Bente Storm Mowatt Haugland

University of Bergen | UiB · Department of Clinical Psychology

Objective: We examined the effectiveness of targeted school-based cognitive-behavioral therapy (CBT) for adolescents (12-16 years) with anxiety, and tested whether brief-CBT was non-inferior to standard duration CBT. Method: A randomized controlled study of 313 adolescents (mean 14.0 years, SD= 0.84, 84% girls) were recruited through school-heal...

Objective The aim of the present study was to examine prevalence, characteristics and health outcomes among young adults (18 to 25 years) who provide informal care to family members or others with physical or mental illnesses, substance misuse or disabilities. Design The sample was obtained from a national survey in Norway from 2018 among students...

There is limited knowledge about sleep in adolescents with elevated levels of anxiety treated within primary health care settings, potentially resulting in sleep problems not being sufficiently addressed by primary health care workers. In the current study self-reported anxiety, insomnia, sleep onset latency, sleep duration, and depressive symptoms...

The potential effect of early intervention for anxiety on sleep outcomes was examined in a sample of adolescents with anxiety ( N = 313, mean 14.0 years, SD = 0.84, 84% girls, 95.7% Norwegians). Participants were randomized to one of three conditions: a brief or a standard-length cognitive-behavioral group-intervention (GCBT), or a waitlist control...

Meta-analyses of school-based CBT have shown that prevention for anxiety symptoms typically report small but significant effects. There is limited knowledge regarding which youths may benefit most and least from such programs, and characteristics of youth who respond differentially to interventions of different intensity. The present study examined...

Youth in foster care are at high risk of internalizing problems. However, research is scarce regarding their experiences of mental health treatment. This knowledge is important if mental health services are to meet their needs. Through qualitative interviews, we explored the experiences of youth in foster care (N = 9, aged 16-18 years) having been...

The COVID-19 pandemic caused a worldwide health- and societal crisis. Youth were exposed to enduring stressors. We examined types and load of stressors faced by youth, and their use of coping strategies. A population-based sample within Bergen municipality, Norway (N = 1031, 11–19 years) completed the Response to Stress Questionnaire 9 months into...

CBT is a well-established treatment approach in clinical child and adolescent psychology. The treatment is structured, time-limited, and goal-oriented. Numerous CBT programs have been developed, and a large body of evidence supports the efficacy and effectiveness of CBT for different psychological problems. CBT may be delivered in groups or individ...

The role of parents’ early life maltreatment (ELM) (e.g. physical, sexual abuse) and related experiences, in relation to offspring anxiety is not well understood. The current study investigated the association between self-reported depression and ELM and related experiences in mothers (n = 79) and fathers (n = 50), and mother-, father-, and youth-r...

The present study investigated therapist adherence, therapist competence, and patient-therapist alliance as predictors of long-term outcomes of cognitive behavioral therapy (CBT) for anxiety disorders in youth. Potential differential effects for group versus individual CBT, for therapists with or without formal CBT training, and based on youth symp...

There is limited knowledge on how caring contexts impact young adults providing informal care for persons with chronic conditions. This study examines associations between outcomes in young adult carers (YACs) and type of relationship (e.g., close or distant family member, partner, or someone outside the family) and type of illness in the care-rece...

Background Sexual- and gendered harassment are normalised in many peer groups, yet their associations with mental health concerns among adolescents are well-established. School based interventions that prevent and reduce sexual and gendered harassment among younger adolescents are scarce. For schools, protecting pupils from harassment may be challe...

Background “Mestringskatten” and “Mestringskatten for ungdom” are treatment programs for children and adolescents with separation anxiety disorder, social anxiety disorder, and/or generalized anxiety disorder. Mestringskatten (7 – 13 years) and Mestringskatten for ungdom (14 – 17 years) are structured, manualized cognitive behavioural therapy (CBT)...

Among youth in foster care ( N = 303, aged 11–17 years), we investigated prevalence of internalizing symptoms; associations between symptom level and maltreatment types and numbers; and the interaction between gender and maltreatment, on internalizing symptoms. Youth completed Spence Children Anxiety Scale, Short Mood Feelings Questionnaire, and Ch...

To examine treatment fidelity in a randomized controlled trial of indicated school-based cognitive-behavioral therapy (CBT) delivered in groups to youth with anxiety. We investigated whether adherence and competence (a) differed across brief and standard-length CBT, and (b) if adherence and competence predicted change in anxiety symptoms and impair...

Abstract Background Young adults (18–25 years) with informal care responsibilities have received limited attention in the research literature, and little is known on how caring responsibilities are related to functioning across different life domains. In the present study we examine associations between care responsibilities and study progress, rec...

Parental mental illness is a major risk factor for youth psychopathology, but few studies have used data from child and adolescent mental health services (CAMHS) to investigate this group. We used a unique linkage between a CAMHS-registry and a large population-based survey of Norwegian adolescents aged 16–19 years. Nine hundred and seventy adolesc...

Background: A high prevalence of anxiety and depression is found among youth in foster care. There is limited knowledge on the anxiety and depression symptom profiles of youth in foster care. We examined latent profiles of anxiety and depression symptoms across three unique youth samples and whether youth in foster care were more or less likely to...

The school setting is important for delivering targeted prevention to adolescents with anxiety. However, schools may not have available providers with training or experience in delivering evidence-based interventions, e.g., school psychologists. Training providers available in the schools, e.g., school nurses, is important. Further, to investigate...

Sammendrag Rusavhengige kvinner som har vokst opp med rusproblemer hos omsorgspersoner står overfor saerlige utfordringer når de får egne barn. Hvordan skal en forebygge at barna utvikler egne rusproblemer eller tilsvarende vanskeligheter? For å undersøke hvordan mødrene forstår disse utfordringene, ble ni mødre dybdeintervjuet mens de var i døgnbe...

The purpose of this paper is to determine how youth with anxiety recruited for a school-based randomized controlled trial (RCT) compare demographically and clinically to clinically referred youth with anxiety who participated in an RCT conducted in community mental health clinics. Youth (N = 99) with anxiety aged 12–15 years were: (a) 37 youth (M a...

Background: Mothers' and fathers' internalizing symptoms may influence children's anxiety symptoms differently. Objective: To explore the relationship between parental internalizing symptoms and children's anxiety symptoms in a clinical sample of children with anxiety disorders. Method: The sample was recruited through community mental health...

Background: The 'FRIENDS for life' program (FRIENDS) is a 10-session cognitive behavioral therapy (CBT) program used for prevention and treatment of youth anxiety. There is discussion about whether FRIENDS is best applied as prevention or as treatment. Methods: We compared FRIENDS delivered in schools as targeted prevention to a previous special...

The purpose of this paper is to determine how youth with anxiety recruited for a school-based randomized controlled trial (RCT) compare demographically and clinically to clinically referred youth with anxiety who participated in an RCT conducted in community mental health clinics. Youth (N = 99) with anxiety aged 12-15 years were: (a) 37 youth (M a...

Even though parent involvement is considered important in the assessment and treatment of youths with anxiety disorders, fathers usually participate to a lesser degree than mothers. In this study we examined factors predicting the degree of fathers’ participation in assessment and treatment of anxious youth referred to outpatient child mental healt...

Objective: This study evaluates the long-term outcomes of a stepped care treatment for pediatric obsessive-compulsive disorder (OCD) and investigates whether response to first step cognitive- behavioral therapy (CBT) is an important indicator of three-year outcomes. Method: This study is a part of the Nordic Long-term OCD Treatment study (NordLO...

This study reports follow-up 2 and 3 years after the initial assessment of a sample of youth with a primary diagnosis of OCD. Participants were 109 children and adolescents, aged 5–17 years, recruited from a specialized, outpatient OCD clinic in Sweden. Patients were treated with cognitive behavioral therapy (CBT), augmented when indicated by selec...

Cognitive behavioral therapy (CBT) has proven long-term effects in youth with anxiety disorders. However, only a few studies have examined predictors of long-term outcomes of CBT treatment. The present study investigated possible predictors of long-term treatment outcomes in youth with mixed anxiety disorders treated in community mental health clin...

Objective The aim was to investigate whether clinical experience, formal cognitive behavioural therapy (CBT) training, adherence, and competence predict outcome in CBT for anxiety disorders in youth. Method Videotapes (N = 181) from the sessions in a randomized controlled effectiveness trial (Wergeland et al., 2014, Behaviour Research and Therapy,...

Aims: Dual treatment of parents with substance-use disorders (SUD) is an approach which aims to meet the needs of both SUD patients and their children. Whereas the parents need to learn to live without substances, the children need a predictable and structured environment with parents who are sensitive and psychologically available. In this study...

Dette er ikke den nyeste artikkelen om dette tiltaket. Oppdatert artikkel: https://doi.org/10.7557/25.6688 Bakgrunn: Foreliggende kunnskapsoppsummering er en vurdering av effekt av tiltakene Mestringskatten og Mestringskatten for ungdom. Artikkelen er en revisjon av tidligere beskrivelse av samme tiltak i Ungsinn (Bratt, 2010), men videreutviklet u...

Objective: We examined whether motivation and treatment credibility predicted alliance in a 10-session cognitive behavioral treatment delivered in community clinics for youth anxiety disorders. Method: Ninety-one clinic-referred youths (meanage = 11.4 years, standard deviation = 2.1, range 8-15 years, 49.5% boys) with anxiety disorders-rated tre...

Cognitive behavioral therapy (CBT) has demonstrated favorable long-term outcomes in youth with anxiety disorders in efficacy trials. However, long-term outcomes of CBT delivered in a community setting are uncertain. This study examined the long-term outcomes of individual (ICBT) and group CBT (GCBT) in youth with anxiety disorders treated in commun...

Purpose To examine associations between health-related quality of life (HRQoL) and anxiety symptoms across anxiety domains (obsessions/compulsions, social anxiety, panic disorder, agoraphobia, separation anxiety, physical injury fears, generalised anxiety, and posttraumatic stress) in a general adolescent population. Expanded knowledge about these...

Sex chromosome aneuploidies (SCA) in boys involve physiological, cognitive, and socioemotional challenges. Internalizing problems in boys with SCA are underexamined. We examined behavioral inhibition (BI) in boys with SCA, compared to a clinical sample. BI is a temperamental style characterized by shyness, withdrawal, and cautiousness, and represen...

This pilot study investigated whether traumatized adolescents (N = 11) who received brief cognitive behavioral intervention, including self-help material, reported symptom relief. It also explored how the self-help material was used. A mixed methods, exploratory, one-group intervention design was used. The results indicated that the self-help mater...

Purpose: To examine the prevalence and correlates of anxiety in a community sample of adolescents. Knowing the prevalence and characteristics of anxious adolescents is valuable to improve anxiety prevention strategies and interventions. Design: Cross-sectional data about anxiety were collected via a school survey from a community sample of Norwe...

Background: Anxiety disorders are prevalent among adolescents and may have long-lasting negative consequences for the individual, the family and society. Cognitive behavioral therapy (CBT) is an effective treatment. However, many anxious youth do not seek treatment. Low-intensity CBT in schools may improve access to evidence-based services. We aim...

Substance-dependent mothers, who have grown up with parental substance abuse, struggle during and after treatment to abstain from substances while trying to process traumatic experiences and integrate their family into society. The aim of this study was to explore the social support available for these mothers to help them stay abstinent and create...

Background: In individual cognitive behavioral therapy (ICBT) for youth anxiety disorders, it is unclear whether, and from whose perspective, the alliance predicts outcome. We examined whether youth- and therapist-rated alliance, including level of youth-therapist alliance agreement, predicted outcome in a randomized controlled trial. Methods: Y...

A substantial number of children with anxiety disorders do not improve following cognitive behavioral therapy (CBT). Recent effectiveness studies have found poorer outcome for CBT programs than what is typically found in efficacy studies. The present study examined predictors of treatment outcome among 181 children (aged 8-15 years), with separatio...

The aim of the present study was to evaluate the psychometric properties of the Competence and Adherence Scale for Cognitive Behavioral Therapy (CAS-CBT). The CAS-CBT is an 11-item scale developed to measure adherence and competence in cognitive-behavioral therapy (CBT) for anxiety disorders in youth. A total of 181 videotapes from the treatment se...

Pediatric obsessive-compulsive disorder (OCD) is a disorder associated with distress and impairment in many domains. Moreover, there is a high risk of relapse and developing a chronic illness. Randomized-controlled trails (RCT), the gold-standard for evaluating treatments, show treatments to be efficacious, yet little is known about their generaliz...

På vei mot bedre støtte til barn som pårørende Familier i motbakke Når sykdom eller rusavhengighet rammer familier, kan motbakkene virke tunge og uoverkommelige. Denne boken handler om hva som kan vaere god støtte når bakken er brattest. Helsearbeidere har lovpålagt plikt til å se til at barns behov blir ivaretatt når foreldre har alvorlig sykdom e...

Parenting may be particularly challenging for substance-dependent mothers who have grown up with parents who themselves had substance use disorders (SUDs). The aim of this study was to explore how substance-dependent mothers describe their childhood experiences with substance-abusing parents and the association between these earlier experiences and...

Background Former studies suggest that prior exposure to adverse experiences such as violence or sexual abuse increases vulnerability to posttraumatic stress reactions in victims of subsequent trauma. However, little is known about how such a history affects responses to terror in the general adolescent population. Objective To explore the role of...

Conducted a randomized controlled trial to investigate the effectiveness of cognitive behavioral therapy (CBT), and compared the relative effectiveness of individual (ICBT) and group (GCBT) treatment approaches for anxiety disorders in children and adolescents. Referred youth (N = 182, M age = 11.5 years, range 8-15 years, 53% girls) with separatio...

Boys with sex chromosome aneuploidies (SCA) represent an understudied group. We examined parent-reported physical and socio-emotional problems in 25 boys with SCA (Mean age = 11.7 years, SD = 4.5). The majority had no severe physical health problems. One third of the sample had sleep problems and half of them had weekly or monthly pain. Total emoti...

The aim of this study was to examine the factor structure and psychometric properties of an observer-rated youth alliance measure, the Therapy Process Observational Coding System for Child Psychotherapy-Alliance scale (TPOCS-A). The sample was 52 youth diagnosed with anxiety disorders (M age = 12.43, SD = 2.23, range = 8-15; 56% boys; 98% Caucasian...

The present study aims to review empirical research focusing on traumatic events and posttraumatic stress among children and adolescents in out-of-home placement and identify future directions for research. A search in PsychInfo, ISI, and PubMed for the period 1985–2010 and use of citation alerts from 2006 to 2010 yielded 27 studies meeting our inc...

This study reviews 19 randomized controlled trials examining the association between three relationship factors - participation, treatment involvement, and therapeutic relationship - and outcome of cognitive-behavioral anxiety treatments for children and adolescents. In 12 studies, parent participation was considered as an independent variable comp...

Changes in rituals and routines between drinking and sobriety were examined in families in treatment due to paternal alcohol abuse. Information was gathered through a semistructured family interview. Recurrent disruptions of rituals and routines were found between different phases in the drinking cycle. Disruptions were found typically with regard...

This study examines possible risk factors associated with child adjustment in a sample of children with alcohol abusing fathers in Norway (N = 37). Factors included are socio-economic status, severity of the fathers' alcohol abuse, parental psychological problems, and family functioning. Children of alcohol abusing fathers were found to have more a...

The present study explored factors correlated with family competence in families with paternal alcohol abuse (N = 20). Family competence is measured by the Family Competence Scale in the Beavers Systems Model of Family Functioning. Based on a review of the literature, socioeconomic status, parents' psychological symptoms, and drinking behaviour wer...