Therapist-Reported Features of Exposure Tasks That Predict Differential Treatment Outcomes for Youth With Anxiety

2017 ◽  
Vol 56 (12) ◽  
pp. 1043-1052 ◽  
Author(s):  
Tara S. Peris ◽  
Nicole E. Caporino ◽  
Sarah O’Rourke ◽  
Philip C. Kendall ◽  
John T. Walkup ◽  
...  
2015 ◽  
Vol 32 (3) ◽  
pp. 143-158 ◽  
Author(s):  
Allison M. Waters ◽  
Alex Potter ◽  
Leah Jamesion ◽  
Brendan P. Bradley ◽  
Karin Mogg

Background and objectives: Pretreatment attention bias towards threat stimuli has been shown to predict treatment outcomes following exposure-based treatments. The extent of emotional variability experienced during exposure therapy has also been found to predict better treatment outcomes in anxious adults. The present study examined whether pretreatment attention bias towards threat stimuli and greater emotional variability during exposure activities were associated with stronger treatment outcomes in anxious children receiving group-based cognitive-behavioural therapy (CBT). Methods: Twenty-six anxious children completed a visual probe task with emotional faces, followed by a 10-week CBT program in a group format. Children completed weekly within-session exposure activities during the last 5 weeks of group CBT. Results: Pretreatment attention bias towards threat stimuli, greater emotional variability and within-session habituation during exposure activities were significantly associated with reductions in clinician- and/or parent-rated anxiety symptoms after the 10-week CBT program. Treatment responders had significantly higher peak emotional distress ratings during exposure activities. However, threat attention bias and within-session exposure measures were not significantly related. Conclusions: Pre-existing individual differences in attention bias to threat cues and the degree of emotional reactivity experienced during exposure activities are both important independent predictors of treatment outcomes for anxious children receiving group-based CBT.


2001 ◽  
Vol 120 (5) ◽  
pp. A561-A562
Author(s):  
T HEFFRON ◽  
G SMALLWOOD ◽  
M DEVERA ◽  
L DAVIS ◽  
E MARTINEZ ◽  
...  

1999 ◽  
Vol 41 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Charlene Butler ◽  
Henry Chambers ◽  
Murray Goldstein ◽  
Susan Harris ◽  
Judy Leach ◽  
...  

2010 ◽  
Vol 31 (3) ◽  
pp. 158-165 ◽  
Author(s):  
Thomas Boll ◽  
Tom Michels ◽  
Dieter Ferring ◽  
Sigrun-Heide Filipp

Despite its importance for basic and applied psychology, only a few longitudinal studies have examined whether parental differential treatment (PDT) is a persistent or a transient phenomenon, these studies being confined to childhood or adolescence. Based on latent state-trait theory, the present study identified the amount of variance in three dimensions of perceived PDT in middle adulthood attributable to stable interindividual differences (trait variance) and to intraindividual changes (state variance). At two occasions of measurement (2 years apart), 709 middle-aged adults rated how often they and a sibling currently received parental recognition, nurture, and demand to assume filial responsibility. Tests of latent state-trait models for these three dimensions of PDT by structural equation modeling revealed that trait variance represented the largest proportion of the systematic variance in all observed indicators of perceived maternal and paternal differential treatment. Yet there was a considerable increase in state variance for the dimension of differential parental demand for assuming responsibility. Results are discussed with respect to the conditions accounting for the high overall stability of actual and/or perceived PDT in adulthood, and different approaches for determining their role are proposed.


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