Cognitive-Behavioral Therapy for Anxiety Disorders in Youth

Seligman, Laura D.; Ollendick, Thomas H.

doi:10.1016/j.chc.2011.01.003

Cited by 202 publications

(113 citation statements)

References 104 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Seligman and Ollendick 2011). Years of research confirm the positive effects of CBT and demonstrate significant reductions in a variety of child and adolescent emotional and behavioural problems (Hofmann et al 2012).…”

mentioning

confidence: 89%

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Bosmans

2016

Clin Child Fam Psychol Rev

View full text Add to dashboard Cite

Meta-analyses consistently demonstrate that cognitive behaviour therapy (CBT) provides effective evidence-based treatment for children and adolescents with emotional and behaviour problems. Also consistent across meta-analyses is the observation that CBT treatment effects are often medium in size. This observation has instigated a search for factors that could help explain the limited treatment effects and that could be focused upon to enhance CBT treatment outcomes. The current qualitative review focuses on the parent-child attachment relationship as one factor that could be relevant to enhance CBT treatment effects. This review first acknowledges reasons why CBT has historically not been attracted to attachment theory and its postulates. Second, recent evidence is examined to evaluate whether attachment can be approached from a cognitive schema perspective. Subsequently, research is described showing how restoring attachment relationships could result in large treatment effects. Finally, this evidence is integrated in a model of attachment assessment and intervention that might be compatible with CBT. In sum, this review suggests that restoring trust in insecure parent-child attachment relationships can be integrated within CBT and could contribute to its treatment outcomes.Cognitive behaviour therapy (CBT) is one of the most clearly conceptualized and best-studied therapeutic approaches for treating children and adolescents (e.g. Seligman and Ollendick 2011). Years of research confirm the positive effects of CBT and demonstrate significant reductions in a variety of child and adolescent emotional and behavioural problems (Hofmann et al. 2012). Part of the strength of CBT is its dynamic nature and flexibility to addressing these problems. Consequently, during the past decades, CBT with adults has broadened its treatment emphasis from focusing solely on changing behaviour, to focusing on challenging maladaptive cognitions, and, more recently, to accepting existential emotional distress (e.g. De Houwer et al. 2016). CBT for children and adolescents has roughly followed these developments and benefited from them. This is illustrated by the increasing number of meta-analyses that confirm that CBT provides an effective treatment for a plethora of child and adolescent internalizing and externalizing behaviour problems (e.g. Reynolds et al. 2012).However, meta-analyses also suggest that effect sizes often remain small to medium in size (e.g. Cuijpers et al. 2006;Kazdin 1995;Klein et al. 2007;Reynolds et al. 2012;Silverman et al. 2008;Weisz et al. 2006;Weisz et al. 2013) and that relapse rates following treatment are quite high (e.g. 30-50 % for mood disorders, Lewinsohn et al. 1990;Brent et al. 1999). This suggests that CBT for children and adolescents might benefit from a new conceptualization and expansion of treatment goals. The current literature review aims at providing arguments that one such expansion could be restoring attachment relationships. This paper will discuss the main components of tradition...

show abstract

mentioning

confidence: 89%

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Bosmans

2016

Clin Child Fam Psychol Rev

View full text Add to dashboard Cite

show abstract

“…In typically developing children with anxiety disorders, CBT has been evaluated in .40 randomized studies 20 showing positive response in 50% to 60% of participants and moderate to large effect sizes (ESs) across studies. 21 Theoretical underpinnings of CBT assume that pathologic anxiety is the result of an interaction between excessive physiologic arousal, cognitive distortions, and avoidance behavior.…”

mentioning

confidence: 99%

Cognitive-Behavioral Therapy for Anxiety in Children With High-Functioning Autism: A Meta-analysis

et al. 2013

View full text Add to dashboard Cite

BACKGROUND: Anxiety is a common and impairing problem in children and adolescents with autism spectrum disorder (ASD). There is emerging evidence that cognitive-behavioral therapy (CBT) could reduce anxiety in children with high-functioning ASD.OBJECTIVE: To systematically review the evidence of using CBT to treat anxiety in children and adolescents with ASD. Methods for this review were registered with PROSPERO (CRD42012002722). METHODS:We included randomized controlled trials published in English in peer-reviewed journals comparing CBT with another treatment, no treatment control, or waitlist control. Two authors independently screened 396 records obtained from database searches and hand searched relevant journals. Two authors independently extracted and reconciled all data used in analyses from study reports.RESULTS: Eight studies involving 469 participants (252 treatment, 217 comparison) met our inclusion criteria and were included in metaanalyses. Overall effect sizes for clinician-and parent-rated outcome measures of anxiety across all studies were d = 1.19 and d = 1.21, respectively. Five studies that included child self-report yielded an average d = 0.68 across self-reported anxiety.CONCLUSIONS: Parent ratings and clinician ratings of anxiety are sensitive to detecting treatment change with CBT for anxiety relative to waitlist and treatment-as-usual control conditions in children with high-functioning ASD. Clinical studies are needed to evaluate CBT for anxiety against attention control conditions in samples of children with ASD that are well characterized with regard to ASD diagnosis and co-occurring anxiety symptoms. Pediatrics 2013;132: e1341-e1350 AUTHORS:

show abstract

“…Newer antidepressants (SSRIs and beyond) have had fewer side effects, lower toxicity in overdose and a broader range of indications (Masi et al, 2002). Cognitive behavioural therapies have the best evidence-based support for the treatment of the separation anxiety disorder in children and adolescents (Seligman & Ollendick, 2011). Research findings have supported the efficacy of cognitive behavioural therapy in reducing anxiety symptoms and increasing function in anxious children (Schneider et al, 2011).…”

Section: The Therapeutic Methods Of Treating Separation Anxiety Disordermentioning

confidence: 70%

Separation Anxiety in Children and Adolescents

Dąbkowska¹,

Araszkiewicz²,

Dabkowska³

et al. 2011

Different Views of Anxiety Disorders

View full text Add to dashboard Cite

Cognitive-Behavioral Therapy for Anxiety Disorders in Youth

Cited by 202 publications

References 104 publications

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Cognitive Behaviour Therapy for Children and Adolescents: Can Attachment Theory Contribute to Its Efficacy?

Cognitive-Behavioral Therapy for Anxiety in Children With High-Functioning Autism: A Meta-analysis

Separation Anxiety in Children and Adolescents

Contact Info

Product

Resources

About