Does comorbidity predict poorer treatment outcome in pediatric anxiety disorders? An updated 10-year review.

Walczak, M; Ollendick, T; Ryan, S; Esbjørn, BH

Does comorbidity predict poorer treatment outcome in pediatric anxiety disorders? An updated 10-year review.

Walczak, M Ollendick, T Ryan, S Esbjørn, BH

Permalink

Publisher:: PERGAMON-ELSEVIER SCIENCE LTD
Publication Type:: Journal Article
Citation:: Clin Psychol Rev, 2018, 60, pp. 45-61
Issue Date:: 2018-03

Closed Access

	Filename	Description	Size
	1-s2.0-S0272735817302489-main.pdf	Published version	408.34 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Walczak, M
dc.contributor.author	Ollendick, T
dc.contributor.author	Ryan, S
dc.contributor.author	Esbjørn, BH
dc.date.accessioned	2022-09-10T23:53:48Z
dc.date.available	2017-12-20
dc.date.available	2022-09-10T23:53:48Z
dc.date.issued	2018-03
dc.identifier.citation	Clin Psychol Rev, 2018, 60, pp. 45-61
dc.identifier.issn	0272-7358
dc.identifier.issn	1873-7811
dc.identifier.uri	http://hdl.handle.net/10453/161635
dc.description.abstract	The aim of the present review was to provide an updated investigation of literature from the past ten years that examined the effects of comorbid problems on treatment outcomes, and/or explored if cognitive behavioral treatments (CBT) targeting anxiety disorders also affected comorbid disorders. A search of the literature resulted in a total of 33 publications, based on 28 randomized controlled trials that met predefined inclusion criteria. An analysis of studies that examined whether comorbidity affects treatment outcome yielded mixed results for different types of comorbidities. The inconsistent results were largely due to methodological heterogeneity in the identified studies. Support for negative effects of comorbidity on treatment outcomes was usually found in studies that investigated comorbidity as a categorical diagnosis, rather than symptom levels, and those that analyzed specific comorbid diagnoses, rather than grouping them together. Overall, our findings suggest that comorbid disorders may have a more negative impact on treatment outcomes than proposed in previous reviews, particularly in the cases of comorbid social anxiety and mood disorders. Furthermore, CBT for anxiety disorders in children was found to ameliorate comorbid problems.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	PERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartof	Clin Psychol Rev
dc.relation.isbasedon	10.1016/j.cpr.2017.12.005
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology
dc.subject.classification	Clinical Psychology
dc.subject.mesh	Anxiety Disorders
dc.subject.mesh	Child
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Humans
dc.subject.mesh	Mood Disorders
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Anxiety Disorders
dc.subject.mesh	Mood Disorders
dc.subject.mesh	Child
dc.subject.mesh	Cognitive Behavioral Therapy
dc.title	Does comorbidity predict poorer treatment outcome in pediatric anxiety disorders? An updated 10-year review.
dc.type	Journal Article
utslib.citation.volume	60
utslib.location.activity	United States
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-10T23:53:47Z
pubs.publication-status	Published
pubs.volume	60

Abstract:

The aim of the present review was to provide an updated investigation of literature from the past ten years that examined the effects of comorbid problems on treatment outcomes, and/or explored if cognitive behavioral treatments (CBT) targeting anxiety disorders also affected comorbid disorders. A search of the literature resulted in a total of 33 publications, based on 28 randomized controlled trials that met predefined inclusion criteria. An analysis of studies that examined whether comorbidity affects treatment outcome yielded mixed results for different types of comorbidities. The inconsistent results were largely due to methodological heterogeneity in the identified studies. Support for negative effects of comorbidity on treatment outcomes was usually found in studies that investigated comorbidity as a categorical diagnosis, rather than symptom levels, and those that analyzed specific comorbid diagnoses, rather than grouping them together. Overall, our findings suggest that comorbid disorders may have a more negative impact on treatment outcomes than proposed in previous reviews, particularly in the cases of comorbid social anxiety and mood disorders. Furthermore, CBT for anxiety disorders in children was found to ameliorate comorbid problems.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/161635