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Trajectories and predictors of treatment response in CBT for youth anxiety

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TitleInfo
Title
Trajectories and predictors of treatment response in CBT for youth anxiety
SubTitle
an integrative data analysis approach
Name (type = personal)
NamePart (type = family)
Skriner
NamePart (type = given)
Laura Christine
NamePart (type = date)
1982-
DisplayForm
Laura Christine Skriner
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Chu
NamePart (type = given)
Brian C
DisplayForm
Brian C Chu
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (qualifier = exact)
2015
DateOther (qualifier = exact); (type = degree)
2015-10
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2015
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Objective: To enhance knowledge of symptom change and treatment response in cognitive behavioral therapy (CBT) for youth anxiety by adopting an Integrative Data Analysis (IDA) approach. The study used an IDA framework to combine existing data from nine clinical trials of CBT for anxious youth (N = 832) and identify distinct trajectories of anxiety symptoms during and following treatment, as well as predictors of these trajectories. Method: Youth and parent-reported anxiety symptom data from the nine contributing clinical trials were combined using item response theory (IRT) models. Growth mixture modeling was used to identify distinct trajectories of treatment response using IRT-scored anxiety symptom data across four time points including: pre-, mid-, and post-treatment, and 1-year follow-up. Once identified, several pre-treatment client demographic and clinical profile traits were tested as predictors of trajectory classes. Results: Growth mixture modeling identified three trajectory classes based on parentreported symptoms: steady responders (71.0%), rapid responders (7.2%), and delayed improvement (21.4%). Four classes were identified based on youth-reported symptoms: steady responders (55.1%), rapid responders (12.6%), delayed improvement (7.1%), and iii low symptom responders (25.3%). Number of diagnoses, youth age, treatment type, and youth gender predicted trajectory class in both child- and parent-reported anxiety models. Delayed improvement classes were predicted by number of pre-treatment diagnoses (based on parent and youth report);receiving family versus individual CBT predicted membership in the delayed improvement compared to all other response classes and also in the steady responder compared to rapid responder class (based on youth report); rapid responders were predicted by older age (parent report) and number of pre-treatment diagnoses (parent report); and low symptom responders were more likely to be male (youth report) compared with those in the steady responder class. Conclusions: The use of an IDA framework allowed for the identification of distinct patterns of symptom change during and following CBT for youth anxiety that have not been previously identified in individual trials. Diagnostic complexity, age, gender, and treatment modality differentiated response classes.
Subject (authority = RUETD)
Topic
Psychology
Subject (authority = ETD-LCSH)
Topic
Anxiety in children
Subject (authority = ETD-LCSH)
Topic
Cognitive therapy
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_6680
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (ix, 84 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Laura Christine Skriner
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3FF3VC1
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Skriner
GivenName
Laura
MiddleName
Christine
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-08-28 09:38:12
AssociatedEntity
Name
Laura Skriner
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
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