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Child and Adolescent Psychiatry and Mental Health
Published in: Child and Adolescent Psychiatry and Mental Health 1/2022

Open Access 01-12-2022 | Anxiety | Research

Single session therapy in pediatric healthcare: the value of adopting a strengths-based approach for families living with neurological disorders

Authors: Janice Mulligan, Heather Olivieri, Katarina Young, Jia Lin, Samantha J. Anthony

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2022

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Abstract

Background

Pediatric patients with neurological disorders often require lifelong management of symptoms and behaviours that can result in enduring emotional burden, stress and impacted health-related quality of life. Single session therapy (SST) draws upon patients’ existing skills and knowledge and has emerged as a therapeutic approach to address pediatric patient and family needs in a timely manner. This study aimed to assess the clinical effectiveness of SST for pediatric patients with neurological disorders and their families, considering self-efficacy, distress, anxiety, therapeutic alliance and client satisfaction, as well as perceptions of whether SST met their pressing needs.

Methods

A convergent parallel mixed-methods design included quantitative data collection via five standardized questionnaires across three time points and qualitative data collection through semi-structured interviews. Quantitative and qualitative data were analyzed independently and then integrated.

Results

The study comprised of 135 participants, including patients, parents and siblings across diverse neurological conditions. Scores of self-efficacy and anxiety in children, and distress and anxiety in adults, improved significantly after the SST. Notably, changes in anxiety in adults remained significant five to seven weeks after the SST. Seventeen participants participated in 12 semi-structured interviews. Participants described that SST (1) was a missing piece in ongoing clinical care, (2) illuminated existing strengths and resilience, and (3) effected a lasting impact beyond the single session.

Conclusions

SST may be a promising initial, strengths-based treatment to support the short-term and potentially long-term needs of pediatric patients with neurological disorders and their families by emphasizing existing strengths, supporting therapeutic alliance and cultivating hope.
Appendix
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Literature
1.
Talmon M. When less is more: lessons from 25 years of attempting to maximize the effect of each (and often only) therapeutic encounter. Aust N Z J Fam Ther. 2012;33(01):6–14.CrossRef
2.
Perkins R. The effectiveness of one session of therapy using a single-session therapy approach for children and adolescents with mental health problems. Psychol Psychother. 2006;79(Pt 2):215–27.PubMedCrossRef
3.
Campbell A. Single-session approaches to therapy: time to review. Aust N Z J Fam Ther. 2012;33(01):15–26.CrossRef
4.
Saleebey D. The strengths perspective in social work practice: Pearson Higher Ed; 2012.
5.
Barwick M, Urajnik D, Sumner L, Cohen S, Reid G, Engel K, et al. Profiles and service utilization for children accessing a mental health walk-in clinic versus usual care. J Evid Based Soc Work. 2013;10(4):338–52.PubMedCrossRef
6.
Hymmen P, Stalker CA, Cait C-A. The case for single-session therapy: does the empirical evidence support the increased prevalence of this service delivery model? J Ment Health. 2013;22(1):60–71.PubMedCrossRef
7.
Harper-Jaques S, Foucault D. Walk-in single-session therapy: client satisfaction and clinical outcomes. J Syst Ther. 2014;33(3):29–49.
8.
Bloom K, Tam JA. Walk-in services for child and family mental health. J Syst Ther. 2015;34(1):61–77.
9.
Chiu M, Amartey A, Wang X, Vigod S, Kurdyak P. Trends in objectively measured and perceived mental health and use of mental health services: a population-based study in Ontario, 2002–2014. CMAJ. 2020;192(13):E329–37.PubMedPubMedCentralCrossRef
10.
Miller JK. Walk-in single session team therapy: a study of client satisfaction. J Syst Ther. 2008;27(3):78–94.
11.
Campbell A. Single session interventions: an example of clinical research in practice. Aust N Z J Fam Ther. 1999;20(4):183–94.CrossRef
12.
13.
World Health Organization. Neurological disorders: public health challenges. Geneva: World Health Organization; 2006.
14.
Bompori E, Niakas D, Nakou I, Siamopoulou-Mavridou A, Tzoufi MS. Comparative study of the health-related quality of life of children with epilepsy and their parents. Epilepsy Behav. 2014;41:11–7.PubMedCrossRef
15.
Kozlowska K, Sawchuk T, Waugh JL, Helgeland H, Baker J, Scher S, et al. Changing the culture of care for children and adolescents with functional neurological disorder. Epilepsy Behav Rep. 2021;16: 100486.PubMedPubMedCentralCrossRef
16.
Asadi-Pooya AA, Brigo F, Kozlowska K, Perez DL, Pretorius C, Sawchuk T, et al. Social aspects of life in patients with functional seizures: closing the gap in the biopsychosocial formulation. Epilepsy Behav. 2021;117: 107903.PubMedCrossRef
17.
Fairfax A, Brehaut J, Colman I, Sikora L, Kazakova A, Chakraborty P, et al. A systematic review of the association between coping strategies and quality of life among caregivers of children with chronic illness and/or disability. BMC Pediatr. 2019;19(1):1–16.CrossRef
18.
Taib F, Beng KT, Chan LC. The challenges, coping mechanisms, and the needs of the inhospital parents caring for children with life-limiting neurological disorders: a qualitative study. Indian J Palliat Care. 2021;27(4):483–9.PubMedPubMedCentralCrossRef
19.
Creswell JW, Creswell JD. Research design: qualitative, quantitative, and mixed methods approaches. Thousand Oaks: Sage Publications; 2018.
20.
Creswell JW, Clark VLP. Designing and conducting mixed methods research. Thousand Oaks: Sage Publications; 2017.
21.
Salsman JM, Butt Z, Pilkonis PA, Cyranowski JM, Zill N, Hendrie HC, et al. Emotion assessment using the NIH Toolbox. Neurology. 2013;80(11 Supplement 3):S76–86.PubMedPubMedCentralCrossRef
22.
Kupst MJ, Butt Z, Stoney CM, Griffith JW, Salsman JM, Folkman S, et al. Assessment of stress and self-efficacy for the NIH Toolbox for neurological and behavioral function. Anxiety Stress Coping. 2015;28(5):531–44.PubMedPubMedCentralCrossRef
23.
Donovan KA, Grassi L, McGinty HL, Jacobsen PB. Validation of the distress thermometer worldwide: state of the science. Psychooncology. 2014;23(3):241–50.PubMedCrossRef
24.
Wiener L, Battles H, Zadeh S, Widemann BC, Pao M. Validity, specificity, feasibility and acceptability of a brief pediatric distress thermometer in outpatient clinics. Psychooncology. 2017;26(4):461–8.PubMedCrossRef
25.
Gessler S, Low J, Daniells E, Williams R, Brough V, Tookman A, et al. Screening for distress in cancer patients: is the distress thermometer a valid measure in the UK and does it measure change over time? A prospective validation study. Psychooncology. 2008;17(6):538–47.PubMedCrossRef
26.
Julian L. Measures of anxiety: State-trait anxiety inventory (STAI), beck anxiety inventory (BAI), and hospital anxiety and depression scale-anxiety (HADS-A). Arthritis Care Res. 2011;63(S11):S467–72.CrossRef
27.
Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G. Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press; 1983.
28.
Munder T, Wilmers F, Leonhart R, Linster HW, Barth J. Working alliance inventory-short revised (WAI-SR): psychometric properties in outpatients and inpatients. Clin Psychol. 2010;17(3):231–9.
29.
30.
31.
Attkisson CC, Zwick R. The client satisfaction questionnaire: psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann. 1982;5(3):233–7.PubMedCrossRef
32.
Smith D, Roche E, O’Loughlin K, Brennan D, Madigan K, Lyne J, et al. Satisfaction with services following voluntary and involuntary admission. J Ment Health. 2014;23(1):38–45.PubMedCrossRef
33.
Attkisson CC, Greenfield TK. The UCSF client satisfaction scales: I. The client satisfaction questionnaire-8. 2004.
34.
Brannan AM, Sonnichsen SE, Heflinger CA. Measuring satisfaction with children’s mental health services: validity and reliability of the satisfaction scales. Eval Program Plann. 1996;19(2):131–41.CrossRef
35.
Rubin A, Babbie E. Research methods for social workers. Stamford: Wadsworth; 2001.
36.
Thorne S. Interpretive description: qualitative research for applied practice. London: Routledge; 2016.CrossRef
37.
Thompson Burdine J, Thorne S, Sandhu G. Interpretive description: a flexible qualitative methodology for medical education research. Med Educ. 2021;55(3):336–43.PubMedCrossRef
38.
Tracy SJ. Qualitative quality: eight “big-tent” criteria for excellent qualitative research. Qual Inq. 2010;16(10):837–51.CrossRef
39.
Creswell JW, Miller DL. Determining validity in qualitative inquiry. Theory Pract. 2000;39(3):124–30.CrossRef
40.
Richards L. Using NVivo in qualitative research. Thousand Oaks: Sage; 1999.
41.
O’Neill I. What’s in a name? Clients’ experiences of single session therapy. J Fam Ther. 2017;39(1):63–79.CrossRef
42.
Westwater JJ, Murphy M, Handley C, McGregor L. A mixed methods exploration of single session family therapy in a child and adolescent mental health service in Tasmania, Australia. Aust N Z J Fam Ther. 2020;41(3):258–70.CrossRef
43.
Constantino M, Castonguay L, Schut A. The working alliance: a flagship for the “scientist-practitioner” model in psychotherapy. Counseling based on process research: applying what we know. 2002:81–131.
44.
Fullen CT. The therapeutic alliance in a single session: a conversation analysis. J Syst Ther. 2019;38(4):45–61.
45.
46.
Duncan BL, Miller SD, Wampold BE, Hubble MA. The heart and soul of change: delivering what works in therapy. Washington: American Psychological Association; 2010.CrossRef
47.
48.
Morgan A. What is narrative therapy?: Dulwich Centre Publications Adelaide; 2000.
49.
Lindgren CL, Burke ML, Hainsworth MA, Eakes GG. Chronic sorrow: a lifespan concept. Sch Inq Nurs Pract. 1992;6(1):27–40 (discussion 1-2).PubMed
50.
Roos S. Chronic sorrow: a living loss: Psychology Press; 2002.
51.
Ahlström G. Experiences of loss and chronic sorrow in persons with severe chronic illness. J Clin Nurs. 2007;16(3a):76–83.PubMedCrossRef
52.
Coughlin MB, Sethares KA. Chronic sorrow in parents of children with a chronic illness or disability: an integrative literature review. J Pediatr Nurs. 2017;37:108–16.PubMedCrossRef
53.
Slive A, Bobele M. Walk-in counselling services: making the most of one hour. Aust N Z J Fam Ther. 2012;33(1):27–38.CrossRef
54.
Hellman CM, Worley JA, Munoz RT. Hope as a coping resource for caregiver resilience and well-being. In: Bailey WA, Harrist AW, editors. Family caregiving. Cham: Springer; 2018. p. 81–98.CrossRef
55.
Friedman S, Fanger MT. Expanding therapeutic possibilities: getting results in brief psychotherapy. Stuttgart: Lexington Books/Macmillan; 1991.
56.
Reiter MD. Hope and expectancy in solution-focused brief therapy. J Fam Psychother. 2010;21(2):132–48.CrossRef
57.
Snyder CR. The psychology of hope: you can get there from here. Newyork: Simon and Schuster; 1994.
58.
Rolland JS, Walsh F. Facilitating family resilience with childhood illness and disability. Curr Opin Pediatr. 2006;18(5):527–38.PubMedCrossRef
59.
Padesky CA, Mooney KA. Strengths-based cognitive–behavioural therapy: a four-step model to build resilience. Clin Psychol Psychother. 2012;19(4):283–90.PubMedCrossRef
Metadata
Title
Single session therapy in pediatric healthcare: the value of adopting a strengths-based approach for families living with neurological disorders
Authors
Janice Mulligan
Heather Olivieri
Katarina Young
Jia Lin
Samantha J. Anthony
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Anxiety
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2022
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/s13034-022-00495-6

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