Publications
128 results found
Osokina O, Silwal S, Bohdanova T, et al., 2023, Impact of the Russian Invasion on Mental Health of Adolescents in Ukraine., J Am Acad Child Adolesc Psychiatry, Vol: 62, Pages: 335-343
OBJECTIVE: Very limited evidence is available on the psychological impact of war on adolescents in Ukraine. This study compared war experiences and posttraumatic stress disorder (PTSD), anxiety and depression in adolescents living in war-torn and peaceful regions of Ukraine, more than 2 years after Russia first invaded in 2014. METHOD: The cross-sectional study included 2,766 students aged 11 to 17 years living in the war-torn Donetsk region and in Kirovograd in central Ukraine. Self-reported PTSD, depression, and anxiety were assessed by Harvard Trauma Questionnaire, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7. Data were collected from September 2016 to January 2017. Binary and multinomial logistic regression models were used to examine the association between PTSD, anxiety, and depression and regions. RESULTS: War trauma and daily stress were higher in adolescents in the Donetsk region; 881 (60.2%) adolescents had witnessed armed attacks, 204 (13.9%) were victims of violence, and 409 (27.9%) were forced to leave their homes. They also had significantly increased risks for PTSD (odds ratio [OR] 4.11, 95% CI 2.37-7.13), severe anxiety (OR 3.10, 95% CI 1.83-5.27), and moderately severe/severe depression (OR 2.65, 95% CI 1.79-3.92). CONCLUSION: Traumatic events and daily stress were strongly associated with psychological distress in adolescents living in a war-torn region in Ukraine. These findings can help in understanding, measuring, and addressing the long-term impact that the current escalating war in Ukraine will have on adolescents' mental health and social functioning.
Hodes M, de Vries PJ, 2023, Introduction, Shaping the Future of Child and Adolescent Mental Health, Publisher: Elsevier, Pages: xix-xxv
Hodes M, de Vries PJ, 2023, Preface, Shaping the Future of Child and Adolescent Mental Health, Publisher: Elsevier, Pages: xv-xvii
Hodes M, Vries PJD, 2022, Shaping the Future of Child and Adolescent Mental Health Towards Technological Advances and Service Innovations, Publisher: Elsevier, ISBN: 9780323917094
The book addresses the ways in which interventions and mental health services can be developed and shaped to address individual differences.
Hodes M, 2022, Thinking about young refugees' mental health following the Russian invasion of Ukraine in 2022, CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY, ISSN: 1359-1045
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- Citations: 1
Henein A, Pascual-Sanchez A, Corciova S, et al., 2022, Obsessive-compulsive disorder in treatment seeking children & adolescents during the COVID-19 pandemic, EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, ISSN: 1018-8827
Jayakumar A, Sanchez-Cerezo J, Khayam A, et al., 2022, Life-threatening obsessive-compulsive disorder precipitated by the COVID-19 pandemic in an adolescent, BJPSYCH BULLETIN, ISSN: 2056-4694
Hodes M, 2022, Editorial Perspective: Mental health of young asylum seekers and refugees in the context of COVID-19, CHILD AND ADOLESCENT MENTAL HEALTH, Vol: 27, Pages: 190-191, ISSN: 1475-357X
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- Citations: 1
Cunning C, Hodes M, 2022, The COVID-19 pandemic and obsessive-compulsive disorder in young people: Systematic review, Clinical Child Psychology and Psychiatry, Vol: 27, Pages: 18-34, ISSN: 1359-1045
BACKGROUND: The COVID-19 pandemic has impacted the world since the first cases were reported in China in January 2020. The secondary mental health impacts of the pandemic are thought to be significant. Obsessive-compulsive disorder is a condition defined by recurrent obsessions and compulsions. It has been hypothesised that the focus on hygiene and contamination during the pandemic could exacerbate obsessive-compulsive symptoms in young people. METHOD: A systematic literature review was conducted. Papers were sought looking at the effect of the pandemic on obsessive-compulsive disorder in young people. RESULTS: Six published cross-sectional and longitudinal studies were identified, of which four studies investigated clinic samples with a diagnosis of obsessive-compulsive disorder and two looked at community adolescent populations. Five out of the six studies found that obsessive-compulsive symptoms were exacerbated during the COVID-19 pandemic. CONCLUSION: The COVID-19 pandemic appears to be associated with a worsening of obsessive-compulsive symptoms in young people. Being in treatment seems to have a protective effect. Maintaining mental health services during a pandemic is vital. It is important to be aware of the implications of pandemic on obsessive-compulsive symptoms in young people in order to allow them to access appropriate treatments. More research is needed in this area.
Henein A, Pascual-Sanchez A, Corciova S, et al., 2021, Obsessive compulsive disorder in treatment seeking children & adolescents during the COVID-19 pandemic, Publisher: CAMBRIDGE UNIV PRESS, Pages: S30-S30, ISSN: 2056-4724
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- Citations: 2
Hodes M, Koposov RA, Skokauskas N, 2021, Resettlement stressors and family factors in refugee child and adolescent psychopathology., Oxford Textbook of Migrant Psychiatry, Editors: Bhugra, Publisher: Oxford University Press, Pages: 567-574, ISBN: 978-0-19-883374-1
Hodes M, Gau SS-F, de Vries PJ, 2020, Introduction, Starting at the Beginning Laying the Foundation for Lifelong Mental Health, Editors: Hodes, Gau, de Vries, Publisher: Academic Press, ISBN: 9780128197493
This book examines the determinates of individual differences in children and young people, along with the origins of maladjustment and psychiatric disorders.
Hodes M, Gau SS-F, Vries PJD, 2020, Starting at the Beginning Laying the Foundation for Lifelong Mental Health, Publisher: Academic Press, ISBN: 9780128197493
This book examines the determinates of individual differences in children and young people, along with the origins of maladjustment and psychiatric disorders.
Hodes M, Hussain N, 2020, The role of family functioning in refugee child and adolescent mental health, Working with Refugee Families Trauma and Exile in Family Relationships, Editors: De Haene, Rousseau, Publisher: Cambridge University Press, Pages: 17-35, ISBN: 9781108429030
This important new book explores how to support refugee family relationships in promoting post-trauma recovery and adaptation in exile.
Durà-Vilà G, Hodes M, 2020, Cultural and religious variation in attitudes to young people consenting to health interventions, Journal of Religion and Health, Vol: 59, Pages: 870-890, ISSN: 0022-4197
There is a limited amount of empirical data available regarding the cultural and religious variation in perceptions about the age when young people should be regarded as competent to make decisions in health settings. A public survey of 400 adults from diverse religious and ethnic backgrounds was conducted in the UK and Spain. Attitudes were assessed using case vignettes. It was found that high religious practice was associated with recommending a higher age of consent for medical interventions. White British adults were more likely than Spanish adults to agree that younger adolescents should be allowed to consent to medical interventions. The study suggests that there is social, cultural and religious variation in adults' attitudes regarding the age when youngsters should consent to health interventions.
Ngo T, Hodes M, 2020, Pervasive refusal syndrome in asylum-seeking children: review of the current evidence, Clinical Child Psychology and Psychiatry, Vol: 25, Pages: 227-241, ISSN: 1359-1045
This study reviews the current evidence in pervasive refusal syndrome (PRS) in asylum-seeking children. Refugees can experience a variety of traumas throughout the process of migration. Children can be exposed to multiple traumas such as experienced or witnessed physical or sexual violence, loss and bereavement, parental separation and the threat of persecution and/or kidnapping. The third stage of the migration journey can add further stress; children and families may experience multiple rejections of asylum application effectively living in limbo with the constant threat of deportation. High rates of mental health disorder are well documented in young asylum seekers, particularly depression, anxiety and post-traumatic stress disorder (PTSD). PRS is less frequently described but nonetheless a severe and life-threatening condition affecting young asylum seekers. Traumatisation, cultural factors and hostile asylum processes are specific moderating factors seen in asylum-seeking children. Asylum-seeking children normally make a full recovery from PRS. This study suggests a link between prolonged asylum processes and hostile foreign policy in developing and maintaining illness; similar cases are now being reported in other countries with hostile foreign policies. These findings are therefore relevant to clinicians and politicians working with this vulnerable group.
Gledhill J, Hodes M, 2019, Engaging NHS staff in research: training is key., BMJ, Vol: 366, Pages: l5040-l5040
Hodes M, Vostanis P, 2019, Practitioner review: Mental health problems of refugee children and adolescents and their management, Journal of Child Psychology and Psychiatry, Vol: 60, Pages: 716-731, ISSN: 0021-9630
BACKGROUND: Since 2010, the numbers of refugees have increased and around half are under 18 years of age. It is known that experience of organised violence, displacement and resettlement increases the risk for psychiatric disorders and psychosocial impairment. This review integrates recent research into the risk and protective factors for psychopathology with service and treatment issues. METHODS: We draw on and critically evaluate key systematic reviews in the selected areas, innovative robust studies and relevant government reports. RESULTS: Many refugee children show resilience and function well, even in the face of substantial adversities. The most robust findings for psychopathology are that PTSD, and posttraumatic and depressive symptoms are found at higher prevalence in those who have been exposed to war experiences. Their severity may decrease over time with resettlement, but PTSD in the most exposed may show higher continuity. More severe psychiatric disorders including psychosis may also occur. Service delivery needs to take into account socioeconomic and cultural influences but, given the high level of unmet need even in high-income countries, stepped care delivery is required. The evaluation of psychological interventions, often delivered in group settings, suggests that they can be effective for many distressed children; however, for the more impaired, a greater range of disorder-specific therapies will be required. CONCLUSIONS: Child and adolescent mental health clinicians and service providers need to be aware of the specific needs of this population and systems for service delivery. There are significant knowledge gaps in understanding risk and vulnerability, service delivery and treatment effectiveness.
Vickers B, Boyle RJ, Umasunthar T, et al., 2019, Therapy competence in delivering a brief cognitive behavioural therapy intervention to reduce maternal anxiety associated with child food allergy., J Child Health Care, Pages: 1367493519853436-1367493519853436
Child food allergy is increasingly prevalent, and caring for such children is associated with elevated parental anxiety. We previously carried out a randomized-controlled trial (RCT) of brief cognitive behavioural therapy (CBT) for parental anxiety associated with child food allergy which found that treatment to be effective. This study describes the manualized brief CBT intervention and assesses the acquisition of competence in delivering this therapy. Three healthcare professionals were trained and supervised in the delivery of brief CBT to 98 mothers of food-allergic children. Competency was assessed using the Revised Cognitive Therapy Scale (CTS-R), with 'competency' defined as a CTS-R score ≥3. All therapists' CTS-R scores increased over time. In the first four months, the mean (SD) CTS-R score was 2.31 (0.56), increasing to 3.14 (0.41) in the second four months ( p < .001). Overall, 13/19 (68%) of CBT sessions were rated with a CTS-R score ≥3 in the second four months. After eight months, all therapists were performing CBT at a competent level (17 of the 18 sessions or 94%). The therapists participated in a RCT that reduced maternal anxiety (reported elsewhere). We have shown that therapists not previously trained in CBT can be trained in specific interventions and reach competent levels quickly.
Hodes M, 2019, New developments in the mental health of refugee children and adolescents, Evidence-Based Mental Health, Vol: 22, Pages: 72-76, ISSN: 1362-0347
The increase in refugees globally since 2010 and the arrival of many into Europe since 2015, around 50% of whom are under 18 years, have been the stimulus to greater investigation and publications regarding their mental health. This clinical review summarises selected themes in the field as described in the published literature since 2016. The themes include refugee statistics, premigration and postmigration experiences, psychopathology focusing on parent-child relationships, unaccompanied refugee minors and associations between resettlement, acculturation and mental health. Some important reviews and studies are discussed that address service and treatment provision. While there has been a recent increase in research in this field, more is needed into the course of psychopathology, protective factors and the promotion of integration into resettlement countries, as well as models of service delivery and treatment effectiveness.
Mitra R, Hodes M, 2019, Prevention of psychological distress and promotion of resilience amongst unaccompanied refugee minors in resettlement countries, Child: Care, Health and Development, Vol: 45, Pages: 198-215, ISSN: 0305-1862
AIM: As increasing numbers of unaccompanied refugee minors (URMs) are arriving in Europe, there is a need to investigate which factors promote psychological resilience and improve their mental health. This review aims to identify preventive post settlement influences, including living arrangements, access to mental health services, and effective treatments that may improve mental health outcomes. METHODS: A systematic literature review was conducted of published papers in any language for children (<18 years) entering a host country, unaccompanied and seeking asylum. Specific studies were eligible if they examined any treatment or nontreatment influences on mental health or psychological resilience for the URM. Thirteen published quantitative studies were identified. RESULTS: URMs in more supportive living arrangements including foster care had lower risk of PTSD and lower depressive symptoms compared with those in semi-independent care arrangements. URMs living in reception settings that restricted freedom had more anxiety symptoms. Regarding help seeking, one study found only 30% of URMs had foster parents or guardians who could detect a mental health need. Two papers found the URMs had low levels of contact with mental health services despite the high prevalence of psychiatric symptoms. URMs were less likely than accompanied children to receive trauma-focused interventions, cognitive therapy, or even practical assistance with basic social needs. With regard to treatment evaluation, only case series were identified. Three studies found cognitive behavioural therapy improved PTSD symptoms and mental health outcomes. A less structured approach (mental health counselling alone) did not improve functional health outcomes. CONCLUSION: Higher support living arrangements with low restrictions are associated with lower psychological distress. Most URMs are not receiving psychological interventions, and there is a dearth of studies evaluating treatment effectivenes
Kramer T, Hodes M, 2019, The mental health of british afro-caribbean children and adolescents, Main Issues in Mental Health and Race, Pages: 175-200, ISBN: 9781138713833
This chapter considers social adjustment and psychiatric disorders amongst Afro-Caribbean children and adolescents in the UK. The British Isles have received waves of immigrants, including non-White immigrants for hundreds of years. By the latter part of the eighteenth century there were 30,000 Black people in Britain. However the Second World War created a demand for men for the British armed forces and war industries. Many aspects of family organisation in the Caribbean have been outlined elsewhere. Changes in family life are likely to take place due to migration. During the early years families will have experienced the stress of separationif parents came to the UK ahead of their children. Children themselves may have experienced migration. Nevertheless, Afro-Caribbean family organisation within the UK shows both similarities and differences with that of White British families. The Afro-Caribbean community in the UK has faced economic hardship, adversity and racial discrimination, apparent in patterns of employment and housing.
Harper G, Dominguez M, Mayordomo-Aranda A, et al., 2018, Sexuality and gender identity in child and adolescent mental health: some reflections on social, psychiatric, and mental health service changes., Understanding Uniqueness and Diversity in Child and Adolescent Mental Health, Editors: Hodes, Gau, De Vries, Publisher: Academic Press, Pages: 223-236, ISBN: 9780128153109
Understanding Uniqueness and Diversity in Child and Adolescent Mental Health examines the determinates of individual differences in children and young people, along with the origins of maladjustment and psychiatric disorders.
Hodes M, Gau SS, Vries PD, 2018, Understanding Uniqueness and Diversity in Child and Adolescent Mental Health, Publisher: Academic Press, ISBN: 9780128153109
Understanding Uniqueness and Diversity in Child and Adolescent Mental Health examines the determinates of individual differences in children and young people, along with the origins of maladjustment and psychiatric disorders.
Hodes M, Gau SS-F, de Vries P, 2018, Introduction, Understanding Uniqueness and Diversity in Child and Adolescent Mental Health, Editors: Hodes, Gau, de Vries, Publisher: Academic Press, Pages: xv-xix, ISBN: 9780128153109
Understanding Uniqueness and Diversity in Child and Adolescent Mental Health examines the determinates of individual differences in children and young people, along with the origins of maladjustment and psychiatric disorders.
Hodes M, Vasquez MM, Anagnostopoulos D, et al., 2018, Refugees in Europe: national overviews from key countries with a special focus on child and adolescent mental health, European Child and Adolescent Psychiatry, Vol: 27, Pages: 389-399, ISSN: 1018-8827
Many European countries are becoming multicultural at a previously unseen rate. The number of immigrants including refugees has considerably increased since 2008, and especially after the beginning of the war in Syria. In 2015, 88,300 unaccompanied minors sought asylum in the Member States of the European Union (EU) and most came from Syria, Afghanistan, Iran, Iraq, Somalia and Eritrea. As a reaction to increased immigration, governments in many countries including Germany, Sweden and Norway implemented more restrictive immigration policy. A requirement for all countries, however, is the protection and welfare provision for all arriving children, regardless of their nationality, ensured by international and national legal frameworks. This paper provides an overview of the post 2015 immigration crisis in key European countries with a special focus on current demographics, refugee children, mental health studies, policies and practical support available for refugees.
Given-Wilson Z, Hodes M, Herlihy J, 2018, A review of adolescent autobiographical memory and the implications for assessment of unaccompanied minors' refugee determinations, CLINICAL CHILD PSYCHOLOGY AND PSYCHIATRY, Vol: 23, Pages: 209-222, ISSN: 1359-1045
Hodes M, Anagnostopoulos D, Skokauskas N, 2018, Challenges and opportunities in refugee mental health: clinical, service, and research considerations, European Child and Adolescent Psychiatry, Vol: 27, Pages: 385-388, ISSN: 1018-8827
Boyle RJ, Umasunthar T, Smith JG, et al., 2017, A brief psychological intervention for mothers of children with food allergy can change risk perception and reduce anxiety: Outcomes of a randomized controlled trial, CLINICAL AND EXPERIMENTAL ALLERGY, Vol: 47, Pages: 1309-1317, ISSN: 0954-7894
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Gledhill J, Hodes M, 2017, Depression and Suicidal Behaviour, Child Psychology and Psychiatry Frameworks for Clinical Training and Practice, Editors: Skuse, Bruce, Dowdney, Publisher: John Wiley & Sons, Pages: 235-243, ISBN: 9781119170228
Comprehensive in its coverage of child emotional and behavioural development, emphasising evidence-based interventions, this book is valuable learning tool for all those training in clinical or educational psychology, social work, ...
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