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  Long-Term Outcomes of Brief, Intensive CBT for Specific Phobias: The Negative Impact of ADHD Symptoms

Halldorsdottir, T., & Ollendick, T. H. (2016). Long-Term Outcomes of Brief, Intensive CBT for Specific Phobias: The Negative Impact of ADHD Symptoms. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 84(5), 465-471. doi:10.1037/ccp0000088.

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Item Permalink: http://hdl.handle.net/11858/00-001M-0000-002B-8193-3 Version Permalink: http://hdl.handle.net/11858/00-001M-0000-002B-8194-1
Genre: Journal Article

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 Creators:
Halldorsdottir, Thorhildur1, 2, Author              
Ollendick, Thomas H.1, Author
Affiliations:
1external, ou_persistent22              
2Dept. Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society, ou_2035295              

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Free keywords: specific phobia, ADHD symptoms, treatment outcomes, children, hierarchical linear growth model
 Abstract: Objectives: The objectives were twofold: (a) examine long-term treatment effects in youth receiving 1-session treatment (OST) or educational support (EST) for a specific phobia (SP) and (b) examine the differential predictive and moderation effects of attention-deficit/hyperactivity disorder (ADHD) symptoms on immediate and long-term outcomes following the interventions. Method: Eighty-three children (ages 6-15, 47% female, 89% White) with a SP were randomly assigned to receive OST or EST. Follow up assessments occurred at 1 week, 6 months, 1 year, and 4 years. Hierarchical linear growth modeling (HLGM) was used to explore the association of parent-reported ADHD symptoms, the 2 treatment conditions (i.e., OST vs. EST), and the trajectory of change in the severity of the SP from pretreatment to the 4-year follow-up. Age, conduct problems and learning problems were controlled for in all analyses. Results: A greater immediate reduction in severity rating of the SP was observed in the OST compared to EST, whereas the trajectory of long-term outcomes was similar across conditions over time. Higher levels of ADHD symptoms predicted poor immediate and long-term treatment outcomes across treatment conditions. ADHD symptoms, however, did not moderate the relationship between treatment condition and immediate or long-term treatment outcomes. Conclusions: The results of the study need to be interpreted in light of several study limitations. However, if confirmed, the findings suggest that anxious youth with comorbid ADHD symptoms are less likely to benefit from brief, intensive psychotherapy and may require either longer, standard CBT treatment or adjunctive pharmacotherapy.

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Language(s): eng - English
 Dates: 2016-05
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: -
 Identifiers: ISI: 000374765200008
DOI: 10.1037/ccp0000088
 Degree: -

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Title: JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
Source Genre: Journal
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Publ. Info: Waschington, DC : American Psychological Association
Pages: - Volume / Issue: 84 (5) Sequence Number: - Start / End Page: 465 - 471 Identifier: ISSN: 0022-006X