Item – Theses Canada

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OCLC number
56683563
Link(s) to full text
LAC copy
LAC copy
Author
Wolfe, Janis L.(Janis Lynn),1970-
Title
Cognitive behavioral therapy for childhood anxiety disorders : individual differences in response to treatment.
Degree
Ph. D. -- University of Toronto, 2003
Publisher
Ottawa : National Library of Canada = Bibliothèque nationale du Canada, [2004]
Description
3 microfiches.
Notes
Includes bibliographical references.
Abstract
The objectives of this study were to determine (i) if child characteristics of internalizing distress (i.e., social anxiety, depression, negative self-statements, self-esteem, locus of control, maladaptive coping style, poor social skills) were predictive of outcome in children with anxiety disorders receiving cognitive-behavioral treatment, (ii) whether anxiety and these child characteristics were correlated before treatment and if a subgroup of higher distress children could be discerned, (iii) whether child characteristics of distress improved following treatment, and (iv) whether higher and lower distress subgroups of children responded differentially to treatment. One hundred and ten children, aged 8 to 12 years (M = 9.9, SD = 1.3), with Axis I anxiety disorders participated. Parents and children completed measures assessing children's general anxiety, social anxiety, depression, negative self-statements, self-esteem, locus of control, coping style, and social skills before and after treatment. Outcome measures included clinician-rated functioning, and child and parent-rated anxiety. Results demonstrated that lower pre-treatment social anxiety was the best predictor of child- and mother-rated improvement in anxiety following treatment. Clinician-rated improvement in child functioning was best predicted by children's pre-treatment reported use of active coping strategies. Numerous child characteristics of internalizing distress improved following treatment. Child-rated anxiety was correlated with several measures of internalizing distress characteristics before treatment. An exploratory cluster analysis produced two subgroups of children substantially differing on measures of internalizing distress before treatment, but the higher and lower distress subgroups did not differ in their response to treatment. In conclusion, some child characteristics of internalizing distress appear to be related to less favorable treatment outcome in children with anxiety disorders.
ISBN
0612783731
9780612783737