{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T21:05:23Z","timestamp":1763499923037,"version":"build-2065373602"},"reference-count":47,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH063747","MH064003","MH064089","MH64088","MH64092","R01MH107495"],"award-info":[{"award-number":["MH063747","MH064003","MH064089","MH64088","MH64092","R01MH107495"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Substance use problems and anxiety disorders are both highly prevalent and frequently cooccur in youth. The present study examined the benefits of successful anxiety treatment at 3\u201312\u2009years after treatment completion on substance use outcomes (i.e. diagnoses and lifetime expected use).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The sample was from the Child\/Adolescent Anxiety Multimodal Extended Long\u2010term Study (CAMELS), a naturalistic follow\u2010up study to the Child\/Adolescent Anxiety Multimodal Study (CAMS) which randomized youth to cognitive behavioral therapy (CBT;\n                      <jats:italic>Coping cat<\/jats:italic>\n                      ), medication (sertraline), their combination, or pill placebo. The first CAMELS visit occurred an average of 6.5\u2009years following CAMS randomization. Participants were 319 youth (65.4% of the CAMS sample), aged 7\u201317\u2009years at CAMS baseline assessment with a mean age of 17.6\u2009years (range: 11\u201326\u2009years) at the time of the first CAMELS follow\u2010up. Substance use outcomes included diagnoses as well as lifetime substance use (i.e. alcohol and tobacco use).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven of 319 (3.4%) CAMELS participants were diagnosed with a substance use disorder at the initial follow\u2010up visit. When compared to the population lifetime rate of 11.4%, the rate of diagnoses in the posttreated sample was significantly lower. Additionally, rates of lifetime alcohol use were lower than population rates at the initial and final follow\u2010up visits. Rates of lifetime tobacco use were similarly lower than lifetime population rates at the initial visit (driven by significantly lower rates in the CBT treatment condition), but higher by the final visit. Furthermore, treatment remission (but not treatment response) was associated with a lower rate of substance use diagnoses at the initial follow\u2010up visit, although rates of lifetime alcohol and tobacco use did not differ by treatment outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Anxiety treatments confer a beneficial impact on problematic substance use (i.e. diagnoses) as well as on expected substance use (i.e. alcohol and tobacco use) for on average, a period of 6.5\u2009years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13926","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T02:25:41Z","timestamp":1705112741000},"page":"910-920","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Substance use outcomes from the Child\/Adolescent Anxiety Multimodal Extended Long\u2010term Study (CAMELS)"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8345-4769","authenticated-orcid":false,"given":"Jonathan","family":"Rabner","sequence":"first","affiliation":[{"name":"Department of Psychology and Neuorscience Temple University  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5139-8571","authenticated-orcid":false,"given":"Thomas M.","family":"Olino","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuorscience Temple University  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"Albano","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York State Psychiatric Institute, Columbia University Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney P.","family":"Keeton","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences The Johns Hopkins University School of Medicine  Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dara","family":"Sakolsky","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh PA USA"},{"name":"Western Psychiatric Institute &amp; 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