Person-Centered Profiles Among Treatment-Seeking Children and Adolescents with Anxiety Disorders.
Latent profile analysis (LPA) was used to derive homogeneous subgroups within the Child/Adolescent Anxiety Multimodal Study sample (N = 488; 7–17 years, M = 10.69, SD = 2.80) and examine whether class membership predicted or moderated treatment response. Subgroups were identified on baseline multi-i...
| Publicado en: | Journal of Clinical Child & Adolescent Psychology Vol. 49; no. 5; pp. 626 - 639 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Taylor & Francis Ltd
Sep/Oct2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=146298323&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 146298323 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15374416 KYT jtl: Journal of Clinical Child & Adolescent Psychology issn: 15374416 maglogo: Y pubinfo: dt: Sep/Oct2020 vid: 49 iid: 5 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 146298323 10.1080/15374416.2019.1602839 ppf: 626 ppct: 13 formats: tig: atl: Person-Centered Profiles Among Treatment-Seeking Children and Adolescents with Anxiety Disorders. aug: au: Norris, Lesley A. Olino, Thomas M. Gosch, Elizabeth A. Compton, Scott N. Piacentini, John Ginsburg, Golda S. Albano, Anne Marie Walkup, John T. Birmaher, Boris Kendall, Philip C. affil: Department of Psychology, Temple University Department of Psychology, Philadelphia College of Osteopathic Medicine Department of Psychiatry and Behavioral Psychology, Duke University Medical Center Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles School of Medicine Department of Psychiatry, University of Connecticut Health Center Department of Psychiatry, New York State Psychiatric Institute—Columbia University Medical Center Department of Psychiatry, Weill Cornell Medicine, New York-Presbyterian Department of Psychiatry, University of Pittsburgh School of Medicine su: Anxiety disorders Demographic characteristics Teenagers Placebos Symptoms sug: subj: Anxiety disorders Demographic characteristics Teenagers Placebos Symptoms ab: Latent profile analysis (LPA) was used to derive homogeneous subgroups within the Child/Adolescent Anxiety Multimodal Study sample (N = 488; 7–17 years, M = 10.69, SD = 2.80) and examine whether class membership predicted or moderated treatment response. Subgroups were identified on baseline multi-informant measures of variables most consistently associated with outcome (youth anxiety/diagnosis, impairment, family psychopathology/functioning). Subgroup membership was examined as a predictor/moderator of outcome across the four treatment conditions (CBT, Sertraline, CBT+Sertraline, pill placebo) at posttreatment (12 weeks) and open-extension follow-up (24 weeks). Four subgroups emerged: mild symptoms/impairment, moderate symptoms/impairment, moderate symptoms/impairment with family dysfunction/parental psychopathology, and severe symptoms/impairment. There were significant between-class differences on socioeconomic status (SES; lower reported SES in the moderate with family dysfunction/parental psychopathology class compared to the mild and moderate class) and age (older age in the severe symptoms class compared to the other three classes). Youth in the mild symptoms/impairment class showed lower posttreatment anxiety across conditions but reported significantly lower symptom severity at baseline. Controlling for demographic differences, response to treatment type did not differ across classes. Analyses indicate that elevated family dysfunction/parental psychopathology clusters primarily within one subgroup of anxious youth rather than mapping onto symptom severity, highlighting the utility of LPA for clarifying within-person combinations of predictor/moderator variables. Implications for development of interventions targeting class-relevant variables are discussed. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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