2024
Future Directions in Clinical Trials and Intention-To-Treat Analysis: Fulfilling Admirable Intentions Through the Right Questions
Silverman W, Pettit J, Jaccard J. Future Directions in Clinical Trials and Intention-To-Treat Analysis: Fulfilling Admirable Intentions Through the Right Questions. Journal Of Clinical Child & Adolescent Psychology 2024, 53: 840-848. PMID: 39110873, DOI: 10.1080/15374416.2024.2384035.Peer-Reviewed Original ResearchGroup 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 equationsSeveritySessionsOutcomesAnxiety Symptom Trajectories Predict Depression Symptom Trajectories up to Four Years After CBT for Youth Anxiety Disorders
Fjermestad K, Norum F, Brask H, Kodal A, Silverman W, Heiervang E, Wergeland G. Anxiety Symptom Trajectories Predict Depression Symptom Trajectories up to Four Years After CBT for Youth Anxiety Disorders. Research On Child And Adolescent Psychopathology 2024, 1-11. PMID: 38878114, DOI: 10.1007/s10802-024-01214-9.Peer-Reviewed Original ResearchCognitive behavioral therapyYouth anxiety disordersAnxiety symptom trajectoriesDepressive symptom trajectoriesDepressive symptomsSymptom trajectoriesParental mental healthAnxiety disordersAnxiety diagnosesMental healthDepression trajectoriesPost-cognitive behavioral therapyAssociated with less depressive symptomsSelf-reported depression levelsAnxiety symptom improvementDepression levelsParent-reported anxietyExamined depressive symptomsLess depressive symptomsGrowth curve modelsSelf-reported mental healthAssessment periodBehavioral therapyAnxiety trajectoriesDiagnostic recoveryPatterns of sub‐optimal change following CBT for childhood anxiety
Bertie L, Arendt K, Coleman J, Cooper P, Creswell C, Eley T, Hartman C, Heiervang E, In‐Albon T, Krause K, Lester K, Marin C, Nauta M, Rapee R, Schneider S, Schniering C, Silverman W, Thastum M, Thirlwall K, Waite P, Wergeland G, Hudson J. Patterns of sub‐optimal change following CBT for childhood anxiety. Journal Of Child Psychology And Psychiatry 2024 PMID: 38817012, DOI: 10.1111/jcpp.14009.Peer-Reviewed Original ResearchCognitive behavioral therapyAnxiety disordersAnxiety diagnosesGrowth curve modelsMinimal respondersGroup cognitive behavioral therapyPatterns of symptom changeCurve modelClinically anxious youthSocial anxiety disorderAssociated with significantly less improvementResponse patternsAssess patterns of changeAnxious youthDisorder remissionChildhood anxietyMaternal psychopathologyBehavioral therapyDisorder severityDiagnostic statusSymptom changePre-and post-treatmentDelayed respondersAnxietyParental factorsPreliminary Randomized Controlled Trial of the Supportive Parenting for Anxious Childhood Emotions Intervention for Highly Dependent Adult Children
Berger U, Silverman W, Lebowitz E. Preliminary Randomized Controlled Trial of the Supportive Parenting for Anxious Childhood Emotions Intervention for Highly Dependent Adult Children. Emerging Adulthood 2024, 12: 807-819. DOI: 10.1177/21676968241252851.Peer-Reviewed Original ResearchFamily accommodationSymptom severitySupportive parentingAnxious Childhood EmotionsDepressive symptom severityParents of adultsParental burdenParent-based interventionsIntellectual disabilityChild anxietyChildhood emotionalRandomized controlled trialsAdult ChildrenEmotional interventionAnxietyTrial completionTreatment satisfactionPost-treatmentCost-of-illnessWaitlistParentsSymptomsAdultsSatisfaction scoresControlled trialsFamily Accommodation and Separation Anxiety: The Moderating Role of Child Attachment
Weeks G, Sakmar E, Clark T, Rose A, Silverman W, Lebowitz E. Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment. Child Psychiatry & Human Development 2024, 1-10. PMID: 38755332, DOI: 10.1007/s10578-024-01705-2.Peer-Reviewed Original ResearchSeparation anxiety symptomsFamily accommodationAnxiety symptomsAttachment securitySeparation anxietyLevels of attachment securitySeverity of anxiety symptomsAssociated with separation anxietyNo significant moderating effectsClinically anxious childrenAnxiety-related distressHigher attachment securityChild attachment securityFindings enhance understandingAnxious childrenSignificant moderating effectChild anxietyChild attachmentParenting behaviorsAnxietyModerating roleModerating effectSymptomsChildrenAttachmentAttention Training for Child Anxiety and Its Disorders: Moving from Research to Clinical Implementation
Falcone M, Bar-Haim Y, Lebowitz E, Silverman W, Pettit J. Attention Training for Child Anxiety and Its Disorders: Moving from Research to Clinical Implementation. Clinical Child And Family Psychology Review 2024, 27: 550-560. PMID: 38740658, DOI: 10.1007/s10567-024-00482-7.Peer-Reviewed Original ResearchAttention trainingAnxiety reduction effectCognitive neuroscienceChild anxietyComputerized treatmentDelivery of sessionsAnxietyClinical practice settingDisordersEvidence-basedChildrenClinical trial dataPsychoeducationPractice settingsClinical practiceAttentionIncrease accessNeuroscienceTrainingClinical stepsSessionsTrial dataClinical implementationResearchExperimental researchThe 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 6YouthChanges in Frontoamygdala Circuitry Associated With a Parent-Focused Intervention for Pediatric Anxiety Disorders
Gee D, Gunther K, Petrie D, Kitt E, Keding T, Broussard A, Zacharek S, Nardini C, Hommel G, Martino A, Anderson T, Spencer H, Odriozola P, Marin C, Silverman W, Lebowitz E. Changes in Frontoamygdala Circuitry Associated With a Parent-Focused Intervention for Pediatric Anxiety Disorders. Biological Psychiatry 2024, 95: s44. DOI: 10.1016/j.biopsych.2024.02.110.Peer-Reviewed Original ResearchFamily 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-occurrenceParentsIrritationDisordersFindingsAssociationParent-Inclusive Therapy Needs to be Theory-Inclusive Therapy
Lebowitz E, Silverman W. Parent-Inclusive Therapy Needs to be Theory-Inclusive Therapy. Clinical Psychology Science And Practice 2024, 31: 82-84. DOI: 10.1037/cps0000196.Peer-Reviewed Original ResearchResponding 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 constructsNormalization of Fronto-Parietal Activation by Cognitive-Behavioral Therapy in Unmedicated Pediatric Patients With Anxiety Disorders
Haller S, Linke J, Grassie H, Jones E, Pagliaccio D, Harrewijn A, White L, Naim R, Abend R, Mallidi A, Berman E, Lewis K, Kircanski K, Fox N, Silverman W, Kalin N, Bar-Haim Y, Brotman M. Normalization of Fronto-Parietal Activation by Cognitive-Behavioral Therapy in Unmedicated Pediatric Patients With Anxiety Disorders. American Journal Of Psychiatry 2024, 181: 201-212. PMID: 38263879, PMCID: PMC11423803, DOI: 10.1176/appi.ajp.20220449.Peer-Reviewed Original ResearchCognitive-behavioral therapyAt-risk sampleAnxiety disordersWeeks of cognitive-behavioral therapyBlood oxygen level-dependent responsesFronto-parietal attention networkHealthy comparison youthFronto-parietal activityFronto-parietal networkRegional activity changesHealthy comparison childrenCBT effectsAt-riskTemperamental riskCognitive-behavioralLimbic responsesNeural differencesAnxiety patientsUnmedicated youthLimbic regionsTreatment-related changesSymptom changeComparison youthComparison childrenFunctional MRI
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 trialsReinforcementChildrenOutcomesDisordersImplicationsAssessing 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 studyLanguageChildrenTaskMothersTransactional associations of child irritability and anxiety with parent psychological control in Taiwanese school‐aged children
Lee K, Lebowitz E, Silverman W, Tseng W. Transactional associations of child irritability and anxiety with parent psychological control in Taiwanese school‐aged children. JCPP Advances 2023, 3: e12192. PMID: 38054061, PMCID: PMC10694542, DOI: 10.1002/jcv2.12192.Peer-Reviewed Original ResearchParents’ psychological controlPsychological controlChild irritabilityChild anxietyParent-rated Child Behavior ChecklistIntercept cross-lagged panel modelPsychological Control ScaleCross-lagged panel modelTaiwanese school-aged childrenChild Behavior ChecklistPositive reinforcement techniquesSchool-aged childrenDirect cross-cultural comparisonsPerson processesTransactional associationsPerson levelTransactional pathwaysAnxiety symptomsBehavior ChecklistCommunity sampleCross-cultural comparisonTransactional relationsControl ScaleCollaborative parentingAnxietyMothers’ 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 anxietyYouthStyleParentingFathersFindingsEffect modification of an effective transdiagnostic cognitive behavioral psychotherapy in youths with common mental health problems: Secondary analyses of the randomized mind-my-mind trial
Rimvall M, Vassard D, Nielsen S, Wolf R, Plessen K, Bilenberg N, Thomsen P, Thastum M, Neumer S, Puggaard L, Pedersen M, Pagsberg A, Silverman W, Correll C, Christensen R, Jeppesen P. Effect modification of an effective transdiagnostic cognitive behavioral psychotherapy in youths with common mental health problems: Secondary analyses of the randomized mind-my-mind trial. European Neuropsychopharmacology 2023, 74: 64-75. PMID: 37279641, DOI: 10.1016/j.euroneuro.2023.05.004.Peer-Reviewed Original ResearchConceptsMental health problemsPotential effect modifiersHealth problemsDifferential treatment effectsTreatment benefitEffect modifiersUntreated mental health problemsSubstantial mental health problemsCommon mental health problemsTreatment effectsLocal community settingsCommunity-based programsBaseline factorsTreat analysisClinical variablesEffect modificationCognitive-behavioral psychotherapyDiagnostic criteriaMIND trialSociodemographic factorsTrial dataMental disordersSecondary analysisCommunity settingsCBT treatment