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  1. Article: Adapting CBT for youth anxiety: Flexibility, within fidelity, in different settings.

    Kendall, Philip C / Ney, Julia S / Maxwell, Colleen A / Lehrbach, Kyler R / Jakubovic, Rafaella J / McKnight, Dominique S / Friedman, Abbey L

    Frontiers in psychiatry

    2023  Volume 14, Page(s) 1067047

    Abstract: Anxiety disorders are common in youth, associated with impairments in daily functioning, and often persist into adulthood when untreated. Cognitive behavioral therapy (CBT) for youth anxiety is a well-established intervention and has been modified to fit ...

    Abstract Anxiety disorders are common in youth, associated with impairments in daily functioning, and often persist into adulthood when untreated. Cognitive behavioral therapy (CBT) for youth anxiety is a well-established intervention and has been modified to fit several treatment settings. Despite decades of results supporting the efficacy of CBT, there is a large gap in access to this treatment and a need to consider how it can best be administered flexibly to increase uptake and personalization. We first discuss the core components of treatment for CBT through the lens of the Coping Cat treatment. Next, we review the empirical findings regarding adjustments made for CBT for youth anxiety delivered (a) in schools, (b) in community settings, (c) through telehealth, (d) through online computer programs, and (e) by caregivers at home. In each setting, we provide specific suggestions for how to implement CBT with flexibility while maintaining fidelity.
    Language English
    Publishing date 2023-03-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2023.1067047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Are Family Factors Differentially Associated with Externalizing Symptoms Among Youth with Perinatally Acquired HIV?

    Drabick, Deborah A G / Jakubovic, Rafaella J / Friedman, Abbey L / Everett, Valerie S / Emory, George O / Gerpe, Marianela Rosales / Deloreto, Katherine M / Campagnolio, Aidan P / Galante, Mary Katherine / Nachman, Sharon / Gadow, Kenneth D

    Child psychiatry and human development

    2024  

    Abstract: Youth with perinatally-acquired HIV (PHIV) face unique psychosocial stressors. They are at risk for externalizing problems, including symptoms of oppositional defiant disorder, conduct disorder (CD), and attention-deficit/hyperactivity disorder (ADHD), ... ...

    Abstract Youth with perinatally-acquired HIV (PHIV) face unique psychosocial stressors. They are at risk for externalizing problems, including symptoms of oppositional defiant disorder, conduct disorder (CD), and attention-deficit/hyperactivity disorder (ADHD), as well as risk-taking behaviors, such as substance use (SU). Although family factors have been differentially associated with externalizing and SU behaviors based on youth sex in prior research, there is a dearth of literature considering these processes among youth with PHIV. Participants included 314 youth with PHIV (M = 12.88 years, SD = 3.08 years; 50.80% male; 85.30% Black or Latinx). Boys exhibited higher levels of ADHD symptoms than girls. Among boys, lower levels of consistency in discipline were associated with higher CD symptoms. Lower levels of family cohesion were associated with higher levels of SU among girls, and higher levels of CD symptoms across youth sex. Findings support the need for family-focused behavioral interventions among youth with PHIV.
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 223895-0
    ISSN 1573-3327 ; 0009-398X
    ISSN (online) 1573-3327
    ISSN 0009-398X
    DOI 10.1007/s10578-023-01651-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Childhood maltreatment reports in adult seasonal affective disorder: Associations with sleep disturbances, maladaptive cognitions, and brooding.

    Wang, Yuqi S / Friedman, Abbey L / Jakubowski, Karen P / Wescott, Delainey L / Iyiewuare, Praise / Feldman, Julia S / Shaw, Daniel S / Roecklein, Kathryn A

    Journal of affective disorders

    2021  Volume 288, Page(s) 31–40

    Abstract: Background: Although childhood maltreatment has been studied in multiple psychopathologies, its role in Seasonal Affective Disorder (SAD) is unknown. The current study examined possible mediators of the relationship between retrospectively-reported ... ...

    Abstract Background: Although childhood maltreatment has been studied in multiple psychopathologies, its role in Seasonal Affective Disorder (SAD) is unknown. The current study examined possible mediators of the relationship between retrospectively-reported childhood maltreatment and adult SAD symptom severity during a major depressive episode in winter.
    Methods: Participants (N = 113), ages 18 to 65, completed measures of childhood maltreatment, SAD severity, sleep disturbances, ruminative brooding, and maladaptive cognitions. Mediation analyses testing the relationship between childhood maltreatment and SAD symptom severity via sleep and cognitive factors were conducted using PROCESS (Hayes, 2012).
    Results: Mediation analyses suggested that insomnia, hypersomnia, brooding, and seasonal maladaptive beliefs may account for the association between childhood maltreatment and SAD symptom severity.
    Limitations: Analyses were cross-sectional and should be interpreted with caution. Participants completed self-report childhood trauma measure retrospectively as adults.
    Conclusion: The present study is the first to examine childhood maltreatment in SAD, a disorder commonly viewed with circadian etiology. Covariance between childhood maltreatment and SAD symptom severity is indirectly explained by sleep difficulties, cognitive factors, and brooding, which may suggest therapeutic targets if replicated in longitudinal or experimental manipulations of sleep and cognition.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Child Abuse ; Cognition ; Cross-Sectional Studies ; Depressive Disorder, Major/epidemiology ; Depressive Disorder, Major/etiology ; Humans ; Middle Aged ; Retrospective Studies ; Seasonal Affective Disorder ; Sleep ; Sleep Wake Disorders/epidemiology ; Sleep Wake Disorders/etiology ; Young Adult
    Language English
    Publishing date 2021-03-23
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2021.03.045
    Database MEDical Literature Analysis and Retrieval System OnLINE

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