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Cognitive-Behavioral Treatment Versus an Active Control for Children and Adolescents With Anxiety Disorders: A Randomized Trial
Open accessAbstract
Objective The current trial examined whether a specific cognitive-behavioral treatment package was more efficacious in treating childhood anxiety disorders than a nonspecific support package.Method One hundred twelve children (aged 7-16 years) with a principal anxiety disorder were randomly allocated to either a group cognitive-behavioral treatment (CBT) program or a control condition (group support and attention [GSA]).Results Overall, results showed that CBT was significantly more efficacious compared with the GSA condition: 68.6% of children in the CBT condition did not meet diagnostic criteria for their principal anxiety diagnosis at 6-month follow-up compared with 45.5% of the children in the GSA condition. The results of the child- and parent-completed measures indicated that, although mothers of CBT children reported significantly greater treatment gains than mothers of GSA children, children reported similar improvements across conditions.Conclusions Specific delivery of cognitive-behavioral skills is more efficacious in the treatment of childhood anxiety than a treatment that includes only nonspecific therapy factors.
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“Cool Kids also reduced primary diagnoses (31% vs 55%), any anxiety diagnoses (51% vs 70%) and symptoms on 3 measures.43”
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 [43]
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Cognitive behavioural therapy for anxiety disorders in children and adolescents
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InfluentialClinical characteristics of anxiety disordered youth
Kendall, P. C., Compton, S. N., Walkup, J. T., Birmaher, B., Albano, A. M., Sherrill, J., Ginsburg, G., Rynn, M., McCracken, J., Gosch, E., et al. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.01.009 · Cited by 369
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BackgroundCognitive behavioural therapy for anxiety disorders in children and adolescents
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“Hudson et al. (2009) reported that posttreatment response rates (defined as the percentage of children no longer meeting criteria for their principal anxiety diagnosis) were 45% after 10 weeks of J Consult Clin Psychol.”
Cognitive behavioural therapy for anxiety disorders in children and adolescents
James, A. C., James, G., Cowdrey, F. A., Soler, A., & Choke, A. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004690.pub3 · Cited by 337
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“Given previous research (e.g., Hudson et al. 2009) indicating that treatment drop-out tends to be higher among older children and adolescents, and the clinical complexity (see footnote 1) of this adolescent sample (e.g., Stattin and Kerr 2009), the degree of participant involvement and adherence in…”
MethodAssessment and Treatment of Anxiety Disorders in Children and Adolescents
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Free, Brief, and Validated: Standardized Instruments for Low-Resource Mental Health Settings
Beidas, R. S., Stewart, R. E., Walsh, L., Lucas, S., Downey, M. M., Jackson, K., Fernandez, T., & Mandell, D. S. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.02.002 · Cited by 240
Types of parental involvement in CBT with anxious youth: a preliminary meta-analysis
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Self-citationWhiteside, S. P. H., Sim, L. A., Morrow, A. S., Farah, W. H., Hilliker, D. R., Murad, M. H., & Wang, Z. (2020) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-019-00303-2 · Cited by 190
Breinholst, S., Esbjørn, B. H., Reinholdt‐Dunne, M. L., & Stallard, P. N. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.12.014 · Cited by 210
“Clinical trials have shown that Cognitive Behavioural Therapy (CBT) is a highly effective treatment for anxiety disorders in children regardless of format (Hudson et al., 2009; In-Albon & Schneider, 2007; James, Soler, & Weatherall, 2005).”
Hudson, J. L., Rapee, R. M., Lyneham, H. J., McLellan, L. F., Wuthrich, V. M., & Schniering, C. A. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.06.007 · Cited by 176
“…utilised heterogeneous groups of anxious children with primary diagnoses of Generalised Anxiety Disorder (GAD), Separation Anxiety Disorder (SAD), and Social Anxiety Disorder (SoAD; e.g., Barrett, Dadds, & Rapee, 1996; Hudson et al., 2009; Kendall, Hudson, Gosch, Flannery-Schroeder, & Suveg, 2008).”
BackgroundMethodInfluentialSelf-citationAnxiety disorders in children and adolescents: A summary and overview of the literature
Rapee, R. M., Creswell, C., Kendall, P. C., Pine, D. S., & Waters, A. M. (2023) · Behaviour Research and Therapy · doi:10.1016/j.brat.2023.104376 · Cited by 227
Self-citationLangley, A. K., Falk, A., Peris, T., Wiley, J. F., Kendall, P. C., Ginsburg, G., Birmaher, B., March, J., Albano, A. M., & Piacentini, J. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.817311 · Cited by 160
“In addition, its reliability (Lyneham, Abbott, & Rapee, 2007), validity (Wood, Piacentini, Bergman, McCracken, & Barrios, 2002), and sensitivity to treatment-related changes (Hudson et al., 2009; Kendall et al., 1997) are well documented.”
Creswell, C., Nauta, M. H., Hudson, J. L., March, S., Reardon, T. C., Arendt, K. B., Bodden, D. H. M., Cobham, V. E., Donovan, C. L., Halldorsson, B., et al. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13283 · Cited by 157
“anxiety disorders and have used ‘multianxiety disorder-focused’ treatment protocols that can be applied across a range of disorders (e.g., Ginsburg et al., 2011; Hudson et al., 2009; Kendall, Hudson, Gosch, Flannery-Schroeder,&Suveg,2008;Thirlwall et al., 2013).”
BackgroundMethodSelf-citationPractitioner Review: Anxiety disorders in children and young people – assessment and treatment
Creswell, C., Waite, P., & Hudson, J. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13186 · Cited by 140
Self-citationGearing, R. E., Schwalbe, C. S. J., Lee, R., & Hoagwood, K. (2013) · Depression and Anxiety · doi:10.1002/da.22118 · Cited by 155
“…(2002) 6 15.6 17 Anxiety No Group 10 ADIS-CIR; SCARED; SAS 0.89 - Herbert et al. (2009) 24 14.7 42 Anxiety No Individual 12 BDI; SEI; SES 0.26 0.32 Hudson et al. (2009) 60 10.2 56 Anxiety No Family 10 CSR; SCAS; SDQ; 0.97 0.98 Hyun et al. (2005) 16 15.5 100 Mood No Group 8 TASI 0.34 - Kendall et…”
Influentialvan Steensel, F. J. A., Bögels, S. M., & Dirksen, C. D. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.698725 · Cited by 137
“This approach, which combines the number and severity of anxiety disorders, has been used to measure improvement in total anxiety severity following intervention in clinical as well as preventive contexts (eg, Hudson et al, 2009 ; Simon, Bogels, & Voncken, 2011 ).”
MethodComponents of Cognitive Behavioral Therapy Related to Outcome in Childhood Anxiety Disorders
Ale, C. M., McCarthy, D. M., Rothschild, L. M., & Whiteside, S. P. H. (2015) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-015-0184-8 · Cited by 142
“…CADs 9 14–17 Hayward et al. (2000) CBT versus WL G Community SoP 33 14–17 Herbert et al. (2009) CBT-I versus CBT-G versus AP G & I Community SoP 68 12–17 Hudson et al. (2009) CBT versus AP G Mixed CADs 95 7–16 Kendall (1994) CBT versus WL I Clinic CADs 47 9–13 Kendall et al. (1997) CBT versus WL…”
BackgroundSigurvinsdóttir, A. L., Jensínudóttir, K. B., Baldvinsdóttir, K. D., Smárason, O., & Skarphedinsson, G. (2020) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2019.1686653 · Cited by 130
Warwick, H., Reardon, T., Cooper, P., Murayama, K., Reynolds, S., Wilson, C., & Creswell, C. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.12.002 · Cited by 130
“Treatment was delivered individually in two studies (Silk et al., 2016; Barrington et al., 2005) and in groups in three (Masia Warner et al., 2007; Hudson et al., 2009; Ginsburg & Drake, 2002).”
BackgroundMethodInfluentialKennedy, S. M., Bilek, E. L., & Ehrenreich-May, J. (2019) · Behavior Modification · doi:10.1177/0145445517753940 · Cited by 129
CBT for adolescents with anxiety: mature yet still developing
Kendall, P. C., & Peterman, J. S. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2015.14081061 · Cited by 115
Forehand, R., Jones, D. J., & Parent, J. M. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.10.010 · Cited by 133
A pilot feasibility evaluation of the CALM Program for anxiety disorders in early childhood
Comer, J. S., Puliafico, A. C., Aschenbrand, S. G., McKnight, K., Robin, J. A., Goldfine, M. E., & Albano, A. M. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.08.011 · Cited by 104
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Self-citationParental Involvement: Contribution to Childhood Anxiety and Its Treatment
Wei, C., & Kendall, P. C. (2014) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-014-0170-6 · Cited by 116
Deb, S., Chatterjee, P., & Walsh, K. (2010) · QUT ePrints (Queensland University of Technology) · Cited by 98
Maric, M., Wiers, R. W., & Prins, P. J. M. (2012) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-012-0114-y · Cited by 97
“…several new treatment outcome studies for youth with internalizing disorders have been conducted (e.g., Bodden et al. 2008; Bögels and Siqueland 2006; Chorpita et al. 2004; Hudson et al. 2009; Liber et al. 2008), but these studies have not reported analyses of mediators of treatment outcomes.”
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Rapee, R. M., Lyneham, H. J., Hudson, J. L., Kangas, M., Wuthrich, V. M., & Schniering, C. A. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.10.002 · Cited by 92
Self-citationCbt for anxiety disorders in children with and without autism spectrum disorders.
van Steensel, F. J. A., & Bögels, S. M. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0039108 · Cited by 101
“This approach has the advantage that all measurement information of the anxiety disorders is used, and has been used in other treatment effectiveness studies (e.g., Hudson et al., 2009; Kendall et al., 2008; Simon, Bögels, & Voncken, 2011).”
MethodSburlati, E. S., Schniering, C. A., Lyneham, H. J., & Rapee, R. M. (2011) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-011-0083-6 · Cited by 94
Self-citationCaporino, N. E., Brodman, D. M., Kendall, P. C., Albano, A. M., Sherrill, J. T., Piacentini, J. C., Sakolsky, D. J., Birmaher, B. B., Compton, S. N., Ginsburg, G. S., et al. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.10.006 · Cited by 86
Uher, R., Cumby, J., MacKenzie, L. E., Morash-Conway, J., Glover, J. M., Aylott, A., Propper, L., Abidi, S., Bagnell, A. L., Pavlová, B., et al. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0344-2 · Cited by 89
“Sleep problems respond well to brief CBT interventions [78].”
Rapee, R. M., Lyneham, H. J., Wuthrich, V., Chatterton, M. L., Hudson, J. L., Kangas, M., & Mihalopoulos, C. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.08.001 · Cited by 81
Self-citationHudson, J. L., Newall, C., Rapee, R. M., Lyneham, H. J., Schniering, C. A., Wuthrich, V. M., Schneider, S. C., Seeley-Wait, E., Edwards, S., & Gar, N. S. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.807734 · Cited by 79
“CBT Group The CBT condition used the Cool Kids program, which has established efficacy (e.g., Hudson et al., 2009).”
MethodSelf-citationFalkenström, F., Markowitz, Jonker, H., Philips, B., & Holmqvist, R. (2013) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.12r07848 · Cited by 78
Cognitive mediation of cognitive-behavioural therapy outcomes for anxiety-based school refusal
Maric, M., Heyne, D. A., MacKinnon, D. P., van Widenfelt, B. M., & Westenberg, P. M. (2013) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465812000756 · Cited by 67
“Treatment designs such as those comparing CBT with psychological placebo conditions controlling for the non-specific aspects of CBT (e.g. Hudson et al., 2009; Last et al., 1998; Silverman et al., 1999) are needed for a fuller understanding of cognitive mediation of CBT outcome (Hudson, 2005).”
Methodvan Steensel, F. J. A., Deutschman, A., & Bögels, S. M. (2012) · Autism · doi:10.1177/1362361312455875 · Cited by 70
“This approach, which combines the number and severity of anxiety disorders, has been used by other studies to evaluate the effectiveness of treatment (Hudson et al., 2009; Simon et al., 2011).”
MethodSchwartz, C., Barican, J. L., Yung, D., Zheng, Y., & Waddell, C. (2019) · Evidence-Based Mental Health · doi:10.1136/ebmental-2019-300096 · Cited by 63
Efficacy of a Danish version of the cool kids program: a randomized wait-list controlled trial
Arendt, K., Thastum, M., & Hougaard, E. (2016) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12448 · Cited by 64
“The results of the study add to the existing evidence of the Cool Kids program as an efficacious treatment for youth anxiety disorders (12, 13).”
ResultNeurotrophic gene polymorphisms and response to psychological therapy
Lester, K. J., Hudson, J. L., Tropeano, M., Creswell, C., Collier, D. A., FARMER, A. E., Lyneham, H. J., Rapee, R. M., & Eley, T. C. (2012) · Translational Psychiatry · doi:10.1038/tp.2012.33 · Cited by 63
“65 for mood disorders).(60,61) The percentages of children with specific disorders as their (a) primary diagnosis or (b) anywhere in their profile were as follows: separation anxiety disorder”
Self-citationHoagwood, K., Jensen, P. S., Acri, M. C., Olin, S.-C. S., Lewandowski, R. E., & Herman, R. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.09.004 · Cited by 65
Clinical characteristics of high-functioning youth with autism spectrum disorder and anxiety
Ung, D., Wood, J. J., Ehrenreich, J. T., Arnold, E. B., Fujii, C., Renno, P., Murphy, T. K., Lewin, A. B., Mutch, P. J., & Storch, E. A. (2013) · Neuropsychiatry · doi:10.2217/npy.13.9 · Cited by 64
The role of perfectionism in cognitive behaviour therapy outcomes for clinically anxious children
Mitchell, J. H., Newall, C., Broeren, S., & Hudson, J. L. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.05.015 · Cited by 64
“…treatment (CBT) programs have demonstrated reductions in both anxiety and its consequences, compared with wait list conditions (Cartwright-Hatton, Roberts, Chitsabesan, Fothergill, & Harrington, 2004; Reynolds, Wilson, Austin, & Hooper, 2012) and general support conditions (Hudson et al., 2009).”
BackgroundSelf-citationAnxiety in adolescents: Update on its diagnosis and treatment for primary care providers
Dickstein, D. P. (2011) · Adolescent Health Medicine and Therapeutics · doi:10.2147/ahmt.s7597 · Cited by 59
“61,62 Although fewer group treatments are available for other types of anxiety disorders in adolescents, Hudson et al 63 found a group treatment with a cognitive behavior therapy component to be more effective than noncognitive behavioral group therapy in treating youth aged 7–16 years with mixed anxiety diagnoses.”
Computers and psychosocial treatment for child anxiety: recent advances and ongoing efforts
Kendall, P. C., Khanna, M. S., Edson, A. L., Cummings, C. M., & Harris, M. S. H. (2010) · Depression and Anxiety · doi:10.1002/da.20757 · Cited by 47
Rapee, R. M., Shaw, T., Hunt, C. J., Bussey, K., Hudson, J. L., Mihalopoulos, C., Roberts, C. M., Fitzpatrick, S., Radom, N., Cordin, T., et al. (2020) · Aggressive Behavior · doi:10.1002/ab.21881 · Cited by 45
Self-citationWaite, P., Codd, J., & Creswell, C. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.08.022 · Cited by 43
“The mean SCAS-C score for the children with anxiety disorders was lower than would be expected on the basis of the published norms, but is in line with other clinical studies (e.g., Hudson et al., 2009).”
ResultLundkvist‐Houndoumadi, I., Hougaard, E., & Thastum, M. (2014) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2014.903295 · Cited by 44
Chatterton, M. L., Rapee, R. M., Catchpool, M., Lyneham, H. J., Wuthrich, V. M., Hudson, J. L., Kangas, M., & Mihalopoulos, C. (2019) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867418823272 · Cited by 42
Self-citationCunningham, N. R., Kalomiris, A. E., Peugh, J., Farrell, M. K., Pentiuk, S. P., Mallon, D. P., Le, C., Moorman, E. L., Fussner, L. M., Dutta, R. A., et al. (2020) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2020.10.060 · Cited by 46
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“ADAPT (Table 1) was developed from: an established CBT protocol for pain management (15) and ‘‘Cool Kids’’ to treat anxiety (22).”
BackgroundMethodWalczak, M., Ollendick, T. H., Ryan, S., & Esbjørn, B. H. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.12.005 · Cited by 46
Friendship quality predicts treatment outcome in children with anxiety disorders
Baker, J. R., & Hudson, J. L. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.005 · Cited by 40
Self-citationWatson, C. C., Rich, B. A., Sanchez, L., O’Brien, K., & Alvord, M. K. (2013) · Child & Youth Care Forum · doi:10.1007/s10566-013-9238-6 · Cited by 36
“2010), reduction in the number of children meeting criteria for an anxiety disorder (Dadds et al. 1999; Hudson et al. 2009; Shortt et al. 2001; Silverman et al. 1999), and prevention of the onset of new anxiety disorders (Dadds et al.”
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Ishikawa, S., Motomura, N., Kawabata, Y., Tanaka, H., Shimotsu, S., Sato, Y., & Ollendick, T. H. (2012) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465811000713 · Cited by 37
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Self-citationThirlwall, K., Cooper, P., & Creswell, C. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.11.003 · Cited by 40
Assessment and Treatment of Anxiety Disorders in Children and Adolescents
Connolly, S. D., Suárez, L., & Sylvester, C. E. (2011) · Current Psychiatry Reports · doi:10.1007/s11920-010-0173-z · Cited by 36
Gladstone, T., Buchholz, K. R., Fitzgibbon, M., Schiffer, L., Lee, M., & Voorhees, B. W. V. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217736 · Cited by 32
Differentiation of Self: Enhancing Therapist Resilience When Working with Relational Trauma
MacKay, L. M. (2017) · Australian and New Zealand Journal of Family Therapy · doi:10.1002/anzf.1276 · Cited by 32
“Familiarity, at the very least, is required about interventions that may be useful for clients in addition to therapy, such as ‘Cool Kids’ (Hudson et al., 2009), ‘Circle of Security’ (COS; Marvin, Cooper, Hoffman, & Powell, 2002; Cooper, Hoffman, Powell, & Marvin, 2005), parent–child interactive training (Eyberg et al.”
BackgroundThe effect of an integrated reading and anxiety intervention for poor readers with anxiety
Francis, D. A., Hudson, J. L., Kohnen, S., Mobach, L., & McArthur, G. M. (2021) · PeerJ · doi:10.7717/peerj.10987 · Cited by 37
“Numerous randomised controlled trials support the efficacy of Cool Kids, reporting significantly higher remission rates for primary anxiety disorders than control treatment in various clinical, school, and research settings (Hudson et al., 2009; Chavira et al., 2014; Mifsud & Rapee, 2006; Rapee, Abbott & Lyneham, 2006…”
BackgroundResultInfluentialSelf-citationSciberras, E., Efron, D., Patel, P., Mulraney, M., Lee, K. J., Mihalopoulos, C., Engel, L., Rapee, R. M., Anderson, V. A., Nicholson, J. M., et al. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2276-3 · Cited by 34
Self-citationCreswell, C., Violato, M., Cruddace, S., Gerry, S., Murray, L., Shafran, R., Stein, A. L., Willetts, L., McIntosh, E., & Cooper, P. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13089 · Cited by 28
“…of seven qualified clinical psychologists or cognitive behaviour therapists, following a manual based on the ‘Cool Kids’ (Lyneham, Abbott, Wignall, & Rapee, 2003) and ‘Coping Cat’ (Kendall & Hedtke, 2006) programmes (both of which have established efficacy; Hudson et al., 2009; Walkup et al., 2008).”
MethodSilfvernagel, K., Gren‐Landell, M., Emanuelsson, M., Carlbring, P., & Andersson, G. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.07.002 · Cited by 36
van Steensel, F. J. A., Zegers, V., & Bögels, S. M. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2956-5 · Cited by 43
Lawrence, P. J., Parkinson, M., Jasper, B., Creswell, C., & Halligan, S. L. (2021) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30315-1 · Cited by 32
Patient-reported outcome measures used to improve youth mental health services: a systematic review
Bajgain, K. T., Amarbayan, M. M., Wittevrongel, K., McCabe, E., Naqvi, S. F., Tang, K. L., Aghajafari, F., Zwicker, J. D., & Santana, M. (2023) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-023-00556-0 · Cited by 31
“Strength and Difficulties Questionnaire (SDQ), and Short Form-36 (SF-36) are some examples of such measures.”
BackgroundInfluentialShort-term psychoanalytic child therapy for anxious children: A pilot study.
Göttken, T., White, L. O., Klein, A. M., & von Klitzing, K. (2014) · Psychotherapy · doi:10.1037/a0036026 · Cited by 28
Lester, K. J., Roberts, S., Keers, R., Coleman, J. R. I., Breen, G. D., Wong, C. C. Y., Xu, X., Arendt, K. B., Blatter‐Meunier, J., Bögels, S. M., et al. (2015) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.114.154997 · Cited by 28
“They frequently occur early and show high continuity into adulthood.(2) Cognitive–behavioural therapy (CBT) is the most established treatment option for childhood anxiety, with around 59% of children remitting following treatment.”
Self-citationArendt, K. B., Thastum, M., & Hougaard, E. (2015) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465815000429 · Cited by 27
“The Cool Kids Program has been shown to be efficacious in studies conducted in Australia by its developers (Hudson et al., 2009) and in an independent Danish efficacy study (Arendt et al., in press).”
MethodMychailyszyn, M. P. (2017) · Canadian Psychology/Psychologie canadienne · doi:10.1037/cap0000101 · Cited by 29
Neurophysiological Markers That Predict and Track Treatment Outcomes in Childhood Anxiety
Hum, K. M., Manassis, K., & Lewis, M. D. (2013) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-013-9755-7 · Cited by 24
“These findings are consistent with studies that have failed to demonstrate significant time-by-condition interactions on child self-report measures (Barrett et al. 1996; Hudson et al. 2009; Silverman et al. 1999).”
ResultHaugland, B. S. M., Raknes, S., Haaland, A. T., Wergeland, G. J., Bjaastad, J. F., Baste, V., Himle, J., Rapee, R. M., & Hoffart, A. (2017) · Trials · doi:10.1186/s13063-017-1831-9 · Cited by 34
“CHILLED (adolescent version of the Cool Kids program) [42] is a manualized CBT program for the treatment of youth with anxiety [31, 32, 43].”
BackgroundMethodSelf-citationSimpson, D., Suárez, L., & Connolly, S. D. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0254-2 · Cited by 25
Jónsson, H., Thastum, M., Arendt, K. B., & Sørensen, M. J. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.06.009 · Cited by 22
Silfvernagel, K., Wassermann, C., & Andersson, G. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.03.002 · Cited by 21
“, 2001) and Cool Kids (Hudson et al., 2009).”
Kennedy, S. M., Tonarely, N. A., Sherman, J. A., & Ehrenreich, J. T. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.05.004 · Cited by 22
A Hierarchical Model of the Symptom-Level Structure of Psychopathology in Youth
Forbes, M. K., Watts, A. L., Twose, M., Barrett, A., Hudson, J. L., Lyneham, H. J., McLellan, L. F., Newton, N. C., Sicouri, G., Chapman, C., et al. (2024) · Clinical Psychological Science · doi:10.1177/21677026241257852 · Cited by 20
“…completing outpatient or online treatments ( n = 1,834) at the Centre for Emotional Health Clinic at Macquarie University, Sydney, Australia, from 2000 to 2022 (Sample 6; e.g., Hudson et al., 2009, 2013, 2023; McLellan et al., 2024; Rapee et al., 2013, 2017, 2022; Schniering et al., 2022).”
Self-citationPryjmachuk, S., Elvey, R., Kirk, S. A., Kendal, S., Bower, P., & Catchpole, R. (2014) · Health Services and Delivery Research · doi:10.3310/hsdr02180 · Cited by 20
Norris, L. A., & Kendall, P. C. (2020) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.34.1.4 · Cited by 16
“The initial Coping Cat RCT (1994) was followed up by numerous other trials conducted by a variety of clinical researchers (e.g., Albano, Marten, Holt, Heimberg, & Barlow, 1995; Hudson et al., 2009; Kendall et al., 1997; Kendall, Hudson, Gosch, Flannery-Schroeder, & Suveg, 2008; Ollendick et al., 2009; Rapee, Abbott, &…”
BackgroundMethodDjurhuus, I. D., & Bikic, A. (2019) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2019.1574893 · Cited by 15
Meta-analysis: Counseling Outcomes for Youth with Anxiety Disorders
Erford, B. T., Kress, V. E. W., Giguere, M., Cieri, D., & Erford, B. M. (2015) · Journal of Mental Health Counseling · doi:10.17744/mehc.37.1.mgj66326868u33g2 · Cited by 14
Morgan, A. J., Rapee, R. M., Tamir, E., Goharpey, N., Salim, A., McLellan, L. F., & Bayer, J. K. (2015) · Trials · doi:10.1186/s13063-015-1022-5 · Cited by 14
“Psychometric properties of the SDQ-ES are adequate [41], and it has been shown to be sensitive to change from child anxiety treatment [42, 43].”
BackgroundSelf-citationPalitz, S. A., Caporino, N. E., Mcguire, J. F., Piacentini, J. C., Albano, A. M., Birmaher, B. B., Walkup, J. T., Compton, S. N., Ginsburg, G. S., & Kendall, P. C. (2018) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.03.013 · Cited by 13
Stein, D. J. (2013) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v19i3.950 · Cited by 13
Tennant, R. G., Martin, K. K., Rooney, R. M., Hassan, S., & Kane, R. T. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00291 · Cited by 13
“Limitations of this research include a heavy reliance on parent report measures (e.g., Hirshfeld-Becker et al., 2010), with child-reported outcomes not generally showing significant change (e.g., Hudson et al., 2009).”
BackgroundMethodResultInfluentialWaters, A. M., Groth, T. A., Purkis, H. M., & Alston‐Knox, C. (2017) · Clinical Psychologist · doi:10.1111/cp.12128 · Cited by 14
“…phobia (SP), and separation anxiety disorder (SAD) primarily because of the high rates of comorbidity between these disorders (e.g., Barrett, Dadds, & Rapee, 1996; Hudson et al., 2009; Kendall, 1994; Kendall, Hudson, Gosch, Flannery-Schroeder, & Suveg, 2008; Rapee, Abbott, & Lyneham, 2006).”
BackgroundIshikawa, S.-I., Romano, M., & Hudson, J. L. (2022) · Behavior Therapy · doi:10.1016/j.beth.2021.05.008 · Cited by 11
Self-citationKennedy, S. M., & Hawks, J. L. (2020) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2020.09.011 · Cited by 11
Manley, S., & Francis, S. E. B. (2021) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-021-09937-5 · Cited by 14
Metadata
- Authors
- Hudson, J. L., Rapee, R. M., Deveney, C., Schniering, C. A., Lyneham, H. J., & Bovopoulos, N.
- Affiliations
- Macquarie University (AU)
- Corresponding author
- Hudson, Jennifer L.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-05
- Volume
- 48
- Issue
- 5
- Pages
- 533-544
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2096672350
- Cited by
- 173
- References
- 36
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 9 · 2020: 16 · 2019: 14 · 2018: 8 · 2017: 13 · 2016: 7 · 2015: 19 · 2014: 9 · 2013: 18 · 2012: 19
- FWCI
- 14.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Macquarie University
- 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 › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, childhood anxiety disorders, adolescents, active control, treatment efficacy, parent-reported outcomes, child-reported outcomes
- MeSH terms
- Adolescent, Anxiety Disorders, Behavioral Symptoms, Child, Female, Humans, Interview, Psychological, Male, Mother-Child Relations, Psychotherapy, Group, Surveys and Questionnaires, Self-Help Groups, Reproducibility of Results, Cognitive Behavioral Therapy, Chi-Square Distribution, Treatment Outcome, Parental Consent
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