Browsing by Author "Grills, Amie E."

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    Peer Victimization and Internalizing Symptoms in Middle School Children
    Grills, Amie E. (Virginia Tech, 2000-08-28)
    The primary purpose of this investigation was to examine the relationships among peer victimization, global self-worth, social support, and internalizing behaviors (e.g., anxiety, social anxiety, and depression). Of particular interest were the potential mediating and moderating roles of global self-worth and social support in the anticipated relationships between peer victimization and internalizing symptoms. All sixth grade children from a public middle school completed self-report measures representing the constructs previously described. Reported levels of peer victimization were found to be similar to those reported in previous studies. In addition, significant associations were found among all variables of interest, with the exception of social support and total anxiety. Global self-worth was found to partially mediate the peer victimization-social anxiety and peer victimization-depression relationships. These findings suggest that victimization experiences may negatively influence children's views of themselves and help explain the elevated levels of depression and social anxiety also reported by them. Furthermore, global self-worth moderated the peer victimization-total anxiety relationship, such that children with higher global self-worth reported fewer total anxiety symptoms than children with lower global self-worth. However, analyses failed to support the role of social support as either a mediator or moderator in the relationships examined. Findings are integrated into the literature regarding peer victimization and internalizing symptomology.
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    Primary Versus Secondary Diagnosis of Generalized Anxiety Disorder in Youth: Is the Distinction an Important One?
    Ollendick, Thomas H.; Jarrett, Matthew A.; White, Bradley A.; White, Susan W.; Grills, Amie E. (Springer, 2016-08-01)
    Examine whether children with a primary diagnosis of generalized anxiety disorder (GAD) differ from children with a secondary diagnosis of GAD on clinician, parent, teacher, and youth-report measures. Based on consensus diagnoses, 64 youth referred to a general outpatient assessment clinic were categorized as having either a primary or secondary diagnosis of GAD. A semi-structured diagnostic interview was used to guide diagnostic decisions and assign primary versus secondary diagnostic status. We predicted that youth with a primary GAD diagnosis would present with greater anxiety symptomatology and symptom impairment on a variety of anxiety-related measures than youth with a secondary GAD diagnosis. Contrary to our hypotheses, no differences were found between those with primary versus secondary GAD diagnoses on measures of symptom severity and clinical impairment, comorbid diagnoses, or youth and teacher-report measures. Our findings have potential implications for the current practice of requiring primary anxiety diagnostic status as an inclusion criterion in clinical research and treatment outcome studies. Assuming our findings are confirmed in larger samples and with other anxiety disorders, future clinical trials and basic psychopathology research might not exclude youth based on absence of a particular anxiety disorder as the primary disorder but rather include individuals for whom that anxiety disorder is secondary as well.