TY - JOUR
T1 - Commentary
T2 - Distillation and element-based design of psychological treatments in global mental health – a commentary on Brown et al. (2017)
AU - Michelson, Daniel
AU - Patel, Vikram
N1 - Funding Information:
This commentary article was invited by the Annual Research Review Editor and has been subject to internal review. Both authors are supported by a Wellcome Trust Principal Research Fellowship grant to V.P. The authors have no competing or potential conflicts of interest to declare.
Publisher Copyright:
© 2017 Association for Child and Adolescent Mental Health.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - This commentary reflects on the “elements” approach in psychological treatment research, and its specific application to a systematic review of psychosocial interventions for youth in conflict-affected areas. We discuss three key questions for the field. First, what psychological treatment elements are necessary and/or sufficient to achieve clinically significant change for a given population? Second, how should elements be sequenced to achieve optimal outcomes? Third, what might account for the large heterogeneity observed in psychological treatment trials, other than the constituent practice elements? We conclude by describing a new research programme that aims to develop a transdiagnostic intervention targeting common mental health difficulties among school-going adolescents in India. The initial experience of this programme affirms the utility of aligning an elements approach with contextually-sensitive formative research.
AB - This commentary reflects on the “elements” approach in psychological treatment research, and its specific application to a systematic review of psychosocial interventions for youth in conflict-affected areas. We discuss three key questions for the field. First, what psychological treatment elements are necessary and/or sufficient to achieve clinically significant change for a given population? Second, how should elements be sequenced to achieve optimal outcomes? Third, what might account for the large heterogeneity observed in psychological treatment trials, other than the constituent practice elements? We conclude by describing a new research programme that aims to develop a transdiagnostic intervention targeting common mental health difficulties among school-going adolescents in India. The initial experience of this programme affirms the utility of aligning an elements approach with contextually-sensitive formative research.
UR - http://www.scopus.com/inward/record.url?scp=85016175876&partnerID=8YFLogxK
U2 - 10.1111/jcpp.12714
DO - 10.1111/jcpp.12714
M3 - Comment/debate
C2 - 28346758
AN - SCOPUS:85016175876
SN - 0021-9630
VL - 58
SP - 525
EP - 527
JO - Journal of Child Psychology and Psychiatry and Allied Disciplines
JF - Journal of Child Psychology and Psychiatry and Allied Disciplines
IS - 4
ER -
