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Spending More Time on Exposure Tasks During CBT May Improve Outcomes in Anxious Youth

Encouraging youth with anxiety disorders to gradually confront anxiety-provoking situations is recognized as a key component of cognitive-behavioral therapy (CBT), but few studies have examined specific exposure characteristics that predict treatment outcomes. Astudy published Monday in theJournal of the American Academy of Child and Adolescent Psychiatry suggests the number of CBT sessions in which exposure tasks are practiced may predict treatment outcomes.“[T]he findings support the importance of prioritizing exposure tasks within CBT sessions, revealing a positive link between the number of sessions in which exposure is practiced and favorable outcome,” Tara S. Peris, Ph.D., of the UCLA Semel Institute for Neuroscience and Human Behavior and colleagues wrote. “This link appears to be especially important for younger children, whose developmental level may limit the benefit of cognitive restructuring, another critical element of treatment.”Peris and colleagues analyzed a subset of data from youth aged 7 to 17 who participated in the Child/adolescent Anxiety Multimodal treatment Study (CAMS). The study participants, all whom had been diagnosed with separation anxiety disorder, generalized anxiety disorder, or social phobia, were randomly assigned to CBT (n = 139) or a combination of CBT and sertraline (n = 140) for 12 weeks. Youth in both groups received 14, 60-minute sessions; during CBT sessions 1-6, youth learned about skills for managing anxiety,...
Source: Psychiatr News - Category: Psychiatry Tags: anxiety cognitive-behavioral therapy exposure therapy Journal of the American Academy of Child and Adolescent Psychiatry Tara Peris Source Type: research

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Publication date: Available online 18 October 2017 Source:Journal of Anxiety Disorders Author(s): Cynthia Suveg, Julie Newman Kingery, Molly Davis, Anna Jones, Monica Whitehead, Marni L. Jacob Social experiences are an integral part of normative development for youth and social functioning difficulties are related to poor outcomes. Youth with anxiety disorders, and particularly social anxiety disorder, experience difficulties across many aspects of social functioning that may place them at risk for maladjustment. The goal of this paper was to compare social experiences of youth across anxiety diagnoses and examine whether...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
CONCLUSION: Adolescents with school refusal show a wide variety of psychopathological symptoms, mainly inherent to anxiety and depressive disorders. These difficulties have an impact on the quality of life, loneliness, and self-esteem. Moreover, attachment to parents and peers seems to play an important role in this condition. PMID: 28927773 [PubMed - as supplied by publisher]
Source: Archives de Pediatrie - Category: Pediatrics Authors: Tags: Arch Pediatr Source Type: research
While treatment with cognitive-behavioral therapy (CBT), selective serotonin reuptake inhibitors (SSRIs), or serotonin-norepinephrine reuptake inhibitors (SNRIs) alone appears to reduce anxiety symptoms in youth with childhood anxiety disorders, a combination of CBT and medication may be best, according to areport published inJAMA Pediatrics.The meta-analysis involving more than 7,000 patients highlighted how different treatments fared on different measures and compared with other treatments.Zhen Wang, Ph.D., and colleagues at the Mayo Clinic searched six large medical databases for studies comparing CBT, pharmacotherapy, ...
Source: Psychiatr News - Category: Psychiatry Tags: anxiety in children CBT JAMA Pediatrics medication SNRIs SSRIs Source Type: research
PURPOSE: To examine associations between health-related quality of life (HRQoL) and anxiety symptoms across anxiety domains (obsessions/compulsions, social anxiety, panic disorder, agoraphobia, separation anxiety, physical injury fears, generalised anxiety...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
CONCLUSIONS: The data support anxiety maintenance during early adolescence. Early adolescence is a critical period which may involve other serious academic, social, and family problems. PMID: 28678525 [PubMed - as supplied by publisher]
Source: Anxiety, Stress, and Coping - Category: Psychiatry & Psychology Authors: Tags: Anxiety Stress Coping Source Type: research
This study examined an emotion-focused cognitive-behavioral therapy (ECBT) protocol in comparison to traditional cognitive-behavioral therapy (CBT) in a sample of children with a primary anxiety disorder diagnosis. Moderation analyses examined whether children with higher levels of emotion dysregulation at pretreatment would show greater levels of improvement in ECBT than CBT. Ninety-two youth ages 7 to 12 years (58% male) with a primary diagnosis of separation anxiety disorder, generalized anxiety disorder, or social phobia were included. Participants were randomly assigned to ECBT or CBT. Results showed that youth i...
Source: Journal of Abnormal Child Psychology - Category: Psychiatry & Psychology Authors: Tags: J Abnorm Child Psychol Source Type: research
ConclusionsA lack of data exists for disorder‐specific CBT interventions compared to CC.
Source: Journal of Child and Adolescent Psychiatric Nursing - Category: Nursing Authors: Tags: ORIGINAL ARTICLE Source Type: research
ConclusionsThese findings are consistent with recent studies that have found poorer outcomes from CBT for youth and adults with SocP, and emphasise the need for further research into treatments that target specific factors that could improve outcomes.
Source: Clinical Psychologist - Category: Psychiatry & Psychology Authors: Tags: Original Article Source Type: research
In this study, we described and contrasted anxiety symptomatology in fragile X (FXS), Cornelia de Lange (CdLS) and Rubinstein-Taybi syndromes (RTS), and compared the symptomatology to normative data for typically-developing children and children diagnosed with an anxiety disorder. Scores did not differ between children diagnosed with an anxiety disorder and (a) participants with FXS on social phobia, panic/agoraphobia, physical injury fears, and obsessive-compulsive subscales (b) participants with CdLS on separation anxiety, generalized anxiety, panic/agoraphobia, physical injury fears and obsessive-compulsive subscales, a...
Source: Journal of Autism and Developmental Disorders - Category: Psychiatry Authors: Tags: J Autism Dev Disord Source Type: research
ConclusionsAlthough we are unable to assess causality, our findings highlight the strength of the association between family structure and child and adolescent mental health. They also stress the need for programs to support children, parents, and families in non-traditional family types to reduce mental  health inequalities in childhood and later life.
Source: Social Psychiatry and Psychiatric Epidemiology - Category: Psychiatry Source Type: research
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