Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. British Journal of Clinical Psychology, 43, 236-421

Department of Child and Adolescent Psychiatry, University of Manchester, UK.
British Journal of Clinical Psychology (Impact Factor: 2.28). 11/2004; 43(Pt 4):421-36. DOI: 10.1348/0144665042388928
Source: PubMed


To review the effectiveness of cognitive behaviour therapy (CBT) as a treatment for anxiety disorders of childhood and adolescence.
Studies were included if they treated young people (under 19 yrs) with diagnosed anxiety disorder (excluding trials solely treating phobia, PTSD or OCD), had a no-treatment control group, and used diagnosis as an outcome variable. A search of the literature, incorporating electronic databases, hand search and expert consultation, yielded 10 randomized controlled trials that were appropriate for inclusion.
The outcome of interest was remission of anxiety disorder. Employing conservative criteria, the remission rate in the CBT groups (56.5%) was higher than that in the control groups (34.8%). The pooled odds ratio was 3.3 (CI = 1.9-5.6), suggesting that CBT has a significant effect.
CBT is useful for the treatment of anxiety in children over the age of 6 years. However, we still know little about the treatment of younger children or about the comparative efficacy of alternative treatments. Most of the trials were efficacy trials, and have limited generalizability. Reporting of many aspects of the trials was weak.

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Available from: Prathiba Chitsabesan, Jul 02, 2014
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    • "The extent, impact and long-term consequences serve as a rationale to search for effective treatment options (Bhatia & Bhatia, 2007;Hankin, 2006). Since Butler, Miezitis, Friedman, and Cole (1980) conducted the first randomised trial of psychosocial interventions for childhood depression, many other research projects have attempted to develop and test treatments, particularly in the field of cognitive-behavioural therapy (CBT); these studies concluding that CBT treatment groups yielded higher recovery rates than control groups (Cartwright-Hatton, Roberts, Chitsabesan, Fothergill, & Harrington, 2004;Clarke, Rohde, Lewinsohn, Hops, & Seeley, 1999;Ishikawa, Okajima, Matsuoka, & Sakano, 2007;Spirito, Esposito-Smythers, Wolff, & Uhl, 2011). In a meta-analysis examining the effects of psychotherapy for depression in children and adolescents, researchers found that the current treatments appear to produce effects that are significant (i.e. "
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    • "Another variable that could be used to explain the relationships between age, level of education, and metacognitive processes is the anxiety levels of individuals. The relationships between trait-anxiety and metacognitive processes have long been revealed in the literature (e.g., Wells, 2005; Cartwright-Hatton et al., 2004). Especially both original studies on MCQ-CA and MCQ-30 (Bacow, Pincus, Ehrenreich, & Brody, 2009; Wells & Cartwright-Hatton, 2004) and also standardization studies in Turkish culture (Irak, 2012a; Tosun & Irak, 2008) indicated that same sub factors were reported to be in positive relations with trait anxiety scores. "
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