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A Randomized Controlled Trial of the Child Anxiety Multi-Day Program (CAMP) for Separation Anxiety Disorder

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Abstract

While the efficacy of cognitive behavior therapy for childhood anxiety disorders, including separation anxiety disorder (SAD), has been established, tailoring such treatments to particular interests and needs may enhance uptake of evidence-based interventions. The current investigation evaluates the feasibility and preliminary efficacy of an intensive, cognitive-behavioral intervention for girls with SAD provided within the novel context of a 1-week camp-like setting, the Child Anxiety Multi-Day Program (CAMP). Twenty-nine female children aged 7–12 with a principal diagnosis of SAD were randomized to immediate CAMP treatment (n = 15) or waitlist (i.e., delayed treatment; n = 14) condition during the course of this randomized controlled trial. Children in the immediate treatment group evidenced significant reductions in SAD severity, functional impairment, and parent report of child anxiety symptoms relative to the waitlist condition. The intervention’s positive therapeutic response suggests one possible delivery model for surmounting difficulties faced in the dissemination of weekly treatments for SAD.

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References

  1. Cartwright-Hatton S, McNicol K, Doubleday E (2006) Anxiety in a neglected population: prevalence of anxiety disorders in pre-adolescent children. Clin Psychol Rev 26:817–833

    Article  PubMed  Google Scholar 

  2. Kessler RC, Berglund P, Demler O, Jin R, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 62:593–602

    Article  PubMed  Google Scholar 

  3. Biederman J, Petty C, Faraone SV, Hirshfeld-Becker DR, Henin A, Rauf A et al (2005) Childhood antecedents to panic disorder in referred and nonreferred adults. J Child Adol Psychop 15:549–562

    Article  Google Scholar 

  4. Lewinsohn PM, Holm-Denoma JM, Small JW, Seeley JR, Joiner TE (2008) Separation anxiety disorder in childhood as a risk factor for future mental illness. J Am Acad Child Adolesc Psychiatry 47:549–556

    Article  Google Scholar 

  5. Santucci LC, Ehrenreich-May J (2006) One-week summer treatment program for separation anxiety disorder. Unpublished manual

  6. Barrett PM (1998) Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. J Clin Child Psychol 27:459–468

    Article  PubMed  Google Scholar 

  7. Beidel DC, Turner SM, Morris TL (2000) Behavioral treatment of childhood social phobia. J Consult Clin Psychol 68:1072–1080

    Article  PubMed  Google Scholar 

  8. Kendall PC, Flannery-Schroeder E, Panichelli-Mindel SM, Southam-Gerow M, Henin A, Warman M (1997) Therapy for youths with anxiety disorders: a second randomized clinical trial. J Consult Clin Psychol 65:366–380

    Article  PubMed  Google Scholar 

  9. Manassis K, Mendlowitz SL, Scapillato D, Avery D, Fiksenbaum L, Freire M et al (2002) Group and individual cognitive-behavioral therapy for childhood anxiety disorders: a randomized trial. J Am Acad Child Adolesc Psychiatry 41:1423–1430

    Article  PubMed  Google Scholar 

  10. Silverman WK, Kurtines WM, Ginsburg GS, Weems CG, Lumpkin PW, Carmichael DH (1999) Treating anxiety disorders in children with group cognitive behavioral therapy: a randomized clinical trial. J Consult Clin Psychol 67:995–1003

    Article  PubMed  Google Scholar 

  11. Collins KA, Westra HA, Dozois DJA, Burns DD (2004) Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care. Clin Psychol Rev 24:583–616

    Article  PubMed  Google Scholar 

  12. Rivard JC, Ganju VK, Roberts K, Lane GM (2012) The dissemination of evidence-based practices by federal and state mental health agencies. In: McHugh RK, Barlow DH (eds) The dissemination and implementation of evidence-based psychological treatments. Oxford University Press, New York, NY

  13. Chavira DA, Stein MB, Bailey K, Stein MT (2004) Child anxiety in primary care: prevalent but untreated. Depress Anxiety 20:155–164

    Article  PubMed  Google Scholar 

  14. Egger HL, Burns BJ (2004) Anxiety disorders and access to mental health services. In: Ollendick TH, March JS (eds) Phobic and anxiety disorders in children and adolescents: A clinician’s guide to effective psychosocial and pharmacological interventions. Oxford University Press, New York, NY

    Google Scholar 

  15. Kendall PC, Suveg C, Kingery JN (2006) Introduction: facilitating the dissemination and application of cognitive-behavioral therapy for anxiety in youth. J Cogn Psychother 20:243–245

    Article  Google Scholar 

  16. Kazdin AE, Blase SL (2011) Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspect Psychol Sci 6:21–37

    Article  Google Scholar 

  17. Flannery-Schroeder E, Choudhury MS, Kendall PC (2005) Group and individual cognitive-behavioral treatments for youth with anxiety disorders: one year follow-up. Cogn Ther Res 29:253–259

    Article  Google Scholar 

  18. Kazdin AE (1994) Behavior modification in applied settings, 5th edn. Thomson Brooks/Cole Publishing, Belmont, CA

    Google Scholar 

  19. Pincus DB, Whitton SW, Angelosante AG, Buzzella B, Cheron D, Weiner CL et al. (2010) Intensive treatment of adolescents with panic disorder and agoraphobia. In: LG Ost (chair) Intensive and effective treatment of anxiety disorders. Symposium conducted at the 6th meeting of the World Congress of Behavioral and Cognitive Therapies (WCBCT), Boston, MA, June, 2010

  20. Storch EA, Lehmkuhl H, Ricketts E, Geffken G, Marien W, Murphy TK (2010) An open trial of intensive family based cognitive-behavioral therapy in youth with obsessive-compulsive disorder who are medication partial responders or nonresponders. J Clin Child Adolesc Psychol 39:260–268

    Article  PubMed  Google Scholar 

  21. Ollendick TH, Ost LG, Reuterskiold L, Costa N, Cederlund R, Sirbu C et al (2009) One-session treatment of specific phobias in youth: a randomized clinical trial in the United States and Sweden. J Consult Clin Psychol 77:504–516

    Article  PubMed  Google Scholar 

  22. Pelham WE, Fabiano GA, Gnagy EM (2005) The role of summer treatment programs in the context of comprehensive treatment for attention-deficit/hyperactivity disorder. In: Hibbs ED, Jensen PS (eds) Psychosocial treatments for child and adolescent disorders: empirically based strategies for clinical practice, 2nd edn. American Psychological Association, Washington, DC, pp 377–409

    Google Scholar 

  23. Santucci LC, Ehrenreich JT, Bennett S, Trosper S, Pincus DP (2009) Development and preliminary evaluation of a one-week summer treatment program for separation anxiety disorder. Cogn Behav Pract 16:317–331

    Article  PubMed  Google Scholar 

  24. Silverman WK, Albano AM (1997) Anxiety disorders interview schedule for DSM-IV, child & parent versions. Psychological Corporations, San Antonio, TX

    Google Scholar 

  25. Marziali E, Munroe-Blum H, McCleary L (1997) The contribution of group cohesion and group alliance to the outcome of group psychotherapy. Int J Group Psychother 47:475–497

    PubMed  Google Scholar 

  26. Silverman WK, Nelles WB (1988) The anxiety disorders interview schedule for children. J Am Acad Child Adolesc Psychiatry 27:772–778

    Article  PubMed  Google Scholar 

  27. Silverman WK, Eisen AR (1992) Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. J Am Acad Child Adolesc Psychiatry 31:117–124

    Article  PubMed  Google Scholar 

  28. Lyneham HJ, Abbott MJ, Rapee RM (2007) Interrater reliability of the anxiety disorders interview schedule for DSM-IV: child and parent version. J Am Acad Child Adolesc Psychiatry 46:731–736

    Article  PubMed  Google Scholar 

  29. Silverman WK, Saavedra LM, Pina AA (2001) Test–retest reliability of anxiety symptoms and diagnoses with anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40:937–944

    Article  PubMed  Google Scholar 

  30. Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H et al (1983) A Children’s Global Assessment Scale (CGAS). Arch Gen Psychiatry 40:1228–1231

    Article  PubMed  Google Scholar 

  31. Green B, Shirk S, Hanze D, Wanstrath J (1994) The Children’s Global Assessment Scale in clinical practice: an empirical evaluation. J Am Acad Child Adolesc Psychiatry 33:1158–1164

    Article  PubMed  Google Scholar 

  32. Spence SH (1997) Structure of anxiety symptoms among children: a confirmatory factor-analytic study. J Abnorm Psychol 106:280–297

    Article  PubMed  Google Scholar 

  33. Muris P, Merckelbach H, Ollendick T, King N, Bogie N (2002) Three traditional and three new childhood anxiety questionnaires: their reliability and validity in a normal adolescent sample. Behav Res Ther 40:753–772

    Article  PubMed  Google Scholar 

  34. Muris P, Schmidt H, Merckelbach H (2000) Correlations among two self-report questionnaires for measuring DSM-defined anxiety disorder symptoms in children: the screen for child anxiety related emotional disorders and the Spence Children’s Anxiety Scale. Pers Individ Dif 28:333–346

    Article  Google Scholar 

  35. Spence SH (1998) A measure of anxiety symptoms among children. Behav Res Ther 36:545–566

    Article  PubMed  Google Scholar 

  36. Spence SH, Barrett PM, Turner CM (2003) Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. J Anxiety Disord 17:605–625

    Article  PubMed  Google Scholar 

  37. Attkisson CC, Zwick R (1982) The client satisfaction questionnaire: psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann 5:233–237

    Article  PubMed  Google Scholar 

  38. Wood JJ, Piacentini JC, Southam-Gerow M, Chu BC, Sigman M (2006) Family cognitive behavioral therapy for child anxiety disorders. J Am Acad Child Adolesc Psychiatry 45:314–321

    Article  PubMed  Google Scholar 

  39. Howard B, Chu BC, Krain AL, Marrs-Garcia AL, Kendall PC (2000) Cognitive-behavioral family therapy for anxious children: therapist manual, 2nd edn. Workbook Publications, Ardmore, PA

    Google Scholar 

  40. Siqueland L, Kendall PC, Steinberg L (1996) Anxiety in children: perceived family environments and observed family interaction. J Clin Child Psychol 25:225–237

    Article  Google Scholar 

  41. Whaley SE, Pinto A, Sigman M (1999) Characterizing interactions between anxious mothers and their children. J Consult Clin Psychol 67:826–836

    Article  PubMed  Google Scholar 

  42. Wood JJ (2006) Parental intrusiveness and children’s separation anxiety in a clinical sample. Child Psychiatry Hum Dev 37:73–87

    Article  PubMed  Google Scholar 

  43. Walkup JT, Albano AM, Piacentini J, Birmaher B, Compton SN, Sherrill JT et al (2008) Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med 359:2753–2766

    Article  PubMed  Google Scholar 

  44. Kendall PC (1994) Treating anxiety disorders in children: results of a randomized clinical trial. J Consult Clin Psychol 62:100–110

    Article  PubMed  Google Scholar 

  45. Pincus D, Ehrenreich-May J, Whitton SW, Mattis SG, Barlow DH (2010) Cognitive-behavioral treatment of panic disorder in adolescence. J Clin Child Adolesc 39:638–649

    Google Scholar 

  46. Schneider S, Blatter-Meunier J, Herren C, Adornetto C, In-Albon T, Lavallee K (2011) Disorder-specific cognitive-behavioral therapy for separation anxiety disorder in young children: a randomized waiting-list-controlled trial. Psychother Psychosom 80:206–215

    Article  PubMed  Google Scholar 

  47. Khanna MS, Kendall PC (2010) Computer-assisted cognitive-behavioral therapy for child anxiety: results of a randomized clinical trial. J Consult Clin Psychol 78:737–745

    Article  PubMed  Google Scholar 

  48. Comer JS, Kendall PC (2004) A symptom-level examination of parent-child agreement in the diagnosis of anxious youth. J Am Acad Child Adolesc Psychiatry 43:878–886

    Article  PubMed  Google Scholar 

  49. Herschell AD, McNeil CB, McNeil DW (2004) Clinical child psychology’s progress in disseminating empirically supported treatment. Clin Psychol-Sci Pr 11:267–288

    Article  Google Scholar 

Download references

Acknowledgments

This project was funded by the National Institute of Mental Health, Ruth L. Kirschtein National Service Award for Individual Predoctoral Fellows (F31 MH083384).

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Correspondence to Lauren C. Santucci.

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Santucci, L.C., Ehrenreich-May, J. A Randomized Controlled Trial of the Child Anxiety Multi-Day Program (CAMP) for Separation Anxiety Disorder. Child Psychiatry Hum Dev 44, 439–451 (2013). https://doi.org/10.1007/s10578-012-0338-6

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