Cognitive–behavioral therapy for youth anxiety: An effectiveness evaluation in community practice.

Villabø, Marianne A.; Narayanan, Martina K.; Compton, Scott N.; Kendall, Phillip C.; Neumer, Simon-Peter

doi:10.1037/ccp0000326

Cited by 49 publications

(42 citation statements)

References 54 publications

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“…Although there was some initial hesitancy, the therapists were accepting of the approach and were reliable in their implementation. In addition, the outcomes (reduced youth anxiety) were comparable to the effects found in research clinics (Villabo et al, 2017). These studies provide evidence that community therapists can successfully be trained in a manual-based treatment, and that outcomes are favorable.…”

Section: Strengths Of Evidence-based Protocolssupporting

confidence: 67%

Implementing evidence‐based treatment protocols: Flexibility within fidelity.

Kendall

Frank

2018

Clinical Psychology: Science and Practice

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Efficacious psychological treatments exist for a variety of mental health conditions, but many who could benefit from these treatments do not receive them. Increasing efforts have been made to disseminate effective protocols, and several approaches for implementing such treatments have been proposed, including the use of protocols, principles, practices, and policies. We discuss the relative merits of disseminating protocols, and highlight the importance of employing flexibility within fidelity. We describe the benefits of using protocols, including their empirical support, guidance for decision making, and structure to facilitate training and enhance treatment integrity. We also address several criticisms that have been offered against protocols, citing data that indicates that many of the criticisms are not warranted.

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Section: Strengths Of Evidence-based Protocolssupporting

confidence: 67%

Implementing evidence‐based treatment protocols: Flexibility within fidelity.

Kendall

Frank

2018

Clinical Psychology: Science and Practice

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“…Although the treatment led to a substantial reduction in public speaking anxiety, the lack of a control group renders results difficult to interpret. Future studies need to compare VRET with evidence-based treatment for social anxiety in youth [67,68]. There is also a clear need for studies investigating the effects of virtual reality in the elderly with SAD [69].…”

Section: Future Directionsmentioning

confidence: 99%

Virtual Reality Therapy in Social Anxiety Disorder

Emmelkamp

Meyerbröker

Morina

2020

Curr Psychiatry Rep

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Purpose of Review This review provides an overview of current methods and important aspects to consider when applying virtual worlds in the treatment of social anxiety disorder (SAD). Recent Findings Different aspects such as dialogs between avatars and patients have been investigated as well as virtual audiences, emotional facial expression, and verbal interaction with avatars. Results of these studies are promising. Few randomized controlled trials (RCTs) have investigated the efficacy of virtual reality exposure therapy (VRET) in SAD. Unfortunately, most RCTs into the efficacy of VRET in comparison with exposure in vivo in SAD have been conducted with a combination of cognitive interventions and VRET. No differences between these conditions were found, but the pure effect of VRET as a standalone treatment has only been investigated in one RCT, wherein VRET was not superior to exposure in vivo. Summary Current research into different facets of SAD and VRET has produced promising results with respect to technological aspects. No differences in efficacy between cognitive behavior therapy and VRET were found, but there is a clear need for studies investigating the efficacy of VRET as a stand-alone treatment and the therapeutic processes involved before this therapy can be disseminated in routine clinical practice.

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“…Ten published articles were included in the review. These RCTs evaluated a range of formats of CBT, including three of individual CBT (Barrett et al, 1996;Silk et al, 2018;Suveg et al, 2018), two of group CBT (Arendt et al, 2016;Shortt et al, 2001), two of individual or group CBT (Villabo et al, 2018;Wergeland et al, 2014;Wergeland et al, 2016), two of parent-delivered CBT (Creswell et al, 2017;Thirlwall et al, 2013;Thirlwall et al, 2017), and one of internetdelivered CBT (Stjerneklar et al, 2019). Sessions varied in length from 20 min telephone calls (30 min online sessions) in Stjerneklar et al (2019) to 2 hours (Arendt et al, 2016), with an average session length of 59 min (SD = 33.71) across the seven studies which reported this information.…”

Section: Study Characteristicsmentioning

confidence: 99%

Are young people with primary social anxiety disorder less likely to recover following generic CBT compared to young people with other primary anxiety disorders? A systematic review and meta-analysis

Evans

Clark

Leigh

2020

Behav. Cogn. Psychother.

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Background: Social anxiety disorder (SoAD) in youth is often treated with a generic form of cognitive behavioural therapy (CBT). Some studies have suggested that primary SoAD is associated with lower recovery rates following generic CBT compared with other anxiety disorders. Aims: This systematic review and meta-analysis investigated recovery rates following generic CBT for youth with primary SoAD versus other primary anxiety disorders. Method: Five databases (PsycINFO, Web of Science, PubMed, Embase, Medline) were searched for randomised controlled trials of generic CBT for child and/or adolescent anxiety. Results: Ten trials met criteria for inclusion in the systematic review, six of which presented sufficient data for inclusion in the meta-analysis. Sixty-seven did not report data on recovery rates relative to primary diagnosis. While most individual studies included in the systematic review were not sufficiently powered to detect a difference in recovery rates between diagnoses, there was a pattern of lower recovery rates for youth with primary SoAD. Across the trials included in the meta-analysis, the post-CBT recovery rate from primary SoAD (35%) was significantly lower than the recovery rate from other primary anxiety disorders (54%). Conclusions: Recovery from primary SoAD is significantly less likely than recovery from any other primary anxiety disorder following generic CBT in youth. This suggests a need for research to enhance the efficacy of CBT for youth SoAD.

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Cognitive–behavioral therapy for youth anxiety: An effectiveness evaluation in community practice.

Cited by 49 publications

References 54 publications

Implementing evidence‐based treatment protocols: Flexibility within fidelity.

Implementing evidence‐based treatment protocols: Flexibility within fidelity.

Virtual Reality Therapy in Social Anxiety Disorder

Are young people with primary social anxiety disorder less likely to recover following generic CBT compared to young people with other primary anxiety disorders? A systematic review and meta-analysis

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