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Gepubliceerd in: Child Psychiatry & Human Development 4/2016

05-10-2015 | Original Article

Treatment Concerns and Functional Impairment in Pediatric Anxiety

Auteurs: Monica S. Wu, Alison Salloum, Adam B. Lewin, Robert R. Selles, Nicole M. McBride, Erika A. Crawford, Eric A. Storch

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

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Abstract

Although there are efficacious, evidence-based treatments for anxiety disorders, youth often experience delays in seeking therapy. Myriad reasons may contribute to this lag in treatment initiation, with some youth possessing concerns about therapy. Treatment concerns are broadly characterized by worries/ambivalence about seeking treatment, including concerns about the negative reactions, consequences, and inconvenience of treatment. As no studies exist for youth with anxiety disorders, this study examined the phenomenology of treatment concerns in 119 treatment-seeking, anxious youth and utilized a structural equation model to examine the relationship between child anxiety, depressive symptoms, treatment concerns, and anxiety-related functional impairment. Over 90 % of the children positively endorsed some type of treatment-related fear, with the most frequently expressed concern being that therapy would take too much time (50.4 %). Based on the model, both child anxiety and depressive symptoms predicted functional impairment, and treatment concerns mediated the relationship between child anxiety and functional impairment.
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Metagegevens
Titel
Treatment Concerns and Functional Impairment in Pediatric Anxiety
Auteurs
Monica S. Wu
Alison Salloum
Adam B. Lewin
Robert R. Selles
Nicole M. McBride
Erika A. Crawford
Eric A. Storch
Publicatiedatum
05-10-2015
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/s10578-015-0596-1

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