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Modular CBT for Childhood Anxiety Disorders: Evaluating Clinical Outcomes and its Predictors.
Francisca J A van Steensel1, Liesbeth G E Telman2,3, M Maric2,4
1Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, Postbus 15776, 1001 NG, 1018 WS, Amsterdam, The Netherlands. f.j.a.vansteensel@uva.nl.
Child Psychiatry and Human Development
|October 3, 2022
Summary
Modular cognitive behavioral therapy (CBT) effectively treated childhood anxiety disorders (AD). Higher parental involvement improved outcomes, especially for children with comorbid conditions, indicating CBT
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Behavioral Therapy
Background:
- Anxiety disorders (AD) are prevalent in children, impacting their development and well-being.
- Cognitive Behavioral Therapy (CBT) is a common treatment for childhood AD.
- Modular CBT offers a flexible approach tailored to individual needs.
Purpose of the Study:
- To evaluate the clinical outcomes of modular individual CBT for children with AD in routine practice.
- To identify predictors of treatment success in this population.
- To assess the impact of parental involvement on treatment outcomes.
Main Methods:
- A cohort of 106 children (7-17 years) with AD received modular CBT.
- Assessments included pre-treatment, mid-treatment, post-treatment, and 10-week follow-up.
- Predictors examined were child characteristics, parental anxiety/depression, and parental involvement.
Main Results:
- At follow-up, 59-70% of children were free from their primary anxiety disorder.
- A significant reduction in overall anxiety symptoms was observed.
- Greater parental involvement correlated with reduced child anxiety at follow-up, particularly for those with comorbid disorders.
Conclusions:
- Modular CBT is a beneficial treatment for childhood anxiety disorders.
- Parental involvement is a key factor in treatment success, especially for complex cases.
- Further research comparing modular CBT to control conditions is warranted.
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