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Anxiety Disorders in Caucasian and African American Children: A Comparison of Clinical Characteristics, Treatment Process Variables, and Treatment Outcomes

Gordon-Hollingsworth, Arlene T., Becker, Emily M., Ginsburg, Golda S., Keeton, Courtney, Compton, Scott N., Birmaher, Boris B., Sakolsky, Dara J., Piacentini, John +4 more·2015·Child Psychiatry & Human Development
DOI 10.1007/s10578-014-0507-xPMC PMC4390415
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  • Ethnic minorities demonstrated poorer adherence to CBT in the CAMS trial.

    “Ethnic minorities also demonstrated poorer adherence to CBT in the CAMS trial [41, 124], and these youth will be strongly represented in our study population.”

    From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [41]

    The Results (Treatment Process Variables; page not available) report that African American youth in CAMS attended fewer CBT sessions and were rated by therapists as less compliant than Caucasian youth. The claim broadens this finding to ethnic minorities generally, although this paper compared only African American and Caucasian youth; the compliance difference was also no longer significant after adjustment for socioeconomic status and living situation. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • Previous findings suggest that disadvantaged youth may have lower engagement in key tasks of CBT and may have less mastery of material, leading to poorer outcomes.

    “Third and finally, our focus on practice and intensity was informed by previous findings suggesting that disadvantaged youth may have lower engagement in key tasks of CBT and may have less mastery of material, leading to poorer outcomes.”

    From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [41]

    The Results (Treatment Process Variables) report lower therapist-rated involvement, compliance, and CBT-content mastery among African American youth than Caucasian youth; after adjustment for SES and home living situation, the differences in involvement and compliance were no longer significant. The Results (Treatment Outcome Variables) link greater involvement, mastery, and compliance to higher odds of remission. The claim extends these findings in clinically anxious African American youth to disadvantaged youth generally. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • In CAMS, African-American youths attended fewer CBT and medication management sessions, and were rated by therapists as less involved and compliant with treatment and possibly as showing a lower level of mastery of CBT concepts.

    “In CAMS, African-American youths attended fewer CBT and medication management sessions, and they were rated by therapists as less involved and compliant with treatment and, possibly as a consequence, as showing a lower level of mastery of CBT concepts [41].”

    From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [41]

  • Ethnic minorities tend to view CBT as less feasible for their lifestyle, thereby limiting their treatment adherence.

    “but they also tend to view CBT as less feasible for their lifestyle [40], thereby limiting their treatment adherence [41].”

    From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [41]

  • Coping Cat often requires more than the manualized weeks of treatment, particularly in lower income and minority populations, who may face additional challenges with missed appointments and homework completion.

    “Second, Coping Cat often requires more than the manualized weeks of treatment, particularly in lower income and minority populations, who may face additional challenges with regard to missed appointments and completion of homework assignments [40, 41].”

    From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [41]

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Research works printed but not linked: 41

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Authors
Gordon-Hollingsworth, A. T., Becker, E. M., Ginsburg, G. S., Keeton, C., Compton, S. N., Birmaher, B. B., Sakolsky, D. J., Piacentini, J., Albano, A. M., Kendall, P. C., Suveg, C. M., & March, J. S.
Venue
Child Psychiatry & Human Development
Publisher
Springer Science and Business Media LLC
Published
2014-10-08
Volume
46
Issue
5
Pages
643-655
ISSN
  • 0009-398X
  • 1573-3327
DOI
10.1007/s10578-014-0507-x
PMC
PMC4390415
Cited by
20
References
9
Language
en
Licence
www.springer.com/tdm (tdm)

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