Journal ArticleAddiction · February 2024
BACKGROUND AND AIMS: Benzodiazepines (BZDs) carry a risk for drug overdose and are prescribed alone or simultaneously with selective-serotonin reuptake inhibitors (SSRIs) for the treatment of anxiety and depression in young adults. We aimed to measure risk ...
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Journal ArticleNorth Carolina Medical Journal · September 1, 2023
More than 70% of children with one or more mental health diagnoses in North Carolina are not receiving treatment. For many families, emergency departments have become the frontline providers of pediatric behavioral health care. There is a great need for mo ...
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Journal ArticleDepress Anxiety · June 2022
BACKGROUND: Obsessive-compulsive disorder (OCD) implicates alterations in cortico-striato-thalamo-cortical and fronto-limbic circuits. Building on prior structural findings, this is the largest study to date examining subcortical surface morphometry in OCD ...
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Journal ArticleJ Clin Psychiatry · October 19, 2021
Objective: There are potential risks and benefits of combining benzodiazepine (BZD) and selective serotonin reuptake inhibitor (SSRI) therapy at anxiety disorder treatment onset. We investigated how often adolescents and young adults with anxiety disorders ...
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Journal ArticleJ Fam Psychol · October 2021
Expressed emotion (EE), a measure of the family's emotional climate, is a fundamental measure in caregiving research. A core dimension of EE is the level of criticism expressed by the caregiver to the care recipient, with a high level of criticism a marker ...
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Journal ArticleDepress Anxiety · August 2021
BACKGROUND: Based on findings from adults with obsessive-compulsive disorder (OCD), this study examined alterations in resting-state functional connectivity (rs-fc) between the basolateral amygdala (BLA) and the ventromedial prefrontal cortex (vmPFC) in ch ...
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Journal ArticlePsychiatry Res · May 2021
Evidence based treatments for pediatric Obsessive-Compulsive Disorder (OCD) are delivered with varying levels of expertise. This paper is part of the phase two series by the International OCD Accreditation Task Force (ATF) to advance a standardized high le ...
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Journal ArticleJ Child Psychol Psychiatry · December 2020
BACKGROUND: Cognitive behavioral therapy (CBT) is an effective, first-line treatment for pediatric obsessive-compulsive disorder (OCD). While neural predictors of treatment outcomes have been identified in adults with OCD, robust predictors are lacking for ...
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Journal ArticleNeuropsychopharmacology · June 2020
Obsessive-compulsive disorder (OCD) is commonly associated with alterations in cortico-striato-thalamo-cortical brain networks. Yet, recent investigations of large-scale brain networks suggest that more diffuse alterations in brain connectivity may underli ...
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Journal ArticleNeuropsychopharmacology · June 2020
An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...
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Journal ArticleChild Psychiatry Hum Dev · December 2019
Youth anxiety disorders are highly prevalent and are associated with considerable school impairment. Despite the identification of well-supported strategies for treating youth anxiety, research has yet to evaluate the differential effects of these treatmen ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · April 2019
There is considerable evidence demonstrating the negative impact adolescent depression has on youth outcomes, such as poor school performance, social isolation, comorbid substance abuse, lack of employment, and, most concerning, the development of suicidal ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · February 2019
OBJECTIVE: This study examined the role of lithium in the maintenance treatment of pediatric patients with bipolar I disorder (BP-I). METHOD: Participants aged 7 to 17 years who presented with a manic or mixed episode received 24 weeks of lithium treatment ...
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Chapter · January 1, 2019
The evidence base for the psychopharmacologic treatment of anxiety disorders in children and adolescents has dramatically increased over the past two decades. Current data suggest that, for fear-based anxiety disorders (e.g., generalized anxiety disorder, ...
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Journal ArticleJ Clin Psychiatry · 2018
OBJECTIVE: Multiple pharmacotherapies for treating anxiety disorders exist, including selective serotonin reuptake inhibitors (SSRIs), the recommended first-line pharmacotherapy for pediatric anxiety. We sought to describe initial antianxiety medication us ...
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Journal ArticleJ Clin Child Adolesc Psychol · 2018
Bioecological models of developmental psychopathology underscore the role of familial experiences of adversity and children's individual-level characteristics in heightening risk for pediatric anxiety through direct, combined, and interactive effects. To d ...
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Journal ArticleEvid Based Pract Child Adolesc Ment Health · 2018
BACKGROUND: Controlled evaluations comparing medication, cognitive-behavioral therapy (CBT), and their combination in the treatment of youth anxiety have predominantly focused on global ratings by independent evaluators. Such ratings are resource-intensive ...
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Journal ArticleJ Child Adolesc Psychopharmacol · August 2017
OBJECTIVES: The aim of this study is to identify predictors of pill placebo response and to characterize the temporal course of pill placebo response in anxious youth. METHODS: Data from placebo-treated patients (N = 76) in the Child/Adolescent Anxiety Mul ...
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Journal ArticleJ Child Adolesc Psychopharmacol · February 2017
OBJECTIVE: This is a feasibility study evaluating the safety, tolerability, and potential anxiolytic efficacy of the α2 agonist guanfacine extended-release (GXR) in children and adolescents with generalized anxiety disorder (GAD), separation anxiety disord ...
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Journal ArticleAddiction · February 2024
BACKGROUND AND AIMS: Benzodiazepines (BZDs) carry a risk for drug overdose and are prescribed alone or simultaneously with selective-serotonin reuptake inhibitors (SSRIs) for the treatment of anxiety and depression in young adults. We aimed to measure risk ...
Full textLink to itemCite
Journal ArticleNorth Carolina Medical Journal · September 1, 2023
More than 70% of children with one or more mental health diagnoses in North Carolina are not receiving treatment. For many families, emergency departments have become the frontline providers of pediatric behavioral health care. There is a great need for mo ...
Full textCite
Journal ArticleDepress Anxiety · June 2022
BACKGROUND: Obsessive-compulsive disorder (OCD) implicates alterations in cortico-striato-thalamo-cortical and fronto-limbic circuits. Building on prior structural findings, this is the largest study to date examining subcortical surface morphometry in OCD ...
Full textLink to itemCite
Journal ArticleJ Clin Psychiatry · October 19, 2021
Objective: There are potential risks and benefits of combining benzodiazepine (BZD) and selective serotonin reuptake inhibitor (SSRI) therapy at anxiety disorder treatment onset. We investigated how often adolescents and young adults with anxiety disorders ...
Full textLink to itemCite
Journal ArticleJ Fam Psychol · October 2021
Expressed emotion (EE), a measure of the family's emotional climate, is a fundamental measure in caregiving research. A core dimension of EE is the level of criticism expressed by the caregiver to the care recipient, with a high level of criticism a marker ...
Full textLink to itemCite
Journal ArticleDepress Anxiety · August 2021
BACKGROUND: Based on findings from adults with obsessive-compulsive disorder (OCD), this study examined alterations in resting-state functional connectivity (rs-fc) between the basolateral amygdala (BLA) and the ventromedial prefrontal cortex (vmPFC) in ch ...
Full textLink to itemCite
Journal ArticlePsychiatry Res · May 2021
Evidence based treatments for pediatric Obsessive-Compulsive Disorder (OCD) are delivered with varying levels of expertise. This paper is part of the phase two series by the International OCD Accreditation Task Force (ATF) to advance a standardized high le ...
Full textLink to itemCite
Journal ArticleJ Child Psychol Psychiatry · December 2020
BACKGROUND: Cognitive behavioral therapy (CBT) is an effective, first-line treatment for pediatric obsessive-compulsive disorder (OCD). While neural predictors of treatment outcomes have been identified in adults with OCD, robust predictors are lacking for ...
Full textLink to itemCite
Journal ArticleNeuropsychopharmacology · June 2020
Obsessive-compulsive disorder (OCD) is commonly associated with alterations in cortico-striato-thalamo-cortical brain networks. Yet, recent investigations of large-scale brain networks suggest that more diffuse alterations in brain connectivity may underli ...
Full textLink to itemCite
Journal ArticleNeuropsychopharmacology · June 2020
An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...
Full textLink to itemCite
Journal ArticleChild Psychiatry Hum Dev · December 2019
Youth anxiety disorders are highly prevalent and are associated with considerable school impairment. Despite the identification of well-supported strategies for treating youth anxiety, research has yet to evaluate the differential effects of these treatmen ...
Full textLink to itemCite
Journal ArticleJ Am Acad Child Adolesc Psychiatry · April 2019
There is considerable evidence demonstrating the negative impact adolescent depression has on youth outcomes, such as poor school performance, social isolation, comorbid substance abuse, lack of employment, and, most concerning, the development of suicidal ...
Full textLink to itemCite
Journal ArticleJ Am Acad Child Adolesc Psychiatry · February 2019
OBJECTIVE: This study examined the role of lithium in the maintenance treatment of pediatric patients with bipolar I disorder (BP-I). METHOD: Participants aged 7 to 17 years who presented with a manic or mixed episode received 24 weeks of lithium treatment ...
Full textLink to itemCite
Chapter · January 1, 2019
The evidence base for the psychopharmacologic treatment of anxiety disorders in children and adolescents has dramatically increased over the past two decades. Current data suggest that, for fear-based anxiety disorders (e.g., generalized anxiety disorder, ...
Full textCite
Journal ArticleJ Clin Psychiatry · 2018
OBJECTIVE: Multiple pharmacotherapies for treating anxiety disorders exist, including selective serotonin reuptake inhibitors (SSRIs), the recommended first-line pharmacotherapy for pediatric anxiety. We sought to describe initial antianxiety medication us ...
Full textLink to itemCite
Journal ArticleJ Clin Child Adolesc Psychol · 2018
Bioecological models of developmental psychopathology underscore the role of familial experiences of adversity and children's individual-level characteristics in heightening risk for pediatric anxiety through direct, combined, and interactive effects. To d ...
Full textLink to itemCite
Journal ArticleEvid Based Pract Child Adolesc Ment Health · 2018
BACKGROUND: Controlled evaluations comparing medication, cognitive-behavioral therapy (CBT), and their combination in the treatment of youth anxiety have predominantly focused on global ratings by independent evaluators. Such ratings are resource-intensive ...
Full textLink to itemCite
Journal ArticleJ Child Adolesc Psychopharmacol · August 2017
OBJECTIVES: The aim of this study is to identify predictors of pill placebo response and to characterize the temporal course of pill placebo response in anxious youth. METHODS: Data from placebo-treated patients (N = 76) in the Child/Adolescent Anxiety Mul ...
Full textLink to itemCite
Journal ArticleJ Child Adolesc Psychopharmacol · February 2017
OBJECTIVE: This is a feasibility study evaluating the safety, tolerability, and potential anxiolytic efficacy of the α2 agonist guanfacine extended-release (GXR) in children and adolescents with generalized anxiety disorder (GAD), separation anxiety disord ...
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Journal ArticleJ Consult Clin Psychol · April 2015
OBJECTIVE: To evaluate changes in the trajectory of youth anxiety following the introduction of specific cognitive-behavior therapy (CBT) components: relaxation training, cognitive restructuring, and exposure tasks. METHOD: Four hundred eighty-eight youths ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · March 2015
OBJECTIVE: To evaluate the frequency of adverse events (AEs) across 4 treatment conditions in the Child/Adolescent Anxiety Multimodal Study (CAMS), and to compare the frequency of AEs between children and adolescents. METHOD: Participants ages 7 to 17 year ...
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Journal ArticleJ Psychopathol Behav Assess · March 1, 2015
The Child Behavior Checklist (CBCL) is a widely used parent-report of child and adolescent behavior. We examined the ability of the CBCL-A scale, a previously published subset of CBCL items, to predict the presence of generalized anxiety disorder (GAD), se ...
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Journal ArticleDepress Anxiety · March 2015
BACKGROUND: Randomized controlled trials have demonstrated that antidepressants are efficacious in the treatment of anxiety disorders in youth. However, there are no recent, systematic analyses of the efficacy, safety, or tolerability of these medications ...
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Journal ArticleChild Psychiatry Hum Dev · February 2015
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. P ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · December 2014
OBJECTIVE: To review published reports on Web-based treatment and prevention programs for depression, anxiety, and suicide prevention in children, adolescents, and emerging adults. METHOD: A systematic search of the PsycINFO, PubMed, Medline, and Web of Sc ...
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Journal ArticleChild Psychiatry Hum Dev · August 2014
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 ...
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Journal ArticleJ Consult Clin Psychol · April 2014
OBJECTIVE: We sought to examine predictors and moderators of treatment outcomes among 488 youths ages 7-17 years (50% female; 74% ≤ 12 years) meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Associatio ...
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Journal ArticleJAMA Psychiatry · March 2014
IMPORTANCE: Pediatric anxiety disorders are highly prevalent and impairing and are considered gateway disorders in that they predict adult psychiatric problems. Although they can be effectively treated in the short term, data are limited on the long-term o ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · March 2014
OBJECTIVE: We report active treatment group differences on response and remission rates and changes in anxiety severity at weeks 24 and 36 for the Child/Adolescent Anxiety Multimodal Study (CAMS). METHOD: CAMS youth (N = 488; 74% ≤ 12 years of age) with DS ...
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Journal ArticleBehav Ther · January 2014
The objective of this study was to extend the probability of treatment benefit method by adding treatment condition as a stratifying variable, and illustrate this extension of the methodology using the Child and Adolescent Anxiety Multimodal Study data. Th ...
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Journal ArticleJ Clin Child Adolesc Psychol · 2014
The present study examined the psychometric properties, including discriminant validity and clinical utility, of the youth self-report and parent-report forms of the Multidimensional Anxiety Scale for Children (MASC) among youth with anxiety disorders. The ...
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Journal ArticleJ Consult Clin Psychol · October 2013
OBJECTIVE: We examined the therapeutic relationship with cognitive-behavioral therapists and with pharmacotherapists for youth from the Child/Adolescent Anxiety Multimodal Study (Walkup et al., 2008). The therapeutic relationship was examined in relation t ...
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Journal ArticleDepress Anxiety · September 2013
BACKGROUND: To examine (1) changes in parent (global psychological distress, trait anxiety) and family (dysfunction, burden) functioning following 12 weeks of child-focused anxiety treatment, and (2) whether changes in these parent and family factors were ...
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Journal ArticleProf Psychol Res Pr · April 2013
This study examined the relationship between therapist factors and child outcomes in anxious youth who received cognitive-behavioral therapy (CBT) as part of the Child-Adolescent Anxiety Multimodal Study (CAMS). Of the 488 youth who participated in the CAM ...
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Journal ArticlePsychother Psychosom · 2013
BACKGROUND: Remission has become one of the leading outcome criteria in clinical trials. Data collected by this research group assessed the rate of remission after 6 months of treatment of generalized anxiety disorder (GAD) with venlafaxine XR, to search f ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · January 2013
OBJECTIVE: To determine optimal Pediatric Anxiety Rating Scale (PARS) percent reduction and raw score cut-offs for predicting treatment response and remission among children and adolescents with anxiety disorders. METHOD: Data were from a subset of youth ( ...
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Journal ArticleJ Child Adolesc Psychopharmacol · October 2012
OBJECTIVE: Developing evidenced-based practices for the management of childhood psychiatric disorders requires research studies that address how to treat children during both the acute phase of the disorder and beyond. Given the selection of a medication f ...
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Journal ArticleChild Adolesc Psychiatr Clin N Am · July 2012
Over the last decade, psychopharmacologic treatments for pediatric anxiety disorders have been developed and increasingly subjected to randomized, controlled trials. The authors summarize the data concerning the use of tricyclic antidepressants (TCAs), sel ...
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Journal ArticleDepress Anxiety · April 2012
Generalized anxiety disorder (GAD) is associated with significant morbidity in children and adolescents, yet only recently have the neuropharmacology and neurophysiology of this condition been studied in youth. Accumulating data suggest structural and func ...
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Chapter · February 17, 2012
Tricyclic Antidepressants (TCAs) and Monoamine Oxidase Inhibitors (MAOIs) remain useful pharmacotherapies for pediatric psychiatric disorders despite the fact that they are no longer used as first line medications. In pediatric populations, evidence suppor ...
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Journal ArticleJ Clin Psychiatry · January 2012
OBJECTIVE: To determine whether supportive-expressive psychotherapy (SET), a form of dynamic psychotherapy, and pharmacotherapy + clinical management (MED) for major depressive disorder (MDD) are more effective than pill-placebo + clinical management (PBO) ...
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Journal ArticleJ Consult Clin Psychol · December 2011
OBJECTIVE: To report on remission rates in anxious youth who participated in the Child/Adolescent Anxiety Multimodal Study (CAMS). The CAMS, a multisite clinical trial, randomized 488 children and adolescents (ages 7-17 years; 79% Caucasian; 50% female) wi ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · May 2011
OBJECTIVE: Children of depressed and/or anxious parents are at increased risk for developing psychiatric disorders. Little research has focused on screening parents bringing their children for psychiatric evaluation, and few studies have included fathers o ...
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Journal ArticleArch Gen Psychiatry · December 2010
CONTEXT: Generalized anxiety disorder (GAD) is a chronic disorder in need of reliable data to guide long-term treatment. OBJECTIVES: To assess the benefits of 6 and 12 months' treatment of GAD with venlafaxine hydrochloride extended release (XR) in patient ...
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Journal ArticleJ Anxiety Disord · April 2010
Reports the characteristics of a large, representative sample of treatment-seeking anxious youth (N=488). Participants, aged 7-17 years (mean 10.7 years), had a principal DSM-IV diagnosis of separation anxiety disorder (SAD), generalized anxiety disorder ( ...
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Journal ArticleChild Adolesc Psychiatry Ment Health · January 5, 2010
OBJECTIVE: To present the design, methods, and rationale of the Child/Adolescent Anxiety Multimodal Study (CAMS), a recently completed federally-funded, multi-site, randomized placebo-controlled trial that examined the relative efficacy of cognitive-behavi ...
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Chapter · January 1, 2010
Introduction Growing up with an anxiety disorder that interferes with everyday life activities and enjoyment can be a painful and exhausting experience, both for the child and for his or her caregivers. Unfortunately, anxiety disorders often are not identi ...
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Journal ArticleN Engl J Med · December 25, 2008
BACKGROUND: Anxiety disorders are common psychiatric conditions affecting children and adolescents. Although cognitive behavioral therapy and selective serotonin-reuptake inhibitors have shown efficacy in treating these disorders, little is known about the ...
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Journal ArticleJ Am Acad Child Adolesc Psychiatry · October 2008
OBJECTIVE: To examine attention bias toward threat faces in a large sample of anxiety-disordered youths using a well-established visual probe task. METHOD: Study participants included 101 children and adolescents (ages 7-18 years) with generalized anxiety ...
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Journal ArticleBiol Psychiatry · November 15, 2007
BACKGROUND: Social anxiety disorder, which occurs in 2% to 5% of children and adolescents, is associated with significant distress and functional impairment. METHODS: The objective of the randomized, masked controlled trial conducted in 48 academic and com ...
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Journal ArticleAm J Psychiatry · February 2007
OBJECTIVE: The authors evaluated the efficacy, safety, and tolerability of extended-release venlafaxine in the treatment of pediatric generalized anxiety disorder. METHOD: Two randomized, double-blind, placebo-controlled trials were conducted at 59 sites i ...
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Journal ArticlePaediatr Drugs · 2007
Social anxiety disorder (SOC) is characterized by marked and persistent fear of one or more social performance situations in which the person is exposed to unfamiliar people or to possible scrutiny. The person fears that she or he might act in a way that w ...
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Journal ArticleJ Clin Psychiatry · September 2006
OBJECTIVE: This study investigated the efficacy, safety, and tolerability of the selegiline transdermal system (STS) administered in a dose range of 6 mg/24 hours to 12 mg/24 hours for treating major depressive disorder (MDD). METHOD: Patients meeting DSM- ...
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Journal ArticleJ Anxiety Disord · 2006
The goals of this study were twofold: to examine the psychometric properties of the Multidimensional Anxiety Scale for Children (MASC) in a clinical sample of 193 children and adolescents who had received a diagnosis of major depressive or anxiety disorder ...
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Journal ArticleCNS Spectr · October 2004
Clinical and epidemiological data suggest that generalized anxiety disorder (GAD) is a chronic illness causing patients to suffer for many years leading to significant distress in daily life functioning. The literature suggests the several conclusions. GAD ...
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Journal ArticleExpert Opin Pharmacother · August 2004
Paroxetine is a selective serotonin re-uptake inhibitor useful in the treatment of a wide range of psychiatric disorders. Generalised anxiety disorder (GAD) is characterised by excessive persistent anxiety and worry about a number of events and activities ...
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Journal ArticleExpert Opin Pharmacother · April 2003
The diverse programme covered recent advances in developmental neurobiology, genetics, psychotherapy and pharmacotherapy. Presentations included clinical consultation breakfasts, with experts in their specialities, clinical case conferences, media theatre ...
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Journal ArticleBipolar Disord · February 2003
Atypical antipsychotics are now commonly used in the treatment of bipolar disorder, as they have been shown to have effects on mania as well as psychosis. Shortly after the introduction of atypical antipsychotics, several cases of associated hypomania and ...
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Journal ArticleAm J Psychiatry · December 2001
OBJECTIVE: The study compared the safety and efficacy of sertraline, a selective serotonin reuptake inhibitor, and placebo in the treatment of generalized anxiety disorder in children and adolescents. METHOD: The study subjects were 22 children and adolesc ...
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Journal ArticleJ Clin Psychiatry · 2001
Generalized, persistent, and free-floating anxiety was first described by Freud in 1894, although the diagnostic term generalized anxiety disorder (GAD) was not included in classification systems until 1980 (Diagnostic and Statistical Manual for Mental Dis ...
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