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A Pilot Investigation of Cognitive Therapy for Generalized Anxiety Disorder in Children Aged 7–17 Years

Payne, Susanna; Bolton, Derek and Perrin, Sean LU (2011) In Cognitive Therapy and Research 25(2). p.171-178
Abstract
The development of treatments based on cognitive models of worry has led to improved outcomes for adults with Generalized Anxiety Disorder (GAD), and holds out the promise that similar improvements may be achieved for GAD further down the age range. The aim of the current study was to evaluate the effect of a GAD specific,cognitive treatment in a sample of children and adolescents with GAD. Sixteen youth (7–17 years of age) who were consecutive referrals to a specialty anxiety disorders clinic, with a primary diagnosis of DSM-IV GAD, and who were not undergoing concurrent pharmacological treatment for anxiety were provided 5 to 15 sessions (mean = 9.7) of cognitive therapy aimed at their tolerance for uncertainty, beliefs about worry,... (More)
The development of treatments based on cognitive models of worry has led to improved outcomes for adults with Generalized Anxiety Disorder (GAD), and holds out the promise that similar improvements may be achieved for GAD further down the age range. The aim of the current study was to evaluate the effect of a GAD specific,cognitive treatment in a sample of children and adolescents with GAD. Sixteen youth (7–17 years of age) who were consecutive referrals to a specialty anxiety disorders clinic, with a primary diagnosis of DSM-IV GAD, and who were not undergoing concurrent pharmacological treatment for anxiety were provided 5 to 15 sessions (mean = 9.7) of cognitive therapy aimed at their tolerance for uncertainty, beliefs about worry, negative problem orientation, and cognitive avoidance strategies. All participants who entered the study completed treatment and 13 (81%) lost their GAD diagnosis (not blindly assessed); two were improved but still had GAD and one experienced no improvement at all. Age, gender and number of sessions received were unrelated to diagnostic outcome but age was positively correlated (r = 0.6, P\.01) with pre-to-post reductions in worry frequency. The uncontrolled effect size for self-reported worry was 2.0 and for anxiety was 1.4. Further controlled evaluations of this cognitive treatment for GAD in children and adolescents are warranted. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Generalized anxiety disorder, GAD, Anxiety, Cognitive therapy, CBT, Children and adolescents
in
Cognitive Therapy and Research
volume
25
issue
2
pages
171 - 178
publisher
Springer
external identifiers
  • Scopus:79953821215
ISSN
0147-5916
DOI
10.1007/s10608-010-9341-z
language
English
LU publication?
no
id
a0d14ddb-0f5d-4677-8f64-7a5722087326 (old id 2369224)
date added to LUP
2012-03-22 14:49:41
date last changed
2016-10-13 04:42:25
@misc{a0d14ddb-0f5d-4677-8f64-7a5722087326,
  abstract     = {The development of treatments based on cognitive models of worry has led to improved outcomes for adults with Generalized Anxiety Disorder (GAD), and holds out the promise that similar improvements may be achieved for GAD further down the age range. The aim of the current study was to evaluate the effect of a GAD specific,cognitive treatment in a sample of children and adolescents with GAD. Sixteen youth (7–17 years of age) who were consecutive referrals to a specialty anxiety disorders clinic, with a primary diagnosis of DSM-IV GAD, and who were not undergoing concurrent pharmacological treatment for anxiety were provided 5 to 15 sessions (mean = 9.7) of cognitive therapy aimed at their tolerance for uncertainty, beliefs about worry, negative problem orientation, and cognitive avoidance strategies. All participants who entered the study completed treatment and 13 (81%) lost their GAD diagnosis (not blindly assessed); two were improved but still had GAD and one experienced no improvement at all. Age, gender and number of sessions received were unrelated to diagnostic outcome but age was positively correlated (r = 0.6, P\.01) with pre-to-post reductions in worry frequency. The uncontrolled effect size for self-reported worry was 2.0 and for anxiety was 1.4. Further controlled evaluations of this cognitive treatment for GAD in children and adolescents are warranted.},
  author       = {Payne, Susanna and Bolton, Derek and Perrin, Sean},
  issn         = {0147-5916},
  keyword      = {Generalized anxiety disorder,GAD,Anxiety,Cognitive therapy,CBT,Children and adolescents},
  language     = {eng},
  number       = {2},
  pages        = {171--178},
  publisher    = {ARRAY(0xa999d00)},
  series       = {Cognitive Therapy and Research},
  title        = {A Pilot Investigation of Cognitive Therapy for Generalized Anxiety Disorder in Children Aged 7–17 Years},
  url          = {http://dx.doi.org/10.1007/s10608-010-9341-z},
  volume       = {25},
  year         = {2011},
}