Cognitive behavioral and attachment based family therapy for anxious adolescents: Phase I and II studies

Siqueland, Lynne; Rynn, Moira A.; Diamond, Guy

doi:10.1016/j.janxdis.2004.04.006

Cited by 121 publications

(92 citation statements)

References 60 publications

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“…This may indicate that changes in the adolescents are better assimilated when the family participates in treatment as well; larger sample sizes are required to further validate these findings. Overall positive change was sustained through these integrated family approaches in these studies (Diamond et al, 2010;Liddle et al, 2008;Liddle et al, 2009;Siqueland et al, 2005). Based on these findings, the importance of family involvement in adolescent treatment is clear.…”

Section: Impact Of Family Involvementmentioning

confidence: 55%

“…Diamond et al (2010) found that in a randomized controlled study of 66 adolescents, 12-17 years old, identified in primary care and emergency departments with suicidal ideation, ABFT was more successful than enhanced usual care in reducing suicidal ideation and depressive symptoms in adolescents. Siqueland, Rynn & Diamond (2005) found in a randomized study of 11 adolescents assigned to either CBT or CBT/ABFT groups, significant decreases in anxiety and depressive symptoms were reported by both the clinical evaluator and the adolescent with no significant differences by treatment. However, in the CBT/ABFT group, decreases in psychological control were found, whereas adolescents in CBT report increases in this factor.…”

Section: Impact Of Family Involvementmentioning

confidence: 90%

See 1 more Smart Citation

Outdoor Behavioral Healthcare: Its Impact on Family Functioning

Tucker¹,

Paul²,

Hobson³

et al. 2016

JTSP

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The use of Outdoor Behavioral Healthcare (OBH) as a viable treatment modality for adolescents with behavioral, emotional, and substance use issues has been gaining increased attention. This research builds upon the literature by utilizing a longitudinal study to explore clinical changes, measured using the Youth Outcome Questionnaire (YOQ), and changes in family functioning as measured by the general functioning scale of the Family Assessment Device (FAD). Both clinically and statistically significant positive results with youth, mothers, and fathers at points of intake, discharge, and six months post discharge were found; however, parent and youth reports differed especially at six months post discharge. In addition, regression analyses showed that mothers and youth were more aligned than fathers in their perceptions of changes in family functioning post OBH treatment. This research fills a gap in the behavioral healthcare literature concerning the outcomes of using wilderness therapy and their association with family involvement in maintaining clinical change and improved family functioning.

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Section: Impact Of Family Involvementmentioning

confidence: 55%

Section: Impact Of Family Involvementmentioning

confidence: 90%

Outdoor Behavioral Healthcare: Its Impact on Family Functioning

Tucker¹,

Paul²,

Hobson³

et al. 2016

JTSP

View full text Add to dashboard Cite

show abstract

“…Thus far, there is some evidence suggesting that ABFT can be meaningfully applied to anxiety problems (e.g. Siqueland et al 2005). Nevertheless, for other problems such as externalizing behaviour problems, it could prove necessary to adjust this approach to the specific characteristics of each unique problem.…”

Section: Adding Attachment-focused Intervention Strategies To Traditimentioning

confidence: 99%

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Bosmans

2016

Clin Child Fam Psychol Rev

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Meta-analyses consistently demonstrate that cognitive behaviour therapy (CBT) provides effective evidence-based treatment for children and adolescents with emotional and behaviour problems. Also consistent across meta-analyses is the observation that CBT treatment effects are often medium in size. This observation has instigated a search for factors that could help explain the limited treatment effects and that could be focused upon to enhance CBT treatment outcomes. The current qualitative review focuses on the parent-child attachment relationship as one factor that could be relevant to enhance CBT treatment effects. This review first acknowledges reasons why CBT has historically not been attracted to attachment theory and its postulates. Second, recent evidence is examined to evaluate whether attachment can be approached from a cognitive schema perspective. Subsequently, research is described showing how restoring attachment relationships could result in large treatment effects. Finally, this evidence is integrated in a model of attachment assessment and intervention that might be compatible with CBT. In sum, this review suggests that restoring trust in insecure parent-child attachment relationships can be integrated within CBT and could contribute to its treatment outcomes.Cognitive behaviour therapy (CBT) is one of the most clearly conceptualized and best-studied therapeutic approaches for treating children and adolescents (e.g. Seligman and Ollendick 2011). Years of research confirm the positive effects of CBT and demonstrate significant reductions in a variety of child and adolescent emotional and behavioural problems (Hofmann et al. 2012). Part of the strength of CBT is its dynamic nature and flexibility to addressing these problems. Consequently, during the past decades, CBT with adults has broadened its treatment emphasis from focusing solely on changing behaviour, to focusing on challenging maladaptive cognitions, and, more recently, to accepting existential emotional distress (e.g. De Houwer et al. 2016). CBT for children and adolescents has roughly followed these developments and benefited from them. This is illustrated by the increasing number of meta-analyses that confirm that CBT provides an effective treatment for a plethora of child and adolescent internalizing and externalizing behaviour problems (e.g. Reynolds et al. 2012).However, meta-analyses also suggest that effect sizes often remain small to medium in size (e.g. Cuijpers et al. 2006;Kazdin 1995;Klein et al. 2007;Reynolds et al. 2012;Silverman et al. 2008;Weisz et al. 2006;Weisz et al. 2013) and that relapse rates following treatment are quite high (e.g. 30-50 % for mood disorders, Lewinsohn et al. 1990;Brent et al. 1999). This suggests that CBT for children and adolescents might benefit from a new conceptualization and expansion of treatment goals. The current literature review aims at providing arguments that one such expansion could be restoring attachment relationships. This paper will discuss the main components of tradition...

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“…For example, AttachmentBased Family Therapy (ABFT) promotes child autonomy and individuation from parents through altering parenting factors, such as overprotection and parent-child communication style (Siqueland, Rynn, & Diamond, 2005).…”

Section: Family-based Treatmentmentioning

confidence: 99%

“…In a preliminary investigation, Siqueland et al (2005) compared ABFT to traditional CBT for adolescents aged 12-17 years. Eleven adolescents with primary diagnoses of GAD, SAD, or social phobia and their families were randomly assigned to either ABFT/CBT or CBT treatment.…”

Section: Family-based Treatmentmentioning

confidence: 99%