Predicting Who Benefits Most From Cognitive-Behavioral Therapy for Anxiety and Depression

Renaud, Jesse; Russell, Jennifer J.; Myhr, Gail

doi:10.1002/jclp.22099

Cited by 26 publications

(19 citation statements)

References 15 publications

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“…Practical barriers to treatment include lack of accessibility of appropriate services, costs, time off from school or extracurricular activities, mental health literacy, and stigma associated with receiving psychotherapy (Booth et al, 2004; Meredith et al, 2009; Owens et al, 2002; Warfield & Gulley, 2006). Even when individuals are willing to participate, CBT may not be suitable if children have difficulty identifying and articulating internal experiences (Renaud, Russell, & Myhr, 2014). These limitations highlight the need for additional therapeutic approaches for youth who either do not present for treatment or do not sufficiently benefit from currently available interventions.…”

Section: Clinical Interventions For Pediatric Anxiety Disordersmentioning

confidence: 99%

Family Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment

Norman

Silverman

Lebowitz

2015

Child Adoles Psych Nursing

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TOPIC-Anxiety disorders are the most common mental health concern for youth. Unfortunately, a substantial number of children and adolescents do not respond positively to current evidencebased interventions and/or relapse. As pediatric anxiety disorders are fundamentally a systemic phenomenon, focusing on the ways in which parents become involved in their children's anxiety symptoms may be a promising alternative approach to treatment.PURPOSE-To inform psychiatric mental health nurse practitioners (PMHNPs) about the phenomenology, associated neurobiology, and assessment of family accommodation (FA) as well as clinical interventions targeting FA. FA refers to ways that parents adapt their own behaviors to reduce their children's anxiety-related distress.SOURCES USED-A literature search was performed using Psyc-INFO and PubMed.CONCLUSIONS-Current findings indicate a high prevalence of FA associated with pediatric anxiety disorders. FA has a potentially deleterious impact on course of illness and treatment response and is associated with greater caregiver burden. Potential neurobiological underpinnings of FA include dysregulation of parent cortico-limbic circuitry and the oxytocinergic system. PMHNPs are in a unique position to identify families engaged in problematic FA, educate their clientele, provide psychotherapy services with the goal of reducing FA, and consult with multidisciplinary team members. Search termsAssessment; family accommodation; neurobiology; nursing; oxytocin; pediatric anxiety disorder; treatment Anxiety disorders are the most common mental health concern for children and adolescents, with lifetime prevalence estimates ranging upwards of 30% (Costello, Egger, & Angold, 2005;Merikangas et al., 2010 ). Pediatric anxiety disorders are chronic illnesses and are often associated with physical health concerns (Gandhi, Cheek, & Campo, 2012). They significantly impair the functioning of youth and burden families (Keller et al., 1992).Correspondence to: Eli R. Lebowitz, eli.lebowitz@yale.edu. Conflict of interest statement: KRN and WKS declare that they have no conflicts of interest. HHS Public AccessAuthor manuscript J Child Adolesc Psychiatr Nurs. Author manuscript; available in PMC 2016 August 04. Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptPsychiatric mental health nurse practitioners (PMHNPs) are in a valuable position to be agents of positive change, working at the crossroads of medicine, mental health, youth, and their families. In the current paper, we aim to discuss the need for additional treatments for youth with anxiety disorders, introduce family accommodation (FA) and its role in pediatric anxiety, and present potential neurobiological systems involved in FA. We will conclude with the assessment of FA and its modification through parent-based interventions. Our goal is not to be comprehensive, but to provide an overview of the topic and discuss the implications for PMHNPs. Clinical Interventions for Pediatric Anxiety DisordersFrontline interventions for ...

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Section: Clinical Interventions For Pediatric Anxiety Disordersmentioning

confidence: 99%

Family Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment

Norman

Silverman

Lebowitz

2015

Child Adoles Psych Nursing

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“…Seminal work by Safran et al (1993) concluded that patients most likely to benefit from short-term psychological interventions would have mild to moderate short-lived problems, a solution-focused stance, optimism and motivation to change, good insight into their thoughts and feelings as well as the ability to discriminate between these, and the capacity for reciprocity. Their work informed development of the Suitability for Short-Term Cognitive Therapy Rating Scale (SRS), and a handful of studies have reported significant associations between this and CBT outcomes in adults with depression or anxiety (Myhr et al 2007;Renaud et al 2014).…”

Section: Introductionmentioning

confidence: 99%

How to Optimise Cognitive Behaviour Therapy (CBT) for People with Autism Spectrum Disorders (ASD): A Delphi Study

Spain

Happé

2019

J Rat-Emo Cognitive-Behav Ther

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“…Our study targeted two of the four skills of the SSCT scale that are associated with capacity for participation in CBT and are predictive of therapy outcome for anxiety and depression: accessibility of automatic thoughts and awareness and differentiation of emotions (Renaud, Russell, & Myhr, 2014).…”

Section: Introductionmentioning

confidence: 99%

Using computers to teach people with intellectual disabilities to perform some of the tasks used within cognitive behavioural therapy: A randomised experiment

Vereenooghe

Gega

Reynolds

et al. 2016

Behaviour Research and Therapy

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full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP url' above for details on accessing the published version and note that access may require a subscription. Results: Training significantly improved ability to discriminate between behaviours, thoughts and feelings pooled together, compared to the attention-control condition, even when controlling for baseline scores and IQ. Large within-group improvements in the ability to identify behaviours and feelings were observed for the training condition, but not the attention-control group. There were no significant between-group differences in ability to identify thoughts, or on cognitive mediation skills. Conclusions:A single session of computerised training can improve the ability of people with IDs to understand and practise CBT tasks relating to behaviours and feelings. There is potential for computerised training to be used as a "primer" for CBT with people with IDs to improve engagement and outcomes, but further development on a specific computerised cognitive mediation tasks is needed.

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Predicting Who Benefits Most From Cognitive-Behavioral Therapy for Anxiety and Depression

Abstract: These findings highlight the importance of assessing the suitability of CBT for individual patients. Specifically, patients with greater capacity to identify and articulate thoughts and feelings and to share them in a nondefensive, focused way benefit most from CBT.

Cited by 26 publications

References 15 publications

Family Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment

Family Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment

How to Optimise Cognitive Behaviour Therapy (CBT) for People with Autism Spectrum Disorders (ASD): A Delphi Study

Using computers to teach people with intellectual disabilities to perform some of the tasks used within cognitive behavioural therapy: A randomised experiment

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