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dc.creatorCrane, Margaret E.
dc.creatorNorris, Lesley
dc.creatorFrank, Hannah E.
dc.creatorKlugman, Joshua
dc.creatorGinsburg, Golda
dc.creatorKeeton, Courtney
dc.creatorAlbano, Anne Marie
dc.creatorPiacentini, John
dc.creatorPeris, Tara S.
dc.creatorCompton, Scott
dc.creatorSakolsky, Dara
dc.creatorBirmaher, Boris
dc.creatorKendall, Philip C.
dc.date.accessioned2022-07-27T14:59:51Z
dc.date.available2022-07-27T14:59:51Z
dc.date.issued2021-03-13
dc.identifier.citationCrane, M. E., Norris, L. A., Frank, H. E., Klugman, J., Ginsburg, G. S., Keeton, C., Albano, A. M., Piacentini, J., Peris, T. S., Compton, S. N., Sakolsky, D., Birmaher, B., & Kendall, P. C. (2021). Impact of treatment improvement on long-term anxiety: Results from CAMS and CAMELS. Journal of Consulting and Clinical Psychology, 89(2), 126–133. https://doi.org/10.1037/ccp0000523
dc.identifier.issn1939-2117
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/7926
dc.identifier.urihttp://hdl.handle.net/20.500.12613/7954
dc.description.abstractObjective: This paper examined associations between change in youth and family characteristics during youth anxiety treatment and long-term anxiety severity and overall functioning. Method: Participants (N = 488; age 7-17 years; 45% male; 82% white) were randomized to 12 weeks of cognitive behavioral therapy (Coping Cat), medication (sertraline), their combination, or pill placebo in the Child/Adolescent Anxiety Multimodal Study (CAMS). A subset participated in the naturalistic follow-up Child/Adolescent Anxiety Multimodal Extended Long-term Study (CAMELS; n = 319; 3.70-11.83 years posttreatment). The current secondary analyses examined how change in anxiety severity (Child Global Impression-Severity), overall functioning (Children's Global Assessment Scale), caregiver psychopathology (Brief Symptom Inventory), caregiver strain (Family Burden Assessment Scale), and family dysfunction (Brief Family Assessment Measure) during CAMS was associated with anxiety severity and overall functioning years later (M = 7.72 years). CAMS procedures were registered on clinialtrials.gov. Results: Changes in factors related to functioning (i.e., overall functioning, family dysfunction, caregiver strain) were associated with improvements in anxiety severity in CAMELS (|βys| ≥ .04, ps ≤ .04). Changes in factors related to psychopathology (i.e., anxiety severity, caregiver psychopathology) were associated with improvements in overall functioning in CAMELS (|βys| ≥ .23, ps ≤ .04). It was changes in each of the variables examined (rather than baseline values) that predicted anxiety severity and overall functioning. Conclusions: Both youth and family factors play a significant role in long-term treatment outcomes. Therapists would be wise to monitor how these factors change throughout treatment.
dc.format.extent33 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartJournal of Consulting and Clinical Psychology, Vol. 89
dc.relation.isreferencedbyAmerican Psychological Association
dc.relation.isreferencedby© American Psychological Association, 2021-02-01. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission.
dc.rightsAttribution CC BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAnxiety
dc.subjectTreatment
dc.subjectFollow-up
dc.subjectCognitive behavior therapy
dc.subjectSetraline
dc.titleImpact of Treatment Improvement on Long-term Anxiety: Results from CAMS and CAMELS
dc.typeText
dc.type.genrePre-print
dc.description.departmentPsychology and Neuroscience
dc.relation.doihttps://doi.org/10.1037/ccp0000523
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. College of Liberal Arts
dc.creator.orcidKendall|0000-0001-7034-6961
dc.creator.orcidKlugman|0000-0002-7072-0041
dc.temple.creatorKendall, Philip C.
dc.temple.creatorKlugman, Joshua
refterms.dateFOA2022-07-27T14:59:51Z


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