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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
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Cognitive-behavioral therapy for anxious children: from evidence to practice
Monique C Sawyer1, Diane E Nunez
1Faculty Associate, Arizona State University, College of Nursing and Health Innovation, Phoenix, AZ.
Worldviews on Evidence-Based Nursing
|February 1, 2014
Summary
Cognitive-behavioral therapy (CBT) effectively treats childhood anxiety, but its implementation is hindered by practical barriers. Brief, manualized CBT programs are proposed as a feasible, evidence-based solution for anxious children.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Mental Health Interventions
Background:
- Childhood anxiety is prevalent, yet treatment access is limited.
- Cognitive-behavioral therapy (CBT) is a recommended first-line treatment.
- Barriers like feasibility and cost impede widespread CBT adoption.
Purpose of the Study:
- To review the effectiveness of individual CBT for childhood anxiety.
- To identify barriers to current CBT practice.
- To propose solutions for improved CBT implementation.
Main Methods:
- Systematic literature review.
- Searched four databases (Cochrane, PubMed, CINAHL, PsycINFO).
- Included studies published between 2007 and 2012.
Main Results:
- Individual CBT significantly reduced anxiety diagnoses compared to controls.
- CBT was as effective or superior to other therapies.
- Combination therapy (CBT + pharmacotherapy) showed superior efficacy.
Conclusions:
- Current CBT protocols (12+ hour-long sessions) present feasibility challenges.
- Affordability and practicality must be addressed for wider CBT use.
- Brief, manualized CBT is a viable, evidence-based solution for pediatric anxiety.
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