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Child Versus Family Cognitive-Behavioral Therapy in Clinically Anxious Youth: An Efficacy and Partial Effectiveness Study

Bodden, Denise H.M., Bögels, Susan M., Nauta, Maaike H., De Haan, Else, Ringrose, Jaap, Appelboom, Carla, Brinkman, Andries G., Appelboom-Geerts, Karen C.M.M.J.·2008·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/chi.0b013e318189148e
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Abstract

Objective The efficacy and partial effectiveness of child-focused versus family-focused cognitive-behavioral therapy (CBT) for clinically anxious youths was evaluated, in particular in relation to parental anxiety disorders and child's age. Method Clinically referred children with anxiety disorders (N = 128) and their parents were randomly assigned to child or family CBT and evaluated at pretreatment, posttreatment, and 3-month follow-up. Twenty-five families were measured before and after a 2- to 3-month waitlist period. Results None of the waitlisted children recovered from their anxiety disorders. In contrast, 41% of the treated children no longer met criteria for any anxiety disorder after CBT, and 52% demonstrated continued improvement at the 3-month follow-up. Significantly more children were free of anxiety disorders (53%) in the child CBT condition compared with family CBT condition (28%) at posttreatment, whereas at 3-month follow-up, the superior effect of child CBT was no longer significant. Similar results were obtained from the questionnaire measures. Both child and family CBT were less effective if parents had an anxiety disorder themselves. On some of the measures, child CBT was superior if parents had anxiety disorders themselves, whereas family CBT was superior if parents had no anxiety disorders. Finally, younger children had better outcomes than older children, regardless of the treatment condition. Conclusions Overall, child CBT seems slightly more benefic…

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Authors
Bodden, D. H. M., Bögels, S. M., Nauta, M. H., De Haan, E., Ringrose, J., Appelboom, C., Brinkman, A. G., & Appelboom-Geerts, K. C. M. M. J.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2008-12
Volume
47
Issue
12
Pages
1384-1394
ISSN
0890-8567
DOI
10.1097/chi.0b013e318189148e
Cited by
177
References
8
Language
en
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)

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