A Case Study of an Adolescent With Health Anxiety and OCD, Treated Using CBT: Single‐Case Experimental Design

Roberts-Collins, Cara

doi:10.1111/jcap.12136

Cited by 7 publications

(3 citation statements)

References 30 publications

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“…While moderate to large effect sizes (ES) have been reported for CBT-based treatment for HA (Hedman et al, 2011;Newby et al, 2018;Thomson & Page, 2007;Weck, Neng, Schwind, & Hofling, Third Wave Treatments for Functional Disorders 4 Clinical Psychology in Europe 2019, Vol.1(1), Article e32217 https://doi.org/10.32872/cpe.v1i1.32217 2015), improvements are only small to moderate for FSS in adults (Henningsen et al, 2018;van Dessel et al, 2014). In children and adolescents, the use of CBT for HA has only been reported in a single case study (Roberts-Collins, 2016). With regard to FSS, existing studies have almost exclusively focused on CBT-based treatments for single symptoms or syndromes; primarily functional abdominal symptoms, chronic fatigue, tension-type headache, fibromyalgia or mixed pain complaints in children as young as 6 years of age (Abbott et al, 2018;Bonvanie et al, 2017).…”

Section: Cognitive Behavioural Therapies For Fdmentioning

confidence: 99%

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Frostholm¹,

Rask²

2019

CPE

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Functional disorders (FD) are present across the age span and are commonly encountered in somatic health care. Psychological therapies have proven effective, but mostly the effects are slight to moderate. The advent of third wave cognitive behavioural therapies launched an opportunity to potentially improve treatments for FD.A narrative review of the literature on the application of mindfulness-based therapies (MBT) and Acceptance & Commitment Therapy (ACT) in children and adult populations with FD.There were very few and mainly preliminary feasibility studies in children and adolescents. For adults there were relatively few trials of moderate to high methodological quality. Ten MBT randomised trials and 15 ACT randomised trials of which 8 were internet-delivered were identified for more detailed descriptive analysis. There was no evidence to suggest higher effects of third wave treatments as compared to CBT. For MBT, there seemed to be minor effects comparable to active control conditions. A few interventions combining second and third wave techniques found larger effects, but differences in outcomes, formats and dosage hamper comparability.Third wave treatments are getting established in treatment delivery and may contribute to existing treatments for FD. Future developments could further integrate second and third wave treatments across the age span. Elements unambiguously targeting specific illness beliefs and exposure should be included. The benefit of actively engaging close relatives in the treatment not only among younger age groups but also in adults, as well as the effect of more multimodal treatment programmes including active rehabilitation, needs to be further explored.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.The methodological quality of third wave interventions for FD should be improved, especially in younger age groups.The effect of ACT interventions may be comparable to CBT in adults with FD.The evidence for third wave interventions in young people with FD is still very limited.Newer studies combining second and third wave treatments show some promise.Agreement on, and for child populations further development of, core outcomes, could help determine effect across studies.

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Section: Cognitive Behavioural Therapies For Fdmentioning

confidence: 99%

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Frostholm¹,

Rask²

2019

CPE

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“…In children and adolescents, the use of CBT for health anxiety has only been reported in a single case study (Roberts‐Collins, 2016), and treatment studies applying third wave therapies are not available. However, Duholm et al.…”

Section: Resultsmentioning

confidence: 99%

Annual Research Review: Health anxiety in children and adolescents—developmental aspects and cross‐generational influences

Rask,

Duholm,

Poulsen

et al. 2023

Child Psychology Psychiatry

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Health anxiety involves excessive worries about one's health along with beliefs one has an illness or may contract a serious disease. Concerning evidence suggests that health anxiety is on the rise in society, possibly further fueled by the COVID‐19 pandemic. Recent classification systems acknowledge that impairing health‐related worries and beliefs can emerge in early childhood with significant levels of symptoms persisting throughout childhood, and possibly continuous with diagnostic considerations in adulthood. This narrative review summarizes recent research advances in health anxiety in children and adolescents, focusing on various developmental aspects of health anxiety and related concepts in youths. Findings suggest that health anxiety symptoms in young age groups are associated with impairment, distress, and increased healthcare use, as well as substantial comorbidity with mainly other emotional problems and disorders. Furthermore, longitudinal studies suggest that childhood health anxiety can persist across adolescence, perhaps with links to chronic courses in adulthood. The growing literature was further reviewed, thus extending our understanding of early risk factors, including the potential role of exposure to serious illness and transgenerational transmission of health anxiety. Learning more about developmental trajectories will be highly relevant to inform strategies for early detection and prevention. While modified cognitive behavioral therapies in adults are successful in treating health anxiety, specific interventions have not yet been tested in youths. Given substantial overlaps with other psychopathology, it could be important to develop and explore more transdiagnostic and scalable approaches that take advantage of common factors in psychotherapy, while also including a wider perspective on potential familiar maladaptive illness cognitions and behaviors.

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“…The SCEDs identified targeted a range of anxiety difficulties. This included CBT therapy for populations that have not yet had interventions evaluated in RCTs, for example, adolescent hoarders (Knight et al., 2019 ), those for whom NICE guidelines are currently unavailable, for example, adolescents with agoraphobia, panic disorder and GAD (Houghton et al, 2017 ; Ollendick, 1995 ; Wahlund et al, 2020 ) and young people with multiple anxiety disorders and dual diagnoses (Houghton et al, 2017 ; Neil et al, 2017 ; Roberts‐Collins, 2016 ; Sieberg et al., 2011 ; Waldron et al, 2018 ). This indicates that SCEDs may provide a flexible framework for evaluating interventions for a diverse range of anxiety problems in adolescents.…”

Section: Discussionmentioning

confidence: 99%

Do single‐case experimental designs lead to randomised controlled trials of cognitive behavioural therapy interventions for adolescent anxiety and related disorders recommended in the National Institute of Clinical Excellence guidelines? A systematic review

et al. 2023

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BackgroundAlthough Cognitive Behavioural Therapy (CBT) is effective for 60% of adolescents with anxiety disorders, only 36% are in remission post‐intervention. This indicates that more effective treatments are needed which should be reflected in the NICE guidelines. We hypothesised that Single‐case experimental designs (SCEDs) may provide a framework for accelerating the development of novel interventions. The primary purpose of this review was to investigate whether SCEDs are currently followed by randomised controlled trials (RCTs) of CBT intervention for adolescent anxiety disorders named in the NICE guidelines. The secondary objective was to investigate whether using SCEDs prior to RCTs could be a helpful approach.MethodFor the primary search of SCEDs five databases were used (PsycINFO, PubMed, PsycArticles, Web of Science and ProQuest). Nineteen articles met eligibility criteria including a total of 107 participants. For the secondary search of RCTs named in the NICE guidelines for adolescent anxiety disorders 53 articles met inclusion criteria and were included in the systematic review.ResultsThe 19 SCED studies included in the review were conducted with participants with a diverse range of anxiety disorders and across a range of CBT formats. Two of the SCEDs were followed by RCTs, but neither of these were named in the NICE guidelines for anxiety disorders. All of the SCEDs identified were rated as low quality with none meeting the criteria for the highest or second highest quality rating. From the secondary searches, none of the RCTs named in the NICE guide were preceded by SCEDs.ConclusionsIt was concluded that currently SCEDs were not followed by RCTs of CBT interventions named in the NICE guidelines for adolescent anxiety disorders. However, it was suggested that SCEDs may provide an important framework for the development of more effective interventions for adolescents with anxiety.

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A Case Study of an Adolescent With Health Anxiety and OCD, Treated Using CBT: Single‐Case Experimental Design

Cited by 7 publications

References 30 publications

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Third Wave Treatments for Functional Somatic Syndromes and Health Anxiety Across the Age Span: A Narrative Review

Annual Research Review: Health anxiety in children and adolescents—developmental aspects and cross‐generational influences

Do single‐case experimental designs lead to randomised controlled trials of cognitive behavioural therapy interventions for adolescent anxiety and related disorders recommended in the National Institute of Clinical Excellence guidelines? A systematic review

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