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Exploring the effect of case formulation driven CBT for children with anxiety disorders: a feasibility study
Barbara H Esbjørn1, Marie Louise Reinholdt-Dunne1, Sara K Nielsen1
1University of Copenhagen,Denmark.
Background:
Little is known about the effect of case-formulation based cognitive behaviour therapy (CBT) for anxious children.
Aim:
The present study explores the feasibility of case-formulation driven CBT for anxious children. Parents were involved in treatment as either co-facilitators (involved only as the child's assistants, treatment being primarily directed at the child), or as co-clients (parents received therapy targeting theoretically established maintaining mechanisms; children received half of the sessions, parents the other half).
Method:
Feasibility of the case-formulation driven CBT was established by comparing the completion rate and the percentage of children free of anxiety after treatment, with manualized treatments reported in existing meta-analyses. Children aged 7-12 years and their parents participated (n = 54). Families were assessed at pre- and posttreatment and at 6-month follow-up.
Results:
All families completed treatment and the percentage of recovery in the case-formulation driven approach was comparable to results obtained in manualized treatments.
Conclusion:
The findings from this stage I study supports the notion that a case-formulation driven approach to CBT may be a feasible option when selecting treatment for anxious children; however, further studies must be conducted before firm conclusions can be drawn.
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