Anxious Children and Adolescents Non‐responding to CBT: Clinical Predictors and Families' Experiences of Therapy

Lundkvist-Houndoumadi, Irene; Thastum, Mikael

doi:10.1002/cpp.1982

Cited by 39 publications

(18 citation statements)

References 48 publications

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“…However, a number of studies have shown that outcomes from generic CBT are less good for young people with SAD compared to those with other anxiety disorders. Young people (mixed child and adolescent samples) with SAD are significantly less likely to lose their diagnosis of SAD after treatment compared with young people with other anxiety diagnoses (Crawley et al 2008 ; Ginsburg et al 2011 ; Hudson et al 2015a , b ; Lundkvist-Houndoumadi and Thastum 2017 ; Kodal et al 2018 ).…”

Section: Current Treatments For Social Anxiety Disorder In Adolescentmentioning

confidence: 99%

Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995)

Leigh

Clark

2018

Clin Child Fam Psychol Rev

166

121

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Social anxiety disorder is a condition characterised by a marked and persistent fear of being humiliated or scrutinised by others. Age-of-onset data point to adolescence as a developmentally sensitive period for the emergence of the condition, at a time when the peer group becomes increasingly important. Social anxiety in adolescence is associated with considerable impairment that persists through to adulthood. There are clear potential benefits to delivering effective interventions during adolescence. However, there is limited evidence on the specific efficacy of available therapies. This is in contrast to adults, for whom we have interventions with very specific treatment effects. One such treatment is individual cognitive therapy. Cognitive therapy is based on the cognitive model of social anxiety proposed by Clark and Wells (in: Heimberg, Leibowitz, Hope, Scheiber (eds) Social phobia: diagnosis, assessment and treatment, The Guilford Press, New York, 1995). The present review examines the potential application of this adult cognitive model to the understanding of adolescent social anxiety and considers additional adolescent-specific factors that need to be accommodated. It is suggested that a developmentally sensitive adoption of the cognitive model of social anxiety disorder (Clark and Wells 1995) for adolescents may lead to better treatment outcomes.

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Section: Current Treatments For Social Anxiety Disorder In Adolescentmentioning

confidence: 99%

Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995)

Leigh

Clark

2018

Clin Child Fam Psychol Rev

166

121

View full text Add to dashboard Cite

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“…Cooccurring problems in youth are associated with academic problems, relationship difficulties, and higher rates of suicide attempts and completions (Cummings et al 2014). Youth with co-occurring problems also have greater severity of disorders, poorer prognoses, increased treatment challenges, and greater unmet needs for treatment compared to individuals with either type of disorder alone (Cummings et al 2014;Lundkvist-Houndoumadi and Thastum 2017;Urbanoski et al, 2007). Nevertheless, very little is known about this group with respect to the nature of the care these youth receive.…”

Section: Introductionmentioning

confidence: 99%

Substance use and internalizing symptoms among high school students and access to health care services: results from a population-based study

Cheung

Cook

Kozloff

et al. 2018

Can J Public Health

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Objectives To examine co-occurring mental health problems among a population-based sample of high school students in Ontario, Canada, to understand their prevalence, associated risk factors, and relationship with mental health service access and utilization. Methods The data were derived from the 2013 Ontario Student Drug Use and Health Survey, a biennial survey of students attending publicly funded Ontario schools, from a subsample of students who completed both the internalizing and substance use portions of the survey (n = 2945). Rates of co-occurring problems were calculated for the previous 12 months. Service use for students with co-occurring problems was also calculated for the past 12 months. Odds ratios were estimated using binary logistic regression models correcting for the survey design. Results In an adjusted model, youth with internalizing symptoms were 2.40 times more likely and youth with substance use problems were 2.24 times more likely to have accessed mental health services during the past 12 months than youth without these problems. Youth with co-occurring internalizing and substance use problems were 6.74 times more likely (95% CI 4.66-9.76, p < 0.001) to have accessed mental health services during the past year compared with youth without co-occurring problems, but only 52.8% of youth with co-occurring problems (95% CI 45.6-59.9%) used mental health services. Conclusions The findings suggest that just over half of Ontario students in grades 9 through 12 who have co-occurring internalizing and substance use problems are utilizing mental health services. Further research should examine the factors related to service use in this population in order to better inform policy and program development.

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“…Generic CBT programs for children and adolescents struggling with anxiety disorders have shown substantial effects for other anxiety disorders [5, 46]. However, recent studies indicate that adolescents with SAD have poorer outcomes following generic treatment compared to adolescents struggling with other anxiety disorders like generalized anxiety, separation anxiety, specific phobia, or obsessive compulsive disorder [26, 31, 33, 46].…”

Section: Introductionmentioning

confidence: 99%

A disorder-specific group cognitive behavior therapy for social anxiety disorder in adolescents: study protocol for a randomized controlled study

Lassen

Hougaard

Arendt

et al. 2019

Trials

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BackgroundSocial anxiety disorder (SAD) is a common disorder in adolescence associated with extensive distress and long-term impairment. Generic cognitive behavior therapy (CBT) programs for anxiety disorders have shown poorer outcomes for adolescents with SAD than for other anxiety disorders.AimThe aim of the present study is to investigate the efficacy of a disorder-specific group cognitive behavior therapy (G-CBT) program for youth SAD, the Cool Kids Anxiety Program - Social Enhanced (CK-E), developed at Macquarie University, Sidney, Australia.MethodsThe study is a randomized controlled trial comparing CK-E to a generic G-CBT program for anxiety disorders. Approximately 96 adolescents aged 12 to 17 years are included with data points at pre- and post-treatment, and at 3 months and 1 year follow-ups.DiscussionThe current study will provide more information about the efficacy of diagnosis-specific G-CBT treatment for youth SAD.Trial registrationClinicalTrials.gov, NCT03986827. Registered on 14 June 2019.

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Anxious Children and Adolescents Non‐responding to CBT: Clinical Predictors and Families' Experiences of Therapy

Cited by 39 publications

References 48 publications

Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995)

Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995)

Substance use and internalizing symptoms among high school students and access to health care services: results from a population-based study

A disorder-specific group cognitive behavior therapy for social anxiety disorder in adolescents: study protocol for a randomized controlled study

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