2024
Responding to threat: Associations between neural reactivity to and behavioral avoidance of threat in pediatric anxiety
Kitt E, Zacharek S, Odriozola P, Nardini C, Hommel G, Martino A, Anderson T, Spencer H, Broussard A, Dean J, Marin C, Silverman W, Lebowitz E, Gee D. Responding to threat: Associations between neural reactivity to and behavioral avoidance of threat in pediatric anxiety. Journal Of Affective Disorders 2024, 351: 818-826. PMID: 38290579, PMCID: PMC10981528, DOI: 10.1016/j.jad.2024.01.204.Peer-Reviewed Original ResearchConceptsReactivity to threatMeasures of avoidanceVentral anterior insulaClinician-based measuresNeural reactivityPediatric anxietyAnxiety disordersBehavioral avoidanceFunctional magnetic resonance imaging taskAmygdala functional connectivityVentromedial prefrontal cortexTreatment-seeking sampleAvoidance of threatClinically significant constructsAssociated with tasksGeneralizability of findingsPrefrontal cortexAnterior insulaNeural findingsLaboratory tasksFunctional connectivityAnxietyAmygdalaAvoidanceSignificant constructsFamily accommodation: a diagnostic feature of obsessive-compulsive disorder?
Etkin R, Bloch M, Lebowitz E. Family accommodation: a diagnostic feature of obsessive-compulsive disorder? Expert Review Of Neurotherapeutics 2024, 24: 129-131. PMID: 38258501, DOI: 10.1080/14737175.2024.2309239.Peer-Reviewed Original Research
2023
Assessing Anxiety-Related Impairment in Children and Adolescents
Etkin R, Lebowitz E, Silverman W. Assessing Anxiety-Related Impairment in Children and Adolescents. Assessment 2023, 31: 94-109. PMID: 37840296, DOI: 10.1177/10731911231194972.Peer-Reviewed Original ResearchDoes Cognitive-Behavioral Therapy for Youth Anxiety Disorders Improve Social Functioning and Peer Relationships?
Etkin R, Juel E, Lebowitz E, Silverman W. Does Cognitive-Behavioral Therapy for Youth Anxiety Disorders Improve Social Functioning and Peer Relationships? Clinical Child And Family Psychology Review 2023, 26: 1052-1076. PMID: 37838627, DOI: 10.1007/s10567-023-00454-3.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsCognitive behavioral therapyAdolescent anxiety disordersPeer relationshipsSocial functioningAnxiety disordersYouth anxiety disordersPeer outcomesAnxiety reductionTreatment-specific effectsFunctioningTreatment specificitySystematic narrative reviewRelated difficultiesSample characteristicsMajority of studiesSpecific outcomesChildrenTreatment outcomesStatistical findingsStudy sampleDisordersNarrative reviewFindingsRelationshipAnxietyAffective Language Spreads Between Anxious Children and Their Mothers During a Challenging Puzzle Task
Nook E, Nardini C, Zacharek S, Hommel G, Spencer H, Martino A, Morra A, Flores S, Anderson T, Marin C, Silverman W, Lebowitz E, Gee D. Affective Language Spreads Between Anxious Children and Their Mothers During a Challenging Puzzle Task. Emotion 2023, 23: 1513-1521. PMID: 36595385, PMCID: PMC10314965, DOI: 10.1037/emo0001203.Peer-Reviewed Original ResearchConceptsNegative affect wordsChallenging puzzle taskAffect wordsAffective languagePuzzle taskEffective emotion regulationSpread of emotionsEmotion regulationNeuroscientific levelAnxious childrenEmotional influencesWord useBidirectional influenceAnxiety disordersBidirectional relationsMother's directionsMental healthEmotionsFuture researchWordsCurrent studyLanguageChildrenTaskMothersParent Accommodation Contemporaneously Mediates the Association Between Youth Irritability and Youth Anxiety Treatment Outcome
Cabrera V, Buitron V, Patriarca G, Rey Y, Lebowitz E, Silverman W, Pettit J. Parent Accommodation Contemporaneously Mediates the Association Between Youth Irritability and Youth Anxiety Treatment Outcome. Behavior Therapy 2023, 54: 852-862. PMID: 37597962, PMCID: PMC10440415, DOI: 10.1016/j.beth.2023.03.002.Peer-Reviewed Original ResearchConceptsYouth anxiety severityParent accommodationCognitive-behavioral treatmentYouth irritabilityAnxiety treatment outcomesAnxiety severityChild anxietyPrimary anxiety disorder diagnosisAnxiety disorder diagnosisAnxious youthYouth anxietyYouth ages 6Adolescent irritabilityAnxiety outcomesBehavioral treatmentAnxiety protocolAnxietyGreater impairmentDisorder diagnosisAge 6Treatment outcomesFuture researchPosttreatmentIrritabilityResearch documentsMaternal FGF2 levels associated with child anxiety and depression symptoms through child FGF2 levels
Lebowitz E, Marin C, Orbach M, Salmaso N, Vaccarino F, Silverman W. Maternal FGF2 levels associated with child anxiety and depression symptoms through child FGF2 levels. Journal Of Affective Disorders 2023, 326: 193-197. PMID: 36717031, PMCID: PMC10104478, DOI: 10.1016/j.jad.2023.01.090.Peer-Reviewed Original ResearchConceptsFGF2 levelsDepressive symptomsDepression symptomsChild anxietySymptoms of anxietyRatings of anxietyGrowth factor 2Maternal anxietySymptomsDepressed childrenDepressionChild depressionMothersChildrenFactor 2Self-report ratingsAnxietyIntergenerational pathwaysNon-referred childrenRange of anxietyFGF2AssociationLevelsMaternal
2022
Attention Training as a Low-Intensity Treatment for Concerning Anxiety in Clinic-Referred Youth
Pettit J, Rey Y, Marin C, Bechor M, Lebowitz E, Vasey M, Jaccard J, Abend R, Pine D, Bar-Haim Y, Silverman W. Attention Training as a Low-Intensity Treatment for Concerning Anxiety in Clinic-Referred Youth. Behavior Therapy 2022, 54: 77-90. PMID: 36608979, PMCID: PMC9825787, DOI: 10.1016/j.beth.2022.07.004.Peer-Reviewed Original ResearchConceptsAttention Bias Modification TreatmentAttention control trainingAttention trainingAnxiety severityAttention controlAnxiety levelsAttention biasNeutral facesLow-intensity treatmentGlobal impairmentDot-probe taskYouth anxiety severityClinic-Referred YouthFull criteriaAttention focusingControl trainingTreatment researchYouthIndependent evaluatorsTrainingImpairment ratingsACT trialsPosttreatmentSeverity ratingsRatings
2020
Using Evaluative Criteria to Review Youth Anxiety Measures, Part I: Self-Report
Etkin RG, Shimshoni Y, Lebowitz ER, Silverman WK. Using Evaluative Criteria to Review Youth Anxiety Measures, Part I: Self-Report. Journal Of Clinical Child & Adolescent Psychology 2020, 50: 58-76. PMID: 32915074, PMCID: PMC7914129, DOI: 10.1080/15374416.2020.1802736.Peer-Reviewed Original ResearchConceptsSelf-report measuresYouth self-report measuresYouth Anxiety MeasureEvidence-based treatment deliveryPsychological scienceAnxiety measuresSelf-ReportEvidence-based assessmentPsychometric propertiesEvaluative reviewMost ratingsEvaluative criteriaEvidence-based updateFuture directionsRatingsMeasuresEvidence baseTreatment deliveryAnxietyHigh confidenceAssessment functionDisordersConfidenceAbnormal asymmetry of thalamic volume moderates stress from parents and anxiety symptoms in children and adolescents with social anxiety disorder
Zhang Y, Liu W, Lebowitz ER, Zhang F, Hu Y, Liu Z, Yang H, Wu J, Wang Y, Silverman WK, Yang Z, Cheng W. Abnormal asymmetry of thalamic volume moderates stress from parents and anxiety symptoms in children and adolescents with social anxiety disorder. Neuropharmacology 2020, 180: 108301. PMID: 32910952, DOI: 10.1016/j.neuropharm.2020.108301.Peer-Reviewed Original ResearchConceptsThalamic volumeThalamic asymmetryAge group differencesAbnormal asymmetryAnxiety disordersBilateral thalamic volumeAnxiety symptomsBrain developmental abnormalitiesOlder age groupsSocial anxiety disorderChronic family stressMedication-free childrenFunctional lateralizationMental disordersAge groupsChronic stressBrain developmentTotal SCARED scoresDisordersFamilial stressChildrenAnxiety severityAdolescentsEmotional disordersDevelopmental abnormalitiesA computational network perspective on pediatric anxiety symptoms
Abend R, Bajaj MA, Coppersmith DDL, Kircanski K, Haller SP, Cardinale EM, Salum GA, Wiers RW, Salemink E, Pettit JW, Pérez-Edgar K, Lebowitz ER, Silverman WK, Bar-Haim Y, Brotman MA, Leibenluft E, Fried EI, Pine DS. A computational network perspective on pediatric anxiety symptoms. Psychological Medicine 2020, 51: 1752-1762. PMID: 32787994, PMCID: PMC8486314, DOI: 10.1017/s0033291720000501.Peer-Reviewed Original ResearchChildhood Avoidant/Restrictive Food Intake Disorder: Review of Treatments and a Novel Parent-Based Approach.
Shimshoni Y, Lebowitz ER. Childhood Avoidant/Restrictive Food Intake Disorder: Review of Treatments and a Novel Parent-Based Approach. Journal Of Cognitive Psychotherapy 2020, 34: 200-224. PMID: 32817402, DOI: 10.1891/jcpsy-d-20-00009.Peer-Reviewed Original ResearchConceptsAvoidant/Restrictive Food Intake DisorderParent-based treatmentRestrictive food intake disorderPilot Randomized Control TrialRetrospective chart reviewFood intake disorderReview of treatmentRandomized control trialFamily-based therapyPilot open trialCognitive behavioral therapyChart reviewCase seriesOpen trialCase reportOutpatient careControl trialPsychosocial treatmentsDietary restrictionCase presentationBehavioral therapyEating habitsChildren's symptomsPsychosocial functioningStatistical ManualDisparities in Mental and Behavioral Health Treatment for Children and Youth in Immigrant Families
Rosenberg J, Rosenthal MS, Cramer LD, Lebowitz ER, Sharifi M, Yun K. Disparities in Mental and Behavioral Health Treatment for Children and Youth in Immigrant Families. Academic Pediatrics 2020, 20: 1148-1156. PMID: 32599347, PMCID: PMC7655594, DOI: 10.1016/j.acap.2020.06.013.Peer-Reviewed Original ResearchConceptsOdds of receiptBehavioral health servicesBehavioral health treatmentAttention deficit hyperactivity disorder (ADHD) diagnosisPrimary outcomeUnique psychosocial stressorsChild healthHealth treatmentMedicationsHispanic/LatinxHealth servicesPsychosocial stressorsDisorder diagnosisMultiple covariatesTreatmentChildrenNational surveyUS parentsRepresentative surveyHealthSurvey respondentsReceiptDifferencesDiagnosisBirth with Synthetic Oxytocin and Risk of Childhood Emotional Disorders: A Danish Population-based Study
Lønfeldt NN, Strandberg-Larsen K, Verhulst FC, Plessen KJ, Lebowitz ER. Birth with Synthetic Oxytocin and Risk of Childhood Emotional Disorders: A Danish Population-based Study. Journal Of Affective Disorders 2020, 274: 112-117. PMID: 32469793, DOI: 10.1016/j.jad.2020.04.067.Peer-Reviewed Original ResearchConceptsChildhood emotional disordersSynthetic oxytocinNationwide register-based cohort studyDanish Medical Birth RegisterRegister-based cohort studyDanish population-based studyEmotional disordersSelective serotonin reuptake inhibitorsMedical Birth RegisterSerotonin reuptake inhibitorsPopulation-based studyUse of oxytocinRevision of guidelinesCrude Cox modelPrescription RegistryTraumatic Stress DisorderCohort studyLabor inductionReuptake inhibitorsDanish patientsSmoking statusObsessive-compulsive disorderBirth RegisterMaternal historyCox modelParent-Child Agreement on Family Accommodation Differentially Predicts Outcomes of Child-Based and Parent-Based Child Anxiety Treatment
Zilcha-Mano S, Shimshoni Y, Silverman WK, Lebowitz ER. Parent-Child Agreement on Family Accommodation Differentially Predicts Outcomes of Child-Based and Parent-Based Child Anxiety Treatment. Journal Of Clinical Child & Adolescent Psychology 2020, 50: 427-439. PMID: 32401557, PMCID: PMC8496486, DOI: 10.1080/15374416.2020.1756300.Peer-Reviewed Original ResearchConceptsParent-child agreementFamily accommodationMultilevel response-surface analysisAnxious Childhood EmotionsChild anxiety treatmentChild anxiety severityCognitive behavioral therapyAnxiety symptom severityDistinct underlying mechanismsChildhood EmotionsChildhood anxietySupportive parentingAnxiety treatmentParent reportBehavioral therapyRole of accommodationAnxiety severityAnxiety disordersPoor treatment outcomesTreatment outcomesSymptom severitySubsequent treatment outcomesTreatment endSignificant predictorsChildrenThe Relationship of Family Accommodation with Pediatric Anxiety Severity: Meta-analytic Findings and Child, Family and Methodological Moderators
Iniesta-Sepúlveda M, Rodríguez-Jiménez T, Lebowitz ER, Goodman WK, Storch EA. The Relationship of Family Accommodation with Pediatric Anxiety Severity: Meta-analytic Findings and Child, Family and Methodological Moderators. Child Psychiatry & Human Development 2020, 52: 1-14. PMID: 32246361, DOI: 10.1007/s10578-020-00987-6.Peer-Reviewed Original Research
2019
Anxious-Irritable Children: A Distinct Subtype of Childhood Anxiety?
Shimshoni Y, Lebowitz ER, Brotman MA, Pine DS, Leibenluft E, Silverman WK. Anxious-Irritable Children: A Distinct Subtype of Childhood Anxiety? Behavior Therapy 2019, 51: 211-222. PMID: 32138933, PMCID: PMC7080292, DOI: 10.1016/j.beth.2019.06.005.Peer-Reviewed Original ResearchMeasuring Family Accommodation of Childhood Anxiety: Confirmatory Factor Analysis, Validity, and Reliability of the Parent and Child Family Accommodation Scale – Anxiety
Lebowitz ER, Marin CE, Silverman WK. Measuring Family Accommodation of Childhood Anxiety: Confirmatory Factor Analysis, Validity, and Reliability of the Parent and Child Family Accommodation Scale – Anxiety. Journal Of Clinical Child & Adolescent Psychology 2019, 49: 752-760. PMID: 31136200, PMCID: PMC6881529, DOI: 10.1080/15374416.2019.1614002.Peer-Reviewed Original ResearchConceptsConfirmatory factor analysisFamily accommodationChildhood anxietyExploratory factor analysisTest-retest reliabilityFactor analysisChild anxiety symptomsChild depression symptomsChild-parent dyadsTwo-factor modelTest-retest reliability dataChild anxietyAnxiety symptomsFamily routinesDivergent validityDepression symptomsTest-retest dataConvergent validityFactorial structureKey constructsAnxietyAccommodation measuresTheory developmentClinical applicationStudy objectiveFamily Accommodation in Autism Spectrum Disorder
Feldman I, Koller J, Lebowitz ER, Shulman C, Ben Itzchak E, Zachor DA. Family Accommodation in Autism Spectrum Disorder. Journal Of Autism And Developmental Disorders 2019, 49: 3602-3610. PMID: 31134428, DOI: 10.1007/s10803-019-04078-x.Peer-Reviewed Original ResearchConceptsAutism spectrum disorderFamily accommodationSpectrum disorderAnxiety disordersParent-based interventionsFamilies of childrenParents of childrenParental accommodationChild's RRBsRRB severityGreater symptom severityRepetitive behaviorsLower functioningHighlight avenuesPoor treatment outcomesRRBsSymptom severityChildrenMost participantsDisordersTreatment outcomesOCDHigh levelsFunctioningAccommodationParent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions
Lebowitz ER, Marin C, Martino A, Shimshoni Y, Silverman WK. Parent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions. Journal Of The American Academy Of Child & Adolescent Psychiatry 2019, 59: 362-372. PMID: 30851397, PMCID: PMC6732048, DOI: 10.1016/j.jaac.2019.02.014.Peer-Reviewed Original ResearchConceptsParent-based treatmentAnxious Childhood EmotionsChildhood anxiety disordersFamily accommodationChildhood anxietyAnxiety disordersChildhood EmotionsSupportive parentingParenting stressAnxiety outcomesCognitive behavioral therapyPrimary anxiety disorderParent interventionBehavioral therapyChildren's ratingsAnxiety severityTreatment credibilityClinician-rated scalesParent treatmentParent involvementAnxietyDiagnostic InterviewEmotionsParentingIndependent evaluators