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

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