Primary Versus Secondary Diagnosis of Generalized Anxiety Disorder in Youth: Is the Distinction an Important One?

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dc.contributor.authorOllendick, Thomas H.en
dc.contributor.authorJarrett, Matthew A.en
dc.contributor.authorWhite, Bradley A.en
dc.contributor.authorWhite, Susan W.en
dc.contributor.authorGrills, Amie E.en
dc.contributor.departmentPsychologyen
dc.date.accessioned2016-10-12T15:32:04Zen
dc.date.available2016-10-12T15:32:04Zen
dc.date.issued2016-08-01en
dc.description.abstractExamine 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.en
dc.description.versionPublished versionen
dc.format.extent548 - 553 (6) page(s)en
dc.identifier.doihttps://doi.org/10.1007/s10578-015-0588-1en
dc.identifier.issn0009-398Xen
dc.identifier.issue4en
dc.identifier.urihttp://hdl.handle.net/10919/73200en
dc.identifier.volume47en
dc.languageEnglishen
dc.publisherSpringeren
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000382138800003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectPsychology, Developmentalen
dc.subjectPediatricsen
dc.subjectPsychiatryen
dc.subjectPsychologyen
dc.subjectPrimaryen
dc.subjectPrincipalen
dc.subjectDiagnosisen
dc.subjectChilden
dc.subjectAnxietyen
dc.subjectRANDOMIZED CLINICAL-TRIALen
dc.subjectCOGNITIVE-BEHAVIORAL THERAPYen
dc.subjectONE-SESSION TREATMENTen
dc.subjectCHILDHOOD ANXIETYen
dc.subjectCHILDRENen
dc.subjectRELIABILITYen
dc.subjectADOLESCENTSen
dc.subjectIMPAIRMENTen
dc.subjectPHOBIASen
dc.subjectMASCen
dc.titlePrimary Versus Secondary Diagnosis of Generalized Anxiety Disorder in Youth: Is the Distinction an Important One?en
dc.title.serialChild Psychiatry & Human Developmenten
dc.typeArticle - Refereeden
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/Scienceen
pubs.organisational-group/Virginia Tech/Science/COS T&R Facultyen
pubs.organisational-group/Virginia Tech/Science/Psychologyen
pubs.organisational-group/Virginia Tech/University Distinguished Professorsen

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