CBT for childhood anxiety disorders: differential changes in selective attention between treatment responders and non-responders / Jeroen S. LEGERSTEE in Journal of Child Psychology and Psychiatry, 51-2 (February 2010)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 51-2 (February 2010) . - p.162-172 Titre : CBT for childhood anxiety disorders: differential changes in selective attention between treatment responders and non-responders Type de document : texte imprimé Auteurs : Jeroen S. LEGERSTEE, Auteur ; Frank C. VERHULST, Auteur ; Philip D.A. TREFFERS, Auteur ; Elisabeth M.W.J. UTENS, Auteur ; Joke H.M. TULEN, Auteur ; Bram DIERCKX, Auteur Année de publication : 2010 Article en page(s) : p.162-172 Langues : Anglais (eng) Mots-clés : Childhood-anxiety-disorders selective-attention cognitive-behavioural-therapy dot-probe-task Index. décimale : PER Périodiques Résumé : Background: This study examined whether treatment response to stepped-care cognitive-behavioural treatment (CBT) is associated with changes in threat-related selective attention and its specific components in a large clinical sample of anxiety-disordered children. Methods: Ninety-one children with an anxiety disorder were included in the present study. Children received a standardized stepped-care CBT. Three treatment response groups were distinguished: initial responders (anxiety disorder free after phase one: child-focused CBT), secondary responders (anxiety disorder free after phase two: child–parent-focused CBT), and treatment non-responders. Treatment response was determined using a semi-structured clinical interview. Children performed a pictorial dot-probe task before and after stepped-care CBT (i.e., before phase one and after phase two CBT). Results: Changes in selective attention to severely threatening pictures, but not to mildly threatening pictures, were significantly associated with treatment success. At pre-treatment assessment, initial responders selectively attended away from severely threatening pictures, whereas secondary responders selectively attended toward severely threatening pictures. After stepped-care CBT, initial and secondary responders did not show any selectivity in the attentional processing of severely threatening pictures. Treatment non-responders did not show any changes in selective attention due to CBT. Conclusions: Initial and secondary treatment responders showed a reduction of their predisposition to selectively attend away or toward severely threatening pictures, respectively. Treatment non-responders did not show any changes in selective attention. The pictorial dot-probe task can be considered a potentially valuable tool in assigning children to appropriate treatment formats as well as for monitoring changes in selective attention during the course of CBT. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02143.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=941 [article] CBT for childhood anxiety disorders: differential changes in selective attention between treatment responders and non-responders [texte imprimé] / Jeroen S. LEGERSTEE, Auteur ; Frank C. VERHULST, Auteur ; Philip D.A. TREFFERS, Auteur ; Elisabeth M.W.J. UTENS, Auteur ; Joke H.M. TULEN, Auteur ; Bram DIERCKX, Auteur . - 2010 . - p.162-172. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 51-2 (February 2010) . - p.162-172 Mots-clés : Childhood-anxiety-disorders selective-attention cognitive-behavioural-therapy dot-probe-task Index. décimale : PER Périodiques Résumé : Background: This study examined whether treatment response to stepped-care cognitive-behavioural treatment (CBT) is associated with changes in threat-related selective attention and its specific components in a large clinical sample of anxiety-disordered children. Methods: Ninety-one children with an anxiety disorder were included in the present study. Children received a standardized stepped-care CBT. Three treatment response groups were distinguished: initial responders (anxiety disorder free after phase one: child-focused CBT), secondary responders (anxiety disorder free after phase two: child–parent-focused CBT), and treatment non-responders. Treatment response was determined using a semi-structured clinical interview. Children performed a pictorial dot-probe task before and after stepped-care CBT (i.e., before phase one and after phase two CBT). Results: Changes in selective attention to severely threatening pictures, but not to mildly threatening pictures, were significantly associated with treatment success. At pre-treatment assessment, initial responders selectively attended away from severely threatening pictures, whereas secondary responders selectively attended toward severely threatening pictures. After stepped-care CBT, initial and secondary responders did not show any selectivity in the attentional processing of severely threatening pictures. Treatment non-responders did not show any changes in selective attention due to CBT. Conclusions: Initial and secondary treatment responders showed a reduction of their predisposition to selectively attend away or toward severely threatening pictures, respectively. Treatment non-responders did not show any changes in selective attention. The pictorial dot-probe task can be considered a potentially valuable tool in assigning children to appropriate treatment formats as well as for monitoring changes in selective attention during the course of CBT. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02143.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=941

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