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Tytuł pozycji:

A systematic review of randomised controlled trials using psychological interventions for children and adolescents with medically unexplained symptoms: A focus on mental health outcomes.

Tytuł :
A systematic review of randomised controlled trials using psychological interventions for children and adolescents with medically unexplained symptoms: A focus on mental health outcomes.
Autorzy :
O'Connell C; Department of Applied Psychology, Canterbury Christ Church University, Kent, UK.; Kaleidoscope, London, UK.
Shafran R; UCL Institute of Child Health, University College London, London, UK.
Bennett S; UCL Institute of Child Health, University College London, London, UK.
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Źródło :
Clinical child psychology and psychiatry [Clin Child Psychol Psychiatry] 2020 Jan; Vol. 25 (1), pp. 273-290. Date of Electronic Publication: 2019 Jun 23.
Typ publikacji :
Journal Article; Systematic Review
Język :
English
Imprint Name(s) :
Original Publication: London ; Thousand Oaks, CA : Sage Publications, 1996-
MeSH Terms :
Medically Unexplained Symptoms*
Mental Health*
Psychotherapy*
Somatoform Disorders/*therapy
Adolescent ; Child ; Humans ; Randomized Controlled Trials as Topic ; Somatoform Disorders/psychology
Contributed Indexing :
Keywords: Medically unexplained symptoms; adolescent; child; mental health; paediatric; systematic review
Entry Date(s) :
Date Created: 20190625 Date Completed: 20200413 Latest Revision: 20200413
Update Code :
20201023
DOI :
10.1177/1359104519855415
PMID :
31232094
Czasopismo naukowe
Background: Medically unexplained symptoms affect between 4% and 20% of children and adolescents; 30-60% of these children also experience mental health difficulties. Trials and reviews have focussed on physical gains in this population, often overlooking mental health outcomes.
Objectives: To use a systematic review methodology guided by the PRISMA checklist to (1) investigate the effectiveness of psychological interventions for mental health difficulties in children and adolescents with medically unexplained symptoms and (2) identify aspects of interventions associated with their success.
Methods: Randomised controlled studies investigating the impact of psychological interventions on mental health in children and adolescents with medically unexplained symptoms were included. Systematic searches of PsycINFO, MEDLINE and CINAHL were undertaken from inception to January 2018. Studies were appraised using the quality appraisal checklist. A qualitative synthesis of studies was completed.
Results: In all, 18 studies were identified. Interventions targeting parental responses to illness and family communication appeared to have the best outcomes.
Conclusions: Psychological interventions may be effective in improving mental health outcomes within this population; however, evidence for the efficacy of these interventions is limited due to a high risk of bias within the majority of reviewed studies. Future research using rigorous methodology and non-cognitive behavioural therapy interventions is recommended.

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