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Fears, anxieties and cognitive-behavioral treatment of specific phobias in youth
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The present dissertation consists of three empirical studies on children and adolescents presenting with various specific phobias in Stockholm, Sweden and in Virginia, USA. The overall aim was to contribute to our understanding of childhood fears, anxiety and phobias and to evaluate the efficacy and portability of a one-session treatment of specific phobias in youth. Study I tested the dimensionality of the Parental Bonding Instrument, across three generations and for two countries, and examined if parenting behaviors of indifference and overprotection were associated with more anxiety problems in children. The results showed that the four-factor representation of parental behavior provided an adequate fit for the instrument across informants. Perceived overprotection was associated with significantly more anxiety symptoms and comorbid diagnosis in children. Study II explored parent-child agreement on a diagnostic screening instrument for youths. The results indicated that children scoring high on motivation at treatment entry had generally stronger parent-child agreement on co-occurring diagnoses and severity ratings. Parents reported overall more diagnoses for their children, and parents who themselves qualified for a diagnosis seemed more tuned in to their children’s problematic behavior. Study III compared a one-session treatment with an education-supportive treatment condition, and a wait-list control condition for children presenting with various types of specific phobias. The results showed that both treatment conditions were superior to the wait-list control condition and that one-session exposure treatment was superior to education-supportive treatment on several measures. Treatment effects were maintained at a 6-month follow-up. Overall, the above findings suggest that the one-session treatment is portable and effective in treating a variety of specific phobias in children and adolescents.

Place, publisher, year, edition, pages
Stockholm: Psykologiska institutionen , 2009. , 86 p.
Keyword [en]
Specific phobia, one-session treatment, child anxiety, parenting, motivation, assessment, parent diagnoses, cognitive-behavioral therapy
National Category
Psychology
Research subject
Clinical Psychology
Identifiers
URN: urn:nbn:se:su:diva-8376ISBN: 978-91-7155-794-0 (print)OAI: oai:DiVA.org:su-8376DiVA: diva2:200180
Public defence
2009-01-23, David Magnussonsalen (U31), hus 8, Frescati Hagväg 8, Stockholm, 10:00
Opponent
Supervisors
Available from: 2009-01-02 Created: 2009-01-02Bibliographically approved
List of papers
1. Parenting and childhood anxiety: A clinical study in Sweden and Virginia.
Open this publication in new window or tab >>Parenting and childhood anxiety: A clinical study in Sweden and Virginia.
Manuscript (Other academic)
Identifiers
urn:nbn:se:su:diva-25665 (URN)
Note
Part of urn:nbn:se:su:diva-8376Available from: 2009-01-02 Created: 2009-01-02 Last updated: 2010-01-13Bibliographically approved
2. Exploring child and parent factors in the diagnostic agreement on the Anxiety Disorders Interview Schedule
Open this publication in new window or tab >>Exploring child and parent factors in the diagnostic agreement on the Anxiety Disorders Interview Schedule
2008 In: Journal of Psychopathology and Behavioral Assessment, ISSN 0882-2689, Vol. 30, no 4, 279-290 p.Article in journal (Refereed) Published
Identifiers
urn:nbn:se:su:diva-25666 (URN)
Note
Part of urn:nbn:se:su:diva-8376Available from: 2009-01-02 Created: 2009-01-02Bibliographically approved
3. One-Session Treatment of Specific Phobias in Youth: A Randomized Clinical Trial in the United States and Sweden
Open this publication in new window or tab >>One-Session Treatment of Specific Phobias in Youth: A Randomized Clinical Trial in the United States and Sweden
Show others...
2009 (English)In: Journal of Consulting and Clinical Psychology, ISSN 0022-006X, E-ISSN 1939-2117, Vol. 77, no 3, 504-509 p.Article in journal (Refereed) Published
Abstract [en]

One hundred and ninety-six youth, ages 7–16, who fulfilled Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for various specific phobias were randomized to a one-session exposure treatment, education support treatment, or a wait list control group. After the waiting period, the wait list participants were offered treatment and, if interested, rerandomized to 1 of the 2 active treatments. The phobias were assessed with semistructured diagnostic interviews, clinician severity ratings, and behavioral avoidance tests, whereas fears, general anxiety, depression, and behavior problems were assessed with self- and parent report measures. Assessments were completed pretreatment, posttreatment, and at 6 months following treatment. Results showed that both treatment conditions were superior to the wait list control condition and that 1-session exposure treatment was superior to education support treatment on clinician ratings of phobic severity, percentage of participants who were diagnosis free, child ratings of anxiety during the behavioral avoidance test, and treatment satisfaction as reported by the youth and their parents. There were no differences on self-report measures. Treatment effects were maintained at follow-up. Implications of these findings are discussed.

Keyword
specific phobias, children and adolescents, randomized control trial, cognitive behavior therapy, treatment outcome
National Category
Psychology
Identifiers
urn:nbn:se:su:diva-25667 (URN)10.1037/a0015158 (DOI)000266614800012 ()
Available from: 2009-01-02 Created: 2009-01-02 Last updated: 2017-12-13Bibliographically approved

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