multiple trauma types and tailoring based on these symptoms early may lead to less treatment transfer or dropout.
Date Created
2024-05
Agent

Mindfulness-Based Interventions and their Effects on Executive Function in Patients Diagnosed with ADHD: a Narrative Review

Description
Attention Deficit Hyperactivity Disorder is a growing problem today, with diagnoses rising as it negatively affects academic performance, employment opportunities, self-perception, and relationship quality. Treatments have remained fairly similar over the last decade, despite proven side effects and, for some

Attention Deficit Hyperactivity Disorder is a growing problem today, with diagnoses rising as it negatively affects academic performance, employment opportunities, self-perception, and relationship quality. Treatments have remained fairly similar over the last decade, despite proven side effects and, for some treatments, small effect size. The aim of this review is to determine if Mindfulness-Based Interventions (MBIs) can complement these treatments by targeting executive function(s) directly. To do this, this review analyzes data from 17 papers about the effectiveness of MBIs. Results support the effectiveness of MBIs in the treatment of ADHD; however, various limitations within the design of both this study and research on MBIs in general limit the validity of this conclusion. To remedy this, this paper suggests changes to methods and future avenues of research on MBIs for ADHD.
Date Created
2024-05
Agent

Assessing the Effect of Stigma, Ethnicity, and Comorbidity on Help-Seeking Behavior in College Students with ADHD

Description
Research proposal that aims to assess help-seeking behavior amongst college students with ADHD and see how factors such as stigma, ethnicity, and comorbidity can affect this behavior.
Date Created
2024-05
Agent

Predicting Help-Seeking Behaviors in Adult ADHD

Description
A proposal for the investigation of help-seeking and help-seeking behaviors in adults with ADHD. Analyzes pre-existing literature in adults and children and adapts model for children that can be generalized to college students. Proposes a statistical moderation effect between predictors and help-seeking behaviors.
Date Created
2024-05
Agent

Assessing Frequency and Predictors of Help-Seeking Behaviors in ADHD

Description
The purpose of this paper is to investigate the gap of information surrounding behaviors and patterns of college students with ADHD. The paper outlines a proposed study to investigate the frequency of different help-seeking behaviors, as well as how predictors (stigma, race/ethnicity, comorbidity) influence the willingness to seek help.
Date Created
2024-05
Agent