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Therapy for youths with anxiety disorders: A second randomized clincal trial.
Abstract
Ninety-four children (aged 9-13 years) with anxiety disorders were randomly assigned to cognitive behavioral treatment or waiting-list control. Outcomes were evaluated using diagnostic status, child self-reports, parent and teacher reports, cognitive assessment and behavioral observation: maintenance was examined using 1-year follow-up data. Analyses of dependent measures indicated significant improvements over time, with the majority indicating greater gains for those receiving treatment. Treatment gains returned cases to within nondeviant limits (i.e., normative comparisons) and were maintained at 1-year follow-up. Client age and comorbid status did not moderate outcomes. A preliminary examination of treatment segments suggested that the enactive exposure (when it follows cognitive-educational training) was an active force in beneficial change. Discussion includes suggestions for future research.
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“We will randomly select 1 study case from each clinician (assigned after their initial 2 training cases); a trained fidelity rater will listen to all 12 sessions of this case and rate fidelity using a standardized fidelity checklist developed for Coping Cat [180, 181].”
From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [181]
In the citing paper
“Coping Cat is an established evidence-based CBT treatment for pediatric anxiety [180–182] that has been studied rigorously for more than 25 years.”
From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [181]
In the citing paper
“Coping Cat training has demonstrated effectiveness with clinicians ranging from graduate students [180, 181] to experienced psychotherapists [49], with strong treatment effects in each case.”
From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [181]
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“However, most of these trials have included heterogeneous samples of anxiety disorders (Barrett, 1998; Barrett, Dadds, & Rapee, 1996; Flannery-Schroeder & Kendall, 2000; Kendall, 1994; Kendall et al., 1997; Silverman et al., 1999a; Silverman et al., 1999b).”
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COMMUNITY PSYCHIATRIC PRACTICE Psychosocial Treatment of Children in Foster Care: A Review
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“A growing body of research suggests that cognitive-behavioral therapy (CBT) techniques are efficacious for treating anxiety disorders, such as SAD, in youth (see Barrett, Dadds, & Rapee, 1996; Kendall, 1994; Kendall et al., 1997; Silverman, Kurtines, Ginsburg, Weems, Lumpkin, et al., 1999; Silverman, Kurtines, Ginsbur…”
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Self-citationBambrah, V., Mastorakos, T., Cordeiro, K., Thornback, K., & Muller, R. T. (2018) · Journal of Family Violence · doi:10.1007/s10896-017-9948-x · Cited by 12
“Specifically, agreement has been associated with fewer missed therapy appointments and cancellations, a decreased chance of dropping out of therapy (Jensen-Doss and Weisz 2008), a steeper slope of improvement during treatment for anxiety disorders (Kendall et al. 1997), and a larger reduction in internalizing problems…”
ResultTherapeutic services for sexually abused children and young people: scoping the evidence base
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“Empirical evidence indicates that the exposure portion of treatment is an important contributor to treatment success when working with anxious children (Kendall et al., 1997), and Erik’s case supports this.”
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Language of perfectionistic parents predicting child anxiety diagnostic status
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Emotional Awareness Predicts Specific Cognitive-Behavioral Therapy Outcomes for Anxious Youth
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An Adaptation of the Coping Cat Program
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Cognitive-Behavioral Treatment of Generalized Anxiety
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“Cognitive-behavioral treatment (CBT) for childhood anxiety disorders has received growing empirical support (Chambless & Ollendick, 2001), documented in several randomized clinical trials (Barrett, Dadds, & Rapee, 1996; Kendall, 1994; Kendall et al., 1997).”
BackgroundKarpouzis, F., Pollard, H. P., & Bonello, R. (2008) · Journal of Chiropractic Medicine · doi:10.1016/j.jcm.2008.05.003 · Cited by 8
Early identification of anxiety disorders: The role of the pediatrician in primary care
Carpenter, A. L., Pincus, D. B., Perrin, E. C., Bair‐Merritt, M. H., & Mian, N. D. (2016) · Children s Health Care · doi:10.1080/02739615.2016.1275642 · Cited by 8
“Fortunately, childhood anxiety disorders are among the few mental health conditions with a sound, evidence-based treatment for children and adolescents (Hirshfeld-Becker et al., 2010; Kendall et al., 1997; Ollendick & King, 1998; Pincus et al., 2008).”
BackgroundThe Relationship between Parenting and Internalizing Problems in Childhood
Scaini, S., Palmieri, S., & Caputi, M. (2018) · InTech eBooks · doi:10.5772/intechopen.73540 · Cited by 13
Pathological Worry in Children: What is Currently Known?
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Ebesutani, C. K., Helmi, K., Fierstein, M., Taghizadeh, M. E., & Chorpita, B. F. (2016) · International Journal of Cognitive Therapy · doi:10.1521/ijct_2016_09_01 · Cited by 8
“That is, although some evidence-based treatments have been designed for specific application to certain diagnostic anxiety subtypes (e.g., Coping Cat for separation anxiety disorder, generalized anxiety disorder, and social phobia child; Kendall et al., 1997), much of the evidence-base for treatment protocols has demo…”
BackgroundMentoring to Facilitate Resiliency in High-Risk Youth
Vance, J. E. (2002) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195134575.003.0007 · Cited by 9
Cognitive behavioural therapy for anxiety disorders in children and adolescents
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Luntamo, T., Korpilahti-Leino, T., Ristkari, T., Hinkka‐Yli‐Salomäki, S., Kurki, M., Sinokki, A., Lamminen, K., Saanakorpi, K., Saarinen, S., Maunuksela, M., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-045474 · Cited by 7
Asthma and anxiety in children and adolescents: characteristics and treatment outcomes
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“The CQ-C has demonstrated retest reliability and is sensitive to treatment (31).”
BackgroundSelf-citationTriplett, N. S., Woodard, G. S., AlRasheed, R., Meza, R. D., Robinson, S., Berliner, L., & Dorsey, S. (2021) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-021-09755-3 · Cited by 7
de Jong, R., Lommen, M. J. J., Timmerman, M. E., van Hout, W. J. P. J., Kuijpers, R., de Jong, P. J., & Nauta, M. H. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.03.010 · Cited by 8
“For instance, Kendall et al. (1997) reported on the preliminary examination of various CBT components in the Coping Cat protocol for youth, and suggested that the first protocol segment consisting of just AMS was not sufficient to produce meaningful change, while the second protocol segment…”
BackgroundKagan, E. R., Frank, H. E., Palitz, S. A., & Kendall, P. C. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02419-6 · Cited by 7
“…and r= 0.93 for the child interview; Silverman & Nelles, 1988) and retest reliability (e.g., k= 0.76 for the parent interview; Silverman & Eisen, 1992), and has shown sensitivity to treatment effects in studies of youth with anxiety disorders (e.g., Kendall et al., 1997; Dadds et al., 1992).”
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Zusammenhang von Therapeutischer Beziehung mit Symptomminderung und Behandlungszufriedenheit
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Treatment Outcome Studies With Children: Principles of Proper Practice
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“In particular, several RCTs have been carried out over the course of 2 decades at the Child and Adolescent Anxiety Disorders Clinic (CAADC) at Temple University (e.g., Kendall, 1994; Kendall et al., 1997) and others are in progress.”
BackgroundSelf-citationDie Behandlung sozialer Ängste im Kindes- und Jugendalter
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“The finding that having a comorbid mood disorder was, on average, related to greater treatment gains, is in contrast with previous studies that found no—or a negative—relation between the presence of a comorbid mood disorder and the effectiveness of child anxiety disorder treatment (Berman et al., 2000; Hudson et al.,…”
ResultReigada, L. C., McGovern, A. R., Tudor, M. E., Walder, D. J., & Warner, C. M. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.03.004 · Cited by 8
¿Qué terapias psicológicas son eficaces? Un reto ante el año 2000
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“…de control de hábitos inadaptativos Terapia cognitivo-conductual para niños ansiosos Houts et al. (1994) Walter y Gilmore (1973) Wells y Egan (1988) Azrin et al. (1980) Kendall (1994) Kendall et al. (1997) Nota: Las referencias bibliográficas correspondientes a esta tabla figuran en el Apéndice 1.”
BackgroundGeneralized Anxiety Disorder in Children and Adolescents: An Update
Imran, N., Haider, I. I., & Azeem, M. W. (2017) · Psychiatric Annals · doi:10.3928/00485713-20170913-01 · Cited by 8
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The Treatment of the Sexually Abused Child
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“, Coping Cat) ranged from 50% to 73% across randomized clinical trials (Flannery-Schroeder & Kendall, 2000; Kendall, 1994; Kendall et al., 1997; Kendall, Furr, & Podell, 2010).”
BackgroundExposure Therapy for Anxiety Disorders in Children
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Beyond 16 Sessions: Extending Manualized Treatment of Anxious Youth
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Self-citationMandatory Mental Health Screening for Justice-Involved Youth: A National Priority
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“In the empirical literature, CBT was found to be an effective intervention to reduce future delinquency for youth with various anxiety and depressive disorder (Kaslow and Thompson, 1998; Kendall et al., 1997).”
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“Kritisch anzumerken ist, dass das Coping-Cat-Programm mit 16 Sitzungen seine Wirksamkeit nachweisen konnte und nicht mit 14 Sitzungen [Kendall, 1994; Kendall et al., 1997].”
BackgroundOllendick, T. H., & King, N. J. (2008) · Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud · Cited by 6
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Self-citationCognitive-Behavioral Principles and Their Applications Within Autism Spectrum Disorder
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Cognitive Behavioral Therapy for Child and Adolescent Anxiety: CBT in a Nutshell
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Reliability, factor structure, and validity of an observer-rated alliance scale with youth.
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Self-citationNature, Assessment, and Treatment of Generalized Anxiety Disorder in Children
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Treatment of Generalized Anxiety Disorder in Children and Adolescents
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Self-citationSysteemtherapeutische interventies bij kinderen met angststoornissen
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“, 1994) by asking respondents to indicate the trueness of a sentence on their best friendship using a 5-point Liker scale (Kendall et al., 1997).”
BackgroundAdapting Cognitive Behavioral Therapy for Anxious Children and Adolescents
Oar, E. L., McLellan, L. F., & Rapee, R. M. (2017) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.31.1.23 · Cited by 7
“Broad-based CBT approaches have been found to be superior to wait-list control (Barrett, Dadds, & Rapee, 1996; Flannery-Schroeder & Kendall, 2000; Kendall et al., 1997; Rapee, Abbott, & Lyneham, 2006; Spence, Holmes, March, & Lipp, 2006), other active control conditions (Hudson et al., 2009; Muris,…”
Generalizability and Decision Studies of a Treatment Adherence Instrument
Southam‐Gerow, M. A., Bonifay, W. E., McLeod, B. D., Cox, J. R., Violante, S., Kendall, P. C., & Weisz, J. R. (2018) · Assessment · doi:10.1177/1073191118765365 · Cited by 5
“Furthermore, adherence to Coping Cat was measured with the Coping Cat Brief Adherence Scale (see Kendall, 1994; Kendall et al., 1997), an observational scale that uses a checklist format (presence/absence of interventions) to determine if core ICBT interventions were delivered.”
MethodSelf-citationSelective mutism in immigrant families: An ecocultural perspective
Slobodin, O., Shorer, M., Friedman-Zeltzer, G., & Fennig, S. (2023) · Transcultural Psychiatry · doi:10.1177/13634615231202095 · Cited by 7
“The ADIS-P has also demonstrated sensitivity to treatment effects in studies of adolescents with anxiety disorders (Kendall et al., 1997; Walkup et al., 2008).”
BackgroundSmárason, O., Guzick, A. G., Goodman, W. K., Salloum, A., & Storch, E. A. (2023) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2023.0019 · Cited by 5
“Demographic variables (age (Albano et al., 2018; Kendall et al., 1997; Silk et al., 2018; Walkup et al., 2008), gender (Compton et al., 2014; Kendall et al., 2008; Silk et al., 2018), race/ethnicity (Compton et al., 2014; Taylor et al., 2018), socioeconomic status (Compton et al., 2014)), child…”
Understanding Treatment: Principles and Approaches
Werner‐Wilson, R. J., & Pinkerton, K. M. (2014) · Springer eBooks · doi:10.1007/978-1-4899-7497-6_2 · Cited by 4
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“Furthermore, independent research teams have supported cognitive-behavioural therapy programs in the United States (e.g., Kendall, 1994; Kendall et al., 1997) and in Australia (Barrett et al.”
BackgroundMethodResultInfluentialClient, Therapist, and Treatment Characteristics in EBTs for Children and Adolescents
Shirk, S. R., & McMakin, D. L. (2007) · Springer eBooks · doi:10.1007/978-0-387-73691-4_26 · Cited by 5
Stapleton, P., Roos, T., Mackintosh, G., Sparenburg, E., Sabot, D., & Carter, B. (2019) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.1904065 · Cited by 5
“This was in line with statistical approaches previously employed for repeated measures analyses [44], and this pooling strategy has been used in previous studies [74-76].”
Involving family members in exposure therapy for children and adolescents
Caporino, N. E. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815915-6.00014-7 · Cited by 5
I think I'm Going to be Sick: An Eight-Year-Old Boy with Emetophobia and Secondary Food Restriction.
Dosanjh, S., Fleisher, W. P., & Sam, D. (2017) · PubMed Central · Cited by 5
Daryabeigi, M., Tajrishi, M. P., Dolatshahi, B., & Bakhshi, E. (2020) · Iranian Rehabilitation Journal · doi:10.32598/irj.18.2.948.1 · Cited by 6
“This is the first coherent step-by-step program designed based on a cognitive-behavioral approach to reduce anxiety in children and adolescents and numerous studies have confirmed its effectiveness [12-14].”
BackgroundResultPersistent Short Sleep from Childhood to Adolescence: Child, Parent and Peer Predictors
Ranum, B. M., Wichstrøm, L., Pallesen, S., Falch-Madsen, J., & Steinsbekk, S. (2021) · Nature and Science of Sleep · doi:10.2147/nss.s290586 · Cited by 5
“Cognitive-behavioral therapy for youth (aged 9–13 years) with anxiety disorders have been shown to counteract self-reported negative affectivity.(80) Likewise, a few studies examining interventions targeting emotional availability or the attachment between the child and parent have shown beneficial effects on parental…”
BackgroundSelf-reported fears and mental health in elementary school children across Europe
Husky, M. M., Bitfoi, A., Chan‐Chee, C., Carta, M. G., Goelitz, D., Koç, C., Lesinskienė, S., Mihova, Z., Otten, R., Shojaei, T., et al. (2021) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-021-01823-5 · Cited by 5
Angelosante, A. G., Ostrowski, M. A., & Chizkov, R. R. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6599-7_7 · Cited by 6
Anxiety Disorders in Children and Adolescents
Graczyk, P. A., Connolly, S. D., & Çorapçı, F. (2007) · Springer eBooks · doi:10.1007/0-387-23846-8_7 · Cited by 5
CBT and Autism Spectrum Disorders: A Comprehensive Literature Review.
Kincade, S., & McBride, D. L. (2009) · Cited by 5
Liber, J., van der Leeden, A. J. M., Sauter, F., & Treffers, P. D. (2007) · Kind en adolescent · doi:10.1007/bf03061007 · Cited by 4
Cognitive-Behavioral Treatments for Anxiety Disorders in Children and Adolescents
Silva, R. R., Gallagher, R., & Minami, H. (2006) · Primary psychiatry · Cited by 5
Burns, B. J., Compton, S. N., EGGER, H. L., Farmer, E. M. Z., & Robertson, E. B. (2002) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195134575.003.0011 · Cited by 5
Possibilidades e dificuldades na articulação entre pesquisa e psicoterapia com adolescentes
Jardim, A. P., de Oliveira, M. Z., & Gomes, W. B. (2005) · Psicologia Reflexão e Crítica · doi:10.1590/s0102-79722005000200010 · Cited by 5
Anxiety Disorders in Children and Adolescents: Assessment and Treatment
Settipani, C. A., Brodman, D. M., Peterman, J. S., Read, K. L., Hoff, A. L., Swan, A. J., & Kendall, P. C. (2014) · Wiley eBooks · doi:10.1002/9781118775349.ch49 · Cited by 5
Self-citationPharmacotherapy of Pediatric Anxiety Disorders
Kratochvil, C. J., Kutcher, S., Reiter, S., & March, J. S. (1999) · Issues in clinical child psychology · doi:10.1007/978-1-4615-4755-6_18 · Cited by 5
Psychiatric disorders in childhood and adolescence
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Metadata
- Authors
- Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M.
- Affiliations
- Temple University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1997
- Volume
- 65
- Issue
- 3
- Pages
- 366-380
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2162075090
- Semantic Scholar
- ecea82a52c98d8dba1a94c0ed59b7f4059d20059
- Cited by
- 984
- References
- 76
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 37 · 2023: 18 · 2022: 16 · 2021: 20 · 2020: 22 · 2019: 23 · 2018: 33 · 2017: 28 · 2016: 28 · 2015: 39 · 2014: 45 · 2013: 51 · 2012: 46
- FWCI
- 37.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - PCOM (Philadelphia College of Osteopathic Medicine) (submittedVersion)
- Funders
- National Institutes of Health (5r01mh044042-05)
- National Institute of Mental Health (MH 44042)
- 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 › Psychological Treatments and Assessments
- Keywords
- anxiety disorders, children, adolescents, cognitive behavioral therapy, treatment outcomes, maintenance therapy, comorbidities, age effects, waitlist control
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Female, Follow-Up Studies, Humans, Male, Parent-Child Relations, Parents, Cognitive Behavioral Therapy
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