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Cited by 131Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentPsychological Treatments and Assessments

The DOI matches its Crossref record; 117 of the 117 references it cites were found in a registry or an index.

Effectiveness of cognitive behavioral therapy (CBT) for child and adolescent anxiety disorders across different CBT modalities and comparisons: a systematic review and meta-analysis

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Sigurvinsdóttir, Anna Lilja, Jensínudóttir, Kolbrún Björk, Baldvinsdóttir, Karen Dögg, Smárason, Orri, Skarphedinsson, Gudmundur·2020·Nordic Journal of Psychiatry
DOI 10.1080/08039488.2019.1686653
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Abstract

Aim: Pediatric Anxiety Disorders (AD) are common. Cognitive behavioral therapy (CBT) is one of two first-line treatments of youth AD and it has previously been shown to be superior to wait-list but not placebo therapy. This study consists of a systematic review and meta-analysis of the literature to assess the efficacy of CBT modalities in comparison to control contingencies for pediatric anxiety disorders.Methods: Studies were included if they were randomized controlled trials, and if CBT was manualized or modular, alone or in combination with medication. CBT was required to include behavioral treatment, exposure treatment, or cognitive elements. Eligible studies included participants aged 18 years or younger.Results: Eighty-one studies were included, with 3386 CBT participants and 2527 control participants. The overall results indicated that CBT is an effective treatment for childhood AD. The results showed that individual-based CBT is superior to wait-list and attention control. Group-based CBT is superior to wait-list control and treatment as usual. Remote-based CBT was superior to attention control and wait-list control. Family-based CBT was superior to treatment as usual, wait-list control, and attention control. Selective serotonin reuptake inhibitors were no more effective than individual-based CBT. Combination treatment was, however, more effective than individual-based CBT.Conclusion: To the best of our knowledge, no meta-analysis has thus far disentangled the effects of CBT modalities across various comparisons. This meta-analysis hence provides an important update to the literature on the efficacy of CBT for treating anxiety disorders in young people.

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Research works printed but not linked: 15

  1. Socialstyrelsen., 2017, Nationella riktlinjer för vård vid depression och ångestsyndrom: Stöd för styrning och ledning [The Swedish National Clinical Guidelines for anxiety- and affective disorders: Support for management and administration]
  2. James AC, 2013, Cochrane Database Syst Rev, Cd004690
  3. Silverman WK, 1987, Anxiety disorder interview for children (ADIS)
  4. Holland D, 1995, Diagnostic interview schedule for children, adolescents and parents
  5. Guy W, 1976, Clinical global impresions. ECDEU assessment manual for psychopharmacology
  6. Afshari A, 2014, J Res Med Sci, 19, 221
  7. García-López L, 2002, Psicología Conductual, 10, 371
  8. Olivares J, 2002, Psicología Conductual, 10, 147
  9. Gil-Bernal F, 2009, Anuario de Psicología, 40, 89
  10. Olivares Rodríguez J, 2005, Psicothema, 17, 1
  11. Rosa-Alcázar AI, 2009, Anuario de psicología, 40, 43
  12. Sánchez-García R, 2009, Anales de Psicología, 25, 241
  13. Sevi Tok ES, 2016, Turkish J Psychiatry, 27, 0
  14. 10.1037/0022-006X.67.6.995 · DOI
  15. Silverman WK, 1996, The anxiety disorders interview schedule for chilren for DSM-IV, child and parent version

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Metadata

Authors
Sigurvinsdóttir, A. L., Jensínudóttir, K. B., Baldvinsdóttir, K. D., Smárason, O., & Skarphedinsson, G.
Affiliations
  • Akureyri Hospital (IS)
  • University of Iceland (IS)
  • National University Hospital of Iceland (IS)
  • Faculty of Psychology, University of Iceland, Reykjavik, Iceland;
Corresponding author
Sigurvinsdóttir, Anna Lilja
ORCID
Venue
Nordic Journal of Psychiatry
Publisher
Informa UK Limited
Published
2019-11-18
Volume
74
Issue
3
Pages
168-180
ISSN
  • 0029-1455 (ISSN-L)
  • 0803-9488
  • 1502-4725
DOI
10.1080/08039488.2019.1686653
OpenAlex
W2945326664
Cited by
130
References
112
Citations by year
2026: 20 · 2025: 21 · 2024: 27 · 2023: 21 · 2022: 21 · 2021: 15 · 2020: 5
FWCI
1.51
Type
journal article
Language
en
Open access
Locations
  • Nordic Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Skemman (submittedVersion)
  • Hirsla (Landspítali University Hospital) (submittedVersion)
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
cognitive behavioral therapy, childhood anxiety disorders, child and adolescent anxiety, selective serotonin reuptake inhibitors, combination therapy, treatment efficacy, waitlist control, attentional control
MeSH terms
Adolescent, Anxiety Disorders, Child, Child Behavior Disorders, Combined Modality Therapy, Humans, Psychotherapy, Group, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Selective Serotonin Reuptake Inhibitors

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