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Predictors of long-term outcome of CBT for youth with anxiety disorders treated in community clinics
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2018 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 59, p. 53-63Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2018. Vol. 59, p. 53-63
Keywords [en]
Youth anxiety, Cognitive behavioral therapy, Long-term outcome, Community clinics, Predictors
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-162197DOI: 10.1016/j.janxdis.2018.08.008ISI: 000451497700007OAI: oai:DiVA.org:su-162197DiVA, id: diva2:1263710
Note

This work was supported by the Western Norway Regional Health Authority (grant number 911366, 911253, and 911840).

Available from: 2018-11-16 Created: 2018-11-16 Last updated: 2018-12-10Bibliographically approved

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Öst, Lars-Göran
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