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dc.contributor.authorFjermestad, Krister Westlye
dc.contributor.authorDitlefsen, Nina
dc.contributor.authorUnsvåg, Marie H.
dc.contributor.authorÖst, Lars Gøran
dc.contributor.authorHavik, Odd E.
dc.contributor.authorWergeland, Gro Janne Henningsen
dc.date.accessioned2022-04-22T13:26:49Z
dc.date.available2022-04-22T13:26:49Z
dc.date.created2022-01-18T21:03:50Z
dc.date.issued2022
dc.identifier.issn1062-1024
dc.identifier.urihttps://hdl.handle.net/11250/2992336
dc.description.abstractTo optimize cognitive behavioral therapy (CBT) outcomes for anxiety disorders in youth, more knowledge is needed about how specific CBT components work. Exposure to feared situations is an effective CBT component. However, there is little observation-based empirical research on how exposure relates to outcomes and other clinical variables. In a randomized controlled community clinic trial for youth with anxiety disorders, observers reliably rated exposure quality for 68 youths aged 8 to 15 years based on 118 videotaped sessions. The treatment program was the manual-based FRIENDS program. Three exposure quality elements (preparation, post-processing, and parent contribution to exposure) were examined in relation to pre-treatment demographic and clinical variables, outcomes, and youth- and therapist-rated alliance using multilevel hierarchical regression models. The outcomes were diagnostic recovery, clinical severity and anxiety symptoms change from pre- to post-treatment and one-year follow-up, and treatment dropout. The results showed that parent contribution to exposure was higher for boys and younger children. Parent contribution to exposure, but no other exposure element, was associated with a larger likelihood of diagnostic recovery and larger clinical severity reduction at one-year follow-up. Exposure quality was unrelated to outcomes at post-treatment, dropout, or alliance. We conclude that enhancing parent contribution to exposure during treatment could improve long-term outcomes after CBT for youth anxiety disorders. Exposure elements should be observed in larger samples to further examine their potential role for CBT outcomes.en_US
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleExposure Quality in Cognitive Behavioral Treatment for Youth Anxiety Disorders—Predictors and Associations with Outcomesen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright The Author(s) 2021en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1007/s10826-021-02188-8
dc.identifier.cristin1984180
dc.source.journalJournal of Child and Family Studiesen_US
dc.source.pagenumber308–320en_US
dc.identifier.citationJournal of Child and Family Studies. 2022, 31, 308–320.en_US
dc.source.volume31en_US


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