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Psychological interventions for depression in children and young people with an intellectual disability and/or autism : a systematic review

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Cameron, L. A., Phillips, K., Melvin, Glenn A., Hastings, Richard P. and Gray, Kylie M. (2021) Psychological interventions for depression in children and young people with an intellectual disability and/or autism : a systematic review. British Journal of Psychiatry, 218 (6). pp. 305-314. doi:10.1192/bjp.2020.226

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Official URL: https://doi.org/10.1192/bjp.2020.226

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Abstract

Background
Children and young people with intellectual disability and/or Autism Spectrum Disorder (autism) experience higher rates of mental health problems, including depression, than their typically developing peers. Although international guidelines suggest psychological therapies as first-line intervention for children and young people, there is limited evidence for psychological therapy for depression in children and young people with intellectual disability and/or autism.

Aims
To evaluate the current evidence base for psychological interventions for depression in children and young people with intellectual disability and/or autism, and examine the experiences of children and young people with intellectual disability and/or autism, their families and therapists, in receiving and delivering psychological treatment for depression.

Method
Databases were searched up to 30 April 2020 using pre-defined search terms and criteria. Articles were independently screened and assessed for risk of bias. Data were synthesised and reported in a narrative review format.

Results
A total of 10 studies met the inclusion criteria. Four identified studies were clinical case reports and six were quasi-experimental or experimental studies. All studies were assessed as being of moderate or high risk of bias. Participants with intellectual disability were included in four studies. There was limited data on the experiences of young people, their families or therapists in receiving or delivering psychological treatment for depression.

Conclusions
Well-designed, randomised controlled trials are critical to develop an evidence base for psychological treatment for young people with intellectual disability and/or autism with depression. Future research should evaluate the treatment experiences of young people, their families and therapists.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR)
Journal or Publication Title: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
ISSN: 0007-1250
Official Date: June 2021
Dates:
DateEvent
June 2021Published
17 November 2020Available
7 October 2020Accepted
Volume: 218
Number: 6
Page Range: pp. 305-314
DOI: 10.1192/bjp.2020.226
Status: Peer Reviewed
Publication Status: Published
Publisher Statement: This article has been published in a revised form in British Journal of Psychiatry http://doi.org/10.1192/bjp.2020.226. This version is published under a Creative Commons CC-BY-NC-ND. No commercial re-distribution or re-use allowed. Derivative works cannot be distributed. © copyright holder.
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: © The Author(s), 2020. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists
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