Treatment of Anxiety Disorders for Children and Adolescents in Regular Outpatient Clinics

Study Overview
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Brief Summary
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The purpose of this study is to examine the content of the treatment being delivered for anxiety disorders for children and adolescents in the regular outpatient clinics in western Norway. The study will also collect data before and after treatment to evaluate the result of the treatment. Furthermore, as part of the study we aim to collect normative data on two questionnaires used to identify anxiety symptoms and the extent to which anxiety interfere with daily functioning. We also aim to develop a quality indicator for anxiety treatment that can be used to monitor treatment in the regular outpatient service, based on the results of the current study.

Official Title
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Treatment of Anxiety Disorders for Children and Adolescents in Regular Outpatient Clinics (TADCAROC)

Conditions
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Anxiety Disorders

Intervention / Treatment
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* Other: Psychosocial treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of an anxiety disorder (including PTSD and OCD) based on the diagnostic interview ADIS (ADIS-C/P; Silverman & Albano, 1996). The anxiety disorder is the patients primary diagnosis. Informed concent is given. Exclusion Criteria: The patient is in need for other primary treatment intervention (e.g., psychosis, suicidality risk)

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Psychosocial treatment<br>Children and adolescents with anxiety disorders | Other: Psychosocial treatment<br>* Regular psychosocial treatment in clinical outpatient service.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Anxiety Disorder Interview Schedule for Diagnostic and Statistical Manual (DSM-IV), child and parent versions (ADIS- C/P; Silverman & Albano, 1996). | Diagnostic interview for anxiety disorders and other comorbid disorders. For the 10-year follow-up we anticipate to use another version of the diagnostic interview schedule based on revised diagnostic criteria for anxiety disorders. | The primary outcome measure will be administered pre-treatment, post treatment (an expected average of 20 weeks) and at ten year follow-up. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Children's Anxiety Life Interference Scale (CALIS; Lyneham et al., 2013) |  | This outcome measure will be administered pre-treatment and post treatment (an expected average of 20 weeks). | 
| The Screen for Child Anxiety Related Emotional Disorders (SCARED; Birmaher et al., 1999). |  | This outcome measure will be administered pre-treatment and post treatment (an expected average of 20 weeks). | 
| Spence Children's Anxiety Scale (SCAS; Spence, 1998) |  | This outcome measure will be administered pre-treatment and post treatment (an expected average of 20 weeks). | 
| The Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997) |  | This outcome measure will be administered pre-treatment and post treatment (an expected average of 20 weeks) | 
| Short Mood & Feeling Questionaire (SMFQ; Angold et al., 1995). |  | This outcome measure will be administered pre-treatment and post treatment (an expected average of 20 weeks) | 
| Clinical Global Impressions (CGI; Guy, 1976). |  | The outcome measure will be administered pre-treatment, post treatment (an expected average of 20 weeks) and at ten year follow-up. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent, Anxiety, Children, Effectiveness, Outpatient