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Effects of psychotherapy with children and adolescents revisited: A meta-analysis of treatment outcome studies.
Abstract
A meta-analysis of child and adolescent psychotherapy outcome research tested previous findings using a new sample of 150 outcome studies and weighted least squares methods. The overall mean effect of therapy was positive and highly significant. Effects were more positive for behavioral than for nonbehavioral treatments, and samples of adolescent girls showed better outcomes than other Age x Gender groups. Paraprofessionals produced larger overall treatment effects than professional therapists or students, but professionals produced larger effects than paraprofessionals in treating overcontrolled problems (e.g., anxiety and depression). Results supported the specificity of treatment effects: Outcomes were stronger for the particular problems targeted in treatment than for problems not targeted. The findings shed new light on previous results and raise significant issues for future study.
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“Today, we know that different psychotherapy modalities (cognitive-behavioural, psychodynamic/psychoanalytic, interpersonal, family systems, humanistic/existential, experiential) are generally effective in treating adolescents and young adults [18, 19].”
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Bollard, J., Nettelbeck, T. J., & Roxbee, L. (1982) · Behaviour Research and Therapy · doi:10.1016/0005-7967(82)90139-5 · Cited by 36
An Effective and Acceptable Treatment Alternative for Chronic Thumb- and Finger-Sucking
Friman, P. C., & Leibowitz, J. M. (1990) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/15.1.57 · Cited by 36
Wilson, N. H., & Rotter, J. C. (1986) · The School counselor · Cited by 34
School Based Relaxation: Attempting Primary Prevention
Hiebert, B., Kirby, B. I., & Jaknavorian, A. (1989) · Canadian Journal of Counselling and Psychotherapy · Cited by 33
Relaxation Training in School Classes Does Not Reduce Headache Complaints
Passchier, J., van den Bree, M. B. M., Emmen, H. H., Osterhaus, S. O. L., Orlebeke, J. F., & Verhage, F. (1990) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1990.hed3010660.x · Cited by 33
Vaughn, S. R., & Lancelotta, G. X. (1990) · Journal of School Psychology · doi:10.1016/0022-4405(90)90010-5 · Cited by 31
Efficacy of self-instructional training for reducing children's anxiety in an evaluative situation
Fox, J. E., & Houston, B. K. (1981) · Behaviour Research and Therapy · doi:10.1016/0005-7967(81)90077-2 · Cited by 31
Sluckin, A., Foreman, N., & Herbert, M. (1991) · Australian Psychologist · doi:10.1080/00050069108258851 · Cited by 31
Group versus individual applications of reciprocity training for parent-youth conflict
Raue, J., & Spence, S. H. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90026-9 · Cited by 30
Rivera, E., & Omizo, M. M. (1980) · The Exceptional Child · doi:10.1080/0156655800270104 · Cited by 29
Relaxation Therapy and Compliance in the Treatment of Adolescent Headache
Wisniewski, J. J., Genshaft, J., Mulick, J. A., Mulick, J. A., Mulick, J. A., Coury, D. L., Coury, D. L., & Hammer, D. (1988) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1988.hed2809612.x · Cited by 28
Rational-emotive therapy and the reduction of interpersonal anxiety in junior high school students.
Warren, R., Smith, G. M., & Velten, E. (1984) · PubMed · Cited by 27
Age differences in life event qualities: Multivariate controlled analyses
Hughes, D., George, L. K., & Blazer, D. G. (1988) · Journal of Community Psychology · doi:10.1002/1520-6629(198804)16:2 · Cited by 26
Small Group Therapy and Preadolescent Same-Sex Friendship
Shechtman, Z. (1991) · International Journal of Group Psychotherapy · doi:10.1080/00207284.1991.11490646 · Cited by 26
Denkowski, K. M., & Denkowski, G. C. (1984) · Applied Psychophysiology and Biofeedback · doi:10.1007/bf00998978 · Cited by 25
Effectiveness of Assertiveness Training in Modifying Aggressive Behaviors of Young Children
Tanner, V. L., & Holliman, W. B. (1988) · Psychological Reports · doi:10.2466/pr0.1988.62.1.39 · Cited by 25
The remediation of children's helpless explanatory style and related unpopularity
Aydin, G. (1988) · Cognitive Therapy and Research · doi:10.1007/bf01204928 · Cited by 25
Maternal evaluation of social reinforcement and time-out: Effects of brief parent training.
Hobbs, S. A., Walle, D. L., & Caldwell, H. S. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.52.1.135 · Cited by 24
Jupp, J. J., & Griffiths, M. D. (1990) · Australian Psychologist · doi:10.1080/00050069008260009 · Cited by 24
Treatment of disturbed children in foster care.
de Fries, Z., Jenkins, S., & Williams, E. C. (1964) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.1964.tb02361.x · Cited by 23
Bennett, G. A., Walkden, V. J., Curtis, R. H., Burns, L. E., Rees, J., Gosling, J. A., & McQuire, N. L. (1985) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s0141347300012052 · Cited by 22
L.Edleson, J., & Rose, S. D. (1982) · Child Behavior Therapy · doi:10.1300/j473v03n02_01 · Cited by 22
Teaching Children Behavior Change Techniques.
Downing, C. J. (1977) · Elementary school guidance and counseling · Cited by 21
Locus of Control and Self-Responsibility for Behavior
Autry, L. B., & Langenbach, M. (1985) · The Journal of Educational Research · doi:10.1080/00220671.1985.10885653 · Cited by 21
Redfering, D. L., & Bowman, M. J. (1981) · Journal of Clinical Child Psychology · doi:10.1080/15374418109533030 · Cited by 21
Omizo, M. M., & Omizo, S. A. (1987) · The School counselor · Cited by 20
Counseling juvenile offenders: An experimental evaluation of project crest
Lee, R., & Haynes, N. M. (1978) · Community Mental Health Journal · doi:10.1007/bf00778601 · Cited by 20
Miller, D. (1986) · The Journal of Experimental Education · doi:10.1080/00220973.1986.10806435 · Cited by 19
Group Relaxation Training and Parental Involvement with Hyperactive Boys
Loffredo, D. A., Omizo, M. M., & Hammett, V. L. (1984) · Journal of Learning Disabilities · doi:10.1177/002221948401700404 · Cited by 19
Training Social Perception Skills with Primary School Children: A Cautionary Note
Milne, J., & Spence, S. H. (1987) · Behavioural Psychotherapy · doi:10.1017/s014134730001123x · Cited by 19
Clinical-childhood-developmental interface: Implications for treatment.
Holmbeck, G. N., & Kendall, P. C. (1991) · Cited by 18
The Effects of the Relaxation Response on Self-Concept and Acting Out Behaviors.
Oldfield, D. (1986) · Elementary school guidance and counseling · Cited by 17
Omizo, M. M., & Cubberly, W. E. (1983) · The Exceptional Child · doi:10.1080/0156655830300306 · Cited by 17
The remediation of the student at-risk for failure
Stevens, R., & Pihl, R. O. (1982) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198204)38:2 · Cited by 17
Stevens, R., & Pihl, R. O. (1983) · Cognitive Therapy and Research · doi:10.1007/bf01190069 · Cited by 17
The Effects of Two Parent Counseling Programs on Rural Low-Achieving Children.
Esters, P., & Levant, R. F. (1983) · The School counselor · Cited by 16
Endemic images and the desensitization process
Saigh, P. A., & Antoun, F. T. (1984) · Journal of School Psychology · doi:10.1016/0022-4405(84)90037-2 · Cited by 15
Relationship Between Locus of Control and Effects of Coping Strategies on Dental Stress in Children
McMurray, N. E., Bell, R. J., Fusillo, A. D., Morgan, M. V., & Wright, C. (1986) · Child & Family Behavior Therapy · doi:10.1300/j019v08n03_01 · Cited by 15
Relative efficacy of Ritalin and biofeedback treatments in the management of hyperactivity
Potashkin, B. D., & Beckles, N. (1990) · Applied Psychophysiology and Biofeedback · doi:10.1007/bf01000025 · Cited by 15
The effects of assertive training on performance in highly anxious adolescents.
Wehr, S. H., & Kaufman, M. E. (1987) · PubMed · Cited by 14
Counseling Focus: Are Parents Necessary?.
Hayes, E. J. (1977) · Elementary school guidance and counseling · Cited by 14
Evaluation of a Planned Short-Term Intervention for Schoolchildren With Focal Adjustment Problems
Elkin, J. I. W., Weissberg, R., & Cowen, E. (1988) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp1702_1 · Cited by 14
Cubberly, W. E., Weinstein, C. E., & Cubberly, R. D. (1986) · The Journal of Educational Research · doi:10.1080/00220671.1986.10885670 · Cited by 13
The effects of mastery and coping models on dental stress in young children
McMurray, N. E., Lucas, J., Arbes-Duprey, V., & Wright, C. (1985) · Australian Journal of Psychology · doi:10.1080/00049538508256386 · Cited by 13
Decreasing Court Appearances of Juvenile Status Offenders
Stewart, M. J., Vockell, E. L., & Ray, R. E. (1986) · Social Casework · doi:10.1177/104438948606700202 · Cited by 13
Psychotherapy with Adolescent Girls
Lamb, D. M. (1986) · Springer eBooks · doi:10.1007/978-1-4684-5116-0 · Cited by 12
Omizo, M. M., & Omizo, S. A. (1987) · The Exceptional Child · doi:10.1080/0156655870340106 · Cited by 12
Attraction-enhancing client behaviors: A structured learning approach for "Non-Yavis, Jr."
Jennings, R. L., & Davis, C. S. (1977) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.45.1.135 · Cited by 12
Lowenstein, L. F. (1982) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1982.tb00926.x · Cited by 12
Motivational group counseling for low-performing students
Campbell, C. A., & rick, R. D. M. (1990) · The Journal for Specialists in Group Work · doi:10.1080/01933929008411911 · Cited by 12
Effects of group intervention on moral development of distressed youths in Israel
Sherer, M. (1985) · Journal of Youth and Adolescence · doi:10.1007/bf02139524 · Cited by 12
Zieffle, T. H., & Romney, D. M. (1985) · Psychological Reports · doi:10.2466/pr0.1985.57.1.271 · Cited by 11
INCREASING COPING BEHAVIOR IN CHILDREN WITH AGGRESSIVE BEHAVIOR:
Blue, S., Madsen, C. H., & Heimberg, R. G. (1982) · Child Behavior Therapy · doi:10.1300/j473v03n01_05 · Cited by 10
Enhancing self-esteem by the use of behavior modification techniques
Gurney, P. W. (1987) · Contemporary Educational Psychology · doi:10.1016/s0361-476x(87)80036-x · Cited by 10
Effectiveness of Behavior Counseling and Consulting with Non-Western Elementary School Children.
Moracco, J. C., & Kazandkian, A. (1977) · Elementary school guidance and counseling · Cited by 9
Evaluation of parent training in groups for parent-adolescent conflict
Hall, J. A., & Rose, S. D. (1987) · Social Work Research and Abstracts · doi:10.1093/swra/23.2.3 · Cited by 9
Issues Unique to Psychotherapy with Adolescent Girls
Ponton, L. E. (1993) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1993.47.3.353 · Cited by 8
Measuring academic Self-Concept in children: A comparison of two scales
Burke, J. P., Ellison, G. C., & Hunt, J. P. (1985) · Psychology in the Schools · doi:10.1002/1520-6807(198507)22:3 · Cited by 8
The Effects of Reinforced Cooperative Experience on Friendship Patterns of Preschool Children
Andrews, D., & Krantz, M. (1982) · The Journal of Genetic Psychology · doi:10.1080/00221325.1982.10534192 · Cited by 8
Adlerian Group Counseling with Contracted Homework.
Kern, R. M., & Hankins, G. (1977) · Elementary school guidance and counseling · Cited by 7
Computer-Aided Self-Instruction Training with Hearing-Impaired Impulsive Students
Campbell, D. S., Neill, J., & Dudley, P. (1989) · American annals of the deaf · doi:10.1353/aad.2012.0650 · Cited by 7
An evaluation of group therapy for adolescents using social skills training
Mckenna, J. G., & Gaffney, L. R. (1982) · Current Psychology · doi:10.1007/bf03186755 · Cited by 7
Adolescent Values Clarification: A Positive Influence on Perceived Locus of Control.
James, M. (1990) · Journal of alcohol and drug education · Cited by 6
Relaxation Training and Covert Positive Reinforcement with Elementary School Children.
Vacc, N. A., & Greenleaf, S. M. (1980) · Elementary school guidance and counseling · Cited by 6
Popular peers as change agents for the socially neglected child in the classroom
Middleton, H., Zollinger, J., & Keene, R. (1986) · Journal of School Psychology · doi:10.1016/0022-4405(86)90022-1 · Cited by 6
Self-Instruction and Learning Disabilities: Maintenance, Generalization, and Subject Characteristics
Steele, K., & Barling, J. I. (1982) · The Journal of General Psychology · doi:10.1080/00221309.1982.9710982 · Cited by 6
Effects of cognitive monitoring strategies on the test anxieties of elementary students
Grindler, M. C. (1988) · Psychology in the Schools · doi:10.1002/1520-6807(198810)25:4 · Cited by 6
Modeling of Anger/Hostility Control with Adolescent Type A Girls.
Normand, D., & Rober, M. (1990) · Child study journal · Cited by 5
Moehle, K. A., & Fitzhugh-Bell, K. B. (1989) · Psychology in the Schools · doi:10.1002/1520-6807(198904)26:2 · Cited by 5
Ziegler, E. W., Scott, B. N., & Taylor, R. L. (1991) · Psychological Reports · doi:10.2466/pr0.1991.68.1.50 · Cited by 5
A Multifacetted Behavioral Group Treatment for Test Anxiety
van der Ploeg, H. M., & Ploeg-Stapert, J. D. V. D. (1986) · Psychological Reports · doi:10.2466/pr0.1986.58.2.535 · Cited by 4
Relaxation Covert Rehearsal for Adaptive Functioning in Fourth-Grade Children
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Demonstrating therapeutic validity versus the false placebo–therapy distinction.
Horváth, P. (1987) · Psychotherapy · doi:10.1037/h0085690 · Cited by 3
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Metadata
- Authors
- Weisz, J. R., Weiss, B., Han, S. S., Granger, D. A., & Morton, T.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Psychological Bulletin
- Published
- 1995-05
- Volume
- 117
- Issue
- 3
- Pages
- 450-468
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2149054904
- Cited by
- 884
- References
- 204
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 33 · 2023: 9 · 2022: 15 · 2021: 21 · 2020: 17 · 2019: 15 · 2018: 16 · 2017: 21 · 2016: 20 · 2015: 45 · 2014: 31 · 2013: 26 · 2012: 46
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k05mh001161-05, 5r01mh049522-06)
- National Institute of Mental Health (R01 MH 49522, K05-MH01161)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- child psychotherapy, adolescent psychotherapy, treatment outcomes, treatment effects, behavior therapy, adolescent girls, age and gender differences, paraprofessionals, anxiety, depression, weighted least squares
- MeSH terms
- Workforce, Adolescent, Psychology, Adolescent, Anxiety Disorders, Child, Child, Preschool, Depressive Disorder, Female, Humans, Infant, Male, Professional Competence, Psychotherapy, Sex Factors, Treatment Outcome
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