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 et/ou numérique 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 et/ou numérique] / 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

No differences between group versus individual treatment of childhood anxiety disorders in a randomised clinical trial / Juliette M. LIBER in Journal of Child Psychology and Psychiatry, 49-8 (August 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-8 (August 2008) . - p.886 - 893 Titre : No differences between group versus individual treatment of childhood anxiety disorders in a randomised clinical trial Type de document : Texte imprimé et/ou numérique Auteurs : Juliette M. LIBER, Auteur ; Robert F. FERDINAND, Auteur ; Philip D.A. TREFFERS, Auteur ; Brigit M. VAN WIDENFELT, Auteur ; Elisabeth M.W.J. UTENS, Auteur ; Adelinde J.M. VAN DER LEEDEN, Auteur ; Willemijn VAN GASTEL, Auteur Année de publication : 2008 Article en page(s) : p.886 - 893 Langues : Anglais (eng) Mots-clés : Childhood-anxiety-disorders cognitive-behaviour-therapy randomised-clinical-trial internalising-disorder intervention Index. décimale : PER Périodiques Résumé : Background: The present study compares an individual versus a group format in the delivery of manualised cognitive-behavioural therapy (FRIENDS) for children with anxiety disorders. Clinically referred children (aged 8 to 12) diagnosed with Separation Anxiety Disorder (n = 52), Generalised Anxiety Disorder (n = 37), Social Phobia (n = 22) or Specific Phobia (n = 16) were randomly assigned to individual (n = 65) or group (n = 62) treatment. Method: Analyses were conducted separately for the intent-to-treat sample and the sample of children who completed treatment. Analyses included chi-square comparisons and regression analyses with treatment format as a predictor. Results: Forty-eight percent of the children in the individual versus 41% in the group treatment were free of any anxiety disorder at post-treatment; 62% versus 54% were free of their primary anxiety disorder. Regression analyses showed no significant difference in outcome between individual and group treatment. Conclusions: Children improved in both conditions. Choice between treatments could be based on pragmatic considerations such as therapeutic resources, referral rates, and the preference of the parents and the child. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01877.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542 [article] No differences between group versus individual treatment of childhood anxiety disorders in a randomised clinical trial [Texte imprimé et/ou numérique] / Juliette M. LIBER, Auteur ; Robert F. FERDINAND, Auteur ; Philip D.A. TREFFERS, Auteur ; Brigit M. VAN WIDENFELT, Auteur ; Elisabeth M.W.J. UTENS, Auteur ; Adelinde J.M. VAN DER LEEDEN, Auteur ; Willemijn VAN GASTEL, Auteur . - 2008 . - p.886 - 893. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-8 (August 2008) . - p.886 - 893 Mots-clés : Childhood-anxiety-disorders cognitive-behaviour-therapy randomised-clinical-trial internalising-disorder intervention Index. décimale : PER Périodiques Résumé : Background: The present study compares an individual versus a group format in the delivery of manualised cognitive-behavioural therapy (FRIENDS) for children with anxiety disorders. Clinically referred children (aged 8 to 12) diagnosed with Separation Anxiety Disorder (n = 52), Generalised Anxiety Disorder (n = 37), Social Phobia (n = 22) or Specific Phobia (n = 16) were randomly assigned to individual (n = 65) or group (n = 62) treatment. Method: Analyses were conducted separately for the intent-to-treat sample and the sample of children who completed treatment. Analyses included chi-square comparisons and regression analyses with treatment format as a predictor. Results: Forty-eight percent of the children in the individual versus 41% in the group treatment were free of any anxiety disorder at post-treatment; 62% versus 54% were free of their primary anxiety disorder. Regression analyses showed no significant difference in outcome between individual and group treatment. Conclusions: Children improved in both conditions. Choice between treatments could be based on pragmatic considerations such as therapeutic resources, referral rates, and the preference of the parents and the child. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01877.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542

Parenting and Parental Anxiety and Depression as Predictors of Treatment Outcome for Childhood Anxiety Disorders: Has the Role of Fathers Been Underestimated? / Juliette M. LIBER in Journal of Clinical Child & Adolescent Psychology, 37-4 (October-December 2008)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 37-4 (October-December 2008) . - p.747-758 Titre : Parenting and Parental Anxiety and Depression as Predictors of Treatment Outcome for Childhood Anxiety Disorders: Has the Role of Fathers Been Underestimated? Type de document : Texte imprimé et/ou numérique Auteurs : Juliette M. LIBER, Auteur ; Arnold W. GOEDHART, Auteur ; Philip D.A. TREFFERS, Auteur ; Brigit M. VAN WIDENFELT, Auteur ; Elisabeth M.W.J. UTENS, Auteur ; Adelinde J.M. VAN DER LEEDEN, Auteur ; Monica T. MARKUS, Auteur Année de publication : 2008 Article en page(s) : p.747-758 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Abstract A substantial percentage of children with anxiety disorders do not respond adequately to Cognitive Behavioral Therapy (CBT). Examination of parental factors related to treatment outcome could contribute to a further understanding of treatment outcome responses. This study investigated the predictive value of paternal and maternal emotional warmth, rejection, overprotection, anxiety, and depression for CBT outcome in clinic-referred anxious children (ages 8-12). Levels of maternal emotional warmth, paternal rejection and anxiety, and depressive symptoms predicted treatment success and failure. A higher level of maternal emotional warmth was associated with a less favorable treatment outcome. Higher levels of paternal rejection, anxiety, and depressive symptoms were consistently associated with a less favorable treatment outcome. En ligne : http://dx.doi.org/10.1080/15374410802359692 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=645 [article] Parenting and Parental Anxiety and Depression as Predictors of Treatment Outcome for Childhood Anxiety Disorders: Has the Role of Fathers Been Underestimated? [Texte imprimé et/ou numérique] / Juliette M. LIBER, Auteur ; Arnold W. GOEDHART, Auteur ; Philip D.A. TREFFERS, Auteur ; Brigit M. VAN WIDENFELT, Auteur ; Elisabeth M.W.J. UTENS, Auteur ; Adelinde J.M. VAN DER LEEDEN, Auteur ; Monica T. MARKUS, Auteur . - 2008 . - p.747-758. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 37-4 (October-December 2008) . - p.747-758 Index. décimale : PER Périodiques Résumé : Abstract A substantial percentage of children with anxiety disorders do not respond adequately to Cognitive Behavioral Therapy (CBT). Examination of parental factors related to treatment outcome could contribute to a further understanding of treatment outcome responses. This study investigated the predictive value of paternal and maternal emotional warmth, rejection, overprotection, anxiety, and depression for CBT outcome in clinic-referred anxious children (ages 8-12). Levels of maternal emotional warmth, paternal rejection and anxiety, and depressive symptoms predicted treatment success and failure. A higher level of maternal emotional warmth was associated with a less favorable treatment outcome. Higher levels of paternal rejection, anxiety, and depressive symptoms were consistently associated with a less favorable treatment outcome. En ligne : http://dx.doi.org/10.1080/15374410802359692 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=645

Prevalence and correlates of psychopathology in a sample of deaf adolescents / Tiejo VAN GENT in Journal of Child Psychology and Psychiatry, 48-9 (September 2007)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 48-9 (September 2007) . - p.950–958 Titre : Prevalence and correlates of psychopathology in a sample of deaf adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Tiejo VAN GENT, Auteur ; Arnold W. GOEDHART, Auteur ; Peter A. HINDLEY, Auteur ; Philip D.A. TREFFERS, Auteur Année de publication : 2007 Article en page(s) : p.950–958 Langues : Anglais (eng) Mots-clés : Psychopathology deaf adolescents Index. décimale : PER Périodiques Résumé : Aims: To examine prevalence and correlates of psychopathology in deaf adolescents using a multi-method multi-informant approach. Methods: Data for the study came from checklist assessments by parents (Child Behavior Checklist (CBCL)) and teachers (Teacher's Report Form (TRF)) of 70 deaf adolescents aged 13 to 21 years, from semi-structured clinical interviews of the adolescents (Semi-structured Clinical Interview for Children and Adolescents (SCICA)), and from expert ratings of dossier data. Results: The percentages of Total Problems scores in the borderline clinical range in this population as found with the CBCL, TRF and SCICA are 28%, 32% and 49–63% respectively. Expert dossier ratings identified psychiatric caseness in 49% and DSM-classifications in 46% of the adolescents (primary classifications: emotional disorder 27%, behavioral disorder 11%, other disorder 7%). Cross-informant agreement between single ratings and expert dossier ratings was better than agreement between single ratings. Logistic regression analyses revealed that low IQ, a signing mode of communication and a history of three or more physical disorders were associated with psychiatric caseness. Conclusions: Findings suggest a high prevalence of psychopathology in the population studied and argue for a special focus on the early detection of significant emotional and behavioral problems as well as a multi-informant approach to the assessment of disorder in deaf children and adolescents. The correlational findings support the view that it is not deafness per se that contributes to psychiatric problems. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01775.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=164 [article] Prevalence and correlates of psychopathology in a sample of deaf adolescents [Texte imprimé et/ou numérique] / Tiejo VAN GENT, Auteur ; Arnold W. GOEDHART, Auteur ; Peter A. HINDLEY, Auteur ; Philip D.A. TREFFERS, Auteur . - 2007 . - p.950–958. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 48-9 (September 2007) . - p.950–958 Mots-clés : Psychopathology deaf adolescents Index. décimale : PER Périodiques Résumé : Aims: To examine prevalence and correlates of psychopathology in deaf adolescents using a multi-method multi-informant approach. Methods: Data for the study came from checklist assessments by parents (Child Behavior Checklist (CBCL)) and teachers (Teacher's Report Form (TRF)) of 70 deaf adolescents aged 13 to 21 years, from semi-structured clinical interviews of the adolescents (Semi-structured Clinical Interview for Children and Adolescents (SCICA)), and from expert ratings of dossier data. Results: The percentages of Total Problems scores in the borderline clinical range in this population as found with the CBCL, TRF and SCICA are 28%, 32% and 49–63% respectively. Expert dossier ratings identified psychiatric caseness in 49% and DSM-classifications in 46% of the adolescents (primary classifications: emotional disorder 27%, behavioral disorder 11%, other disorder 7%). Cross-informant agreement between single ratings and expert dossier ratings was better than agreement between single ratings. Logistic regression analyses revealed that low IQ, a signing mode of communication and a history of three or more physical disorders were associated with psychiatric caseness. Conclusions: Findings suggest a high prevalence of psychopathology in the population studied and argue for a special focus on the early detection of significant emotional and behavioral problems as well as a multi-informant approach to the assessment of disorder in deaf children and adolescents. The correlational findings support the view that it is not deafness per se that contributes to psychiatric problems. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01775.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=164

Self-concept and psychopathology in deaf adolescents: preliminary support for moderating effects of deafness-related characteristics and peer problems / Tiejo VAN GENT in Journal of Child Psychology and Psychiatry, 52-6 (June 2011)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 52-6 (June 2011) . - p.720-728 Titre : Self-concept and psychopathology in deaf adolescents: preliminary support for moderating effects of deafness-related characteristics and peer problems Type de document : Texte imprimé et/ou numérique Auteurs : Tiejo VAN GENT, Auteur ; Arnold W. GOEDHART, Auteur ; Philip D.A. TREFFERS, Auteur Année de publication : 2011 Article en page(s) : p.720-728 Langues : Anglais (eng) Mots-clés : Self-esteem  stress  mental health  hearing loss  adolescence Index. décimale : PER Périodiques Résumé : Background:  High rates of psychopathology were found amongst deaf adolescents, but little is known about the psychosocial risk factors. This study investigated whether (1) less severe deafness and/or acquired or otherwise complicated deafness, and (2) having mainly contacts with hearing people, each represent chronic stressful conditions that moderate the associations between self-esteem and emotional problems. In addition, the moderating effect of observed peer rejection on the association between social acceptance and behavioural problems was explored. Method:  Deaf adolescents of normal intelligence (N = 68) completed the Self Perception Profile for Adolescents. Psychopathology was assessed using a semi-structured interview with adolescents and reports by parents, teachers and expert ratings. Data on moderator variables were collected from school records, parental and teachers’ reports. Results:  Emotional mental health problems were negatively associated with self-esteem and positively with peer rejection. The association between self-esteem and emotional problems was moderated by the deafness variable less severe deafness or acquired or otherwise complicated deafness. Behavioural mental health problems were positively associated with social acceptance and peer rejection but negatively with the amount of involvement with hearing people. Peer rejection moderated the association between social acceptance and behavioural problems. Conclusions:  The findings emphasise the importance of considering self-concept dimensions, peer problems and deafness- and context-related characteristics when assessing and treating deaf adolescents. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02392.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=126 [article] Self-concept and psychopathology in deaf adolescents: preliminary support for moderating effects of deafness-related characteristics and peer problems [Texte imprimé et/ou numérique] / Tiejo VAN GENT, Auteur ; Arnold W. GOEDHART, Auteur ; Philip D.A. TREFFERS, Auteur . - 2011 . - p.720-728. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 52-6 (June 2011) . - p.720-728 Mots-clés : Self-esteem  stress  mental health  hearing loss  adolescence Index. décimale : PER Périodiques Résumé : Background:  High rates of psychopathology were found amongst deaf adolescents, but little is known about the psychosocial risk factors. This study investigated whether (1) less severe deafness and/or acquired or otherwise complicated deafness, and (2) having mainly contacts with hearing people, each represent chronic stressful conditions that moderate the associations between self-esteem and emotional problems. In addition, the moderating effect of observed peer rejection on the association between social acceptance and behavioural problems was explored. Method:  Deaf adolescents of normal intelligence (N = 68) completed the Self Perception Profile for Adolescents. Psychopathology was assessed using a semi-structured interview with adolescents and reports by parents, teachers and expert ratings. Data on moderator variables were collected from school records, parental and teachers’ reports. Results:  Emotional mental health problems were negatively associated with self-esteem and positively with peer rejection. The association between self-esteem and emotional problems was moderated by the deafness variable less severe deafness or acquired or otherwise complicated deafness. Behavioural mental health problems were positively associated with social acceptance and peer rejection but negatively with the amount of involvement with hearing people. Peer rejection moderated the association between social acceptance and behavioural problems. Conclusions:  The findings emphasise the importance of considering self-concept dimensions, peer problems and deafness- and context-related characteristics when assessing and treating deaf adolescents. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02392.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=126

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