Social Media and Anxiety in Youth
Social media use and related research on psychiatric symptoms continue to increase and evolve rapidly. The potential bidirectional relationships and correlations between social media use and anxiety seem to be understudied. We examine prior research focused on social media use and anxiety disorders, and thus far, correlations have been weak. Nevertheless, these associations may be poorly understood but important. Fear of missing out has been considered a moderator in earlier research. We discuss the limitations of previous research, guidance for clinicians and caregivers, and challenges for future studies in this area. (So...
Source: Child and Adolescent Psychiatric Clinics of North America - March 28, 2023 Category: Psychiatry Authors: Megan D. Chochol, Kriti Gandhi, Paul E. Croarkin Source Type: research

Advances in Pharmacotherapy for Pediatric Anxiety Disorders
The evidence base for psychopharmacologic interventions in children and adolescents with anxiety disorders has significantly increased, and our understanding of the relative efficacy and tolerability of interventions has expanded contemporaneously. Selective serotonin reuptake inhibitors (SSRIs) are the first-line pharmacologic treatment for pediatric anxiety due to their robust efficacy although other agents may have efficacy. This review summarizes the data concerning the use of SSRIs, serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants, atypical anxiolytics (eg, 5HT1A agonists, alpha agon...
Source: Child and Adolescent Psychiatric Clinics of North America - March 28, 2023 Category: Psychiatry Authors: Cassandra M. Nicotra, Jeffrey R. Strawn Source Type: research

Developmental Epidemiology of Pediatric Anxiety Disorders
This review summarizes the developmental epidemiology of childhood and adolescent anxiety disorders. It discusses the coronavirus disease of 2019 (COVID-19) pandemic, sex differences, longitudinal course, and stability of anxiety disorders in addition to recurrence and remission. The trajectory of anxiety disorders —whether homotypic (ie, the same anxiety disorder persists over time) or heterotypic (ie, an anxiety disorder shifts to a different diagnosis over time) is discussed with regard to social, generalized, and separation anxiety disorders as well as specific phobia, and panic disorder. Finally, strate gies for ear...
Source: Child and Adolescent Psychiatric Clinics of North America - March 20, 2023 Category: Psychiatry Authors: Emily N. Warner, Robert T. Ammerman, Tracy A. Glauser, John P. Pestian, Greeshma Agasthya, Jeffrey R. Strawn Source Type: research

Neurobiology of Treatment in Pediatric Anxiety Disorders
Both pharmacologic and psychotherapeutic treatment-related changes increase activity in brain regions implicated in prefrontal regulatory circuits, and the functional connectivity of these regions with the amygdala is enhanced following pharmacological treatment. This may suggest overlapping mechanisms of action across therapeutic modalities. The existing literature is best viewed as a partially constructed scaffold on which to construct a vigorous understanding of biomarkers in pediatric anxiety syndromes. As the field approaches leveraging “fingerprints” in neuroimaging with “outputs” in neuropsychiatric tasks an...
Source: Child and Adolescent Psychiatric Clinics of North America - March 20, 2023 Category: Psychiatry Authors: W. Thomas Baumel, Jeffrey R. Strawn Source Type: research

Anxiety Disorders and Their Treatment in Youth: A New Era
In the decade since pediatric anxiety disorders were last reviewed in the Child and Adolescent Psychiatric Clinics of North America, our field has seen tremendous advances. We re-classified the anxiety disorders in DSM-5, enhanced our understanding of the epidemiology neurobiology anxiety disorders. The evidence for both psychotherapeutic and psychopharmacologic treatment has been buttressed by dozens of additional trials. Beyond this, we have an evolving understanding of the morbidity of anxiety disorders and their role as substrates for the emergence of other disorders. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - March 20, 2023 Category: Psychiatry Authors: Jeffrey R. Strawn, Justine Larson Tags: Preface Source Type: research

Psychodynamic Formulation and Psychodynamic Psychotherapy for Pediatric Anxiety Disorders
Psychodynamic psychotherapy can be an effective treatment of pediatric anxiety disorders. Psychodynamic formulation can be easily integrated with other conceptualizations of anxiety (eg, biological/genetic, developmental, and social learning theory). Psychodynamic formulation helps determine whether anxiety symptoms represent innate biological responses, learned responses from early experiences, or defensive reactions to intrapsychic conflict. Child and Adolescent Anxiety Psychodynamic Psychotherapy and Psychoanalytic Child Therapy are two evidence-based manualized psychodynamic approaches to treating pediatric anxiety dis...
Source: Child and Adolescent Psychiatric Clinics of North America - March 8, 2023 Category: Psychiatry Authors: Michael Shapiro Source Type: research

Cognitive Behavioral Therapy for Children and Adolescents with Anxiety Disorders
Anxiety disorders are the most common class of psychiatric conditions among children and adolescents. The cognitive behavioral model of childhood anxiety has a strong theoretic and empirical foundation that provides the basis for effective treatment. Cognitive behavioral therapy (CBT), with an emphasis on exposure therapy, is the gold standard treatment for childhood anxiety disorders, with strong empirical support. A case vignette demonstrating CBT for childhood anxiety disorders in practice, as well as recommendations for clinicians, are also provided. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - February 27, 2023 Category: Psychiatry Authors: Jordan T. Stiede, Erika S. Trent, Andres G. Viana, Andrew G. Guzick, Eric A. Storch, Jonathan Hershfield Source Type: research

Risk Factors for Pediatric Anxiety Disorders
This review summarizes risk factors for developing anxiety disorders in children and adolescents. A surfeit of risk factors, including temperament, family environment (eg, parenting style), environmental exposures (eg, particulate matter), and cognitive factors (eg, threat bias), increases the risk of anxiety in children. These risk factors can significantly impact the trajectory of pediatric anxiety disorders. The impact of severe acute respiratory syndrome coronavirus 2 infection on anxiety disorders in children is discussed in addition to its public health implications. Identifying risk factors for pediatric anxiety dis...
Source: Child and Adolescent Psychiatric Clinics of North America - February 26, 2023 Category: Psychiatry Authors: Emily N. Warner, Jeffrey R. Strawn Source Type: research

The Impact of COVID-19 on Anxiety Disorders in Youth
The primary objective of this article is to consider the impact of the coronavirus disease-19 pandemic on pediatric anxiety from both a clinical and system-of-care lens. This includes illustrating the impact of the pandemic on pediatric anxiety disorders and consideration of factors important for special populations, including children with disabilities and learning differences. We consider the clinical, educational, and public health implications for addressing mental health needs like anxiety disorders and how we might promote better outcomes, particularly for vulnerable children and youth. (Source: Child and Adolescent ...
Source: Child and Adolescent Psychiatric Clinics of North America - February 2, 2023 Category: Psychiatry Authors: Lisa R. Fortuna, Isabella C. Brown, Gesean G. Lewis Woods, Michelle V. Porche Source Type: research

The impact of COVID-19 on anxiety disorders in youth: Coping with stress, worry, and recovering from a pandemic
The primary objective of this article is to consider the impact of the COVID-19 pandemic on pediatric anxiety from both a clinical and system of care lens. This includes illustrating the impact of the pandemic on pediatric anxiety disorders and consideration of factors important for special populations, including children with disabilities and learning differences. We consider the clinical, educational, and public health implications for addressing mental health needs like anxiety disorders and how we might promote better outcomes, particularly for vulnerable children and youth. (Source: Child and Adolescent Psychiatric Cl...
Source: Child and Adolescent Psychiatric Clinics of North America - February 2, 2023 Category: Psychiatry Authors: Lisa R. Fortuna, Isabella C. Brown, Gesean G. Lewis Woods, Michelle V. Porche Source Type: research

The Effects of Adolescent Cannabis Use on Psychosocial Functioning
Although observational studies have shown that adolescent cannabis use is associated with impairments in important psychosocial domains, including peer, romantic, and parent –child relationships, educational outcomes, adult socioeconomic status, and legal consequences, mechanisms underlying these associations remain largely unclear. Cannabis use may have a deleterious causal effect on functioning, but it is also possible the association may be due to reverse causation or confounding by shared vulnerability factors that account for both cannabis use in adolescence and concurrent and subsequent psychosocial impairment. Cau...
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Authors: Jonathan D. Schaefer, Kayla M. Nelson, Sylia Wilson Source Type: research

Brief Interventions for Cannabis Using Adolescents
This article discusses the application of brief interventions to address adolescents with a cannabis use problem. Topics include a general model of brief interventions, the outcome literature, existing brief interventions that focus on youth cannabis use, adjustments to a brief intervention when addressing cannabis, referral to treatment issues, personalizing a brief intervention, the need to address coexisting problems, and future directions. (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Authors: Ken C. Winters, Holly Waldron, Hyman Hops, Tim Ozechowski, Aleah Montano Source Type: research

Addressing Cannabis Use During Adolescence
Cannabis is among the most common substances used by adolescents. While other substance use, including alcohol and cigarette use, has declined over the past two decades, the prevalence of cannabis use has remained steady among adolescents and increased among young adults. Furthermore, over the past decade, there has been a dramatic rise in the prevalence of vaping, including nicotine and cannabis. While the prevalence of cannabis use appears to have remained steady among adolescents, Δ9-tetrahydrocannabinol (THC) potency has risen sharply, with compensatory changes in the THC/cannabidiol ratio. (Source: Child and Adolesce...
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Authors: Paula Riggs, Jesse D. Hinckley, J. Megan Ross Tags: Preface Source Type: research

Adolescent Cannabis Use
CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Authors: PAULA RIGGS, JESSE D. HINCKLEY, J. MEGAN ROSS Source Type: research

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ELSEVIER (Source: Child and Adolescent Psychiatric Clinics of North America)
Source: Child and Adolescent Psychiatric Clinics of North America - November 19, 2022 Category: Psychiatry Source Type: research