Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-24T00:40:10.606Z Has data issue: false hasContentIssue false
  • English
  • Français

Cognitive–Behavioural Therapy Combined With an Interpersonal Skills Component in the Treatment of Generalised Anxiety Disorder in Adolescent Females: A Case Series

Published online by Cambridge University Press:  22 February 2012

Allison M. Waters ,
Jillian Donaldson  and
Melanie J. Zimmer-Gembeck
Allison M. Waters*
Affiliation:
Griffith University, Australia
Jillian Donaldson
Affiliation:
Griffith University, Australia
Melanie J. Zimmer-Gembeck
Affiliation:
Griffith University, Australia
*
*Address for correspondence: Allison M. Waters, PhD, School of Psychology, Griffith University, PMB50, Gold Coast Mail Centre QLD 9726, Australia. Email: [email protected]
Get access

Abstract

The present study describes the outcomes of a manualised treatment for generalised anxiety disorder (GAD) in female adolescents that combined traditional cognitive–behavioural therapy (CBT) with an interpersonal skills (IP) component. The CBT component included psychoeducation, somatic management, cognitive restructuring, exposure therapy and problem-solving. The IP component targeted interpersonal avoidance, passive and aggressive interpersonal styles, and co-rumination. Four female adolescents with a principal diagnosis of GAD participated in 10 weekly 1-hour sessions. Adolescent- and parent-report diagnostic interviews and questionnaires were completed at pre-, mid-, and posttreatment, and at 3-months follow-up. Reductions in GAD and depressive symptoms and improvements in interpersonal functioning for all participants on both adolescent- and parent-report measures suggest that the combination of CBT and IP can benefit adolescent girls with GAD.

Type
Shorter Communication
Information
Behaviour Change , Volume 25 , Issue 1 , 01 April 2008 , pp. 35 - 43
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Antony, M.M. (2002). Enhancing current treatments for anxiety disorders. Clinical Psychology: Science and Practice, 9, 91–94.Google Scholar
Barrett, P.M. (1998). Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. Journal of Clinical Child Psychology, 27, 459–468.Google Scholar
Barrett, P.M., Dadds, M.R., & Rapee, R.M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting & Clinical Psychology, 64, 333–342.CrossRefGoogle ScholarPubMed
Borkovec, T.D., Newman, M.G., & Castonguay, L.G. (2003). Cognitive behavioural therapy for generalized anxiety disorder with integrations from interpersonal and experiential therapies. CNS Spectrums, 8, 382–389.Google Scholar
Borkovec, T.D., Newman, M.G., Pincus, A.L., & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalised anxiety disorder and the role of interpersonal problems. Journal of Consulting & Clinical Psychology, 70, 288–298.Google Scholar
Campbell, M.A., & Rapee, R.M. (1994). The nature of feared outcome representations in children. Journal of Abnormal Child Psychology, 22, 99–111.Google Scholar
Cobham, V.E., Dadds, M.R., & Spence, S.H. (1999). Anxious children and their parents: What do they expect? Journal of Clinical Child Psychology, 28, 220–231.CrossRefGoogle ScholarPubMed
Craske, M.G., & Waters, A.M. (2005). Panic disorder, phobias, and generalized anxiety disorder. Annual Review of Clinical Psychology, 1, 197–225.Google Scholar
Dadds, M.R., & Roth, J.H. (2001). Family processes in the development of anxiety problems. In M.W., Vasey & M.R., Dadds (Eds.), The developmental psychopathology of anxiety (pp. 75–81). London: Oxford University Press.Google Scholar
Horowitz, L.M., Alden, L.E., Wiggins, J.S., & Pincus, A.L. (2000). Inventory of Interpersonal Problems: Manual. USA: Psychological Corporation. Google Scholar
Kendall, P.C. (1994a). The coping cat workbook. Ardmore, PA: Workbook Publishing. Google Scholar
Kendall, P.C. (1994b). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting & Clinical Psychology, 61, 100–110.Google Scholar
Leger, E., Ladouceur, R., Dugas, M., & Freeston, M. (2003). Cognitive behavioral treatment of generalized anxiety disorder among adolescents: A case series. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 327–330.Google Scholar
Lewinsohn, P., Gotlib, I.H., Lewinsohn, M., Seeley, J.R., & Allen, N.B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107, 109–117.Google Scholar
Mufson, L., & Fairbanks, J. (1996). Interpersonal psychotherapy for depressed adolescents: A oneyear naturalistic follow-up study. Journal of the American Academy for Child and Adolescent Psychiatry, 35, 1145–1155.Google Scholar
Mufson, L., Moreau, D., & Weissman, M.M. (1994). Modification of interpersonal psychotherapy with depressed adolescents (IPT-A): Phase I and phase II studies. Journal of the American Academy for Child and Adolescent Psychiatry, 33, 695–705.Google Scholar
Newman, M.G., Castonguay, L G., Borkovec, T.D., & Molnar, C. (2004). Integrative psychotherapy. In R.G., Heimberg, CL. Turk, & D.S., Mennin (Eds.), Generalized Anxiety Disorder: Advances in research and practice (pp. 320–350). New York: Guilford Press.Google Scholar
Pincus, A.L., & Borkovec, T.D. (1994, June). Interpersonal problems in generalised anxiety disorder: Preliminary clustering of patients’ interpersonal dysfunction. Paper presented at the annual meeting of the American Psychological Society, New York.Google Scholar
Pine, D.S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56–64.Google Scholar
Rapee, R.M. (2001). Generalised anxiety disorder. In M.W., Vasey & M.R., Dadds (Eds.), The developmental psychopathology of anxiety (pp. 481–503). New York: Oxford University Press.Google Scholar
Rapee, R.M., & Spence, S.H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24, 737–768.Google Scholar
Rapee, R.M., Wignall, A., Hudson, J.L., & Schniering, C.A. (2000). Treating anxious children and adolescents: An evidenced based approach. Oakland, California: New Harbinger Publications. Google Scholar
Reynolds, C.R., & Richmond, B.O. (1978). What I think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Psychology, 6, 271–280.Google Scholar
Romano, E., Tremblay, R.E., Vitaro, F., Zoccolillo, M., & Pagani, L. (2001). Prevalence of psychiatric diagnosis and the role of perceived impairment: Findings from an adolescent community sample. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 451–461.Google Scholar
Rose, A.J. (2002). Co-rumination in the friendships of girls and boys. Child Development, 73 (6), 1830–1843.Google Scholar
Rose, A.J., Carlson, W., & Waller, E.M. (2007). Prospective associations of co-rumination with friendship and emotional adjustment: Considering the socioemotional trade-offs of co-rumination. Developmental Psychology, 43 (4), 1019–1031.Google Scholar
Rudolph, K.D. (2002). Gender differences in emotional responses to interpersonal stress during adolescence. Journal of Adolescent Health, 30, 3–13.Google Scholar
Schiebe, G., & Albus, M. (1992). Age at onset, precipitating events, sex distribution, and co-occurrence of anxiety disorders. Psychopathology, 25, 11–18.Google Scholar
Silverman, W.K., & Albano, A.M. (1996). Anxiety Disorders Interview Schedule for DSM-IV: Child and parent versions. San Antonio, TX: The Psychological Corporation. Google Scholar
Silverman, W., Kurtines, W., Ginsburg, G., Weens, C., Lumpkin, P., & Carmichael, D. (1999). Treating anxiety disorders in children with group cognitive behavioral therapy: A randomized clinical trial. Journal of Consulting & Clinical Psychology, 67, 995–1003.Google Scholar
Spence, S.H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545–566.Google Scholar
Spence, S.H., Donovan, C., & Brechman-Toussaint, M. (2000). The treatment of childhood social phobia: The effectiveness of a social skills training-based cognitive-behavioural intervention, with and without parental involvement. Journal of Child Psychology & Psychiatry & Allied Disciplines, 41 (6), 713–726.Google Scholar
Spence, S.H., Holmes, J.M., March, S., & Lipp, O.V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behaviour therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74, 614–621.Google Scholar
Waters, A.M., & Craske, M.G. (2005). Generalised anxiety disorder. In Antony, M.M., Ledley, D.R., & Heimberg, R.G (Eds.), Improving outcomes and preventing relapse in cognitive behavioral therapy (pp. 77–127). New York: Guilford.Google Scholar
Weissmann, M.M., Orvaschel, H., & Padian, N. (1980). Children's symptom and social functioning self-report scales: Comparison of mothers’ and children's reports. Journal of Nervous Mental Disorders, 168, 736–740.CrossRefGoogle Scholar
Zimmer-Gembeck, M.J., Hunter, T.A., & Pronk, R. (2007). A model of behaviors, peer relations and depression: Perceived social acceptance as a mediator and the divergence of perceptions. Journal of Social and Clinical Psychology, 26, 273–283.CrossRefGoogle Scholar