Search

Cognitive behavioral therapies (CBTs) are efficacious treatments for anxiety disorders in Latino youth. However, there is a gap in knowledge about moderators of CBT outcomes in Latino youth. This study addresses this gap by examining parental acculturation as a moderator of youth anxiety outcomes in a randomized controlled trial of parent-involved CBT (CBT/P) and peer-involved group CBT (GCBT) in 139 Latino youth (ages 6 to 16 years; mean age = 9.68 years). Comparable youth anxiety reduction effects were found for CBT/P and GCBT. Parental acculturation to majority US culture, but not identification with country of origin, significantly moderated youth anxiety outcomes: at low levels of parental acculturation to majority US culture, youth posttreatment anxiety scores were lower in GCBT than CBT/P; at high levels of parental acculturation to majority US culture, youth posttreatment anxiety scores were lower in CBT/P than GCBT. These findings provide further evidence for the efficacy of CBTs for anxiety disorders in Latino youth and also provide guidance for moving toward personalization of CBTs' selection depending on parental acculturation levels.

It was hypothesized that individual differences in eating behavior based on the distinction between obese and normal subjects could be demonstrated within a population of normal subjects classified as to the extent of restraint chronically exercised with respect to eating. Restrained subjects resembled the obese behaviorally, and unrestrained subjects resembled normals. This demonstration was effected in the context of a test .of the psychosomatic hypothesis of obesity. The results indicated that although some individuals may eat more when anxious, there is little empirical support for the notion that eating serves to reduce anxiety. An explanation for this apparent inconsistency was offered. The role of anxiety as a possible causal agent in obesity has recently been subjected to experimental analysis. Schachter, Goldman, and Gordon (1968) hypothesized that although anxiety would decrease eating in normal-weight subjects by inhibiting gastric contractions and releasing sugar into the bloodstream, it would have little if any effect on the obese, who do not eat on the basis of internal physiological state. These predictions were confirmed, with normal-weight subjects eating substantially less (34%) when anxious and the obese eating nonsignificantly more (15%). Schachter et al. (1968) concluded that the psychosomatic hypothesis of obesity —that the obese in effect confuse hunger with negative affect (Bruch, 1961) and thus overeat in response to aversive emotional states (Kaplan & Kaplan, 1957)— had failed to find confirmation. Obese subjects did not eat more when anxious and did not exhibit significant anxiety reduction as a consequence of eating.