Group and Individual Cognitive-Behavioral Therapy for Childhood Anxiety Disorders: A Randomized Trial

Manassis, Katharina; Mendlowitz, Sandra; Scapillato, Donna; Avery, David; Fiksenbaum, Lisa; Freire, Marlinda; Monga, Suneeta; Owens, Mary

doi:10.1097/00004583-200212000-00013

Cited by 261 publications

(195 citation statements)

References 29 publications

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“…However, the relatively small number of participants who were available for assessment at follow-up precludes strong interpretations of this finding. The present results are consistent with a study by Manassis et al (2002), who found comparable efficacy of group and individual CBT in a mixed sample of 9-12 year old children with various anxiety disorders.Despite the apparently encouraging findings, careful examination of the results suggests that more sobering conclusions are in order. Although improved, most participants nevertheless remained symptomatic at post-treatment.…”

supporting

confidence: 93%

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Herbert

Gaudiano

Rheingold

et al. 2009

Journal of Anxiety Disorders

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Early identification and treatment of social anxiety disorder (SAD) is critical to prevent development of a chronic course of symptoms, persistent functional impairment, and progressive psychiatric comorbidity. A small but growing literature supports the effectiveness of cognitive behavior therapy (CBT) for anxiety disorders, including SAD, in adolescence. The present randomized controlled trial evaluated the efficacy of group vs. individual CBT for adolescents with generalized SAD in relation to an educational/supportive psychotherapy that did not contain specific CBT elements. All three treatments were associated with significant reductions in symptoms and functional impairment, and in improved social skills. No differences between treatments emerged on measures of symptoms, but the CBT conditions demonstrated greater gains on behavioral measures. The implications of the findings are discussed. KeywordsSocial anxiety disorder; adolescence; social phobia; cognitive behavior therapy Address correspondence to: James D. Herbert, Department of Psychology, Drexel University, Mail Stop 988, 245 N. 15 th Street, Philadelphia, PA 19102-1192 or via james.herbert@drexel.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptSocial anxiety disorder (SAD), also known as social phobia, is characterized by a marked and persistent fear and/or avoidance of social situations in which one fears being negatively evaluated by others or being subjected to embarrassment (American Psychiatric Association, 2000). SAD is divided into two subtypes: generalized and non-generalized. Individuals with generalized SAD experience anxiety across most social situations, whereas those with the non-generalized subtype fear a specific social or performance situation (Hofmann, Albano, Heimberg, Tracey, Chorpita, & Barlow, 1999). SAD is widely believed to be among the most prevalent of psychiatric conditions, although most individuals with the disorder are never identified and do not obtain treatment (Chavira, Stein, Bailey, & Stein 2004;Kessler et al., 1994). Without treatment, SAD tends to follow a chronic, unremitting course. Onset is typically in the early teens, with a mean onset of 15.5 years (Schneier, Johnson, Hornig, Liebowitz, & Weissman, 1992). Although the vast majority of research on SAD has focused on adults, the early onset, chronicity, high levels of comorbidity, and substantial distress and functional impairment associated with the disorder highlight the critical importance of effective early ass...

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supporting

confidence: 93%

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Herbert

Gaudiano

Rheingold

et al. 2009

Journal of Anxiety Disorders

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“…Compton and colleagues hypothesized that this may have been due to the fact that the CBT in the Child=Adolescent Anxiety Multimodal Study trial was all individual format and that youth with social anxiety disorder may benefit from group CBT. However, Manassis et al (2002) found that individual CBT was more effective for youth with social anxiety disorder than group CBT. Taken together, these findings suggest that social anxiety disorder may be one of the more pernicious of the anxiety disorders to treat and that treatment format may not be as important as treatment intensity and duration.…”

Section: Mediators and Moderators Of Treatment Outcomementioning

confidence: 94%

Evidence Base Update: 50 Years of Research on Treatment for Child and Adolescent Anxiety

Higa-McMillan

Francis

Rith-Najarian

et al. 2015

Journal of Clinical Child & Adolescent Psychology

444

240

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“…3 Several randomized controlled trials 4 have demonstrated that 50% to 70% of children with anxiety disorders are free of their primary anxiety diagnosis after cognitive-behavioral therapy (CBT). 5 A substantial minority of children with anxiety disorders, however, does not show a clinically significant improvement after CBT.…”

mentioning

confidence: 99%

Threat-Related Selective Attention Predicts Treatment Success in Childhood Anxiety Disorders

Legerstee

Tulen

Kallen

et al. 2009

Journal of the American Academy of Child & Adolescent Psych

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Objective: The present study examined whether threat-related selective attention was predictive of treatment success in children with anxiety disorders and whether age moderated this association. Specific components of selective attention were examined in treatment responders and nonresponders. Method: Participants consisted of 131 children with anxiety disorders (aged 8Y16 years), who received standardized cognitive-behavioral therapy. At pretreatment, a pictorial dotprobe task was administered to assess selective attention. Both at pretreatment and posttreatment, diagnostic status of the children was evaluated with a semistructured clinical interview (the Anxiety Disorders Interview Schedule for Children).Results: Selective attention for severely threatening pictures at pretreatment assessment was predictive of treatment success. Examination of the specific components of selective attention revealed that nonresponders showed difficulties to disengage their attention away from severe threat. Treatment responders showed a tendency not to engage their attention toward severe threat. Age was not associated with selective attention and treatment success. Conclusions: Threatrelated selective attention is a significant predictor of treatment success in children with anxiety disorders. Clinically anxious children with difficulties disengaging their attention away from severe threat profit less from cognitive-behavioral

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Group and Individual Cognitive-Behavioral Therapy for Childhood Anxiety Disorders: A Randomized Trial

Cited by 261 publications

References 29 publications

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial

Evidence Base Update: 50 Years of Research on Treatment for Child and Adolescent Anxiety

Threat-Related Selective Attention Predicts Treatment Success in Childhood Anxiety Disorders

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