Prolonged Detection of Zika Virus in Vaginal Secretions and Whole Blood [Case Report]
Infection with Zika virus is an emerging public health crisis. We observed prolonged detection of virus RNA in vaginal mucosal swab specimens and whole blood for a US traveler with acute Zika virus infection who had visited Honduras. These findings advance understanding of Zika virus infection and provide data for additional testing strategies.
Biphasic Zika Illness With Rash and Joint Pain
During the current Zika virus (ZIKV) outbreak, acute symptomatic ZIKV infection in adults appears to be a mild-to-moderate, self-limited illness. We present a case of ZIKV rash illness that improved and then relapsed without repeat exposure to ZIKV. Clinicians should be alert for relapses in patients with ZIKV infection.
Advances in cognitive-behavioral therapy for youth with anxiety disorders: A brief summary
Cognitive behavioral therapy (CBT) has burgeoned as the leader in psychosocial treatments for anxious children and adolescents. Despite the established efficacy of CBT for youth with anxiety, there is a disparity amongst individuals and families in need of services, and accessibility to qualified practitioners who can effectively deliver empirically supported treatments. Additionally, a substantial number of children either do not respond at all to CBT or do not achieve sustained improvement. As a result, recent research in the area of childhood anxiety disorders focuses on extending treatment delivery of CBT to families who may not have direct access to trained clinicians, and expanding treatment to youth with comorbid conditions and treatment non-responders. This paper provides a preferably brief overview of research on advancements in the delivery of cognitive-behavioral therapy for anxious youth, discusses practical considerations, and highlights the current state of intervention research in this area. Specifically, the goals of this literature review are to consider innovative adaptations of CBT for anxious youth in the last decade with a particular focus on: (a) computer and Internet-delivered interventions and clinician training platforms; (b) the potential of videoteleconferencing service delivery methods; (c) treatment personalization via modular interventions targeting individual strengths and addressing responsivity to treatment; and, (d) transdiagnostic approaches for youth with anxiety and comorbid disorders. Barriers and implications for future research and interventions are discussed.
New York : Springer, 2015
Cognitive and Behavioral Interventions
New York : Springer, 2015
Treating Childhood and Adolescent Anxiety: A Guide for Caregivers. [Book Review]
The Emerging Role of Technology in Cognitiveâ€“Behavioral Therapy for Anxious Youth: A Review
Research documents the application of cognitiveâ€“behavioral therapy (CBT) with technology either as therapeutic adjuncts or stand-alone interventions. The literature evaluating the feasibility and efficacy of using technology with CBT for youth experiencing internalizing disorders is small though steadily emerging. Technological approaches offer cost-effective and efficient service to an increased number of anxious youth for whom a CBT treatment would be otherwise unavailable. The present article aims to review the use of two broad types of technology in CBT for anxious children and adolescents: computer- and internet-based CBT and mobile mental health applications (i.e., mobile phone, smartphone, and tablet technology). Within each section, we provide an overview of the advantages and general principles of each type of technology, and review evidence for the use of each type of technology along with examples of current applications. Finally, we discuss ethical issues, barriers, and future directions for the use of technology in facilitating dissemination of effective treatments
Cue-centered treatment for youth exposed to interpersonal violence: a randomized controlled trial
This study provides preliminary evidence of the feasibility and efficacy of the Stanford cue-centered treatment for reducing posttraumatic stress, depression, and anxiety in children chronically exposed to violence. Sixty-five youth aged 8-17 years were recruited from 13 schools. Participants were randomly assigned to cue-centered treatment or a waitlist control group. Assessments were conducted at 4 discrete time points. Self-report measures assessed youth symptoms of posttraumatic stress disorder (PTSD), anxiety, and depression.Self-report ratings of caregiver anxiety and depression as well as caregiver report of child PTSD were also obtained. Therapists evaluated participants' overall symptom improvement across treatment sessions. Hierarchal linear modeling analyses showed that compared to the waitlist group, the cue-centered treatment group had greater reductions in PTSD symptoms both by caregiver and child report, as well as caregiver anxiety. Cue-centered treatment, a hybrid trauma intervention merging diverse theoretical approaches, demonstrated feasibility,adherence, and efficacy in treating youth with a history of interpersonal violence.
Helping Children Exposed to War and Violence: Perspectives from an International Work Group on Interventions for Youth and Families
Background This paper outlines conclusions from a three-day workgroup hosting the eight authors as well as others with expertise in the evaluation and treatment of youth exposed to war and violence. Objective The purpose of this meeting was to bring multiple perspectives together to identify components that comprise effective psychosocial interventions for child victims of war and community violence across cultures. The meeting also sought to identify gaps in the existing treatment approaches. Method In the meeting, personal experiences and previous research were discussed to develop a wide-ranging intervention approach, determine a cohesive definition for "indirect" exposure, and identify successful methods of intervention delivery for youth exposed to acts of war and violence. Results and Conclusions Key components of intervention for youth exposed to war/violence, important outcome measures, and cultural differences that may influence effective intervention were identified. A clearer definition of "indirect" exposure was also developed. Finally, a nine-phase model was developed to provide guidelines for establishing partnerships between trauma teams and other organizations or schools to implement and disseminate treatment for this population
Adapting treatment of social anxiety disorder for delivery in schools: A school-based intervention for adolescents
Washington, DC, US: American Psychological Association; US, 2011