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Managing Anxiety in Children With ADHD Using Cognitive-Behavioral Therapy: A Pilot Randomized Controlled Trial
Emma Sciberras1,2,3, Melissa Mulraney1, Vicki Anderson1,2,3
11 Murdoch Childrens Research Institute, Parkville, Australia.
This study found that cognitive-behavioral therapy (CBT) is an acceptable and feasible treatment for children with ADHD and anxiety, leading to significant improvements in their symptoms and overall well-being.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Clinical Psychology
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) and anxiety often co-occur in children.
- Effective non-pharmacological interventions are needed to address these comorbid conditions.
Purpose of the Study:
- To examine the acceptability and feasibility of a cognitive-behavioral therapy (CBT) intervention for children with ADHD and anxiety.
- To provide preliminary data on child and family outcomes.
Main Methods:
- A pilot randomized controlled trial was conducted with children aged 8-12 years with ADHD and anxiety.
- Participants were randomized to an adapted Cool Kids CBT program or usual clinical care.
- Outcomes included intervention feasibility, acceptability, anxiety remission, ADHD symptom severity, quality of life, and parent mental health.
Main Results:
- High uptake (67%) and attendance (all 10 sessions) were observed, with no drop-outs, indicating good feasibility and acceptability.
- Children in the CBT group showed marked improvements in anxiety, ADHD symptom severity, quality of life, and parent mental health.
- Improvements were reported by both parents and teachers.
Conclusions:
- Cognitive-behavioral therapy (CBT) is a feasible and acceptable non-pharmacological intervention for children with comorbid ADHD and anxiety.
- This intervention shows promise for improving multiple domains of functioning in affected children and their families.
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