Navigation Links
Combo Treatment Best for Anxiety Disorder in Kids
Date:10/30/2008

Zoloft, cognitive behavior therapy also work well alone, study finds

THURSDAY, Oct. 30 (HealthDay News) -- For children with anxiety disorders, a combination of cognitive behavior therapy and the antidepressant sertraline (Zoloft) works better than either treatment alone, researchers report.

However, Zoloft or cognitive behavior therapy by themselves did work in more than half of the patients, according to a report in the Oct. 30 online edition of the New England Journal of Medicine. The report is being published to coincide with a presentation of the findings at the American Academy of Child & Adolescent Psychiatry annual meeting, in Chicago.

"For children and adolescents with anxiety disorders, there are three effective treatment choices," said study co-author Anne Marie Albano, an associate professor of clinical psychology at Columbia University in New York City. "What's important about this is families, in consultation with their doctors, can think through which is the best option for them to pursue."

Decisions on treatment can also be made on what's available in the local community, Albano said. "Some communities might not have access to some of these treatments," she said. For example, cognitive behavior therapy requires a specialist in the technique.

Another advantage of having several workable treatments is that treatment decisions can be made on the basis of preference, Albano noted. "Some families don't want to do one treatment versus another. So, families can make a decision based on preference. They might want to make the decision to go with both treatments, because the combination treatment did show an added benefit that the individual therapies don't have," she said.

For the study, Albano's team randomly assigned 488 children aged 7 to 17 with anxiety disorders to 12 weeks of treatment with one of four protocols. Some children were given cognitive behavior therapy, and others were given Zoloft. A third group received both cognitive behavior therapy and Zoloft, while a fourth group received a placebo.

The researchers found that 81 percent of the children receiving cognitive behavior therapy plus Zoloft improved, compared with 60 percent who received cognitive behavior therapy alone and 55 percent who received only Zoloft. Among patients receiving placebo, 24 percent showed improvement.

The study also confirmed the safety of Zoloft. There were no more side effects among children taking the drug than there were among those receiving placebo. Moreover, none of the children taking Zoloft attempted suicide, which has been recognized as a rare side effect of the drug in children.

Albano noted that anxiety disorders in children are not just a phase. "These are debilitating disorders that run a long-term course into adulthood," she said. "They lead to other anxiety disorders, and later on, they lead to depression and can lead to substance abuse."

Dr. David L. Katz, director of the Prevention Research Center at Yale University School of Medicine, thinks that the effectiveness of the combination of Zoloft and cognitive behavior therapy is an important message to both doctors and patients.

"What is perhaps most important here is that the combination was superior to either therapy in isolation," Katz said. "In the modern medical age, we tend to bank heavily on advanced technology and wonder drugs. The use of sertraline, while effective, did not obviate the need for, or benefit of, psychological counseling. There is, it seems, nothing in a pill bottle that fully compensates for the time patient and provider spend constructively together," he said.

Jerilyn Ross, president and CEO of the Anxiety Disorders Association of America, thinks this study can raise awareness of a serious, but treatable problem that should not be ignored.

"This study tells us that we have treatments that work," Ross said. "What this study does is give parents a beacon of hope, knowing that if their child has an anxiety disorder not only can they get treatment, but that there are options available."

Ross noted that childhood anxiety disorders are under-diagnosed. "Anxiety disorders have been grossly under-diagnosed -- not taken seriously enough," she said. "About 10 percent of kids have anxiety disorders. It's the most common mental health problem. Hopefully, this study will encourage parents to get help."

More information

For more on anxiety disorders, visit the U.S. National Library of Medicine.



SOURCES: Anne Marie Albano, Ph.D., associate professor, clinical psychology, Columbia University, New York City; Jerilyn Ross, president and CEO, Anxiety Disorders Association of America, Silver Spring, Md.; David L. Katz, M.D., M.P.H., director, Prevention Research Center, Yale University Medical School, New Haven, Conn.; Oct. 30, 2008, New England Journal of Medicine, online


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Vaginal/Caesarean combo delivery of twins safe, UT Southwestern-led research finds
2. Drug/radiation combo may help shrink established tumors
3. Inverness Medical Innovations Announces 4th Generation Rapid HIV Test - Determine(TM) HIV-1/2 Ag/Ab Combo
4. Once-Daily Combo Works for New HIV Patients
5. Two-Drug Combo Reduces Diabetic Kidney Damage
6. 3-Drug Combo Improves Advanced Pancreatic Cancer Outcomes
7. Combo Therapy Knocks Out Melanoma Tumors
8. Combo Kidney-Pancreas Transplant Boosts Survival in Diabetics
9. Breast cancer risk amplified by additional genes in combo with BRCA mutation
10. Celebrex-Lipitor combo may halt prostate cancer
11. Green Tea, Mushroom Extract Combo Slows Sarcomas
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Combo Treatment Best for Anxiety Disorder in Kids
(Date:6/25/2016)... ... 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s ... setting the bar too high can result in disappointment, perhaps even self-loathing. However, those ... goal. , Research from PsychTests.com reveals that behind the tendency to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out ... family verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers ... would throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... New York, NY (PRWEB) , ... June 24, ... ... lifestyle publication Haute Living, is proud to recognize Dr. Barry M. Weintraub as ... believes that “the most beautiful women in the world, and the most handsome ...
(Date:6/24/2016)... ... ... Venture Construction Group (VCG) sponsors Luke’s Wings 5th Annual ... Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The event raised funds ... been wounded in battle and their families. Venture Construction Group is a 2016 Silver ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Global MEMS Devices Medical Market Analysis 2016 - Forecast to ... The report contains up to date financial ... reliable analysis. Assessment of major trends with potential impact on ... dive analysis of market segmentation which comprises of sub markets, ...
(Date:6/23/2016)... 2016 Bracket , a leading clinical trial ... clinical outcomes platform, Bracket eCOA (SM) 6.0, at the ... – 30, 2016 in Philadelphia , Pennsylvania.  ... Assessment product of its kind to fully integrate with RTSM, ... eCOA 6.0 is a flexible platform for electronic clinical outcomes ...
Breaking Medicine Technology: