Implementation of an Intensive Treatment Protocol for Adolescents With Panic Disorder and Agoraphobia

Angelosante, Aleta G.; Pincus, Donna B.; Whitton, Sarah W.; Cheron, Daniel M.; Pian, Jessica

doi:10.1016/j.cbpra.2009.03.002

Cited by 61 publications

(50 citation statements)

References 16 publications

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“…A recent case study also supports the use of the intensive format with the adolescent population (Angelosante, Pincus, Whitton, Cheron, & Pian, 2009). However, no research has directly compared the intensive and weekly approaches in the treatment of panic symptoms.…”

Section: Please Scroll Down For Articlementioning

confidence: 84%

Treatment of Adolescent Panic Disorder: A Nonrandomized Comparison of Intensive Versus Weekly CBT

Chase

Whitton

Pincus

2012

Child & Family Behavior Therapy

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Section: Please Scroll Down For Articlementioning

confidence: 84%

Treatment of Adolescent Panic Disorder: A Nonrandomized Comparison of Intensive Versus Weekly CBT

Chase

Whitton

Pincus

2012

Child & Family Behavior Therapy

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“…Fernandez, Storch, Lewin, Murphy & Geffken, 2006;Lewin et al, 2005;Savva & Rees, 2006;Whiteside, Brown & Abramowitz, 2008), specific phobia (e.g. Davis, Ollendick & Öst, 2009;Flatt & King, 2010;Öst, Svensson, Hellström & Lindwall, 2001), school refusal (Moffitt, Chorpita & Fernandez, 2004) and panic disorder with agoraphobia (Angelosante, Pincus, Whitton, Cheron & Pian, 2009). To date, only one study has investigated the potential usefulness of this approach with childhood SP.…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Intensive Group-Based CBT for Child Social Phobia: A Pilot Study

et al. 2015

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Objective: Although CBT has proven efficacious in the treatment of child social phobia (SP), most children do not present for treatment and child SP may be less responsive to treatment than other anxiety disorders. Intensive, group-based, SP-specific CBT may improve the efficacy of, and access to, treatment for child SP. The aim of this study was to provide a preliminary examination of such a program. Method: Forty Australian children aged 7-12 years (15 male and 25 female) were allocated into treatment and waitlist groups. Clinical interviews to determine diagnostic status were conducted prior to treatment, following treatment and at 6-month follow-up. Parent and child questionnaire measures of child anxiety symptoms, internalising symptoms, depression, social skills, social competence, and parental social anxiety were administered at the same time points. Treatment was delivered in four separate 3-hour sessions conducted over three consecutive weekends. Results: At postassessment, 52.4% of children in the treatment group and 15.8% of children in the waitlist group were free of their SP diagnosis. At post-assessment, compared to waitlist children, treatment group children demonstrated a greater drop in clinical severity, a greater increase in overall functioning, and held fewer clinical diagnoses. Treatment group children also reported a greater reduction in SP symptoms compared to waitlist children, and treatment group parents reported a greater reduction in child internalising and anxiety symptoms, a greater increase in child social competence, and a greater decrease in parental SP symptoms, compared to parents of children in the waitlist group. By 6-month follow-up, 76.9% of the treatment group were free of their SP diagnosis and gains on all other measures were maintained. Conclusions: The results of this study are encouraging, and suggest that brief, intensive, group CBT for children with social anxiety is beneficial for many youngsters. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTIntensive Group-Based CBT for Child Social Phobia 3 Social Phobia (SP) or Social Anxiety Disorder, is an anxiety disorder where the individual demonstrates a marked fear or anxiety about one or more social situations where they are exposed to possible scrutiny by others (American Psychiatric Association, 2013). It is one of the most common childhood anxiety disorders (Costello, Egger, & Angold, 2005), is associated with a myriad of deleterious short-and long-term consequences (Beidel, Turner, & Morris, 1999), and follows a chronic course if left untreated (Weissman et al., 1999).Fortunately, there have now been a number of studies confirming that cognitive behaviour therapy (CBT) is efficacious in treating childhood SP.Beidel and colleagues (Beidel & Turner, 2007;Beidel, Turner, & Young, 2006) conducted a series of studies demonstrating the efficacy of their behaviourally oriented Social Effectiveness Therapy for Children (SET-C). In the original randomized control trial of the SET-C program , it was found that...

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“…However, given the emerging support for the efficacy of intensive treatments for adolescents (e.g. Angelosante et al 2009;Whiteside et al 2008), as well as the effectiveness of CBT delivered in a group format (e.g. Barrett 1998;Flannery-Schroeder et al 2005;Silverman et al 1999), it is likely that conducting intensive group treatments for adolescents during the summer may afford similar benefits and be as desirable as for school-aged children.…”

Section: Transportabilitymentioning

confidence: 95%

“…Camp-based formats for the delivery of CBT are built upon strong research support for group CBT for internalizing disorders (e.g., Barrett 1998;Flannery-Schroeder et al 2005;Silverman et al 1999) and recent successes of brief, intensive CBT for disorders such as specific phobia (Ollendick et al 2009;Ö st et al 2001), obsessive-compulsive disorder (Grabill et al 2007;Marien et al 2009;Storch et al 2007;Whiteside et al 2008), school refusal (Moffitt et al 2003), and panic disorder with agoraphobia (Angelosante et al 2009). CBT delivered in a camp-based format is emerging as a creative adaptation of group CBT for school-aged children, blending the engaging, developmentally appropriate format of summer camp setting with the accessibility and efficiency of an intensive CBT format.…”

Section: Treatment Applications and Evidencementioning

confidence: 98%

“…The convenient timing of a summer program is likely to be attractive for families, as children have less academic demands during the summer. Intensive treatments deliver the entire course of an EST in a shorter period of time through longer individual sessions (Angelosante et al 2009). The massed nature of the treatment sessions likely reduces the deleterious impact of the financial, logistic, and geographic barriers to treatment attendance and completion.…”

Section: Transportabilitymentioning

confidence: 99%

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Improving the Transportability of CBT for Internalizing Disorders in Children

Elkins

McHugh

Santucci

et al. 2011

Clin Child Fam Psychol Rev

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Research provides strong support for the efficacy and effectiveness of cognitive behavioral therapy (CBT) for the treatment of childhood internalizing disorders. Given evidence for limited dissemination and implementation of CBT outside of academic settings, efforts are underway to improve its transportability so that more children with mental health needs may benefit from treatment. Creative modifications to existing treatments aim to deliver CBT for anxiety disorders and depression in a more transportable format. Notable progress has been made within the areas of computerized CBT, camp-based CBT, school-based CBT, and CBT delivered through primary care settings. These approaches are discussed within the context of key elements of transportability that are particularly germane to the dissemination and implementation of child treatments.

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Implementation of an Intensive Treatment Protocol for Adolescents With Panic Disorder and Agoraphobia

Cited by 61 publications

References 16 publications

Treatment of Adolescent Panic Disorder: A Nonrandomized Comparison of Intensive Versus Weekly CBT

Treatment of Adolescent Panic Disorder: A Nonrandomized Comparison of Intensive Versus Weekly CBT

Intensive Group-Based CBT for Child Social Phobia: A Pilot Study

Improving the Transportability of CBT for Internalizing Disorders in Children

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