3 results on '"Heiervang, Einar R."'
Search Results
2. Genome-wide association study of response to cognitive-behavioural therapy in children with anxiety disorders
- Author
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Coleman, Jonathan R I, Lester, Kathryn J, Keers, Robert, Roberts, Susanna, Curtis, Charles, Arendt, Kristian, Bögels, Susan, Cooper, Peter, Creswell, Cathy, Dalgleish, Tim, Hartman, Catharina A, Heiervang, Einar R, Hötzel, Katrin, Hudson, Jennifer L, In-Albon, Tina, Lavallee, Kristen, Lyneham, Heidi J, Marin, Carla E, Meiser-Stedman, Richard, Morris, Talia, Nauta, Maaike H, Rapee, Ronald M, Schneider, Silvia, Schneider, Sophie C, Silverman, Wendy K, Thastum, Mikael, Thirlwall, Kerstin, Waite, Polly, Wergeland, Gro Janne, Breen, Gerome, Eley, Thalia C, Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Clinical Psychology and Experimental Psychopathology, and Developmental Psychopathology (RICDE, FMG)
- Subjects
Male ,Adolescent ,Cognitive Behavioral Therapy ,Genotype ,VARIANTS ,DEPRESSION ,GENE ,Anxiety Disorders ,Polymorphism, Single Nucleotide ,PANIC DISORDER ,Treatment Outcome ,Child, Preschool ,REPLICATION ,Papers ,LINKAGE ,ANTIDEPRESSANT RESPONSE ,Humans ,Female ,PREDICTORS ,Child ,METAANALYSIS ,POPULATION ,Genome-Wide Association Study - Abstract
Background Anxiety disorders are common, and cognitive–behavioural therapy (CBT) is a first-line treatment. Candidate gene studies have suggested a genetic basis to treatment response, but findings have been inconsistent. Aims To perform the first genome-wide association study (GWAS) of psychological treatment response in children with anxiety disorders (n = 980). Method Presence and severity of anxiety was assessed using semi-structured interview at baseline, on completion of treatment (post-treatment), and 3 to 12 months after treatment completion (follow-up). DNA was genotyped using the Illumina Human Core Exome-12v1.0 array. Linear mixed models were used to test associations between genetic variants and response (change in symptom severity) immediately post-treatment and at 6-month follow-up. Results No variants passed a genome-wide significance threshold (P = 5 × 10−8) in either analysis. Four variants met criteria for suggestive significance (P
- Published
- 2015
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3. Clinical Predictors of Response to Cognitive-Behavioral Therapy in Pediatric Anxiety Disorders: The Genes for Treatment (GxT) Study
- Author
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Hudson, Jennifer L., Keers, Robert, Roberts, Susanna, Coleman, Jonathan R. I., Breen, Gerome, Arendt, Kristian, Bögels, Susan, Cooper, Peter, Creswell, Cathy, Hartman, Catharina, Heiervang, Einar R., Hötzel, Katrin, In-Albon, Tina, Lavallee, Kristen, Lyneham, Heidi J., Marin, Carla E., McKinnon, Anna, Meiser-Stedman, Richard, Morris, Talia, Nauta, Maaike, Rapee, Ronald M., Schneider, Silvia, Schneider, Sophie C., Silverman, Wendy K., Thastum, Mikael, Thirlwall, Kerstin, Waite, Polly, Wergeland, Gro Janne, Lester, Kathryn J., Eley, Thalia C., Clinical Psychology and Experimental Psychopathology, and Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE)
- Subjects
Male ,Parents ,cognitive-behavioral therapy ,Adolescent ,ANXIETY DISORDERS ,CHILDREN ,CHILDHOOD ANXIETY ,Comorbidity ,Severity of Illness Index ,Cognitive Behavioural Therapy (CBT) ,ADOLESCENTS ,Developmental and Educational Psychology ,Humans ,ANXIOUS YOUTH ,PREDICTORS ,Child ,METAANALYSIS ,treatment ,Cognitive Behavioral Therapy ,TREATMENT ,Prognosis ,Anxiety Disorders ,Psychiatry and Mental health ,predictors ,Logistic Models ,Treatment Outcome ,Phobic Disorders ,Child, Preschool ,TRIAL ,Female ,CAMS - Abstract
OBJECTIVE\ud \ud The Genes for Treatment study is an international, multisite collaboration exploring the role of genetic, demographic, and clinical predictors in response to cognitive-behavioral therapy (CBT) in pediatric anxiety disorders. The current article, the first from the study, examined demographic and clinical predictors of response to CBT. We hypothesized that the child's gender, type of anxiety disorder, initial severity and comorbidity, and parents' psychopathology would significantly predict outcome.\ud \ud METHOD\ud \ud A sample of 1,519 children 5 to 18 years of age with a primary anxiety diagnosis received CBT across 11 sites. Outcome was defined as response (change in diagnostic severity) and remission (absence of the primary diagnosis) at each time point (posttreatment, 3-, 6-, and/or 12-month follow-up) and analyzed using linear and logistic mixed models. Separate analyses were conducted using data from posttreatment and follow-up assessments to explore the relative importance of predictors at these time points.\ud \ud RESULTS\ud \ud Individuals with social anxiety disorder (SoAD) had significantly poorer outcomes (poorer response and lower rates of remission) than those with generalized anxiety disorder (GAD). Although individuals with specific phobia (SP) also had poorer outcomes than those with GAD at posttreatment, these differences were not maintained at follow-up. Both comorbid mood and externalizing disorders significantly predicted poorer outcomes at posttreatment and follow-up, whereas self-reported parental psychopathology had little effect on posttreatment outcomes but significantly predicted response (although not remission) at follow-up.\ud \ud CONCLUSION\ud \ud SoAD, nonanxiety comorbidity, and parental psychopathology were associated with poorer outcomes after CBT. The results highlight the need for enhanced treatments for children at risk for poorer outcomes.
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- 2014
- Full Text
- View/download PDF
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