View in EDS HTML Full Text PDF Full Text

Patterns of sub‐optimal change following CBT for childhood anxiety.

Saved in:
Bibliographic Details
Title: Patterns of sub‐optimal change following CBT for childhood anxiety.
Authors: Bertie, Lizel‐Antoinette, Arendt, Kristian, Coleman, Jonathan R. I., Cooper, Peter, Creswell, Cathy, Eley, Thalia C., Hartman, Catharina, Heiervang, Einar R., In‐Albon, Tina, Krause, Karen, Lester, Kathryn J., Marin, Carla E., Nauta, Maaike, Rapee, Ronald M., Schneider, Silvia, Schniering, Carolyn, Silverman, Wendy K., Thastum, Mikael, Thirlwall, Kerstin, Waite, Polly
Source: Journal of Child Psychology & Psychiatry. Dec2024, Vol. 65 Issue 12, p1612-1623. 12p.
Subjects: Anxiety disorders treatment, Interviewing, Treatment effectiveness, Classification of mental disorders, Descriptive statistics, Chi-squared test, Pre-tests & post-tests, Research methodology, Analysis of variance, Anxiety disorders, Cognitive therapy, Comparative studies, Behavior therapy, Adolescence, Children
Abstract: Background: Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub‐optimally to CBT, this study investigated youths (N = 1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12 months following treatment. Methods: Data were collected from 10 clinical sites with assessments at pre‐and post‐treatment and at least once more at 3, 6 or 12‐month follow‐up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Results: Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Conclusions: Sub‐optimal response patterns can be partially differentiated using variables assessed at pre‐treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision‐making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell 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.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 180898092
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Patterns of sub‐optimal change following CBT for childhood anxiety.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Bertie%2C+Lizel‐Antoinette%22">Bertie, Lizel‐Antoinette</searchLink><br /><searchLink fieldCode="AR" term="%22Arendt%2C+Kristian%22">Arendt, Kristian</searchLink><br /><searchLink fieldCode="AR" term="%22Coleman%2C+Jonathan+R%2E+I%2E%22">Coleman, Jonathan R. I.</searchLink><br /><searchLink fieldCode="AR" term="%22Cooper%2C+Peter%22">Cooper, Peter</searchLink><br /><searchLink fieldCode="AR" term="%22Creswell%2C+Cathy%22">Creswell, Cathy</searchLink><br /><searchLink fieldCode="AR" term="%22Eley%2C+Thalia+C%2E%22">Eley, Thalia C.</searchLink><br /><searchLink fieldCode="AR" term="%22Hartman%2C+Catharina%22">Hartman, Catharina</searchLink><br /><searchLink fieldCode="AR" term="%22Heiervang%2C+Einar+R%2E%22">Heiervang, Einar R.</searchLink><br /><searchLink fieldCode="AR" term="%22In‐Albon%2C+Tina%22">In‐Albon, Tina</searchLink><br /><searchLink fieldCode="AR" term="%22Krause%2C+Karen%22">Krause, Karen</searchLink><br /><searchLink fieldCode="AR" term="%22Lester%2C+Kathryn+J%2E%22">Lester, Kathryn J.</searchLink><br /><searchLink fieldCode="AR" term="%22Marin%2C+Carla+E%2E%22">Marin, Carla E.</searchLink><br /><searchLink fieldCode="AR" term="%22Nauta%2C+Maaike%22">Nauta, Maaike</searchLink><br /><searchLink fieldCode="AR" term="%22Rapee%2C+Ronald+M%2E%22">Rapee, Ronald M.</searchLink><br /><searchLink fieldCode="AR" term="%22Schneider%2C+Silvia%22">Schneider, Silvia</searchLink><br /><searchLink fieldCode="AR" term="%22Schniering%2C+Carolyn%22">Schniering, Carolyn</searchLink><br /><searchLink fieldCode="AR" term="%22Silverman%2C+Wendy+K%2E%22">Silverman, Wendy K.</searchLink><br /><searchLink fieldCode="AR" term="%22Thastum%2C+Mikael%22">Thastum, Mikael</searchLink><br /><searchLink fieldCode="AR" term="%22Thirlwall%2C+Kerstin%22">Thirlwall, Kerstin</searchLink><br /><searchLink fieldCode="AR" term="%22Waite%2C+Polly%22">Waite, Polly</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+Psychology+%26+Psychiatry%22">Journal of Child Psychology & Psychiatry</searchLink>. Dec2024, Vol. 65 Issue 12, p1612-1623. 12p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Anxiety+disorders+treatment%22">Anxiety disorders treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><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="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub‐optimally to CBT, this study investigated youths (N = 1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12 months following treatment. Methods: Data were collected from 10 clinical sites with assessments at pre‐and post‐treatment and at least once more at 3, 6 or 12‐month follow‐up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Results: Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Conclusions: Sub‐optimal response patterns can be partially differentiated using variables assessed at pre‐treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision‐making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell 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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=180898092
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jcpp.14009
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1612
    Subjects:
      – SubjectFull: Anxiety disorders treatment
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Anxiety disorders
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Patterns of sub‐optimal change following CBT for childhood anxiety.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Bertie, Lizel‐Antoinette
      – PersonEntity:
          Name:
            NameFull: Arendt, Kristian
      – PersonEntity:
          Name:
            NameFull: Coleman, Jonathan R. I.
      – PersonEntity:
          Name:
            NameFull: Cooper, Peter
      – PersonEntity:
          Name:
            NameFull: Creswell, Cathy
      – PersonEntity:
          Name:
            NameFull: Eley, Thalia C.
      – PersonEntity:
          Name:
            NameFull: Hartman, Catharina
      – PersonEntity:
          Name:
            NameFull: Heiervang, Einar R.
      – PersonEntity:
          Name:
            NameFull: In‐Albon, Tina
      – PersonEntity:
          Name:
            NameFull: Krause, Karen
      – PersonEntity:
          Name:
            NameFull: Lester, Kathryn J.
      – PersonEntity:
          Name:
            NameFull: Marin, Carla E.
      – PersonEntity:
          Name:
            NameFull: Nauta, Maaike
      – PersonEntity:
          Name:
            NameFull: Rapee, Ronald M.
      – PersonEntity:
          Name:
            NameFull: Schneider, Silvia
      – PersonEntity:
          Name:
            NameFull: Schniering, Carolyn
      – PersonEntity:
          Name:
            NameFull: Silverman, Wendy K.
      – PersonEntity:
          Name:
            NameFull: Thastum, Mikael
      – PersonEntity:
          Name:
            NameFull: Thirlwall, Kerstin
      – PersonEntity:
          Name:
            NameFull: Waite, Polly
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: Dec2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 00219630
          Numbering:
            – Type: volume
              Value: 65
            – Type: issue
              Value: 12
          Titles:
            – TitleFull: Journal of Child Psychology & Psychiatry
              Type: main
ResultId 1