title: The Efficacy of Augment of D-Cycloserine and Cognitive-behavioral Therapy on Adolescent with one Type of Anxiety Disorders: A Double-blind Randomized Controlled Trial.
abstract: BACKGROUND
  This study was designed to investigating the effect of combining D-cycloserine (DCS) and cognitive-behavioral therapy (CBT) on adolescent with at least one type of anxiety disorders.
  
  
  METHODS
  The present study was conducted as a double-blind randomized controlled trial on 36 adolescent with anxiety disorders. Patients were assessed in two groups. In addition to 4 sessions of weekly CBT in both groups; case group, received a 50-mg DCS capsules, control group, received Placebo daily for a month. Patients received DCS capsules or placebo 1 h before sessions of CBT. Age, sex, kind of anxiety disorders "screen for child anxiety related disorders (SCARED)" and "cognitive abilities test (CATS)" scores were evaluated and compared between groups.
  
  
  RESULTS
  The mean age of the studied patients (29 females (80.6%) and 7 males (19.4%)) was 14.1 ± 1.8 years. The most frequent anxiety disorder among the study population was generalized social disorder (GAD) (77.7%). Age, sex and the frequency of anxiety disorders were not statistically significant between the study groups (P> 0.05). The mean score of "SCARED" and "CATS" at before starting the treatment, after treatment and three month after the treatment were not statistically significant between groups (P> 0.05). Also, decrease in values of "SCARED" and "CATS" during the evaluation time periods was not statistically significant between groups (P> 0.05).
  
  
  CONCLUSIONS
  Findings of this study showed that there has been no difference in symptoms improvement in adolescent with anxiety disorder who received treatment protocol including 4 sessions of CBT, weekly, together with 50 mgs of DCS compared to the patients of the control group.
authors.affiliation: Department of Psychiatry, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Soroor
authors.initials: S
authors.lastname: Arman
authors.affiliation: Department of Psychiatry, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Soheilimehr
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Maracy
keywords: Anxiety disorder; CATS; D-cycloserine; SCARED; cognitive-behavioral therapy