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Long-term Service Use Among Youths Previously Treated for Anxiety Disorder.

Publication ,  Journal Article
Peris, TS; Sugar, CA; Rozenman, MS; Walkup, JT; Albano, AM; Compton, S; Sakolsky, D; Ginsburg, G; Keeton, C; Kendall, PC; McCracken, JT; Piacentini, J
Published in: J Am Acad Child Adolesc Psychiatry
April 2021

OBJECTIVE: (1) To describe rates of long-term service use among subjects previously enrolled in a landmark study of youth anxiety disorder treatment and followed into early adulthood; (2) to examine predictors of long-term service use; and (3) to examine the relationship between anxiety diagnosis and service use over time. METHOD: The Child/Adolescent Anxiety Multimodal Extended Long-term Study prospectively assessed youths treated through the Child/Adolescent Anxiety Multimodal Study at ages 7-17 years into early adulthood. A total of 319 youths (mean age 17.7, 55.2% female) previously randomized to cognitive-behavioral therapy, sertraline, combination, or placebo for the treatment of anxiety participated; 318 had service use data. Four annual clinic assessments were conducted along with telephone check-ins every 6 months. RESULTS: Overall, 65.1% of participants endorsed receiving some form of anxiety treatment over the course of the follow-up period, with more subjects reporting medication use than psychotherapy; 35.2% reported consistent use of services over the course of the study. Overall, service use declined over time in subjects with less severe anxiety but remained more steady in those with recurrent/chronic symptoms. Levels of life stress and depressive symptoms were associated with amount of service use over time whereas treatment-related variables (type of initial intervention, acute response, remission) were not. A subset of youths remained chronically anxious despite consistent service use. CONCLUSION: These findings point to the need to develop models of care that approach anxiety disorders as chronic health conditions in need of active long-term management.

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Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

April 2021

Volume

60

Issue

4

Start / End Page

501 / 512

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sertraline
  • Male
  • Humans
  • Female
  • Developmental & Child Psychology
  • Cognitive Behavioral Therapy
  • Child
  • Anxiety Disorders
  • Anxiety
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Peris, T. S., Sugar, C. A., Rozenman, M. S., Walkup, J. T., Albano, A. M., Compton, S., … Piacentini, J. (2021). Long-term Service Use Among Youths Previously Treated for Anxiety Disorder. J Am Acad Child Adolesc Psychiatry, 60(4), 501–512. https://doi.org/10.1016/j.jaac.2020.07.911
Peris, Tara S., Catherine A. Sugar, Michelle S. Rozenman, John T. Walkup, Anne Marie Albano, Scott Compton, Dara Sakolsky, et al. “Long-term Service Use Among Youths Previously Treated for Anxiety Disorder.J Am Acad Child Adolesc Psychiatry 60, no. 4 (April 2021): 501–12. https://doi.org/10.1016/j.jaac.2020.07.911.
Peris TS, Sugar CA, Rozenman MS, Walkup JT, Albano AM, Compton S, et al. Long-term Service Use Among Youths Previously Treated for Anxiety Disorder. J Am Acad Child Adolesc Psychiatry. 2021 Apr;60(4):501–12.
Peris, Tara S., et al. “Long-term Service Use Among Youths Previously Treated for Anxiety Disorder.J Am Acad Child Adolesc Psychiatry, vol. 60, no. 4, Apr. 2021, pp. 501–12. Pubmed, doi:10.1016/j.jaac.2020.07.911.
Peris TS, Sugar CA, Rozenman MS, Walkup JT, Albano AM, Compton S, Sakolsky D, Ginsburg G, Keeton C, Kendall PC, McCracken JT, Piacentini J. Long-term Service Use Among Youths Previously Treated for Anxiety Disorder. J Am Acad Child Adolesc Psychiatry. 2021 Apr;60(4):501–512.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

EISSN

1527-5418

Publication Date

April 2021

Volume

60

Issue

4

Start / End Page

501 / 512

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sertraline
  • Male
  • Humans
  • Female
  • Developmental & Child Psychology
  • Cognitive Behavioral Therapy
  • Child
  • Anxiety Disorders
  • Anxiety