BACKGROUND: Cognitive behavioural therapy (CBT) has been found to be effective for children and adolescents (6-18 years) with anxiety disorders, but the non-response rate is high-a fact that may argue for the importance of studies on pre-treatment characteristics of children and their families that predict treatment outcome. AIMS: To provide a systematic review of clinical and demographic pre-treatment child and family predictors of treatment outcome in CBT for anxiety disorders in youth. METHOD: A systematic literature search was conducted based on electronic databases (PsycINFO, Embase and PubMed), and retrieved studies were analysed according to the box-score method of counting significant findings. RESULTS: 24 studies with a sample size ≥ 60 were located. Most studies dealt with the following predictors: child age, gender, comorbidity, symptom severity and parental psychopathology. There was some evidence that a higher degree of pre-treatment symptomatic severity and non-anxiety comorbidity predicted higher end-state severity, but not a lesser degree of improvement. There was some but inconsistent support for a negative influence of parental psychopathology. CONCLUSION: Studies on pre-treatment child and family predictors of outcome in CBT for youth anxiety disorders have until now resulted in few findings of clinical or theoretical significance.
BACKGROUND: Cognitive behavioural therapy (CBT) has been found to be effective for children and adolescents (6-18 years) with anxiety disorders, but the non-response rate is high-a fact that may argue for the importance of studies on pre-treatment characteristics of children and their families that predict treatment outcome. AIMS: To provide a systematic review of clinical and demographic pre-treatment child and family predictors of treatment outcome in CBT for anxiety disorders in youth. METHOD: A systematic literature search was conducted based on electronic databases (PsycINFO, Embase and PubMed), and retrieved studies were analysed according to the box-score method of counting significant findings. RESULTS: 24 studies with a sample size ≥ 60 were located. Most studies dealt with the following predictors: child age, gender, comorbidity, symptom severity and parental psychopathology. There was some evidence that a higher degree of pre-treatment symptomatic severity and non-anxiety comorbidity predicted higher end-state severity, but not a lesser degree of improvement. There was some but inconsistent support for a negative influence of parental psychopathology. CONCLUSION: Studies on pre-treatment child and family predictors of outcome in CBT for youth anxiety disorders have until now resulted in few findings of clinical or theoretical significance.
Authors: Meredith L Wallace; Dana L McMakin; Patricia Z Tan; Dana Rosen; Erika E Forbes; Cecile D Ladouceur; Neal D Ryan; Greg J Siegle; Ronald E Dahl; Philip C Kendall; Anthony Mannarino; Jennifer S Silk Journal: Behav Res Ther Date: 2016-12-18
Authors: Monica S Wu; Nicole E Caporino; Tara S Peris; Jocelyn Pérez; Hardian Thamrin; Anne Marie Albano; Philip C Kendall; John T Walkup; Boris Birmaher; Scott N Compton; John Piacentini Journal: J Abnorm Child Psychol Date: 2020-01
Authors: Jennifer L Hudson; Robert Keers; Susanna Roberts; Jonathan R I Coleman; Gerome Breen; Kristian Arendt; Susan Bögels; Peter Cooper; Cathy Creswell; Catharina Hartman; Einar R Heiervang; Katrin Hötzel; Tina In-Albon; Kristen Lavallee; Heidi J Lyneham; Carla E Marin; Anna McKinnon; Richard Meiser-Stedman; Talia Morris; Maaike Nauta; Ronald M Rapee; Silvia Schneider; Sophie C Schneider; Wendy K Silverman; Mikael Thastum; Kerstin Thirlwall; Polly Waite; Gro Janne Wergeland; Kathryn J Lester; Thalia C Eley Journal: J Am Acad Child Adolesc Psychiatry Date: 2015-04-01 Impact factor: 8.829