Trajectories of Change in Youth Anxiety during Cognitive Behavior Therapy
Identifieur interne : 000B28 ( Main/Exploration ); précédent : 000B27; suivant : 000B29Trajectories of Change in Youth Anxiety during Cognitive Behavior Therapy
Auteurs : Tara S. Peris ; Scott N. Compton ; Philip C. Kendall ; Boris Birmaher ; Joel Sherill ; John March ; Elizabeth Gosch ; Golda Ginsburg ; Moira Rynn ; James T. Mccracken ; Courtney P. Keeton ; Dara Sakolsky ; Cynthia Suveg ; Sasha Aschenbrand ; Daniel Almirall ; Satish Iyengar ; John T. Walkup ; Anne Marie Albano ; John PiacentiniSource :
- Journal of consulting and clinical psychology [ 0022-006X ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Anxiolytiques (usage thérapeutique), Association thérapeutique, Enfant, Femelle, Humains, Mâle, Résultat thérapeutique, Sertraline (usage thérapeutique), Thérapie cognitive, Thérapie par la relaxation, Troubles anxieux (), Troubles anxieux (psychologie), Troubles anxieux (traitement médicamenteux).
- MESH :
- psychologie : Troubles anxieux.
- traitement médicamenteux : Troubles anxieux.
- usage thérapeutique : Anxiolytiques, Sertraline.
- Adolescent, Association thérapeutique, Enfant, Femelle, Humains, Mâle, Résultat thérapeutique, Thérapie cognitive, Thérapie par la relaxation, Troubles anxieux.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Anti-Anxiety Agents, Sertraline.
- drug therapy : Anxiety Disorders.
- psychology : Anxiety Disorders.
- therapy : Anxiety Disorders.
- Adolescent, Child, Cognitive Therapy, Combined Modality Therapy, Female, Humans, Male, Relaxation Therapy, Treatment Outcome.
Abstract
To evaluate changes in the trajectory of youth anxiety following the introduction of specific cognitive behavior therapy (CBT) components: relaxation training, cognitive restructuring, and exposure tasks.
488 youths ages 7–17 years (50% female; 74% ≤ 12 years) were randomly assigned to receive either CBT, sertraline (SRT), their combination (COMB), or pill placebo (PBO) as part of their participation in the Child/Adolescent Anxiety Multimodal Study (CAMS). Youths in the CBT conditions were evaluated weekly by therapists using the Clinical Global Impression Scale-Severity (CGI-S;
Longitudinal discontinuity analyses indicated that the introduction of both cognitive restructuring (e.g., changing self-talk) and exposure tasks significantly accelerated the rate of progress on measures of symptom severity and global functioning moving forward in treatment; the introduction of relaxation training had limited impact. Counter to expectations, no strategy altered the rate of progress in the specific domain of anxiety that it was intended to target (i.e., somatic symptoms, anxious self-talk, avoidance behavior).
Findings support CBT theory and suggest that cognitive restructuring and exposure tasks each make substantial contributions to improvement in youth anxiety. Implications for future research are discussed.
Url:
DOI: 10.1037/a0038402
PubMed: 25486372
PubMed Central: 4542090
Affiliations:
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Peris</name></author><author><name sortKey="Compton, Scott N" sort="Compton, Scott N" uniqKey="Compton S" first="Scott N." last="Compton">Scott N. Compton</name></author><author><name sortKey="Kendall, Philip C" sort="Kendall, Philip C" uniqKey="Kendall P" first="Philip C." last="Kendall">Philip C. Kendall</name></author><author><name sortKey="Birmaher, Boris" sort="Birmaher, Boris" uniqKey="Birmaher B" first="Boris" last="Birmaher">Boris Birmaher</name></author><author><name sortKey="Sherill, Joel" sort="Sherill, Joel" uniqKey="Sherill J" first="Joel" last="Sherill">Joel Sherill</name></author><author><name sortKey="March, John" sort="March, John" uniqKey="March J" first="John" last="March">John March</name></author><author><name sortKey="Gosch, Elizabeth" sort="Gosch, Elizabeth" uniqKey="Gosch E" first="Elizabeth" last="Gosch">Elizabeth Gosch</name></author><author><name sortKey="Ginsburg, Golda" sort="Ginsburg, Golda" uniqKey="Ginsburg G" first="Golda" last="Ginsburg">Golda Ginsburg</name></author><author><name sortKey="Rynn, Moira" sort="Rynn, Moira" uniqKey="Rynn M" first="Moira" last="Rynn">Moira Rynn</name></author><author><name sortKey="Mccracken, James T" sort="Mccracken, James T" uniqKey="Mccracken J" first="James T." last="Mccracken">James T. Mccracken</name></author><author><name sortKey="Keeton, Courtney P" sort="Keeton, Courtney P" uniqKey="Keeton C" first="Courtney P." last="Keeton">Courtney P. Keeton</name></author><author><name sortKey="Sakolsky, Dara" sort="Sakolsky, Dara" uniqKey="Sakolsky D" first="Dara" last="Sakolsky">Dara Sakolsky</name></author><author><name sortKey="Suveg, Cynthia" sort="Suveg, Cynthia" uniqKey="Suveg C" first="Cynthia" last="Suveg">Cynthia Suveg</name></author><author><name sortKey="Aschenbrand, Sasha" sort="Aschenbrand, Sasha" uniqKey="Aschenbrand S" first="Sasha" last="Aschenbrand">Sasha Aschenbrand</name></author><author><name sortKey="Almirall, Daniel" sort="Almirall, Daniel" uniqKey="Almirall D" first="Daniel" last="Almirall">Daniel Almirall</name></author><author><name sortKey="Iyengar, Satish" sort="Iyengar, Satish" uniqKey="Iyengar S" first="Satish" last="Iyengar">Satish Iyengar</name></author><author><name sortKey="Walkup, John T" sort="Walkup, John T" uniqKey="Walkup J" first="John T." last="Walkup">John T. Walkup</name></author><author><name sortKey="Albano, Anne Marie" sort="Albano, Anne Marie" uniqKey="Albano A" first="Anne Marie" last="Albano">Anne Marie Albano</name></author><author><name sortKey="Piacentini, John" sort="Piacentini, John" uniqKey="Piacentini J" first="John" last="Piacentini">John Piacentini</name></author></analytic><series><title level="j">Journal of consulting and clinical psychology</title><idno type="ISSN">0022-006X</idno><idno type="eISSN">1939-2117</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Anti-Anxiety Agents (therapeutic use)</term><term>Anxiety Disorders (drug therapy)</term><term>Anxiety Disorders (psychology)</term><term>Anxiety Disorders (therapy)</term><term>Child</term><term>Cognitive Therapy</term><term>Combined Modality Therapy</term><term>Female</term><term>Humans</term><term>Male</term><term>Relaxation Therapy</term><term>Sertraline (therapeutic use)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Anxiolytiques (usage thérapeutique)</term><term>Association thérapeutique</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sertraline (usage thérapeutique)</term><term>Thérapie cognitive</term><term>Thérapie par la relaxation</term><term>Troubles anxieux ()</term><term>Troubles anxieux (psychologie)</term><term>Troubles anxieux (traitement médicamenteux)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Anxiety Agents</term><term>Sertraline</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Anxiety Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Troubles anxieux</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety Disorders</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Troubles anxieux</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anxiolytiques</term><term>Sertraline</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Cognitive Therapy</term><term>Combined Modality Therapy</term><term>Female</term><term>Humans</term><term>Male</term><term>Relaxation Therapy</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Association thérapeutique</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Thérapie cognitive</term><term>Thérapie par la relaxation</term><term>Troubles anxieux</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To evaluate changes in the trajectory of youth anxiety following the introduction of specific cognitive behavior therapy (CBT) components: relaxation training, cognitive restructuring, and exposure tasks.</p></sec><sec id="S2"><title>Methods</title><p id="P2">488 youths ages 7–17 years (50% female; 74% ≤ 12 years) were randomly assigned to receive either CBT, sertraline (SRT), their combination (COMB), or pill placebo (PBO) as part of their participation in the Child/Adolescent Anxiety Multimodal Study (CAMS). Youths in the CBT conditions were evaluated weekly by therapists using the Clinical Global Impression Scale-Severity (CGI-S; <xref rid="R13" ref-type="bibr">Guy, 1976</xref>) and the Children’s Global Assessment Scale (CGAS; Schaffer et al., 1983) and every four weeks by blind independent evaluators (IEs) using the Pediatric Anxiety Ratings Scale (PARS; <xref rid="R31" ref-type="bibr">Rupp Study Group, 2002</xref>). Youths in SRT and PBO were included as controls.</p></sec><sec id="S3"><title>Results</title><p id="P3">Longitudinal discontinuity analyses indicated that the introduction of both cognitive restructuring (e.g., changing self-talk) and exposure tasks significantly accelerated the rate of progress on measures of symptom severity and global functioning moving forward in treatment; the introduction of relaxation training had limited impact. Counter to expectations, no strategy altered the rate of progress in the specific domain of anxiety that it was intended to target (i.e., somatic symptoms, anxious self-talk, avoidance behavior).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Findings support CBT theory and suggest that cognitive restructuring and exposure tasks each make substantial contributions to improvement in youth anxiety. Implications for future research are discussed.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Albano, Anne Marie" sort="Albano, Anne Marie" uniqKey="Albano A" first="Anne Marie" last="Albano">Anne Marie Albano</name><name sortKey="Almirall, Daniel" sort="Almirall, Daniel" uniqKey="Almirall D" first="Daniel" last="Almirall">Daniel Almirall</name><name sortKey="Aschenbrand, Sasha" sort="Aschenbrand, Sasha" uniqKey="Aschenbrand S" first="Sasha" last="Aschenbrand">Sasha Aschenbrand</name><name sortKey="Birmaher, Boris" sort="Birmaher, Boris" uniqKey="Birmaher B" first="Boris" last="Birmaher">Boris Birmaher</name><name sortKey="Compton, Scott N" sort="Compton, Scott N" uniqKey="Compton S" first="Scott N." last="Compton">Scott N. Compton</name><name sortKey="Ginsburg, Golda" sort="Ginsburg, Golda" uniqKey="Ginsburg G" first="Golda" last="Ginsburg">Golda Ginsburg</name><name sortKey="Gosch, Elizabeth" sort="Gosch, Elizabeth" uniqKey="Gosch E" first="Elizabeth" last="Gosch">Elizabeth Gosch</name><name sortKey="Iyengar, Satish" sort="Iyengar, Satish" uniqKey="Iyengar S" first="Satish" last="Iyengar">Satish Iyengar</name><name sortKey="Keeton, Courtney P" sort="Keeton, Courtney P" uniqKey="Keeton C" first="Courtney P." last="Keeton">Courtney P. Keeton</name><name sortKey="Kendall, Philip C" sort="Kendall, Philip C" uniqKey="Kendall P" first="Philip C." last="Kendall">Philip C. Kendall</name><name sortKey="March, John" sort="March, John" uniqKey="March J" first="John" last="March">John March</name><name sortKey="Mccracken, James T" sort="Mccracken, James T" uniqKey="Mccracken J" first="James T." last="Mccracken">James T. Mccracken</name><name sortKey="Peris, Tara S" sort="Peris, Tara S" uniqKey="Peris T" first="Tara S." last="Peris">Tara S. Peris</name><name sortKey="Piacentini, John" sort="Piacentini, John" uniqKey="Piacentini J" first="John" last="Piacentini">John Piacentini</name><name sortKey="Rynn, Moira" sort="Rynn, Moira" uniqKey="Rynn M" first="Moira" last="Rynn">Moira Rynn</name><name sortKey="Sakolsky, Dara" sort="Sakolsky, Dara" uniqKey="Sakolsky D" first="Dara" last="Sakolsky">Dara Sakolsky</name><name sortKey="Sherill, Joel" sort="Sherill, Joel" uniqKey="Sherill J" first="Joel" last="Sherill">Joel Sherill</name><name sortKey="Suveg, Cynthia" sort="Suveg, Cynthia" uniqKey="Suveg C" first="Cynthia" last="Suveg">Cynthia Suveg</name><name sortKey="Walkup, John T" sort="Walkup, John T" uniqKey="Walkup J" first="John T." last="Walkup">John T. Walkup</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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