Predictors of long-term outcome of CBT for youth with anxiety disorders treated in community clinics
| Autor: | Rolf Gjestad, Krister W. Fjermestad, Ingvar Bjelland, Lars-Göran Öst, Arne Kodal, Gro Janne Wergeland, Odd E. Havik, Bente Storm Mowatt Haugland, Einar Heiervang, Jon Fauskanger Bjaastad |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Parents 050103 clinical psychology Generalized anxiety disorder Adolescent medicine.medical_treatment Health Behavior Anxiety Social class Ambulatory Care Facilities Young Adult Anxiety Separation medicine Humans 0501 psychology and cognitive sciences Medical diagnosis Child Cognitive Behavioral Therapy 05 social sciences Separation anxiety disorder Social anxiety Phobia Social Prognosis medicine.disease Anxiety Disorders Long-Term Care Mental health Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Social Class Female medicine.symptom Psychology Follow-Up Studies 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Journal of Anxiety Disorders. 59:53-63 |
| ISSN: | 0887-6185 |
| DOI: | 10.1016/j.janxdis.2018.08.008 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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