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 equationsSeveritySessionsOutcomesFamily 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 effectSymptomsChildrenAttachment
2023
Transactional 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 parentingAnxiety
2022
The 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 levelsEEG
2021
Using Evaluative Criteria to Review Youth Anxiety Measures, Part II: Parent-Report
Etkin RG, Lebowitz ER, Silverman WK. Using Evaluative Criteria to Review Youth Anxiety Measures, Part II: Parent-Report. Journal Of Clinical Child & Adolescent Psychology 2021, 50: 155-176. PMID: 33739908, PMCID: PMC8025201, DOI: 10.1080/15374416.2021.1878898.Peer-Reviewed Original ResearchConceptsYouth Anxiety MeasureParent-report measuresAnxiety ScaleAnxiety measuresYouth self-report measuresSpence Children's Anxiety ScaleYouth anxiety symptomsPsychometric propertiesAnxiety symptom measuresMultidimensional Anxiety ScaleChildren's Anxiety ScaleSelf-report measuresExcellent psychometric propertiesChild anxietyYouth SelfParent reportEmotional disordersAnxiety symptomsEvidence baseSymptom measuresEvidence-based updateAdditional researchMeasuresEvaluative criteriaAnxietyModerators of response to child‐based and parent‐based child anxiety treatment: a machine learning‐based analysis
Lebowitz ER, Zilcha‐Mano S, Orbach M, Shimshoni Y, Silverman WK. Moderators of response to child‐based and parent‐based child anxiety treatment: a machine learning‐based analysis. Journal Of Child Psychology And Psychiatry 2021, 62: 1175-1182. PMID: 33624848, DOI: 10.1111/jcpp.13386.Peer-Reviewed Original ResearchConceptsModerators of responseParent negativityChild anxiety treatmentOxytocin levelsBaseline anxietyCognitive behavioral therapyPrimary anxiety disorderChild-reported outcomesParent-reported outcomesChildhood anxietyAnxiety treatmentAnxiety symptomsPotential moderatorsAnxiety disordersTreatment conditionsModeratorMachine learning-based analysisAnxietyNegativitySignificant interactionChildrenNonoptimal treatmentTreatment efficacyParentingSocioemotional
2020
Abnormal 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 abnormalitiesWhat 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
Measuring 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 objectiveTrajectories 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
2017
Association between attention bias to threat and anxiety symptoms in children and adolescents
Abend R, de Voogd L, Salemink E, Wiers RW, Pérez‐Edgar K, Fitzgerald A, White LK, Salum GA, He J, Silverman WK, Pettit JW, Pine DS, Bar‐Haim Y. Association between attention bias to threat and anxiety symptoms in children and adolescents. Depression And Anxiety 2017, 35: 229-238. PMID: 29212134, PMCID: PMC6342553, DOI: 10.1002/da.22706.Peer-Reviewed Original ResearchConceptsPediatric anxiety symptomsThreat biasAnxiety symptom severityAnxiety symptomsAttention biasSocial anxietySchool phobiaThreat-related attention biasesSeparation anxiety symptomsSymptom severityAttention biasesThreat biasesChild anxietyBias scoresMulti-site collaborationYouth sampleExtant findingsStandardized measuresGeneralized anxietyAnxietyDimensional approachInconsistent findingsAssessment tasksMethodological variabilityPhobiaBrief Report: Bullying and Anxiety in High-Functioning Adolescents with ASD
van Schalkwyk G, Smith IC, Silverman WK, Volkmar FR. Brief Report: Bullying and Anxiety in High-Functioning Adolescents with ASD. Journal Of Autism And Developmental Disorders 2017, 48: 1819-1824. PMID: 29152669, DOI: 10.1007/s10803-017-3378-8.Peer-Reviewed Original ResearchOxytocin response to youth–mother interactions in clinically anxious youth is associated with separation anxiety and dyadic behavior
Lebowitz ER, Silverman WK, Martino AM, Zagoory‐Sharon O, Feldman R, Leckman JF. Oxytocin response to youth–mother interactions in clinically anxious youth is associated with separation anxiety and dyadic behavior. Depression And Anxiety 2017, 34: 127-136. PMID: 28052452, PMCID: PMC5503301, DOI: 10.1002/da.22585.Peer-Reviewed Original ResearchConceptsSeparation anxiety disorderAnxious youthAnxiety disordersSeparation anxietySalivary oxytocinAffective touchDSM-5 anxiety disordersYouth anxiety symptomsOT responseParticular anxiety disordersAttachment figuresReliable codersMaternal sensitivityDyadic behaviorsChildren's ratingsMaternal intrusivenessAttachment behaviorAnxiety symptomsAnxiety regulationSocial supportPossible intervention strategiesSignificant distressHigher youthYouthIntervention strategies
2016
Attentional Control Scale for Children: Factor Structure and Concurrent Validity Among Children and Adolescents Referred for Anxiety Disorders
Melendez R, Bechor M, Rey Y, Pettit JW, Silverman WK. Attentional Control Scale for Children: Factor Structure and Concurrent Validity Among Children and Adolescents Referred for Anxiety Disorders. Journal Of Clinical Psychology 2016, 73: 489-499. PMID: 27459398, PMCID: PMC5545119, DOI: 10.1002/jclp.22346.Peer-Reviewed Original ResearchConceptsAttentional Control ScaleAttentional controlSelf-rating scaleControl ScaleFactor structureAttention deficit hyperactivity disorderConcurrent validityYouth anxiety symptomsDeficit hyperactivity disorderAdolescents ReferredAttentional shiftingAttentional focusingParent ratingsCorrelated subscalesYouth diagnosesAnxiety symptomsExploratory factor analysisAnxiety disordersSelf ratingsSubscale scoresRetest reliabilityFactor analysisFuture researchDepressive symptomsChildren
2015
Salivary oxytocin in clinically anxious youth: Associations with separation anxiety and family accommodation
Lebowitz ER, Leckman JF, Feldman R, Zagoory-Sharon O, McDonald N, Silverman WK. Salivary oxytocin in clinically anxious youth: Associations with separation anxiety and family accommodation. Psychoneuroendocrinology 2015, 65: 35-43. PMID: 26716876, PMCID: PMC4895196, DOI: 10.1016/j.psyneuen.2015.12.007.Peer-Reviewed Original ResearchConceptsSalivary OT levelsFamily accommodationSeparation anxiety disorderYouth anxietyAnxiety disordersAnxious youthInterpersonal behaviorSeparation anxietyOT levelsDSM-5 anxiety disordersSeparation anxiety symptomsTreatment of anxietyNeuropeptide oxytocinSalivary OTClinical anxietyMaternal ratingsSalivary oxytocinAnxiety symptomsOxytocinergic systemRegulation of anxietyAnxious behaviorOwn behaviorAnxiety assessmentAnxietyParental involvementPredictors of treatment outcome in an effectiveness trial of cognitive behavioral therapy for children with anxiety disorders
Wergeland GJ, Fjermestad KW, Marin CE, Bjelland I, Haugland BS, Silverman WK, Öst LG, Bjaastad JF, Oeding K, Havik OE, Heiervang ER. Predictors of treatment outcome in an effectiveness trial of cognitive behavioral therapy for children with anxiety disorders. Behaviour Research And Therapy 2015, 76: 1-12. PMID: 26583954, DOI: 10.1016/j.brat.2015.11.001.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyChild-rated anxiety symptomsParent internalizing symptomsAnxiety disordersAnxiety symptomsCBT programInternalizing symptomsSocial phobiaBehavioral therapyLower family social classPrimary anxiety disorderSeparation anxiety disorderPositive treatment outcomesFamily social classChildren of parentsAnxious childrenEffectiveness trialChildren's motivationParent factorsSeparation anxietyTreatment outcomesSymptom levelsRecent effectiveness studiesPoor outcomePhobiaFamily Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment
Norman KR, Silverman WK, Lebowitz ER. Family Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment. Journal Of Child And Adolescent Psychiatric Nursing 2015, 28: 131-140. PMID: 26238937, PMCID: PMC4896065, DOI: 10.1111/jcap.12116.Peer-Reviewed Original ResearchConceptsAnxiety-related distressFamily accommodationPediatric anxiety disordersAnxiety disordersAnxiety symptomsCurrent evidence-based interventionsChild anxiety symptomsCommon mental health concernsPsychiatric mental health nurse practitionersPotential neurobiological underpinningsMental health concernsCortico-limbic circuitryEvidence-based interventionsAdolescent anxietyNeurobiological underpinningsOxytocinergic systemOwn behaviorMultidisciplinary team membersGreater caregiver burdenTeam membersCurrent findingsPsychotherapy servicesClinical interventionsPsyc INFOCaregiver burdenResearch Protocol: Development, implementation and evaluation of a cognitive behavioural therapy-based intervention programme for the management of anxiety symptoms in South African children with visual impairments
Visagie L, Loxton H, Silverman WK. Research Protocol: Development, implementation and evaluation of a cognitive behavioural therapy-based intervention programme for the management of anxiety symptoms in South African children with visual impairments. African Journal Of Disability 2015, 4: 160. PMID: 28730026, PMCID: PMC5433474, DOI: 10.4102/ajod.v4i1.160.Peer-Reviewed Original ResearchIntervention programsAnxiety symptomsYear old South African childrenWait-list control group designSouth African childrenRevised Child AnxietySerious mental health problemsSymptoms of anxietyMental health problemsTerms of childrenChildhood anxietyVisual impairmentAnxiety interventionsChild anxietyPsychological difficultiesPsychological distressSouth African youthNon-disabled peersParticipants' symptomsAnxietyUniversal interventionsAfrican childrenControl group designGroup designSpecial schools
2013
Attention Bias Modification Treatment for children with anxiety disorders who do not respond to cognitive behavioral therapy: a case series
Bechor M, Pettit JW, Silverman WK, Bar-Haim Y, Abend R, Pine DS, Vasey MW, Jaccard J. Attention Bias Modification Treatment for children with anxiety disorders who do not respond to cognitive behavioral therapy: a case series. Journal Of Anxiety Disorders 2013, 28: 154-159. PMID: 24211147, PMCID: PMC3943612, DOI: 10.1016/j.janxdis.2013.09.001.Peer-Reviewed Original ResearchConceptsAttention Bias Modification TreatmentCognitive behavioral therapyAnxiety disordersParent ratingsAttention training programAnxiety-related impairmentChild anxietyCBT protocolABMT protocolInternalizing symptomsBehavioral therapyAnxiety symptomsAnxietyModification treatmentTraining programDepressive symptomsChildrenOpen trialRatingsImpairmentDisordersPotential promiseSymptomsFindingsCase series
2012
Social Skills as a Mediator Between Anxiety Symptoms and Peer Interactions Among Children and Adolescents
Motoca LM, Williams S, Silverman WK. Social Skills as a Mediator Between Anxiety Symptoms and Peer Interactions Among Children and Adolescents. Journal Of Clinical Child & Adolescent Psychology 2012, 41: 329-336. PMID: 22471319, PMCID: PMC3348994, DOI: 10.1080/15374416.2012.668843.Peer-Reviewed Original ResearchConceptsYouth anxiety symptomsNegative peer interactionsSocial skillsParent ratingsAnxiety symptomsPeer interactionsYouth sexStructural equation modeling resultsPositive peer interactionsPrimary social phobiaAnxiety problemsSocial phobiaYouth ratingsSignificant moderatorCross-sectional designYouth ageSkillsYouthModeratorRatingsAdolescentsDepressive disorderChildrenPhobiaAnxiety