Cognitive‐Behavioral Group Treatments in Childhood Anxiety Disorders: The Role of Parental Involvement

Mendlowitz, Sandra; Manassis, Katharina; Bradley, Susan J.; Scapillato, Donna; Miezitis, Solveiga; Shaw, Brian

doi:10.1097/00004583-199910000-00010

Cited by 316 publications

(192 citation statements)

References 13 publications

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“…Fifty-five children, 8 -12 years of age, enrolled in a 12-week group-based cognitive behavioral therapy program ("Coping Bear"; a previously evaluated adaptation of Kendall's Coping Cat program [20,21]) were referred from a specialized outpatient anxiety disorders clinic at a tertiary care children's hospital to participate in the study. The clinic serves a large urban and suburban population.…”

Section: Participantsmentioning

confidence: 99%

Threat perception predicts cognitive behavioral therapy outcomes in anxious children

Manassis¹,

Hum²,

Lee³

et al. 2013

OJPsych

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Objective: Anxiety disorders of childhood are prevalent, debilitating conditions that do not always respond to existing treatments. Attentional biases towards threatening stimuli have been reported in anxious children and hypothesized to interfere with treatment response. Therefore, we examined such biases in children with anxiety disorders in relation to cognitive behavioral therapy (CBT) outcomes. Method: Thirty-eight children diagnosed with anxiety disorders in a specialized clinic (21 girls and 17 boys; age = 10.50 ± 1.11 years) and 36 unaffected community controls (19 girls and 17 boys; age = 10.20 ± 1.07 years) participated. Participants completed standardized questionnaire measures of anxiety and a probe position task (PPT) with facial cues. This task often reveals a response slowing effect related to threatening faces in vulnerable individuals. Children with anxiety disorders repeated these measures after completing CBT. Results: Groups did not differ in performance on the PPT, but angry/calm incongruent difference scores were significantly associated with self-reports of social anxiety and state anxiety. When controlling for pre-CBT anxiety levels, incongruent difference scores involving angry faces predicted post-CBT anxiety disorders index scores on the Multidimensional Anxiety Scale for Children. PPT scores did not change significantly with CBT. Conclusions: Attentional bias towards threat on the PPT task may predict response to CBT and appears linked to social anxiety. Interventions to ameliorate this bias merit further study, as they might improve treatment outcomes for anxious, especially socially anxious, children.

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Section: Participantsmentioning

confidence: 99%

Threat perception predicts cognitive behavioral therapy outcomes in anxious children

Manassis¹,

Hum²,

Lee³

et al. 2013

OJPsych

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“…A statistically significant pattern of anxiety reduction was found in all treatment outcome measures competed by both the youth and parent versions of the RCMAS and the child MASC questionnaires. These findings are consistent with past research studies that demonstrate the efficacy of both individual CBT (e.g., Kendall, 1994;Kendall 1997;Silverman et al, 2008) and parent involved CBT (e.g., Barrett, 1998, Cobham et al, 1998Mendlowitz et al, 1999;Heyne et al, 2002;Bogels & Siqueland, 2006).…”

Section: Summary Of Dissertation Findingssupporting

confidence: 91%

“…The addition of family/parental involvement, however, has demonstrated mixed results. Some studies have found that the incorporation of parental skills have enhanced outcome (e.g., Barrett, 1998;Cobham et al, 1998;Heyne et al, 2002;Mendlowitz et al, 1999), while others have not (e.g., Bögels & Siqueland, 2006;Nauta et al, 2003). Because of the inconsistency of findings, additional research is still needed to determine the efficacy of incorporating specific, streamlined parent components in CBT interventions.…”

Section: Summary Of Cbt With Parental Involvementmentioning

confidence: 99%

Individual Child Cognitive Behavioral Treatment versus Child-Parent Cognitive Behavioral Treatments for Anxiety Disorders in Children and Adolescents: Comparative Outcomes

Dahan¹

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“…Diversos outros estudos com diferentes modalidades de TCC, individual ou em grupo, com ou sem participação parental/familiar, também têm demonstrado a eficácia dessa intervenção psicoterápica no tratamento de crianças e adolescentes com transtornos de ansiedade (Flannery-Schroeder e Kendall, 2000;Barret, 1998;Silverman et al, 1999;Mendlowitz et al, 1999;Short et al, 2001;Manassis et al, 2002;Nauta et al, 2003;Wood et al, 2006). Uma metanálise recente (James et al, 2005), envolvendo 13 ensaios clínicos randomizados com 498 pacientes e 311 controles, demonstrou que a resposta à TCC para qualquer transtorno de ansiedade foi de 56% comparada com 28,2% para o grupo controle (RR: 0,6; IC de 95%: 0,53-0,69) e o número necessário para tratar (NNT) encontrado foi de 3 (IC de 95%: 2,5-4,5).…”

Section: Tratamento Psicoterápicounclassified

Tratamento do transtorno de ansiedade social em crianças e adolescentes

Isolan¹,

Pheula²,

Manfro³

2007

Rev. psiquiatr. clín.

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ResumoContexto: Transtorno de ansiedade social é um transtorno incapacitante e altamente prevalente em crianças e adolescentes ao longo da vida, de acordo com os critérios do DSM-IV, variando de 0,7% a 3,5%. Se não tratado, pode interferir no funcionamento emocional, social e escolar. Objetivos: Avaliar a evidência atual para a eficácia e efetividade de intervenções farmacológicas e psicoterápicas no tratamento do transtorno de ansiedade social na infância e na adolescência. Métodos: Pesquisas foram realizadas por meio do PubMed, Lilacs, PsycINFO e Cochrane Library até agosto de 2006 usando os termos "social anxiety disorder" OR "social phobia" AND "child*" AND "adolesc*". Resultados: Várias modalidades de tratamento, incluindo tratamentos psicoterápicos e farmacológicos, têm sido propostas para o tratamento desse transtorno. Terapia cognitivo-comportamental e farmacoterapia, principalmente com inibidores seletivos da recaptação de serotonina, são o tratamento de escolha para o transtorno de ansiedade social nessa idade. Conclusões: Embora vários tratamentos tenham sido propostos, estudos adicionais são necessários para melhorar os desfechos em crianças e adolescentes afetados com transtorno de ansiedade social. , L. et al. / Rev. Psiq. Clín. 34 (3); 125-132, 2007 Palavras-chave: Transtorno de ansiedade social, fobia social, crianças, adolescentes, tratamento. Isolan AbstractBackground: Social anxiety disorder is a debilitating, highly prevalent disorder in children and adolescents with lifetime prevalence rates, according to DSM-IV criteria, ranging from 0.7% to 3.5%. If left untreated, it can interfere with emotional, social, and school functioning. Objective: To evaluate the current evidence for efficacy and effectiveness of pharmacological and psychotherapeutic interventions in the treatment of social anxiety disorder in children and adolescents. Methods: Searches were undertaken through PubMed, Lilacs, PsycINFO and Cochrane Library until august 2006, using the terms "social anxiety disorder" OR "social phobia" AND "child*" AND "adolesc*". Results: Several treatment modalities, including psychotherapeutic and pharmacological treatments have been proposed for the treatment of this disorder. Cognitive-behavioral therapy and pharmacotherapy, mainly with selective serotonin reuptake inhibitors, are the treatments of choice for social anxiety disorder in this age. Conclusion: Although several treatments have been proposed, further studies are necessary to improve outcomes in affected children and adolescents with social anxiety disorder.

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Cognitive‐Behavioral Group Treatments in Childhood Anxiety Disorders: The Role of Parental Involvement

Cited by 316 publications

References 13 publications

Threat perception predicts cognitive behavioral therapy outcomes in anxious children

Threat perception predicts cognitive behavioral therapy outcomes in anxious children

Individual Child Cognitive Behavioral Treatment versus Child-Parent Cognitive Behavioral Treatments for Anxiety Disorders in Children and Adolescents: Comparative Outcomes

Tratamento do transtorno de ansiedade social em crianças e adolescentes

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