Early indicators of response to transdiagnostic treatment of pediatric anxiety and depression / Michelle ROZENMAN ; Araceli GONZALEZ ; David A. BRENT ; Giovanna PORTA ; Frances L. LYNCH ; John F. DICKERSON ; V. Robin WEERSING in Journal of Child Psychology and Psychiatry, 64-12 (December 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-12 (December 2023) . - p.1689-1698 Titre : Early indicators of response to transdiagnostic treatment of pediatric anxiety and depression Type de document : Texte imprimé et/ou numérique Auteurs : Michelle ROZENMAN, Auteur ; Araceli GONZALEZ, Auteur ; David A. BRENT, Auteur ; Giovanna PORTA, Auteur ; Frances L. LYNCH, Auteur ; John F. DICKERSON, Auteur ; V. Robin WEERSING, Auteur Article en page(s) : p.1689-1698 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Pediatric anxiety and depression are prevalent, impairing, and highly comorbid. Available evidence-based treatments have an average response rate of 60%. One path to increasing response may be to identify likely non-responders midway through treatment to adjust course prior to completing an episode of care. The aims of this study, thus, were to identify predictors of post-intervention response assessing (a) mid-treatment symptom severity, (b) session-by-session treatment process factors, and (c) a model optimizing the combination of these. Method Data were drawn from the treatment arm (N=95, ages 8-16) of a randomized transdiagnostic intervention trial (Msessions=11.2). Mid-point measures of youth- and parent-reported anxiety and depression were collected, and therapists rated homework completion, youth and parent engagement, and youth therapeutic alliance at each session. Logistic regression was used to predict response on the Clinical Global Impression Improvement Scale (CGI-I ?2) rated by independent evaluators masked to treatment condition. Results Mid-point symptom measures were significant predictors of treatment response, as were therapist-ratings of youth and parent engagement, therapeutic alliance, and homework completion. Therapist ratings were significant when tested as mean ratings summing across the first eight sessions of treatment (all ps<.004) and at individual session points (all ps?<0.05). A combined prediction model included youth-reported anxiety, parent-reported depression, youth engagement at Session 2, and parent engagement at Session 8. This model correctly classified 76.5% of youth as non-responders and 91.3% as responders at post-treatment (Nagelkerke R2=.59, ?2 (4, 80)=46.54, p<.001). Conclusion This study provides initial evidence that response to transdiagnostic intervention for pediatric anxiety and depression may be reliably predicted by mid-point. These data may serve as foundational evidence to develop adaptive treatment strategies to personalize intervention, correct treatment course, and optimize outcomes for youth with anxiety and depression. En ligne : https://doi.org/10.1111/jcpp.13881 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=517 [article] Early indicators of response to transdiagnostic treatment of pediatric anxiety and depression [Texte imprimé et/ou numérique] / Michelle ROZENMAN, Auteur ; Araceli GONZALEZ, Auteur ; David A. BRENT, Auteur ; Giovanna PORTA, Auteur ; Frances L. LYNCH, Auteur ; John F. DICKERSON, Auteur ; V. Robin WEERSING, Auteur . - p.1689-1698. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-12 (December 2023) . - p.1689-1698 Index. décimale : PER Périodiques Résumé : Background Pediatric anxiety and depression are prevalent, impairing, and highly comorbid. Available evidence-based treatments have an average response rate of 60%. One path to increasing response may be to identify likely non-responders midway through treatment to adjust course prior to completing an episode of care. The aims of this study, thus, were to identify predictors of post-intervention response assessing (a) mid-treatment symptom severity, (b) session-by-session treatment process factors, and (c) a model optimizing the combination of these. Method Data were drawn from the treatment arm (N=95, ages 8-16) of a randomized transdiagnostic intervention trial (Msessions=11.2). Mid-point measures of youth- and parent-reported anxiety and depression were collected, and therapists rated homework completion, youth and parent engagement, and youth therapeutic alliance at each session. Logistic regression was used to predict response on the Clinical Global Impression Improvement Scale (CGI-I ?2) rated by independent evaluators masked to treatment condition. Results Mid-point symptom measures were significant predictors of treatment response, as were therapist-ratings of youth and parent engagement, therapeutic alliance, and homework completion. Therapist ratings were significant when tested as mean ratings summing across the first eight sessions of treatment (all ps<.004) and at individual session points (all ps?<0.05). A combined prediction model included youth-reported anxiety, parent-reported depression, youth engagement at Session 2, and parent engagement at Session 8. This model correctly classified 76.5% of youth as non-responders and 91.3% as responders at post-treatment (Nagelkerke R2=.59, ?2 (4, 80)=46.54, p<.001). Conclusion This study provides initial evidence that response to transdiagnostic intervention for pediatric anxiety and depression may be reliably predicted by mid-point. These data may serve as foundational evidence to develop adaptive treatment strategies to personalize intervention, correct treatment course, and optimize outcomes for youth with anxiety and depression. En ligne : https://doi.org/10.1111/jcpp.13881 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=517

Parent and youth report of youth anxiety: evidence for measurement invariance / Melanie A. DIRKS in Journal of Child Psychology and Psychiatry, 55-3 (March 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-3 (March 2014) . - p.284-291 Titre : Parent and youth report of youth anxiety: evidence for measurement invariance Type de document : Texte imprimé et/ou numérique Auteurs : Melanie A. DIRKS, Auteur ; V. Robin WEERSING, Auteur ; Erin WARNICK, Auteur ; Araceli GONZALEZ, Auteur ; Megan ALTON, Auteur ; Christine DAUSER, Auteur ; Lawrence SCAHILL, Auteur ; Joseph WOOLSTON, Auteur Article en page(s) : p.284-291 Langues : Anglais (eng) Mots-clés : Anxiety  measurement  informant disagreement Index. décimale : PER Périodiques Résumé : Background We characterized parent-youth disagreement in their report on the Screen for Child Anxiety Related Emotional Disorders (SCARED) and examined the equivalence of this measure across parent and youth report. Methods A clinically referred sample of 408 parent-youth dyads (M age youth = 14.33, SD = 1.89; 53.7% male; 50.0% Non-Hispanic White (NHW), 14.0% Hispanic, 29.7% African-American) completed the SCARED. We examined (a) differences between parents and youth in the total number of symptoms reported (difference scores) and in their ratings of specific symptoms (q correlations), (b) demographic factors associated with these indices, and (c) equivalence of the pattern and magnitude of factor loadings (i.e., configural and metric invariance), as well as item thresholds and residual variances, across informants. Results The mean difference score was ?2.13 (SD = 14.44), with youth reporting higher levels of symptoms, and the mean q correlation was .32 (SD = .24). Difference scores were greater for African-American dyads than NHW pairs. We found complete configural, metric, and residual invariance, and partial threshold invariance. Differences in thresholds did not appear to reflect systematic differences between parent and youth report. Findings were comparable when analyses were conducted separately for NHW and ethnic minority families. Conclusion Findings provide further evidence for the importance of considering youth report when evaluating anxiety in African-American families. The SCARED was invariant across informant reports, suggesting that it is appropriate to compare mean scores for these raters and that variability in parent and youth report is not attributable to their rating different constructs or using different thresholds to determine when symptoms are present. En ligne : http://dx.doi.org/10.1111/jcpp.12159 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=226 [article] Parent and youth report of youth anxiety: evidence for measurement invariance [Texte imprimé et/ou numérique] / Melanie A. DIRKS, Auteur ; V. Robin WEERSING, Auteur ; Erin WARNICK, Auteur ; Araceli GONZALEZ, Auteur ; Megan ALTON, Auteur ; Christine DAUSER, Auteur ; Lawrence SCAHILL, Auteur ; Joseph WOOLSTON, Auteur . - p.284-291. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 55-3 (March 2014) . - p.284-291 Mots-clés : Anxiety  measurement  informant disagreement Index. décimale : PER Périodiques Résumé : Background We characterized parent-youth disagreement in their report on the Screen for Child Anxiety Related Emotional Disorders (SCARED) and examined the equivalence of this measure across parent and youth report. Methods A clinically referred sample of 408 parent-youth dyads (M age youth = 14.33, SD = 1.89; 53.7% male; 50.0% Non-Hispanic White (NHW), 14.0% Hispanic, 29.7% African-American) completed the SCARED. We examined (a) differences between parents and youth in the total number of symptoms reported (difference scores) and in their ratings of specific symptoms (q correlations), (b) demographic factors associated with these indices, and (c) equivalence of the pattern and magnitude of factor loadings (i.e., configural and metric invariance), as well as item thresholds and residual variances, across informants. Results The mean difference score was ?2.13 (SD = 14.44), with youth reporting higher levels of symptoms, and the mean q correlation was .32 (SD = .24). Difference scores were greater for African-American dyads than NHW pairs. We found complete configural, metric, and residual invariance, and partial threshold invariance. Differences in thresholds did not appear to reflect systematic differences between parent and youth report. Findings were comparable when analyses were conducted separately for NHW and ethnic minority families. Conclusion Findings provide further evidence for the importance of considering youth report when evaluating anxiety in African-American families. The SCARED was invariant across informant reports, suggesting that it is appropriate to compare mean scores for these raters and that variability in parent and youth report is not attributable to their rating different constructs or using different thresholds to determine when symptoms are present. En ligne : http://dx.doi.org/10.1111/jcpp.12159 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=226

The Situation Specificity of Youth Responses to Peer Provocation / Melanie A. DIRKS in Journal of Clinical Child & Adolescent Psychology, 36-4 (October-December 2007)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 36-4 (October-December 2007) . - p.621-628 Titre : The Situation Specificity of Youth Responses to Peer Provocation Type de document : Texte imprimé et/ou numérique Auteurs : Melanie A. DIRKS, Auteur ; Teresa A. TREAT, Auteur ; V. Robin WEERSING, Auteur Année de publication : 2007 Article en page(s) : p.621-628 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Previous studies have identified peer provocation as a challenging class of situations for youth. The work presented here builds on previous methods of assessing peer provocation by (a) increasing the contextual detail of the vignettes; (b) developing a reliable, descriptive coding system of the range of youth responses to physical, verbal, and relational provocation; and (c) assessing the relevance of these situations for a sample (N = 76) of ethnically diverse, economically disadvantaged youth ages 12 to 14. The vignettes were used to examine the situation specificity of youth responses to provocation. Situation and identity of aggressor were both predictors of youth responses. For example, participants "matched" physical aggression to physical provocation. These findings are consistent with previous studies demonstrating the situation specificity of social information processing, even within the relatively homogeneous category of peer provocations. En ligne : http://dx.doi.org/10.1080/15374410701662758 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=312 [article] The Situation Specificity of Youth Responses to Peer Provocation [Texte imprimé et/ou numérique] / Melanie A. DIRKS, Auteur ; Teresa A. TREAT, Auteur ; V. Robin WEERSING, Auteur . - 2007 . - p.621-628. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 36-4 (October-December 2007) . - p.621-628 Index. décimale : PER Périodiques Résumé : Previous studies have identified peer provocation as a challenging class of situations for youth. The work presented here builds on previous methods of assessing peer provocation by (a) increasing the contextual detail of the vignettes; (b) developing a reliable, descriptive coding system of the range of youth responses to physical, verbal, and relational provocation; and (c) assessing the relevance of these situations for a sample (N = 76) of ethnically diverse, economically disadvantaged youth ages 12 to 14. The vignettes were used to examine the situation specificity of youth responses to provocation. Situation and identity of aggressor were both predictors of youth responses. For example, participants "matched" physical aggression to physical provocation. These findings are consistent with previous studies demonstrating the situation specificity of social information processing, even within the relatively homogeneous category of peer provocations. En ligne : http://dx.doi.org/10.1080/15374410701662758 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=312

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