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Patterns and Predictors of Subjective Units of Distress in Anxious Youth

Published online by Cambridge University Press:  28 May 2010

Courtney L. Benjamin ,
Kelly A. O'Neil ,
Sarah A. Crawley ,
Rinad S. Beidas ,
Meredith Coles  and
Philip C. Kendall
Courtney L. Benjamin*
Affiliation:
Temple University, Philadelphia, USA
Kelly A. O'Neil
Affiliation:
Temple University, Philadelphia, USA
Sarah A. Crawley
Affiliation:
Temple University, Philadelphia, USA
Rinad S. Beidas
Affiliation:
Temple University, Philadelphia, USA
Meredith Coles
Affiliation:
Binghamton University, USA
Philip C. Kendall
Affiliation:
Temple University, Philadelphia, USA
*
Reprint requests to Courtney Benjamin, Department of Psychology, Temple University, 1701 N. 13th Street, Philadelphia, Pennsylvania 19122, USA. E-mail: [email protected]
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Abstract

Background: Subjective Units of Distress Scale (SUDS) ratings are commonly used during exposure tasks in cognitive behavioral treatment (CBT) for anxiety. Aims: The present study examined patterns and predictors of SUDS in a sample of anxiety-disordered youth. Method: Youth (N = 99) aged 7 to 14 (M = 10.4, SD = 1.8) were treated with CBT for social phobia (SP), generalized anxiety disorder (GAD), and/or separation anxiety disorder (SAD). Analyses were conducted using hierarchical linear modeling. Results: Child's peak SUDS and magnitude of change in SUDS significantly increased between sessions. Higher child self-reported pretreatment total Multidimensional Anxiety Scale for Children (MASC) score predicted greater change in SUDS within the first exposure session. Primary GAD diagnosis predicted less increase in change in SUDS between sessions. Conclusions: Results suggest that higher pretreatment total MASC scores are associated with increased first exposure within-session habituation. Additionally, youth with a principal diagnosis of GAD experienced less between-session habituation, perhaps because they may have required more imaginal than in-vivo exposures.

Keywords

Subjective units of distresschildhood anxietyanxiety disorderscognitive behavioral therapyCBT
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 38 , Issue 4 , July 2010 , pp. 497 - 504
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2010

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References

Hedtke, K. A., Kendall, P. C. and Tiwari, S. (2009). Safety-seeking and coping behavior during exposure tasks with anxious youth. Journal of Clinical Child and Adolescent Psychology, 38, 1–15.CrossRefGoogle ScholarPubMed
Kendall, P. C. and Hedtke, K. (2006). Cognitive-Behavioral Therapy for Anxious Children: therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing.Google Scholar
Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E. and Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282–297.CrossRefGoogle ScholarPubMed
Kendall, P. C., Robin, J., Hedtke, K., Suveg, C., Flannery-Schroeder, E. and Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12, 136–150.CrossRefGoogle Scholar
Knox, L. S., Albano, A. M. and Barlow, D. H. (1996). Parental involvement in the treatment of childhood compulsive disorder: a multiple-baseline examination incorporating parents. Behavior Therapy, 27, 93–114.CrossRefGoogle Scholar
March, J. S., Parker, J., Sullivan, K., Stallings, P. and Conners, C. (1997). The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 554–565.CrossRefGoogle ScholarPubMed
Rapee, R., Barrett, P., Dadds, M. and Evans, L. (1994). Reliability of the DSM-III-R childhood anxiety disorders using structured interview: interrater and parent-child agreement. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 984–992.CrossRefGoogle ScholarPubMed
Shaffer, D., Gould, M., Brasic, J., Ambrosini, P., Fisher, P., Bird, . and Aluwahlia, S. (1983). A Children's Global Assessment Scale. Archives of General Psychiatry, 40, 1228–1231.CrossRefGoogle ScholarPubMed
Silverman, W. K. and Albano, A. M. (1997). Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Boulder, CO: Graywind Publications Incorporated.Google Scholar
Silverman, W. K., Saavedra, L. M. and Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944.CrossRefGoogle ScholarPubMed
Tiwari, S. and Kendall, P. C. (in preparation). Characteristics of exposure tasks as predictors of differential treatment response in a sample of anxious youth.Google Scholar
Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J. and Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31, 335–342.CrossRefGoogle ScholarPubMed
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