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    Characteristics of Exposure Sessions as Predictors of Differential Treatment Response in a Sample of Anxious Youth

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    Genre
    Thesis/Dissertation
    Date
    2011
    Author
    Tiwari, Shilpee
    Advisor
    Kendall, Philip C.
    Drabick, Deborah A.
    Committee member
    Fauber, Robert L.
    Alloy, Lauren B.
    Johnson, Kareem
    Gosch, Elizabeth A.
    Department
    Psychology
    Subject
    Psychology, Clinical
    Anxiety
    Cognitive Behavioral Therapy
    Exposure
    Youth
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/4131
    
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    DOI
    http://dx.doi.org/10.34944/dspace/4113
    Abstract
    Guidelines for conducting effective exposure treatment with anxious youth emphasize content (e.g., preparation for and processing of the exposure) and process (e.g., collaboration and youth involvement) variables as important elements of exposure task sessions, but there is a paucity of research examining these guidelines. Using multiple regression, this study evaluated the extent to which independent observers' ratings of process (i.e., collaboration and youth involvement) and content variables (i.e., preparation for and processing after the exposure task) were predictive of treatment outcome in a sample of 61 anxiety-disordered youth. Results indicated that collaboration between the youth and therapist significantly predicted improvement in treatment outcome as measured by youth-, parent-, and teacher-reports. Youth involvement in exposure task sessions predicted improved outcome as measured by teacher-report. Contrary to expectation, preparation for exposure did not predict outcome, but post-event processing of the exposure task was significantly predictive of clinician-rated diagnostic outcome. Exploratory analyses suggest that treatment responders were more likely to be assigned between-session exposure tasks as "homework" and were more likely to be rewarded for their efforts in session. Treatment implications and future directions are discussed.
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