sj-pdf-2-ccp-10.1177_13591045221088708 – Supplemental Material for ‘It opened my eyes’: Parents’ experiences of their child receiving an anxiety disorder diagnosis

Supplemental Material, sj-pdf-2-ccp-10.1177_13591045221088708 for ‘It opened my eyes’: Parents’ experiences of their child receiving an anxiety disorder diagnosis by Emily Davey, Cathy Creswell, Ray Percy and Tessa Reardon in Clinical Child Psychology and Psychiatry</p

Changes to sleep patterns and insomnia symptoms following cognitive behavioural therapy for anxiety disorders in adolescents

Background It is unclear whether treatment for an anxiety disorder improves sleep. This study examined baseline sleep characteristics of adolescents with an anxiety disorder, comparing weekdays and weekends, and whether there were significant improvements in sleep following cognitive behaviour therapy (CBT). Aims To improve our understanding of sleep problems in adolescents with an anxiety disorder and examine whether CBT for the treatment of the anxiety disorder improves sleep. Methods Data was gathered from 179 participants with an anxiety disorder (11-17 years) who had previously engaged with the outpatient child and adolescent mental health service. Baseline self-report measures of anxiety and depression symptoms, sleep patterns and experiences of insomnia were examined. Of this group, 135 participants had baseline data. A subset [n = 73] had outcome data, which was used to examine changes in sleep following CBT. Results At baseline, adolescents reported significantly less total sleep and more night-time waking on weekdays than weekends. Following treatment for their anxiety disorder, adolescents’ weekday sleep patterns significantly improved for sleep onset latency and total sleep time, whereas weekend sleep patterns only showed improvements for sleep onset latency. No significant improvements were reported for symptoms of insomnia. Conclusions The study relied upon subjective measurement of sleep and there was no control group, however the findings provide promising results that CBT for adolescent anxiety disorders can improve some sleep problems. Further research is needed to understand discrepancies between subjective and objective sleep, and to explore avenues for the delivery of support for sleep problems.</p

Changes to sleep patterns and insomnia symptoms following cognitive behavioural therapy for anxiety disorders in adolescents

Background It is unclear whether treatment for an anxiety disorder improves sleep. This study examined baseline sleep characteristics of adolescents with an anxiety disorder, comparing weekdays and weekends, and whether there were significant improvements in sleep following cognitive behaviour therapy (CBT). Aims To improve our understanding of sleep problems in adolescents with an anxiety disorder and examine whether CBT for the treatment of the anxiety disorder improves sleep. Methods Data was gathered from 179 participants with an anxiety disorder (11-17 years) who had previously engaged with the outpatient child and adolescent mental health service. Baseline self-report measures of anxiety and depression symptoms, sleep patterns and experiences of insomnia were examined. Of this group, 135 participants had baseline data. A subset [n = 73] had outcome data, which was used to examine changes in sleep following CBT. Results At baseline, adolescents reported significantly less total sleep and more night-time waking on weekdays than weekends. Following treatment for their anxiety disorder, adolescents’ weekday sleep patterns significantly improved for sleep onset latency and total sleep time, whereas weekend sleep patterns only showed improvements for sleep onset latency. No significant improvements were reported for symptoms of insomnia. Conclusions The study relied upon subjective measurement of sleep and there was no control group, however the findings provide promising results that CBT for adolescent anxiety disorders can improve some sleep problems. Further research is needed to understand discrepancies between subjective and objective sleep, and to explore avenues for the delivery of support for sleep problems.</p

sj-pdf-3-ccp-10.1177_13591045221088708 – Supplemental Material for ‘It opened my eyes’: Parents’ experiences of their child receiving an anxiety disorder diagnosis

Supplemental Material, sj-pdf-3-ccp-10.1177_13591045221088708 for ‘It opened my eyes’: Parents’ experiences of their child receiving an anxiety disorder diagnosis by Emily Davey, Cathy Creswell, Ray Percy and Tessa Reardon in Clinical Child Psychology and Psychiatry</p

sj-pdf-1-ccp-10.1177_13591045221088708 – Supplemental Material for ‘It opened my eyes’: Parents’ experiences of their child receiving an anxiety disorder diagnosis

Supplemental Material, sj-pdf-1-ccp-10.1177_13591045221088708 for ‘It opened my eyes’: Parents’ experiences of their child receiving an anxiety disorder diagnosis by Emily Davey, Cathy Creswell, Ray Percy and Tessa Reardon in Clinical Child Psychology and Psychiatry</p

Additional file 1: of Protocol for a randomised controlled feasibility study examining the efficacy of brief cognitive therapy for the Treatment of Anxiety Disorders in Adolescents (TAD-A)

Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Checklist: recommended items to address in a clinical trial protocol and related documents. (DOCX 48 kb

Using the 11-item version of the RCADS to identify anxiety and depressive disorders in adolescents

The purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a brief, reliable and valid screen for anxiety and/or depressive disorders in adolescents. In addition, we examined whether adding items assessing suicidal ideation (Moods and Feelings Questionnaire – MFQ- C/P) and symptom impact and duration (items adapted from the Strengths and Difficulties Questionnaire – SDQ) improved the identification of adolescents with anxiety and/or depressive disorders. We compared two samples of adolescents and their parents – a community sample, recruited through secondary schools in England (n?=?214) and a clinic-referred sample, who met diagnostic criteria for anxiety and/or depressive disorder and were recruited through a university-based research clinic (n?=?246). Participants completed the RCADS-C/P with additional symptom impact and duration items, and the MFQ-C/P. Using ROC curve analyses, we identified a set of 11 RCADS-C/P items (6 addressing anxiety and 5 depression symptoms) for adolescent- and parent-report. This set of 11 symptom items achieved sensitivity/specificity values?>?.75, which were comparable to corresponding values for the RCADS-47-C/P. Combining adolescent and parent-report improved the identification of anxiety/depression in adolescents compared to using adolescent-report alone. Finally, adding two symptom impact items further improved the sensitivity/specificity of the 11 symptom items, whereas adding suicidal ideation items did not. The 11 RCADS items accurately discriminated between the community and clinic-referred sample with anxiety and/or depressive disorders and have the potential to quickly and accurately identify adolescents with these disorders in community settings