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01-08-2014 | Original Article

Somatic Complaints in Anxious Youth

Auteurs: Sarah A. Crawley, Nicole E. Caporino, Boris Birmaher, Golda Ginsburg, John Piacentini, Anne Marie Albano, Joel Sherrill, Dara Sakolsky, Scott N. Compton, Moira Rynn, James McCracken, Elizabeth Gosch, Courtney Keeton, John March, John T. Walkup, Philip C. Kendall

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2014

Abstract

This study examined (a) demographic and clinical characteristics associated with physical symptoms in anxiety-disordered youth and (b) the impact of cognitive-behavioral therapy (Coping Cat), medication (sertraline), their combination, and pill placebo on physical symptoms. Youth (N = 488, ages 7–17 years) with a principal diagnosis of generalized anxiety disorder, separation anxiety disorder, or social phobia participated as part of a multi-site, randomized controlled trial and received treatment delivered over 12 weeks. Diagnostic status, symptom severity, and impairment were assessed at baseline and week 12. The total number and severity of physical symptoms was associated with age, principal diagnosis, anxiety severity, impairment, and the presence of comorbid internalizing disorders. Common somatic complaints were headaches, stomachaches, head cold or sniffles, sleeplessness, and feeling drowsy or too sleepy. Physical symptoms decreased over the course of treatment, and were unrelated to treatment condition. Clinical implications and directions for future research are discussed (ClinicalTrials.gov number, NCT00052078).

vorige artikel Psychometric Properties of a German Parent Rating Scale for Oppositional Defiant and Conduct Disorder (FBB-SSV) in Clinical and Community Samples

volgende artikel Longitudinal Development of Mother–Infant Interaction During the First Year of Life Among Mothers with Substance Abuse and Psychiatric Problems and Their Infants

Youth with comorbid, secondary depression were initially included in CAMS. However a decision was made to exclude youth with major depressive disorder (MDD) early in the trial. Participants with comorbid, secondary dysthymia were included throughout the trial.

Site differences in demographic variables have been discussed by Walkup et al. [20].

Findings did not differ when analyses were conducted using the intent-to-treat sample with last observation carried forward versus participants with complete data at baseline and week 12.

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Titel: Somatic Complaints in Anxious Youth
Auteurs: Sarah A. Crawley
Nicole E. Caporino
Boris Birmaher
Golda Ginsburg
John Piacentini
Anne Marie Albano
Joel Sherrill
Dara Sakolsky
Scott N. Compton
Moira Rynn
James McCracken
Elizabeth Gosch
Courtney Keeton
John March
John T. Walkup
Philip C. Kendall
Publicatiedatum: 01-08-2014
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2014
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-013-0410-x

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