1. Guided parent-delivered cognitive behavioral therapy for childhood anxiety: Predictors of treatment response
- Author
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Cathy Creswell, Peter J. Cooper, and Kerstin Thirlwall
- Subjects
Male ,Parents ,050103 clinical psychology ,Treatment response ,Pediatrics ,medicine.medical_specialty ,medicine.medical_treatment ,Treatment outcome ,Anxiety ,Article ,Intervention (counseling) ,medicine ,Childhood anxiety ,Humans ,Stepped-care ,0501 psychology and cognitive sciences ,Child ,Prediction of response ,Cognitive Behavioral Therapy ,05 social sciences ,Child/adolescent ,medicine.disease ,Anxiety Disorders ,Treatment ,Cognitive behavioral therapy ,Clinical Psychology ,Psychiatry and Mental health ,Treatment Outcome ,Cognitive behavior therapy ,Cognitive therapy ,Female ,medicine.symptom ,Psychology ,Anxiety disorder ,050104 developmental & child psychology ,Clinical psychology - Abstract
Highlights • We examined predictors of response to low intensity treatment of childhood anxiety disorders. • Response was measured at two time points; post treatment and six month follow up. • Recovery was associated with child age, primary diagnosis of Generalized Anxiety Disorder (GAD) and treatment intensity. • The findings inform decision making about when to consider more intensive treatment., Background Guided Parent-delivered Cognitive Behaviour Therapy (GPD-CBT) is a brief, effective treatment for childhood anxiety disorders, however not all children respond favourably. Aims To examine predictors of response to GPD-CBT. Methods Parents of 125 children (7–12 years) with an anxiety disorder received GPD-CBT over 2.6 or 5.3 h. Recovery was measured post treatment and six months later. Results Younger children and those with primary Generalised Anxiety Disorder (GAD) improved more post treatment, but older children and those without primary GAD had better outcomes at six month follow up. Fewer children allocated to 2.6 h had recovered post treatment compared to those allocated to the 5.2 h intervention, but did not differ significantly six months later. Conclusions The identification of predictors of short and longer-term treatment outcomes can guide treatment decisions following this low-intensity approach.
- Published
- 2017
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