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

TitleTrajectories and predictors of response in youth anxiety CBT: Integrative data analysis
Authors
Keywordsintegrative data analysis
symptom trajectories
treatment predictors
youth anxiety
Issue Date2019
PublisherAmerican Psychological Association. The Journal's web site is located at http://www.apa.org/journals/ccp.html
Citation
Journal of Consulting and Clinical Psychology, 2019, v. 87 n. 2, p. 198-211 How to Cite?
AbstractObjective: 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. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Persistent Identifierhttp://hdl.handle.net/10722/274092
ISSN
2019 Impact Factor: 4.632
2015 SCImago Journal Rankings: 3.073

 

DC FieldValueLanguage
dc.contributor.authorSkriner, LC-
dc.contributor.authorChu, BC-
dc.contributor.authorKaplan, M-
dc.contributor.authorBodden, DHM-
dc.contributor.authorBogels, SM-
dc.contributor.authorKendall, PC-
dc.contributor.authorNauta, MH-
dc.contributor.authorSilverman, WK-
dc.contributor.authorWood, JJ-
dc.contributor.authorBarker, DH-
dc.contributor.authorde la Torre, J-
dc.contributor.authorSaavendra, L-
dc.contributor.authorXie, M-
dc.date.accessioned2019-08-18T14:54:53Z-
dc.date.available2019-08-18T14:54:53Z-
dc.date.issued2019-
dc.identifier.citationJournal of Consulting and Clinical Psychology, 2019, v. 87 n. 2, p. 198-211-
dc.identifier.issn0022-006X-
dc.identifier.urihttp://hdl.handle.net/10722/274092-
dc.description.abstractObjective: 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. (PsycINFO Database Record (c) 2019 APA, all rights reserved)-
dc.languageeng-
dc.publisherAmerican Psychological Association. The Journal's web site is located at http://www.apa.org/journals/ccp.html-
dc.relation.ispartofJournal of Consulting and Clinical Psychology-
dc.rightsJournal of Consulting and Clinical Psychology. Copyright © American Psychological Association.-
dc.rightsThis article may not exactly replicate the final version published in the APA journal. It is not the copy of record.-
dc.subjectintegrative data analysis-
dc.subjectsymptom trajectories-
dc.subjecttreatment predictors-
dc.subjectyouth anxiety-
dc.titleTrajectories and predictors of response in youth anxiety CBT: Integrative data analysis-
dc.typeArticle-
dc.identifier.emailde la Torre, J: jdltorre@hku.hk-
dc.identifier.authorityde la Torre, J=rp02159-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1037/ccp0000367-
dc.identifier.pmid30570308-
dc.identifier.scopuseid_2-s2.0-85058862854-
dc.identifier.hkuros302290-
dc.identifier.volume87-
dc.identifier.issue2-
dc.identifier.spage198-
dc.identifier.epage211-
dc.publisher.placeUnited States-

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