Impact of Treatment Improvement on Long-term Anxiety: Results from CAMS and CAMELS
dc.creator | Crane, Margaret E. | |
dc.creator | Norris, Lesley | |
dc.creator | Frank, Hannah E. | |
dc.creator | Klugman, Joshua | |
dc.creator | Ginsburg, Golda | |
dc.creator | Keeton, Courtney | |
dc.creator | Albano, Anne Marie | |
dc.creator | Piacentini, John | |
dc.creator | Peris, Tara S. | |
dc.creator | Compton, Scott | |
dc.creator | Sakolsky, Dara | |
dc.creator | Birmaher, Boris | |
dc.creator | Kendall, Philip C. | |
dc.date.accessioned | 2022-07-27T14:59:51Z | |
dc.date.available | 2022-07-27T14:59:51Z | |
dc.date.issued | 2021-03-13 | |
dc.identifier.citation | Crane, 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.issn | 1939-2117 | |
dc.identifier.doi | http://dx.doi.org/10.34944/dspace/7926 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12613/7954 | |
dc.description.abstract | Objective: 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.extent | 33 pages | |
dc.language | English | |
dc.language.iso | eng | |
dc.relation.ispartof | Faculty/ Researcher Works | |
dc.relation.haspart | Journal of Consulting and Clinical Psychology, Vol. 89 | |
dc.relation.isreferencedby | American 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.rights | Attribution CC BY | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Anxiety | |
dc.subject | Treatment | |
dc.subject | Follow-up | |
dc.subject | Cognitive behavior therapy | |
dc.subject | Setraline | |
dc.title | Impact of Treatment Improvement on Long-term Anxiety: Results from CAMS and CAMELS | |
dc.type | Text | |
dc.type.genre | Pre-print | |
dc.description.department | Psychology and Neuroscience | |
dc.relation.doi | https://doi.org/10.1037/ccp0000523 | |
dc.ada.note | For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu | |
dc.description.schoolcollege | Temple University. College of Liberal Arts | |
dc.creator.orcid | Kendall|0000-0001-7034-6961 | |
dc.creator.orcid | Klugman|0000-0002-7072-0041 | |
dc.temple.creator | Kendall, Philip C. | |
dc.temple.creator | Klugman, Joshua | |
refterms.dateFOA | 2022-07-27T14:59:51Z |