Changes in Affective Network Variability Among Youth Treated for Anxiety Disorders.

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Title: Changes in Affective Network Variability Among Youth Treated for Anxiety Disorders.
Authors: Carper, Matthew M. (AUTHOR), Silk, Jennifer S. (AUTHOR), Ladouceur, Cecile D. (AUTHOR), Forbes, Erika E. (AUTHOR), McMakin, Dana (AUTHOR), Ryan, Neal (AUTHOR), Kendall, Philip C. (AUTHOR)
Source: Child Psychiatry & Human Development. Jun2022, Vol. 53 Issue 3, p526-537. 12p.
Subjects: Anxiety disorders, Cognitive therapy, Emotions, Treatment effectiveness, Client-centered psychotherapy, Affect (Psychology), Dynamical systems, Ecological momentary assessments (Clinical psychology)
Abstract: Cognitive behavioral therapy (CBT) has been shown to be an efficacious treatment for youth anxiety, but we need to know more about the process of change. Affective network variability, or the "spread" of positive and negative emotions activated across a given time period, has been found to be positively associated with anxiety disorder symptomatology, but it is not yet known how this construct changes in response to intervention or its association with anxiety-focused treatment outcomes. The present study used a dynamical systems framework to model ecological momentary assessment (EMA) data collected via a cellular telephone from 114 youth aged 9-14 years (Mage = 10.94, SD = 1.46) who were seeking treatment for a primary anxiety disorder. We examined patterns of affective network variability over time and across (a) CBT and (b) client-centered therapy (CCT) to determine whether affective network changes were specific to CBT or due to nonspecific factors. Associations between treatment outcomes and patterns of affect at pretreatment and over the course of the treatments were also examined. Results revealed significant decreases in affective network variability over the course of treatment for youth who received CBT, but not for youth who received CCT. Changes in affective network variability over the course of treatment did not predict treatment outcomes. Findings provide initial support for the dynamical systems approach to examining changes that occur during treatment. Implications and future research are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Changes in Affective Network Variability Among Youth Treated for Anxiety Disorders.
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  Data: <searchLink fieldCode="AR" term="%22Carper%2C+Matthew+M%2E%22">Carper, Matthew M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silk%2C+Jennifer+S%2E%22">Silk, Jennifer S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ladouceur%2C+Cecile+D%2E%22">Ladouceur, Cecile D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Forbes%2C+Erika+E%2E%22">Forbes, Erika E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McMakin%2C+Dana%22">McMakin, Dana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ryan%2C+Neal%22">Ryan, Neal</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kendall%2C+Philip+C%2E%22">Kendall, Philip C.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Child+Psychiatry+%26+Human+Development%22">Child Psychiatry & Human Development</searchLink>. Jun2022, Vol. 53 Issue 3, p526-537. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Client-centered+psychotherapy%22">Client-centered psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Affect+%28Psychology%29%22">Affect (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Dynamical+systems%22">Dynamical systems</searchLink><br /><searchLink fieldCode="DE" term="%22Ecological+momentary+assessments+%28Clinical+psychology%29%22">Ecological momentary assessments (Clinical psychology)</searchLink>
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  Data: Cognitive behavioral therapy (CBT) has been shown to be an efficacious treatment for youth anxiety, but we need to know more about the process of change. Affective network variability, or the "spread" of positive and negative emotions activated across a given time period, has been found to be positively associated with anxiety disorder symptomatology, but it is not yet known how this construct changes in response to intervention or its association with anxiety-focused treatment outcomes. The present study used a dynamical systems framework to model ecological momentary assessment (EMA) data collected via a cellular telephone from 114 youth aged 9-14 years (Mage = 10.94, SD = 1.46) who were seeking treatment for a primary anxiety disorder. We examined patterns of affective network variability over time and across (a) CBT and (b) client-centered therapy (CCT) to determine whether affective network changes were specific to CBT or due to nonspecific factors. Associations between treatment outcomes and patterns of affect at pretreatment and over the course of the treatments were also examined. Results revealed significant decreases in affective network variability over the course of treatment for youth who received CBT, but not for youth who received CCT. Changes in affective network variability over the course of treatment did not predict treatment outcomes. Findings provide initial support for the dynamical systems approach to examining changes that occur during treatment. Implications and future research are discussed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child Psychiatry & Human Development is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10578-021-01141-6
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        Text: English
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      – SubjectFull: Emotions
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      – SubjectFull: Ecological momentary assessments (Clinical psychology)
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      – TitleFull: Changes in Affective Network Variability Among Youth Treated for Anxiety Disorders.
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              Text: Jun2022
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