Effectiveness of internet-delivered psychological treatments for children and adolescents with anxiety and/or depressive disorders: Systematic review and network meta-analysis.

Background: Anxiety and depression symptomatology has increased in the child and adolescent population. Internet-delivered psychological treatments (IDPT) can help to reduce this symptomatology, attending to the largest possible population. Aim: To conduct a systematic review and network meta-analysis of IDPT to reduce anxiety and depression symptoms in children and adolescents. Methods: The search for studies was conducted in SCOPUS, PsycINFO, PSICODOC, PsycARTICLES and Medline, between 2000 and 2022, in December 2022. Studies were selected if they were conducted with a sample of children and/or adolescents with previous symptoms of anxiety and depression, had applied IDPT, and included at least two comparative groups with pretest-posttest measures. Network meta-analyses were separately performed for anxiety and depression outcomes. Publication bias was analyzed using Egger's test and funnel plots, and mixed-effects meta-regression models were applied to account for heterogeneity. Results: 37 studies were included in the meta-analysis, providing a total of 74 comparative groups. IDPT exhibited low-to-moderate, statistically significant average effect sizes when compared to both inactive and active controls. No statistical significance was found when IDPT was compared with other types of interventions. Discussion: IDPT is recommended to reduce anxiety and depression symptomatology in children and adolescents, but more studies are needed which compare treatments with other types of interventions, such as face-to-face therapy.

Meta-Analysis of Web-based Treatments for PTSD in Women Exposed to Intimate Partner Violence and Sexual Abuse

Aggression towards women can lead to serious psychopathological consequences such as PTSD, and web-based treatments can be promising tools to reduce this symptomatology, reaching as large a population as possible. This study presents a meta-analysis of web-based online treatments to reduce PTSD in women exposed to intimate partner violence, sexual abuse or maltreatment. A systematic review and meta-analysis were carried out. The search for studies was conducted in SCOPUS, PsycINFO, PSICODOC, PsycARTICLES and Medline, between 2010 and 2022, in September 2022. A random-effects model was used to obtain the effect size and the analysis of moderator variables. Effect sizes were calculated for PTSD, Anxiety and Depression variables in two different ways, analyzing exclusively treatment groups and comparing treatment groups with control groups and waiting lists. 9 articles were included in the meta-analysis. The effect size of PTSD when comparing treatment groups was high (d= -.809; 95% CI: -1.237/-.381; k= 8). It was smaller when compared with active control groups (d= -.315; 95% CI: -.942/.312; k= 4) or waiting lists (d= -.302; 95% CI: -.515/-.089; k= 3). Web-based treatments for women exposed to intimate partner violence, sexual abuse or maltreatment are effective and can improve the quality of care for this population (AU)

Self-perceived and reported mental health in older adults

Son numerosos los trabajos que evalúan la salud mental de las personas mayores, pero relativamente escasos los que lo hacen desde una perspectiva multi-informante. En este trabajo se analizaron las discrepan-cias en la autopercepción y la percepción que tienen otros de la salud men-tal de las personas mayores, en dos franjas de edad, diferenciando por se-xos, lugar de residencia y se analizaron las relaciones entre diferentes esca-las que miden psicopatología y competencias psicosociales. Se empleó una muestra de 288 personas mayores entre 60-95 años (154 mujeres, 53.47%) pertenecientes a 12 municipios de la Región de Murcia, y se empleó el cuestionario OlderAdultSelf-Report(OASR) para medir la psicopatología de las personas mayores y el instrumentoOlderAdultBeha-viorChecklist(OABCL) para conocer la percepción de la familia de estos problemas.Los resultados reflejan que existen diferentes percepciones de la salud men-tal entre personas mayores y sus familiares, que empeoran al aumentar la edad, la situación de riesgo psicosocial y el género femenino. Esto refleja la necesidad de desarrollar protocolos de tratamiento específicos para cada género y situación de riesgo psicosocial, con el fin de atender las necesida-des diferenciales de salud mental de las personas mayores.(AU)

Several studies assess mental health in older adults, but relatively few do so from a multi-informant perspective. In this work, discrepancies in self-perception and third-person perception of the mental health of older adults were analyzed in two age groups and differentiated by sex and place of residence. Relationships between different scales that measure psychopathology and psychosocial competencies were also analyzed.A sample of 288 older people aged between 60-95 years old (154 women, 53.47%) belonging to 12 municipalities in the Region of Murcia was em-ployed, and the Older Adult Self-Report (OASR) questionnaire was used to measure the psychopathology of older people and the Older Adult Be-havior Checklist (OABCL) instrument to find out thefamily's perception of these problems.Outcomes show different perceptions of mental health among older peo-ple and their families, which worsen with increasing age, psychosocial risk status and female gender. This reflects the need to develop specific treat-ment protocols for each gender and psychosocial risk situation, in order to address the differential mental health needs in older people.(AU)