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Anxiety symptoms in adolescents with type 1 diabetes: association with blood glucose monitoring and glycaemic control
- J Pediatr
"... Objective To examine the prevalence of anxiety symptoms and their association with blood glucose monitoring (BGM) and glycemic control in adolescents with type 1 diabetes. Methods 276 adolescents and their caregivers completed measures of anxiety symptoms. Adolescents completed a measure of depressi ..."
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Objective To examine the prevalence of anxiety symptoms and their association with blood glucose monitoring (BGM) and glycemic control in adolescents with type 1 diabetes. Methods 276 adolescents and their caregivers completed measures of anxiety symptoms. Adolescents completed a measure of depressive symptoms. Demographic and family characteristics were obtained from caregiver report. Diabetes duration, regimen type, BGM frequency, and glycemic control were also collected. Results Trait anxiety symptoms that suggest further clinical assessment is needed were present in 17 % of adolescents; the rate was 13 % for state anxiety symptoms. Higher levels of state anxiety symptoms were associated with less frequent BGM F(14, 261) 6.35, p<.0001, R2 .25, and suboptimal glycemic control, F(15, 260) 7.97, p<.0001, R2 .32. State anxiety symptoms were correlates of BGM frequency and glycemic control independent of depressive symptoms. Conclusions State anxiety symptoms are associated with less frequent BGM and suboptimal glycemic control in adolescents with type 1 diabetes. Key words adolescents; anxiety; type 1 diabetes; glycemic control. Adolescents with type 1 diabetes are at increased risk of problematic psychological functioning. Much of the work in this area has focused on depression (Grey, Whittemore,
The emotion dysregulation model of anxiety: A preliminary path analytic examination
- Journal of Psychopathology and Behavioral Assessment
, 2010
"... a b s t r a c t Both temperamental (e.g., behavioral inhibition) and environmental (e.g., family emotional environment) factors are associated with etiology and maintenance of anxiety; however, few studies have explored mechanisms through which these risk factors operate. The present study investig ..."
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a b s t r a c t Both temperamental (e.g., behavioral inhibition) and environmental (e.g., family emotional environment) factors are associated with etiology and maintenance of anxiety; however, few studies have explored mechanisms through which these risk factors operate. The present study investigation of a developmental model of anxiety (i.e., the Emotion Dysregulation Model of Anxiety; EDMA) that hypothesizes that emotion dysregulation is the mechanism through which temperamental and emotion parenting variables relate to anxiety. Emerging adults (N = 676, M age = 19.5) retrospectively reported on behavioral inhibition and emotion parenting factors in childhood, and current emotion regulation skills and symptoms of anxiety. Results of path analyses provide initial support for the EDMA. Emotion dysregulation fully mediated the relationship between behavioral inhibition and anxiety and partially mediated the relationship between family emotional environment and anxiety.
Making a Case for Treatment Integrity as a Psychosocial Treatment Quality Indicator for Youth Mental Health Care
"... Measures of treatment integrity are needed to advance clinical research in general and are viewed as particu-larly relevant for dissemination and implementation research. Although some efforts to develop such mea-sures are underway, a conceptual and methodological framework will help guide these eff ..."
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Measures of treatment integrity are needed to advance clinical research in general and are viewed as particu-larly relevant for dissemination and implementation research. Although some efforts to develop such mea-sures are underway, a conceptual and methodological framework will help guide these efforts. The purpose of this article is to demonstrate how frameworks adapted from the psychosocial treatment, therapy process, healthcare, and business literatures can be used to address this gap. We propose that components of treat-ment integrity (i.e., adherence, differentiation, compe-tence, alliance, client involvement) pulled from the treatment technology and process literatures can be used as quality indicators of treatment implementation and thereby guide quality improvement efforts in prac-tice settings. Further, we discuss how treatment integ-rity indices can be used in feedback systems that utilize benchmarking to expedite the process of translating evidence-based practices to service settings. Key words: children’s mental health, dissemination
The impact of brief parental anxiety management on childhood anxiety treatment outcomes: a controlled trial
- Journal of Clinical Child and Adolescent Psychology
, 2013
"... Parental anxiety is a risk to optimal treatment outcomes for childhood anxiety disorders. The current trial examined whether the addition of a brief parental anxiety management (BPAM) program to family cognitive behavioral therapy (CBT) was more efficacious than family CBT-only in treating childhood ..."
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Parental anxiety is a risk to optimal treatment outcomes for childhood anxiety disorders. The current trial examined whether the addition of a brief parental anxiety management (BPAM) program to family cognitive behavioral therapy (CBT) was more efficacious than family CBT-only in treating childhood anxiety disorders. Two hundred nine children (aged 6–13 years, 104 female, 90 % Caucasian) with a principal anxiety disorder were randomly allocated to family CBT with a five-session program of BPAM (n 109) or family CBT-only (n 100). Family CBT comprised the Cool Kids program, a structured 12-week program that included both mothers and fathers. Overall, results revealed that the addition of BPAM did not significantly improve outcomes for the child or the parent compared to the CBT-only group at posttreatment or 6-month follow-up. Overall, however, children with nonanxious parents were more likely to be diagnosis free for any anxiety disorder compared to children with anxious parents at posttreatment and 6-month follow-up. BPAM did not produce greater reductions in parental anxiety. The results support previous findings that parent anxiety confers poorer treatment outcomes for childhood anxiety disorders. Nevertheless the addition of BPAManxiety management
Moderators and Predictors of Clinical Outcome in a Randomized Trial for Behavior Problems in Pediatric Primary Care
"... Objectives To evaluate putative moderator, predictor, and treatment parameter variables in relation to three outcomes in a clinical trial that compared a modular protocol for on-site, nurse-administered intervention (PONI) and enhanced usual care (EUC) for pediatric behavioral problems in primary ca ..."
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Objectives To evaluate putative moderator, predictor, and treatment parameter variables in relation to three outcomes in a clinical trial that compared a modular protocol for on-site, nurse-administered intervention (PONI) and enhanced usual care (EUC) for pediatric behavioral problems in primary care. Methods Patients were 163 clinically referred children for behavior problems in six primary care offices. PONI consisted of seven treatment modules adapted from prior treatment trials with this population, where-as EUC involved a facilitated referral to a community provider. Outcome measures were based on standard-ized scales reflecting one parent-rated aggregate (child dysfunction) and one child-rated aggregate (child health), and diagnostic interviews with both informants (remission in oppositional defiant disorder). Results Moderator analyses revealed that PONI was more effective than EUC in reducing child dysfunction by 12-month follow-up among Caucasian children, whereas EUC was more effective than PONI among non-Caucasian children. In the full sample, child health improvement was predicted by the severity of the child’s depression and anxiety, and level of family conflict. Duration of child exposure to cognitive-behavioral treatment in PONI was related to greater improvement in overall child health, but other treatment parameters were unrelated to outcome. Conclusions These few significant relationships notwithstanding the findings indicate that the two treatments had robust effects on several outcomes and across selected child, parent,
Treatment for Anxiety-disordered Children Exhibiting School Refusal
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All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.
Brief Cognitive-behavioural Treatment for Anxiety-disordered Children Exhibiting School Refusal
"... This study evaluated the efficacy of a brief intervention programme for 20 anxiety-disordered children exhibiting school refusal. Treatment consisted of individual child cognitive-behaviour therapy and parent/ teacher training. Children underwent a comprehensive assessment before and after treatment ..."
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This study evaluated the efficacy of a brief intervention programme for 20 anxiety-disordered children exhibiting school refusal. Treatment consisted of individual child cognitive-behaviour therapy and parent/ teacher training. Children underwent a comprehensive assessment before and after treatment, and at a 3-month follow-up. Marked improvements were evident on nearly all measures, including school attendance. The findings signal the need for a controlled evaluation in order to establish the efficacy of this cost-efficient intervention. Copyright # 1999 John Wiley & Sons, Ltd.
Predictors and Moderators of Treatment Response in Childhood Anxiety Disorders: Results From the CAMS Trial
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SEE PROFILE All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.
