CBT for adolescents with anxiety: mature yet still developing
Open accessAbstract
Anxiety disorders are common in adolescents (ages 12 to 18) and contribute to a range of impairments. There has been speculation that adolescents with anxiety are at risk for being treatment nonresponders. In this review, the authors examine the efficacy of cognitive-behavioral therapy (CBT) for adolescents with anxiety. Outcomes from mixed child and adolescent samples and from adolescent-only samples indicate that approximately two-thirds of youths respond favorably to CBT. CBT produces moderate to large effects and shows superiority over control/comparison conditions. The literature does not support differential outcomes by age: adolescents do not consistently manifest poorer outcomes relative to children. Although extinction paradigms find prolonged fear extinction in adolescent samples, basic research does not fully align with the processes and goals of real-life exposure. Furthermore, CBT is flexible and allows for tailored application in adolescents, and it may be delivered in alternative formats (i.e., brief, computer/Internet, school-based, and transdiagnostic CBT).
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CBT is efficacious in treating adolescent anxiety.
“Although abundant evidence supports the efficacy of cognitive behavioral therapy (CBT) in treating adolescent anxiety, not all teens respond positively to CBT.”
From Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety (2023) · cites this paper as [17]
The certainty of the evidence for efficacy outcomes was assessed using the GRADE framework across study limitations, imprecision, heterogeneity and inconsistency, indirectness, and publication bias.
“The certainty of the evidence for efficacy outcomes was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework across the following 5 domains: study limitations, imprecision, heterogeneity and inconsistency, indirectness, and publication bias.”
From Different Types and Acceptability of Psychotherapies for Acute Anxiety Disorders in Children and Adolescents: A Network Meta-analysis (2019) · cites this paper as [29]
The Review and Overview section describes a review of CBT outcomes for adolescents with anxiety, but does not describe a GRADE assessment. Searches for GRADE and for the listed certainty-of-evidence domains found no passage in our copy stating that the authors assessed efficacy evidence using that framework; page numbers were unavailable. (LLM, conf=0.72)
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- Authors
- Kendall, P. C., & Peterman, J. S.
- Affiliations
- Temple University (US)
- ORCID
- Kendall, Philip C.
- Venue
- American Journal of Psychiatry
- Published
- 2015-06-01
- Volume
- 172
- Issue
- 6
- Pages
- 519-530
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1908297199
- Cited by
- 115
- References
- 145
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 9 · 2023: 10 · 2022: 24 · 2021: 13 · 2020: 12 · 2019: 6 · 2018: 12 · 2017: 13 · 2016: 6
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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, adolescent anxiety, anxiety disorders, treatment response, treatment non-responders, fear extinction, exposure therapy, treatment efficacy
- MeSH terms
- Adolescent, Age Factors, Anxiety Disorders, Child, Extinction, Psychological, Fear, Female, Humans, Male, Personality Development, Cognitive Behavioral Therapy, Treatment Outcome
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