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Gepubliceerd in: Child Psychiatry & Human Development 1/2015

01-02-2015 | Original Paper

Parental Anxiety as a Predictor of Medication and CBT Response for Anxious Youth

Auteurs: Araceli Gonzalez, Tara S. Peris, Allison Vreeland, Cara J. Kiff, Philip C. Kendall, Scott N. Compton, Anne Marie Albano, Boris Birmaher, Golda S. Ginsburg, Courtney P. Keeton, John March, James McCracken, Moira Rynn, Joel Sherrill, John T. Walkup, John Piacentini

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 1/2015

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Abstract

The aim of this investigation was to evaluate how parental anxiety predicted change in pediatric anxiety symptoms across four different interventions: cognitive-behavioral therapy, medication (sertraline; SRT), their combination (COMB), and pill placebo. Participants were 488 youths (ages 7–17) with separation anxiety disorder, generalized anxiety disorder, and/or social phobia and their primary caregivers. Latent growth curve modeling assessed how pre-treatment parental trait anxiety symptoms predicted trajectories of youth anxiety symptom change across 12 weeks of treatment at four time points. Interactions between parental anxiety and treatment condition were tested. Parental anxiety was not associated with youth’s pre-treatment anxiety symptom severity. Controlling for parental trait anxiety, youth depressive symptoms, and youth age, youths who received COMB benefitted most. Counter to expectations, parental anxiety influenced youth anxiety symptom trajectory only within the SRT condition, whereas parental anxiety was not significantly associated with youth anxiety trajectories in the other treatment conditions. Specifically, within the SRT condition, higher levels of parental anxiety predicted a faster and greater reduction in youth anxiety over the acute treatment period compared to youths in the SRT condition whose parents had lower anxiety levels. While all active treatments produced favorable outcomes, results provide insight regarding the treatment-specific influence of parental anxiety on the time course of symptom change.
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Metagegevens
Titel
Parental Anxiety as a Predictor of Medication and CBT Response for Anxious Youth
Auteurs
Araceli Gonzalez
Tara S. Peris
Allison Vreeland
Cara J. Kiff
Philip C. Kendall
Scott N. Compton
Anne Marie Albano
Boris Birmaher
Golda S. Ginsburg
Courtney P. Keeton
John March
James McCracken
Moira Rynn
Joel Sherrill
John T. Walkup
John Piacentini
Publicatiedatum
01-02-2015
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 1/2015
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-014-0454-6

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