Evidence map›Paper›PMID 37348261›Full record

ArticleJournal of anxiety disorders2023

Impact of youth and caregiver worries about treatment on therapeutic process factors and posttreatment outcomes.

Jonathan Rabner, Lesley A Norris, Margaret E Crane, Joshua Klugman, Philip C Kendall

Abstract read
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In one paragraph

Article in Journal of anxiety disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Jonathan RabnerDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA. Electronic address: jrabner@temple.edu.
Lesley A NorrisDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA; Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.
Margaret E CraneDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA; Department of Psychiatry, New York Presbyterian-Weill Cornell Medicine, New York, NY, USA.
Joshua KlugmanDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA; Department of Sociology, Temple University, Philadelphia, PA, USA.
Philip C KendallDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA.

Funding

Using Machine Learning Methods to Predict Treatment Outcome for Anxious YouthF31MH123038 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI NORRIS, LESLEY ANNE · 2020 to 2021
$67k
Increasing Parent Demand for Evidence-Based Practices to Treat Youth Anxiety: The Effect of Parent Key Opinion LeadersF31MH124346 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI CRANE, MARGARET · 2020 to 2021
$65k
NIMH NIH HHS F31 MH123038NIMH NIH HHS F31 MH124346
6 · The paper itself

Abstract

objectiveTo examine the impact of youth- and caregiver-reported pretreatment worries about treatment (i.e., concerns about the effect of, perceptions of, or aspects involved in treatment) before cognitive behavioral therapy for anxiety on (1) clinician-rated therapeutic process factors (i.e., client engagement, client-therapist alliance, content mastery, and homework completion) and symptom change (i.e., improvement, anxiety severity) assessed throughout treatment and (2) independent evaluator-rated posttreatment outcomes (i.e., response, remission, and functional impairment).

methodsParticipants were 128 youth, aged 7-17 years, who sought treatment for a principal anxiety disorder, and their primary caregiver. Multilevel models were estimated to examine the relationship between worries about treatment and the set of therapeutic factors. Regression models examined the relationship between worries about treatment and posttreatment outcomes.

resultsResults indicated that greater youth-reported worries about treatment flattened/lessened improvement trajectories throughout treatment and had a positive association with higher anxiety severity and lower content mastery. Greater caregiver-reported worries about treatment were associated with greater homework completion, client engagement, and content mastery throughout treatment. Youth- and caregiver-reports of worries about treatment did not impact independent evaluator-rated posttreatment outcomes.

conclusionsFindings support the notion that worries about treatment do not prevent youth from achieving favorable posttreatment outcomes, but do impact various therapeutic factors differentially across youth and caregiver report (e.g., content mastery, client engagement, and homework completion). The value of addressing worries about treatment at the start of therapy is discussed.

Indexed as

CaregiversCognitive Behavioral TherapyAdolescentAnxietyAnxiety DisordersHumansTreatment OutcomeCognitive behavioral therapyPredictorsTreatment worriesYouth anxiety

Identifiers

PMID37348261
PMCPMC10527968

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Registered trials

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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.