Youth with anxiety disorders in research and service clinics: examining client differences and similarities.
Compared 2 groups of children with anxiety disorders: those treated in a university-based research clinic (RC) and those treated in community-based service clinics (SCs). A widely endorsed goal in intervention research is to disseminate evidence-based treatments from RCs to SCs. Attaining this goal requires an understanding of the similarities and differences between clients in these 2 settings. Youth from SCs showed more comorbid externalizing diagnoses and externalizing problems and were more likely to come from low-income and single-parent families. On measures of internalizing symptomatology and diagnoses, youth from RCs were very similar to SC youth. To facilitate development of treatments with real-world applicability, we describe a model involving the testing of treatments in real-world settings. We also discuss limitations to this project.
Southam-Gerow
Michael A
MA
Department of Psychology, Virginia Commonwealth University, Richmond, Virginia 23284-2018, USA. masouthamger@vcu.edu
Weisz
John R
JR
Kendall
Philip C
PC
D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology; D016497:Adolescent Health Services / Q000458:organization & administration*; D001008:Anxiety Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D002648:Child; D002652:Child Behavior / Q000208:ethnology / Q000523:psychology; D002662:Child Health Services / Q000458:organization & administration*; D003155:Community Mental Health Centers / Q000706:statistics & numerical data*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D005006:Ethnicity / Q000208:ethnology / Q000523:psychology; D005190:Family / Q000523:psychology; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D015141:Los Angeles; D008297:Male; D015143:Philadelphia; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012959:Socioeconomic Factors