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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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“They are, however, consistent with those reported in a recent study by Hudson et al. (2009) in which 45% of the 7-16 year old sample were free of their primary anxiety diagnosis immediately after CBT. Similarly, the extent of the clinically significant improvements in the CGAS ratings for the NET…”
Influential
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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