Comorbid Externalising Disorders and Child Anxiety Treatment Outcomes

2004 ◽  
Vol 21 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Ellen Flannery-Schroeder ◽  
Cynthia Suveg ◽  
Scott Safford ◽  
Philip C. Kendall ◽  
Alicia Webb
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Oppositional Defiant ◽  
Cognitive Behavioural ◽  
Externalising Disorders

AbstractExamined the effects of comorbid externalising disorders (i.e., attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder [ODD], conduct disorder [CD]) on the long-term outcome (7.4 years) of individuals treated for anxiety disorders as youth. Ninety-four anxiety-disordered children (aged 8-13) were provided with a 16-session manual-based cognitive behavioural treatment (CBT). Assessments were completed at pretreatment, posttreatment, 1-year posttreatment (see Kendall, et al., 1997) and for 88 of the original 94 subjects at 7.4-years posttreatment (see Kendall, Safford, Flannery-Schroeder, & Webb, in press). At pretreatment, all participants received principal anxiety diagnoses (generalised anxiety disorder, separation anxiety disorder, social phobia). Nineteen had comorbid externalising disorders (11 ADHD, 7 ODD and 1 CD). These 19 subjects were matched on age (within an average of 3 months), gender and race with 19 previously treated youths who were not comorbid with an externalising disorder. Examining parent- and child-reports, respectively, comparable rates of comorbid versus non-comorbid cases were free of their principal anxiety disorder at the 7.4-year follow-up on all dependent measures. Parents of anxiety-disordered children with a comorbid externalising disorder reported higher levels of child externalising behaviour than did parents of anxiety-disordered children without comorbidity. Comorbid children reported greater self-efficacy in coping with anxiety-provoking situations than did non-comorbid children. Thus, it appears that overall anxiety-disordered children with and without comorbid externalising disorders showed comparable improvements following CBT.

Is There an Adult form of Separation Anxiety Disorder? A Brief Clinical Report

1997 ◽  
Vol 31 (2) ◽  
pp. 299-303 ◽  
Author(s):  
Vijaya Manicavasagar ◽  
Derrick Silove
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Separation Anxiety Disorder ◽  
Anxiety Symptoms ◽  
Panic Attacks ◽  
Clinical Report ◽  
Behavioural Treatment ◽  
Dependent Personality Disorder ◽  
Dependent Personality ◽  
Cognitive Behavioural

Objective: The aim of this clinical report is to investigate whether symptoms of separation anxiety disorder can occur in adulthood. Clinical picture: Three cases are described to illustrate that adults may experience: wide-ranging separation anxiety symptoms, such as extreme anxiety and fear, when separated from major attachment figures; avoidance of being alone; and fears that harm will befall those close to them. Symptoms of panic appeared to be secondary to separation anxiety, and none of the patients fulfilled criteria for dependent personality disorder. Treatment: Group cognitive behavioural treatment focusing on preventing panic attacks and generalised anxiety did not appear to have an impact on core separation anxiety symptoms. Outcome: Exacerbations of separation anxiety appeared to be closely linked to actual or threatened ruptures to primary bonds. Conclusions: Separation anxiety disorder may be a neglected diagnosis in adulthood. Formal nosological systems such as the DSM may need to be revised to incorporate adult manifestations of the disorder.

Cognitive-Behavioral Treatments for Anxiety and Phobic Disorders in Children and Adolescents: A Review

2005 ◽  
Vol 30 (3) ◽  
pp. 241-257 ◽  
Author(s):  
Neville J. King ◽  
David Heyne ◽  
Thomas H. Ollendick
Keyword(s):  
Anxiety Disorder ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
School Refusal ◽  
Cognitive Behavioral ◽  
Behavioral Strategies ◽  
Active Components ◽  
Empirically Supported ◽  
Cognitive Behavioural

This article provides an overview of cognitive-behavioural strategies used in the treatment of child-anxiety problems, emphasizing the need for exposure and caregiver involvement. Most of the paper focuses on developments in empirically supported cognitive-behavioral intervention protocols for generalized anxiety disorder, separation anxiety disorder, social phobia, specific phobia, and school refusal. The research status of interventions for phobias and anxiety disorders of children with disabilities, a much neglected area, is also considered. Particular attention is given to randomized controlled trials. Analogue studies are not included in this particular review, thus strengthening conclusions regarding treatment efficacy. In general, cognitive and behavioral strategies appear to be useful for these distressing child-anxiety problems; however, there is a limited understanding of the active components in treatment, treatment mechanisms of change, and prediction of treatment outcome.

scholarly journals A Brazilian version of the "Children's Interview for Psychiatric Syndromes" (ChIPS)

2009 ◽  
Vol 58 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Isabella G. S. de Souza ◽  
Maria Antonia Serra-Pinheiro ◽  
Renata Mousinho ◽  
Paulo Mattos
Keyword(s):  
Anxiety Disorder ◽  
Psychotic Disorders ◽  
Separation Anxiety ◽  
Child And Adolescent Psychiatry ◽  
Brazilian Portuguese ◽  
Separation Anxiety Disorder ◽  
Obsessive Compulsive ◽  
Children And Adolescent ◽  
Compulsive Disorder ◽  
Oppositional Defiant

OBJETIVE: The advance of research in child and adolescent psychiatry in Brazil heavily depends on the existence of instruments for the investigation of psychiatric syndromes adapted to Brazilian Portuguese. METHODS: This article describes a careful process of translation of the Children's Interview for Psychiatric Syndromes for the purpose of use in research in Brazil. The Children's Interview for Psychiatric Syndromes has a version for parents (P-ChIPs) and a version for children (ChIPS). In this article, the sections of P-ChIPS referring to attention-deficit hyperactivity disorder, oppositional-defiant disorder, conduct disorder, mania/hypomania, anorexia nervosa, bulimia nervosa and psychotic disorders were translated to Brazilian Portuguese. The sections of the ChIPS referring to substance use disorders, social anxiety disorder, specific phobias, obsessive-compulsive disorder, generalized anxiety disoder, separation anxiety disorder, post-traumatic disorders and depression/dysthimia were also adapted. Each section was translated by two independent translators and later discussed in a committee composed of experts in the field of Psychiatry and a professional of the field of linguistics. RESULT: A final version containing an interview for the main psychiatric syndromes was defined. CONCLUSION: The translated P-ChIPS is a helpful instrument in children and adolescent clinical evaluation.

Cognitive-Behavioural Treatment of Bulimia Nervosa

1995 ◽  
Vol 12 (2) ◽  
pp. 81-97 ◽  
Author(s):  
Harold Leitenberg
Keyword(s):  
Bulimia Nervosa ◽  
Effective Treatment ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Behavioural Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural

This paper reviews the literature on cognitive-behavioural treatment of bulimia nervosa, including the rationale and procedure for including an exposure plus response-prevention component. Comparisons of the full cognitive-behavioural therapy package to no treatment, other forms of psychotherapy, and pharmacotherapy are evaluated. The evidence suggests that cognitive-behavioural therapy is a relatively effective treatment for bulimia nervosa, although long-term outcome is still far from optimal.

scholarly journals The Relationship Between Worry and Dimensions of Anxiety Symptoms in Children and Adolescents

2016 ◽  
Vol 45 (2) ◽  
pp. 124-138 ◽  
Author(s):  
Jonathan Rabner ◽  
Nicholas D. Mian ◽  
David A. Langer ◽  
Jonathan S. Comer ◽  
Donna Pincus
Keyword(s):  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Regression Model ◽  
Children And Adolescents ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Age Groups ◽  
Separation Anxiety Disorder ◽  
Older Children ◽  
The Relationship

Background: Worry is a common feature across many anxiety disorders. It is important to understand how and when worry presents from childhood to adolescence to prevent long-term negative outcomes. However, most of the existing studies that examine the relationship between worry and anxiety disorders utilize adult samples. Aims: The present study aimed to assess the level of worry in children and adolescents and how relationships between worry and symptoms of separation anxiety disorder (SAD) and social anxiety disorder (Soc) may present differently at different ages. Method: 127 children (age 8–12 years) and adolescents (age 13–18 years), diagnosed with any anxiety disorder, presenting at a child anxiety out-patient clinic, completed measures of worry, anxiety and depression. Results: Worry scores did not differ by age group. Soc symptoms were significantly correlated with worry in both age groups; however, SAD symptoms were only significantly correlated with worry in younger participants. After the inclusion of covariates, SAD symptoms but not Soc symptoms remained significant in the regression model with younger children, and Soc symptoms remained significant in the regression model with older children. Conclusions: The finding that worry was comparable in both groups lends support for worry as a stable construct associated with anxiety disorders throughout late childhood and early adolescence.

THE RELATIONSHIP BETWEEN ANXIETY DISORDER SYMPTOMS AND NEGATIVE SELF-STATEMENTS IN NORMAL CHILDREN

1998 ◽  
Vol 26 (3) ◽  
pp. 307-316 ◽  
Author(s):  
Peter Muris ◽  
Harald Merckelbach ◽  
Birgit Mayer ◽  
Nienke Snieder
Keyword(s):  
Anxiety Disorder ◽  
Emotional Disorders ◽  
Separation Anxiety ◽  
Child Anxiety ◽  
Separation Anxiety Disorder ◽  
Generalized Anxiety ◽  
Obsessive Compulsive ◽  
Normal Children ◽  
Compulsive Disorder ◽  
The Relationship

The current study examined the relationship between anxiety disorder symptoms and negative self-statements in a sample of normal children (N=119). Children were asked to complete the Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Negative Affect Self-Statement Questionnaire (NASSQ). Results showed that, in normal children, there is a positive relationship between anxiety disorder symptoms, as indexed by the SCARED, and negative self-statements, as measured by the NASSQ. In particular, anxious self-statements were more often present in children who exhibited relatively high levels of anxiety symptoms. Furthermore, depressive and anxiousdepressive self-statements were found to be positively associated with the presence of symptoms of generalized anxiety disorder, obsessive-compulsive disorder, separation anxiety disorder, and panic disorder.

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