UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

A systematic review of randomised controlled trials using psychological interventions for children and adolescents with medically unexplained symptoms: A focus on mental health outcomes

O'Connell, C; Shafran, R; Bennett, S; (2019) A systematic review of randomised controlled trials using psychological interventions for children and adolescents with medically unexplained symptoms: A focus on mental health outcomes. Clinical Child Psychology and Psychiatry (In press). Green open access

[img]
Preview
Text
O'Connell Accepted Manuscript.pdf - Accepted version

Download (658kB) | Preview

Abstract

Background. Medically unexplained symptoms affect between 4 and 20 percent of children and adolescents. Thirty to sixty percent of these children also experience mental health difficulties. Trials and reviews have focussed on physical gains in this population, often overlooking mental health outcomes. / Objectives. To use a systematic review methodology guided by the PRISMA checklist to: (i) Investigate the effectiveness of psychological interventions for mental health difficulties in children and adolescents with medically unexplained symptoms. (ii) Identify aspects of interventions associated with their success. / Methods. Randomised controlled studies investigating the impact of psychological interventions on mental health in children and adolescents with medically unexplained symptoms were included. Systematic searches of PsycINFO, MEDLINE and CINAHL were undertaken from inception to January 2018. Studies were appraised using the quality appraisal checklist (NICE, 2012). A qualitative synthesis of studies was completed. / Results. Eighteen studies were identified. Interventions targeting parental responses to illness and family communication appeared to have the best outcomes. / Conclusions. Psychological interventions may be effective in improving mental health outcomes within this population, however, evidence for the efficacy of these interventions is limited due to a high risk of bias within the majority of reviewed studies. Future research using rigorous methodology and non-CBT interventions is recommended. / Review registration number: CRD42016035817

Type: Article
Title: A systematic review of randomised controlled trials using psychological interventions for children and adolescents with medically unexplained symptoms: A focus on mental health outcomes
Open access status: An open access version is available from UCL Discovery
Publisher version: https://journals.sagepub.com/home/ccp
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health > ICH Pop, Policy and Practice Prog
URI: https://discovery.ucl.ac.uk/id/eprint/10074638
Downloads since deposit
137Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item