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Published on: February 22, 2018
Age and depressive symptoms change predict the 4-year self-concept trajectory for youth after anxiety treatment
Krister W Fjermestad1, Katarina Bellika1, Caroline Matre1
1Department of Psychology, University of Oslo, Oslo, Norway.
Objectives:
To investigate the self-concept trajectory from before to 4 years after cognitive behavioral therapy (CBT) for youth with anxiety disorders, including predictors.
Methods:
Youth with anxiety diagnoses (N = 179; M = 11.5 years, SD = 2.1; 53.6% girls; 46.4% boys) received CBT in community clinics. Self-concept, anxiety/depression symptoms, and diagnostic status were assessed at pre-, post, 1-year, and 4-year posttreatment.
Results:
Growth curve analyses showed that the self-concept improved significantly over time (d = 0.07 to 0.34). Higher age and a decrease in the depressive symptom trajectory predicted increased self-concept trajectory from baseline to 4 years posttreatment. Not dropping out of treatment also contributed positively to the self-concept trajectory, but not above and beyond decreased depressive symptoms. The correlation between self-concept and depressive symptoms was r = 0.60, indicating these are related but distinct.
Conclusion:
Self-concept can improve after CBT, also long-term. This change appears to primarily be associated with decreased depressive symptoms over time.
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