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Trajectories of change in youth anxiety during cognitive-behavior therapy.

Identifieur interne : 000349 ( PubMed/Corpus ); précédent : 000348; suivant : 000350

Trajectories of change in youth anxiety during cognitive-behavior therapy.

Auteurs : Tara S. Peris ; Scott N. Compton ; Philip C. Kendall ; Boris Birmaher ; Joel Sherrill ; 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 Piacentini

Source :

RBID : pubmed:25486372

English descriptors

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.

DOI: 10.1037/a0038402
PubMed: 25486372

Links to Exploration step

pubmed:25486372

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
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<DateCreated>
<Year>2015</Year>
<Month>03</Month>
<Day>31</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>05</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
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<ISSN IssnType="Electronic">1939-2117</ISSN>
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<Volume>83</Volume>
<Issue>2</Issue>
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<Month>Apr</Month>
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<Title>Journal of consulting and clinical psychology</Title>
<ISOAbbreviation>J Consult Clin Psychol</ISOAbbreviation>
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<ArticleTitle>Trajectories of change in youth anxiety during cognitive-behavior therapy.</ArticleTitle>
<Pagination>
<MedlinePgn>239-52</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1037/a0038402</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Four hundred eighty-eight 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; Guy, 1976) and the Children's Global Assessment Scale (CGAS; Shaffer et al., 1983) and every 4 weeks by blind independent evaluators (IEs) using the Pediatric Anxiety Ratings Scale (PARS; RUPP Anxiety Study Group, 2002). Youths in SRT and PBO were included as controls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">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).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">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. (PsycINFO Database Record</AbstractText>
<CopyrightInformation>(c) 2015 APA, all rights reserved).</CopyrightInformation>
</Abstract>
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<Affiliation>Department of Psychology, University of Georgia.</Affiliation>
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<Initials>S</Initials>
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<Affiliation>New York State Psychiatric Institute-Columbia University Medical Center.</Affiliation>
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<LastName>Almirall</LastName>
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<Affiliation>Institute for Social Research, University of Michigan.</Affiliation>
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<AffiliationInfo>
<Affiliation>Western Psychiatric Institute and Clinic-University of Pittsburgh Medical Center.</Affiliation>
</AffiliationInfo>
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<LastName>Walkup</LastName>
<ForeName>John T</ForeName>
<Initials>JT</Initials>
<AffiliationInfo>
<Affiliation>Division of Child and Adolescent Psychiatry, Weill Cornell Medical College.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Albano</LastName>
<ForeName>Anne Marie</ForeName>
<Initials>AM</Initials>
<AffiliationInfo>
<Affiliation>New York State Psychiatric Institute-Columbia University Medical Center.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Piacentini</LastName>
<ForeName>John</ForeName>
<Initials>J</Initials>
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<Affiliation>Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles.</Affiliation>
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