Assessment of anxiety and behavior disorders among autistic children and youths with intellectual and developmental disabilities / Einar R. HEIERVANG ; Børge MATHIASSEN ; Michael G. AMAN ; Sabine KAISER ; Sissel Berge HELVERSCHOU in Research in Autism, 121-122 (March-April 2025)  

Public ISBD [article]  inResearch in Autism > 121-122 (March-April 2025) . - 202550 Titre : Assessment of anxiety and behavior disorders among autistic children and youths with intellectual and developmental disabilities Type de document : texte imprimé Auteurs : Einar R. HEIERVANG, Auteur ; Børge MATHIASSEN, Auteur ; Michael G. AMAN, Auteur ; Sabine KAISER, Auteur ; Sissel Berge HELVERSCHOU, Auteur Article en page(s) : 202550 Langues : Anglais (eng) Mots-clés : Adolescence  Assessment  Autism  Childhood  Measure  Mental health disorder Index. décimale : PER Périodiques Résumé : Background There is a debate regarding the use of instruments that were originally developed for neurotypical populations and subsequently applied to neurodiverse populations. One concern is the risk of downplaying the complex presentation of mental health (MH) symptoms in individuals who are neurodiverse. In this study, we sought to explore MH disorder construct convergence across broad-band instruments developed for people with autism (ASD) or developmental disabilities (IDDs) (i.e., ASD/IDD instruments) and a non-ASD/IDD instrument based on established diagnostic taxonomy. Methods In total, 121 children with IDDs (full scale IQ M =80.8, SD=20.6), including those with ASD, participated. The conceptual overlap between emotional and behavioral subscales from the Developmental Behavior Checklist (DBC), Aberrant Behavior Checklist (ABC), and Psychopathology in Autism Checklist (PAC), on the one hand and emotional and behavioral diagnoses derived from the Developmental and Well-Being Assessment interview (DAWBA), on the other hand, was examined. Results Subscales from the DBC, ABC, and PAC showed adequate and good correspondence with anxiety disorders and oppositional conduct disorder diagnoses, respectively, derived from the DAWBA. There were meaningful correlations between lower adaptive communication skills/IQ and ASD/IDD instrument subscales reflecting stereotyped and repetitive motor movements, pica, and self-injurious behavior. Conclusion The ASD/IDD tools showed acceptable MH disorder construct convergence with a non-ASD/IDD diagnostic interview. As they perform well, instruments developed for people with ASD/IDD should be given priority in initial MH assessments. En ligne : https://doi.org/10.1016/j.reia.2025.202550 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 [article] Assessment of anxiety and behavior disorders among autistic children and youths with intellectual and developmental disabilities [texte imprimé] / Einar R. HEIERVANG, Auteur ; Børge MATHIASSEN, Auteur ; Michael G. AMAN, Auteur ; Sabine KAISER, Auteur ; Sissel Berge HELVERSCHOU, Auteur . - 202550. Langues : Anglais (eng) in Research in Autism > 121-122 (March-April 2025) . - 202550 Mots-clés : Adolescence  Assessment  Autism  Childhood  Measure  Mental health disorder Index. décimale : PER Périodiques Résumé : Background There is a debate regarding the use of instruments that were originally developed for neurotypical populations and subsequently applied to neurodiverse populations. One concern is the risk of downplaying the complex presentation of mental health (MH) symptoms in individuals who are neurodiverse. In this study, we sought to explore MH disorder construct convergence across broad-band instruments developed for people with autism (ASD) or developmental disabilities (IDDs) (i.e., ASD/IDD instruments) and a non-ASD/IDD instrument based on established diagnostic taxonomy. Methods In total, 121 children with IDDs (full scale IQ M =80.8, SD=20.6), including those with ASD, participated. The conceptual overlap between emotional and behavioral subscales from the Developmental Behavior Checklist (DBC), Aberrant Behavior Checklist (ABC), and Psychopathology in Autism Checklist (PAC), on the one hand and emotional and behavioral diagnoses derived from the Developmental and Well-Being Assessment interview (DAWBA), on the other hand, was examined. Results Subscales from the DBC, ABC, and PAC showed adequate and good correspondence with anxiety disorders and oppositional conduct disorder diagnoses, respectively, derived from the DAWBA. There were meaningful correlations between lower adaptive communication skills/IQ and ASD/IDD instrument subscales reflecting stereotyped and repetitive motor movements, pica, and self-injurious behavior. Conclusion The ASD/IDD tools showed acceptable MH disorder construct convergence with a non-ASD/IDD diagnostic interview. As they perform well, instruments developed for people with ASD/IDD should be given priority in initial MH assessments. En ligne : https://doi.org/10.1016/j.reia.2025.202550 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555

Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications, and future directions / Thomas M. ACHENBACH in Journal of Child Psychology and Psychiatry, 49-3 (March 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.251-275 Titre : Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications, and future directions Type de document : texte imprimé Auteurs : Thomas M. ACHENBACH, Auteur ; Aribert ROTHENBERGER, Auteur ; Andreas BECKER, Auteur ; Hans-Christoph STEINHAUSEN, Auteur ; Manfred DOPFNER, Auteur ; Einar R. HEIERVANG, Auteur ; Veit ROESSNER, Auteur Année de publication : 2008 Article en page(s) : p.251-275 Langues : Anglais (eng) Mots-clés : Multicultural psychopathology assessment dimensional informant-ratings cross-cultural Child-Behavior-Checklist rating-scales trans-cultural Strengths-and-Difficulties-Questionnaire dimensional-assessment Index. décimale : PER Périodiques Résumé : Around the world, cultural blending and conflict pose challenges for assessment and understanding of psychopathology. Economical, evidence-based, culturally robust assessment is needed for research, for answering public health questions, and for evaluating immigrant, refugee, and minority children. This article applies multicultural perspectives to behavioral, emotional, and social problems assessed on dimensions describing children's functioning, as rated by parents, teachers, children, and others. The development of Achenbach System of Empirically Based Assessment (ASEBA) and Strengths and Difficulties Questionnaire (SDQ) forms and their applications to multicultural research are presented. A primary aim of both questionnaires is to identify children at high risk of psychiatric disorders and who therefore warrant further assessment. The forms are self-administered or administered by lay interviewers. ASEBA problem items are scored on 6 DSM-oriented scales and 3 broader band scales, plus 8 syndromes derived statistically as taxonomic constructs and supported by uniform confirmatory factor analyses of samples from many populations. Comparisons of ASEBA scale scores, psychometrics, and correlates are available for diverse populations. SDQ forms are scored on one broad-band scale and 5 a priori behavioral dimensions supported by data from various populations. For both instruments, factor analyses, psychometrics, and correlates are available for diverse populations. The willingness and ability of hundreds of thousands of respondents from diverse groups to complete ASEBA and SDQ forms support this approach to multicultural assessment. Although particular items and scales may have differential relevance among groups and additional assessment procedures are needed, comparable results are found in many populations. Scale scores vary more within than between populations, and distributions of scores overlap greatly among different populations. Ratings of children's problems thus indicate more heterogeneity within populations than distinctiveness between populations. Norms from multiple populations can be used to compare children's scores with relevant peer groups. Multicultural dimensional research can advance knowledge by diversifying normative data; by comparing immigrant children with nonimmigrant compatriots and with host country children; by identifying outlier findings for elucidation by emic research; and by fostering efforts to dimensionalize DSM-V diagnostic criteria. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01867.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=336 [article] Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications, and future directions [texte imprimé] / Thomas M. ACHENBACH, Auteur ; Aribert ROTHENBERGER, Auteur ; Andreas BECKER, Auteur ; Hans-Christoph STEINHAUSEN, Auteur ; Manfred DOPFNER, Auteur ; Einar R. HEIERVANG, Auteur ; Veit ROESSNER, Auteur . - 2008 . - p.251-275. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-3 (March 2008) . - p.251-275 Mots-clés : Multicultural psychopathology assessment dimensional informant-ratings cross-cultural Child-Behavior-Checklist rating-scales trans-cultural Strengths-and-Difficulties-Questionnaire dimensional-assessment Index. décimale : PER Périodiques Résumé : Around the world, cultural blending and conflict pose challenges for assessment and understanding of psychopathology. Economical, evidence-based, culturally robust assessment is needed for research, for answering public health questions, and for evaluating immigrant, refugee, and minority children. This article applies multicultural perspectives to behavioral, emotional, and social problems assessed on dimensions describing children's functioning, as rated by parents, teachers, children, and others. The development of Achenbach System of Empirically Based Assessment (ASEBA) and Strengths and Difficulties Questionnaire (SDQ) forms and their applications to multicultural research are presented. A primary aim of both questionnaires is to identify children at high risk of psychiatric disorders and who therefore warrant further assessment. The forms are self-administered or administered by lay interviewers. ASEBA problem items are scored on 6 DSM-oriented scales and 3 broader band scales, plus 8 syndromes derived statistically as taxonomic constructs and supported by uniform confirmatory factor analyses of samples from many populations. Comparisons of ASEBA scale scores, psychometrics, and correlates are available for diverse populations. SDQ forms are scored on one broad-band scale and 5 a priori behavioral dimensions supported by data from various populations. For both instruments, factor analyses, psychometrics, and correlates are available for diverse populations. The willingness and ability of hundreds of thousands of respondents from diverse groups to complete ASEBA and SDQ forms support this approach to multicultural assessment. Although particular items and scales may have differential relevance among groups and additional assessment procedures are needed, comparable results are found in many populations. Scale scores vary more within than between populations, and distributions of scores overlap greatly among different populations. Ratings of children's problems thus indicate more heterogeneity within populations than distinctiveness between populations. Norms from multiple populations can be used to compare children's scores with relevant peer groups. Multicultural dimensional research can advance knowledge by diversifying normative data; by comparing immigrant children with nonimmigrant compatriots and with host country children; by identifying outlier findings for elucidation by emic research; and by fostering efforts to dimensionalize DSM-V diagnostic criteria. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01867.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=336

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

The Nordic advantage in child mental health: separating health differences from reporting style in a cross-cultural comparison of psychopathology / Einar R. HEIERVANG in Journal of Child Psychology and Psychiatry, 49-6 (June 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-6 (June 2008) . - p.678-685 Titre : The Nordic advantage in child mental health: separating health differences from reporting style in a cross-cultural comparison of psychopathology Type de document : texte imprimé Auteurs : Einar R. HEIERVANG, Auteur ; Robert GOODMAN, Auteur ; Anna GOODMAN, Auteur Année de publication : 2008 Article en page(s) : p.678-685 Langues : Anglais (eng) Mots-clés : Cross-cultural comparison child psychopathology informant Index. décimale : PER Périodiques Résumé : Background: The use of similar standardised measures of psychopathology for population surveys permits cross-cultural comparisons. However, interpretation of findings can be challenging because rating thresholds may differ across cultures. By combining questionnaire and interview data, we explore whether lower questionnaire scores in Norway as compared to Britain reflect genuine differences in child mental health, or simply different reporting thresholds. Methods: Information from the Strengths and Difficulties Questionnaire (SDQ) and the Development and Well-Being Assessment (DAWBA) interview were compared across recent population surveys in Norway and Britain. The Norwegian study (2002–03) had questionnaire data for 6,658 and interview data for 1,024 8–10-year-old children. The British dataset included questionnaire and interview data for 4,898 children of the same age range from two independent surveys (1999 and 2004). Results: Norwegian children had lower SDQ scores on all problem scales (emotional, behavioural, hyperactive and peer relationship) according to parents as well as teachers. DAWBA information showed that the Norwegian prevalence of externalising disorders (behavioural and hyperactivity) was about half that found in Britain, whereas rates of emotional disorders were similar. Norwegian and British children with non-emotional disorders had similar questionnaire scores and rates of problem-recognition by parents and teachers. By contrast, questionnaire scores and problem-recognition were all lower in Norwegian children with emotional disorders. Conclusions: Lower Norwegian questionnaire scores for externalising problems appear to reflect real and substantial differences between the two countries. By contrast, lower questionnaire scores for emotional problems seem to reflect under-reporting/under-recognition by Norwegian adults, and not a genuinely lower prevalence of emotional disorders. This illustrates that cross-cultural differences in psychopathology based only on questionnaire data may be misleading. Nevertheless, careful use of questionnaire and interview data can focus mental health research on cross-cultural variations likely to reflect genuine health differences. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01882.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] The Nordic advantage in child mental health: separating health differences from reporting style in a cross-cultural comparison of psychopathology [texte imprimé] / Einar R. HEIERVANG, Auteur ; Robert GOODMAN, Auteur ; Anna GOODMAN, Auteur . - 2008 . - p.678-685. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-6 (June 2008) . - p.678-685 Mots-clés : Cross-cultural comparison child psychopathology informant Index. décimale : PER Périodiques Résumé : Background: The use of similar standardised measures of psychopathology for population surveys permits cross-cultural comparisons. However, interpretation of findings can be challenging because rating thresholds may differ across cultures. By combining questionnaire and interview data, we explore whether lower questionnaire scores in Norway as compared to Britain reflect genuine differences in child mental health, or simply different reporting thresholds. Methods: Information from the Strengths and Difficulties Questionnaire (SDQ) and the Development and Well-Being Assessment (DAWBA) interview were compared across recent population surveys in Norway and Britain. The Norwegian study (2002–03) had questionnaire data for 6,658 and interview data for 1,024 8–10-year-old children. The British dataset included questionnaire and interview data for 4,898 children of the same age range from two independent surveys (1999 and 2004). Results: Norwegian children had lower SDQ scores on all problem scales (emotional, behavioural, hyperactive and peer relationship) according to parents as well as teachers. DAWBA information showed that the Norwegian prevalence of externalising disorders (behavioural and hyperactivity) was about half that found in Britain, whereas rates of emotional disorders were similar. Norwegian and British children with non-emotional disorders had similar questionnaire scores and rates of problem-recognition by parents and teachers. By contrast, questionnaire scores and problem-recognition were all lower in Norwegian children with emotional disorders. Conclusions: Lower Norwegian questionnaire scores for externalising problems appear to reflect real and substantial differences between the two countries. By contrast, lower questionnaire scores for emotional problems seem to reflect under-reporting/under-recognition by Norwegian adults, and not a genuinely lower prevalence of emotional disorders. This illustrates that cross-cultural differences in psychopathology based only on questionnaire data may be misleading. Nevertheless, careful use of questionnaire and interview data can focus mental health research on cross-cultural variations likely to reflect genuine health differences. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01882.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders / Krister W. FJERMESTAD in Journal of Child Psychology and Psychiatry, 57-5 (May 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.625-632 Titre : Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders Type de document : texte imprimé Auteurs : Krister W. FJERMESTAD, Auteur ; Matthew D. LERNER, Auteur ; Bryce D. MCLEOD, Auteur ; Gro Janne WERGELAND, Auteur ; Einar R. HEIERVANG, Auteur ; Wendy K. SILVERMAN, Auteur ; Lars-Göran ÖST, Auteur ; Andres DE LOS REYES, Auteur ; Odd E. HAVIK, Auteur ; Bente S.M. HAUGLAND, Auteur Article en page(s) : p.625-632 Langues : Anglais (eng) Mots-clés : Alliance  alliance agreement  CBT  anxiety  youth Index. décimale : PER Périodiques Résumé : Background In individual cognitive behavioral therapy (ICBT) for youth anxiety disorders, it is unclear whether, and from whose perspective, the alliance predicts outcome. We examined whether youth- and therapist-rated alliance, including level of youth-therapist alliance agreement, predicted outcome in a randomized controlled trial. Methods Youth (N = 91, M age = 11.4 years (SD = 2.1), 49.5% boys, 86.8% Caucasian) diagnosed with separation anxiety disorder, social phobia, or generalized anxiety disorder drawn from the ICBT condition of an effectiveness trial were treated with an ICBT program. Youth- and therapist-rated alliance ratings, assessed with the Therapeutic Alliance Scale for Children (TASC-C/T), were collected following session 3 (early) and 7 (late). Early alliance, change in alliance from early to late, and level of youth-therapist agreement on early alliance and alliance change were examined, in relation to outcomes collected at posttreatment and 1-year follow-up. Outcome was defined as primary diagnosis loss and reduction in clinicians' severity ratings (CSR; Anxiety Disorders Interview Schedule; ADIS-C/P) based on youth- and parent-report at posttreatment and follow-up, and youth treatment satisfaction collected at posttreatment (Client Satisfaction Scale; CSS). Results Early TASC-C scores positively predicted treatment satisfaction at posttreatment. Higher levels of agreement on change in TASC-C and TASC-T scores early to late in treatment predicted diagnosis loss and CSR reduction at follow-up. Conclusions Only the level of agreement in alliance change predicted follow-up outcomes in ICBT for youth anxiety disorders. The findings support further examination of the role that youth-therapist alliance discrepancies may play in promoting positive outcomes in ICBT for youth anxiety disorders. Clinical trial number NCT00586586, clinicaltrials.gov. En ligne : http://dx.doi.org/10.1111/jcpp.12485 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288 [article] Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders [texte imprimé] / Krister W. FJERMESTAD, Auteur ; Matthew D. LERNER, Auteur ; Bryce D. MCLEOD, Auteur ; Gro Janne WERGELAND, Auteur ; Einar R. HEIERVANG, Auteur ; Wendy K. SILVERMAN, Auteur ; Lars-Göran ÖST, Auteur ; Andres DE LOS REYES, Auteur ; Odd E. HAVIK, Auteur ; Bente S.M. HAUGLAND, Auteur . - p.625-632. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.625-632 Mots-clés : Alliance  alliance agreement  CBT  anxiety  youth Index. décimale : PER Périodiques Résumé : Background In individual cognitive behavioral therapy (ICBT) for youth anxiety disorders, it is unclear whether, and from whose perspective, the alliance predicts outcome. We examined whether youth- and therapist-rated alliance, including level of youth-therapist alliance agreement, predicted outcome in a randomized controlled trial. Methods Youth (N = 91, M age = 11.4 years (SD = 2.1), 49.5% boys, 86.8% Caucasian) diagnosed with separation anxiety disorder, social phobia, or generalized anxiety disorder drawn from the ICBT condition of an effectiveness trial were treated with an ICBT program. Youth- and therapist-rated alliance ratings, assessed with the Therapeutic Alliance Scale for Children (TASC-C/T), were collected following session 3 (early) and 7 (late). Early alliance, change in alliance from early to late, and level of youth-therapist agreement on early alliance and alliance change were examined, in relation to outcomes collected at posttreatment and 1-year follow-up. Outcome was defined as primary diagnosis loss and reduction in clinicians' severity ratings (CSR; Anxiety Disorders Interview Schedule; ADIS-C/P) based on youth- and parent-report at posttreatment and follow-up, and youth treatment satisfaction collected at posttreatment (Client Satisfaction Scale; CSS). Results Early TASC-C scores positively predicted treatment satisfaction at posttreatment. Higher levels of agreement on change in TASC-C and TASC-T scores early to late in treatment predicted diagnosis loss and CSR reduction at follow-up. Conclusions Only the level of agreement in alliance change predicted follow-up outcomes in ICBT for youth anxiety disorders. The findings support further examination of the role that youth-therapist alliance discrepancies may play in promoting positive outcomes in ICBT for youth anxiety disorders. Clinical trial number NCT00586586, clinicaltrials.gov. En ligne : http://dx.doi.org/10.1111/jcpp.12485 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288

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