Evidence map›Paper›PMID 31313062›Full record

Trial reportJournal of abnormal child psychology2020

The Impact of Treatment Expectations on Exposure Process and Treatment Outcome in Childhood Anxiety Disorders.

Monica S Wu, Nicole E Caporino, Tara S Peris, Jocelyn Pérez, Hardian Thamrin, Anne Marie Albano, Philip C Kendall, John T Walkup, Boris Birmaher, Scott N Compton and 1 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of abnormal child psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
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  11. Review
  12. Review
  13. Article
  14. Article
  15. Research Review: Pediatric anxiety disorders - what have we learnt in the last 10 years?Journal of child psychology and psychiatry, and allied disciplines · 2021
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Monica S WuUCLA Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Room 47-417B, Los Angeles, CA, 90095, USA. MSWu@mednet.ucla.edu.
Nicole E CaporinoAmerican University, Washington, DC, USA.
Tara S PerisUCLA Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Room 47-417B, Los Angeles, CA, 90095, USA.
Jocelyn PérezUCLA Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Room 47-417B, Los Angeles, CA, 90095, USA.
Hardian ThamrinUCLA Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Room 47-417B, Los Angeles, CA, 90095, USA.
Anne Marie AlbanoNew York State Psychiatric Institute-Columbia University Medical Center, New York, NY, USA.
Philip C KendallDepartment of Psychology, Temple University, Philadelphia, PA, USA.
John T WalkupNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Boris BirmaherWestern Psychiatric Institute and Clinic-University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Scott N ComptonDuke University Medical Center, Durham, NC, USA.
John PiacentiniUCLA Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, Room 47-417B, Los Angeles, CA, 90095, USA.
American University · USColumbia University Irving Medical Center · USDuke Medical Center · USNorthwestern University · USTemple University · USUniversity of Pittsburgh Medical Center · US

Funding

TRAINING THE SCIENCE OF CHILD MENTAL HEALTH TREATMENTT32MH073517 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMA JACOB, John C. Piacentini · 2006 to 2026
$5.2M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH064089 · NIMH · JOHNS HOPKINS UNIVERSITY · PI GINSBURG, GOLDA SUSAN · 2002 to 2007
$3.1M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH064003 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIRMAHER, BORIS · 2002 to 2007
$2.7M
Child/Adolescent Anxiety Multimodal Treatment Study (CAMS)U01MH064092 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ALBANO, ANNE MARIE · 2002 to 2007
$2.4M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH063747 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2002 to 2007
$2.2M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH064088 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI PIACENTINI, JOHN C. · 2002 to 2007
$2.1M
NIMH NIH HHS T32 MH073517NIMH NIH HHS U01 MH063747NIMH NIH HHS U01 MH064003NIMH NIH HHS U01 MH064088NIMH NIH HHS U01 MH064089NIMH NIH HHS U01 MH064092
6 · The paper itself

Abstract

This study examined the relationship between caregivers' and youths' treatment expectations and characteristics of exposure tasks (quantity, mastery, compliance) in cognitive-behavioral therapy (CBT) for childhood anxiety. Additionally, compliance with exposure tasks was tested as a mediator of the relationship between treatment expectations and symptom improvement. Data were from youth (N = 279; 7-17 years old) enrolled in the Child/Adolescent Anxiety Multimodal Study (CAMS) and randomized to cognitive-behavioral therapy (CBT) or the combination of CBT and sertraline for the treatment of separation anxiety disorder, generalized anxiety disorder, and social phobia. Caregivers and youth independently reported treatment expectations prior to randomization, anxiety was assessed pre- and post-treatment by independent evaluators blind to treatment condition, and exposure characteristics were recorded by the cognitive-behavioral therapists following each session. For both caregivers and youths, more positive expectations that anxiety would improve with treatment were associated with greater compliance with exposure tasks, and compliance mediated the relationship between treatment expectations and change in anxiety symptoms following treatment. Additionally, more positive parent treatment expectations were related to a greater number and percentage of sessions with exposure. More positive youth treatment expectations were associated with greater mastery during sessions focused on exposure. Findings underscore the importance of addressing parents' and youths' treatment expectations at the outset of therapy to facilitate engagement in exposure and maximize therapeutic gains.

Indexed as

Cognitive Behavioral TherapyImplosive TherapyOutcome and Process Assessment, Health CarePatient CompliancePsychotherapeutic ProcessesAdolescentAnxiety DisordersAnxiety, SeparationChildCombined Modality TherapyFemaleHumansMalePhobia, SocialSelective Serotonin Reuptake InhibitorsSertralineSelective Serotonin Reuptake InhibitorsSertralineAnxietyExpectationsExposureOutcomeTreatment

Identifiers

PMID31313062
PMCPMC6925638
OpenAlexW2958249670

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.