Anxiety disorders in children: A multiple-baseline evaluation of a cognitive-behavioral treatment

Kane, Martha; Kendall, Philip C.

doi:10.1016/s0005-7894(89)80129-7

Cited by 93 publications

(42 citation statements)

References 9 publications

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“…The earliest were carried out by Kane and Kendall (1989) and Silverman (1993, 1999) and involved 15-20 sessions of CBT (as described above) delivered in either prescriptive or non-prescriptive formats, to a total of 12 youth aged 6-15 years with either primary or secondary diagnoses of GAD/OAD. Treatment brought about significant symptom reductions with approximately 50% losing their diagnosis with all gains maintained at 3-6 month follow-up.…”

Section: Introductionmentioning

confidence: 99%

A Pilot Investigation of Cognitive Therapy for Generalized Anxiety Disorder in Children Aged 7–17 Years

2010

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The development of treatments based on cognitive models of worry has led to improved outcomes for adults with Generalized Anxiety Disorder (GAD), and holds out the promise that similar improvements may be achieved for GAD further down the age range. The aim of the current study was to evaluate the effect of a GADspecific, cognitive treatment in a sample of children and adolescents with GAD. Sixteen youth (7-17 years of age) who were consecutive referrals to a specialty anxiety disorders clinic, with a primary diagnosis of DSM-IV GAD, and who were not undergoing concurrent pharmacological treatment for anxiety were provided 5 to 15 session (mean = 9.7) of cognitive therapy aimed at their tolerance for uncertainty, beliefs about worry, negative problem orientation, and cognitive avoidance strategies. All participants who entered the study completed treatment and 13 (81%) lost their GAD diagnosis (not blindly assessed); two were improved but still had GAD and one experienced no improvement at all. Age, gender and number of sessions received were unrelated to diagnostic outcome but age was positively correlated (r = 0.6, P \ .01) with pre-to-post reductions in worry frequency. The uncontrolled effect size for self-reported worry was 2.0 and for anxiety was 1.4. Further controlled evaluations of this cognitive treatment for GAD in children and adolescents are warranted.

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Section: Introductionmentioning

confidence: 99%

A Pilot Investigation of Cognitive Therapy for Generalized Anxiety Disorder in Children Aged 7–17 Years

2010

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“…Validity and reliability are excellent (Achenbach & Rescorla, 2001), and extensive normative data are available for children ranging from 6 to 18. Furthermore, the CBCL/4-18 (Achenbach, 1991;Achenbach & Edelbrock, 1983), the predecessor of the CBCL/6-18, has been used in numerous RCTs to reduce youth anxiety (e.g., Barrett, 1998;Barrett et al, 1996;Cobham et al, 1998;Cohen & Mannarino, 1996;Deblinger, McLeer, & Henry, 1990;Kane & Kendall, 1989;Kendall, 1994;Kendall et al, 1997;King et al, 1998;Silverman et al, 1999).…”

Section: Methodsmentioning

confidence: 99%

Differential Sequencing of Cognitive-Behavioral Techniques for Reducing Child and Adolescent Anxiety

Nakamura¹,

Pestle²,

Chorpita³

2009

J Cogn Psychother

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Treatment outcome research has rarely allowed investigators to declare how or why therapeutic techniques work. As an initial step to understand such change processes, the current study investigated the timing of positive changes typically achieved during a course of cognitive-behavioral therapy for anxiety reduction. Using an interaction element multiplebaseline design across four children ( N = 4) diagnosed with selected anxiety disorders, anxiety levels, cognitive errors, and treatment outcome were repeatedly assessed as children progressed through four a priori determined treatment sequences. Results varied across reporters, dependent variables, and the order in which each treatment technique was delivered. Child-reported trends were slightly clearer than those reported by parents and suggested that exposure was a key element for triggering some (but not all) positive changes after completing self-monitoring and psychoeducation techniques.

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“…The DSM-III was the first official nomenclature that included operationalized diagnostic criteria and a wide range of disorders that can be diagnosed in the preadult years. There have been recent studies of youths with particular cliagnoses, including major depressive disorder (e.g., Lewinsohn, Clarke, Hops, & Andrews, 1990), overanxious disorder of ehildhood (Kane & Kendall, 1989), and attention deficit disorder with hyperaetivity (Brown, Wynne, & Medenis, 1985). But as of a few years ago, less than 15% of the studies used the DSM-III or DSM-III-R (Kazdin et al, 1990), suggesting that psychiatric diagnosis has not been accepted as a way to ensure sample homogeneity.…”

Section: Types Of Patients Being Treatedmentioning

confidence: 99%

Research on psychotherapy with children and adolescents: An overview of evolving trends and current issues

Kovács

1995

J Abnorm Child Psychol

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We present a broad overview of research on psychotherapy with children and adolescents, with a focus on dimensions along which progress has been made over the past 35 years. Research in this area has been increasingly characterized by the utilization of a greater variety of and more focused and better specified interventions, with increasingly homogenous samples of clients or patients, using methodologically more stringent approaches. The general consensus in the field is that psychotherapy is effective with younger age groups, as compared to no treatment. However, such a conclusion has to be qualified because of the dearth of studies on clinically referred youths, traditional therapies, and modes of treatment other than individual therapy. Several other issues also require further attention in research, including the need for more comprehensive or novel conceptualizations of juvenile-onset psychopathology to inform treatment efforts. Consideration also should be given to having parents more consistently involved in their children's therapy, integrating the developmental literature and the design of new interventions, and developing and testing therapies for youths with special needs.

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Anxiety disorders in children: A multiple-baseline evaluation of a cognitive-behavioral treatment

Cited by 93 publications

References 9 publications

A Pilot Investigation of Cognitive Therapy for Generalized Anxiety Disorder in Children Aged 7–17 Years

A Pilot Investigation of Cognitive Therapy for Generalized Anxiety Disorder in Children Aged 7–17 Years

Differential Sequencing of Cognitive-Behavioral Techniques for Reducing Child and Adolescent Anxiety

Research on psychotherapy with children and adolescents: An overview of evolving trends and current issues

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