Sleep, Mood, and Behavior Study

This study is one of two interlinking protocols developed to investigate neural, affective, behavioral and social predictors of improvement as a critical next step in advancing the understanding of processes involved in the treatment response of anxiety disorders in youth. This protocol will offer a six to eight session sleep intervention (Sleeping Tigers)children ages 9-13 who currently have a DSM-IV anxiety disorder and who endorse some level of impairment in their ability to sleep. Participants will have completed a 16 session intervention for anxiety (IRB submission, Child Anxiety Treatment Study CATS). We hope to assess whether improving sleep will further enhance affective, clinical, and social functioning.

Inclusion criteria

• Clinical diagnosis of DSM-IV diagnosis of Generalized Anxiety Disorder (GAD), Separation Anxiety Disorder (SAD), and Social Phobia (SP)
• Previous enrollment Cognitive Behavioral Therapy arm in ClinicalTrials.gov Identifier: NCT00774150 study, entitled, " Transdisciplinary Studies of CBT for Anxiety in Youth: Child Anxiety Treatment Study (CATS)"
• The child/adolescent must have a "sleep problem" defined as: difficulties at least 3 times within a 2-week period in one or more of the following domains:

• difficulties going to sleep
• difficulties waking during the night
• difficulties getting up on time for school because of tiredness/sleepiness
• daytime tiredness and/or irritability that the child or parent attributed to insufficient sleep
• erratic sleep-wake schedules

Exclusion criteria

• IQ below 70 as assessed by the Wechsler Abbreviated Scale of Intelligence (WASI).
• Requires current ongoing treatment with psychoactive medications including anxiolytics and antidepressants.
• Acutely suicidal or at risk for harm to self or others.
• Any motor impairments or eye-hand coordination problems
• Sleep disorder or parasomnia.
• Taking any medication that might interfere with sleep.
• Has a medical problem that might interfere with sleep.