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A Randomized Clinical Trial Comparing Individual Cognitive Behavioral Therapy and Child-Centered Therapy for Child Anxiety Disorders
Open accessAbstract
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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“Meanwhile, Coping Cat reduced anxiety diagnoses (18% vs 35%) and symptoms on 1 measure (OR=3.29 and 2.56, respectively) in 1 trial.45”
From Six decades of preventing and treating childhood anxiety disorders: a systematic review and meta-analysis to inform policy and practice (2019) · cites this paper as [45]
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Metadata
- 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
- 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
- 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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