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GAD-specific cognitive behavioral treatment for children and adolescents : A pilot randomized controlled trial

Perrin, Sean LU orcid ; Bevan, Denise ; Payne, Susanna and Bolton, Derek (2019) In Cognitive Therapy and Research 43. p.1051-1064
Abstract
Cognitive behavioral therapy (CBT) designed to target Generalized Anxiety Disorder (GAD) in youth was examined in a pilot feasibility trial. Participants (aged 10-18 years) were randomized to either 10 weeks of individual CBT (n = 20) or supported wait-list (n = 20). Diagnostic status (primary outcome) was assessed blindly at post-treatment for both groups, and at a 3-month follow-up for treated participants. Two participants failed to complete CBT and retained their GAD during the trial. Intention-to-treat analyses revealed large between-group differences in favor of CBT at post-treatment for remission from GAD (80% vs 0%) and comorbid disorders (83% vs 0%), and for all secondary outcomes (child and parent-reported). All gains were... (More)
Cognitive behavioral therapy (CBT) designed to target Generalized Anxiety Disorder (GAD) in youth was examined in a pilot feasibility trial. Participants (aged 10-18 years) were randomized to either 10 weeks of individual CBT (n = 20) or supported wait-list (n = 20). Diagnostic status (primary outcome) was assessed blindly at post-treatment for both groups, and at a 3-month follow-up for treated participants. Two participants failed to complete CBT and retained their GAD during the trial. Intention-to-treat analyses revealed large between-group differences in favor of CBT at post-treatment for remission from GAD (80% vs 0%) and comorbid disorders (83% vs 0%), and for all secondary outcomes (child and parent-reported). All gains were maintained at 3-month follow-up in the CBT group. Consistent with the treatment model, significant pre- to post-treatment reductions in several cognitive processes were found for CBT but not wait-listed participants, with these gains maintained at follow-up. Further investigations are warranted. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
generalized anxiety disorder, Children and Adolescents, Randomized Clinical Trial, Cognitive Behavior Therapy
in
Cognitive Therapy and Research
volume
43
pages
1051 - 1064
publisher
Springer
external identifiers
  • scopus:85065174400
ISSN
0147-5916
DOI
10.1007/s10608-019-10020-3
language
English
LU publication?
yes
id
43176bf1-237a-4915-b2e6-75fdacf33c8e
date added to LUP
2019-04-07 13:21:01
date last changed
2022-04-25 22:24:46
@article{43176bf1-237a-4915-b2e6-75fdacf33c8e,
  abstract     = {{Cognitive behavioral therapy (CBT) designed to target Generalized Anxiety Disorder (GAD) in youth was examined in a pilot feasibility trial. Participants (aged 10-18 years) were randomized to either 10 weeks of individual CBT (n = 20) or supported wait-list (n = 20). Diagnostic status (primary outcome) was assessed blindly at post-treatment for both groups, and at a 3-month follow-up for treated participants. Two participants failed to complete CBT and retained their GAD during the trial. Intention-to-treat analyses revealed large between-group differences in favor of CBT at post-treatment for remission from GAD (80% vs 0%) and comorbid disorders (83% vs 0%), and for all secondary outcomes (child and parent-reported). All gains were maintained at 3-month follow-up in the CBT group. Consistent with the treatment model, significant pre- to post-treatment reductions in several cognitive processes were found for CBT but not wait-listed participants, with these gains maintained at follow-up. Further investigations are warranted.}},
  author       = {{Perrin, Sean and Bevan, Denise and Payne, Susanna and Bolton, Derek}},
  issn         = {{0147-5916}},
  keywords     = {{generalized anxiety disorder; Children and Adolescents; Randomized Clinical Trial; Cognitive Behavior Therapy}},
  language     = {{eng}},
  month        = {{04}},
  pages        = {{1051--1064}},
  publisher    = {{Springer}},
  series       = {{Cognitive Therapy and Research}},
  title        = {{GAD-specific cognitive behavioral treatment for children and adolescents : A pilot randomized controlled trial}},
  url          = {{https://lup.lub.lu.se/search/files/63473101/Perrin_et_al_RCT_of_GAD_specific_CBT_for_youth.pdf}},
  doi          = {{10.1007/s10608-019-10020-3}},
  volume       = {{43}},
  year         = {{2019}},
}