Elizabeth P Casline1, Robert R Ogle2, Tara S Peris3, Philip C Kendall4, John Piacentini3, Scott N Compton5, Courtney Keeton6, Golda S Ginsburg7. 1. Department of Psychology, University of Miami, Coral Gables, Florida, USA. 2. Counseling Center, Yeshiva University, New York City, New York, USA. 3. Division of Child and Adolescent Psychiatry, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA. 4. Department of Psychology, Temple University, Philadelphia, Pennsylvania, USA. 5. Department of Psychiatry and Behavioral Medicine, Duke University School of Medicine, Durham, North Carolina, USA. 6. Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. 7. Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Abstract
OBJECTIVE: This study examined client ratings of 26 facilitators and barriers to anxiety improvement approximately 6 years after randomization to treatment for anxiety. METHOD: 319 youth (average 17.12 years old; 82.1% Caucasian; 58.6% female) participated in the longitudinal follow-up study to child and adolescent anxiety multimodal study (CAMS), a randomized controlled trial of medication, cognitive-behavioral therapy (CBT), combination, and placebo. RESULTS: Correcting for multiple comparisons, CBT components (i.e., problem solving, changing unhelpful thoughts, relaxation skills) were rated significantly more helpful among youth without, versus with, an anxiety disorder at follow-up. Barriers that differentiated youth with and without an anxiety disorder included being bullied and difficulty applying therapy content to new situations. Comparisons between youth with different anxiety disorder trajectories (e.g., stable remission, relapsed, or chronically ill) also revealed several differences. CONCLUSION: Findings suggest that client-rated facilitators and barriers covary with anxiety disorder recovery and may serve as useful tools when evaluating long-term treatment efficacy.
OBJECTIVE: This study examined client ratings of 26 facilitators and barriers to anxiety improvement approximately 6 years after randomization to treatment for anxiety. METHOD: 319 youth (average 17.12 years old; 82.1% Caucasian; 58.6% female) participated in the longitudinal follow-up study to child and adolescent anxiety multimodal study (CAMS), a randomized controlled trial of medication, cognitive-behavioral therapy (CBT), combination, and placebo. RESULTS: Correcting for multiple comparisons, CBT components (i.e., problem solving, changing unhelpful thoughts, relaxation skills) were rated significantly more helpful among youth without, versus with, an anxiety disorder at follow-up. Barriers that differentiated youth with and without an anxiety disorder included being bullied and difficulty applying therapy content to new situations. Comparisons between youth with different anxiety disorder trajectories (e.g., stable remission, relapsed, or chronically ill) also revealed several differences. CONCLUSION: Findings suggest that client-rated facilitators and barriers covary with anxiety disorder recovery and may serve as useful tools when evaluating long-term treatment efficacy.
Authors: Philip C Kendall; Colleen M Cummings; Marianne A Villabø; Martina K Narayanan; Kimberli Treadwell; Boris Birmaher; Scott Compton; John Piacentini; Joel Sherrill; John Walkup; Elizabeth Gosch; Courtney Keeton; Golda Ginsburg; Cindy Suveg; Anne Marie Albano Journal: J Consult Clin Psychol Date: 2015-10-12
Authors: K W Fjermestad; M D Lerner; B D McLeod; G J H Wergeland; B S M Haugland; O E Havik; L-G Öst; W K Silverman Journal: J Clin Psychol Date: 2017-11-16
Authors: Pamela L Owens; Kimberly Hoagwood; Sarah M Horwitz; Philip J Leaf; Jeanne M Poduska; Sheppard G Kellam; Nicholas S Ialongo Journal: J Am Acad Child Adolesc Psychiatry Date: 2002-06 Impact factor: 8.829
Authors: William E Copeland; Adrian Angold; Lilly Shanahan; E Jane Costello Journal: J Am Acad Child Adolesc Psychiatry Date: 2013-10-12 Impact factor: 8.829