Child Psychiatry & Human Development

, Volume 49, Issue 3, pp 434–442 | Cite as

Multimodal Residential Treatment for Adolescent Anxiety: Outcome and Associations with Pre-treatment Variables

  • Sophie C. SchneiderEmail author
  • Valérie La Buissonnière-Ariza
  • Davíð R. M. A. Højgaard
  • Brian S. Kay
  • Bradley C. Riemann
  • Stephanie C. Eken
  • Peter Lake
  • Joshua M. Nadeau
  • Eric A. Storch
Original Article


This study aimed to determine the effect of a multimodal residential treatment program for severe adolescent anxiety, and examine whether treatment outcome was associated with pre-treatment anxiety, comorbid disorders, or participant age or gender. Participants were 70 adolescents (61.4% female, mean age = 15.4 years) with a primary anxiety disorder who received residential treatment involving cognitive behavioral therapy and medication management. Treatment outcome was assessed both as the change in adolescent-reported anxiety symptoms, and using treatment response criteria. Results indicated a strong effect of the intervention on symptoms of anxiety, depression, and anxiety-related life interference. Most pre-treatment variables were not associated with treatment outcome. However, higher adolescent-reported pre-treatment anxiety was associated with a greater reduction in anxiety at post-treatment, and the presence of a comorbid anxiety disorder was associated with poorer odds of treatment response. Findings indicate that residential treatment is a robust intervention for adolescent anxiety.


Anxiety Adolescent Residential treatment Cognitive-behavioral therapy Predictor 


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Sophie C. Schneider
    • 1
    • 10
    Email author
  • Valérie La Buissonnière-Ariza
    • 1
  • Davíð R. M. A. Højgaard
    • 2
  • Brian S. Kay
    • 3
  • Bradley C. Riemann
    • 3
  • Stephanie C. Eken
    • 4
  • Peter Lake
    • 3
  • Joshua M. Nadeau
    • 5
  • Eric A. Storch
    • 1
    • 5
    • 6
    • 7
    • 8
    • 9
  1. 1.Department of Pediatrics, Rothman Center for Pediatric NeuropsychiatryUniversity of South FloridaSt. PetersburgUSA
  2. 2.Center for Child and Adolescent PsychiatryAarhus University HospitalAarhusDenmark
  3. 3.Rogers Memorial HospitalOconomowocUSA
  4. 4.Rogers Behavioral Health – NashvilleNashvilleUSA
  5. 5.Rogers Behavioral Health – TampaTampaUSA
  6. 6.Department of PsychologyUniversity of South FloridaTampaUSA
  7. 7.Department of Psychiatry and Behavioral NeurosciencesUniversity of South FloridaTampaUSA
  8. 8.Department of Health Management and PolicyUniversity of South FloridaTampaUSA
  9. 9.Johns Hopkins All Children’s HospitalSt. PetersburgUSA
  10. 10.Rothman Center for NeuropsychiatrySt. PetersburgUSA

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