Separation Anxiety Disorder

Schneider, Silvia; Lavallee, Kristen L.

doi:10.1002/9781118315088.ch14

Cited by 7 publications

(5 citation statements)

References 49 publications

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“…Treatment was provided by therapists in post-graduate psychotherapy training. Therapists ( N = 54) had at least a master’s degree and a minimum of 1-year post-graduate full-time training in CBT, which included a minimum standard 2-day workshop in anxiety CBT, including training in using the applied manuals [ 32 , 33 ]. Therapists were instructed to conduct manual-based CBT to ensure that guideline-oriented, evidence-based CBT was implemented.…”

Section: Methodsmentioning

confidence: 99%

“…Supervision by licensed supervisors took place at least every 4th session to ensure treatment integrity. Children received either family-based CBT (Training for Separation Anxiety for Families [TAFF], 16 sessions, [ 32 ]), for children with a primary diagnosis of Separation AD (SepAD) ( n = 31; 14.6%), or child-focused CBT (Coping Cat [CC], 17 sessions, [ 33 ]), for children with any other primary AD. See online supplementary material at https://doi.org/10.1159/000537932 for details about both treatments.…”

Section: Methodsmentioning

confidence: 99%

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Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care for Youth with Anxiety Disorders

Krause,

Zhang,

Schneider

2024

Psychother Psychosom

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Introduction: This study examined the long-term effectiveness of cognitive behavioral therapy (CBT) (≥ 2 years after the end of therapy) in the routine care of youth (mean 11.95 years; SD = 3.04 years) with primary anxiety disorder (AD). Methods: Two hundred and ten children with any AD as a primary diagnosis and with any comorbidity were included in the “Kids Beating Anxiety (KibA)” clinical trial and received evidence-based CBT. Diagnoses, severity of diagnoses, and further dimensional outcome variables of symptoms and functioning were assessed before (baseline), after the last treatment session (POST), and at two follow-up (FU) assessments in the child and caregiver report: 6 months (6MONTHS-FU) and >2 years (mean 4.31; SD = 1.07 years) after the last treatment session (long-term FU). Results: At POST, 61.38% showed total remission of all and any ADs. At long-term FU, the remission rate was 63.64%. Compared to baseline, ratings of severity, anxiety, impairment/burden, and life quality improved significantly after CBT in child and caregiver report. All pre-post/FU improvements and global success ratings were stable in child (Pre-Post: Hedges’ g = 3.57; Pre-6MONTHS-FU: Hedges’ g = 3.43; Pre-LT-FU: Hedges’ g = 2.34) and caregiver report (Pre-Post: Hedges’ g = 2.00; Pre-6MONTHS-FU: Hedges’ g = 2.31; Pre-LT-FU: Hedges’ g = 2.31) across all POST- and FU-assessment points. Some outcomes showed further significant improvement, and no deterioration was found over the course of time. Effect sizes calculated in the present study correspond to, or even exceed, effect sizes reported in previous meta-analysis. Conclusions: Stable long-term effects of “KibA” CBT for youth with ADs, comparable to those results from efficacy studies, were achieved in a routine practice setting by applying treatment manuals tested in randomized controlled trials. These findings are remarkable, as the patient group studied here consisted of an age group within the main risk phase of developing further mental disorders, and therefore an increase in new-onset anxiety and further mental disorders would be expected over the long time span studied here.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care for Youth with Anxiety Disorders

Krause,

Zhang,

Schneider

2024

Psychother Psychosom

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“…It contains four psychoeducational sessions with the child, four psychoeducational sessions with the caregivers, followed by eight exposure sessions with the parents and the child. The content of the sessions includes psychoeducation, cognitive restructuring and exposure preparation for both children and parents, followed by intensive exposure in vivo, parent coaching for the improvement of their parenting skills through the exposure sessions and relapse prevention (Schneider, et al, 2011;Schneider & Lavallee, 2013). This is a relatively new program so, for the time being, its effectiveness is being supported from one randomise-waiting-list control trial which indicates its short-term efficacy (Schneider, et al, 2011).…”

Section: -Taff Programmentioning

confidence: 99%

“…This is a relatively new program so, for the time being, its effectiveness is being supported from one randomise-waiting-list control trial which indicates its short-term efficacy (Schneider, et al, 2011). The creators of the program are currently conducting a research which compares the TAFF intervention with child-focused therapy, and the initial data illustrate that the program is as effective as a general child-based intervention (Schneider & Lavallee, 2013).…”

Section: -Taff Programmentioning

confidence: 99%

“…The CBT effectiveness for a variety of anxiety disorders in youth is being supported from a growing body of studies (Kendall, 1994;Barrett, 1998;Weems & Carrion, 2003). Reviews and meta-analyses present CBT as an evidence-based method, illustrating that 68.9% of children diagnosed with an anxiety disorder are symptomfree after the treatment (Schneider & Lavallee, 2013). Specifically, individual forms of CBT appear to have superior performance over waiting list conditions and the treatment results seem to be maintained at one-year follow-up (Barrett, 1998).…”

Section: Introductionmentioning

confidence: 99%

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Cognitive Behavioral Interventions for Separation Anxiety in Youth

2024

JALHSS

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This research focuses on Separation Anxiety Disorder (SAD) in children and explores the effectiveness of Cognitive Behavioral Therapy (CBT) as a treatment approach. The study presents a range of CBT interventions specifically designed to address SAD, supported by an in-depth case study of a client dealing with separation anxiety. It outlines the specific techniques and strategies used in delivering CBT for this particular case. Furthermore, the research highlights several distinct CBT treatments available for Separation Anxiety Disorder, including the Coping Cat Program, Child Anxiety Multi-Day Program (CAMP), Parent-Child Interaction Therapy (PCIT), and the TAFF Program. These programs incorporate various therapeutic components such as psychoeducation, cognitive restructuring, relaxation training, exposure therapy, and active involvement of parents or caregivers. By offering a comprehensive overview of different CBT interventions and their application in treating Separation Anxiety Disorder, this research contributes to the understanding and effective management of childhood distress. It emphasizes the importance of tailoring interventions to the developmental needs and cultural backgrounds of the affected children, while also considering individual and social factors that contribute to their symptoms. Additionally, the research underscores the significance of cautious implementation of exposure techniques, taking into account the child's medical condition and ensuring that anxiety levels remain manageable to prevent dropouts or excessive distress. This research provides valuable insights into the use of CBT for treating Separation Anxiety Disorder in children, highlighting various evidence-based interventions and emphasizing the need for a holistic and individualized approach to therapy.

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Trennungsangst

Schneider¹,

Blatter-Meunier²

2019

Lehrbuch Der Verhaltenstherapie, Band 3

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Separation Anxiety Disorder

Cited by 7 publications

References 49 publications

Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care for Youth with Anxiety Disorders

Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care for Youth with Anxiety Disorders

Cognitive Behavioral Interventions for Separation Anxiety in Youth

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