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Trajectories and predictors of response in youth anxiety CBT: Integrative data analysis

Access

info:eu-repo/semantics/closedAccess

Date

2019

Author

Skriner, Laura C.
Chu, Brian C.
Kaplan, Mehmet
Bodden, Denise H. M.
Bogels, Susan M.
Kendall, Philip C.
Nauta, Maaike H.
Silverman, Wendy K.
Wood, Jeffrey J.
Barker, David H.
de la Torre, Jimmy
Saavedra, Lissette
Xie, Min-ge

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Citation

Skriner, L. C., Chu, B. C., Kaplan, M., Bodden, D. H., Bögels, S. M., Kendall, P. C., ... & Xie, M. G. (2019). Trajectories and predictors of response in youth anxiety CBT: Integrative data analysis. Journal of consulting and clinical psychology, 87(2), 198-211. Doi: 10.1037/ccp0000367

Abstract

Objective: Integrative data analysis was used to combine existing data from nine trials of cognitive-behavioral therapy (CBT) for anxious youth (N = 832) and identify trajectories of symptom change and predictors of trajectories. Method: Youth-and parent-reported anxiety symptoms were combined using item-response theory models. Growth mixture modeling assessed for trajectories of treatment response across pre-, mid-, and posttreatment and 1-year follow-up. Pretreatment client demographic and clinical traits and treatment modality (individual-and family-based CBT) were examined as predictors of trajectory classes. Results: Growth mixture modeling supported three trajectory classes based on parent-reported symptoms: steady responders, rapid responders, and delayed improvement. A 4-class model was supported for youth-reported symptoms: steady responders, rapid responders, delayed improvement, and low-symptom responders. Delayed improvement classes were predicted by higher number of diagnoses (parent and youth report). Receiving family CBT predicted membership in the delayed improvement class compared to all other classes and membership in the steady responder class compared with rapid responders (youth report). Rapid responders were predicted by older age (parent report) and higher number of diagnoses (parent report). Low-symptom responders were more likely to be male (youth report). Conclusions: Integrative data analysis identified distinct patterns of symptom change. Diagnostic complexity, age, gender, and treatment modality differentiated response classes.

Volume

87

Issue

2

URI

https://doi.org/10.1037/ccp0000367
https://hdl.handle.net/11494/2532

Collections

  • Eğitim Bilimleri Bölümü Koleksiyonu [103]
  • Scopus İndeksli Yayınlar Koleksiyonu [879]
  • WoS İndeksli Yayınlar Koleksiyonu [1133]



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