Publication

Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomes

Kreuze, 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 journalArticleAcademicpeer-review

APA

Kreuze, L. J., Pijnenborg, G. H. M., de Jonge, Y. B., & Nauta, M. H. (2018). Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomes. Journal of Anxiety Disorders, 60, 43-57. https://doi.org/10.1016/j.janxdis.2018.10.005

Author

Kreuze, L. J. ; Pijnenborg, G. H. M. ; de Jonge, Y. B. ; Nauta, M. H. / Cognitive-behavior therapy for children and adolescents with anxiety disorders : A meta-analysis of secondary outcomes. In: Journal of Anxiety Disorders. 2018 ; Vol. 60. pp. 43-57.

Harvard

Kreuze, LJ, Pijnenborg, GHM, de Jonge, YB & Nauta, MH 2018, 'Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomes', Journal of Anxiety Disorders, vol. 60, pp. 43-57. https://doi.org/10.1016/j.janxdis.2018.10.005

Standard

Cognitive-behavior therapy for children and adolescents with anxiety disorders : A meta-analysis of secondary outcomes. / Kreuze, L. J.; Pijnenborg, G. H. M.; de Jonge, Y. B.; Nauta, M. H.

In: Journal of Anxiety Disorders, Vol. 60, 12.2018, p. 43-57.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Kreuze LJ, Pijnenborg GHM, de Jonge YB, Nauta MH. Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomes. Journal of Anxiety Disorders. 2018 Dec;60:43-57. https://doi.org/10.1016/j.janxdis.2018.10.005


BibTeX

@article{2052751e0f0442278edb49019a73dd81,
title = "Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomes",
abstract = "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.",
keywords = "CBT, Anxiety disorder, Children, Meta-analysis, Secondary outcomes, AUTOMATIC THOUGHTS, SOCIAL ANXIETY, MENTAL-HEALTH, CONDUCT PROBLEMS, YOUTH ANXIETY, DEPRESSION, PSYCHOTHERAPY, COMORBIDITY, INVOLVEMENT, MEDIATORS",
author = "Kreuze, {L. J.} and Pijnenborg, {G. H. M.} and {de Jonge}, {Y. B.} and Nauta, {M. H.}",
note = "Copyright {\circledC} 2018 Elsevier Ltd. All rights reserved.",
year = "2018",
month = "12",
doi = "10.1016/j.janxdis.2018.10.005",
language = "English",
volume = "60",
pages = "43--57",
journal = "Journal of Anxiety Disorders",
issn = "0887-6185",
publisher = "PERGAMON-ELSEVIER SCIENCE LTD",

}

RIS

TY - JOUR

T1 - Cognitive-behavior therapy for children and adolescents with anxiety disorders

T2 - A meta-analysis of secondary outcomes

AU - Kreuze, L. J.

AU - Pijnenborg, G. H. M.

AU - de Jonge, Y. B.

AU - Nauta, M. H.

N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.

PY - 2018/12

Y1 - 2018/12

N2 - 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.

AB - 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.

KW - CBT

KW - Anxiety disorder

KW - Children

KW - Meta-analysis

KW - Secondary outcomes

KW - AUTOMATIC THOUGHTS

KW - SOCIAL ANXIETY

KW - MENTAL-HEALTH

KW - CONDUCT PROBLEMS

KW - YOUTH ANXIETY

KW - DEPRESSION

KW - PSYCHOTHERAPY

KW - COMORBIDITY

KW - INVOLVEMENT

KW - MEDIATORS

U2 - 10.1016/j.janxdis.2018.10.005

DO - 10.1016/j.janxdis.2018.10.005

M3 - Article

C2 - 30447493

VL - 60

SP - 43

EP - 57

JO - Journal of Anxiety Disorders

JF - Journal of Anxiety Disorders

SN - 0887-6185

ER -

ID: 67557088