Child and Adolescent Adherence With Cognitive Behavioral Therapy for Anxiety: Predictors and Associations With Outcomes
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Ethnic minorities demonstrated poorer adherence to CBT in the CAMS trial.
“Ethnic minorities also demonstrated poorer adherence to CBT in the CAMS trial [41, 124], and these youth will be strongly represented in our study population.”
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 [124]
In Results > Predictors of Adherence (page not supplied), the CAMS analysis states that neither race nor ethnicity predicted CBT adherence. The paper hypothesized a minority-status association and discusses an earlier study, but its own findings do not show poorer adherence among ethnic-minority youth. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredPrevious findings suggest that disadvantaged youth may have lower engagement in key tasks of CBT and may have less mastery of material, leading to poorer outcomes.
“Third and finally, our focus on practice and intensity was informed by previous findings suggesting that disadvantaged youth may have lower engagement in key tasks of CBT and may have less mastery of material, leading to poorer outcomes.”
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 [124]
The Results (Predictors of Adherence; page unavailable) report that youth from higher-SES families attended more CBT sessions, while the Discussion (Youth Adherence and Treatment Outcomes; page unavailable) links therapist-rated compliance with better outcomes. The paper does not establish that disadvantaged youth engage less in key CBT tasks or master less material; SES predicted attendance, not task compliance or mastery. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPatient non-adherence (poor attendance, low homework completion, poor compliance in session) was associated with number of parents present in the home (with best outcomes for two-parent families), although indices of non-adherence varied in their power to predict clinical outcomes.
“Similarly, patient non-adherence (poor attendance, low homework completion, poor compliance in session) was associated with number of parents present in the home (with the best outcomes for two-parent families), although indices of non-adherence varied in their power to predict clinical outcomes [124].”
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 [124]
Patient nonadherence (poor attendance, low homework completion, poor compliance in session) was associated with number of parents present in the home, with best outcomes for two-parent families, although indices of nonadherence varied in their power to predict clinical outcomes.
“Similarly, patient nonadherence (poor attendance, low homework completion, poor compliance in session) was associated with number of parents present in the home (with the best outcomes for two-parent families), although indices of nonadherence varied in their power to predict clinical outcomes [124].”
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 [124]
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Cites
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“Specifically, positive parent and child beliefs about the effectiveness of treatment significantly predict greater therapist-rated adherence and attendance, respectively (Edlund et al., 2002; Nock et al., 2007).”
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Peterson, B. S., West, A. E., Weisz, J. R., Mack, W. J., Kipke, M. D., Findling, R. L., Mittman, B. S., Bansal, R., Piantadosi, S., Takata, G., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03314-y · Cited by 13 · see citing works
Siegel, P., & Peterson, B. S. (2025) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.14037 · Cited by 1 · see citing works
- Authors
- Lee, P., Zehgeer, A., Ginsburg, G. S., McCracken, J., Keeton, C., Kendall, P. C., Birmaher, B., Sakolsky, D., Walkup, J., Peris, T., Albano, A. M., & Compton, S.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2017-04-27
- Volume
- 48
- Issue
- sup1
- Pages
- S215-S226
- ISSN
- 1537-4416
- 1537-4424
- PMC
- PMC6541406
- Cited by
- 37
- References
- 11
- Language
- en
- Funders
- National Institute of Mental Health (U01MH064092, U01MH63747, U01MH64003, U01MH64088, U01MH64089, U01MH64107)
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