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| Publications of Christian F. Mauro :chronological alphabetical combined listing:%% Journal Articles @article{fds359255, Author = {Nagy PhD and GA and Arnold Bs and ML and Gagliardi Md and JP and Convoy Dnp, S and Molloy Dnp Rn Cne Chse and MA and Wall PhD Rn Pmhnp-Bc Faanp, P and Mauro PhD and C and Rosenthal PhD and MZ}, Title = {Adaptation of the TEAM Mental Healthcare Delivery Model: A Mixed-Methods Evaluation.}, Journal = {Issues Ment Health Nurs}, Volume = {43}, Number = {3}, Pages = {239-250}, Year = {2022}, Month = {March}, url = {http://dx.doi.org/10.1080/01612840.2021.1975330}, Abstract = {We report on the adaptation and evaluation of an existing approach to multicultural education into an eight-session online, modular curriculum for psychiatric mental health nurse practitioner students (n = 6) and psychology interns (n = 10). Training participants were invited to complete verbal feedback, self-report questionnaires, and a high-fidelity patient simulation before and after the training. Self-report questionnaire results revealed no changes in knowledge or attitudes, but qualitative analysis of verbal feedback reflected improvements in attitudes and behaviors relevant to cultural competence. Results from the simulation also demonstrated an increase in measurable cultural competence behavioral indicators.}, Doi = {10.1080/01612840.2021.1975330}, Key = {fds359255} } @article{fds358707, Author = {Ives, LT and Stein, K and Rivera-Cancel, AM and Nicholas, JK and Caldwell, K and Datta, N and Mauro, C and Egger, H and Puffer, E and Zucker, NL}, Title = {Children's Beliefs about Pain: An Exploratory Analysis.}, Journal = {Children (Basel, Switzerland)}, Volume = {8}, Number = {6}, Year = {2021}, Month = {May}, url = {http://dx.doi.org/10.3390/children8060452}, Abstract = {Functional abdominal pain (FAP) is one of the most common childhood medical complaints, associated with significant distress and impairment. Little is known about how children understand their pain. Do they attribute it to personal weakness? Do they perceive pain as having global impact, affecting a variety of activities? How do they cope with pain? We explored the pain beliefs of 5- to 9-year-old children with FAP using a novel Teddy Bear Interview task in which children answered questions about a Teddy bear's pain. Responses were analyzed quantitatively and qualitatively. Results indicate that the majority of young children with FAP are optimistic about pain outcomes. Children generated many types of coping strategies for Teddy's pain and adjusted their calibration of Teddy's pain tolerance dependent on the activity being performed. Early warning signs also emerged: a subset of children were pessimistic about Teddy's pain, and several children identified coping strategies that, while developmentally appropriate, could lead to excessive help seeking if not intervened upon (e.g., physician consultation and shot). The Teddy Bear Interview allows children to externalize their pain, making it a useful tool to access cognitive pain constructs in younger children. Thus, these findings highlight the importance of early intervention for childhood FAP.}, Doi = {10.3390/children8060452}, Key = {fds358707} } @article{fds333644, Author = {Allen, TM and Wren, AA and Anderson, LM and Sabholk, A and Mauro, CF}, Title = {Group CBT-yoga protocol targeting pain-related and internalizing symptoms in youth}, Journal = {Clinical Practice in Pediatric Psychology}, Volume = {6}, Number = {1}, Pages = {7-18}, Publisher = {American Psychological Association (APA)}, Year = {2018}, Month = {March}, url = {http://dx.doi.org/10.1037/cpp0000206}, Abstract = {There is a high prevalence of pain-related somatic symptoms among children with internalizing disorders. Despite the documented comorbidity between somatic and internalizing symptoms in youth, there are limited empirically supported interventions that simultaneously target these issues. In light of this, the current pilot study investigated the feasibility and preliminary efficacy of a novel 12-week manualized group-based CBT-yoga protocol, which aimed to target co-occurring physical and internalizing symptoms in a sample of youth. Twenty-eight children between the ages of 10 and 12 years old who had clinically relevant internalizing symptoms and pain-related somatic symptoms were enrolled in the 12-week intervention protocol. Attendance rates and parent and child responses on social validity scales provided measures of feasibility. Preliminary efficacy was examined through a series of paired sample t tests, measuring changes in internalizing and somatic symptoms, and pain-related coping following the intervention. Results suggest strong levels of childand parent-rated feasibility. Preliminary data also reveal improvements in internalizing and somatic symptoms following the intervention, in addition to improvements in pain-related coping. These findings provide initial support for the feasibility and acceptance of an integrative group-based intervention combining cognitive-behavioral strategies with yogic practices.}, Doi = {10.1037/cpp0000206}, Key = {fds333644} } @article{fds328294, Author = {Zucker, N and Mauro, C and Craske, M and Wagner, HR and Datta, N and Hopkins, H and Caldwell, K and Kiridly, A and Marsan, S and Maslow, G and Mayer, E and Egger, H}, Title = {Acceptance-based interoceptive exposure for young children with functional abdominal pain.}, Journal = {Behav Res Ther}, Volume = {97}, Pages = {200-212}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1016/j.brat.2017.07.009}, Abstract = {UNLABELLED: Functional abdominal pain (FAP) is a common childhood somatic complaint that contributes to impairment in daily functioning (e.g., school absences) and increases risk for chronic pain and psychiatric illness. Cognitive behavioral treatments for FAP target primarily older children (9 + years) and employ strategies to reduce a focus on pain. The experience of pain may be an opportunity to teach viscerally hypersensitive children to interpret the function of a variety of bodily signals (including those of hunger, emotions) thereby reducing fear of bodily sensations and facilitating emotion awareness and self-regulation. We designed and tested an interoceptive exposure treatment for younger children (5-9 years) with FAP. Assessments included diagnostic interviews, 14 days of daily pain monitoring, and questionnaires. Treatment involved 10 weekly appointments. Using cartoon characters to represent bodily sensations (e.g., Gassy Gus), children were trained to be "FBI agents" - Feeling and Body Investigators - who investigated sensations through exercises that provoked somatic experience. 24 parent-child dyads are reported. Pain (experience, distress, and interference) and negative affect demonstrated clinically meaningful and statistically significant change with effect sizes ranging from 0.48 to 71 for pain and from 0.38 to 0.61 for pain distress, total pain: X2 (1, n = 24) = 13.14, p < 0.0003. An intervention that helps children adopt a curious stance and focus on somatic symptoms reduces pain and may help lessen somatic fear generally. CLINICAL TRIAL REGISTRATION: NCT02075437.}, Doi = {10.1016/j.brat.2017.07.009}, Key = {fds328294} } @article{fds275179, Author = {Freeman, J and Sapyta, J and Garcia, A and Compton, S and Khanna, M and Flessner, C and FitzGerald, D and Mauro, C and Dingfelder, R and Benito, K and Harrison, J and Curry, J and Foa, E and March, J and Moore, P and Franklin, M}, Title = {Family-based treatment of early childhood obsessive-compulsive disorder: the Pediatric Obsessive-Compulsive Disorder Treatment Study for Young Children (POTS Jr)--a randomized clinical trial.}, Journal = {Jama Psychiatry}, Volume = {71}, Number = {6}, Pages = {689-698}, Year = {2014}, Month = {June}, ISSN = {2168-622X}, url = {http://dx.doi.org/10.1001/jamapsychiatry.2014.170}, Abstract = {IMPORTANCE: Cognitive behavior therapy (CBT) has been established as efficacious for obsessive-compulsive disorder (OCD) among older children and adolescents, yet its effect on young children has not been evaluated sufficiently. OBJECTIVE: To examine the relative efficacy of family-based CBT (FB-CBT) involving exposure plus response prevention vs an FB relaxation treatment (FB-RT) control condition for children 5 to 8 years of age. DESIGN, SETTING, AND PARTICIPANTS: A 14-week randomized clinical trial (Pediatric Obsessive-Compulsive Disorder Treatment Study for Young Children [POTS Jr]) conducted at 3 academic medical centers between 2006 and 2011, involving 127 pediatric outpatients 5 to 8 years of age who received a primary diagnosis of OCD and a Children's Yale-Brown Obsessive Compulsive Scale total score of 16 or higher. INTERVENTIONS: Participants were randomly assigned to 14 weeks of (1) FB-CBT, including exposure plus response prevention, or (2) FB-RT. MAIN OUTCOMES AND MEASURES: Responder status defined as an independent evaluator-rated Clinical Global Impression-Improvement scale score of 1 (very much improved) or 2 (much improved) and change in independent evaluator-rated continuous Children's Yale-Brown Obsessive Compulsive Scale total score. RESULTS Family-based CBT was superior to FB-RT on both primary outcome measures. The percentages of children who were rated as 1 (very much improved) or 2 (much improved) on the Clinical Global Impression-Improvement scale at 14 weeks were 72% for FB-CBT and 41% for FB-RT. The effect size difference between FB-CBT and FB-RT on the Clinical Global Impression-Improvement scale was 0.31 (95% CI, 0.17-0.45). The number needed to treat (NNT) with FB-CBT vs FB-RT was estimated as 3.2 (95% CI, 2.2-5.8). The effect size difference between FB-CBT and FB-RT on the Children's Yale-Brown Obsessive Compulsive Scale at week 14 was 0.84 (95% CI, 0.62-1.06). CONCLUSIONS AND RELEVANCE: A comprehensive FB-CBT program was superior to a relaxation program with a similar format in reducing OCD symptoms and functional impairment in young children (5-8 years of age) with OCD. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00533806.}, Doi = {10.1001/jamapsychiatry.2014.170}, Key = {fds275179} } @article{fds275182, Author = {Crawley, SA and Kendall, PC and Benjamin, CL and Brodman, DM and Wei, C and Beidas, RS and Podell, JL and Mauro, C}, Title = {Brief Cognitive-Behavioral Therapy for Anxious Youth: Feasibility and Initial Outcomes}, Journal = {Cognitive and Behavioral Practice}, Volume = {20}, Number = {2}, Pages = {123-133}, Publisher = {Elsevier BV}, Year = {2013}, Month = {May}, ISSN = {1077-7229}, url = {http://dx.doi.org/10.1016/j.cbpra.2012.07.003}, Abstract = {We developed and evaluated a brief (8-session) version of cognitive-behavioral therapy (BCBT) for anxiety disorders in youth ages 6 to 13. This report describes the design and development of the BCBT program and intervention materials (therapist treatment manual and child treatment workbook) and an initial evaluation of child treatment outcomes. Twenty-six children who met diagnostic criteria for a principal anxiety diagnosis of separation anxiety disorder, generalized anxiety disorder, and/or social phobia were enrolled. Results suggest that BCBT is a feasible, acceptable, and beneficial treatment for anxious youth. Future research is needed to examine the relative efficacy of BCBT and CBT for child anxiety in a randomized controlled trial. © 2012.}, Doi = {10.1016/j.cbpra.2012.07.003}, Key = {fds275182} } @article{fds275180, Author = {Crawley, SA and Kendall, PC and Benjamin, CL and Brodman, DM and Wei, C and Beidas, RS and Podell, JL and Mauro, C}, Title = {Brief Cognitive-Behavioral Therapy for Anxious Youth: Feasibility and Initial Outcomes}, Journal = {Cognitive and Behavioral Practice}, Volume = {20}, Number = {2}, Pages = {123-133}, Year = {2013}, ISSN = {1077-7229}, url = {http://dx.doi.org/10.1016/j.cbpra.2012.07.003}, Abstract = {We developed and evaluated a brief (8-session) version of cognitive-behavioral therapy (BCBT) for anxiety disorders in youth ages 6 to 13. This report describes the design and development of the BCBT program and intervention materials (therapist treatment manual and child treatment workbook) and an initial evaluation of child treatment outcomes. Twenty-six children who met diagnostic criteria for a principal anxiety diagnosis of separation anxiety disorder, generalized anxiety disorder, and/or social phobia were enrolled. Results suggest that BCBT is a feasible, acceptable, and beneficial treatment for anxious youth. Future research is needed to examine the relative efficacy of BCBT and CBT for child anxiety in a randomized controlled trial. © 2012.}, Doi = {10.1016/j.cbpra.2012.07.003}, Key = {fds275180} } @article{fds275183, Author = {Gosch, EA and Flannery-Schroeder, E and Mauro, CF and Compton, SN}, Title = {Principles of cognitive-behavioral therapy for anxiety disorders in children}, Journal = {Journal of Cognitive Psychotherapy}, Volume = {20}, Number = {3}, Pages = {247-262}, Publisher = {Springer Publishing Company}, Year = {2006}, Month = {January}, ISSN = {0889-8391}, url = {http://dx.doi.org/10.1891/jcop.20.3.247}, Abstract = {This article elucidates the theoretical underpinnings of cognitive-behavior therapy (CBT) as applied to the treatment of anxiety disorders in children, focusing on social phobia, generalized anxiety disorder, and separation anxiety disorder. It reviews behavioral and cognitive theories that have influenced this approach. We argue that it is necessary to understand the essential components of this approach in the context of these theories in order to provide effective, clinically sensitive, and child-focused treatment. Components discussed include assessment, psychoeducation, affective education, self-instruction training, cognitive restructuring, problem solving, relaxation training, modeling, contingency management, and exposure procedures. Hypothesized key processes, such as the need to be experiential in treatment, are presented for consideration. © 2006 Springer Publishing Company.}, Doi = {10.1891/jcop.20.3.247}, Key = {fds275183} } @article{fds275184, Author = {March, JS and Chrisman, A and Breland-Noble, A and Clouse, K and D'Alli, R and Egger, H and Gammon, P and Gazzola, M and Lin, A and Mauro, C and Rana, A and Ravi, H and Srirama, M and Su, H and Thrall, G and van de Velde, P and Duke Pediatric Psychiatry EBM Seminar Team}, Title = {Using and teaching evidence-based medicine: the Duke University child and adolescent psychiatry model.}, Journal = {Child and Adolescent Psychiatric Clinics of North America}, Volume = {14}, Number = {2}, Pages = {273-ix}, Year = {2005}, Month = {April}, ISSN = {1056-4993}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15694786}, Abstract = {Evidence-based medicine (EBM) is defined as a set of processes that facilitate the conscientious, explicit, and judicious integration of individual clinical expertise with the best available external clinical evidence from systematic research in making decisions about the care of individual patients. EBM focuses not only on grading the strength of the evidence but also on the processes and tools that are necessary for clinicians to continually upgrade their knowledge and skills for those problems encountered in daily practice. This article, authored by members of the Duke Pediatric Psychiatry EBM Seminar Team, (1) describes EBM as applied to the training of child and adolescent psychiatrists in the Division of Child and Adolescent Psychiatry, Department of Psychiatry at Duke University Medical Center; (2) presents a simplified discussion of EBM as a technology for training and patient care; (3) discusses the basic principles and procedures for teaching EBM in the setting of a multidisciplinary training program; and (4) briefly mentions two training and research initiatives that are furthered by incorporating EBM.}, Doi = {10.1016/j.chc.2004.05.001}, Key = {fds275184} } @article{fds275181, Author = {Mauro, CF and Harris, YR}, Title = {The influence of maternal child-rearing attitudes and teaching behaviors on preschoolers' delay of gratification.}, Journal = {The Journal of Genetic Psychology}, Volume = {161}, Number = {3}, Pages = {292-306}, Year = {2000}, Month = {September}, url = {http://dx.doi.org/10.1080/00221320009596712}, Abstract = {This study was an exploratory examination of the influence of mothers' teaching behaviors, strategies, and child-rearing attitudes on their children's ability to delay gratification. In an externally imposed delay of gratification situation, 30 mothers from a rural university community taught their children strategies that could help them refrain from touching a brightly wrapped present when the mothers left the room. Results showed that mothers of children who did not delay gratification exhibited teaching behaviors and child-rearing attitudes consistent with a permissive parenting style, whereas mothers of children who did delay gratification exhibited teaching behaviors and child-rearing attitudes consistent with an authoritative parenting style. The results of this study are discussed with respect to the development of children's self-control and self-regulatory abilities.}, Doi = {10.1080/00221320009596712}, Key = {fds275181} } %% Chapters in Books @misc{fds348857, Author = {Mauro, CF and Machell, KA}, Title = {When children and adolescents do not go to school: Terminology, technology, and trends}, Pages = {439-460}, Booktitle = {Pediatric Anxiety Disorders}, Year = {2019}, Month = {January}, ISBN = {9780128130056}, url = {http://dx.doi.org/10.1016/B978-0-12-813004-9.00020-7}, Abstract = {This chapter addresses the many challenging issues faced by children who struggle to attend school. First, we review history and terminology and discuss the longstanding difficulty of accurately classifying and understanding these children and families. We then summarize Christopher Kearney and his colleagues’ important school refusal framework that uses functional analysis as the key organizing rubric to understand what causes and maintains school refusal behavior. Finally, we use this framework to integrate and explore recent trends in digital technology that both provide resources and challenges as children have more opportunity to connect to educational activities but also be distracted from them. Throughout the chapter, we examine the complexities so often experienced when assessing and intervening with children and families who refuse school by using a challenging case example to illustrate key concepts.}, Doi = {10.1016/B978-0-12-813004-9.00020-7}, Key = {fds348857} } | |
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