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Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 5/2015

08-10-2014 | Original Article

Anxiety Disorders in Caucasian and African American Children: A Comparison of Clinical Characteristics, Treatment Process Variables, and Treatment Outcomes

Auteurs: Arlene T. Gordon-Hollingsworth, Emily M. Becker, Golda S. Ginsburg, Courtney Keeton, Scott N. Compton, Boris B. Birmaher, Dara J. Sakolsky, John Piacentini, Anne M. Albano, Philip C. Kendall, Cynthia M. Suveg, John S. March

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2015

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Abstract

This study examined racial differences in anxious youth using data from the Child/Adolescent Anxiety Multimodal Study (CAMS) [1]. Specifically, the study aims addressed whether African American (n = 44) versus Caucasian (n = 359) children varied on (1) baseline clinical characteristics, (2) treatment process variables, and (3) treatment outcomes. Participants were ages 7–17 and met DSM-IV-TR criteria for generalized anxiety disorder, social phobia, and/or separation anxiety disorder. Baseline data, as well as outcome data at 12 and 24 weeks, were obtained by independent evaluators. Weekly treatment process variables were collected by therapists. Results indicated no racial differences on baseline clinical characteristics. However, African American participants attended fewer psychotherapy and pharmacotherapy sessions, and were rated by therapists as less involved and compliant, in addition to showing lower mastery of CBT. Once these and other demographic factors were accounted for, race was not a significant predictor of response, remission, or relapse. Implications of these findings suggest African American and Caucasian youth are more similar than different with respect to the manifestations of anxiety and differences in outcomes are likely due to treatment barriers to session attendance and therapist engagement.
volgende artikel Mother-Reported and Children’s Perceived Social and Academic Competence in Clinic-Referred Youth: Unique Relations to Depression and/or Social Anxiety and the Role of Self-perceptions
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Metagegevens
Titel
Anxiety Disorders in Caucasian and African American Children: A Comparison of Clinical Characteristics, Treatment Process Variables, and Treatment Outcomes
Auteurs
Arlene T. Gordon-Hollingsworth
Emily M. Becker
Golda S. Ginsburg
Courtney Keeton
Scott N. Compton
Boris B. Birmaher
Dara J. Sakolsky
John Piacentini
Anne M. Albano
Philip C. Kendall
Cynthia M. Suveg
John S. March
Publicatiedatum
08-10-2014
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 5/2015
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-014-0507-x

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