| Autor: |
Caporino NE; a Department of Psychology , Georgia State University., Read KL; b Department of Psychology , Temple University., Shiffrin N; b Department of Psychology , Temple University., Settipani C; b Department of Psychology , Temple University., Kendall PC; b Department of Psychology , Temple University., Compton SN; c Department of Psychiatry and Behavioral Services , Duke University Medical Center., Sherrill J; d Division of Services and Intervention Research , National Institute of Mental Health., Piacentini J; e Semel Institute for Neuroscience and Human Behavior , University of California Los Angeles., Walkup J; f Division of Child and Adolescent Psychiatry , Weill Cornell Medical College., Ginsburg G; g University of Connecticut Health Center., Keeton C; h Division of Child and Adolescent Psychiatry , The Johns Hopkins University School of Medicine., Birmaher B; i Western Psychiatric Institute and Clinic , University of Pittsburgh Medical Center., Sakolsky D; i Western Psychiatric Institute and Clinic , University of Pittsburgh Medical Center., Gosch E; j Department of Psychology , Philadelphia College of Osteopathic Medicine., Albano AM; k Department of Psychiatry , Columbia Medical Center. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 [J Clin Child Adolesc Psychol] 2017 Sep-Oct; Vol. 46 (5), pp. 675-685. Date of Electronic Publication: 2015 Oct 14. |
| DOI: |
10.1080/15374416.2015.1063429 |
| Abstrakt: |
This study examined (a) demographic and clinical characteristics associated with sleep-related problems (SRPs) among youth with anxiety disorders, and (b) the impact of anxiety treatment: cognitive-behavioral therapy (CBT; Coping Cat), medication (sertraline), their combination, and pill placebo on SRPs. Youth (N = 488, ages 7-17, 50% female, 79% White) with a principal diagnosis of generalized anxiety disorder, separation anxiety disorder, or social phobia participated. SRPs were reported by parents and youth. Findings differed by informant and by type of SRP, with evidence that SRPs are associated with age, anxiety severity, externalizing problems, functional impairment, and family burden at pretreatment. Anxiety treatment reduced SRPs; effect sizes were small to medium. Reductions in parent-reported separation-related sleep difficulties were significantly greater in active treatment than in the placebo condition, with the greatest reductions reported by parents of youth whose active treatment was multimodal or included sertraline. Youth whose anxiety treatment involved CBT reported significantly greater decreases in dysregulated sleep (e.g., sleeplessness). Both CBT for anxiety and sertraline appear to be somewhat effective in reducing SRPs, and multimodal treatment may be preferable depending on the symptom presentation. To inform practice, future research should examine a broad range of SRPs, incorporate objective measures of sleep, and evaluate the impact of behavioral strategies that directly target SRPs in youth with anxiety disorders. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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