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18-09-2015 | Original Article

Dysregulation in Youth with Anxiety Disorders: Relationship to Acute and 7- to 19- Year Follow-Up Outcomes of Cognitive-Behavioral Therapy

Auteurs: Nicole E. Caporino, Joanna Herres, Philip C. Kendall, Courtney Benjamin Wolk

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2016

Abstract

This study evaluated the impact of dysregulation across cognitive, affective, and behavioral domains on acute and 7- to 19-year follow-up outcomes of cognitive-behavioral therapy (CBT) for anxiety, and explored dysregulation as a predictor of psychopathology and impairment in young adulthood among individuals who received anxiety treatment as youth. Participants (N = 64; 50 % female, 83 % non-Hispanic White) from two randomized clinical trials completed a follow-up assessment 7–19 years later. Latent profile analysis identified dysregulation based on Anxious/Depressed, Attention Problems, and Aggressive Behavior scores on the Child Behavior Checklist. Although pretreatment dysregulation was not related to acute or follow-up outcomes for anxiety diagnoses that were the focus of treatment, dysregulation predicted an array of non-targeted psychopathology at follow-up. Among youth with a principal anxiety disorder, the effects of CBT (Coping Cat) appear to be robust against broad impairments in self-regulation. However, youth with a pretreatment dysregulation profile likely need follow-up to monitor for the emergence of other disorders.

vorige artikel Mental Health Problems Among Preschoolers in Germany: Results of the BELLA Preschool Study

volgende artikel Primary Versus Secondary Diagnosis of Generalized Anxiety Disorder in Youth: Is the Distinction an Important One?

This profile has been referred to as the CBCL Dysregulation Profile [89], the CBCL Juvenile Bipolar Disorder Profile [90], the CBCL Pediatric Bipolar Profile [21], the CBCL Mania Proxy [91], and Deficient Emotional Self-Regulation [19]. Operational definitions have varied irrespective of the profile name used.

In Benjamin et al. [42] N = 66 at 7- to 19-year follow-up. For the current analysis, N = 64 as a result of dropping 2 participants for whom pretreatment CBCL data were missing.

CSRs for participants in Kendall et al. [47] were based on the 0-4 scale in use at that time. CSRs for participants in Kendall et al. [48] were based on a 0-8 scale. For consistency, the senior author reviewed posttreatment diagnostic reports for participants in Kendall et al. [48] and recoded CSRs using the 0–4 scale.

Separation anxiety disorder, generalized anxiety disorder, and social phobia have been conceptualized as sharing an underlying construct [92], are highly comorbid [93], and have been studied jointly in the context of treatment [47].

See Benjamin et al. [42] for a description of how additional treatment ratings were computed for this sample.

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Titel: Dysregulation in Youth with Anxiety Disorders: Relationship to Acute and 7- to 19- Year Follow-Up Outcomes of Cognitive-Behavioral Therapy
Auteurs: Nicole E. Caporino
Joanna Herres
Philip C. Kendall
Courtney Benjamin Wolk
Publicatiedatum: 18-09-2015
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2016
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-015-0587-2

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