One hundred fifty (150) youth (9- 13 year-olds) diagnosed with a primary anxiety disorder will participate in a randomized clinical trial, with 50 cases randomly assigned to Individual Cognitive-Behavioral Therapy (ICBT), 50 cases to Family Cognitive-Behavioral Therapy (FCBT), and 50 cases to an education/support/attention (ESA) control condition. All conditions will be 16 sessions. ICBT and FCBT involve anxiety education, relaxation, relabeling of anxiety-related cognition, problem-solving, exposure, and rehearsal. The ESA condition provides participants with support and attention from a therapist and education about emotions and anxiety. The study will employ multimethod assessment including structured diagnostic interviews, child and parent self-reports, parent and teacher ratings of the child, behavioral observations, and family assessments. Measures will be gathered at pre- and post-treatment, and at one-year follow-up. To ensure that treatment-as-described was provided, treatment integrity will be assessed. Behavioral observations will be taken from videotapes, with two raters (.85 reliability; Kappa) for the child observational system and two for the family coding system. Treatment effects will be analyzed via 3 (conditions; between subjects) X 3 (assessments; within subjects) MANOVA and mixed factorial analysis of variance. Because several dependent measures may be highly interrelated (e.g., self-reports) multivariate analyses of variance will be used for same-method measures (e.g., self-reports). The study will examine maintenance via analyses of one-year follow-up data. The analyses will be conducted for both treatment completers and the intent-to-treat sample. Examinations of clinical significance, predictors of treatment outcome, and differential responsiveness to the two treatments will be conducted.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH059087-03
Application #
6538868
Study Section
Special Emphasis Panel (ZMH1-CRB-B (01))
Program Officer
Sherrill, Joel
Project Start
2000-07-07
Project End
2005-05-31
Budget Start
2002-06-01
Budget End
2003-05-31
Support Year
3
Fiscal Year
2002
Total Cost
$527,769
Indirect Cost
Name
Temple University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
City
Philadelphia
State
PA
Country
United States
Zip Code
19122
Peterman, Jeremy S; Carper, Matthew M; Kendall, Philip C (2016) Testing the Habituation-Based Model of Exposures for Child and Adolescent Anxiety. J Clin Child Adolesc Psychol :1-11
Wei, Chiaying; Kendall, Philip C (2014) Child Perceived Parenting Behavior: Childhood Anxiety and Related Symptoms. Child Fam Behav Ther 36:1-18
Kerns, Connor Morrow; Kendall, Philip C; Berry, Leandra et al. (2014) Traditional and atypical presentations of anxiety in youth with autism spectrum disorder. J Autism Dev Disord 44:2851-61
Wei, Chiaying; Cummings, Colleen M; Villabø, Marianne A et al. (2014) Parenting behaviors and anxious self-talk in youth and parents. J Fam Psychol 28:299-307
Villabo, Marianne A; Cummings, Colleen M; Gere, Martina K et al. (2013) Anxious youth in research and service clinics. J Anxiety Disord 27:16-24
Settipani, Cara A; O'Neil, Kelly A; Podell, Jennifer L et al. (2013) Youth anxiety and parent factors over time: directionality of change among youth treated for anxiety. J Clin Child Adolesc Psychol 42:9-21
Kerns, Connor M; Read, Kendra L; Klugman, Joshua et al. (2013) Cognitive behavioral therapy for youth with social anxiety: differential short and long-term treatment outcomes. J Anxiety Disord 27:210-5
Settipani, Cara A; Kendall, Philip C (2013) Social functioning in youth with anxiety disorders: association with anxiety severity and outcomes from cognitive-behavioral therapy. Child Psychiatry Hum Dev 44:1-18
Aschenbrand, Sasha G; Kendall, Philip C (2012) The effect of perceived child anxiety status on parental latency to intervene with anxious and nonanxious youth. J Consult Clin Psychol 80:232-8
Settipani, Cara A; Puleo, Connor M; Conner, Bradley T et al. (2012) Characteristics and anxiety symptom presentation associated with autism spectrum traits in youth with anxiety disorders. J Anxiety Disord 26:459-67

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