PittsburghV1, Main, Exploration, bibRecord, 000250

Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.

Identifieur interne : 000250 ( Main/Exploration ); précédent : 000249; suivant : 000251

Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.

Auteurs : Thorhildur Halldorsdottir ; Thomas H. Ollendick ; Golda Ginsburg ; Joel Sherrill ; Philip C. Kendall ; John Walkup ; Dara J. Sakolsky [États-Unis] ; John Piacentini

Source :

Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 [ 1537-4424 ] ; 2015.

RBID : pubmed:25310142

Descripteurs français

English descriptors

KwdEn :
- Adolescent, Anxiety Disorders (drug therapy), Anxiety Disorders (psychology), Attention Deficit Disorder with Hyperactivity (epidemiology), Attention Deficit Disorder with Hyperactivity (psychology), Attention Deficit Disorder with Hyperactivity (therapy), Attention Deficit and Disruptive Behavior Disorders (epidemiology), Attention Deficit and Disruptive Behavior Disorders (therapy), Case-Control Studies, Child, Cognitive Therapy (methods), Comorbidity, Female, Follow-Up Studies, Humans, Male, Serotonin Uptake Inhibitors (administration & dosage), Serotonin Uptake Inhibitors (pharmacology), Sertraline (administration & dosage), Sertraline (pharmacology), Time Factors, Treatment Outcome.
MESH :
- chemical , administration & dosage : Serotonin Uptake Inhibitors, Sertraline.
- drug therapy : Anxiety Disorders.
- epidemiology : Attention Deficit Disorder with Hyperactivity, Attention Deficit and Disruptive Behavior Disorders.
- methods : Cognitive Therapy.
- chemical , pharmacology : Serotonin Uptake Inhibitors, Sertraline.
- psychology : Anxiety Disorders, Attention Deficit Disorder with Hyperactivity.
- therapy : Attention Deficit Disorder with Hyperactivity, Attention Deficit and Disruptive Behavior Disorders.
- Adolescent, Case-Control Studies, Child, Comorbidity, Female, Follow-Up Studies, Humans, Male, Time Factors, Treatment Outcome.

Abstract

The purpose of this study is to examine the influence of Attention-Deficit/Hyperactivity Disorder (ADHD), independent of Oppositional Defiant Disorder (ODD), on acute treatment response, remission rates and maintenance of gains at 6-month follow-up in anxious youth (ages 7-17, 76% Caucasian, 52% female) who received cognitive-behavioral therapy (CBT) alone, pharmacotherapy alone, the combination of CBT and pharmacotherapy or placebo pill in the Child/Adolescent Multimodal Study. Treatment response was defined as independent evaluator rated meaningful improvement in anxiety. Remission was operationalized as the absence of targeted anxiety disorders. ADHD and ODD were examined as moderators of outcomes at a diagnostic level. In the CBT group only, an ADHD diagnosis predicted poorer immediate treatment response and remission rates. However, these associations were not obtained for the pharmacotherapy groups. Participants with comorbid ODD were not less likely to achieve acute treatment response and remission rates than their counterparts across treatment conditions. Due to small sample size of the comorbid subgroups, our analyses must be considered preliminary. Nevertheless, our initial findings suggest further exploration of the separate roles of ADHD and ODD are worth pursuing, as they may be differentially associated with treatment outcomes in anxious youth treated with CBT but not youth treated with pharmacotherapy. If confirmed, findings may indicate that anxious youth with comorbid ADHD are less likely to benefit from CBT strategies alone and raise the possibility that these youth need adjunctive pharmacotherapy or psychosocial interventions.

DOI: 10.1080/15374416.2014.952008
PubMed: 25310142

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">The purpose of this study is to examine the influence of Attention-Deficit/Hyperactivity Disorder (ADHD), independent of Oppositional Defiant Disorder (ODD), on acute treatment response, remission rates and maintenance of gains at 6-month follow-up in anxious youth (ages 7-17, 76% Caucasian, 52% female) who received cognitive-behavioral therapy (CBT) alone, pharmacotherapy alone, the combination of CBT and pharmacotherapy or placebo pill in the Child/Adolescent Multimodal Study. Treatment response was defined as independent evaluator rated meaningful improvement in anxiety. Remission was operationalized as the absence of targeted anxiety disorders. ADHD and ODD were examined as moderators of outcomes at a diagnostic level. In the CBT group only, an ADHD diagnosis predicted poorer immediate treatment response and remission rates. However, these associations were not obtained for the pharmacotherapy groups. Participants with comorbid ODD were not less likely to achieve acute treatment response and remission rates than their counterparts across treatment conditions. Due to small sample size of the comorbid subgroups, our analyses must be considered preliminary. Nevertheless, our initial findings suggest further exploration of the separate roles of ADHD and ODD are worth pursuing, as they may be differentially associated with treatment outcomes in anxious youth treated with CBT but not youth treated with pharmacotherapy. If confirmed, findings may indicate that anxious youth with comorbid ADHD are less likely to benefit from CBT strategies alone and raise the possibility that these youth need adjunctive pharmacotherapy or psychosocial interventions.</div>
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Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.

Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur Pittsburgh
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