The Future of Psychotherapy for Youth

Authors

DOI:

https://doi.org/10.21467/ajss.11.1.52-62

Abstract

Despite countless modifications to adapt adult psychotherapy to treat pediatric populations, recent meta-analytic findings have found only modest effect sizes for the treatment of pediatric depression. Additionally, recent neuroscientific evidence suggests that most mental health disorders share greater comorbidity with other distinct mental health disorders and also have greater within-disorder heterogeneity than previously thought. This review aims to integrate recent findings of analytic reviews with developments in neuroscience to encourage the field to think differently about how to best improve pediatric psychotherapy and our understanding of the developing brain. This article examines why our approach to treating mood disorders in the pediatric population must change based on our current understanding of the neurocognitive and psychosocial etiologies of these disorders and to highlight the importance transdiagnostic perspectives. Perhaps, neuroscientific methods can one day become adjunctive to psychotherapy to help personalize approaches, and to help provide valuable insight into emerging psychopathology even before symptoms manifest.

Keywords:

Psychotherapy, neuroscience, youth

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References

Aksoy, Favre, C. A., Janousch, C., & Ertanir, B. (2022). Internalizing and Externalizing Symptoms in Adolescents With and Without Experiences of Physical Parental Violence, a Latent Profile Analysis on Violence Resilience. Frontiers in Psychology, 13, 824543–824543. https://doi.org/10.3389/fpsyg.2022.824543 DOI: https://doi.org/10.3389/fpsyg.2022.824543

Aitken, Haltigan, J. D., Szatmari, P., Dubicka, B., Fonagy, P., Kelvin, R., Midgley, N., Reynolds, S.,Wilkinson, P. O., & Goodyer, I. M. (2020). Toward precision therapeutics: general and specific factors differentiate symptom change in depressed adolescents. Journal of Child Psychology and Psychiatry, 61(9), 998–1008. https://doi.org/10.1111/jcpp.13194 DOI: https://doi.org/10.1111/jcpp.13194

Aitken, Haltigan, J. D., Szatmari, P., & Goodyer, I. (2019). 23.1 changes in general and specific psychopathological factors during psychosocial treatments for depression in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 58(10), S333–S334. https://doi.org/10.1016/j.jaac.2019.07.788 DOI: https://doi.org/10.1016/j.jaac.2019.07.788

Auerbach, Pagliaccio, D., Hubbard, N. A., Frosch, I., Kremens, R., Cosby, E., Jones, R., Siless, V., Lo, N., Henin, A., Hofmann, S. G., Gabrieli, J. D., Yendiki, A., Whitfield-Gabrieli, S., & Pizzagalli, D. A. (2022). Reward-Related Neural Circuitry in Depressed and Anxious Adolescents: A Human Connectome Project. Journal of the American Academy of Child and Adolescent Psychiatry, 61(2), 308–320. https://doi.org/10.1016/j.jaac.2021.04.014 DOI: https://doi.org/10.1016/j.jaac.2021.04.014

Başgöze, Mirza, S. A., Silamongkol, T., Hill, D., Falke, C., Thai, M., Westlund Schreiner, M., Parenteau, A. M., Roediger, D. J., Hendrickson, T. J., Mueller, B. A., Fiecas, M. B., Klimes-Dougan, B., & Cullen, K. R. (2021). Multimodal assessment of sustained threat in adolescents with nonsuicidal self-injury. Development and Psychopathology, 33(5), 1774–1792. https://doi.org/10.1017/S0954579421000754 DOI: https://doi.org/10.1017/S0954579421000754

Bearman, Bailin, A., Terry, R., & Weisz, J. R. (2020). After the Study Ends: A Qualitative Study of Factors Influencing Intervention Sustainability. Professional Psychology, Research and Practice, 51(2), 134–144. https://doi.org/10.1037/pro0000258 DOI: https://doi.org/10.1037/pro0000258

te Brinke, Menting, A. T. ., Schuiringa, H. D., Deković, M., Weisz, J. R., & de Castro, B. O. (2021). Emotion regulation training as a treatment element for externalizing problems in adolescence: A randomized controlled micro-trial. Behaviour Research and Therapy, 143, 103889–103889. https://doi.org/10.1016/j.brat.2021.103889 DOI: https://doi.org/10.1016/j.brat.2021.103889

Brislin, Martz, M. E., Joshi, S., Duval, E. R., Gard, A., Clark, D. A., Hyde, L. W., Hicks, B. M., Taxali, A., Angstadt, M., Rutherford, S., Heitzeg, M. M., & Sripada, C. (2021). Differentiated nomological networks of internalizing, externalizing, and the general factor of psychopathology (’ p factor’) in emerging adolescence in the ABCD study. Psychological Medicine, 1–11. https://doi.org/10.1017/S0033291720005103 DOI: https://doi.org/10.1017/S0033291720005103

Blom, E.H., Duncan, L. G., Ho, T. C., Connolly, C. G., LeWinn, K. Z., Chesney, M., Hecht, F. M., & Yang, T. T. (2014). The development of an RDOC-based treatment program for adolescent depression: training for awareness, resilience, and Action (TARA). Frontiers in Human Neuroscience, 8. https://doi.org/10.3389/fnhum.2014.00630 DOI: https://doi.org/10.3389/fnhum.2014.00630

Bufferd, Dougherty, L. R., Olino, T. M., Dyson, M. W., Carlson, G. A., & Klein, D. N. (2018). Temperament Distinguishes Persistent/Recurrent from Remitting Anxiety Disorders Across Early Childhood. Journal of Clinical Child and Adolescent Psychology, 47(6), 1004–1013. https://doi.org/10.1080/15374416.2016.1212362 DOI: https://doi.org/10.1080/15374416.2016.1212362

Bufferd, S. J., Olino, T. M., & Dougherty, L. R. (2021). Quantifying Severity of Preschool-Aged Children’s Internalizing Behaviors: A Daily Diary Analysis. Assessment. https://doi.org/10.1177/10731911211046661 DOI: https://doi.org/10.1177/10731911211046661

Bufferd, Dougherty, L. R., & Olino, T. M. (2019). Mapping the frequency and severity of anxiety behaviors in preschool-aged children. Journal of Anxiety Disorders, 63, 9–17. https://doi.org/10.1016/j.janxdis.2019.01.006 DOI: https://doi.org/10.1016/j.janxdis.2019.01.006

Chad-Friedman, Leppert, K. A., Olino, T. M., Bufferd, S. J., & Dougherty, L. R. (2021). Affective Dynamics and Mean Levels of Preschool Irritability and Sadness: Predictors of Children’s Psychological Functioning Two Years Later. Child Psychiatry and Human Development. https://doi.org/10.1007/s10578-021-01121-w DOI: https://doi.org/10.1007/s10578-021-01121-w

Chen, Tam, A., Kebets, V., Orban, C., Ooi, L. Q. R., Asplund, C. L., Marek, S., Dosenbach, N. U. F., Eickhoff, S. B., Bzdok, D., Holmes, A. J., & Yeo, B. T. T. T. T. (2022). Shared and unique brain network features predict cognitive, personality, and mental health scores in the ABCD study. Nature Communications, 13(1), 2217–2217. https://doi.org/10.1038/s41467-022-29766-8 DOI: https://doi.org/10.1038/s41467-022-29766-8

Clark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017). Three approaches to understanding and classifying mental disorders: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (rdoc). Psychological Science in the Public Interest, 18(2), 72–145. https://doi.org/10.1177/1529100617727266 DOI: https://doi.org/10.1177/1529100617727266

Cullen, K. R., Padilla, L. E., Papke, V. N., & Klimes-Dougan, B. (2019). New Somatic Treatments for Child and Adolescent Depression. Current treatment options in psychiatry, 6(4), 380–400. https://doi.org/10.1007/s40501-019-00194-8 DOI: https://doi.org/10.1007/s40501-019-00194-8

Cuijpers, Karyotaki, E., Eckshtain, D., Ng, M. Y., Corteselli, K. A., Noma, H., Quero, S., & Weisz, J. R. (2020). Psychotherapy for Depression Across Different Age Groups: A Systematic Review and Meta-analysis. JAMA Psychiatry (Chicago, Ill.), 77(7), 694–702. https://doi.org/10.1001/jamapsychiatry.2020.0164 DOI: https://doi.org/10.1001/jamapsychiatry.2020.0164

Eckshtain, Kuppens, S., Ugueto, A., Ng, M. Y., Vaughn-Coaxum, R., Corteselli, K., & Weisz, J. R. (2020). Meta-Analysis: 13-Year Follow-up of Psychotherapy Effects on Youth Depression. Journal of the American Academy of Child and Adolescent Psychiatry, 59(1), 45–63. https://doi.org/10.1016/j.jaac.2019.04.002 DOI: https://doi.org/10.1016/j.jaac.2019.04.002

Estrada, S., Gee, D. G., Bozic, I., Cinguina, M., Joormann, J., & Baskin-Sommers, A. (2021). Individual and environmental correlates of childhood maltreatment and exposure to community violence: Utilizing a latent profile and a multilevel meta-analytic approach. Psychological Medicine, 1–17. https://doi.org/10.1017/s0033291721001380 DOI: https://doi.org/10.1017/S0033291721001380

Farber, M. J., Gee, D. G., & Hariri, A. R. (2020). Normative range parenting and the developing brain: A scoping review and recommendations for future research. The European journal of neuroscience, 10.1111/ejn.15003. Advance online publication. https://doi.org/10.1111/ejn.15003 DOI: https://doi.org/10.1111/ejn.15003

Fernandez, K. C., Jazaieri, H., & Gross, J. J. (2016). Emotion regulation: A Transdiagnostic perspective on a new rdoc domain. Cognitive Therapy and Research, 40(3), 426–440. https://doi.org/10.1007/s10608-016-9772-2 DOI: https://doi.org/10.1007/s10608-016-9772-2

Finsaas, Bufferd, S. J., Dougherty, L. R., Carlson, G. A., & Klein, D. N. (2018). Preschool psychiatric disorders: homotypic and heterotypic continuity through middle childhood and early adolescence. Psychological Medicine, 48(13), 2159–2168. https://doi.org/10.1017/S0033291717003646 DOI: https://doi.org/10.1017/S0033291717003646

Gee, D. G. (2021). Early adversity and development: Parsing heterogeneity and identifying pathways of risk and resilience. American Journal of Psychiatry, 178(11), 998–1013. https://doi.org/10.1176/appi.ajp.2021.21090944 DOI: https://doi.org/10.1176/appi.ajp.2021.21090944

Glenn, C. R., Cha, C. B., Kleiman, E. M., & Nock, M. K. (2017). Understanding suicide risk within the Research Domain Criteria (rdoc) framework: Insights, challenges, and future research considerations. Clinical Psychological Science, 5(3), 568–592. https://doi.org/10.1177/2167702616686854 DOI: https://doi.org/10.1177/2167702616686854

Haltigan, Aitken, M., Skilling, T., Henderson, J., Hawke, L., Battaglia, M., Strauss, J., Szatmari, P., & Andrade, B. F. (2018). “P” and “DP:” Examining Symptom-Level Bifactor Models of Psychopathology and Dysregulation in Clinically Referred Children and Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 57(6), 384–396. https://doi.org/10.1016/j.jaac.2018.03.010 DOI: https://doi.org/10.1016/j.jaac.2018.03.010

Haltigan. (2019). Editorial: Putting Practicality Into “p”: Leveraging General Factor Models of Psychopathology in Clinical Intervention. Journal of the American Academy of Child and Adolescent Psychiatry, 58(8), 751–753. https://doi.org/10.1016/j.jaac.2019.03.005 DOI: https://doi.org/10.1016/j.jaac.2019.03.005

Hirsch, Davis, K., Cao, Z., & Roy, A. K. (2021). Understanding Phasic Irritability: Anger and Distress in Children’s Temper Outbursts. Child Psychiatry and Human Development, 53(2), 317–329. https://doi.org/10.1007/s10578-021-01126-5 DOI: https://doi.org/10.1007/s10578-021-01126-5

Hodgdon, Yu, Q., Kryza‐Lacombe, M., Liuzzi, M. T., Aspe, G. I., Menacho, V. C., Bozzetto, L., Dougherty, L., & Wiggins, J. L. (2021). Irritability‐related neural responses to frustrative nonreward in adolescents with trauma histories: A preliminary investigation. Developmental Psychobiology, 63(6), e22167–n/a. https://doi.org/10.1002/dev.22167 DOI: https://doi.org/10.1002/dev.22167

Hopwood, Bagby, R. M., Gralnick, T., Ro, E., Ruggero, C., Mullins-Sweatt, S., Kotov, R., Bach, B., Cicero, D. C., Krueger, R. F., Patrick, C. J., Chmielewski, M., DeYoung, C. G., Docherty, A. R., Eaton, N. R., Forbush, K. T., Ivanova, M. Y., Latzman, R. D., Pincus, A. L., … Zimmermann, J. (2020). Integrating Psychotherapy with the Hierarchical Taxonomy of Psychopathology (HiTOP). Journal of Psychotherapy Integration, 30(4), 477–497. https://doi.org/10.1037/int0000156 DOI: https://doi.org/10.1037/int0000156

Jopling, LeMoult, J., Kerns, C. M., Nugent, S., & Eslami, A. (2021). Potential lethality of suicide attempts in youth. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01724-7 DOI: https://doi.org/10.1007/s00787-021-01724-7

Khazanov, Forbes, C. N., Dunn, B. D., & Thase, M. E. (2021). Addressing anhedonia to increase depression treatment engagement. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12335 DOI: https://doi.org/10.1111/bjc.12335

Krause, Courtney, D. B., Chan, B. W. C., Bonato, S., Aitken, M., Relihan, J., Prebeg, M., Darnay, K., Hawke, L. D., Watson, P., & Szatmari, P. (2021). Problem-solving training as an active ingredient of treatment for youth depression: a scoping review and exploratory meta-analysis. BMC Psychiatry, 21(1), 1–397. https://doi.org/10.1186/s12888-021-03260-9 DOI: https://doi.org/10.1186/s12888-021-03260-9

Latzman, R. D., DeYoung, C. G., & HITOP NEUROBIOLOGICAL FOUNDATIONS WORKGROUP (2020). Using empirically derived dimensional phenotypes to accelerate clinical neuroscience: the Hierarchical Taxonomy of Psychopathology (HiTOP) framework. Neuropsychopharmacology: official publication of the American College of Neuropsychopharmacology, 45(7), 1083–1085. https://doi.org/10.1038/s41386-020-0639-6 DOI: https://doi.org/10.1038/s41386-020-0639-6

Luyten, P., & Fonagy, P. (2018). The stress–reward–mentalizing model of depression: An integrative developmental cascade approach to child and adolescent depressive disorder based on the research domain criteria (rdoc) approach. Clinical Psychology Review, 64, 87–98. https://doi.org/10.1016/j.cpr.2017.09.008 DOI: https://doi.org/10.1016/j.cpr.2017.09.008

McLaughlin, Sheridan, M. A., Humphreys, K. L., Belsky, J., & Ellis, B. J. (2021). The Value of Dimensional Models of Early Experience: Thinking Clearly About Concepts and Categories. Perspectives on Psychological Science, 16(6), 1463–1472. https://doi.org/10.1177/1745691621992346 DOI: https://doi.org/10.1177/1745691621992346

Mahendran, Aitken, M., & Andrade, B. F. (2021). Comorbid Internalizing Symptoms in Children with Disruptive Behavior Disorders: Buffering Effects or Multiple Problem Effects? Journal of Child and Family Studies, 30(2), 474–482. https://doi.org/10.1007/s10826-020-01893-0 DOI: https://doi.org/10.1007/s10826-020-01893-0

Ng, & Weisz, J. R. (2016). Annual Research Review: Building a science of personalized intervention for youth mental health. Journal of Child Psychology and Psychiatry, 57(3), 216–236. https://doi.org/10.1111/jcpp.12470 DOI: https://doi.org/10.1111/jcpp.12470

Olino, Bufferd, S. J., Dougherty, L. R., Dyson, M. W., Carlson, G. A., & Klein, D. N. (2018). The Development of Latent Dimensions of Psychopathology across Early Childhood: Stability of Dimensions and Moderators of Change. Journal of Abnormal Child Psychology, 46(7), 1373–1383. https://doi.org/10.1007/s10802-018-0398-6 DOI: https://doi.org/10.1007/s10802-018-0398-6

Pollak, & Smith, K. E. (2021). Thinking Clearly About Biology and Childhood Adversity: Next Steps for Continued Progress. Perspectives on Psychological Science, 16(6), 1473–1477. https://doi.org/10.1177/17456916211031539 DOI: https://doi.org/10.1177/17456916211031539

Quinlan, Banaschewski, T., Barker, G. J., Bokde, A. L. W., Bromberg, U., Büchel, C., Desrivières, S., Flor, H., Frouin, V., Garavan, H., Heinz, A., Brühl, R., Martinot, J.-L., Paillère Martinot, M.-L., Nees, F., Orfanos, D. P., Paus, T., Poustka, L., Hohmann, S., … Schumann, G. (2020). Identifying biological markers for improved precision medicine in psychiatry. Molecular Psychiatry, 25(2), 243–253. https://doi.org/10.1038/s41380-019-0555-5 DOI: https://doi.org/10.1038/s41380-019-0555-5

Schettini, Wilson, S., & Beauchaine, T. P. (2021). Internalizing–externalizing comorbidity and regional brain volumes in the ABCD study. Development and Psychopathology, 33(5), 1620–1633. https://doi.org/10.1017/S0954579421000560 DOI: https://doi.org/10.1017/S0954579421000560

Steele, R. G., & Roberts, M. C. (2020). Handbook of evidence-based therapies for children and adolescents: Bridging science and practice. Springer. DOI: https://doi.org/10.1007/978-3-030-44226-2

Skokauskas, N., Fung, D., Flaherty, L. T., von Klitzing, K., Pūras, D., Servili, C., Dua, T., Falissard, B., Vostanis, P., Moyano, M. B., Feldman, I., Clark, C., Boričević, V., Patton, G., Leventhal, B., & Guerrero, A. (2019). Shaping the future of Child and adolescent psychiatry. Child and Adolescent Psychiatry and Mental Health, 13(1). https://doi.org/10.1186/s13034-019-0279-y DOI: https://doi.org/10.1186/s13034-019-0279-y

Vaughn-Coaxum, R., & Weisz, J. (2021). Leveraging the developmental science of psychosocial risk to strengthen youth psychotherapy. Development and Psychopathology, 33(2), 670-683. doi:10.1017/S0954579420002035 DOI: https://doi.org/10.1017/S0954579420002035

Weisz, Fitzpatrick, O. M., Venturo‐Conerly, K., & Cho, E. (2021). Process‐based and principle‐guided approaches in youth psychotherapy. World Psychiatry, 20(3), 378–380. https://doi.org/10.1002/wps.20887 DOI: https://doi.org/10.1002/wps.20887

Zhou, X., & Zhen, R. (2022). How do physical and emotional abuse affect depression and problematic behaviors in adolescents? the roles of emotional regulation and anger. Child Abuse & Neglect, 129, 105641. https://doi.org/10.1016/j.chiabu.2022.105641 DOI: https://doi.org/10.1016/j.chiabu.2022.105641

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2022-11-21

How to Cite

Spiro, C., & Economou, P. (2022). The Future of Psychotherapy for Youth. Advanced Journal of Social Science, 11(1), 52–62. https://doi.org/10.21467/ajss.11.1.52-62