1.The effectiveness of mindfulness-based interventions versus cognitive behavioral therapy on social anxiety of adolescents: A systematic review and meta-analysis
Valentin C. Dones III ; Kristel S. Yamat ; Krystin Elda P. Santos ; Abby Victoria M. Concepcion ; Margarita Anne R. Lacson
Acta Medica Philippina 2024;58(Early Access 2024):1-10
Background and Objective:
Mindfulness-based interventions (MBI), a novel treatment, and cognitive behavioral
therapy (CBT), the standard treatment, are both effective in treating anxiety in adolescents. This study determined the effectiveness of mindfulness-based interventions versus cognitive behavioral therapy in reducing symptoms of anxiety among adolescents experiencing social anxiety through a systematic review and meta-analysis.
Methods:
A systematic approach was used to identify eligible studies. Electronic databases, reference lists of relevant articles, and gray literature were searched. Data was analyzed using RevMan to calculate standard mean differences with 95% confidence intervals and subgroups. Heterogeneity was measured using visual assessment, the I2 statistic, and chi-square test.
Results:
Randomized controlled trials comparing MBI to CBT for adolescents diagnosed with social anxiety or social phobia disorder were analyzed, with non-randomized studies being excluded. Structured searches in electronic databases, reference lists, and gray literature were conducted by four independent reviewers who initially identified potential articles through title and abstract screening. After a comprehensive review of full-text articles and a consensus-building process, the selection of included articles was finalized. Data was analyzed using RevMan to calculate standard mean differences with 95% confidence intervals and to examine subgroups, with heterogeneity being assessed through visual evaluation, the I² statistic, and chi-square tests. Total number of participants was 255; 101 were male and 158 were women. Mean age was 27.5 years old, and diagnosed with Social Anxiety Disorder, Social Phobia, or DSM-IV-Defined-Anxiety-Disorder. They were divided into two groups: 125 participated in 8- to 12-week MBI sessions lasting 2 hours each, while 130 underwent 2-hour CBT sessions spanning 8, 12, or 14 weeks. There is moderate quality of evidence reporting non-significant difference on MBI vs CBT's effectiveness in alleviating symptoms of social anxiety [mean (95% CI) = -0.04 (-0.58, 0.51)].
Conclusion
Study found that there were no significant differences between Mindfulness-Based Interventions
and Cognitive Behavioral Therapy in reducing social anxiety in adolescents. Mindfulness interventions have
advantages in terms of cost-effectiveness for reducing symptoms of anxiety. Future research should include
larger sample sizes and longer follow-up periods to further assess long-term effects of these interventions.
Adolescent
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Mindfulness
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Anxiety
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Cognitive Behavioral Therapy
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Occupational Therapy
2.Documenting pediatric occupational therapy evaluation through the Dollhouse Model.
Abby Victoria Concepcion ; Frances Drew Bosque ; Ninfa Mae Delgado ; Isabelle Kezia Mojica ; Rod Charlie Delos Reyes
Philippine Journal of Allied Health Sciences 2023;6(2):53-59
Documentation is a professional responsibility and is a form of communication to stakeholders, demanding health professionals including
occupational therapists, to provide accountable records encompassing the occupational therapy process which includes evaluation, intervention,
and outcomes. However, there are no clear guidelines for occupational therapy documentation. There is a lack of uniformity of content in
documentation among therapists and facilities, and the length required to create the report are pertinent problems encountered. The purpose of
this article is to report on the conceptual model to guide occupational therapists in creating efficient and occupation-centered evaluation
documentation. With this, the proposed Dollhouse Model aims to answer the question: “What do you prioritize when creating pediatric evaluation
documentation?” Utilizing this model suggests that therapists may be able to prioritize the pertinent occupational areas to document, therefore
making it more efficient and occupation-centered.
documentation
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assessment
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occupational therapists
;
occupational therapy
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health professionals