Youth social functioning interacts with treatment arm, diagnosis, and gender to predict anxiety treatment outcome.
Youth social functioning interacts with treatment arm, diagnosis, and gender to predict anxiety treatment outcome.
复制标题
青少年社会功能与治疗组、诊断和性别相互作用，以预测焦虑治疗结果。
DOI：
10.1016/j.brat.2022.104160
复制
发表时间：
2022
影响因子：
4.1
通讯作者：
Lebowitz,EliR
中科院分区：
文献类型：
--
作者：
Etkin,RebeccaG;Marin,CarlaE;Silverman,WendyK;Lebowitz,EliR
研究发现了一系列青年焦虑治疗结果的预测因素（即，症状严重程度和诊断缓解）。然而，青年的社会功能是一个很少被研究的预测因素，鉴于其对发展和临床功能的重要性，这是一个重大差距。我们通过研究青年社会功能的两个方面作为焦虑治疗结果的预测因素来解决这一差距：（1）积极的社会互动和（2）社交技能。我们进一步研究了治疗组（基于儿童或父母的治疗），诊断（存在或不存在社交焦虑障碍）和青年性别在两个预测因子与治疗反应和缓解之间的调节作用。参与者是96名患有焦虑症的青少年（6-16岁; 54%为女孩）及其母亲，他们在基线和治疗后完成了诊断访谈和问卷调查。多元回归模型显示，较高的基线父母报告他们的孩子的社交技能预测较低的治疗后焦虑症状严重程度的青少年社交焦虑障碍。修改后的线性概率模型显示，基线青年报告他们的社会技能预测缓解焦虑诊断的青年分配到父母为基础的治疗。他们积极的社会互动和家长报告的青年社会技能的基线青年报告预测缓解焦虑诊断的女孩。结果有助于预测文学突出的重要性，青年社会功能焦虑治疗结果。
Research has uncovered a wide range of predictors of youth anxiety treatment outcome (i.e., symptom severity and diagnostic remission). Youth's social functioning is one predictor that has been rarely studied, however, which is a significant gap given its importance to development and clinical functioning. We address this gap by examining two aspects of youth's social functioning as predictors of anxiety treatment outcome: (1) positive social interactions and (2) social skills. We further examined the moderating roles of treatment arm (child- or parent-based treatment), diagnosis (presence or absence of social anxiety disorder), and youth gender, between each of the two predictors and treatment response and remission. Participants were 96 youths with anxiety disorders (6–16 years; 54% girls) and their mothers, who completed diagnostic interviews and questionnaires at baseline and posttreatment. Multiple regression models revealed that higher baseline parent-reports of their child's social skills predicted lower posttreatment anxiety symptom severity for youth with social anxiety disorder. Modified linear probability models revealed that baseline youth-reports of their social skills predicted remission from anxiety diagnoses for youths assigned to the parent-based treatment. Baseline youth-reports of their positive social interactions and parent-reports of youth social skills predicted remission from anxiety diagnoses for girls. Results contribute to the predictor literature by highlighting the importance of youth social functioning to anxiety treatment outcome.