OBJECTIVE: The efficacy and partial effectiveness of child-focused versus family-focused cognitive-behavioral therapy (CBT) for clinically anxious youths was evaluated, in particular in relation to parental anxiety disorders and child's age. METHOD:Clinically referred children with anxiety disorders (N = 128) and their parents were randomly assigned to child or family CBT and evaluated at pretreatment, posttreatment, and 3-month follow-up. Twenty-five families were measured before and after a 2- to 3-month waitlist period. RESULTS: None of the waitlisted children recovered from their anxiety disorders. In contrast, 41% of the treated children no longer met criteria for any anxiety disorder after CBT, and 52% demonstrated continued improvement at the 3-month follow-up. Significantly more children were free of anxiety disorders (53%) in the child CBT condition compared with family CBT condition (28%) at posttreatment, whereas at 3-month follow-up, the superior effect of child CBT was no longer significant. Similar results were obtained from the questionnaire measures. Both child and family CBT were less effective if parents had an anxiety disorder themselves. On some of the measures, child CBT was superior if parents had anxiety disorders themselves, whereas family CBT was superior if parents had no anxiety disorders. Finally, younger children had better outcomes than older children, regardless of the treatment condition. CONCLUSIONS: Overall, child CBT seems slightly more beneficial than family CBT. Because this study was conducted in a clinical setting with clinically referred children, results indicate partial effectiveness for child CBT.
RCT Entities:
OBJECTIVE: The efficacy and partial effectiveness of child-focused versus family-focused cognitive-behavioral therapy (CBT) for clinically anxious youths was evaluated, in particular in relation to parental anxiety disorders and child's age. METHOD: Clinically referred children with anxiety disorders (N = 128) and their parents were randomly assigned to child or family CBT and evaluated at pretreatment, posttreatment, and 3-month follow-up. Twenty-five families were measured before and after a 2- to 3-month waitlist period. RESULTS: None of the waitlisted children recovered from their anxiety disorders. In contrast, 41% of the treated children no longer met criteria for any anxiety disorder after CBT, and 52% demonstrated continued improvement at the 3-month follow-up. Significantly more children were free of anxiety disorders (53%) in the child CBT condition compared with family CBT condition (28%) at posttreatment, whereas at 3-month follow-up, the superior effect of child CBT was no longer significant. Similar results were obtained from the questionnaire measures. Both child and family CBT were less effective if parents had an anxiety disorder themselves. On some of the measures, child CBT was superior if parents had anxiety disorders themselves, whereas family CBT was superior if parents had no anxiety disorders. Finally, younger children had better outcomes than older children, regardless of the treatment condition. CONCLUSIONS: Overall, child CBT seems slightly more beneficial than family CBT. Because this study was conducted in a clinical setting with clinically referred children, results indicate partial effectiveness for child CBT.
Authors: Mélou Jansen; Marleen M E M van Doorn; Anna Lichtwarck-Aschoff; Rowella C W M Kuijpers; Huub Theunissen; Mirjam Korte; José van Rossum; Annemiek Wauben; Isabela Granic Journal: BMC Psychiatry Date: 2012-03-12 Impact factor: 3.630
Authors: Kathryn Bennett; Katharina Manassis; Stephen D Walter; Amy Cheung; Pamela Wilansky-Traynor; Natalia Diaz-Granados; Stephanie Duda; Maureen Rice; Susan Baer; Paula Barrett; Denise Bodden; Vanessa E Cobham; Mark R Dadds; Ellen Flannery-Schroeder; Golda Ginsburg; David Heyne; Jennifer L Hudson; Philip C Kendall; Juliette Liber; Carrie Masia Warner; Sandra Mendlowitz; Maaike H Nauta; Ronald M Rapee; Wendy Silverman; Lynne Siqueland; Susan H Spence; Elisabeth Utens; Jeffrey J Wood Journal: Depress Anxiety Date: 2013-05-08 Impact factor: 6.505