Mental Health Outcomes in Young Adults Previously Treated for Child Anxiety

项目摘要/摘要 年轻人患有焦虑症，成年后患上心理障碍的可能性更高。治疗患有焦虑症的年轻人可能会减少以后生活中焦虑、抑郁和物质使用障碍的可能性。这项研究旨在评估与儿童焦虑症治疗相关的长期结果，通过比较治疗成功和失败的参与者在治疗完成15年后。 将邀请118名被诊断出患有焦虑症并在随机临床试验(Kendall等人，1997年报道)中随机接受治疗的青年样本参加。参与者将在15年前随机接受治疗，并将参加一次为期半天的评估。评估将包括纸笔自我报告测量和诊断性访谈，以评估自上次评估以来的焦虑水平、抑郁症状和药物使用情况。还将收集和评估自治疗以来有关功能损害和生活事件的信息。 为了测试以前的治疗结果对焦虑症后遗症的影响，将进行Logistic回归和线性回归，以检查结果状态(由治疗后的诊断状态指示的成功/不成功)是否预示着自上次评估以来的成人焦虑、抑郁症状/障碍和随后的药物使用/滥用。将检查自我报告的症状和诊断状态。这项研究将第一次评估青少年焦虑症的治疗对焦虑、抑郁和药物滥用的长期影响，在青壮年期间，这些疾病经常出现。

PROJECT SUMMARY/ABSTRACT Having an anxiety disorder in youth is associated with a higher likelihood of developing a psychological disorder in adulthood. Treating youth with anxiety disorders may reduce the likelihood of anxiety, depressive, and substance use disorders later in life. This study is designed to evaluate long-term outcomes associated with treatment for childhood anxiety by comparing successfully and unsuccessfully treated participants fifteen years after the completion of treatment. A sample of 118 youth who had been diagnosed with an anxiety disorder and who had been randomized to treatment in a randomized clinical trial (reported in Kendall et al., 1997) will be invited to participate. Participants will have been randomized to treatment 15 years prior and will participate in a half-day evaluation on one occasion. The evaluation will include paper-and- pencil self-report measures and a diagnostic interview conducted to assess for anxiety levels, depressive symptoms, and substance use since the last evaluation. Information regarding functional impairment and life events since therapy will also be gathered and evaluated. To test the effect of previous treatment outcome on the sequelae of anxiety, Logistic and linear regression will be conducted to examine whether outcome status (successful/unsuccessful as indicated by posttreatment diagnostic status) predicts adult anxiety, depressive symptoms/disorder and subsequent substance use/abuse since the time of the last evaluation. Both self-reported symptoms and diagnostic status will be examined. The present study will be the first to assess the long-term effects of treatment for an anxiety disorder in youth on anxiety, depression, and substance abuse through the period of young adulthood when these disorders are often seen.