Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomesKreuze, L. J., Pijnenborg, G. H. M., de Jonge, Y. B. & Nauta, M. H., Dec-2018, In : Journal of Anxiety Disorders. 60, p. 43-57 15 p.
Research output: Contribution to journal › Article › Academic › peer-review
Anxiety-focused cognitive-behavioral therapy (CBT) effectively reduces anxiety in children and adolescents. An important remaining question is to what extent anxiety-focused CBT also affects broader outcome domains. Additionally, it remains unclear whether parental involvement in treatment may have impact on domains other than anxiety. A meta-analysis (nstudies = 42, nparticipants = 3239) of the effects of CBT and the moderating role of parental involvement was conducted on the following major secondary outcomes: depressive symptoms, externalizing behaviors, general functioning, and social competence. Randomized controlled trials were included when having a waitlist or active control condition, a youth sample (aged<19) with a primary anxiety disorder diagnosis receiving anxiety-focused CBT and reported secondary outcomes. Controlled effect sizes (Cohen's d) were calculated employing random effect models. CBT had a large effect on general functioning (-1.25[-1.59;0.90], nstudies = 17), a small to moderate effect on depressive symptoms (-0.31[-0.41;-0.22], nstudies = 31) and a small effect on externalizing behaviors (-0.23[-0.38;-0.09], nstudies = 12) from pre-to post-treatment. Effects remained or even further improved at follow-up. Social competence only improved at follow-up (nstudies = 6). Concluding, anxiety-focused CBT has a positive effect on broader outcome domains than just anxiety. Higher parental involvement seemed to have beneficial effects at follow-up, with improvements in general functioning and comorbid symptoms.
|Number of pages||15|
|Journal||Journal of Anxiety Disorders|
|Publication status||Published - Dec-2018|
- CBT, Anxiety disorder, Children, Meta-analysis, Secondary outcomes, AUTOMATIC THOUGHTS, SOCIAL ANXIETY, MENTAL-HEALTH, CONDUCT PROBLEMS, YOUTH ANXIETY, DEPRESSION, PSYCHOTHERAPY, COMORBIDITY, INVOLVEMENT, MEDIATORS
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