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. 2012 Feb 1;19(1):68-82.
doi: 10.1016/j.cbpra.2011.06.002.

Anxiety, Depression, and Somatic Distress: Developing a Transdiagnostic Internalizing Toolbox for Pediatric Practice

Affiliations

Anxiety, Depression, and Somatic Distress: Developing a Transdiagnostic Internalizing Toolbox for Pediatric Practice

V Robin Weersing et al. Cogn Behav Pract. .

Abstract

Anxiety, depression, and somatic complaints are a common set of comorbid problems in children and adolescents. This "internalizing cluster" is highly prevalent, impairing during youth and into adulthood, and has substantial impacts on health-care systems. Fortunately, these problem areas may share several etiological factors and, thus, respond to similar interventions. In this paper, we present (a) the rationale for focusing on this cluster, (b) clinical theory on transdiagnostic processes uniting these problems, (c) description of core treatment techniques for this group, with a description of clinical outcomes for two sample cases, and (d) implications of this approach for new transdiagnostic treatment development and everyday clinical practice.

Keywords: anxiety; depression; somatic; transdiagnostic; youth.

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Figures

Figure 1
Figure 1
Outcome trajectory for Natalie on youth- and parent-report of anxiety (SCARED), depression (MFQ), and somatic (CSI) symptoms
Figure 2
Figure 2
Outcome trajectory for Alexis on youth- and parent-report of anxiety (SCARED), depression (MFQ), and somatic (CSI) symptoms

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References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4. Washington, DC: Author; 2000. text revision.
    1. Andrews G. Comorbidity and the general neurotic syndrome. British Journal of Psychiatry. 1996;168:76–84. - PubMed
    1. Angold A, Costello EJ, Erkanli A. Comorbidity. Journal of Child Psychology, Psychiatry, and Allied Disciplines. 1999;40:57–87. - PubMed
    1. Asarnow JR, Jaycox LH, Duan N, LaBorde AP, Rea MM, Murray P, Wells KB. Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: A randomized controlled trial. Journal of the American Medical Association. 2005;293:311–319. - PubMed
    1. Banks SM, Kerns RD. Explaining high rates of depression in chronic pain: A diathesis-stress framework. Psychological Bulletin. 1996;119:95–110.

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