Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Child Psychiatry & Human Development 3/2018

07-10-2017 | Original Article

Multimodal Residential Treatment for Adolescent Anxiety: Outcome and Associations with Pre-treatment Variables

Auteurs: Sophie C. Schneider, Valérie La Buissonnière-Ariza, Davíð R. M. A. Højgaard, Brian S. Kay, Bradley C. Riemann, Stephanie C. Eken, Peter Lake, Joshua M. Nadeau, Eric A. Storch

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 3/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

This study aimed to determine the effect of a multimodal residential treatment program for severe adolescent anxiety, and examine whether treatment outcome was associated with pre-treatment anxiety, comorbid disorders, or participant age or gender. Participants were 70 adolescents (61.4% female, mean age = 15.4 years) with a primary anxiety disorder who received residential treatment involving cognitive behavioral therapy and medication management. Treatment outcome was assessed both as the change in adolescent-reported anxiety symptoms, and using treatment response criteria. Results indicated a strong effect of the intervention on symptoms of anxiety, depression, and anxiety-related life interference. Most pre-treatment variables were not associated with treatment outcome. However, higher adolescent-reported pre-treatment anxiety was associated with a greater reduction in anxiety at post-treatment, and the presence of a comorbid anxiety disorder was associated with poorer odds of treatment response. Findings indicate that residential treatment is a robust intervention for adolescent anxiety.
Literatuur
2.
go back to reference Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA (2015) Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry 56:345–365. doi: 10.​1111/​jcpp.​12381 CrossRefPubMed Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA (2015) Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry 56:345–365. doi: 10.​1111/​jcpp.​12381 CrossRefPubMed
4.
go back to reference Strawn JR, Welge JA, Wehry AM, Keeshin B, Rynn MA (2015) Efficacy and tolderability of antidepressant in pediatric anxiety disorders: a systematic review and meta-analysis. Depress Anxiety 32:149–157. doi: 10.​1002/​da.​22329 CrossRefPubMed Strawn JR, Welge JA, Wehry AM, Keeshin B, Rynn MA (2015) Efficacy and tolderability of antidepressant in pediatric anxiety disorders: a systematic review and meta-analysis. Depress Anxiety 32:149–157. doi: 10.​1002/​da.​22329 CrossRefPubMed
10.
13.
14.
17.
18.
go back to reference Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 38:1230–1236 CrossRefPubMed Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 38:1230–1236 CrossRefPubMed
20.
go back to reference Muris P, Merckelbach H, Gadet B, Moulaert V, Tierney S (1999) Sensitivity for treatment effects of the screen for child anxiety related emotional disorders. J Psychopathol Behav Assess 21:323–335. doi: 10.​1023/​a:​1022120832187 CrossRef Muris P, Merckelbach H, Gadet B, Moulaert V, Tierney S (1999) Sensitivity for treatment effects of the screen for child anxiety related emotional disorders. J Psychopathol Behav Assess 21:323–335. doi: 10.​1023/​a:​1022120832187 CrossRef
22.
25.
go back to reference Olivares J, Sánchez-García R, López-Pina JA (2009) The Liebowitz social anxiety scale for children and adolescents. Psicothema 21:486–491 PubMed Olivares J, Sánchez-García R, López-Pina JA (2009) The Liebowitz social anxiety scale for children and adolescents. Psicothema 21:486–491 PubMed
30.
go back to reference Lawrence D, Hafekost J, Johnson SE, Saw S, Buckingham WJ, Sawyer MG et al (2015) Key findings from the second Australian child and adolescent survey of mental health and wellbeing. Aust NZ J Psychiatry 50:876–886. doi: 10.​1177/​0004867415617836​ CrossRef Lawrence D, Hafekost J, Johnson SE, Saw S, Buckingham WJ, Sawyer MG et al (2015) Key findings from the second Australian child and adolescent survey of mental health and wellbeing. Aust NZ J Psychiatry 50:876–886. doi: 10.​1177/​0004867415617836​ CrossRef
31.
go back to reference Gordon-Hollingsworth AT, Becker EM, Ginsburg GS, Keeton C, Compton SN, Birmaher BB et al (2015) Anxiety disorders in caucasian and african american children: a comparison of clinical characteristics, treatment process variables, and treatment outcomes. Child Psychiatry Hum Dev 46:643–655. doi: 10.​1007/​s10578-014-0507-x CrossRefPubMedPubMedCentral Gordon-Hollingsworth AT, Becker EM, Ginsburg GS, Keeton C, Compton SN, Birmaher BB et al (2015) Anxiety disorders in caucasian and african american children: a comparison of clinical characteristics, treatment process variables, and treatment outcomes. Child Psychiatry Hum Dev 46:643–655. doi: 10.​1007/​s10578-014-0507-x CrossRefPubMedPubMedCentral
33.
go back to reference Pereira AI, Muris P, Roberto MS, Marques T, Goes R, Barros L (2017) 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. doi: 10.​1007/​s10578-017-0731-2 PubMed Pereira AI, Muris P, Roberto MS, Marques T, Goes R, Barros L (2017) 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. doi: 10.​1007/​s10578-017-0731-2 PubMed
Metagegevens
Titel
Multimodal Residential Treatment for Adolescent Anxiety: Outcome and Associations with Pre-treatment Variables
Auteurs
Sophie C. Schneider
Valérie La Buissonnière-Ariza
Davíð R. M. A. Højgaard
Brian S. Kay
Bradley C. Riemann
Stephanie C. Eken
Peter Lake
Joshua M. Nadeau
Eric A. Storch
Publicatiedatum
07-10-2017
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 3/2018
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-017-0762-8