title: Cognitive-behavioral therapy for anxiety-disordered youth: secondary outcomes from a randomized clinical trial evaluating child and family modalities.
abstract: This study examined secondary outcomes of a randomized clinical trial that evaluated an individual cognitive-behavioral (ICBT), family-based cognitive-behavioral (FCBT), and family-based education, support and attention (FESA) treatment for anxious youth. Participants (161) were between 7 and 14 years (M=10.27) of age and had a principal diagnosis of separation anxiety disorder, social phobia, and/or generalized anxiety disorder. Hierarchical linear modeling examined youth-reported depressive symptomatology and parent- and teacher-reported externalizing behavior and adaptive functioning at pretreatment, posttreatment, and 1-year follow-up. In general, youth in all treatments evidenced improvements in most domains, with improvements maintained at follow-up. Overall, gender and age did not moderate treatment outcomes. The results suggest that both child and family cognitive-behavioral therapy, and the family-based supportive approach used in this study, can be effective in addressing some of the associated symptoms and adaptive functioning deficits typically linked to anxiety in youth.
authors.affiliation: Psychology Building, Department of Psychology, University of Georgia, Athens, GA 30602, USA. csuveg@uga.edu
authors.forename: Cynthia
authors.initials: C
authors.lastname: Suveg
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hudson
authors.forename: Gene
authors.initials: G
authors.lastname: Brewer
authors.forename: Ellen
authors.initials: E
authors.lastname: Flannery-Schroeder
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Gosch
authors.forename: Philip C
authors.initials: PC
authors.lastname: Kendall
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001010:Anxiety, Separation / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005190:Family / Q000523:psychology*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010698:Phobic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires