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01-04-2012 | Uitgave 3/2012

Journal of Abnormal Child Psychology 3/2012

Anxiety in Children with Mood Disorders: A Treatment Help or Hindrance?

Tijdschrift:
Journal of Abnormal Child Psychology > Uitgave 3/2012
Auteurs:
Colleen M. Cummings, Mary A. Fristad
Belangrijke opmerkingen
This article was written with the support of the National Institute of Mental Health Grant R01MH061512. The data presented in this paper are from a doctoral dissertation prepared by the first author, titled “The Impact of Comorbid Anxiety on Treatment Outcome of a Family-Based Psychoeducational Psychotherapy Program for Children with Mood Disorders.”

Abstract

This study examined the role of comorbid anxiety in treatment outcome for children with mood disorders (N = 165; age 8–11) participating in Multi-Family Psychoeducational Psychotherapy (MF-PEP). Assessments occurred at baseline, 6, 12, and 18 months for two randomly assigned groups: immediate treatment and 1-year wait-list. Most children (69%) had comorbid anxiety disorders. Baseline comorbid anxiety, as reported on the Children’s Interview for Psychiatric Syndromes (ChIPS), was associated with higher Children’s Depression Rating Scale- Revised (CDRS-R) scores but not Young Mania Rating Scale (YMRS) scores. Higher levels of anxiety symptoms were associated with lower Children’s Global Assessment Scale (C-GAS) scores. Participation in MF-PEP did not significantly reduce anxiety symptoms (p = 0.62). However, presence of comorbid anxiety did not impede reduction in depressive (CDRS-R, p = 0.74) or manic (YMRS scores, p = 0.94) symptoms following MF-PEP. More baseline anxiety symptoms were associated with greater improvement in C-GAS scores post-treatment (p = 0.02). Implications are discussed.

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