Article

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

ABSTRACT

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.

Download full-text

Full-text

Available from: Prathiba Chitsabesan, Jul 02, 2014
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Animal-Assisted Interventions (AAIs) are thought to overcome some of the limitations of traditional therapies as they do not rely exclusively on language as a medium for change. One such Animal-Assisted Therapy (AAT) approach involves horses as a therapeutic medium. Equine-Assisted Psychotherapy (EAP) comprises a collaborative effort between a licensed therapist and a horse professional working with clients to address treatment goals. The purpose of the present Australian-based qualitative study was to examine EAP facilitators' perspectives on the biospychosocial benefits and therapeutic outcomes of EAP for adolescents experiencing depression and/or anxiety. The findings suggest a range of improvements within adolescent clients, including increases in confidence, self-esteem and assertiveness, as well as a decrease in undesirable behaviours. The effectiveness of the therapy was thought to be due to the experiential nature of involving horses in therapy. The lack of understanding in the wider community about EAP was seen as a barrier to recognition and acceptance of EAP as a valid therapeutic intervention.
    Full-text · Article · Dec 2015 · Clinical Child Psychology and Psychiatry
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: In this study changes in metacognitive beliefs according to aging was investigated. Paricipants’ (N = 1816) metacognitive beliefs were measured using with Adult form of Metacognitive Questionnaire (MCQ-30) and Child and Adolescent form of Metacognitive Questionnaire (MCQ-CA). A 5 (age: 8-12 years, 13-17 years, 18-29 years, 30-44 years, and 45+) x 4 (level of education: primary school, high school, university, and graduate) x 2 (sex: male and female) MANOVA for factorial design was conducted. Dependent variables of the analysis were MCQ’s subscales, namely cognitive self consciousness, uncontrollability and danger, need to control thoughts, positive beliefs, and cognitive confidence. Analyses showed that age main effect was significant on cognitive self consciousness, uncontrollability and danger, need to control thoughts; level of education main effect was significant on positive beliefs, cognitive self consciousness, and need to control thoughts, and interaction effect was significant on cognitive self consciousness and need to control thoughts. These results indicated that there were negative relationships between aging, level of education, and negative metacognitive beliefs. Also regression analysis showed that there were significant negative correlation between age, level of education and MCQ’ sub-factors which was similar to variance analysis results. Results were discussed with reference to the literature of aging, meta-cognition, and cognitive process.
    Full-text · Article · Jun 2015 · Turkish Journal of Psychology
  • Source
    • "Anxiety disorders are common in adolescents and left untreated can predict anxiety and depression in adulthood123. Cognitive behavioral therapy (CBT) has been shown to be effective in treating adolescent anxiety in individual and group treatment formats[4,5]. Computerized cognitive behavioral therapy (CCBT) treatments for anxiety disorders in adolescents are emerging and have demonstrated efficacy in university settings. The Cool Teens program has previously been demonstrated to be efficacious in a pilot case series and in a randomized controlled trial[6,7]with 41% of adolescents being free from their primary anxiety disorder at post-treatment. "

    Preview · Article · Jan 2015
Show more