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Predictors of long-term outcome of CBT for youth with anxiety disorders treated in community clinics.
Kodal, Arne; Fjermestad, Krister W; Bjelland, Ingvar; Gjestad, Rolf; Öst, Lars-Göran; Bjaastad, Jon F; Haugland, Bente S M; Havik, Odd E; Heiervang, Einar R; Wergeland, Gro Janne H.
Afiliación
  • Kodal A; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, N-5021 Bergen, Norway; Department of Clinical Medicine, Faculty of Medici
  • Fjermestad KW; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Department of Psychology, University of Oslo, N-0371 Oslo, Norway.
  • Bjelland I; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, N-5021 Bergen, Norway; Department of Clinical Medicine, Faculty of Medici
  • Gjestad R; Research Department, Division of Psychiatry, Haukeland University Hospital, N-5036 Bergen, Norway.
  • Öst LG; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Department of Psychology, Stockholm University, SE-106 91 Stockholm, Sweden.
  • Bjaastad JF; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Division of Psychiatry, Stavanger University Hospital, N-4068 Stavanger, Norway; Uni Research Health, Regional Center for Child and Youth Mental Health and Child Welfare, N-50
  • Haugland BSM; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Uni Research Health, Regional Center for Child and Youth Mental Health and Child Welfare, N-5008 Bergen, Norway.
  • Havik OE; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Department of Clinical Psychology, Faculty of Psychology, University of Bergen, N-5020 Bergen, Norway.
  • Heiervang ER; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Institute of Clinical Medicine, University of Oslo, Oslo University Hospital, N-0450 Oslo, Norway.
  • Wergeland GJH; Anxiety Research Network, Division of Psychiatry, Research Department, Haukeland University Hospital, N-5036 Bergen, Norway; Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, N-5021 Bergen, Norway; Uni Research Health, Regional Center for Child and
J Anxiety Disord ; 59: 53-63, 2018 10.
Article en En | MEDLINE | ID: mdl-30273789
Cognitive behavioral therapy (CBT) has proven long-term effects in youth with anxiety disorders. However, only a few studies have examined predictors of long-term outcomes of CBT treatment. The present study investigated possible predictors of long-term treatment outcomes in youth with mixed anxiety disorders treated in community mental health clinics. A total of 139 youth (mean age at assessment 15.5 years, range 11-21 years) with a principal diagnosis of separation anxiety disorder, social anxiety disorder, and/or generalized anxiety disorder were evaluated a mean of 3.9 years post-treatment (range 2.2-5.9 years). Outcomes were loss of all inclusion anxiety diagnoses, loss of the principal inclusion anxiety diagnosis, and changes in youth- and parent-rated youth anxiety symptoms. Predictors encompassed youth, parent and demographic factors, and post-treatment recovery. The most consistent finding was that low family social class predicted poorer outcomes. Higher treatment motivation was associated with better outcome whereas a diagnosis of social anxiety was associated with poorer outcome. Identified predictors extend on previous findings from efficacy trials, and the results indicate a need for more specific treatment protocols.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Terapia Cognitivo-Conductual / Cuidados a Largo Plazo / Instituciones de Atención Ambulatoria Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: J Anxiety Disord Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de Ansiedad / Terapia Cognitivo-Conductual / Cuidados a Largo Plazo / Instituciones de Atención Ambulatoria Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: J Anxiety Disord Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos