Cited by 104Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentChild Therapy and Development

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A Randomized Clinical Trial Comparing Individual Cognitive Behavioral Therapy and Child-Centered Therapy for Child Anxiety Disorders

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Silk, Jennifer S., Tan, Patricia Z., Ladouceur, Cecile D., Meller, Suzanne, Siegle, Greg J., McMakin, Dana L., Forbes, Erika E., Dahl, Ronald E., Kendall, Philip C., Mannarino, Anthony, Ryan, Neal D.·2018·Journal of Clinical Child & Adolescent Psychology

DOI 10.1080/15374416.2016.1138408PMC PMC5218980

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Abstract

This study compared individual cognitive behavioral therapy (CBT) and a supportive child-centered therapy (CCT) for child anxiety disorders on rates of treatment response and recovery at posttreatment and 1-year follow-up, as well as on real-world measures of emotional functioning. Youth (N = 133; ages 9-14) with anxiety disorders (generalized, separation, and/or social anxiety) were randomized using a 2:1 ratio to CBT (n = 90) or CCT (n = 43), which served as an active comparison. Treatment response and recovery at posttreatment and 1-year follow-up were assessed by Independent Evaluators, and youth completed ecological momentary assessment of daily emotions throughout treatment. The majority of youth in both CBT and CCT were classified as treatment responders (71.1% for CBT, 55.8% for CCT), but youth treated with CBT were significantly more likely to fully recover, no longer meeting diagnostic criteria for any of the targeted anxiety disorders and no longer showing residual symptoms (66.7% for CBT vs. 46.5% for CCT). Youth treated with CBT also reported significantly lower negative emotions associated with recent negative events experienced in daily life during the latter stages of treatment relative to youth treated with CCT. Furthermore, a significantly higher percentage of youth treated with CBT compared to CCT were in recovery at 1-year follow-up (82.2% for CBT vs. 65.1% for CCT). These findings indicate potential benefits of CBT above and beyond supportive therapy on the breadth, generalizability, and durability of treatment-related gains.

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Additional file 1 of The role of exposure in the treatment of anxiety in children and adolescents: protocol of a systematic review and meta-analysis
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Authors: Silk, J. S., Tan, P. Z., Ladouceur, C. D., Meller, S., Siegle, G. J., McMakin, D. L., Forbes, E. E., Dahl, R. E., Kendall, P. C., Mannarino, A., & Ryan, N. D.
Affiliations: University of Pittsburgh (US)
University of California, Los Angeles (US)
University of California, Berkeley (US)
Temple University (US)
Drexel University (US)
Corresponding author: Silk, Jennifer S.
ORCID: Silk, Jennifer S.
Ladouceur, Cecile D.
Meller, Suzanne
Siegle, Greg J.
McMakin, Dana L.
Forbes, Erika E.
Dahl, Ronald E.
Kendall, Philip C.
Mannarino, Anthony
Ryan, Neal D.
Venue: Journal of Clinical Child & Adolescent Psychology
Publisher: Informa UK Limited
Published: 2016-03-16
Volume: 47
Issue: 4
Pages: 542-554
ISSN: 1537-4416 (ISSN-L)
1537-4424
DOI: 10.1080/15374416.2016.1138408
PMC: PMC5218980
OpenAlex: W2330206646
Semantic Scholar: 43b76ff8c495dbcf7a5094fd9b2ada96332fdacb
Cited by: 104
References: 58
Citations by year: 2026: 2 · 2025: 6 · 2024: 3 · 2023: 12 · 2022: 13 · 2021: 8 · 2020: 21 · 2019: 13 · 2018: 11 · 2017: 6 · 2016: 5
FWCI: 16.56
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Clinical Child & Adolescent Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institutes of Health (P50 MH080215)
University of Pittsburgh (RR024153)
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 › Child Therapy and Development
Keywords: childhood anxiety disorders, cognitive behavioral therapy, child-centered therapy, supportive therapy, generalized anxiety disorder, separation anxiety, social anxiety, treatment response, recovery, long-term follow-up, ecological momentary assessment, daily emotions
MeSH terms: Adolescent, Anxiety Disorders, Child, Female, Humans, Male, Cognitive Behavioral Therapy, Treatment Outcome

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A Randomized Clinical Trial Comparing Individual Cognitive Behavioral Therapy and Child-Centered Therapy for Child Anxiety Disorders

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