Cognitive-Behavioral Therapy for Children With Anxiety and Comorbid Attention-Deficit/Hyperactivity Disorder - 28/06/18
Abstract |
Objective |
To determine whether comorbid attention-deficit/hyperactivity disorder (ADHD) diagnosis (including subtype) predicts response to cognitive-behavior therapy (CBT) for anxiety in children and to examine change in ADHD symptoms after treatment of primary anxiety.
Method |
A sample of 842 children 5 to 18 years of age received CBT for a primary anxiety disorder. A subsample of 94 children met criteria for comorbid mild-to-moderate ADHD, mostly consisting of predominantly inattentive (n = 61) and combined (n = 27) subtypes. Outcome was defined as response (change in diagnostic severity) and remission (absence of the primary diagnosis) at each time point (after treatment and 3- and/or 6-month follow-up) and analyzed using linear and logistic mixed models.
Results |
Neither ADHD diagnosis nor subtype predicted response or remission rates for children’s primary anxiety disorders. Children with ADHD also showed modest yet significant improvements in ADHD symptoms after CBT for anxiety.
Conclusion |
The present findings support the suitability of manual-based group-based CBT for anxiety treatment in children with nonprimary ADHD. Further research should examine whether the positive outcomes reported can be extended to children with primary or severe ADHD.
Le texte complet de cet article est disponible en PDF.Key words : anxiety, psychology, ADHD, mental disorders, therapy
Plan
| Individual trials reported in this study were supported by Australian Research Council grant DP0878609 to Drs. Hudson, Donald, Rapee, and Eley and Australian National Health and Medical Research Council grants to Drs. Rapee, Hudson, Lyneham, and Mihalopolous (1027556), Drs. Lyneham, Hudson, and Rapee (488505), and Drs. Hudson and Rapee (382008). |
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| The authors thank the following collaborators who were involved in collating archive data for this project: Ron Rapee, PhD, Viviana Wuthrich, PhD, Carolyn Schniering, PhD, and Maria Kangas, PhD, with the Centre for Emotional Health, Department of Psychology, Macquarie University. |
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| Disclosure: Drs. Lyneham and Hudson are coauthors of the Cool Kids program but receive no direct payments from sales of the workbooks and manuals. Dr. Lyneham has received royalties from New Harbinger Publications for the book Helping Your Anxious Child: A Step-By-Step Guide for Parents. Dr. Hudson has received royalties from New Harbinger Publications for the book Treating Anxiety in Children: An Evidence-Based Approach. Dr. Porter and Ms. Gould report no biomedical financial interests or potential conflicts of interest. |
Vol 57 - N° 7
P. 481 - juillet 2018 Retour au numéro
Article précédent
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