TY - JOUR
T1 - Exposure-based cognitive-behavioral treatment for phobic and anxiety disorders
T2 - Treatment effects and maintenance for Hispanic/Latino relative to European-American youths
AU - Pina, Armando A.
AU - Silverman, Wendy K.
AU - Fuentes, Rebecca M.
AU - Kurtines, William M.
AU - Weems, Carl F.
N1 - Funding Information:
This study was funded in part by NIMH grant 63997 . An American Psychological Association Minority Fellowship awarded to A. Pina provided additional support. Andres G. Viana, B.A., assisted authors during the various phases of this study.
PY - 2003/10
Y1 - 2003/10
N2 - Objective: To examine treatment response and maintenance to exposure-based cognitive-behavioral therapy (CBT) for Hispanic/Latino relative to European-American youths with phobic and anxiety disorders. Method: A total of 131 Hispanic/Latino and European-American youths (aged 6-16 years) who participated in two previous clinical trials for phobic and anxiety disorders were compared along diagnostic recovery rates, clinically significant improvement, and youth- and parent-completed questionnaire scores using traditional hypothesis tests, including effect sizes, and statistical equivalence tests. Results: After treatment, Hispanic/Latino and European-American youths responded similarly to exposure-based CBT in their diagnostic recovery rates and questionnaires. Effect sizes for questionnaire data were also more similar than different across the two groups. With regard to treatment maintenance, Hispanic/Latino and European-American youths also responded more similarly than differently, albeit with some variations within specific assessment points in questionnaire data. Conclusions: Exposure-based CBT for phobic and anxiety disorders produced positive treatment gains and maintenance for Hispanic/Latino youths who participated in the trials. The treatment response that can be expected is generally similar (i.e., favorable) and equivalent to that found with European-American youths based on all the available indices of change.
AB - Objective: To examine treatment response and maintenance to exposure-based cognitive-behavioral therapy (CBT) for Hispanic/Latino relative to European-American youths with phobic and anxiety disorders. Method: A total of 131 Hispanic/Latino and European-American youths (aged 6-16 years) who participated in two previous clinical trials for phobic and anxiety disorders were compared along diagnostic recovery rates, clinically significant improvement, and youth- and parent-completed questionnaire scores using traditional hypothesis tests, including effect sizes, and statistical equivalence tests. Results: After treatment, Hispanic/Latino and European-American youths responded similarly to exposure-based CBT in their diagnostic recovery rates and questionnaires. Effect sizes for questionnaire data were also more similar than different across the two groups. With regard to treatment maintenance, Hispanic/Latino and European-American youths also responded more similarly than differently, albeit with some variations within specific assessment points in questionnaire data. Conclusions: Exposure-based CBT for phobic and anxiety disorders produced positive treatment gains and maintenance for Hispanic/Latino youths who participated in the trials. The treatment response that can be expected is generally similar (i.e., favorable) and equivalent to that found with European-American youths based on all the available indices of change.
KW - Anxiety
KW - Children
KW - Cognitive-behavioral therapy
KW - Hispanic
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U2 - 10.1097/00004583-200310000-00008
DO - 10.1097/00004583-200310000-00008
M3 - Article
C2 - 14560167
AN - SCOPUS:0142165984
SN - 0890-8567
VL - 42
SP - 1179
EP - 1187
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 10
ER -