Category: Child / Adolescent - Anxiety

Symposium

Brief Behavioral Therapy for Anxiety and Depression in Pediatric Primary Care: Secondary Outcomes

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

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

In this presentation, we report on secondary outcomes of a multi-site randomized controlled trial for youth with anxiety and/or depression. Enrolled youth (N = 185) were randomly assigned to receive an 8-12 week, transdiagnostic behavioral intervention delivered in primary care (BBT) or assisted referral to care (ARC). In the primary report, youth that received BBT exhibited higher rates of clinical response and less severe symptoms post-treatment than those in the ARC group across clinician-rated measures of anxiety, functioning, and overall improvement. Effects were not detected on clinician-rated depression symptoms. The current presentation will examine the impact that group assignment had on parent- and youth-reported symptoms of child anxiety, depression, somatization, conduct problems, hyperactivity, peer relationships, prosocial behavior, and impairment. We also evaluated the impact of treatment assignment on parent-report of their own symptoms of anxiety and depression. At Week 16 follow-up, mean scores of anxiety (t142=-2.95, p=.010; t143=-3.72, pt143=-2.09, p=.039; t144=-2.92, p=.004) symptoms were significantly lower in the BBT group compared to those receiving ARC, per both parent- and youth reports. Self-reported somatization (t127=-2.32, p=.022), conduct problems (t127=-3.72, p<.001), and impairment  (t102.86=-2.18, p=.032) also significantly differed by group in the same direction. Explorations of other measures, including all assessments of parental psychopathology, failed to achieve significance. Broadly, findings appeared to be stronger for child-report measures. The final presentation will include analyses of changes in symptom slope from baseline to follow-up and effects of the BBT intervention on remission of anxiety and depression diagnoses.

Karen T. G. Schwartz

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

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