Managing Anxiety in Children With ADHD Using Cognitive-Behavioral Therapy: A Pilot Randomized Controlled Trial

Sciberras, Emma; Mulraney, Melissa; Anderson, Vicki; Rapee, Ronald M.; Nicholson, Jan M.; Efron, Daryl; Lee, Katherine; Markopoulos, Zoe; Hiscock, Harriet

doi:10.1177/1087054715584054

Cited by 28 publications

(25 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Little research explicitly addresses effects of CBT on externalizing difficulties. Studies examining children with comorbid anxiety and externalizing disorders have found that CBT improves externalizing symptomology (Flannery‐Schroeder et al, 2004; Jarrett & Ollendick, 2012; Sciberras et al, 2018). Although externalizing difficulties were not primary outcomes of studies examined in this review, the present findings are in line with the extant literature.…”

Section: Discussionmentioning

confidence: 99%

Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis

Luo

McAloon

2020

Depression and Anxiety

View full text Add to dashboard Cite

Cognitive‐behavioral therapy (CBT) is regarded as an effective treatment for anxiety disorders in childhood. Researchers have begun to investigate potential mechanisms of change that drive these positive outcomes, including shifts in cognitions, behavior, and affect. However, few studies have established the mediational effects of these factors as a proxy for establishing mechanistic change. This meta‐analysis attempts to synthesize the literature on potential mechanisms of change in CBT for childhood anxiety and investigates the mediational effects of these factors on treatment outcomes. Seventeen studies met the inclusion criteria. Across studies, five potential mediators were identified: externalizing difficulties, negative self‐talk, coping, fear, and depression. Results indicated that CBT was effective in improving outcomes on all potential mediators, except for fear. Mediational analyses showed that externalizing difficulties, negative self‐talk, coping, and depression mediated anxiety following treatment. Fear did not mediate the relationship. Implications for future mechanisms of change research are proposed.

show abstract

Section: Discussionmentioning

confidence: 99%

Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis

Luo

McAloon

2020

Depression and Anxiety

View full text Add to dashboard Cite

show abstract

“…For example, Hiscock et al (2015) demonstrated a behavioral intervention could improve sleep in children with ADHD and that the intervention also reduced ADHD symptom severity and behavioral difficulties. Similarly, a pilot study showed promising results in the treatment of comorbid anxiety with cognitive behavioral therapy in children with ADHD, with potential flow on effects to ADHD symptoms and broader functioning (Sciberras et al, 2015). The self-reported data in this study show that these adolescents recognize that their inability to control their irritability is severely impacting their life.…”

Section: Discussionmentioning

confidence: 99%

Do early internalizing and externalizing problems predict later irritability in adolescents with attention-deficit/hyperactivity disorder?

Mulraney

Zendarski

Mensah

et al. 2016

Aust N Z J Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Children with ADHD often experience comorbid anxiety disorders, which contributes to poorer functioning [3]. Effectively treating anxiety disorders in children with ADHD may improve functioning, including overall quality of life, for children with ADHD [4]. This article describes the protocol for the Calm Kids randomized controlled trial (RCT), which aims to evaluate the efficacy of treating comorbid anxiety disorders in children with ADHD using a manualized cognitive behavioral therapy (CBT) approach compared with usual care.…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge only one randomized controlled trial (RCT) has examined the treatment of anxiety in children with a primary diagnosis of ADHD using CBT [4]. This small pilot study ( n = 12, aged 8–12 years) from our research team aimed to test the acceptability and feasibility of treating anxiety in children with ADHD using CBT (a program known as “Cool Kids”) compared with usual care.…”

Section: Introductionmentioning

confidence: 99%

“…At 5-months post-randomization, 3/6 of intervention children were free of an anxiety diagnosis (assessed via diagnostic interview administered by researchers blinded to intervention status) compared with 0/6 of controls. Intervention children had marked improvements in child and family wellbeing by parent- and teacher-report including anxiety symptoms (effect size (ES) = − 0.6), inattention symptoms (ES = − 1.1), QoL (ES = 0.6), behavior (ES = − 0.5) and parent mental health (ES = − 1.0) [4].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial

et al. 2019

Self Cite

View full text Add to dashboard Cite

BackgroundUp to 60% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) meet diagnostic criteria for at least one anxiety disorder, including Social, Generalized and/or Separation Disorder. Anxiety in children with ADHD has been shown to be associated with poorer child and family functioning. Small pilot studies suggest that treating anxiety in children with ADHD using cognitive-behavioral therapy (CBT) has promising benefits. In a fully powered randomized controlled trial (RCT), we aim to investigate the efficacy of an existing CBT intervention adapted for children with ADHD and comorbid anxiety compared with usual care.MethodsThis RCT is recruiting children aged 8–12 years (N = 228) from pediatrician practices in Victoria, Australia. Eligibility criteria include meeting full diagnostic criteria for ADHD and at least one anxiety disorder (Generalized, Separation or Social). Eligible children are randomized to receive a 10 session CBT intervention (Cool Kids) versus usual clinical care from their pediatrician. The intervention focuses on building child and parent skills and strategies to manage anxiety and associated impairments including cognitive restructuring and graded exposure. Minor adaptations have been made to the delivery of the intervention to meet the needs of children with ADHD including increased use of visual materials and breaks between activities. The primary outcome is change in the proportion of children meeting diagnostic criteria for an anxiety disorder at 5 months randomization. This will be assessed via diagnostic interview with the child’s parent (Anxiety Disorders Interview Schedule for Children V) conducted by a researcher blinded to intervention condition. Secondary outcomes include a range of child (e.g., anxiety symptoms, ADHD severity, behavior, quality of life, sleep, cognitive functioning, school attendance) and parent (e.g., mental health, parenting behaviors, work attendance) domains of functioning assessed at 5 and 12 months post-randomization. Outcomes will be analyzed using logistic and mixed effects regression.DiscussionThe results from this study will provide evidence on whether treating comorbid anxiety in children with ADHD using a CBT approach leads to improvements in anxiety and/or broader functional outcomes.Trial registrationThis trial was prospectively registered: Current Controlled Trials ISRCTN59518816 (10.1186/ISRCTN59518816). The trial was first registered 29/9/15 and last updated 15/1/19.

show abstract

Managing Anxiety in Children With ADHD Using Cognitive-Behavioral Therapy: A Pilot Randomized Controlled Trial

Abstract: Non-pharmacological interventions may improve important domains of functioning for children with ADHD and anxiety, including ADHD symptom severity.

Cited by 28 publications

References 24 publications

Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis

Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis

Do early internalizing and externalizing problems predict later irritability in adolescents with attention-deficit/hyperactivity disorder?

Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial

Contact Info

Product

Resources

About