2024
Group cohesion and alliance predict cognitive-behavioral group treatment outcomes for youth with anxiety disorders
Fjermestad K, Wallin M, Naujokat F, McLeod B, Silverman W, Öst L, Lerner M, Heiervang E, Wergeland G. Group cohesion and alliance predict cognitive-behavioral group treatment outcomes for youth with anxiety disorders. Cognitive Behaviour Therapy 2024, ahead-of-print: 1-19. PMID: 39105346, DOI: 10.1080/16506073.2024.2385906.Peer-Reviewed Original ResearchGroup cognitive behavioral therapyAnxiety disordersAnxiety symptomsDiagnostic recoveryParent-reported anxiety symptomsGroup cohesionCognitive behavioral therapyRandomized controlled effectiveness trialBehavioral therapyAlliance changeParent-reported outcomesEffectiveness trialClinical severityTreatment outcomesAnxietyPost-treatmentDisordersAllianceSymptomsYouthFollow-upGeneralized estimating equationsSeveritySessionsOutcomesThe Effectiveness of Modular Transdiagnostic Cognitive Behavioral Therapy Versus Treatment as Usual for Youths Displaying School Attendance Problems: A Randomized Controlled Trial
Johnsen D, Lomholt J, Heyne D, Jensen M, Jeppesen P, Silverman W, Thastum M. The Effectiveness of Modular Transdiagnostic Cognitive Behavioral Therapy Versus Treatment as Usual for Youths Displaying School Attendance Problems: A Randomized Controlled Trial. Research On Child And Adolescent Psychopathology 2024, 52: 1397-1412. PMID: 38739306, PMCID: PMC11420258, DOI: 10.1007/s10802-024-01196-8.Peer-Reviewed Original ResearchCognitive behavioral therapyTransdiagnostic cognitive behavioral therapySchool attendance problemsRandomized controlled trialsSelf-efficacyMonths of cognitive behavioral therapyMental healthYouth self-efficacyParental self-efficacyEvidence-based interventionsWithin-group improvementsBehavioral therapyHours of interventionSchool refusalSchool attendanceAssociated with negative short-Emotional problemsConduct problemsSchool involvementIntervention servicesIntervention effectsEffective interventionsControlled trialsAged 6YouthFamily Accommodation in Anxious Irritable and Anxious Nonirritable Youth
Budagzad-Jacobson R, Musicaro R, Marin C, Silverman W, Lebowitz E. Family Accommodation in Anxious Irritable and Anxious Nonirritable Youth. Behavior Therapy 2024, 55: 913-921. PMID: 39174269, PMCID: PMC11341947, DOI: 10.1016/j.beth.2024.03.003.Peer-Reviewed Original ResearchFamily accommodationIrritable youthYouth anxietyParent ratingsCo-occurrence of anxietyLevels of irritabilityInfluence of irritabilityClinic-referredAnxiety disordersDiagnostic InterviewChild anxietyYouth ratingsAnxietyAccommodation behaviorAnxiety levelsTreatment targetModerating effectIrritability levelsYouthCo-occurrenceParentsIrritationDisordersFindingsAssociation
2023
Boundaries on Parent Involvement in Their Child’s Anxiety Cognitive-Behavioral-Treatment Outcome: Parent Reinforcement and Relationship Behaviors Moderate Outcome
Silverman W, Rey Y, Marin C, Boutris P, Jaccard J, Pettit J. Boundaries on Parent Involvement in Their Child’s Anxiety Cognitive-Behavioral-Treatment Outcome: Parent Reinforcement and Relationship Behaviors Moderate Outcome. Clinical Psychological Science 2023, 12: 936-944. DOI: 10.1177/21677026231209331.Peer-Reviewed Original ResearchCognitive-behavioral treatmentParent reinforcementParents’ psychological controlPsychological controlCognitive behavioralRelationship behaviorsLower anxietyAnxiety disordersModeration effectPositive reinforcementParent involvementYouthAnxietyResearch replicationParentsModerate outcomeTrainingTreatment outcomesModeratorEfficacy trialsReinforcementChildrenOutcomesDisordersImplicationsMothers’ Psychological Control and Accommodation are Associated with More Severe Anxiety in Hispanic Youth
Seligman L, Marin C, Hovey J, Rey Y, Pettit J, Lebowitz E, Silverman W. Mothers’ Psychological Control and Accommodation are Associated with More Severe Anxiety in Hispanic Youth. Child Psychiatry & Human Development 2023, 1-11. PMID: 37470923, DOI: 10.1007/s10578-023-01567-0.Peer-Reviewed Original ResearchPsychological controlChild anxietyHispanic familiesChild anxiety treatmentMothers' psychological controlFathers of youthProtective parenting behaviorsHispanic youthParental accommodationPsychological accommodationSample of mothersParenting behaviorsAversive experiencesParenting stylesAnxiety treatmentNegative reinforcementModel hypothesizingAnxietyWhite samplesSevere anxietyYouthStyleParentingFathersFindingsWhat is anxiety?
Musicaro R, Silverman W. What is anxiety? 2023, 219-226. DOI: 10.1016/b978-0-12-818872-9.00086-8.Chapters
2022
Do School-Based Accommodations Mitigate Anxiety-Related School Impairment for Socially Anxious Youth?
Martel S, Falcone M, Etkin R, Marin C, Lebowitz E, Silverman W. Do School-Based Accommodations Mitigate Anxiety-Related School Impairment for Socially Anxious Youth? European Journal Of Education And Psychology 2022, 15: 7-21. DOI: 10.32457/ejep.v15i2.1965.Peer-Reviewed Original ResearchIndividualized education planSchool impairmentSchool contextEducation planDo SchoolGrade levelSchoolsStudentsYouthAdditional moderatorsAccommodationPlanFurther researchSignificant moderation effectUnited StatesModeration effectSocial anxietyAnxietyDisabilityContextCurrent studyResearchParticipantsModerate associationChallengesAnxious Bullies: Parent Distress and Youth Anxiety Interact to Predict Bullying Perpetration
Musicaro RM, Yeguez CE, Rey Y, Silverman WK, Pettit JW. Anxious Bullies: Parent Distress and Youth Anxiety Interact to Predict Bullying Perpetration. Child Psychiatry & Human Development 2022, 55: 812-818. PMID: 36222997, PMCID: PMC10090230, DOI: 10.1007/s10578-022-01443-3.Peer-Reviewed Original ResearchYouth anxietyParent distressBullying perpetrationAnxiety symptom severityAnxious samplesYouth distressPercent of youthAnxietyBulliesParents' levelPerpetrationDistressSymptom severityHome problemsYouthEmpirical findingsSignificant interactionPast monthFindingsOverlooked groupNovel insightsEarlier studiesParent Involvement Enhances CBTs for Anxiety Disorders in Hispanic/Latino Youth: Acculturation as a Moderator
Patriarca G, Rey Y, Marin C, Yeguez C, Pettit J, Silverman W. Parent Involvement Enhances CBTs for Anxiety Disorders in Hispanic/Latino Youth: Acculturation as a Moderator. Journal Of Consulting And Clinical Psychology 2022, 90: 827-836. PMID: 36355650, PMCID: PMC9727821, DOI: 10.1037/ccp0000770.Peer-Reviewed Original ResearchConceptsCognitive-behavioral treatmentAnxiety outcomesParent acculturationAnxiety disordersPsychological controlNegative reinforcementEfficacy of CBTParents’ psychological controlYouth anxiety severityHispanic/Latino youthEvidence-based interventionsYouth ages 6Anxiety severityBehavioral treatmentParents' useLatino youthLatino familiesParent involvementAge 6YouthAcculturation levelAcculturationEnculturationModeratorDisordersAttention 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 ratingsRatingsYouth social functioning interacts with treatment arm, diagnosis, and gender to predict anxiety treatment outcome
Etkin RG, Marin CE, Silverman WK, Lebowitz ER. Youth social functioning interacts with treatment arm, diagnosis, and gender to predict anxiety treatment outcome. Behaviour Research And Therapy 2022, 156: 104160. PMID: 35870327, DOI: 10.1016/j.brat.2022.104160.Peer-Reviewed Original ResearchConceptsAnxiety treatment outcomesYouth social functioningSocial skillsPositive social interactionsSocial functioningAnxiety diagnosesAnxiety disordersSocial interactionParent-based treatmentChildren's social skillsSocial anxiety disorderYouths' social skillsAnxiety symptom severityYouth genderTreatment outcomesDiagnostic InterviewSymptom severityClinical functioningFunctioningSkillsYouthPredictorsMultiple regression modelDisordersGenderThe role of attentional shifting in the relation between error monitoring and anxiety in youth
Ramos ML, Bechor M, Casas A, Pettit JW, Silverman WK, Reeb-Sutherland BC. The role of attentional shifting in the relation between error monitoring and anxiety in youth. Psychiatry Research Neuroimaging 2022, 324: 111507. PMID: 35675720, PMCID: PMC9730549, DOI: 10.1016/j.pscychresns.2022.111507.Peer-Reviewed Original ResearchConceptsError-related negativityAttentional controlERN amplitudeNeural responsesMaintenance of anxietyLarger neural responsesSelf-report measuresSmaller neural responseAttentional shiftingFlanker taskError monitoringThreat signalsAnxiety symptomsNeural markersAnxietyYouthSimultaneous EEGResponse magnitudeAttentionNegativityAbilityHigh abilityTaskLow levelsEEGSociodemographic and clinical characteristics of youths and parents seeking psychological treatment for school attendance problems
Johnsen DB, Lomholt JJ, Heyne D, Jeppesen P, Jensen MB, Silverman WK, Thastum M. Sociodemographic and clinical characteristics of youths and parents seeking psychological treatment for school attendance problems. PLOS ONE 2022, 17: e0261449. PMID: 35081106, PMCID: PMC8791456, DOI: 10.1371/journal.pone.0261449.Peer-Reviewed Original ResearchConceptsMental health problemsSchool attendance problemsPsychological treatmentHelp-seeking youthHealth problemsAttendance problemsClinical characteristicsBehavioral difficultiesCross-sectional designNegative outcomesOlder youthYouthEarly interventionClinical levelParentsTreatment startBaseline assessmentSchool absenceSociodemographic characteristicsTreatmentAnxietyHigh levelsLow levelsDepressionAbsence
2021
Does Training Parents in Reinforcement Skills or Relationship Skills Enhance Individual Youths’ Cognitive Behavioral Therapy for Anxiety? Outcome, Specificity, and Mediation
Silverman WK, Rey Y, Marin CE, Jaccard J, Pettit JW. Does Training Parents in Reinforcement Skills or Relationship Skills Enhance Individual Youths’ Cognitive Behavioral Therapy for Anxiety? Outcome, Specificity, and Mediation. Clinical Psychological Science 2021, 10: 355-373. PMID: 35599840, PMCID: PMC9122107, DOI: 10.1177/21677026211016402.Peer-Reviewed Original ResearchCognitive behavioral therapyNegative reinforcementAnxiety reductionLower anxietyRelationship skillsYouth cognitive behavioral therapiesParental psychological controlBehavioral parenting skillsPrimary anxiety diagnosisReinforcement skillsPsychological controlIndividual CBTTraining parentsParenting skillsBehavioral therapyAnxiety diagnosesPartial mediationCBTParent involvementAnxietyTreatment specificitySkillsYouthFuture researchTreatment studies
2020
Converging Multi-modal Evidence for Implicit Threat-Related Bias in Pediatric Anxiety Disorders
Abend R, Bajaj MA, Matsumoto C, Yetter M, Harrewijn A, Cardinale EM, Kircanski K, Lebowitz ER, Silverman WK, Bar-Haim Y, Lazarov A, Leibenluft E, Brotman M, Pine DS. Converging Multi-modal Evidence for Implicit Threat-Related Bias in Pediatric Anxiety Disorders. Research On Child And Adolescent Psychopathology 2020, 49: 227-240. PMID: 33095373, PMCID: PMC7839316, DOI: 10.1007/s10802-020-00712-w.Peer-Reviewed Original ResearchConceptsPediatric anxiety disordersAnxiety disordersThreat biasImplicit biasHealthy peersImplicit bias measuresMulti-modal evidenceTask performanceBias measuresNegative relativeWhole-body movementsMultiple tasksTaskImplicit threatFuture researchPeersGreater tendencyDisordersFaceBiasAnxietyYouthThreatMeasuresEvidenceWhat Drives Symptom Reduction in Attention Bias Modification Treatment? A Randomized Controlled Experiment in Clinically Anxious Youths
Linetzky M, Pettit J, Silverman W, Pine D, Bar-Haim Y. What Drives Symptom Reduction in Attention Bias Modification Treatment? A Randomized Controlled Experiment in Clinically Anxious Youths. Clinical Psychological Science 2020, 8: 506-518. DOI: 10.1177/2167702620902130.Peer-Reviewed Original ResearchAttention bias modificationSpatial attentionAttention controlABM efficacyAnxious youthAnxiety symptomsAttention Bias Modification TreatmentThreat exposureClinically Anxious YouthSelective spatial attentionTreatment expectanciesAnxiety disordersSymptom reductionGroup differencesYouthLevel of changeAttentionModification treatmentControlled ExperimentMidtreatmentTreatment effectsFour-armFindingsPosttreatmentSymptoms
2019
Efficacy and mechanisms underlying a gamified attention bias modification training in anxious youth: protocol for a randomized controlled trial
Linke JO, Jones E, Pagliaccio D, Swetlitz C, Lewis KM, Silverman WK, Bar-Haim Y, Pine DS, Brotman MA. Efficacy and mechanisms underlying a gamified attention bias modification training in anxious youth: protocol for a randomized controlled trial. BMC Psychiatry 2019, 19: 246. PMID: 31391027, PMCID: PMC6686536, DOI: 10.1186/s12888-019-2224-2.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyContext of CBTBias modification trainingDot-probe taskAttentional biasAnxious youthAmygdala connectivityAnxiety disordersAttention bias modification trainingPrimary anxiety disorder diagnosisHealthy comparison youthAnxiety disorder diagnosisVisual searchThreat responsesNeurobiological correlatesComparison youthBehavioral therapyTraining elementsDisorder diagnosisEngaging gameNeuronal levelYouthPrevious findingsMixed resultsTaskGroup- Versus Parent-Involvement CBT for Childhood Anxiety Disorders: Treatment Specificity and Long-Term Recovery Mediation
Silverman WK, Marin CE, Rey Y, Kurtines WM, Jaccard J, Pettit JW. Group- Versus Parent-Involvement CBT for Childhood Anxiety Disorders: Treatment Specificity and Long-Term Recovery Mediation. Clinical Psychological Science 2019, 7: 840-855. PMID: 33758679, PMCID: PMC7984418, DOI: 10.1177/2167702619830404.Peer-Reviewed Original ResearchGroup cognitive behavioral therapyParental psychological controlPsychological controlAnxiety reductionAnxiety disordersYouth anxiety disordersChildhood anxiety disordersPrimary anxiety diagnosisCognitive behavioral therapyTreatment specificityYouth anxietyCBT targetsBehavioral therapyAnxiety diagnosesCBTMediationPutative mediatorsPosttreatmentDisordersAnxietyYouthEfficacy trialsMediatorsParentsSpecific mechanismsA Randomized Controlled Trial of Attention Bias Modification Treatment in Youth With Treatment-Resistant Anxiety Disorders
Pettit JW, Bechor M, Rey Y, Vasey MW, Abend R, Pine DS, Bar-Haim Y, Jaccard J, Silverman WK. A Randomized Controlled Trial of Attention Bias Modification Treatment in Youth With Treatment-Resistant Anxiety Disorders. Journal Of The American Academy Of Child & Adolescent Psychiatry 2019, 59: 157-165. PMID: 30877049, PMCID: PMC6744353, DOI: 10.1016/j.jaac.2019.02.018.Peer-Reviewed Original ResearchConceptsAttention Bias Modification TreatmentAttention control trainingTreatment-resistant anxiety disordersAttention controlAnxiety severityAttention biasNeutral facesAnxiety disordersAttention bias modification trainingBias modification trainingYouth anxiety severityCognitive behavioral therapyAttention trainingDiagnostic recoveryAnxiety diagnosesControl trainingTraining trialsContingency scheduleYouthModification treatmentIndependent evaluatorsAnxietyTrainingAugmentation strategiesFaceTrajectories and Predictors of Response in Youth Anxiety CBT: Integrative Data Analysis
Skriner LC, Chu BC, Kaplan M, Bodden DHM, Bögels SM, Kendall PC, Nauta MH, Silverman WK, Wood JJ, Barker DH, de la Torre J, Saavedra L, Xie MG. Trajectories and Predictors of Response in Youth Anxiety CBT: Integrative Data Analysis. Journal Of Consulting And Clinical Psychology 2019, 87: 198-211. PMID: 30570308, DOI: 10.1037/ccp0000367.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyGrowth mixture modelingIntegrative data analysisParent-reported anxiety symptomsFamily cognitive-behavioral therapySymptom changeTrajectory classesYouth-reported symptomsParent-reported symptomsMixture modelingPredictors of trajectoriesItem response theory modelsAnxious youthImprovement classesAnxiety symptomsRapid respondersResponse classesYouthTheory modelPredictorsDistinct patternsOlder agePredictors of responseMembershipSymptoms