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Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.

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Title: Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.
Authors: Halldorsdottir, Thorhildur (AUTHOR), Ollendick, Thomas H. (AUTHOR), Ginsburg, Golda (AUTHOR), Sherrill, Joel (AUTHOR), Kendall, Philip C. (AUTHOR), Walkup, John (AUTHOR), Sakolsky, Dara J. (AUTHOR), Piacentini, John (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. Nov/Dec2015, Vol. 44 Issue 6, p985-991. 7p.
Subjects: Treatment of attention-deficit hyperactivity disorder, Youth with attention-deficit hyperactivity disorder, Adolescent psychopathology, Attention-deficit hyperactivity disorder, Oppositional defiant disorder in children, Oppositional defiant disorder in adolescence, Disease remission, Behavior therapy
Abstract: The purpose of this study is to examine the influence of Attention-Deficit/Hyperactivity Disorder (ADHD), independent of Oppositional Defiant Disorder (ODD), on acute treatment response, remission rates and maintenance of gains at 6-month follow-up in anxious youth (ages 7–17, 76% Caucasian, 52% female) who received cognitive-behavioral therapy (CBT) alone, pharmacotherapy alone, the combination of CBT and pharmacotherapy or placebo pill in the Child/Adolescent Multimodal Study. Treatment response was defined as independent evaluator rated meaningful improvement in anxiety. Remission was operationalized as the absence of targeted anxiety disorders. ADHD and ODD were examined as moderators of outcomes at a diagnostic level. In the CBT group only, an ADHD diagnosis predicted poorer immediate treatment response and remission rates. However, these associations were not obtained for the pharmacotherapy groups. Participants with comorbid ODD were not less likely to achieve acute treatment response and remission rates than their counterparts across treatment conditions. Due to small sample size of the comorbid subgroups, our analyses must be considered preliminary. Nevertheless, our initial findings suggest further exploration of the separate roles of ADHD and ODD are worth pursuing, as they may be differentially associated with treatment outcomes in anxious youth treated with CBT but not youth treated with pharmacotherapy. If confirmed, findings may indicate that anxious youth with comorbid ADHD are less likely to benefit from CBT strategies alone and raise the possibility that these youth need adjunctive pharmacotherapy or psychosocial interventions. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.
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  Data: <searchLink fieldCode="AR" term="%22Halldorsdottir%2C+Thorhildur%22">Halldorsdottir, Thorhildur</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ollendick%2C+Thomas+H%2E%22">Ollendick, Thomas H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ginsburg%2C+Golda%22">Ginsburg, Golda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sherrill%2C+Joel%22">Sherrill, Joel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kendall%2C+Philip+C%2E%22">Kendall, Philip C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walkup%2C+John%22">Walkup, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sakolsky%2C+Dara+J%2E%22">Sakolsky, Dara J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Piacentini%2C+John%22">Piacentini, John</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. Nov/Dec2015, Vol. 44 Issue 6, p985-991. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+attention-deficit+hyperactivity+disorder%22">Treatment of attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Youth+with+attention-deficit+hyperactivity+disorder%22">Youth with attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+psychopathology%22">Adolescent psychopathology</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Oppositional+defiant+disorder+in+children%22">Oppositional defiant disorder in children</searchLink><br /><searchLink fieldCode="DE" term="%22Oppositional+defiant+disorder+in+adolescence%22">Oppositional defiant disorder in adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+remission%22">Disease remission</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: The purpose of this study is to examine the influence of Attention-Deficit/Hyperactivity Disorder (ADHD), independent of Oppositional Defiant Disorder (ODD), on acute treatment response, remission rates and maintenance of gains at 6-month follow-up in anxious youth (ages 7–17, 76% Caucasian, 52% female) who received cognitive-behavioral therapy (CBT) alone, pharmacotherapy alone, the combination of CBT and pharmacotherapy or placebo pill in the Child/Adolescent Multimodal Study. Treatment response was defined as independent evaluator rated meaningful improvement in anxiety. Remission was operationalized as the absence of targeted anxiety disorders. ADHD and ODD were examined as moderators of outcomes at a diagnostic level. In the CBT group only, an ADHD diagnosis predicted poorer immediate treatment response and remission rates. However, these associations were not obtained for the pharmacotherapy groups. Participants with comorbid ODD were not less likely to achieve acute treatment response and remission rates than their counterparts across treatment conditions. Due to small sample size of the comorbid subgroups, our analyses must be considered preliminary. Nevertheless, our initial findings suggest further exploration of the separate roles of ADHD and ODD are worth pursuing, as they may be differentially associated with treatment outcomes in anxious youth treated with CBT but not youth treated with pharmacotherapy. If confirmed, findings may indicate that anxious youth with comorbid ADHD are less likely to benefit from CBT strategies alone and raise the possibility that these youth need adjunctive pharmacotherapy or psychosocial interventions. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/15374416.2014.952008
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        Text: English
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      – SubjectFull: Treatment of attention-deficit hyperactivity disorder
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      – SubjectFull: Youth with attention-deficit hyperactivity disorder
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      – SubjectFull: Adolescent psychopathology
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      – SubjectFull: Attention-deficit hyperactivity disorder
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      – SubjectFull: Oppositional defiant disorder in children
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      – SubjectFull: Oppositional defiant disorder in adolescence
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      – SubjectFull: Disease remission
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      – SubjectFull: Behavior therapy
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      – TitleFull: Treatment Outcomes in Anxious Youth with and without Comorbid ADHD in the CAMS.
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              Text: Nov/Dec2015
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