[article]
| 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 |
in Journal of Child Psychology and Psychiatry > 51-2 (February 2010) . - p.162-172
[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 |
|
CBT for childhood anxiety disorders: differential changes in selective attention between treatment responders and non-responders in Journal of Child Psychology and Psychiatry, 51-2 (February 2010)
