Maternal Daily Diary Report in the Assessment of Childhood Separation Anxiety / Jennifer L. ALLEN in Journal of Clinical Child & Adolescent Psychology, 39-2 (March-April 2010)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 39-2 (March-April 2010) . - p.252-259 Titre : Maternal Daily Diary Report in the Assessment of Childhood Separation Anxiety Type de document : texte imprimé Auteurs : Jennifer L. ALLEN, Auteur ; Judith BLATTER-MEUNIER, Auteur ; Antonia URSPRUNG, Auteur ; Silvia SCHNEIDER, Auteur Année de publication : 2010 Article en page(s) : p.252-259 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The current study evaluated the feasibility and validity of a parent-report measure of separation anxiety, the Separation Anxiety Daily Diary (SADD). Mother and child participants consisted of three groups: 96 children (aged 4-15 years) with separation anxiety disorder, 49 children with “other” anxiety disorders, and 43 healthy controls. The SADD assesses the frequency of anxiety-provoking and non-anxiety-provoking separations, along with associated parental anxiety, thoughts, child behaviors, and corresponding parental reactions. The SADD demonstrated acceptable compliance and convergent validity with hypothesized measures. Substantial improvement in the prediction of diagnostic group membership was shown when SADD items assessing child symptoms were added to information gathered from a separation anxiety symptom questionnaire. En ligne : http://dx.doi.org/10.1080/15374410903532619 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=991 [article] Maternal Daily Diary Report in the Assessment of Childhood Separation Anxiety [texte imprimé] / Jennifer L. ALLEN, Auteur ; Judith BLATTER-MEUNIER, Auteur ; Antonia URSPRUNG, Auteur ; Silvia SCHNEIDER, Auteur . - 2010 . - p.252-259. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 39-2 (March-April 2010) . - p.252-259 Index. décimale : PER Périodiques Résumé : The current study evaluated the feasibility and validity of a parent-report measure of separation anxiety, the Separation Anxiety Daily Diary (SADD). Mother and child participants consisted of three groups: 96 children (aged 4-15 years) with separation anxiety disorder, 49 children with “other” anxiety disorders, and 43 healthy controls. The SADD assesses the frequency of anxiety-provoking and non-anxiety-provoking separations, along with associated parental anxiety, thoughts, child behaviors, and corresponding parental reactions. The SADD demonstrated acceptable compliance and convergent validity with hypothesized measures. Substantial improvement in the prediction of diagnostic group membership was shown when SADD items assessing child symptoms were added to information gathered from a separation anxiety symptom questionnaire. En ligne : http://dx.doi.org/10.1080/15374410903532619 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=991

Patterns of sub-optimal change following CBT for childhood anxiety / Lizél-Antoinette BERTIE in Journal of Child Psychology and Psychiatry, 65-12 (December 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-12 (December 2024) . - p.1612-1623 Titre : Patterns of sub-optimal change following CBT for childhood anxiety Type de document : texte imprimé Auteurs : Lizél-Antoinette BERTIE, Auteur ; Kristian ARENDT, Auteur ; Jonathan R.I. COLEMAN, Auteur ; Peter J. COOPER, Auteur ; Cathy CRESWELL, Auteur ; Thalia C. ELEY, Auteur ; Catharina A. HARTMAN, Auteur ; Einar R. HEIERVANG, Auteur ; Tina IN-ALBON, Auteur ; Karen KRAUSE, Auteur ; Kathryn J. LESTER, Auteur ; Carla E. MARIN, Auteur ; Maaike H. NAUTA, Auteur ; Ronald M. RAPEE, Auteur ; Silvia SCHNEIDER, Auteur ; Carolyn SCHNIERING, Auteur ; Wendy K. SILVERMAN, Auteur ; Mikael THASTUM, Auteur ; Kerstin THIRLWALL, Auteur ; Polly WAITE, Auteur ; Gro Janne WERGELAND, Auteur ; Jennifer L. HUDSON, Auteur Article en page(s) : p.1612-1623 Langues : Anglais (eng) Mots-clés : Anxiety  childhood  cognitive behavioural therapy  sub-optimal response  response patterns Index. décimale : PER Périodiques Résumé : Background Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub-optimally to CBT, this study investigated youths (N 1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12 months following treatment. Methods Data were collected from 10 clinical sites with assessments at pre-and post-treatment and at least once more at 3, 6 or 12-month follow-up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Results Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Conclusions Sub-optimal response patterns can be partially differentiated using variables assessed at pre-treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision-making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier. En ligne : https://doi.org/10.1111/jcpp.14009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542 [article] Patterns of sub-optimal change following CBT for childhood anxiety [texte imprimé] / Lizél-Antoinette BERTIE, Auteur ; Kristian ARENDT, Auteur ; Jonathan R.I. COLEMAN, Auteur ; Peter J. COOPER, Auteur ; Cathy CRESWELL, Auteur ; Thalia C. ELEY, Auteur ; Catharina A. HARTMAN, Auteur ; Einar R. HEIERVANG, Auteur ; Tina IN-ALBON, Auteur ; Karen KRAUSE, Auteur ; Kathryn J. LESTER, Auteur ; Carla E. MARIN, Auteur ; Maaike H. NAUTA, Auteur ; Ronald M. RAPEE, Auteur ; Silvia SCHNEIDER, Auteur ; Carolyn SCHNIERING, Auteur ; Wendy K. SILVERMAN, Auteur ; Mikael THASTUM, Auteur ; Kerstin THIRLWALL, Auteur ; Polly WAITE, Auteur ; Gro Janne WERGELAND, Auteur ; Jennifer L. HUDSON, Auteur . - p.1612-1623. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-12 (December 2024) . - p.1612-1623 Mots-clés : Anxiety  childhood  cognitive behavioural therapy  sub-optimal response  response patterns Index. décimale : PER Périodiques Résumé : Background Children and adolescents demonstrate diverse patterns of symptom change and disorder remission following cognitive behavioural therapy (CBT) for anxiety disorders. To better understand children who respond sub-optimally to CBT, this study investigated youths (N 1,483) who continued to meet criteria for one or more clinical anxiety diagnosis immediately following treatment or at any point during the 12 months following treatment. Methods Data were collected from 10 clinical sites with assessments at pre-and post-treatment and at least once more at 3, 6 or 12-month follow-up. Participants were assigned to one of three groups based on diagnostic status for youths who: (a) retained an anxiety diagnosis from post to end point (minimal responders); (b) remitted anxiety diagnoses at post but relapsed by end point (relapsed responders); and (c) retained a diagnosis at post but remitted to be diagnosis free at end point (delayed responders). Growth curve models assessed patterns of change over time for the three groups and examined predictors associated with these patterns including demographic, clinical and parental factors, as well as treatment factors. Results Higher primary disorder severity, being older, having a greater number of anxiety disorders, having social anxiety disorder, as well as higher maternal psychopathology differentiated the minimal responders from the delayed and relapsed responders at the baseline. Results from the growth curve models showed that severity of the primary disorder and treatment modality differentiated patterns of linear change only. Higher severity was associated with significantly less improvement over time for the minimal and relapsed response groups, as was receiving group CBT, when compared to the delayed response group. Conclusions Sub-optimal response patterns can be partially differentiated using variables assessed at pre-treatment. Increased understanding of different patterns of change following treatment may provide direction for clinical decision-making and for tailoring treatments to specific groups of clinically anxious youth. Future research may benefit from assessing progress during treatment to detect emerging response patterns earlier. En ligne : https://doi.org/10.1111/jcpp.14009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542

Separation anxiety disorder in children: disorder-specific responses to experimental separation from the mother / Joe KOSSOWSKY in Journal of Child Psychology and Psychiatry, 53-2 (February 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-2 (February 2012) . - p.178-187 Titre : Separation anxiety disorder in children: disorder-specific responses to experimental separation from the mother Type de document : texte imprimé Auteurs : Joe KOSSOWSKY, Auteur ; Frank H. WILHELM, Auteur ; Walton T. ROTH, Auteur ; Silvia SCHNEIDER, Auteur Année de publication : 2012 Article en page(s) : p.178-187 Langues : Anglais (eng) Mots-clés : Childhood anxiety  separation anxiety disorder  autonomic nervous system  respiration Index. décimale : PER Périodiques Résumé : Background:  Separation anxiety disorder (SAD) is one of the most common anxiety disorders in childhood and is predictive of adult anxiety disorders, especially panic disorder. However, the disorder has seldom been studied and the attempt to distinguish SAD from other anxiety disorders with regard to psychophysiology has not been made. We expected exaggerated anxiety as well as sympathetic and respiratory reactivity in SAD during separation from the mother. Method:  Participants were 49 children with a principal diagnosis of SAD, 21 clinical controls (CC) with a principal diagnosis of anxiety disorder other than SAD, and 39 healthy controls (HC) not meeting criteria for any current diagnosis. Analyses of covariance controlling for age were used to assess sympathetic and parasympathetic activation (preejection period and respiratory sinus arrhythmia) as well as cardiovascular (heart rate, mean arterial pressure, total peripheral resistance), respiratory (total breath time, minute ventilation, tidal volume, end-tidal CO2, respiratory variability), electrodermal, and self-report (anxiety, cognitions, symptoms) variables during baseline, 4-min separation from, and reunion with the mother. Results:  Children with a diagnosis of SAD were characterized by elevated self-reported anxiety responses to separation and increased sympathetic reactivity compared with CC and HC groups. The SAD group also displayed greater vagal withdrawal and higher reactivity in multiple cardiovascular, respiratory, and electrodermal measures compared with the HC group, while corresponding responses were less in the CC group and not significantly different from the other groups. Conclusions:  Separation from the mother elicits greater autonomic, respiratory, and experiential responses in children with SAD. Our findings based on brief experimental separation demonstrate differential subjective and physiological manifestations of specific anxiety diagnoses, thus supporting the validity of the diagnostic category of SAD. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02465.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=150 [article] Separation anxiety disorder in children: disorder-specific responses to experimental separation from the mother [texte imprimé] / Joe KOSSOWSKY, Auteur ; Frank H. WILHELM, Auteur ; Walton T. ROTH, Auteur ; Silvia SCHNEIDER, Auteur . - 2012 . - p.178-187. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-2 (February 2012) . - p.178-187 Mots-clés : Childhood anxiety  separation anxiety disorder  autonomic nervous system  respiration Index. décimale : PER Périodiques Résumé : Background:  Separation anxiety disorder (SAD) is one of the most common anxiety disorders in childhood and is predictive of adult anxiety disorders, especially panic disorder. However, the disorder has seldom been studied and the attempt to distinguish SAD from other anxiety disorders with regard to psychophysiology has not been made. We expected exaggerated anxiety as well as sympathetic and respiratory reactivity in SAD during separation from the mother. Method:  Participants were 49 children with a principal diagnosis of SAD, 21 clinical controls (CC) with a principal diagnosis of anxiety disorder other than SAD, and 39 healthy controls (HC) not meeting criteria for any current diagnosis. Analyses of covariance controlling for age were used to assess sympathetic and parasympathetic activation (preejection period and respiratory sinus arrhythmia) as well as cardiovascular (heart rate, mean arterial pressure, total peripheral resistance), respiratory (total breath time, minute ventilation, tidal volume, end-tidal CO2, respiratory variability), electrodermal, and self-report (anxiety, cognitions, symptoms) variables during baseline, 4-min separation from, and reunion with the mother. Results:  Children with a diagnosis of SAD were characterized by elevated self-reported anxiety responses to separation and increased sympathetic reactivity compared with CC and HC groups. The SAD group also displayed greater vagal withdrawal and higher reactivity in multiple cardiovascular, respiratory, and electrodermal measures compared with the HC group, while corresponding responses were less in the CC group and not significantly different from the other groups. Conclusions:  Separation from the mother elicits greater autonomic, respiratory, and experiential responses in children with SAD. Our findings based on brief experimental separation demonstrate differential subjective and physiological manifestations of specific anxiety diagnoses, thus supporting the validity of the diagnostic category of SAD. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02465.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=150

The course of maternal repetitive negative thinking at the transition to motherhood and early mother-infant interactions: Is there a link? / Dana MULLER in Development and Psychopathology, 31-4 (October 2019)  

Public ISBD [article]  inDevelopment and Psychopathology > 31-4 (October 2019) . - p.1411-1421 Titre : The course of maternal repetitive negative thinking at the transition to motherhood and early mother-infant interactions: Is there a link? Type de document : texte imprimé Auteurs : Dana MULLER, Auteur ; Tobias TEISMANN, Auteur ; Gerrit HIRSCHFELD, Auteur ; Norbert ZMYJ, Auteur ; Sabrina FUTHS, Auteur ; Silja VOCKS, Auteur ; Silvia SCHNEIDER, Auteur ; Sabine SEEHAGEN, Auteur Article en page(s) : p.1411-1421 Langues : Anglais (eng) Mots-clés : depression  maternal contingency  mother-infant interaction  repetitive negative thinking  still-face task Index. décimale : PER Périodiques Résumé : Potential long-term associations between repetitive negative thinking and mother-infant interactions have received little attention. The current longitudinal study including N = 62 mother-infant dyads investigated both maternal and infant behavior in face-to-face interactions as a function of pre- and postnatal maternal repetitive negative thinking when infants were aged around 4 months. We hypothesised that mothers with a strong tendency to engage in repetitive negative thinking would react less contingently to their infants' behavior compared to mothers with a weak tendency to engage in repetitive negative thinking. Furthermore, we hypothesised that infants of mothers high in repetitive negative thinking would differ from infants of mothers low in repetitive negative thinking in their reactions in the still-face task. Contrary to expectations, there was no difference in maternal contingency between mothers high versus low in repetitive negative thinking. However, infant behavior in the still-face task differed as a function of maternal repetitive negative thinking status. Specifically, infants of mothers high in repetitive negative thinking spent more time with object/environment engagement than infants of mothers who were low in repetitive negative thinking, and they also protested less frequently. These findings are discussed in terms of their relevance for the intergenerational transmission of mental disorders. En ligne : http://dx.doi.org/10.1017/s0954579418000883 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406 [article] The course of maternal repetitive negative thinking at the transition to motherhood and early mother-infant interactions: Is there a link? [texte imprimé] / Dana MULLER, Auteur ; Tobias TEISMANN, Auteur ; Gerrit HIRSCHFELD, Auteur ; Norbert ZMYJ, Auteur ; Sabrina FUTHS, Auteur ; Silja VOCKS, Auteur ; Silvia SCHNEIDER, Auteur ; Sabine SEEHAGEN, Auteur . - p.1411-1421. Langues : Anglais (eng) in Development and Psychopathology > 31-4 (October 2019) . - p.1411-1421 Mots-clés : depression  maternal contingency  mother-infant interaction  repetitive negative thinking  still-face task Index. décimale : PER Périodiques Résumé : Potential long-term associations between repetitive negative thinking and mother-infant interactions have received little attention. The current longitudinal study including N = 62 mother-infant dyads investigated both maternal and infant behavior in face-to-face interactions as a function of pre- and postnatal maternal repetitive negative thinking when infants were aged around 4 months. We hypothesised that mothers with a strong tendency to engage in repetitive negative thinking would react less contingently to their infants' behavior compared to mothers with a weak tendency to engage in repetitive negative thinking. Furthermore, we hypothesised that infants of mothers high in repetitive negative thinking would differ from infants of mothers low in repetitive negative thinking in their reactions in the still-face task. Contrary to expectations, there was no difference in maternal contingency between mothers high versus low in repetitive negative thinking. However, infant behavior in the still-face task differed as a function of maternal repetitive negative thinking status. Specifically, infants of mothers high in repetitive negative thinking spent more time with object/environment engagement than infants of mothers who were low in repetitive negative thinking, and they also protested less frequently. These findings are discussed in terms of their relevance for the intergenerational transmission of mental disorders. En ligne : http://dx.doi.org/10.1017/s0954579418000883 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406

The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders / Anna MCKINNON in Journal of Child Psychology and Psychiatry, 59-7 (July 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.763-772 Titre : The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders Type de document : texte imprimé Auteurs : Anna MCKINNON, Auteur ; Robert KEERS, Auteur ; Jonathan R.I. COLEMAN, Auteur ; Kathryn J. LESTER, Auteur ; S. Wendy ROBERTS, Auteur ; Kristian ARENDT, Auteur ; Susan M. BOGELS, Auteur ; Peter J. COOPER, Auteur ; Cathy CRESWELL, Auteur ; Catharina A. HARTMAN, Auteur ; Krister W. FJERMESTAD, Auteur ; Tina IN-ALBON, Auteur ; Kristen LAVALLEE, Auteur ; Heidi J. LYNEHAM, Auteur ; Paula SMITH, Auteur ; Richard MEISER-STEDMAN, Auteur ; Maaike H. NAUTA, Auteur ; Ronald M. RAPEE, Auteur ; Yasmin REY, Auteur ; Silvia SCHNEIDER, Auteur ; Wendy K. SILVERMAN, Auteur ; Mikael THASTUM, Auteur ; Kerstin THIRLWALL, Auteur ; Gro Janne WERGELAND, Auteur ; Thalia C. ELEY, Auteur ; Jennifer L. HUDSON, Auteur Année de publication : 2018 Article en page(s) : p.763-772 Langues : Anglais (eng) Mots-clés : Anxiety  cognitive therapy  treatment trials Index. décimale : PER Périodiques Résumé : BACKGROUND: Several delivery formats of cognitive behaviour therapy (CBT) for child anxiety have been proposed, however, there is little consensus on the optimal delivery format. The primary goal of this study was to investigate the impact of the child's primary anxiety diagnosis on changes in clinical severity (of the primary problem) during individual CBT, group CBT and guided parent-led CBT. The secondary goal was to investigate the impact of the child's primary anxiety diagnosis on rates of remission for the three treatment formats. METHODS: A sample of 1,253 children (5-12 years; Mage = 9.3, SD = 1.7) was pooled from CBT trials carried out at 10 sites. Children had a primary diagnosis of generalised anxiety disorder (GAD), social anxiety disorder (SoAD), specific phobia (SP) or separation anxiety disorder (SAD). Children and parents completed a semistructured clinical interview to assess the presence and severity of DSM-IV psychiatric disorders at preintervention, postintervention and follow-up. Linear mixture modelling was used to evaluate the primary research question and logistic modelling was used to investigate the secondary research question. RESULTS: In children with primary GAD, SAD or SoAD, there were no significant differences between delivery formats. However, children with primary SP showed significantly larger reductions in clinical severity following individual CBT compared to group CBT and guided parent-led CBT. The results were mirrored in the analysis of remission responses with the exception that individual CBT was no longer superior to group CBT for children with a primary SP. The difference between individual and group was not significant when follow-up data were examined separately. CONCLUSIONS: Data 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. En ligne : http://dx.doi.org/10.1111/jcpp.12872 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders [texte imprimé] / Anna MCKINNON, Auteur ; Robert KEERS, Auteur ; Jonathan R.I. COLEMAN, Auteur ; Kathryn J. LESTER, Auteur ; S. Wendy ROBERTS, Auteur ; Kristian ARENDT, Auteur ; Susan M. BOGELS, Auteur ; Peter J. COOPER, Auteur ; Cathy CRESWELL, Auteur ; Catharina A. HARTMAN, Auteur ; Krister W. FJERMESTAD, Auteur ; Tina IN-ALBON, Auteur ; Kristen LAVALLEE, Auteur ; Heidi J. LYNEHAM, Auteur ; Paula SMITH, Auteur ; Richard MEISER-STEDMAN, Auteur ; Maaike H. NAUTA, Auteur ; Ronald M. RAPEE, Auteur ; Yasmin REY, Auteur ; Silvia SCHNEIDER, Auteur ; Wendy K. SILVERMAN, Auteur ; Mikael THASTUM, Auteur ; Kerstin THIRLWALL, Auteur ; Gro Janne WERGELAND, Auteur ; Thalia C. ELEY, Auteur ; Jennifer L. HUDSON, Auteur . - 2018 . - p.763-772. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.763-772 Mots-clés : Anxiety  cognitive therapy  treatment trials Index. décimale : PER Périodiques Résumé : BACKGROUND: Several delivery formats of cognitive behaviour therapy (CBT) for child anxiety have been proposed, however, there is little consensus on the optimal delivery format. The primary goal of this study was to investigate the impact of the child's primary anxiety diagnosis on changes in clinical severity (of the primary problem) during individual CBT, group CBT and guided parent-led CBT. The secondary goal was to investigate the impact of the child's primary anxiety diagnosis on rates of remission for the three treatment formats. METHODS: A sample of 1,253 children (5-12 years; Mage = 9.3, SD = 1.7) was pooled from CBT trials carried out at 10 sites. Children had a primary diagnosis of generalised anxiety disorder (GAD), social anxiety disorder (SoAD), specific phobia (SP) or separation anxiety disorder (SAD). Children and parents completed a semistructured clinical interview to assess the presence and severity of DSM-IV psychiatric disorders at preintervention, postintervention and follow-up. Linear mixture modelling was used to evaluate the primary research question and logistic modelling was used to investigate the secondary research question. RESULTS: In children with primary GAD, SAD or SoAD, there were no significant differences between delivery formats. However, children with primary SP showed significantly larger reductions in clinical severity following individual CBT compared to group CBT and guided parent-led CBT. The results were mirrored in the analysis of remission responses with the exception that individual CBT was no longer superior to group CBT for children with a primary SP. The difference between individual and group was not significant when follow-up data were examined separately. CONCLUSIONS: Data 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. En ligne : http://dx.doi.org/10.1111/jcpp.12872 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

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