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 Timothy Walkup, Scott N. Compton, Elizabeth Gosch, Philip C. Kendall

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

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)
JournalChild psychiatry and human development
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Anxiety
Sertraline
Cognitive Therapy
Therapeutics
Age Groups
Placebos

Keywords

  • Anxiety disorders
  • Behavior therapy
  • Cognitive therapy

ASJC Scopus subject areas

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

Cite this

Norris, L. A., Rifkin, L. S., Olino, T. M., Piacentini, J., Albano, A. M., Birmaher, B., ... Kendall, P. C. (2019). Multi-informant Expectancies and Treatment Outcomes for Anxiety in Youth. Child psychiatry and human development. https://doi.org/10.1007/s10578-019-00900-w
Norris, Lesley A. ; Rifkin, Lara S. ; Olino, Thomas M. ; Piacentini, John ; Albano, Anne Marie ; Birmaher, Boris ; Ginsburg, Golda ; Walkup, John Timothy ; Compton, Scott N. ; Gosch, Elizabeth ; Kendall, Philip C. / Multi-informant Expectancies and Treatment Outcomes for Anxiety in Youth. In: Child psychiatry and human development. 2019.
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Norris, LA, Rifkin, LS, Olino, TM, Piacentini, J, Albano, AM, Birmaher, B, Ginsburg, G, Walkup, JT, Compton, SN, Gosch, E & Kendall, PC 2019, 'Multi-informant Expectancies and Treatment Outcomes for Anxiety in Youth', Child psychiatry and human development. https://doi.org/10.1007/s10578-019-00900-w

Multi-informant Expectancies and Treatment Outcomes for Anxiety in Youth. / Norris, Lesley A.; Rifkin, Lara S.; Olino, Thomas M.; Piacentini, John; Albano, Anne Marie; Birmaher, Boris; Ginsburg, Golda; Walkup, John Timothy; Compton, Scott N.; Gosch, Elizabeth; Kendall, Philip C.

In: Child psychiatry and human development, 01.01.2019.

Research output: Contribution to journalArticle

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AU - Norris, Lesley A.

AU - Rifkin, Lara S.

AU - Olino, Thomas M.

AU - Piacentini, John

AU - Albano, Anne Marie

AU - Birmaher, Boris

AU - Ginsburg, Golda

AU - Walkup, John Timothy

AU - Compton, Scott N.

AU - Gosch, Elizabeth

AU - Kendall, Philip C.

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N2 - 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.

AB - 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.

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