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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

10-09-2019

Longitudinal Study of Sleep and Internalizing Problems in Youth Treated for Pediatric Anxiety Disorders

Auteurs: Sunhye Bai, Emily J. Ricketts, Hardian Thamrin, John Piacentini, Anne Marie Albano, Scott N. Compton, Golda S. Ginsburg, Dara Sakolsky, Courtney P. Keeton, Philip C. Kendall, Tara S. Peris

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 1/2020

Abstract

The current study examined prospective bidirectional links between dysregulated sleep, and anxiety and depression severity across 4 years, among youth with a history of anxiety disorder. Participants were 319 youth (age 11–26 years), who previously participated in a large multisite randomized controlled trial for the treatment of pediatric anxiety disorders, Child/Adolescent Anxiety Multimodal Study (CAMS), and subsequently enrolled in a naturalistic follow-up, Child/Adolescent Anxiety Multimodal Extended Long-term Study (CAMELS), an average of 6.5 years later. They participated in four annual visits that included self-report items of dysregulated sleep and semi-structured multi-informant interviews of anxiety and depression. Dysregulated sleep was bidirectionally associated with clinician-rated anxiety and depression symptom severity across adolescence and young adulthood. However, these bidirectional relationships were attributable to youth mean levels of dysregulated sleep, and anxiety and depression severity over the 4 years. Elevations in dysregulated sleep at each visit, relative to mean levels, did not predict worse anxiety or depression severity 1 year later. Likewise visit-specific elevations in anxiety and depression severity, as opposed to average levels, did not predict higher levels of dysregulated sleep at the next visit. Having higher levels of dysregulated sleep or more severe internalizing problems across the four-year period, as opposed to reporting a relative increase in symptom severity at a particular visit, posed greater risk for poor mental health. Interventions should continue to assess and treat persistent sleep problems alongside anxiety and depression.

vorige artikel Prospective Association between Childhood Behavioral Inhibition and Anxiety: a Meta-Analysis

volgende artikel The Impact of Treatment Expectations on Exposure Process and Treatment Outcome in Childhood Anxiety Disorders

Random slope effect of anxiety on sleep was excluded from the effect size calculations to improve convergence of comparable full, restricted and null models.

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Titel: Longitudinal Study of Sleep and Internalizing Problems in Youth Treated for Pediatric Anxiety Disorders
Auteurs: Sunhye Bai
Emily J. Ricketts
Hardian Thamrin
John Piacentini
Anne Marie Albano
Scott N. Compton
Golda S. Ginsburg
Dara Sakolsky
Courtney P. Keeton
Philip C. Kendall
Tara S. Peris
Publicatiedatum: 10-09-2019
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 1/2020
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-019-00582-x

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