Assessment and management of anxiety disorders in children and adolescents
Open accessAbstract
Anxiety disorders in childhood and adolescence are extremely common and are often associated with lifelong psychiatric disturbance. Consistent with DSM-5 and the extant literature, this review concerns the assessment and treatment of specific phobias, separation anxiety disorder, generalised anxiety disorder, social anxiety disorder, panic disorder and agoraphobia. Evidence-based psychological treatments (cognitive behaviour therapy; CBT) for these disorders have been developed and investigated, and in recent years promising low-intensity versions of CBT interventions have been proposed that offer a means to increase access to evidence-based treatments. There is some evidence of effectiveness of pharmacological treatments for anxiety disorders in children and young people, however, routine prescription is not recommended due to concerns about potential harm.
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CBT is first line psychotherapeutic treatment for common co-occurring mental health disorders like anxiety and depression in both adolescents and adults.
“CBT is first line psychotherapeutic treatment for common co-occurring mental health disorders like anxiety and depression in both adolescents and adults (35-41).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [36]
The Management section describes CBT as a well-evaluated psychological treatment for anxiety disorders in children and adolescents, and says it is the only treatment with an adequate evidence base for general application in that group. The Introduction notes that anxiety can co-occur with depression, but the paper does not establish CBT as first-line psychotherapy for depression or for adults. (LLM, conf=0.87)
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- Authors
- Creswell, C., Waite, P., & Cooper, P. J.
- Affiliations
- University of Reading (GB)
- Stellenbosch University (ZA)
- Corresponding author
- Creswell, C.
- Venue
- Archives of Disease in Childhood
- Publisher
- BMJ
- Published
- 2014-03-17
- Volume
- 99
- Issue
- 7
- Pages
- 674-678
- ISSN
- 0003-9888 (ISSN-L)
- 1468-2044
- PMC
- PMC4078705
- OpenAlex
- W2167558364
- Cited by
- 139
- References
- 54
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 7 · 2023: 13 · 2022: 15 · 2021: 16 · 2020: 16 · 2019: 7 · 2018: 17 · 2017: 11 · 2016: 11 · 2015: 11 · 2014: 1
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Archives of Disease in Childhood (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- CentAUR (University of Reading) (acceptedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP_2014-04-018)
- Medical Research Council (G1002011)
- 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 › Child Therapy and Development
- Keywords
- anxiety disorders, children, adolescents, specific phobia, separation anxiety disorder, generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, cognitive behavioral therapy, pharmacotherapy, assessment, treatment
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Humans, Cognitive Behavioral Therapy
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