Trajectories of Change in Youth Anxiety During Cognitive-Behavior Therapy.

Tara S Peris; Scott N Compton; Philip C Kendall; Boris Birmaher; Joel Sherrill; John March; Elizabeth Gosch; Golda Ginsburg; Moira Rynn; James T McCracken; Courtney P Keeton; Dara Sakolsky; Cynthia Suveg; Sasha Aschenbrand; Daniel Almirall; Satish Iyengar; John T Walkup; Anne Marie Albano; John Piacentini

Trajectories of Change in Youth Anxiety During Cognitive-Behavior Therapy.

Tara S Peris, Scott N Compton, Philip C Kendall, Boris Birmaher, Joel Sherrill, John March, Elizabeth Gosch, Golda Ginsburg, Moira Rynn, James T McCracken, Courtney P Keeton, Dara Sakolsky, Cynthia Suveg, Sasha Aschenbrand, Daniel Almirall, Satish Iyengar, John T Walkup, Anne Marie Albano, John Piacentini

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	American English
Journal	Journal of consulting and clinical psychology
State	Published - Dec 8 2014

Keywords

cognitive-behavior therapy
child anxiety
treatment components

Disciplines

Child Psychology
Counseling Psychology

Cite this

Peris, T. S., Compton, S. N., Kendall, P. C., Birmaher, B., Sherrill, J., March, J., Gosch, E., Ginsburg, G., Rynn, M., McCracken, J. T., Keeton, C. P., Sakolsky, D., Suveg, C., Aschenbrand, S., Almirall, D., Iyengar, S., Walkup, J. T., Albano, A. M., & Piacentini, J. (2014). Trajectories of Change in Youth Anxiety During Cognitive-Behavior Therapy. Journal of consulting and clinical psychology.

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title = "Trajectories of Change in Youth Anxiety During Cognitive-Behavior Therapy.",

abstract = " 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.",

keywords = "cognitive-behavior therapy, child anxiety, treatment components",

author = "Peris, {Tara S} and Compton, {Scott N} and Kendall, {Philip C} and Boris Birmaher and Joel Sherrill and John March and Elizabeth Gosch and Golda Ginsburg and Moira Rynn and McCracken, {James T} and Keeton, {Courtney P} and Dara Sakolsky and Cynthia Suveg and Sasha Aschenbrand and Daniel Almirall and Satish Iyengar and Walkup, {John T} and Albano, {Anne Marie} and John Piacentini",

year = "2014",

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T1 - Trajectories of Change in Youth Anxiety During Cognitive-Behavior Therapy.

AU - Peris, Tara S

AU - Compton, Scott N

AU - Kendall, Philip C

AU - Birmaher, Boris

AU - Sherrill, Joel

AU - March, John

AU - Gosch, Elizabeth

AU - Ginsburg, Golda

AU - Rynn, Moira

AU - McCracken, James T

AU - Keeton, Courtney P

AU - Sakolsky, Dara

AU - Suveg, Cynthia

AU - Aschenbrand, Sasha

AU - Almirall, Daniel

AU - Iyengar, Satish

AU - Walkup, John T

AU - Albano, Anne Marie

AU - Piacentini, John

PY - 2014/12/8

Y1 - 2014/12/8

N2 - 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.

AB - 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.

KW - cognitive-behavior therapy

KW - child anxiety

KW - treatment components

UR - https://digitalcommons.pcom.edu/scholarly_papers/274

M3 - Article

JO - Journal of consulting and clinical psychology

JF - Journal of consulting and clinical psychology

ER -

Trajectories of Change in Youth Anxiety During Cognitive-Behavior Therapy.

Abstract

Keywords

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