Journal
JOURNAL OF ANXIETY DISORDERS
Volume 22, Issue 2, Pages 273-282Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.janxdis.2007.03.006
Keywords
parent-child interaction therapy; separation anxiety disorder; oppositional defiant disorder; comorbidity; internalizing behavior; externalizing behavior
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Funding
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH060632] Funding Source: NIH RePORTER
- NIMH NIH HHS [R01-MH-60632] Funding Source: Medline
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This study examined the effects of comorbid separation anxiety disorder (SAD) on the expression of externalizing symptoms in children presenting with oppositional defiant disorder (ODD) as well as the treatment effects on anxiety and internalizing symptoms. Participants were 64 children with ODD seen in parent-child interaction therapy (PCIT), including 15 children with comorbid SAD. Children with ODD + SAD did not differ from children with ODD only in disruptive behavior severity at pretreatment assessment, and children with ODD + SAD showed significant decreases in SAD symptoms at post-treatment. Additionally, children with clinical levels of internalizing behavior demonstrated significant reductions in these symptoms, along with reduction of externalizing symptoms targeted in treatment. We discuss the possibility that treatments focusing on parent-child interactions and certain parenting skills may generalize across specific child symptom constellations. (C) 2007 Elsevier Ltd. All rights reserved.
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