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Silvia Schneider - One of the best experts on this subject based on the ideXlab platform.
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Intensive Treatments for Separation Anxiety Disorder in Children and Adolescents
2014Co-Authors: Cornelia Mohr, Silvia SchneiderAbstract:Childhood Separation Anxiety Disorder (SepAD) has only recently been recognized as a highly frequent Disorder, precursor of panic Disorder, and pacemaker of Anxiety and other mental Disorders. Alth...
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Patterns of Family Identification and Self-Congruence in Childhood Separation Anxiety Disorder
Psychopathology, 2014Co-Authors: Judith Blatter-meunier, Kristen L Lavallee, Silvia SchneiderAbstract:Background: Patterns of identification among family members may differ in families with children with Separation Anxiety Disorder (SAD) as compared with healthy children. However, this has not been explored to date. Method: The present study examines identification processes in 199 families: 100 families of children with SAD, 43 families of children with other Anxiety Disorders, and 56 families of nonDisordered children, using the Family Identification Test. Results: Children with SAD and their parents generally identify significantly less with each other and report less desire to be similar to each other than nonDisordered children and their parents. Further, children with SAD are less self-congruent than healthy children. There were no significant differences between children with SAD and with other Anxiety Disorders. Conclusions: Identification and self-congruence distinguish families of children with SAD from families of healthy children. Future studies should aim to determine the direction of effects over time, as well as to determine the contribution of identification and coherence in explaining SAD after accounting for other factors such as attachment and self-esteem.
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Responses to voluntary hyperventilation in children with Separation Anxiety Disorder: Implications for the link to panic Disorder
Journal of Anxiety Disorders, 2013Co-Authors: Joe Kossowsky, Frank H. Wilhelm, Silvia SchneiderAbstract:a b s t r a c t Background: Biological theories on respiratory regulation have linked Separation Anxiety Disorder (SAD) to panic Disorder (PD). We tested if SAD children show similarly increased anxious and psychophysiological responding to voluntary hyperventilation and compromised recovery thereafter as has been observed in PD patients. Methods: Participants were 49 children (5-14 years old) with SAD, 21 clinical controls with other Anxiety Disorders, and 39 healthy controls. We assessed cardiac sympathetic and parasympathetic, respiratory (including pCO2), electrodermal, electromyographic, and self-report variables during baseline, paced hyperventilation, and recovery. Results: SAD children did not react with increased Anxiety or panic symptoms and did not show signs of slowed recovery. However, during hyperventilation they exhibited elevated reactivity in respiratory variability, heart rate, and musculus corrugator supercilii activity indicating difficulty with respiratory
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Separation Anxiety Disorder
2012Co-Authors: Silvia Schneider, Kristen L LavalleeAbstract:Abstract Separation Anxiety Disorder (SepAD) is one of the earliest and most common Anxiety Disorders in children. The most commonly reported symptoms tend to be Separation-related distress, avoidance of being alone or without an adult caretaker, and sleeping away from caregivers or from home. Early vulnerability risk factors include behavioral inhibition and attachment, and patterns of cognition developed within the family context. SepAD is associated with later development of panic Disorder, and is highly comorbid with other Anxiety Disorders, and certain externalizing Disorders. Diagnosis can be made via standard diagnostic interview. Disorder-specific rating scales provide a simple and quick way to screen measure change in symptoms. The Disorder-specific TAFF program has been validated in two randomized controlled trials.
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The Wiley-Blackwell Handbook of The Treatment of Childhood and Adolescent Anxiety - Separation Anxiety Disorder
The Wiley-Blackwell Handbook of The Treatment of Childhood and Adolescent Anxiety, 2012Co-Authors: Silvia Schneider, Kristen L LavalleeAbstract:Abstract Separation Anxiety Disorder (SepAD) is one of the earliest and most common Anxiety Disorders in children. The most commonly reported symptoms tend to be Separation-related distress, avoidance of being alone or without an adult caretaker, and sleeping away from caregivers or from home. Early vulnerability risk factors include behavioral inhibition and attachment, and patterns of cognition developed within the family context. SepAD is associated with later development of panic Disorder, and is highly comorbid with other Anxiety Disorders, and certain externalizing Disorders. Diagnosis can be made via standard diagnostic interview. Disorder-specific rating scales provide a simple and quick way to screen measure change in symptoms. The Disorder-specific TAFF program has been validated in two randomized controlled trials.
Donna B. Pincus - One of the best experts on this subject based on the ideXlab platform.
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the diagnostic utility of Separation Anxiety Disorder symptoms an item response theory analysis
Journal of Abnormal Child Psychology, 2014Co-Authors: Christine E Coopervince, Donna B. Pincus, Benjamin O Emmertaronson, Jonathan S. ComerAbstract:At present, it is not clear whether the current definition of Separation Anxiety Disorder (SAD) is the optimal classification of developmentally inappropriate, severe, and interfering Separation Anxiety in youth. Much remains to be learned about the relative contributions of individual SAD symptoms for informing diagnosis. Two-parameter logistic Item Response Theory analyses were conducted on the eight core SAD symptoms in an outpatient Anxiety sample of treatment-seeking children (N = 359, 59.3 % female, MAge = 11.2) and their parents to determine the diagnostic utility of each of these symptoms. Analyses considered values of item threshold, which characterize the SAD severity level at which each symptom has a 50 % chance of being endorsed, and item discrimination, which characterize how well each symptom distinguishes individuals with higher and lower levels of SAD. Distress related to Separation and fear of being alone without major attachment figures showed the strongest discrimination properties and the lowest thresholds for being endorsed. In contrast, worry about harm befalling attachment figures showed the poorest discrimination properties, and nightmares about Separation showed the highest threshold for being endorsed. Distress related to Separation demonstrated crossing differential item functioning associated with age—at lower Separation Anxiety levels excessive fear at Separation was more likely to be endorsed for children ≥9 years, whereas at higher levels this symptom was more likely to be endorsed by children <9 years. Implications are discussed for optimizing the taxonomy of SAD in youth.
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The Diagnostic Utility of Separation Anxiety Disorder Symptoms: An Item Response Theory Analysis
Journal of Abnormal Child Psychology, 2013Co-Authors: Christine E. Cooper-vince, Donna B. Pincus, Benjamin O. Emmert-aronson, Jonathan S. ComerAbstract:At present, it is not clear whether the current definition of Separation Anxiety Disorder (SAD) is the optimal classification of developmentally inappropriate, severe, and interfering Separation Anxiety in youth. Much remains to be learned about the relative contributions of individual SAD symptoms for informing diagnosis. Two-parameter logistic Item Response Theory analyses were conducted on the eight core SAD symptoms in an outpatient Anxiety sample of treatment-seeking children (N = 359, 59.3 % female, MAge = 11.2) and their parents to determine the diagnostic utility of each of these symptoms. Analyses considered values of item threshold, which characterize the SAD severity level at which each symptom has a 50 % chance of being endorsed, and item discrimination, which characterize how well each symptom distinguishes individuals with higher and lower levels of SAD. Distress related to Separation and fear of being alone without major attachment figures showed the strongest discrimination properties and the lowest thresholds for being endorsed. In contrast, worry about harm befalling attachment figures showed the poorest discrimination properties, and nightmares about Separation showed the highest threshold for being endorsed. Distress related to Separation demonstrated crossing differential item functioning associated with age—at lower Separation Anxiety levels excessive fear at Separation was more likely to be endorsed for children ≥9 years, whereas at higher levels this symptom was more likely to be endorsed by children
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The Implementation of Modified Parent-Child Interaction Therapy for Youth with Separation Anxiety Disorder
Cognitive and Behavioral Practice, 2008Co-Authors: Donna B. Pincus, Jill T. Ehrenreich, Lauren C. Santucci, Sheila M. EybergAbstract:Separation Anxiety Disorder (SAD) is the most prevalent Anxiety Disorder experienced by children, and yet empirical treatment studies of SAD in young children are virtually nonexistent. This paper will describe the development and implementation of an innovative treatment for SAD in young children. First, we will highlight the rationale for developing interventions specifically for SAD in young children. Second, we will describe an existing empirically supported treatment, Parent-Child Interaction Therapy (PCIT; Brinkmeyer, M. Y., & Eyberg, S.M., (2003)), that may have particular applicability to very young children with SAD and their parents. We present how results from 10 pilot participants were utilized to modify PCIT to better address the needs of children with SAD and their families. The benefits and challenges of implementing this modified version of PCIT are reviewed, along with potential directions for future research in this area.
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Adapting Parent-Child Interaction Therapy for Young Children with Separation Anxiety Disorder.
Education and Treatment of Children, 2005Co-Authors: Donna B. Pincus, Sheila M. Eyberg, Molly L. ChoateAbstract:Separation Anxiety Disorder (SAD) is currently the most prevalent, yet most under-researched Anxiety Disorder in childhood. To date, there have been few studies investigating the efficacy of interventions for young children with SAD. The primary purpose of this paper is to describe the process of tailoring Parent Child Interaction Therapy (PCIT) for young children aged 4-8 with SAD. The paper provides a theoretical rationale for using PCIT to treat young children with SAD. The first randomized clinical trial for young children with SAD is then described. The paper focuses on the process of adapting PCIT to make it most relevant for children with SAD. The specific challenges and rewards of conducting PCIT with anxious children and their parents are presented.
Lauren C. Santucci - One of the best experts on this subject based on the ideXlab platform.
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A Randomized Controlled Trial of the Child Anxiety Multi-Day Program (CAMP) for Separation Anxiety Disorder
Child Psychiatry & Human Development, 2013Co-Authors: Lauren C. Santucci, Jill Ehrenreich-mayAbstract: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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Separation Anxiety Disorder IN YOUTH: PHENOMENOLOGY, ASSESSMENT, AND TREATMENT.
Psicologia conductual, 2008Co-Authors: Jill T. Ehrenreich, Lauren C. Santucci, Courtney L. WeinerAbstract:Separation Anxiety Disorder (SAD) is the most commonly diagnosed and impairing childhood Anxiety Disorder, accounting for approximately 50% of the referrals for mental health treatment of Anxiety Disorders. While considered a normative phenomenon in early childhood, SAD has the potential to negatively impact a child’s social and emotional functioning when it leads to avoidance of certain places, activities and experiences that are necessary for healthy development. Amongst those with severe symptoms, SAD may result in school refusal and a disruption in educational attainment. This paper provides a comprehensive review of the current literature on SAD etiology, assessment strategies, and empirically supported treatment approaches. New and innovative approaches to the treatment of SAD that also employ empirically supported techniques are highlighted. In addition, future directions and challenges in the assessment and treatment of SAD are addressed.
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The Implementation of Modified Parent-Child Interaction Therapy for Youth with Separation Anxiety Disorder
Cognitive and Behavioral Practice, 2008Co-Authors: Donna B. Pincus, Jill T. Ehrenreich, Lauren C. Santucci, Sheila M. EybergAbstract:Separation Anxiety Disorder (SAD) is the most prevalent Anxiety Disorder experienced by children, and yet empirical treatment studies of SAD in young children are virtually nonexistent. This paper will describe the development and implementation of an innovative treatment for SAD in young children. First, we will highlight the rationale for developing interventions specifically for SAD in young children. Second, we will describe an existing empirically supported treatment, Parent-Child Interaction Therapy (PCIT; Brinkmeyer, M. Y., & Eyberg, S.M., (2003)), that may have particular applicability to very young children with SAD and their parents. We present how results from 10 pilot participants were utilized to modify PCIT to better address the needs of children with SAD and their families. The benefits and challenges of implementing this modified version of PCIT are reviewed, along with potential directions for future research in this area.
Jonathan S. Comer - One of the best experts on this subject based on the ideXlab platform.
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the diagnostic utility of Separation Anxiety Disorder symptoms an item response theory analysis
Journal of Abnormal Child Psychology, 2014Co-Authors: Christine E Coopervince, Donna B. Pincus, Benjamin O Emmertaronson, Jonathan S. ComerAbstract:At present, it is not clear whether the current definition of Separation Anxiety Disorder (SAD) is the optimal classification of developmentally inappropriate, severe, and interfering Separation Anxiety in youth. Much remains to be learned about the relative contributions of individual SAD symptoms for informing diagnosis. Two-parameter logistic Item Response Theory analyses were conducted on the eight core SAD symptoms in an outpatient Anxiety sample of treatment-seeking children (N = 359, 59.3 % female, MAge = 11.2) and their parents to determine the diagnostic utility of each of these symptoms. Analyses considered values of item threshold, which characterize the SAD severity level at which each symptom has a 50 % chance of being endorsed, and item discrimination, which characterize how well each symptom distinguishes individuals with higher and lower levels of SAD. Distress related to Separation and fear of being alone without major attachment figures showed the strongest discrimination properties and the lowest thresholds for being endorsed. In contrast, worry about harm befalling attachment figures showed the poorest discrimination properties, and nightmares about Separation showed the highest threshold for being endorsed. Distress related to Separation demonstrated crossing differential item functioning associated with age—at lower Separation Anxiety levels excessive fear at Separation was more likely to be endorsed for children ≥9 years, whereas at higher levels this symptom was more likely to be endorsed by children <9 years. Implications are discussed for optimizing the taxonomy of SAD in youth.
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The Diagnostic Utility of Separation Anxiety Disorder Symptoms: An Item Response Theory Analysis
Journal of Abnormal Child Psychology, 2013Co-Authors: Christine E. Cooper-vince, Donna B. Pincus, Benjamin O. Emmert-aronson, Jonathan S. ComerAbstract:At present, it is not clear whether the current definition of Separation Anxiety Disorder (SAD) is the optimal classification of developmentally inappropriate, severe, and interfering Separation Anxiety in youth. Much remains to be learned about the relative contributions of individual SAD symptoms for informing diagnosis. Two-parameter logistic Item Response Theory analyses were conducted on the eight core SAD symptoms in an outpatient Anxiety sample of treatment-seeking children (N = 359, 59.3 % female, MAge = 11.2) and their parents to determine the diagnostic utility of each of these symptoms. Analyses considered values of item threshold, which characterize the SAD severity level at which each symptom has a 50 % chance of being endorsed, and item discrimination, which characterize how well each symptom distinguishes individuals with higher and lower levels of SAD. Distress related to Separation and fear of being alone without major attachment figures showed the strongest discrimination properties and the lowest thresholds for being endorsed. In contrast, worry about harm befalling attachment figures showed the poorest discrimination properties, and nightmares about Separation showed the highest threshold for being endorsed. Distress related to Separation demonstrated crossing differential item functioning associated with age—at lower Separation Anxiety levels excessive fear at Separation was more likely to be endorsed for children ≥9 years, whereas at higher levels this symptom was more likely to be endorsed by children
Ömer Aydemir - One of the best experts on this subject based on the ideXlab platform.
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Validity and reliability of the Turkish version of the DSM-5 Separation Anxiety Disorder Severity Scale–child form
2017Co-Authors: Şermin Yalın Sapmaz, Handan Özek Erkuran, Masum Öztürk, Dilek Ergin, Nesrin Şen Celasin, Duygu Karaarslan, Ertuğrul Köroğlu, Ömer AydemirAbstract:OBJECTIVE: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 Separation Anxiety Disorder Severity Scale–Child Form.METHODS: The scale was prepared by carry...
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validity and reliability of the turkish version of the dsm 5 Separation Anxiety Disorder severity scale child form
Psychiatry and Clinical Psychopharmacology, 2017Co-Authors: Şermin Yalın Sapmaz, Handan Özek Erkuran, Masum Öztürk, Dilek Ergin, Nesrin Şen Celasin, Duygu Karaarslan, Ertuğrul Köroğlu, Ömer AydemirAbstract:OBJECTIVE: This study aimed to assess the validity and reliability of the Turkish version of the DSM-5 Separation Anxiety Disorder Severity Scale–Child Form.METHODS: The scale was prepared by carry...
