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Trajectories of change in youth anxiety during cognitive-behavior therapy.

Publication ,  Journal Article
Peris, TS; Compton, SN; Kendall, PC; Birmaher, B; Sherrill, J; March, J; Gosch, E; Ginsburg, G; Rynn, M; McCracken, JT; Keeton, CP; Suveg, C ...
Published in: J 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 ages 7-17 years (50% female; 74% ≤ 12 years) were randomly assigned to receive either CBT, sertraline (SRT), their combination (COMB), or pill placebo (PBO) as part of their participation in the Child/Adolescent Anxiety Multimodal Study (CAMS). Youths in the CBT conditions were evaluated weekly by therapists using the Clinical Global Impression Scale-Severity (CGI-S; Guy, 1976) and the Children's Global Assessment Scale (CGAS; Shaffer et al., 1983) and every 4 weeks by blind independent evaluators (IEs) using the Pediatric Anxiety Ratings Scale (PARS; RUPP Anxiety Study Group, 2002). Youths in SRT and PBO were included as controls. RESULTS: Longitudinal discontinuity analyses indicated that the introduction of both cognitive restructuring (e.g., changing self-talk) and exposure tasks significantly accelerated the rate of progress on measures of symptom severity and global functioning moving forward in treatment; the introduction of relaxation training had limited impact. Counter to expectations, no strategy altered the rate of progress in the specific domain of anxiety that it was intended to target (i.e., somatic symptoms, anxious self-talk, avoidance behavior). CONCLUSIONS: Findings support CBT theory and suggest that cognitive restructuring and exposure tasks each make substantial contributions to improvement in youth anxiety. Implications for future research are discussed. (PsycINFO Database Record

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Published In

J Consult Clin Psychol

DOI

EISSN

1939-2117

Publication Date

April 2015

Volume

83

Issue

2

Start / End Page

239 / 252

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sertraline
  • Relaxation Therapy
  • Male
  • Humans
  • Female
  • Combined Modality Therapy
  • Cognitive Behavioral Therapy
  • Clinical Psychology
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
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Peris, T. S., Compton, S. N., Kendall, P. C., Birmaher, B., Sherrill, J., March, J., … Piacentini, J. (2015). Trajectories of change in youth anxiety during cognitive-behavior therapy. J Consult Clin Psychol, 83(2), 239–252. https://doi.org/10.1037/a0038402
Peris, Tara S., Scott N. Compton, Philip C. Kendall, Boris Birmaher, Joel Sherrill, John March, Elizabeth Gosch, et al. “Trajectories of change in youth anxiety during cognitive-behavior therapy.J Consult Clin Psychol 83, no. 2 (April 2015): 239–52. https://doi.org/10.1037/a0038402.
Peris TS, Compton SN, Kendall PC, Birmaher B, Sherrill J, March J, et al. Trajectories of change in youth anxiety during cognitive-behavior therapy. J Consult Clin Psychol. 2015 Apr;83(2):239–52.
Peris, Tara S., et al. “Trajectories of change in youth anxiety during cognitive-behavior therapy.J Consult Clin Psychol, vol. 83, no. 2, Apr. 2015, pp. 239–52. Pubmed, doi:10.1037/a0038402.
Peris TS, Compton SN, Kendall PC, Birmaher B, Sherrill J, March J, Gosch E, Ginsburg G, Rynn M, McCracken JT, Keeton CP, Sakolsky D, Suveg C, Aschenbrand S, Almirall D, Iyengar S, Walkup JT, Albano AM, Piacentini J. Trajectories of change in youth anxiety during cognitive-behavior therapy. J Consult Clin Psychol. 2015 Apr;83(2):239–252.

Published In

J Consult Clin Psychol

DOI

EISSN

1939-2117

Publication Date

April 2015

Volume

83

Issue

2

Start / End Page

239 / 252

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sertraline
  • Relaxation Therapy
  • Male
  • Humans
  • Female
  • Combined Modality Therapy
  • Cognitive Behavioral Therapy
  • Clinical Psychology
  • Child