Profiles of Temperament among Youth with Specific Phobias: Implications for CBT Outcomes.

Capriola, NN; Booker, JA; Ollendick, TH

Profiles of Temperament among Youth with Specific Phobias: Implications for CBT Outcomes.

Capriola, NN Booker, JA Ollendick, TH

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: J Abnorm Child Psychol, 2017, 45, (7), pp. 1449-1459
Issue Date:: 2017-10

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Field	Value	Language
dc.contributor.author	Capriola, NN
dc.contributor.author	Booker, JA
dc.contributor.author	Ollendick, TH
dc.date.accessioned	2022-09-22T21:45:24Z
dc.date.available	2022-09-22T21:45:24Z
dc.date.issued	2017-10
dc.identifier.citation	J Abnorm Child Psychol, 2017, 45, (7), pp. 1449-1459
dc.identifier.issn	0091-0627
dc.identifier.issn	1573-2835
dc.identifier.uri	http://hdl.handle.net/10453/162002
dc.description.abstract	Specific phobias (SPs) are characterized by excessive fear or anxiety regarding an object or situation. SPs often result in a host of negative outcomes in childhood and beyond. Children with SPs are broadly assumed to show dispositional over-regulation and fearfulness relative to children without SPs, but there are few attempts to distinguish dispositional patterns among children with SPs. In the present study, we examined trajectories of differing temperamental profiles for youth receiving a CBT-based treatment for their SP. Participants were 117 treatment seeking youth (M Age = 8.77 years, Age Range = 6-15 years; 54.7% girls) who met criteria for a SP and their mothers. Three temperament profiles emerged and were conceptually similar to previously supported profiles: well-adjusted; inhibited; and under-controlled. While all groups showed similarly robust reductions in SP severity following treatment, differences among the three groups emerged in terms of broader internalizing symptoms, externalizing symptoms, and global outlook. The well-adjusted group was higher in functioning initially than the other two groups. The inhibited group had initial disadvantages in initial internalizing symptoms. The under-controlled group showed greatest comorbidity risks and had initial disadvantages in both internalizing and externalizing symptoms. These distinct clusters represent considerable heterogeneity within a clinical sample of youth with SP who are often assumed to have homogenous behavior tendencies of inhibition and fearfulness. Findings suggest that considering patterns of temperament among children with phobias could assist treatment planning and inform ongoing refinements to improve treatment response.
dc.format	Print
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation	National Institute of Mental HealthR01MH074777
dc.relation.ispartof	J Abnorm Child Psychol
dc.relation.isbasedon	10.1007/s10802-016-0255-4
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology
dc.subject.classification	Developmental & Child Psychology
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Inhibition, Psychological
dc.subject.mesh	Male
dc.subject.mesh	Outcome Assessment, Health Care
dc.subject.mesh	Phobic Disorders
dc.subject.mesh	Social Adjustment
dc.subject.mesh	Temperament
dc.subject.mesh	Humans
dc.subject.mesh	Social Adjustment
dc.subject.mesh	Temperament
dc.subject.mesh	Phobic Disorders
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Inhibition, Psychological
dc.subject.mesh	Outcome Assessment, Health Care
dc.title	Profiles of Temperament among Youth with Specific Phobias: Implications for CBT Outcomes.
dc.type	Journal Article
utslib.citation.volume	45
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	2022-09-22T21:45:23Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	45
utslib.citation.issue	7

Abstract:

Specific phobias (SPs) are characterized by excessive fear or anxiety regarding an object or situation. SPs often result in a host of negative outcomes in childhood and beyond. Children with SPs are broadly assumed to show dispositional over-regulation and fearfulness relative to children without SPs, but there are few attempts to distinguish dispositional patterns among children with SPs. In the present study, we examined trajectories of differing temperamental profiles for youth receiving a CBT-based treatment for their SP. Participants were 117 treatment seeking youth (M Age = 8.77 years, Age Range = 6-15 years; 54.7% girls) who met criteria for a SP and their mothers. Three temperament profiles emerged and were conceptually similar to previously supported profiles: well-adjusted; inhibited; and under-controlled. While all groups showed similarly robust reductions in SP severity following treatment, differences among the three groups emerged in terms of broader internalizing symptoms, externalizing symptoms, and global outlook. The well-adjusted group was higher in functioning initially than the other two groups. The inhibited group had initial disadvantages in initial internalizing symptoms. The under-controlled group showed greatest comorbidity risks and had initial disadvantages in both internalizing and externalizing symptoms. These distinct clusters represent considerable heterogeneity within a clinical sample of youth with SP who are often assumed to have homogenous behavior tendencies of inhibition and fearfulness. Findings suggest that considering patterns of temperament among children with phobias could assist treatment planning and inform ongoing refinements to improve treatment response.

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http://hdl.handle.net/10453/162002