Category: Child / Adolescent - Anxiety

Symposium

Symposium 105 - Brief Behavioral Therapy for Anxiety and Depression in Pediatric Primary Care: Predictors, Moderators, Outcomes

Saturday, November 18
3:30 PM - 5:00 PM
Location: Indigo Ballroom B, Level 2, Indigo Level

Keywords: Child Anxiety | Adolescent Depression | Primary Care
Presentation Type: Symposium

Depression and anxiety in youth are prevalent and impairing, with a high degree of current and lifetime comorbidity. Targeting the internalizing disorders as a unified problem area is in line with calls for new approaches to conceptualizing comorbidity and a focus on transdiagnostic processes.  Transdiagnostic  treatments also hold the promise of greater clinical efficiency and may be a good fit for dissemination to diverse community service settings. In this context, we conducted a pediatrics-based RCT of a transdiagnostic brief behavioral therapy (BBT) compared to assisted referral to specialty mental health care (ARC) in a large, diverse sample (N=185) of children and adolescents (age 8-16). Overall, BBT youth had significantly higher rates of clinical response than those in ARC (56.8% versus 28.2%), and these effects were particularly strong for Latino/a youths (Weersing et al., in press).  The current talks expand these analyses to other associated outcomes of interest, examine additional predictors and moderators of response, and probe effects in the Latino subsample to lay the groundwork for additional research in this important population.  The first presentation by Dr. Weersing provides an overview of the development and content of the BBT intervention and the original study design and effects on primary outcomes. In the second presentation, Ms. Schwartz presents analyses of associated outcomes. Notably, broad effects of BBT were found for child-rated outcomes, including for child report of depression symptoms. In the original trial, effects of BBT on clinician-rated depression symptoms did not reach statistical significance.  The third presentation by Dr. Rozenman expands on the moderator tests conducted as part of the original aims to include a range of demographic and clinical factors. In this analysis, severity of anxiety and suicidal ideation emerged as predictors, but BBT effects were not notably moderated, beyond the strong ethnicity effects already reported in the sample. The fourth and final presentation by Dr. Gonzalez focuses on BBT and ARC effects for Latino/ a youth.  At baseline, Latino youth had lower levels of clinician-rated depression symptoms but were otherwise quite similar to non-Latino youth.  Latino youth in BBT evidenced robust gains in internalizing symptoms across reporters and definitions of secondary outcomes. Additional analyses will explore parental engagement and treatment adherence as potential mechanisms of these enhanced effects. Dr. Asarnow will discuss implications of the trial for dissemination and implementation of programs in primary care and reducing ethnic disparities in access to and quality of services.

Learning Objectives:

V. Robin Weersing

Professor
San Diego State University

Presentation(s):

Send Email for V. Robin Weersing

Joan Asarnow

UCLA

Presentation(s):

    Send Email for Joan Asarnow

    V. Robin Weersing

    Professor
    San Diego State University

    Presentation(s):

    Send Email for V. Robin Weersing

    Karen T. G. Schwartz

    Doctoral Student
    San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology

    Presentation(s):

    Send Email for Karen Schwartz

    Michelle Rozenman

    Assistant Clinical Professor of Psychiatry & Biobehavioral Sciences
    UCLA Semel Institute for Neuroscience & Human Behavior

    Presentation(s):

    Send Email for Michelle Rozenman

    Araceli Gonzalez

    California State University Long Beach

    Presentation(s):

    Send Email for Araceli Gonzalez


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