Top

Gepubliceerd in:

19-02-2019 | Original Article

Psychometric Properties of the Safety Maneuver Scale for Adolescents (SMS-A) and Relationship to Outcomes of a Transdiagnostic Treatment

Auteurs: Sarah M. Kennedy, Jill Ehrenreich-May

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2019

Abstract

Safety behaviors are common in anxiety and have been thought to reduce the efficacy of exposure therapy, although some investigations have indicated that safety behaviors may have a non-significant or beneficial impact on exposure efficacy. There have been few investigations of the characteristics and impact of safety behavior use in youth compared to adults, and no known validated, transdiagnostic youth measure of safety behaviors exists. In Study 1, we investigated the psychometric properties of a transdiagnostic measure of adolescent safety behavior use. In Study 2, we examined the relationship between safety behavior use and treatment outcome in 51 anxious and depressed adolescents. Results of Study 1 supported the measure’s psychometric properties, while results of Study 2 revealed that decreased safety behavior use is associated with better treatment outcomes. This investigation supports the importance of safety behavior reduction and provides a tool for further investigating adolescent safety behavior use.

vorige artikel Parents’ Perceptions of Internalizing and Externalizing Features in Childhood OCD

Goetz AR, Davine TP, Siwiec SG, Lee HJ (2016) The functional value of preventive and restorative safety behaviors: a systematic review of the literature. Clin Psychol Rev 44:112–124. https://doi.org/10.1016/j.cpr.2015.12.005 CrossRefPubMed

Salkovskis PM (1991) The importance of behaviour in the maintenance of anxiety and panic: a cognitive account. Behav Cogn Psychother 19(1):6–19. https://doi.org/10.1017/s0141347300011472 CrossRef

Telch MJ, Lancaster CL (2012) Is there room for safety behaviors in exposure therapy for anxiety disorders? In: Exposure therapy. Springer, New York, pp 313–334CrossRef

Beesdo-Baum K, Jenjahn E, Höfler M, Lueken U, Becker ES, Hoyer J (2012) Avoidance, safety behavior, and reassurance seeking in generalized anxiety disorder. Depress Anxiety 29(11):948–957. https://doi.org/10.1002/da.21955 CrossRefPubMed

Kley H, Tuschen-Caffier B, Heinrichs N (2012) Safety behaviors, self-focused attention and negative thinking in children with social anxiety disorder, socially anxious children, and non-anxious children. J Behav Ther Exp Psychiatry 43:548–555. https://doi.org/10.1016/j.jbtep.2011.07.008 CrossRefPubMed

Rowa K, Paulitzki JR, Ierullo MD, Chiang B, Antony MM, McCabe RE et al (2015) A false sense of security: safety behaviors erode objective speech performance in individuals with social anxiety disorder. Behav Ther 46(3):304–314. https://doi.org/10.1016/j.beth.2014.11.004 CrossRefPubMed

Kamphuis JH, Telch MJ (1998) Assessment of strategies to manage or avoid perceived threats among panic disorder patients: the Texas safety maneuver scale (TSMS). Clin Psychol Psychother 5: 177–186. https://doi.org/10.1002/(sici)1099-0879(199809)5:3%3C177::aid-cpp166%3E3.0.co;2-%23 CrossRef

Kocovski NL, MacKenzie MB, Albianai JJ, Battista SR, Noel S, Fleming JE et al (2016) Safety behaviors and social anxiety: an examination of the social phobia safety behaviours scale. J Psychopathol Behav Assess 38:87–100. https://doi.org/10.1007/s10862-015-9498-6 CrossRef

Langer JK, Rodenbaugh TL (2013) Social anxiety and gaze avoidance: averting gaze but not anxiety. Cognit Ther Res 37:1110–1120. https://doi.org/10.1007/s10608-013-9546-z CrossRef

10.

McManus F, Sacadura C, Clark DM (2008) Why social anxiety persists: an experimental investigation of the role of safety behaviours as a maintaining factor. J Behav Ther Exp Psychiatry 39:147–161. https://doi.org/10.1016/j.jbtep.2006.12.002 CrossRefPubMed

11.

Olatuji BO, Etzel EN, Tomarken AJ, Cielsielski BG, Deacon B (2011) The effects of safety behaviors on health anxiety: an experimental investigation. Behav Res Ther 49:719–728. https://doi.org/10.1016/j.brat.2011.07.008 CrossRef

12.

Kim E (2005) The effect of the decreased safety behaviors on anxiety and negative thoughts in social phobics. J Anxiety Disord 19:69–86. https://doi.org/10.1016/j.brat.2011.07.008 CrossRefPubMed

13.

Wells A, Clark DM, Salkovskis P, Ludgate J, Hackmann A, Gelder M (1995) Social phobia: the role of in-situation safety behaviors in maintaining anxiety and negative beliefs. Behav Ther 26(10):153–161. https://doi.org/10.1016/s0005-7894(05)80088-7 CrossRef

14.

Hedtke KA, Kendall PC, Tiwari S (2009) Safety-seeking and coping behavior during exposure tasks with anxious youth. J Clin Child Adolesc Psychol 38(1):1–15. https://doi.org/10.1080/15374410802581055 CrossRefPubMed

15.

Foa EB, Kozak MJ (1986) Emotional processing of fear: exposure to corrective information. Psychol Bull 99:20–35. https://doi.org/10.1037//0033-2909.99.1.20 CrossRefPubMed

16.

Sloan T, Telch MJ (2002) The effects of safety-seeking behavior and guided threat reappraisal on fear reduction during exposure: an experimental investigation. Behav Ther 40(3):235–251. https://doi.org/10.1016/s0005-7967(01)00007-9 CrossRef

17.

Craske MG, Kircanski K, Zelikowsky M, Mystkowski J, Chowdhury N, Baker A (2008) Optimizing inhibitory learning during exposure therapy. Behav Res Ther 46:5–27. https://doi.org/10.1016/j.brat.2007.10.003 CrossRefPubMed

18.

Hood HK, Antony MM, Koerner N, Monson CM (2010) Effects of safety behaviors on fear reduction during exposure. Behav Res Ther 48(12):1161–1169. https://doi.org/10.1016/j.brat.2010.08.006 CrossRefPubMed

19.

Sy JT, Dixon LJ, Lickel JJ, Nelson EA, Deacon BJ (2011) Failure to replicate the deleterious effects of safety behaviors in exposure therapy. Behav Res Ther 49(5):305–314. https://doi.org/10.1016/j.brat.2011.02.005 CrossRefPubMed

20.

Rachman S, Shafran R, Radomsky AS, Zysk E (2011) Reducing contamination by exposure plus safety behavior. J Behav Ther Exp Psychiatry 42:397–404. https://doi.org/10.1016/j.jbtep.2011.02.010 CrossRefPubMed

21.

Levy HC, Radomsky AS (2014) Safety behavior enhances the acceptability of exposure. Cogn Behav Ther 43:83–92. https://doi.org/10.1080/16506073.2013.819376 CrossRefPubMed

22.

Riccardi CJ, Korte KJ, Schmidt NB (2017) False safety behavior elimination therapy: a randomized study of a brief individual transdiagnostic treatment for anxiety disorders. J Anxiety Disord 46:35–45. https://doi.org/10.1016/j.janxdis.2016.06.003 CrossRefPubMed

23.

Cunha M, Gouveia JP, Do M, Salvador C (2008) Social fears in adolescence: the social anxiety and avoidance scale for adolescents. Eur Psychol 13:197–213. https://doi.org/10.1027/1016-9040.13.3.197 CrossRef

24.

Cuming S, Rapee RM, Kemp N, Abbott MJ, Peters L, Gaston JE (2009) A self-report measure of subtle avoidance and safety behaviors relevant to social anxiety: development and psychometric properties. J Anxiety Disord 23(7):879–883. https://doi.org/10.1016/j.janxdis.2009.05.002 CrossRefPubMed

25.

Qasmieh N, Makol BA, Augenstein TM, Lipton MF, Deros DE, Karp JN et al (2018) A multi-informant approach to assessing safety behaviors among adolescents: psychometric properties of the subtle avoidance frequency examination. J Child Fam Stud 27: 1830. https://doi.org/10.1007/s10826-018-1040-5 CrossRef

26.

Ehrenreich-May J, Kennedy SM, Sherman J, Bilek EL, Buzzella B, Bennett S, Barlow DH (2018) Unified protocol for transdiagnostic treatment of emotional disorders in children and adolescents: therapist guide. Oxford University Press, New York

27.

Nunnaly JC (1978) Psychometric theory. McGraw-Hill, New York

28.

Chorpita BF, Yim L, Moffitt C, Umemoto LA, Francis SE (2000) Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behav Res Ther 38:835–855. https://doi.org/10.1016/s0005-7967(99)00130-8 CrossRefPubMed

29.

Chorpita BF, Moffitt CE, Gray J (2005) Psychometric properties of the revised child anxiety and depression scale in a clinical sample. Behav Res Ther 43:309–322. https://doi.org/10.1016/j.brat.2004.02.004 CrossRefPubMed

30.

Whiteside SPH, Gryczkowski M, Ale CM, Brown-Jacobsen AM, McCarthy DM (2013) Development of child- and parent-report measures of behavioral avoidance related to childhood anxiety disorders. Behav Ther 44:325–337. https://doi.org/10.1016/j.beth.2013.02.006 CrossRefPubMed

31.

Muthén LK, Muthén BO (2012) 1998–2012. Mplus user’s guide, 7th edn. Muthén & Muthén, Los Angeles

32.

Asparouhov T, Muthén B (2009) Exploratory structural equation modeling. Struct Equ Model 16(3):397–438. https://doi.org/10.1080/10705510903008204 CrossRef

33.

Marsh HW, Morin AJ, Parker PD, Kaur G (2014) Exploratory structural equation modeling: an integration of the best features of exploratory and confirmatory factor analysis. Annu Rev Clin Psychol 10:85–110. https://doi.org/10.1146/annurev-clinpsy-032813-153700 CrossRefPubMed

34.

Horn JL (1965) A rationale and test for the number of factors in factor analysis. Psychometrika 30:179–185. https://doi.org/10.1007/bf02289447 CrossRef

35.

Bentler PM (1990) Comparative fit indices in structural models. Psychol Bull 107:238–246. https://doi.org/10.1037//0033-2909.107.2.238 CrossRef

36.

Steiger JH (1990) Structural model evaluation and modification: an interval estimation approach. Multivariate Behav Res 25:173–180. https://doi.org/10.1207/s15327906mbr2502_4 CrossRefPubMed

37.

MacCallum RC, Browne MW, Sugawara HM (1996) Power analysis and determination of sample size for covariance structure modeling. Psychol Methods 1:130–149. https://doi.org/10.1037//1082-989x.1.2.130 CrossRef

38.

Enders CK (2010) Applied missing data analysis. Guilford, New York

39.

Von Hippel PT (2009) How to impute interactions, squares, and other transformed variables. Sociol Methodol 39:265–291. https://doi.org/10.1111/j.1467-9531.2009.01215.x CrossRef

40.

Meng X, Rosenthal R, Rubin DB (1992) Comparing correlated correlation coefficients. Psychol Bull 111(1): 172–175. https://doi.org/10.1037/0033-2909.111.1.172 CrossRef

41.

Worthington RL, Whittaker TA (2006) Scale development research: A content analysis and recommendations for best practices. Couns Psychol 34:806–838. https://doi.org/10.1177/0011000006288127 CrossRef

42.

Ehrenreich-May J, Rosenfield D, Queen AH, Kennedy SM, Remmes CS, Barlow DH (2017) An initial waitlist-controlled trial of the unified protocol for the treatment of emotional disorders in adolescents. J Anxiety Disord 46:46–55. https://doi.org/10.1016/j.janxdis.2016.10.006 CrossRefPubMed

43.

Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for children for DSM-IV. Psychological Corporation, San Antonio

44.

Lyneham HJ, Abbott MJ, Rapee RM (2007) Interrater reliability of the anxiety disorders interview schedule for DSM-IV: child and parent version. J Am Acad Child Adolesc Psychiatry 46(6):731–736. https://doi.org/10.1097/chi.0b013e3180465a09 CrossRefPubMed

45.

Silverman WK, Saavedra LM, Pina AA (2001) Test–retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40(8):937–944. https://doi.org/10.1097/00004583-200108000-00016 CrossRefPubMed

46.

Wood JJ, Piacentini JC, Bergman RL, McCracken J, Barrios V (2002) Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Clin Child Adolesc Psychol 31(3):335–342. https://doi.org/10.1207/s15374424jccp3103_05 CrossRefPubMed

47.

Guy W (1976) Clinical global impression scale. In: The ECDEU assessment manual for psychopharmacology-revised volume DHEW Publ No ADM. 76(338):218–222. https://doi.org/10.1037/e591322011-001

48.

Abela JR, Brozina K, Haigh EP (2002) An examination of the response styles theory of depression in third-and seventh-grade children: a short-term longitudinal study. J Abnorm Child Psychol 30:515–527. https://doi.org/10.1023/a:1019873015594 CrossRefPubMed

49.

Hilt LM, McLaughlin KA, Nolen-Hoeksema S (2010) Examination of the response styles theory in a community sample of young adolescents. J Abnorm Child Psychol 38(4):545–556. https://doi.org/10.1007/s10802-009-9384-3 CrossRefPubMedPubMedCentral

50.

Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837–844. https://doi.org/10.1001/archpsyc.60.8.837 CrossRefPubMed

Titel: Psychometric Properties of the Safety Maneuver Scale for Adolescents (SMS-A) and Relationship to Outcomes of a Transdiagnostic Treatment
Auteurs: Sarah M. Kennedy
Jill Ehrenreich-May
Publicatiedatum: 19-02-2019
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-019-00874-9

Andere artikelen Uitgave 4/2019

Pathways from Father Engagement during Infancy to Child Aggression in Late Childhood

Original Article

Difficulties in Emotion Regulation Predict Depressive Symptom Trajectory from Early to Middle Adolescence

Original Article

Parental Risk Factors among Children with Reactive Attachment Disorder Referred to Specialized Services: A Nationwide Population-Based Study

Open Access
Original Article

Parent- and Teacher-Rated Effectiveness of Cognitive-Behavioral Therapy for Children and Adolescents Under Usual Care Conditions in a University Outpatient Clinic

Original Article

Continuity and Change in Psychopathic Traits Among School-Aged Children with Conduct Problems

Original Article

Cross-Cultural Validation of the Polish Version of the ADI-R, Including New Algorithms for Toddlers and Young Preschoolers

Open Access
Original Article

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Psychometric Properties of the Safety Maneuver Scale for Adolescents (SMS-A) and Relationship to Outcomes of a Transdiagnostic Treatment

Abstract

Andere artikelen Uitgave 4/2019

Pathways from Father Engagement during Infancy to Child Aggression in Late Childhood

Difficulties in Emotion Regulation Predict Depressive Symptom Trajectory from Early to Middle Adolescence

Parental Risk Factors among Children with Reactive Attachment Disorder Referred to Specialized Services: A Nationwide Population-Based Study

Parent- and Teacher-Rated Effectiveness of Cognitive-Behavioral Therapy for Children and Adolescents Under Usual Care Conditions in a University Outpatient Clinic

Continuity and Change in Psychopathic Traits Among School-Aged Children with Conduct Problems

Cross-Cultural Validation of the Polish Version of the ADI-R, Including New Algorithms for Toddlers and Young Preschoolers

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Pathways from Father Engagement during Infancy to Child Aggression in Late Childhood

Difficulties in Emotion Regulation Predict Depressive Symptom Trajectory from Early to Middle Adolescence

Parental Risk Factors among Children with Reactive Attachment Disorder Referred to Specialized Services: A Nationwide Population-Based Study

Parent- and Teacher-Rated Effectiveness of Cognitive-Behavioral Therapy for Children and Adolescents Under Usual Care Conditions in a University Outpatient Clinic

Continuity and Change in Psychopathic Traits Among School-Aged Children with Conduct Problems

Cross-Cultural Validation of the Polish Version of the ADI-R, Including New Algorithms for Toddlers and Young Preschoolers