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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The ongoing border crisis remains, despite fading from the front pages of news websites and newspapers. Thousands of innocent children, brought to the border by desperate parents trying to escape poverty and violence, remain separated from their families. This separation will likely have a life-long impact on most of these children. Dr. Jenny Yip is a clinical psychologist, author, speaker, as well as a nationally recognized OCD and anxiety expert. Dr. Yip has dedicated her professional career to treating families and individuals with severe OCD and anxiety disorders. She knows a thing or two about how anxiety can affect a...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Children and Teens General Interview Mental Health and Wellness Policy and Advocacy border crisis Emotional Impact jenny yip Source Type: blogs
Abstract Anxious youth often have trouble regulating negative affect (NA) and tend to over-rely on parents when faced with challenges. It is unclear how social interactions with parents or peers actually helps or hinders anxious youths' success in regulating NA. The aim of this study was to examine whether the success of anxious youths' emotion regulation strategies differed according to social context. We compared the effectiveness of co-ruminating, co-problem solving and co-distracting with parents/peers for regulating anxious youth's NA in response to stress in their daily lives. We also examined the benefit of...
Source: Journal of Abnormal Child Psychology - Category: Psychiatry & Psychology Authors: Tags: J Abnorm Child Psychol Source Type: research
In this study, we examined whether one such possible vulnerability-anxiety sensitivity-differed for youth diagnosed with SAD versus other anxiety disorders. Anxiety sensitivity was assessed using the Childhood Anxiety Sensitivity Index (CASI) in 315 clinic-referred youth (ages 6-17, 113 girls). 145 children (46%) were diagnosed with one or more primary anxiety disorder, including SAD (n = 22), generalized anxiety (GAD) (n = 79), social anxiety (SocA) (n = 55), and specific phobia (SP) (n = 45). Children with SAD reported higher levels of anxiety sensitivity and fears ...
Source: Child Psychiatry and Human Development - Category: Child Development Authors: Tags: Child Psychiatry Hum Dev Source Type: research
This article reviews this relationship and provides recommendations for management. Keywords: Insomnia, sleep disorder, psychiatric disorder, depression, psychosis, schizophrenia, anxiety disorder Insomnia affects 25 million people in the United States annually and leads to an estimated $100 billion health care burden. Insomnia has also been shown to be a causal factor in other medical and psychiatric disorders, cognitive impairments, accidents, absenteeism, and reduced quality of life.1 The cost of not treating insomnia is more than the cost of treating insomnia.2 Insomnia as a symptom is seen in up to one third of the Un...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Review anxiety disorder depression insomnia psychiatric disorder psychosis schizophrenia sleep disorder Source Type: research
ConclusionsData show there may be greater clinical benefit by allocating children with a primary SP to individual CBT, although future research on cost‐effectiveness is needed to determine whether the additional clinical benefits justify the additional resources required.
Source: Journal of Child Psychology and Psychiatry - Category: Psychiatry Authors: Tags: Original Article Source Type: research
If 2.6 billion people were suffering from an illness, you’d think we’d all be more familiar with it. That figure represents 33.7% of the population of the world, after all. It also represents the share of that population that will at some point experience an anxiety disorder, according to the National Institutes of Health. For those billions, the experience of clinical anxiety can range from a persistent fretfulness, distractedness and a sort of whole-body clenching, to the paralytic crisis of a full-blown panic attack. All of it feels lousy; all of it is a state you race to escape — which typically only ...
Source: TIME.com: Top Science and Health Stories - Category: Consumer Health News Authors: Tags: Uncategorized anxiety disorder behavior health OCD psychology PTSD Source Type: news
ConclusionsThese findings indicate associations between threat bias and pediatric anxiety symptoms, and suggest that vigilance to external threats manifests more prominently in symptoms of social anxiety and school phobia, regardless of age and gender. These findings point to the role of attention bias to threat in anxiety, with implications for translational clinical research. The significance of applying standardized methods in multi‐site collaborations for overcoming challenges inherent to clinical research is discussed.
Source: Depression and Anxiety - Category: Psychiatry Authors: Tags: RESEARCH ARTICLE Source Type: research
In conclusion, outcomes of CBT for youth anxiety disorders delivered in community mental health clinics were improved at nearly 4 years post-treatment, and recovery rates at long-term follow-up were similar to efficacy trials.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
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
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