期刊
BEHAVIOUR RESEARCH AND THERAPY
卷 60, 期 -, 页码 60-66出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.brat.2014.06.010
关键词
Randomized controlled trial; Child anxiety; Therapist-supported bibliotherapy; Primary care; Cognitive behavior therapy
资金
- NIMH NIH HHS [K24MH64122, K01MH093477, K01MH072952, K01 MH072952, K24 MH064122, K01 MH093477] Funding Source: Medline
In this study, we examine the feasibility of cognitive behavior therapy (CBT) for children with anxiety in primary care, using two modes of treatment delivery. A total of 48 parents and youth (8-13) with anxiety disorders were randomly assigned to receive 10-sessions of CBT either delivered by a child anxiety specialist in the primary care clinic or implemented by the parent with therapist support by telephone (i.e., face-to-face or therapist-supported bibliotherapy). Feasibility outcomes including satisfaction, barriers to treatment participation, safety, and dropout were assessed. Independent evaluators, blind to treatment condition, administered the Anxiety Disorders Interview Schedule for Children (ADIS) and the Clinical Global Impression of Improvement (CGI-I) at baseline, post-treatment and 3-month follow-up; clinical self-report questionnaires were also administered. Findings revealed high satisfaction, low endorsement of barriers, low drop out rates, and no adverse events across the two modalities. According to the CGI-I, 58.3%-75% of participants were considered responders (i.e., much or very much improved) at the various time points. Similar patterns were found for remission from primary anxiety disorder and all anxiety disorders as defined by the ADIS. Clinically significant improvement was seen on the various parent and child self-report measures of anxiety. Findings suggest that both therapy modalities are feasible and associated with significant treatment gains in the primary care setting. (clinicaltrials.gov unique identifier: NCT00769925). (C) 2014 Elsevier Ltd. All rights reserved.
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