Modular CBT for Childhood Anxiety Disorders: Evaluating Clinical Outcomes and its Predictors

Francisca van Steensel; Liesbeth de Paauw - Telman; Marija Maric; Susan Bögels

doi:10.1007/s10578-022-01437-1

Modular CBT for Childhood Anxiety Disorders: Evaluating Clinical Outcomes and its Predictors

Francisca van Steensel^*, Liesbeth de Paauw - Telman, Marija Maric, Susan Bögels

^*Corresponding author for this work

University of Amsterdam

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

This study examined clinical outcomes of a modular individual CBT for children with anxiety disorders (AD), and predictors of outcomes, in usual clinical practice. Participants were 106 children with ADs (7–17 years), and parents. Assessments were pre-, mid-, post-test, and 10 weeks after CBT (follow-up). Predictors (measured pre-treatment) were child characteristics (gender, age, type of AD, comorbid disorders), fathers’ and mothers’ anxious/depressive symptoms, and parental involvement (based on parents’ presence during treatment sessions and the use of a parent module in treatment). At follow-up, 59% (intent-to-treat analyses) to 70% (completer analysis) of the children were free from their primary anxiety disorder. A significant decrease in anxiety symptoms was found. Higher parental involvement was related to lower child anxiety at follow-up, but only for children with comorbid disorders. Findings suggest that it is beneficial to treat anxiety with modular CBT. Future steps involve comparisons of modularized CBT with control conditions.

Original language	English
Pages (from-to)	790–801
Number of pages	12
Journal	Child Psychiatry and Human Development
Volume	55
Issue number	3
Early online date	3 Oct 2022
DOIs	https://doi.org/10.1007/s10578-022-01437-1
Publication status	Published - 2024

Bibliographical note

Funding Information:
The study was supported by ZonMw, The Dutch organization for health research and development (Grant No. 729101010).

Publisher Copyright:
© 2022, The Author(s).

Funding

Funders	Funder number
ZonMw, The Dutch organization for health research and development	729101010

Keywords

Anxiety disorders
Children
Modular CBT
Effectiveness
Predictors

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title = "Modular CBT for Childhood Anxiety Disorders: Evaluating Clinical Outcomes and its Predictors",

abstract = "This study examined clinical outcomes of a modular individual CBT for children with anxiety disorders (AD), and predictors of outcomes, in usual clinical practice. Participants were 106 children with ADs (7–17 years), and parents. Assessments were pre-, mid-, post-test, and 10 weeks after CBT (follow-up). Predictors (measured pre-treatment) were child characteristics (gender, age, type of AD, comorbid disorders), fathers{\textquoteright} and mothers{\textquoteright} anxious/depressive symptoms, and parental involvement (based on parents{\textquoteright} presence during treatment sessions and the use of a parent module in treatment). At follow-up, 59% (intent-to-treat analyses) to 70% (completer analysis) of the children were free from their primary anxiety disorder. A significant decrease in anxiety symptoms was found. Higher parental involvement was related to lower child anxiety at follow-up, but only for children with comorbid disorders. Findings suggest that it is beneficial to treat anxiety with modular CBT. Future steps involve comparisons of modularized CBT with control conditions.",

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note = "Funding Information: The study was supported by ZonMw, The Dutch organization for health research and development (Grant No. 729101010). Publisher Copyright: {\textcopyright} 2022, The Author(s).",

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Modular CBT for Childhood Anxiety Disorders: Evaluating Clinical Outcomes and its Predictors

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