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26-02-2021 | Original Article

Interpretation Bias and Anticipated Distress in the Face of Ambiguity: Predictors of Change in Cognitive Behavioral Therapy for Youth Anxiety

Auteurs: Megan Baumgardner, Jennifer S. Silk, Kristy Benoit Allen

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 3/2022

Abstract

This study examined associations among children’s anxiety, interpretation bias, and anticipated distress before and after cognitive behavioral therapy (CBT) and investigated baseline levels of interpretation bias and anticipated distress as well as changes in these cognitive biases following treatment as predictors of treatment outcome. Clinically anxious youth (N = 39) were treated with brief CBT augmented with a smartphone app. Children completed measures assessing their anxiety, interpretation bias, and anticipated distress at baseline, post-treatment, and 2-month follow-up. Children’s anxiety, interpretation bias, and anticipated distress significantly decreased following treatment. Anticipated distress was associated with higher anxiety at all time points; however, interpretation bias was not significantly associated with anxiety before or after treatment. Reductions in anticipated distress following treatment predicted concurrent and prospective reductions in anxiety. Reduced anticipated distress following treatment may contribute to enhanced treatment outcomes and may be more strongly related to the maintenance of youth anxiety than interpretation bias.

vorige artikel Impact of a Behavioral Parenting Intervention in Infancy on Maternal Emotion Socialization

volgende artikel Investigating the Measurement Invariance and Method-Trait Effects of Parent and Teacher SNAP-IV Ratings of Preschool Children

Silk et al. [19] found a significant decrease in children’s anxiety from baseline to post-treatment and from post-treatment to follow-up, as well as a significant decrease in interpretation bias from baseline to post-treatment.

Costello EJ, Copeland W, Angold A (2011) Trends in psychopathology across the adolescent years: what changes when children become adolescents, and when adolescents become adults? J Child Psychol Psychiatry 52:1015–1025. https://doi.org/10.1111/j.1469-7610.2011.02446.xCrossRefPubMedPubMedCentral

Breslau J, Lane M, Sampson N, Kessler RC (2008) Mental disorders and subsequent educational attainment in a US national sample. J Psychiatr Res 42:708–716. https://doi.org/10.1016/j.jpsychires.2008.01.016CrossRefPubMedPubMedCentral

Woodward LJ, Fergusson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40:1086–1093. https://doi.org/10.1097/00004583-200109000-00018CrossRefPubMed

Beck AT, Emery G, Greenberg R (1985) Anxiety disorders and phobias: a cognitive perspective. Basic Books, New York

Muris P (2010) Anxiety-related reasoning biases in children and adolescents. In: Hadwin JA, Field AP (eds) Information processing biases and anxiety: a developmental perspective. Wiley, Chichester, pp 21–46

Mathews A, MacLeod C (1994) Cognitive approaches to emotion and emotional disorders. Annu Rev Psychol 45:25–50CrossRef

Stuijfzand S, Creswell C, Field AP, Pearcey S, Dodd H (2018) Research review: Is anxiety associated with negative interpretations of ambiguity in children and adolescents? A systematic review and meta-analysis. J Child Psychol Psychiatry 59:1127–1142. https://doi.org/10.1111/jcpp.12822CrossRefPubMed

Creswell C, Murray L, Cooper P (2014) Interpretation and expectation in childhood anxiety disorders: age effects and social specificity. J Abnorm Child Psychol 42:453–465. https://doi.org/10.1007/s10802-013-9795-zCrossRefPubMed

Dodd HF, Stuijfzand S, Morris T, Hudson JL (2015) Child anxiety and the processing of ambiguity. Cognit Ther Res 39:669–677. https://doi.org/10.1007/s10608-015-9689-1CrossRef

10.

Muris P, Jacques P, Mayer B (2004) The stability of threat perception abnormalities and anxiety disorder symptoms in non-clinical children. Child Psychiatry Hum Dev 34:251–265. https://doi.org/10.1023/B:CHUD.0000015000.13845.9dCrossRefPubMed

11.

Creswell C, O’Connor TG (2011) Interpretation bias and anxiety in childhood: stability, specificity and longitudinal associations. Behav Cogn Psychother 39:191–204. https://doi.org/10.1017/S1352465810000494CrossRefPubMed

12.

Crick NR, Dodge KA (1994) A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychol Bull 115:74–101CrossRef

13.

Bögels SM, Zigterman D (2000) Dysfunctional cognitions in children with social phobia, separation anxiety disorder, and generalized anxiety disorder. J Abnorm Child Psychol 28:205–211. https://doi.org/10.1023/A:1005179032470CrossRefPubMed

14.

Cederlund R, Öst L (2012) Perception of threat in children with social phobia: comparison to nonsocially anxious children before and after treatment. J Clin Child Adolesc Psychol 40:855–863. https://doi.org/10.1080/15374416.2011.618448CrossRef

15.

Waite P, Codd J, Creswell C (2015) Interpretation of ambiguity: differences between children and adolescents with and without an anxiety disorder. J Affect Disord 188:194–201. https://doi.org/10.1016/j.jad.2015.08.022CrossRefPubMedPubMedCentral

16.

Waters AM, Craske MG, Bergman RL, Treanor M (2008) Threat interpretation bias as a vulnerability factor in childhood anxiety disorders. Behav Res Ther 46:39–47. https://doi.org/10.1016/j.brat.2007.10.002CrossRefPubMed

17.

Waters AM, Wharton TA, Zimmer-Gembeck MJ, Craske MG (2008) Threat-based cognitive biases in anxious children: comparison with non-anxious children before and after cognitive behavioural treatment. Behav Res Ther 46:358–374. https://doi.org/10.1016/j.brat.2008.01.002CrossRefPubMed

18.

Reynolds S, Wilson C, Austin J, Hooper L (2012) Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review. Clin Psychol Rev 32:251–262. https://doi.org/10.1016/j.cpr.2012.01.005CrossRefPubMed

19.

Silk JS, Pramana G, Sequeira SL, Lindhiem O, Kendall PC, Rosen D, Parmanto B (2020) Using a smartphone app and clinical portal to enhance brief cognitive behavioral therapy for childhood anxiety disorders. Behav Ther 51:69–84. https://doi.org/10.1016/j.beth.2019.05.002CrossRefPubMed

20.

Ginsburg GS, Becker EM, Keeton CP, Sakolsky D, Piacentini J, Albano AM et al (2014) Naturalistic follow-up of youths treated for pediatric anxiety disorders. JAMA Psychiatry 71:310–318. https://doi.org/10.1001/jamapsychiatry.2013.4186CrossRefPubMedPubMedCentral

21.

Kazdin AE (2007) Mediators and mechanisms of change in psychotherapy research. Annu Rev Clin Psychol 3:1–27. https://doi.org/10.1146/annurev.clinpsy.3.022806.091432CrossRefPubMed

22.

Lundkvist-Houndoumadi I, Hougaard E, Thastum M (2014) Pre-treatment child and family characteristics as predictors of outcome in cognitive behavioral therapy for youth anxiety disorders. Nord J Psychiatry 68:524–535. https://doi.org/10.3109/08039488.2014.903295CrossRefPubMed

23.

Compton SN, Peris TS, Almirall D, Birmaher B, Sherrill J, Kendall PC et al (2014) Predictors and moderators of treatment response in childhood anxiety disorders: results from the CAMS Trial. J Consult Clin Psychol 82:212–224. https://doi.org/10.1037/a0035458CrossRefPubMedPubMedCentral

24.

Waters AM, Mogg K, Bradley BP (2012) Direction of threat attention bias predicts treatment outcome in anxious children receiving cognitive-behavioral therapy. Behav Res Ther 50:428–434. https://doi.org/10.1016/j.brat.2012.03.006CrossRefPubMed

25.

Waters AM, Potter A, Jamesion L, Bradley BP, Mogg K (2015) Predictors of treatment outcomes in anxious children receiving group cognitive-behavioral therapy: pretreatment attention bias to threat and emotional variability during exposure tasks. Behav Change 32:143–158. https://doi.org/10.1017/bec.2015.6CrossRef

26.

Creswell C, Schniering CA, Rapee RM (2005) Threat interpretation in anxious children and their mothers: comparison with nonclinical children and the effects of treatment. Behav Res Ther 43:1375–1381. https://doi.org/10.1016/j.brat.2004.10.009CrossRefPubMed

27.

Pereira AI, Muris P, Roberto MS, Marques T, Goes R, Barros L (2018) Examining the mechanisms of therapeutic change in a cognitive-behavioral intervention for anxious children: the role of interpretation bias, perceived control, and coping strategies. Child Psychiatry Hum Dev 49:73–85. https://doi.org/10.1007/s10578-017-0731-2CrossRefPubMed

28.

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, ArlingtonCrossRef

29.

Wechsler D (1999) The Wechsler abbreviated scale of intelligence. Psychological Corporation, San Antonio

30.

Wilkinson GS, Robertson GJ (2006) Wide range achievement test 4 professional manual. Psychological Assessment Resources, Lutz

31.

Compton SN, Walkup JT, Albano AM, Piacenti JC, Birmaher B, Sherrill JT et al (2010) Child/adolescent anxiety multimodal study (CAMS): rationale, design, and methods. Child Adolesc Psychiatry Ment Health 4:1–15. https://doi.org/10.1186/1753-2000-4-1CrossRefPubMedPubMedCentral

32.

Kaufman J, Birmaher B, Brent D, Rao U (1997) Schedule for Affective Disorders and Schizophrenia for School-Age Children- Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36:980–988. https://doi.org/10.1097/00004583-199707000-00021CrossRefPubMed

33.

Crawley SA, Kendall PC, Benjamin CL, Brodman DM, Wei C, Beidas RS et al (2013) Brief cognitive-behavioral therapy for anxious youth: feasibility and initial outcomes. Cogn Behav Pract 20:123–133. https://doi.org/10.1016/j.cbpra.2012.07.003CrossRef

34.

Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J, Neer SM (1997) The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 36:545–553CrossRef

35.

Barrett PM, Rapee RM, Dadds MM, Ryan SM (1996) Family enhancement of cognitive style in anxious and aggressive children. J Abnorm Child Psychol 25:187–192. https://doi.org/10.1007/BF01441484CrossRef

36.

Field AP, Lester KJ (2010) Learning of information processing biases in anxious children and adolescents. In: Hadwin JA, Field AP (eds) Information processing biases and anxiety: a developmental perspective. West Sussex, Wiley-Blackwell, pp 254–278

37.

Luna B, Garver KE, Urban TA, Lazar NA, Sweeney JA (2004) Maturation of cognitive processes from late childhood to adulthood. Child Dev 75:1357–1372. https://doi.org/10.1111/j.1467-8624.2004.00745.xCrossRefPubMed

38.

Kindt M, Van Den Hout M (2001) Selective attention and anxiety: a perspective on developmental issues and the causal status. J Psychopathol Behav Assess 23:193–202. https://doi.org/10.1023/A:1010921405496CrossRef

39.

Piaget J, Inhelder B (1969) The psychology of the child. Basic Books, New York

40.

James AC, Soler A, Weatherall R (2005) Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev 4:4690

41.

Hofmann SG (2008) Cognitive processes during fear acquisition and extinction in animals and humans: implications for exposure therapy of anxiety disorders. Clin Psychol Rev 28:199–210. https://doi.org/10.1016/j.cpr.2007.04.009CrossRefPubMed

42.

McGuire JF, Orr SP, Essoe JKY, McCracken JT, Storch EA, Piacenti J (2016) Extinction learning in childhood anxiety disorders, obsessive compulsive disorder, and post-traumatic stress disorder: implications for treatment. Expert Rev Neurother. https://doi.org/10.1080/14737175.2016.1199276CrossRefPubMedPubMedCentral

43.

McKay D (2018) Developing and implementing exposure treatment in youth obsessive-compulsive symptoms. In: Storch EA, McGuire JF, McKay D (eds) The clinician’s guide to cognitive-behavioral therapy for childhood obsessive-compulsive disorder. Academic Press, London, pp 89–104

Titel: Interpretation Bias and Anticipated Distress in the Face of Ambiguity: Predictors of Change in Cognitive Behavioral Therapy for Youth Anxiety
Auteurs: Megan Baumgardner
Jennifer S. Silk
Kristy Benoit Allen
Publicatiedatum: 26-02-2021
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 3/2022
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-021-01147-0

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