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School-based interventions for anxiety in youth

Chapter by: Angelosante, Aleta; Colognori, Daniela; Goldstein, Clark R; Warner, Carrie Masia
in: Handbook of child and adolescent anxiety disorders by McKay, Dean; Storch, Eric A [Eds]
New York, NY, US: Springer Science + Business Media; US, 2011
pp. 419-434
ISBN: 978-1-4419-7782-3
CID: 5748

Development of a Unified Protocol for the Treatment of Emotional Disorders in Youth

Ehrenreich, Jill T; Goldstein, Clark M; Wright, Lauren R; Barlow, David H
This paper reviews the development and initial trial of a treatment for adolescents that targets negative emotionality and associated psychological difficulties, particularly anxiety and depressive disorders, as a more singular entity by utilizing an approach rooted in both emotion science and theory. The rationale for such an approach is based upon the perceived need for novel treatment approaches that target commonalities in emotional disorder symptom presentation and their intervention. Utilizing the Unified Protocol for the Treatment of Emotional Disorders originally developed for adults (Barlow, Allen & Choate, 2004), we conducted a multiple-baseline design study of a slightly modified version of this protocol with three adolescents presenting an array of anxiety and depression symptoms. Adolescent participants in this preliminary investigation evidenced symptom reductions across disorders at post-treatment, with greater improvements noted at a six-month follow-up. Based on these findings and research regarding the association between emotion science and developmental psychopathology, we detail a more extensive set of modifications to the protocol, undertaken in preparation for a subsequent open-trial investigation of the revised treatment.
PMCID:2712286
PMID: 19617930
ISSN: 0731-7107
CID: 179982

Understanding anxiety disorders from a "triple vulnerability" framework

Chapter by: Suarez, Liza M; Bennett, Shannon M; Goldstein, Clark R; Barlow, David H
in: Oxford handbook of anxiety and related disorders by Antony, Martin M; Stein, Murray B [Eds]
New York, NY, US: Oxford University Press, 2009
pp. 153-172
ISBN: 978-0-19-530703-0
CID: 179966

Identification of high-risk behaviors among victimized adolescents and implications for empirically supported psychosocial treatment

Danielson, Carla Kmett; de Arellano, Michael A; Ehrenreich, Jill T; Suarez, Liza M; Bennett, Shannon M; Cheron, Daniel M; Goldstein, Clark R; Jakle, Katherine R; Landon, Terri M; Trosper, Sarah E
An adolescent's possible response to being the victim of interpersonal violence is not limited to posttraumatic stress disorder and depression but may also involve a host of developmental effects, including the occurrence of high-risk behaviors that may have a significant and negative impact on the adolescent's psychological and physical health. Identifying such high-risk behaviors, understanding their possible link to a previous victimization incident, and implementing interventions that have been demonstrated to reduce such behaviors may help decrease potential reciprocal interactions between these areas. Clinicians in psychiatric practice may be in a unique position to make these connections, since parents of adolescents may perceive a greater need for mental health services for youth engaging in problematic externalizing behaviors than for those displaying internalizing symptoms. In this article, the authors first describe high-risk behaviors, including substance use, delinquent behavior, risky sexual behaviors, and self-injurious behaviors, that have been linked with experiencing interpersonal violence. They then review empirically based treatments that have been indicated to treat these deleterious behaviors in order to help clinicians select appropriate psychosocial interventions for this population. Recommendations for future research on the treatment of high-risk behaviors in adolescents are also presented
PMID: 17122697
ISSN: 1527-4160
CID: 141528