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Cited by 191Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 124 of the 127 references it cites were found in a registry or an index.

A Meta-analysis to Guide the Enhancement of CBT for Childhood Anxiety: Exposure Over Anxiety Management

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Whiteside, Stephen P. H., Sim, Leslie A., Morrow, Allison S., Farah, Wigdan H., Hilliker, Daniel R., Murad, M. Hassan, Wang, Zhen·2020·Clinical Child and Family Psychology Review
DOI 10.1007/s10567-019-00303-2PMC PMC9005063
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Abstract

Cognitive behavior therapy (CBT) is the most empirically supported therapy for childhood anxiety disorders (CADs) but has not reliably outperformed other credible interventions. The current study used meta-analysis to examine the frequency with which the most common treatment components are included in outcome studies and the relation of these components to symptom improvement. Seventy-five studies were identified that included youth with an anxiety disorder treated with CBT or a comparison condition. The protocols for the 111 CBT conditions generally consisted of 12, 1-h sessions delivered to the child with minimal parent inclusion. A greater amount of in-session exposure was related to significantly larger effect sizes between CBT and waitlist control across reporters (- 0.12 to - 0.15; P's < .05) and from pre- to post-treatment for child report (- .06; P < .01). Compared to treatments that omitted relaxation, treatments that included relaxation strategies were associated with significantly smaller pre- to post-treatment effect sizes across reporters (0.38 to 0.80; P's < .05). The current study suggests that CBT protocols for CADs that emphasize in-session exposure and do not include relaxation have the potential to improve the efficacy and effectiveness of therapy. Dismantling studies directly testing these hypotheses are needed.

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Research works printed but not linked: 7

  1. Abbasi, Z., Amiri, S., & Talebi, H. (2016). The effective comparison between modular cognitive behavioral therapy (MCBT) and child-parent relationship training (CPRT) in children with separation anxiety symptoms. Social Sciences (Pakistan),11(6), 890–902. https://doi.org/10.3923/sscience.2016.890.902 . · DOI
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Metadata

Authors
Whiteside, S. P. H., Sim, L. A., Morrow, A. S., Farah, W. H., Hilliker, D. R., Murad, M. H., & Wang, Z.
Affiliations
Mayo Clinic (US)
Corresponding author
Whiteside, Stephen P. H.
ORCID
Venue
Clinical Child and Family Psychology Review
Publisher
Springer Science and Business Media LLC
Published
2019-10-18
Volume
23
Issue
1
Pages
102-121
ISSN
  • 1096-4037 (ISSN-L)
  • 1573-2827
DOI
10.1007/s10567-019-00303-2
PMC
PMC9005063
OpenAlex
W2980786259
Cited by
190
References
127
Citations by year
2026: 28 · 2025: 32 · 2024: 34 · 2023: 23 · 2022: 33 · 2021: 27 · 2020: 11 · 2019: 1
FWCI
2.69
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinical Child and Family Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Agency for Healthcare Research and Quality (HHSA290201500013I)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
cognitive behavioral therapy, childhood anxiety disorders, relaxation techniques, treatment components, treatment efficacy, waitlist control, child-reported outcomes, parental involvement
MeSH terms
Anxiety Disorders, Child, Humans, Implosive Therapy, Outcome and Process Assessment, Health Care, Relaxation Therapy, Cognitive Behavioral Therapy

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