Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-25T01:14:30.087Z Has data issue: false hasContentIssue false
  • English
  • Français

Exploring the Effect of Case Formulation Driven CBT for Children with Anxiety Disorders: A Feasibility Study

Published online by Cambridge University Press:  13 August 2013

Barbara H. Esbjørn ,
Marie Louise Reinholdt-Dunne ,
Sara K. Nielsen ,
Abigael C. Smith ,
Sonja Breinholst  and
Ingrid Leth
Barbara H. Esbjørn*
Affiliation:
University of Copenhagen, Denmark
Marie Louise Reinholdt-Dunne
Affiliation:
University of Copenhagen, Denmark
Sara K. Nielsen
Affiliation:
University of Copenhagen, Denmark
Abigael C. Smith
Affiliation:
University of Copenhagen, Denmark
Sonja Breinholst
Affiliation:
University of Copenhagen, Denmark
Ingrid Leth
Affiliation:
University of Copenhagen, Denmark
*
Reprint requests to B. H. Esbjørn, Department of Psychology, Øster Farimagsgade 2A, 1353 Copenhagen K, Denmark. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Little is known about the effect of case-formulation based cognitive behaviour therapy (CBT) for anxious children. Aim: The present study explores the feasibility of case-formulation driven CBT for anxious children. Parents were involved in treatment as either co-facilitators (involved only as the child's assistants, treatment being primarily directed at the child), or as co-clients (parents received therapy targeting theoretically established maintaining mechanisms; children received half of the sessions, parents the other half). Method: Feasibility of the case-formulation driven CBT was established by comparing the completion rate and the percentage of children free of anxiety after treatment, with manualized treatments reported in existing meta-analyses. Children aged 7–12 years and their parents participated (n = 54). Families were assessed at pre- and posttreatment and at 6-month follow-up. Results: All families completed treatment and the percentage of recovery in the case-formulation driven approach was comparable to results obtained in manualized treatments. Conclusion: The findings from this stage I study supports the notion that a case-formulation driven approach to CBT may be a feasible option when selecting treatment for anxious children; however, further studies must be conducted before firm conclusions can be drawn.

Keywords

Childhood anxietyclinical trialCBTparent trainingcase formulation
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 20 - 30
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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

Barrett, P. M., Dadds, M. R. and Rapee, R. M. (1996). Family treatment of childhood anxiety: a controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342.Google Scholar
Bieling, P. and Kuyken, W. (2003). Is cognitive case formulation science or science fiction? Clinical Psychology: Science and Practice, 10, 52–69.Google Scholar
Bodden, D. H. M., Bögels, S. M., Nauta, M. H., De Haan, E., Ringrose, J., Appelboom, C., et al. (2008). Child versus family cognitive-behavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1384–1394.Google Scholar
Bodden, D. H. M., Dirksen, C. D. and Bogels, S. M. (2008). Societal burden of clinically anxious youth referred for treatment: a cost-of-illness study. Journal of Abnormal Child Psychology, 36, 487–497.CrossRefGoogle ScholarPubMed
Breinholst, S., Esbjørn, B. H., Reinholdt-Dunne, M. L. and Stallard, P. (2012). CBT for the treatment of child anxiety disorders: a review of why parental involvement has not enhanced outcomes. Journal of Anxiety Disorders, 26, 416–424.CrossRefGoogle Scholar
Butler, A. C., Chapman, J. E., Forman, E. M. and Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clinical Psychology Review, 26, 17–31.Google Scholar
Cartwright-Hatton, S., Roberts, C., Chitsabesan, P., Fothergill, C. and Harrington, R. (2004). Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. British Journal of Clinical Psychology, 43, 421–436.Google Scholar
Cobham, V. E., Dadds, M. R. and Spence, S. H. (1998).The role of parental anxiety in the treatment of childhood anxiety. Journal of Consulting and Clinical Psychology, 66, 893–905.Google Scholar
Drinkwater, J. (2005). Cognitive case formulation. In Graham, P. (Ed.), Cognitive Behaviour Therapy for Children and Families (2nd edn.) (pp. 84–99). Cambridge: Cambridge University Press.Google Scholar
Ginsburg, G. S., Siqueland, L., Masia-Warner, C. and Hedtke, K. A. (2004). Anxiety disorders in children: family matters. Cognitive and Behavioral Practice, 11, 28–43.Google Scholar
Hunsley, J. and Lee, C. M. (2007). Research-informed benchmarks for psychological treatments: efficacy studies, effectiveness studies, and beyond. Professional Psychology: Research and Practice, 38, 21–33.Google Scholar
In-Albon, T. and Schneider, S. (2007). Psychotherapy of childhood anxiety disorders: a meta-analysis. Psychotherapy and Psychosomatics, 76, 15–24.Google Scholar
Ishikawa, S., Okajima, I., Matsuoka, H. and Sakano, Y. (2007). Cognitive behaviour therapy for anxiety disorders in children and adolescents: a meta-analysis. Child and Adolescent Mental Health, 12, 164–172.Google Scholar
James, A. A. C. J., Soler, A. and Weatherall, R. R. W. (2009). Cognitive behavioral therapy for anxiety disorders in children and adolescents (review). The Cochrane Collaboration, Issue 1 Google Scholar
Kendall, P. C. and Hedtke, K. A. (2006). Cognitive-Behavioral Therapy for Anxious Children: therapist manual. Ardmore, PA: Workbook Publisher.Google Scholar
Kuyken, W., Fothergill, C.D., Musa, M. and Chadwick, P. (2005). The reliability and quality of cognitive case formulations. Behaviour Research and Therapy, 43, 1187–1201.Google Scholar
Kuyken, W., Padesky, C. A. and Dudley, R. (2008). The science and practice of case conceptualization. Behavioural and Cognitive Psychotherapy, 36, 757–768.Google Scholar
Manassis, K. and Bradley, S. J. (1994). The development of childhood anxiety disorders: toward an integrated model. Journal of Applied Developmental Psychology, 15, 345–366.Google Scholar
Murray, L., Creswell, C. and Cooper, P. (2009). The development of anxiety disorders in childhood: an integrative review. Psychological Medicine, 39, 1413–1423.CrossRefGoogle ScholarPubMed
Nauta, M. H., Scholing, A., Emmelkamp, P. M. G. and Minderaa, R. B. (2001). Cognitive-behavioural therapy for anxiety disordered children in a clinical setting: does additional cognitive parent training enhance treatment effectiveness? Clinical Psychology and Psychotherapy, 8, 330–340.Google Scholar
Nauta, M. H., Scholing, A., Emmelkamp, P. M. G. and Minderaa, R. B. (2003). Cognitive-behavioral therapy for children with anxiety disorders in a clinical setting: no additional effect of a cognitive parent training. Journal of American Academy of Child and Adolescent Psychiatry, 42, 1270–1278.Google Scholar
Persons, J. B. (2005). Empiricism, mechanism, and the practice of cognitive-behavior therapy. Behavior Therapy, 36, 107–118.Google Scholar
Persons, J. B. (2008). The Case Formulation Approach to Cognitive-Behavior Therapy: guides to an individualized evidence-based treatment. New York: Guilford Press.Google Scholar
Persons, J. B., Roberts, N. A., Zalecki, C. A. and Brechwald, W. A. G. (2006). Naturalistic outcome of case formulation-driven cognitive-behaviour therapy for anxious depressed outpatients. Behaviour Research and Therapy, 44, 1041–1051.Google Scholar
Rounsaville, B. J., Carroll, K. M. and Onken, L. S. (2001). A stage model of behavioral therapies research: getting started and moving on from stage I. Clinical Psychology: Science and Practice, 8, 133–142. doi: 10.1093/clipsy.8.2.133 Google Scholar
Silverman, W. K. and Albano, A. M. (1996). Anxiety Disorders Interview Schedule for DSM-IV. Oxford: Oxford University Press.Google Scholar
Silverman, W. K., Saavedra, L. M. and Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of the American Academy for Child and Adolescent Psychiatry, 40, 937–944.Google Scholar
Spielmans, G. I., Gatlin, E. T. and McFall, J. P. (2010). The efficacy of evidence-based psychotherapies versus usual care for youths: controlling confounds in a meta-analysis. Psychotherapy Research, 20, 234–246.Google Scholar
Stallard, P. (2009). Anxiety Cognitive Behaviour Therapy with Children and Young People. Hove, East Sussex: Routledge.Google Scholar
Wampold, B. E., Budge, S. L., Laska, K. M., Del Re, A. C., Baardseth, T. P., Flückiger, A., et al. (2011). Evidence-based treatments for depression and anxiety versus treatment-as-usual: a meta-analysis of direct comparisons. Clinical Psychology Review, 31, 1304–1312.Google Scholar
Wood, J. J., McLeod, B. D., Piacentini, J. C. and Sigman, M. (2009). One-year follow-up of family versus child CBT for anxiety disorders: exploring the roles of child age and parental intrusiveness. Child Psychiatry and Human Development, 40, 301–316.Google Scholar
Wood, J. J., Piancentini, J. C., South-Gerow, M., Chu, B. C. and Sigman, M. (2006). Family cognitive behavioral therapy for child anxiety disorders. Journal of American Academy for Child and Adolescent Psychiatry, 45, 314–321.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.