Multi-informant Expectancies and Treatment Outcomes for Anxiety in Youth

Lesley A. Norris*, Lara S. Rifkin, Thomas M. Olino, John Piacentini, Anne Marie Albano, Boris Birmaher, Golda Ginsburg, John Walkup, Scott N. Compton, Elizabeth Gosch, Philip C. Kendall

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Expectancies for a favorable treatment outcome have been associated with actual favorable outcomes but have been understudied in youth with anxiety. The current study applied structural equation modeling in a sample of anxious youth (N = 488; 7–17 years, M = 10.69, SD = 2.80) to examine whether a multi-informant latent expectancies factor, indicated by youth, parent, and therapist reports, predicted a latent posttreatment anxiety factor, controlling for a latent pretreatment anxiety factor. Both anxiety latent factors were indicated by youth, parent, and independent evaluator (IE) reports. Analyses also examined whether treatment condition (cognitive behavioral therapy, sertraline, combination, pill placebo) moderated the association between expectancies and outcome, and whether this association differed across development. Findings indicated that informant reports loaded similarly onto the latent factors. Results also demonstrated that treatment expectancies were positively associated with outcomes, and that this relationship held across treatment type and age group. Treatment implications and future research directions are discussed.

Original languageEnglish (US)
Pages (from-to)1002-1010
Number of pages9
JournalChild psychiatry and human development
Volume50
Issue number6
DOIs
StatePublished - Dec 1 2019

Keywords

  • Anxiety disorders
  • Behavior therapy
  • Cognitive therapy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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    Norris, L. A., Rifkin, L. S., Olino, T. M., Piacentini, J., Albano, A. M., Birmaher, B., Ginsburg, G., Walkup, J., Compton, S. N., Gosch, E., & Kendall, P. C. (2019). Multi-informant Expectancies and Treatment Outcomes for Anxiety in Youth. Child psychiatry and human development, 50(6), 1002-1010. https://doi.org/10.1007/s10578-019-00900-w