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Moderators and Mediators of Treatments for Youth With Anxiety
Abstract
Although research supports the efficacy of cognitive behavioral therapy (CBT) for youth anxiety, CBT does not provide the same benefit for all youth. Identifying moderators and mediators of treatment outcome can provide important information regarding how to best treat youth with anxiety. This chapter examines non-specific predictors and moderators of treatment outcome, including baseline diagnoses, symptom severity, and characteristics of the youth, caregiver, and therapist. It also reviews candidate mediators of CBT for youth anxiety, including cognitive, behavioral, and affective change. Information in this chapter provides clinicians with a guide for matching patients to treatments that provide the most benefit and for targeting key mechanisms of therapeutic change.
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In the citing paper
“Findings often reveal either no significant moderators or a meager number that fail to replicate, including in evaluative reviews and meta-analyses (e.g., Bennett et al., 2013; Herres et al., 2015; Nilsen et al., 2013; Norris & Kendall, 2020).”
From Boundaries on Parent Involvement in Their Child’s Anxiety Cognitive-Behavioral-Treatment Outcome: Parent Reinforcement and Relationship Behaviors Moderate Outcome (2024) · cites this paper as Herres et al., 2015
In the citing paper
“The relatively weak and inconsistent support for the role of parents in CBT suggests that the model does not target important mechanisms impacting treatment outcome (29, 30).”
From Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety (2023) · cites this paper as [29]
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Efficacy of cognitive-behavioral therapy for childhood anxiety and depression
Crowe, K., & McKay, D. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.04.001 · Cited by 101
Lundkvist‐Houndoumadi, I., & Thastum, M. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1982 · Cited by 39
The role of day-to-day emotions, sleep, and social interactions in pediatric anxiety treatment
Wallace, M. L., McMakin, D. L., Tan, P. Z., Rosen, D. K., Forbes, E. E., Ladouceur, C. D., Ryan, N. D., Siegle, G. J., Dahl, R. E., Kendall, P. C., et al. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.12.012 · Cited by 39
Self-citationSilverman, W. K., Rey, Y., Marin, C. E., Jaccard, J., & Pettit, J. W. (2022) · Clinical Psychological Science · doi:10.1177/21677026211016402 · Cited by 30
“Given the absence of past data on parent/family mechanisms/mediators and the frequent calls for such data (e.g., Creswell et al., 2020; Herres et al., 2015; Manassis et al., 2014; Peris et al., 2021; Sun et al., 2018; Thulin et al., 2014), our findings acquire even further significance.”
BackgroundSilverman, W. K., Rey, Y., Marin, C. E., Boutris, P., Jaccard, J., & Pettit, J. W. (2024) · Clinical Psychological Science · doi:10.1177/21677026231209331 · Cited by 17
Metadata
- Authors
- Herres, J., Cummings, C. M., Swan, A., Makover, H., & Kendall, P. C.
- Venue
- Moderators and Mediators of Youth Treatment Outcomes
- Publisher
- Oxford University Press
- Published
- 2015-08
- Pages
- 20-40
- OpenAlex
- W2491648514
- Cited by
- 13
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2021: 3 · 2020: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1
- FWCI
- 5.40
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- youth anxiety, cognitive behavioral therapy, moderators of treatment outcome, treatment response prediction, symptom severity, caregiver characteristics, therapist characteristics, treatment matching
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