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 et/ou numérique Auteurs : Lizél-Antoinette BERTIE, Auteur ; Kristian ARENDT, Auteur ; Jonathan R. I. COLEMAN, Auteur ; Peter COOPER, Auteur ; Cathy CRESWELL, Auteur ; Thalia C. ELEY, Auteur ; Catharina HARTMAN, Auteur ; Einar R. HEIERVANG, Auteur ; Tina IN-ALBON, Auteur ; Karen KRAUSE, Auteur ; Kathryn J. LESTER, Auteur ; Carla E. MARIN, Auteur ; Maaike 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 et/ou numérique] / Lizél-Antoinette BERTIE, Auteur ; Kristian ARENDT, Auteur ; Jonathan R. I. COLEMAN, Auteur ; Peter COOPER, Auteur ; Cathy CRESWELL, Auteur ; Thalia C. ELEY, Auteur ; Catharina HARTMAN, Auteur ; Einar R. HEIERVANG, Auteur ; Tina IN-ALBON, Auteur ; Karen KRAUSE, Auteur ; Kathryn J. LESTER, Auteur ; Carla E. MARIN, Auteur ; Maaike 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

Sex differences in the course of autistic and co-occurring psychopathological symptoms in adolescents with and without autism spectrum disorder / Ernst HORWITZ in Autism, 27-6 (August 2023)  

Public ISBD [article]  inAutism > 27-6 (August 2023) . - p.1716-1729 Titre : Sex differences in the course of autistic and co-occurring psychopathological symptoms in adolescents with and without autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Ernst HORWITZ, Auteur ; Melissa VOS, Auteur ; Annelies DE BILDT, Auteur ; Kirstin GREAVES-LORD, Auteur ; Nanda ROMMELSE, Auteur ; Robert SCHOEVERS, Auteur ; Catharina HARTMAN, Auteur Article en page(s) : p.1716-1729 Langues : Anglais (eng) Mots-clés : adolescents;autism spectrum disorders;course;psychiatric comorbidity;sex differences Index. décimale : PER Périodiques Résumé : There is an ongoing debate as to whether autism spectrum disorder (ASD) is expressed differently in women than men. It is unclear whether differences found are specific to autism or merely reflecting normative development. In this study, we compared sex differences in developmental trajectories of autistic and co-occurring psychopathological symptoms in adolescents with milder forms of autism to those in a normative group matched for intelligence quotient (IQ) and socioeconomic status. Data of five assessment waves from ages 11 to 22?years were analyzed using linear mixed modeling. We found that in adolescence, sex differences in developmental trajectories of psychopathological symptoms specific for autism are confined to the repetitive stereotyped domain (males had higher scores on the sensory/stereotypic and resistance to change domains, the latter difference disappeared during adolescence due to an increase of these problems in females with ASD). Other sex differences, among which an increase over time in affective and anxiety problems in females was the most outstanding, were also observed in typically developing females. These sex-specific differences have relevance in the clinical care of men and women with autism, although they are subtle compared to differences between individuals with and without autism, which are broadly present in internalizing and externalizing problem domains.Lay abstractThere is an ongoing debate as to whether autism spectrum disorder (ASD) is expressed differently in women than men. Studies on sex differences in autistic symptoms and symptoms of other psychiatric problems present in individuals with autism generally do not include a general population comparison group, making it unclear whether differences are specific to autism or merely reflecting development in the general population. In this study, we compared sex differences in the course of autistic and at the same time present symptoms of other psychiatric problems in adolescents with milder forms of ASD to those in a group of the general population with an equal intelligence quotient (IQ) and socioeconomic status. Data of five assessment moments from ages 11 to 22?years were analyzed using a statistic procedure that allowed us to determine which factors affect the course of symptoms over time. We found that in adolescence, sex differences in the course of psychopathological symptoms specific for autism are confined to the repetitive stereotyped domains. Males had higher scores on the sensory/stereotypic and resistance to change domains, the latter difference disappeared during the course of adolescence due to an increase of these problems in autistic females. Other sex differences, among which an increase over time in mood and anxiety problems in females was the most outstanding, were also observed in females without autism. These sex-specific differences have relevance in the clinical care of autistic men and women, although they are subtle compared to differences between individuals with and without autism. En ligne : http://dx.doi.org/10.1177/13623613221146477 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=509 [article] Sex differences in the course of autistic and co-occurring psychopathological symptoms in adolescents with and without autism spectrum disorder [Texte imprimé et/ou numérique] / Ernst HORWITZ, Auteur ; Melissa VOS, Auteur ; Annelies DE BILDT, Auteur ; Kirstin GREAVES-LORD, Auteur ; Nanda ROMMELSE, Auteur ; Robert SCHOEVERS, Auteur ; Catharina HARTMAN, Auteur . - p.1716-1729. Langues : Anglais (eng) in Autism > 27-6 (August 2023) . - p.1716-1729 Mots-clés : adolescents;autism spectrum disorders;course;psychiatric comorbidity;sex differences Index. décimale : PER Périodiques Résumé : There is an ongoing debate as to whether autism spectrum disorder (ASD) is expressed differently in women than men. It is unclear whether differences found are specific to autism or merely reflecting normative development. In this study, we compared sex differences in developmental trajectories of autistic and co-occurring psychopathological symptoms in adolescents with milder forms of autism to those in a normative group matched for intelligence quotient (IQ) and socioeconomic status. Data of five assessment waves from ages 11 to 22?years were analyzed using linear mixed modeling. We found that in adolescence, sex differences in developmental trajectories of psychopathological symptoms specific for autism are confined to the repetitive stereotyped domain (males had higher scores on the sensory/stereotypic and resistance to change domains, the latter difference disappeared during adolescence due to an increase of these problems in females with ASD). Other sex differences, among which an increase over time in affective and anxiety problems in females was the most outstanding, were also observed in typically developing females. These sex-specific differences have relevance in the clinical care of men and women with autism, although they are subtle compared to differences between individuals with and without autism, which are broadly present in internalizing and externalizing problem domains.Lay abstractThere is an ongoing debate as to whether autism spectrum disorder (ASD) is expressed differently in women than men. Studies on sex differences in autistic symptoms and symptoms of other psychiatric problems present in individuals with autism generally do not include a general population comparison group, making it unclear whether differences are specific to autism or merely reflecting development in the general population. In this study, we compared sex differences in the course of autistic and at the same time present symptoms of other psychiatric problems in adolescents with milder forms of ASD to those in a group of the general population with an equal intelligence quotient (IQ) and socioeconomic status. Data of five assessment moments from ages 11 to 22?years were analyzed using a statistic procedure that allowed us to determine which factors affect the course of symptoms over time. We found that in adolescence, sex differences in the course of psychopathological symptoms specific for autism are confined to the repetitive stereotyped domains. Males had higher scores on the sensory/stereotypic and resistance to change domains, the latter difference disappeared during the course of adolescence due to an increase of these problems in autistic females. Other sex differences, among which an increase over time in mood and anxiety problems in females was the most outstanding, were also observed in females without autism. These sex-specific differences have relevance in the clinical care of autistic men and women, although they are subtle compared to differences between individuals with and without autism. En ligne : http://dx.doi.org/10.1177/13623613221146477 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=509

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