dc.date.accessioned | 2023-12-13T21:35:58Z | |
dc.date.available | 2023-12-13T21:35:58Z | |
dc.date.created | 2023-09-22T13:02:16Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Fjermestad, Krister Westlye Arnevåg, Sofie F. Öst, Lars Gøran Kodal, Arne Bjaastad, Jon F. Heiervang, Einar Røshol Wergeland, Gro Janne Henningsen . Treatment motivation in child anxiety treatment – Factor structure and associations with outcomes. Psychiatry Research Communications. 2023, 3(4) | |
dc.identifier.uri | http://hdl.handle.net/10852/106341 | |
dc.description.abstract | Motivation is associated with cognitive behavioral treatment (CBT) outcomes. We examined the factor structure of a motivation measure, and if motivation factors were differentially associated with CBT outcomes for children with anxiety. The sample comprised 179 children aged 8–15 years (M age = 11.5 years, SD = 2.1; 53.0% girls) with anxiety disorders who received CBT in a randomized controlled community clinic trial. Participants completed the Nijmegen Motivation List – child version (NML-C) at treatment onset. Outcomes were diagnostic recovery, anxiety/depression symptom and clinical severity change from pre-treatment to post-treatment, one-, and 3.9-years follow-up, and treatment dropout. Principal component analysis showed that the NML-C comprised two factors, preparedness (beliefs that CBT is useful and willingness to engage in treatment; 36.4% explained variance) and distress (discomfort from symptoms and perceived urgency to be helped; 12.7% explained variance). Higher preparedness predicted larger clinical severity reduction at post-treatment, alongside pre-treatment clinical severity. Higher distress predicted larger depression reduction at one-year follow-up, alongside pre-treatment depression. Higher preparedness predicted lower dropout. In conclusion, the NML-C comprises two factors that are differentially associated with CBT outcomes, but not above the effects of pre-treatment symptoms. Clinicians' focus on children's distress and preparedness could enhance CBT outcomes and reduce dropout. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.title | Treatment motivation in child anxiety treatment – Factor structure and associations with outcomes | |
dc.title.alternative | ENEngelskEnglishTreatment motivation in child anxiety treatment – Factor structure and associations with outcomes | |
dc.type | Journal article | |
dc.creator.author | Fjermestad, Krister Westlye | |
dc.creator.author | Arnevåg, Sofie F. | |
dc.creator.author | Öst, Lars Gøran | |
dc.creator.author | Kodal, Arne | |
dc.creator.author | Bjaastad, Jon F. | |
dc.creator.author | Heiervang, Einar Røshol | |
dc.creator.author | Wergeland, Gro Janne Henningsen | |
cristin.unitcode | 185,17,5,11 | |
cristin.unitname | Klinisk psykologi | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 2177942 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Psychiatry Research Communications&rft.volume=3&rft.spage=&rft.date=2023 | |
dc.identifier.jtitle | Psychiatry Research Communications | |
dc.identifier.volume | 3 | |
dc.identifier.issue | 4 | |
dc.identifier.pagecount | 7 | |
dc.identifier.doi | https://doi.org/10.1016/j.psycom.2023.100142 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 2772-5987 | |
dc.type.version | PublishedVersion | |
cristin.articleid | 100142 | |