Cognitive Behavior Therapy and Metacognitive Therapy: Moderators of Treatment Outcomes for Children with Generalized Anxiety Disorder.

Walczak, M; Breinholst, S; Ollendick, T; Esbjørn, BH

Cognitive Behavior Therapy and Metacognitive Therapy: Moderators of Treatment Outcomes for Children with Generalized Anxiety Disorder.

Walczak, M Breinholst, S Ollendick, T Esbjørn, BH

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: Child Psychiatry Hum Dev, 2019, 50, (3), pp. 449-458
Issue Date:: 2019-06

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Field	Value	Language
dc.contributor.author	Walczak, M
dc.contributor.author	Breinholst, S
dc.contributor.author	Ollendick, T
dc.contributor.author	Esbjørn, BH
dc.date.accessioned	2022-09-05T00:48:59Z
dc.date.available	2022-09-05T00:48:59Z
dc.date.issued	2019-06
dc.identifier.citation	Child Psychiatry Hum Dev, 2019, 50, (3), pp. 449-458
dc.identifier.issn	0009-398X
dc.identifier.issn	1573-3327
dc.identifier.uri	http://hdl.handle.net/10453/161355
dc.description.abstract	Although cognitive behavioral therapy (CBT) is effective for childhood anxiety disorders, approximately 40% of youth remain anxious after treatment. Metacognitive therapy (MCT-c) for children with generalized anxiety disorder (GAD) has shown promising effects. The present study aimed to examine if CBT and MCT-c show differential effects in children with primary GAD based on baseline characteristics, in a quasi-experimental design. To investigate which treatment is most beneficial for whom, three potential moderators: age, symptom severity, and comorbid social anxiety were examined. Sixty-three children aged 7-14 completed CBT or MCT-c. Participants were assessed before and after treatment. Both CBT and MCT-c were highly effective in treatment of childhood GAD. None of the selected variables significantly moderated treatment outcomes. Subgroups of children with high symptom severity and social anxiety comorbidity showed trends of responding better to CBT. Methodologically stronger studies are needed to facilitate a better adaptation of treatment for children with GAD.
dc.format	Print
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	Child Psychiatry Hum Dev
dc.relation.isbasedon	10.1007/s10578-018-0853-1
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine, 1701 Psychology
dc.subject.classification	Developmental & Child Psychology
dc.subject.mesh	Adolescent
dc.subject.mesh	Age Factors
dc.subject.mesh	Anxiety
dc.subject.mesh	Anxiety Disorders
dc.subject.mesh	Child
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Metacognition
dc.subject.mesh	Patient Health Questionnaire
dc.subject.mesh	Patient Selection
dc.subject.mesh	Psychiatric Status Rating Scales
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Anxiety
dc.subject.mesh	Anxiety Disorders
dc.subject.mesh	Psychiatric Status Rating Scales
dc.subject.mesh	Age Factors
dc.subject.mesh	Patient Selection
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Metacognition
dc.subject.mesh	Patient Health Questionnaire
dc.subject.mesh	Cognitive Behavioral Therapy
dc.title	Cognitive Behavior Therapy and Metacognitive Therapy: Moderators of Treatment Outcomes for Children with Generalized Anxiety Disorder.
dc.type	Journal Article
utslib.citation.volume	50
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-05T00:48:49Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	50
utslib.citation.issue	3

Abstract:

Although cognitive behavioral therapy (CBT) is effective for childhood anxiety disorders, approximately 40% of youth remain anxious after treatment. Metacognitive therapy (MCT-c) for children with generalized anxiety disorder (GAD) has shown promising effects. The present study aimed to examine if CBT and MCT-c show differential effects in children with primary GAD based on baseline characteristics, in a quasi-experimental design. To investigate which treatment is most beneficial for whom, three potential moderators: age, symptom severity, and comorbid social anxiety were examined. Sixty-three children aged 7-14 completed CBT or MCT-c. Participants were assessed before and after treatment. Both CBT and MCT-c were highly effective in treatment of childhood GAD. None of the selected variables significantly moderated treatment outcomes. Subgroups of children with high symptom severity and social anxiety comorbidity showed trends of responding better to CBT. Methodologically stronger studies are needed to facilitate a better adaptation of treatment for children with GAD.

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http://hdl.handle.net/10453/161355