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Cognitive–Behavioral Treatment for Pediatric Anxiety Disorders

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Pediatric Anxiety Disorders

Part of the book series: Current Clinical Psychiatry ((CCPSY))

Abstract

Anxiety disorders are among the most prevalent and debilitating psychological disorders among children and adolescents. Cognitive–behavioral treatments (CBTs) for anxiety disorders are linked to a tripartite model of anxiety and address cognition (anticipated threat), behavior ­(avoidance), and emotions (agitated arousal). Empirical evidence supports the use of cognitive–behavioral interventions as efficacious treatment for many anxiety disorders in youth, including generalized anxiety disorder (GAD), separation anxiety disorder (SAD), social phobia (SP), ­obsessive–compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). Along with descriptions of CBT, a number of recommendations are made for future work.

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References

  1. Gosch EA, Flannery-Schroeder E, Mauro CF, Compton SN. Principles of cognitive-behavioral therapy for anxiety disorders in children. J Cogn Psychother. 2006;20:247–62.

    Google Scholar 

  2. Chavira DA, Stein MB, Bailey K, Stein MT. Child anxiety in primary care: prevalent but untreated. Depress Anxiety. 2004;20:155–64.

    PubMed  Google Scholar 

  3. Costello EJ, Mustillo S, Keeler G, Angold A. Prevalence of psychiatric disorders in childhood and adolescence. In: Levin BL, Petrila J, Hennessy KD, editors. Mental health services: a public health perspective. 2nd ed. New York: Oxford University Press; 2004. p. 111–28.

    Google Scholar 

  4. Velting ON, Setzer NJ, Albano AM. Update on and advances in assessment and cognitive-behavioral treatment of anxiety disorders in children and adolescents. Prof Psychol Res Pract. 2004;35:42–54.

    Google Scholar 

  5. Kendall PC, Safford S, Flannery-Schroeder E, Webb A. Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. J Consult Clin Psychol. 2004;72:276–87.

    PubMed  Google Scholar 

  6. Puleo CM, Conner BT, Benjamin CL, Kendall PC. CBT for childhood anxiety and substance use at 7.4-year follow-up: a reassessment controlling for known predictors. J Anxiety Disord. 2011;25:690–6.

    PubMed  Google Scholar 

  7. Albano AM, Chorpita BF, Barlow DH. Childhood anxiety disorders. In: Mash EJ, Barkley RA, editors. Child psychopathology. 2nd ed. New York: Guilford; 2003. p. 279–329.

    Google Scholar 

  8. Pine DS, Cohen P, Gurley D, Brook J, Ma Y. The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Arch Gen Psychiatry. 1998;55:56–64.

    PubMed  CAS  Google Scholar 

  9. Effective child therapy: Evidence-based mental health treatment for children and adolescents. http://www.abct.org/sccap/?m=sPro&fa=pro_ESToptions#sec1. Accessed 4 Mar 2011.

  10. Barlow DH. Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. Am Psychol. 2000;55:1247–63.

    PubMed  CAS  Google Scholar 

  11. Kendall PC. Treating anxiety disorders in youth. In: Kendall PC, editor. Child and adolescent therapy: cognitive-behavioral procedures. 4th ed. New York: Guilford; 2012.

    Google Scholar 

  12. Suveg C, Southam-Gerow MA, Goodman KL, Kendall PC. The role of emotion theory and research in child therapy development. Clin Psychol Sci Pract. 2007;14:358–71.

    Google Scholar 

  13. Southam-Gerow MA, Kendall PC. Emotion understanding in youth referred for treatment of anxiety disorders. J Clin Child Psychol. 2000;36:77–85.

    Google Scholar 

  14. Borkovec TD, Costello E. Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. J Consult Clin Psychol. 1993;61:611–9.

    PubMed  CAS  Google Scholar 

  15. Ost L, Breitholtz E. Applied relaxation vs. cognitive therapy in the treatment of generalized anxiety disorder. Behav Res Ther. 2000;38:777–90.

    PubMed  CAS  Google Scholar 

  16. Compton SN, March JS, Brent D, Albano AM, Weersing VR, Curry J. Cognitive—behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. J Am Acad Child Adolesc Psychiatry. 2004;43:930–59.

    PubMed  Google Scholar 

  17. Kendall PC, Chansky TE, Kane M, Kane R, Kortlander E, Ronan K, et al. Anxiety disorders in youth: cognitive-behavioral interventions. Needham Heights: Allyn & Bacon; 1992.

    Google Scholar 

  18. Ollendick TH, Cerny JA. Clinical behavior therapy with children. New York: Plenum; 1981.

    Google Scholar 

  19. Stark KD. The treatment of depression during childhood: a school-based program. New York: Guilford; 1990.

    Google Scholar 

  20. Kendall PC, Treadwell KRH. The role of self-statements as a mediator in treatment for youth with anxiety disorders. J Consult Clin Psychol. 2007;75:380–9.

    PubMed  Google Scholar 

  21. Friedberg RD, McClure JM. Clinical practice of cognitive therapy with children and adolescents: the nuts and bolts. New York: Guilford; 2002.

    Google Scholar 

  22. Kearney CA. Social anxiety and social phobia in youth: characteristics, assessment, and psychological treatment. New York: Springer Publishing Co; 2005.

    Google Scholar 

  23. Creed T, Kendall PC. Empirically supported therapist relationship building behavior within a cognitive-behavioral treatment of anxiety in youth. J Consult Clin Psychol. 2005;73:498–505.

    PubMed  Google Scholar 

  24. Antony MM, Swinson RP. Phobic disorders and panic in adults: a guide to assessment and treatment. Washington, DC: American Psychological Association; 2000.

    Google Scholar 

  25. Barlow DH, Gorman JM, Shear MK, Woods SW. Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: a randomized controlled trial. JAMA. 2000;283:2529–36.

    PubMed  CAS  Google Scholar 

  26. Bouchard S, Mendlowitz SL, Coles ME, Franklin M. Considerations in the use of exposure with children. Cogn Behav Pract. 2004;11:56–65.

    Google Scholar 

  27. Kendall PC, Robin JA, Hedtke KA, Suveg C, Flannery-Schroeder E, Gosch E. Considering CBT with anxious youth? Think exposures. Cogn Behav Pract. 2005;12:136–50.

    Google Scholar 

  28. Rapee RM, Wignall A, Hudson JL, Schneiring CA. Treating anxious children and adolescents: an evidence-based approach. Oakland: New Harbinger Publications; 2000.

    Google Scholar 

  29. Kendall PC, Hedtke K. Cognitive-behavioral therapy for anxious children: therapist manual. 3rd ed. Ardmore: Workbook Publishing; 2006.

    Google Scholar 

  30. Kendall PC, Hedtke KA. The coping cat workbook. 2nd ed. Ardmore: Workbook Publishing; 2006.

    Google Scholar 

  31. Wolpe J, Lazarus AA. Behavior therapy techniques. New York: Pergamon; 1966.

    Google Scholar 

  32. Kendall PC, Comer JS, Marker CD, Creed TA, Puliafico AC, Hughes AA, et al. In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders. J Consult Clin Psychol. 2009;77:517–25.

    PubMed  Google Scholar 

  33. Parr CJ, Cartwright-Hatton S. Social anxiety in adolescents: the effect of video feedback on anxiety and the self-evaluation of performance. Clin Psychol Psychother. 2009;16:46–54.

    PubMed  Google Scholar 

  34. Hedtke KA, Kendall PC, Tiwari S. Safety-seeking and coping behavior during exposure tasks with anxious youth. J Clin Child Adolesc Psychol. 2009;38:1–15.

    PubMed  Google Scholar 

  35. Tiwari S, Kendall PC. Characteristics of exposure tasks as predictors of differential treatment response in a sample of anxious youth. J Clin Child Adolesc Psychol. 2012;42:34–43.

    Google Scholar 

  36. Chorpita BF. Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford; 2007.

    Google Scholar 

  37. Liber JM, McLeod BD, Van Widenfelt BM, Goedhart AW, van der Leeden AJ, Utens EM, et al. Examining the relation between the therapeutic alliance, treatment adherence, and outcome of cognitive behavioral therapy for children with anxiety disorders. Behav Ther. 2010;41:172–86.

    PubMed  Google Scholar 

  38. Kendall PC. Guiding theory for therapy with children and adolescents. In: Kendall PC, editor. Child and adolescent therapy: cognitive-behavioral procedures. 2nd ed. New York: Guilford; 2000.

    Google Scholar 

  39. Kendall PC, Beidas RS. Smoothing the trail for dissemination of evidence-based practices for youth: flexibility within fidelity. Prof Psychol Res Pract. 2007;38:13–20.

    Google Scholar 

  40. Silverman WK, Pina AA, Viswesvaran C. Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. J Clin Child Adolesc Psychol. 2008;37:105–30.

    PubMed  Google Scholar 

  41. Kendall PC, Hudson JL, Gosch E, Flannery-Schroeder E, Suveg C. Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. J Consult Clin Psychol. 2008;76:282–97.

    PubMed  Google Scholar 

  42. Storch EA, Geffken GR, Merlo LJ, Mann G, Duke D, Munson M, et al. Family-based cognitive-behavioral therapy for pediatric obsessive-compulsive disorder: Comparison of intensive and weekly approaches. J Am Acad Child Adolesc Psychiatry. 2007;46:469–78.

    PubMed  Google Scholar 

  43. Barrett PM. FOCUS: freedom from obsessions and compulsions using skills (therapist manual and workbooks). Brisbane: Pathways Health and Research Centre; 2007.

    Google Scholar 

  44. Jaycox LH. Cognitive behavioral intervention for trauma in schools. Longmont: Sopris West Educational Services; 2003.

    Google Scholar 

  45. Ginsburg GS, Silverman WK, Kurtines WM. Family involvement in treating children with phobic and anxiety disorders: a look ahead. Clin Psychol Rev. 2005;15:457–73.

    Google Scholar 

  46. Hunt C, Andrews G, Crino R, Erskine A, Sakashita C. Randomized controlled trial of any early intervention programme for adolescent anxiety disorders. Aust N Z J Psychiatry. 2009;43:300–4.

    PubMed  Google Scholar 

  47. CATS Consortium. Implementation of CBT for youth affected by the World Trade Center disaster: matching need to treatment intensity and reducing trauma symptoms. J Trauma Stress. 2011;23:699–707.

    Google Scholar 

  48. Mychailyszyn MP, Brodman DM, Read KL, Kendall PC. Cognitive-behavioral school-based interventions for anxious and depressed youth: a meta-analysis of outcomes. Clin Sci. 2012;19:129–53.

    Google Scholar 

  49. U.S. Public Health Service. Report on the surgeon general’s conference on children’s mental health: a national action agenda. Washington, DC: U.S. Government Printing Office; 2000.

    Google Scholar 

  50. Weist MD, Evans SW, Lever NA. Introduction: advancing mental health practice and research in schools. In: Weist MD, Evans SW, Lever NA, editors. Handbook of school mental health: advancing practice and research. New York: Kluwer/Plenum; 2003.

    Google Scholar 

  51. Miller LD, Laye-Gindhu A, Liu Y, March JS, Thordarson DS, Garland EJ. Evaluation of a preventive intervention for child anxiety in two randomized attention-control school trials. Behav Res Ther. 2011;49:315–23.

    PubMed  Google Scholar 

  52. Manassis K, Wilansky-Traynor P, Farzan N, Kleiman V, Parker K, Sanford M. The feelings club: Randomized controlled evaluation of school-based CBT for anxious or depressive symptoms. Depress Anxiety. 2010;27:945–52.

    PubMed  Google Scholar 

  53. Ishikawa S, Okajima I, Matsuoka H, Sakano Y. Cognitive behavioural therapy for anxiety disorders in children and adolescents: a meta-analysis. Child Adolesc Ment Health. 2007;12:164–72.

    Google Scholar 

  54. Chorpita BF. The frontier of evidence-based practice. In: Kazdin AE, Weisz JR, editors. Evidence-based psychotherapies for children and adolescents. New York: Guildford; 2003.

    Google Scholar 

  55. Ginsburg GS, Becker KD, Kingery JN, Nichols T. Transporting CBT for childhood anxiety disorders into inner-city school-based mental health clinics. Cogn Behav Pract. 2008;15:148–58.

    Google Scholar 

  56. Weisz JR, Donenberg GR, Han SS, Weiss B. Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. J Consult Clin Psychol. 1995;63:688–701.

    PubMed  CAS  Google Scholar 

  57. Hirshfeld-Becker DR, Biederman J. Rationale and principles for early intervention with young children at risk for anxiety disorders. Clin Child Fam Psychol Rev. 2002;5:161–72.

    PubMed  Google Scholar 

  58. Hirshfeld-Becker DR, Masek B, Henin A, Blakely LR, Pollock-Wurman RA, McQuade J, et al. Cognitive behavioral therapy for 4- to 7-year-old children with anxiety disorders: a randomized clinical trial. J Consult Clin Psychol. 2010;78:498–510.

    PubMed  Google Scholar 

  59. Hirshfeld-Becker DR, Micco JA, Mazursky H, Bruett L, Henin A. Applying cognitive-behavioral therapy for anxiety to the younger child. Child Adolesc Psychiatr Clin N Am. 2011;20:349–68.

    PubMed  Google Scholar 

  60. Ben-Amitay G, Rosental B, Toren P. Brief parent-child group therapy for childhood anxiety disorders: a developmental perspective on cognitive-behavioral group treatment. Int J Group Psychother. 2010;60:389–406.

    PubMed  Google Scholar 

  61. Rapee RM, Kennedy S, Ingram M, Edwards S, Sweeney L. Prevention and early intervention of anxiety disorders in inhibited preschool children. J Consult Clin Psychol. 2005;73:488–97.

    PubMed  Google Scholar 

  62. Rapee RM, Kennedy SJ, Ingram M, Edwards SL, Sweeney L. Altering the trajectory of anxiety in at-risk young children. Am J Psychiatry. 2010;167:1518–25.

    PubMed  Google Scholar 

  63. Pahl KM, Barrett PM. The development of social-emotional competence in preschool-aged children: an ­introduction to the fun FRIENDS program. Aust J Guid Couns. 2007;17:81–90.

    Google Scholar 

  64. Cartwright-Hatton S, McNally D, White C, Verduyn C. Parenting skills training: an effective intervention for internalizing symptoms in younger children? J Child Adolesc Psychiatr Nurs. 2005;18:45–52.

    PubMed  Google Scholar 

  65. Choate ML, Pincus DB, Eyberg SM, Barlow DH. Parent-child interaction therapy for treatment of separation anxiety disorder in young children: a pilot study. Cogn Behav Pract. 2005;12:126–35.

    Google Scholar 

  66. Eyberg SM, Boggs S, Algina J. Parent-child interaction therapy: a psychosocial model for the treatment of young children with conduct problem behavior and their families. Psychopharmacol Bull. 1995;31:83–91.

    PubMed  CAS  Google Scholar 

  67. Pincus DB, Eyberg SM, Choate ML. Adapting parent-child interaction therapy for young children with separation anxiety disorder. Educ Treat Child. 2005;28:163–81.

    Google Scholar 

  68. Pincus DB, Santucci LC, Ehrenreich JT, Eyberg SM. The implementation of modified parent–child interaction therapy for youth with separation anxiety disorder. Cogn Behav Pract. 2008;15:118–25.

    Google Scholar 

  69. Kendall PC, Gosch E, Furr JM, Sood E. Flexibility within fidelity. J Am Acad Child Adolesc Psychiatry. 2008;47:987–93.

    PubMed  Google Scholar 

  70. Bell-Dolan D, Brazeal T. Separation anxiety disorder, overanxious disorder, and school refusal. Child Adolesc Psychiatr Clin N Am. 1993;2:563–80.

    Google Scholar 

  71. Pine DS, Grun J. Childhood anxiety: Integrating developmental psychopathology and affective neuroscience. J Child Adolesc Psychopharmacol. 1999;9:1–12.

    PubMed  CAS  Google Scholar 

  72. Beidel DC, Turner SM, Morris TL. Psychopathology of childhood social phobia. J Am Acad Child Adolesc Psychiatry. 1999;38:643–50.

    PubMed  CAS  Google Scholar 

  73. Wittchen H, Stein MB, Kessler RC. Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity. Psychol Med. 1999;29:309–23.

    PubMed  CAS  Google Scholar 

  74. Kendall PC, Compton S, Walkup J, Birmaher B, Albano AM, Sherrill J, et al. Clinical characteristics of anxiety disordered youth. J Anxiety Disord. 2010;24:360–5.

    PubMed  Google Scholar 

  75. Barmish AJ, Kendall PC. Should parents be co-clients in cognitive-behavioral therapy for anxious youth? J Clin Child Adolesc Psychol. 2005;34:569–81.

    PubMed  Google Scholar 

  76. Kendall PC, Flannery-Schroeder E, Panichelli-Mindel SM, Southam-Gerow M, Henin A, Warman M. Therapy for youths with anxiety disorders: a second randomized clinical trial. J Consult Clin Psychol. 1997;65:366–80.

    PubMed  CAS  Google Scholar 

  77. Walkup JT, Albano AM, Piacentini J, Birmaher B, Compton SN, Sherrill JT, et al. Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med. 2008;359:2753–66.

    PubMed  CAS  Google Scholar 

  78. Franklin ME, Foa EB. Obsessive-compulsive disorder. In: Barlow DH, editor. Clinical handbook of psychological disorders: a step-by-step treatment manual. 4th ed. New York: Guilford; 2008. p. 164–215.

    Google Scholar 

  79. Chambless DL, Hollon SD. Defining empirically supported therapies. J Consult Clin Psychol. 1998;66:7–18.

    PubMed  CAS  Google Scholar 

  80. American Psychological Association Task Force on Psychological Intervention Guidelines. Template for developing guidelines: interventions for mental disorders and psychological aspects of physical disorders. Washington, DC: American Psychological Association; 1995.

    Google Scholar 

  81. Kazdin AE, Weisz JR. Identifying and developing empirically supported child and adolescent treatments. J Consult Clin Psychol. 1998;66:19–36.

    PubMed  CAS  Google Scholar 

  82. Ollendick TH, King NJ. Empirically supported treatments for children and adolescents. In: Kendall PC, editor. Child and adolescent therapy: cognitive behavioral procedures. 2nd ed. New York: Guilford; 2000.

    Google Scholar 

  83. Lau WY, Chan CK, Li JC, Au TK. Effectiveness of group cognitive-behavioral treatment for childhood anxiety in community clinics. Behav Res Ther. 2010;48:1067–77.

    PubMed  Google Scholar 

  84. Treadwell KR, Kendall PC. Self-talk in anxiety-disordered youth: states of mind, content specificity, and treatment outcome. J Consult Clin Psychol. 1996;64:941–50.

    PubMed  CAS  Google Scholar 

  85. Saavedra LM, Silverman WK, Morgan-Lopez AA, Kurtines WM. Cognitive behavioral treatment for childhood anxiety disorders: long-term effects on anxiety and secondary disorders in young adulthood. J Child Psychol Psychiatry. 2010;51:924–34.

    PubMed  Google Scholar 

  86. Kendall PC, Southam-Gerow MA. Long-term follow-up of a cognitive-behavioral therapy for anxiety-disordered youth. J Consult Clin Psychol. 1996;64:724–30.

    PubMed  CAS  Google Scholar 

  87. Barrett PM, Duffy AL, Dadds MR, Rapee RM. Cognitive-behavioral treatment of anxiety disorders in children: long-term (6-year) follow-up. J Consult Clin Psychol. 2001;69:135–41.

    PubMed  CAS  Google Scholar 

  88. Kendall PC, Panichelli-Mindel S, Gerow M. Cognitive-behavioral therapies with children and adolescents: an integrative overview. In: van Bilsen HPJG, Kendall PC, Slavenburg JH, editors. Behavioural approaches for children and adolescents: challenges for the next century. New York: Plenum; 2005.

    Google Scholar 

  89. Kendall PC, Brady EU, Verduin TL. Comorbidity in childhood anxiety disorders and treatment outcome. J Am Acad Child Adolesc Psychiatry. 2001;40:787–94.

    PubMed  CAS  Google Scholar 

  90. Kendall PC, Sugarman A. Attrition in the treatment of childhood anxiety disorders. J Consult Clin Psychol. 1997;65:883–8.

    PubMed  CAS  Google Scholar 

  91. Hudson J, Krain A, Kendall PC. Expanding horizons: adapting manual-based treatments for anxious children with comorbid diagnoses. Cogn Behav Pract. 2001;8:338–46.

    Google Scholar 

  92. Suveg C, Sood E, Comer JS, Kendall PC. Changes in emotion regulation following cognitive-behavioral therapy for anxious youth. J Clin Child Adolesc Psychol. 2009;38:390–401.

    PubMed  Google Scholar 

  93. Southam-Gerow MA, Kendall PC, Weersing VR. Examining outcome variability: correlates of treatment response in a child and adolescent anxiety clinic. J Clin Child Psychol. 2001;30:422–36.

    PubMed  CAS  Google Scholar 

  94. Crawley SA, Beidas RS, Benjamin CL, Martin E, Kendall PC. Treating socially phobic youth with CBT: differential outcomes and treatment considerations. Behav Cogn Psychother. 2008;36:379–89.

    Google Scholar 

  95. Liber JM, Widenfelt BM, Leeden AJM, Goedhart AW, Utens EMWJ, Treffers PDA. The relation of severity and comorbidity to treatment outcome with cognitive behavioral therapy for childhood anxiety disorders. J Abnorm Child Psychol. 2010;38:683–94.

    PubMed  Google Scholar 

  96. Wood JJ, McLeod B. Child anxiety disorders: a treatment manual for practitioners. New York: Norton; 2008.

    Google Scholar 

  97. Lyneham HJ, Abbott MJ, Wignall A, Rapee RM. The Cool Kids family program—therapist manual. Sydney: Macquarie University; 2003.

    Google Scholar 

  98. Wood JJ, Drahota A, Sze K, Har K, Chiu A, Langer DA. Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized clinical trial. J Child Psychol Psychiatry. 2009;50:224–34.

    PubMed  Google Scholar 

  99. Chalfant AM, Rapee R, Carroll L. Treating anxiety disorders in children with high functioning autism spectrum disorders: a controlled trial. J Autism Dev Disord. 2007;37:1842–57.

    PubMed  Google Scholar 

  100. Flannery-Schroeder E, Choudhury M, Kendall PC. Group and individual cognitive behavioral therapy for youth with anxiety disorders: 1-year follow-up. Cogn Ther Res. 2005;29:253–9.

    Google Scholar 

  101. Barrett PM, Dadds MR, Rapee RM. Family treatment of childhood anxiety: a controlled trial. J Consult Clin Psychol. 1996;64:333–42.

    PubMed  CAS  Google Scholar 

  102. Wood JJ, Piacentini JC, Southam-Gerow M, Chu BC, Sigman M. Family cognitive behavioral therapy for child anxiety disorders. J Am Acad Child Adolesc Psychiatry. 2006;45:314–21.

    PubMed  Google Scholar 

  103. Bodden DH, Bogels SM, Nauta MH, Hann ED, Ringrose J, Appelbool A, et al. Child versus family cognitive-behavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. J Am Acad Child Adolesc Psychiatry. 2008;47:1384–94.

    PubMed  Google Scholar 

  104. Cobham VE, Dadds MR, Spence SH. The role of parental anxiety in the treatment of childhood anxiety. J Consult Clin Psychol. 1998;66:893–905.

    PubMed  CAS  Google Scholar 

  105. Puleo CM, Kendall PC. Anxiety disorders in typically developing youth: autism spectrum symptoms as a predictor of cognitive-behavioral treatment. J Autism Dev Disord. 2011;41:275–86.

    PubMed  Google Scholar 

  106. Flannery-Schroeder E, Kendall PC. Group and individual cognitive-behavioral treatments for youth with anxiety disorders: a randomized clinical trial. Cogn Ther Res. 2000;24:251–78.

    Google Scholar 

  107. Barrett PM. Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. J Clin Child Psychol. 1998;27:459–68.

    PubMed  CAS  Google Scholar 

  108. Manassis K, Mendlowitz SL, Scapillato D, Avery D, Fiksenbaum OL, Freire M, et al. Group and individual cognitive-behavioral therapy for childhood anxiety disorders. a randomized trial. J Am Acad Child Adolesc Psychiatry. 2002;41:1423–30.

    PubMed  Google Scholar 

  109. van der Leeden AJ, van Widenfelt BM, van der Leeden R, Liber JM, Utens EM, Treffers PD. Stepped care cognitive behavioural therapy for children with anxiety disorders: a new treatment approach. Behav Cogn Psychother. 2011;39:55–75.

    PubMed  Google Scholar 

  110. Kendall PC, Khanna MS, Edson A, Cumming C, Harris MS. Computers and psychosocial treatment for child anxiety: recent advances and ongoing efforts. Depress Anxiety. 2001;28:58–66.

    Google Scholar 

  111. Stallard P, Richardson T, Velleman S, Attwood M. Computerized CBT (think, feel, do) for depression and anxiety in children and adolescents: outcomes and feedback from a pilot randomized controlled trail. Behav Cogn Psychother. 2011;39:273–84.

    PubMed  Google Scholar 

  112. Khanna MS, Kendall PC. Computer-assisted cognitive behavioral therapy for child anxiety: results of a randomized clinical trial. J Consult Clin Psychol. 2010;78:737–45.

    PubMed  Google Scholar 

  113. Spence SH, Donovan CL, March S, Gamble A, Anderson RE, Prosser S, et al. A randomized controlled trial of online versus clinic-based CBT for adolescent anxiety. J Consult Clin Psychol. 2011;79:629–42.

    PubMed  Google Scholar 

  114. Southam-Gerow MA, Weisz JR, Chu BC, McLeod BD, Gordis EB, Connor-Smith JK. Does cognitive behavioral therapy for youth anxiety outperform usual care in community clinics? An initial effectiveness test. J Am Acad Child Adolesc Psychiatry. 2010;49:1043–52.

    PubMed  Google Scholar 

  115. American Academy of Child and Adolescent Psychiatry. Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry. 1998;37:27S–45.

    Google Scholar 

  116. Barrett PM, Farrell L, Pina AA, Peris TS, Piacentini J. Evidence-based psychosocial treatments for child and adolescent obsessive-compulsive disorder. J Clin Child Adolesc Psychol. 2008;37:131–55.

    PubMed  Google Scholar 

  117. Mancuso E, Faro A, Joshi G, Geller DA. Treatment of pediatric obsessive-compulsive disorder: a review. J Child Adolesc Psychopharmacol. 2010;20:299–308.

    PubMed  Google Scholar 

  118. King RA, Leonard H, March J. Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry. 1998;37:27S–45S.

    Google Scholar 

  119. Kircanski K, Peris TS, Piacentini JC. Cognitive-behavioral therapy for obsessive-compulsive disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2011;20:239–54.

    PubMed  Google Scholar 

  120. March J, Mulle K. OCD in children and adolescents: a cognitive-behavioral treatment manual. New York: Guilford; 1998.

    Google Scholar 

  121. Piacentini J, Peris T, March J, Franklin M. Obsessive compulsive disorder. In: Kendall PC, editor. Child and adolescent therapy: cognitive-behavioral procedures. 4th ed. New York: Guilford; 2012.

    Google Scholar 

  122. Barrett P, Healy-Farrell L, March JS. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: a controlled trial. J Am Acad Child Adolesc Psychiatry. 2004;43:46–62.

    PubMed  Google Scholar 

  123. Barrett P, Farrell L, Dadds M, Boulter N. Cognitive-behavioral family treatment of childhood obsessive-compulsive disorder: long-term follow-up and predictors of outcome. J Am Acad Child Adolesc Psychiatry. 2005;44:1005–14.

    PubMed  Google Scholar 

  124. O’Leary EMM, Barrett P, Fjermestad KW. Cognitive-behavioral family treatment for childhood obsessive-compulsive disorder: a 7-year follow-up study. J Anxiety Disord. 2009;23:973–8.

    PubMed  Google Scholar 

  125. Lewin AB, Storch EA, Adkins JW, Merlo LJ, Murphy TK, Goodman WK, et al. Update and review of pediatric obsessive-compulsive disorder. Psychiatr Ann. 2005;35:745–51.

    Google Scholar 

  126. Storch EA, Lehmkuhl HD, Ricketts E, Geffken GR, Marien W, Murphy TK. An open trial of intensive family based cognitive-behavioral therapy in youth with obsessive-compulsive disorder who are medication partial responders or nonresponders. J Clin Child Adolesc Psychol. 2010;39:260–8.

    PubMed  Google Scholar 

  127. O’Kearney R. Benefits of cognitive-behavioural therapy for children and youth with obsessive-compulsive disorder: re-examination of the evidence. Aust N Z J Psychiatry. 2007;41:199–212.

    PubMed  Google Scholar 

  128. Watson HJ, Rees CS. Meta-analysis of randomized, controlled treatment trials for pediatric obsessive-compulsive disorder. J Child Psychol Psychiatry. 2008;49:489–98.

    PubMed  Google Scholar 

  129. Pediatric OCD Treatment Study (POTS) Team. Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder: the Pediatric OCD Treatment Study (POTS) ­randomized controlled trial. JAMA. 2004;292:1969–76.

    Google Scholar 

  130. Scahill L, Riddle MA, McSwiggin-Hardin M, Ort SI, King RA, Goodman WK, et al. Children’s Yale-Brown obsessive compulsive scale: reliability and validity. J Am Acad Child Adolesc Psychiatry. 1997;36:844–52.

    PubMed  CAS  Google Scholar 

  131. Garcia AM, Sapyta JJ, Moore PS, Freeman JB, Franklin ME, March JS, et al. Predictors and moderators of treatment outcome in the Pediatric Obsessive Compulsive Treatment Study (POTS I). J Am Acad Child Adolesc Psychiatry. 2010;49:1024–33.

    PubMed  Google Scholar 

  132. Storch EA, Bjorgvinsson T, Riemann B, Lewin AB, Morales MJ, Murphy TK. Factors associated with poor response in cognitive-behavioral therapy for pediatric obsessive-compulsive disorder. Bull Menninger Clin. 2010;74:167–85.

    PubMed  Google Scholar 

  133. Storch EA, Merlo LJ, Larson MJ, Marien WE, Geffken GR, Jacob ML, et al. Clinical features associated with treatment-resistant pediatric obsessive-compulsive disorder. Compr Psychiatry. 2008;49:35–42.

    PubMed  Google Scholar 

  134. Turner CM. Cognitive-behavioural theory and therapy for obsessive-compulsive disorder in children and adolescents: current status and future directions. Clin Psychol Rev. 2006;26:912–38.

    PubMed  Google Scholar 

  135. Turner C, Heyman I, Futh A, Lovell K. A pilot study of telephone cognitive-behavioural therapy for obsessive-compulsive disorder in young people. Behav Cogn Psychother. 2009;37:469–74.

    PubMed  Google Scholar 

  136. Freeman JB, Choate-Summers ML, Garcia AM, Moore PS, Sapyta JJ, Khanna MS, et al. The Pediatric Obsessive-Compulsive Disorder Treatment Study II: rationale, design and methods. Child Adolesc Psychiatry Ment Health. 2009;3:4.

    PubMed  Google Scholar 

  137. Cahill SP, Foa EB, Hembree EA, Marshall RD, Nacash N. Dissemination of exposure therapy in the treatment of posttraumatic stress disorder. J Trauma Stress. 2006;19:597–610.

    PubMed  Google Scholar 

  138. Foa EB, Dancu CV, Hembree EA, Jaycox LH, Meadows EA, Street GP. A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. J Consult Clin Psychol. 1999;67:194–200.

    PubMed  CAS  Google Scholar 

  139. Foa EB, Steketee G, Rothbaum BO. Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behav Ther. 1989;20:155–76.

    Google Scholar 

  140. Kowalik J, Weller J, Venter J, Drachman D. Cognitive behavioral therapy for the treatment of pediatric posttraumatic stress disorder: a review and meta-analysis. J Behav Ther Exp Psychiatry. 2011;42:405–13.

    PubMed  Google Scholar 

  141. La Greca AM. Interventions for posttraumatic stress in children and adolescents following natural disasters and acts of terrorism. In: Steele RG, Elkin TD, Roberts MC, editors. Handbook of evidence-based therapies for children and adolescents: bridging science and practice. New York: Springer; 2008. p. 121–41.

    Google Scholar 

  142. Ford JD, Cloitre M. Best practices in psychotherapy for children and adolescents. In: Courtois CA, Ford JD, ­editors. Treating complex traumatic stress disorders: an evidence-based guide. New York: Guilford; 2009. p. 59–81.

    Google Scholar 

  143. Furr J, Comer J, Edmunds J, Kendall PC. Disasters and youth: a meta-analytic examination of posttraumatic stress. J Consult Clin Psychol. 2010;78:765–80.

    PubMed  Google Scholar 

  144. Nixon RD, Sterk J, Pearce A. A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. J Abnorm Child Psychol. 2012;40:327–37.

    PubMed  Google Scholar 

  145. Cohen JA, Bukstein O, Walter H, Benson SR, Chrisman A, Farchione TR, et al. Practice parameter for the assessment and treatment of children and adolescent with posttraumatic stress disorder. J Am Acad Child Adolesc Psychiatry. 2010;49:414–30.

    PubMed  Google Scholar 

  146. Cohen JA, Mannarino AP. Psychotherapeutic options for traumatized children. Curr Opin Pediatr. 2010;22:605–9.

    PubMed  Google Scholar 

  147. Cohen JA, Mannarino AP, Deblinger E. Treating trauma and traumatic grief in children and adolescents. New York: Guilford; 2006.

    Google Scholar 

  148. Smith P, Yule W, Perrin S, Tranah T, Dalgleish T, Clark DM. Cognitive-behavioral therapy for PTSD in children and adolescents: a preliminary randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2007;46:1051–61.

    PubMed  Google Scholar 

  149. Cohen JA. Treating traumatized children: current status and future directions. J Trauma Dissociation. 2006;6:109–21.

    Google Scholar 

  150. Cohen JA, Mannarino AP, Perel JM, Staron V. A pilot randomized controlled trial of combined trauma-focused CBT and sertraline for childhood PSTD symptoms. J Am Acad Child Adolesc Psychiatry. 2007;46:811–9.

    PubMed  Google Scholar 

  151. TF-CBT Web: A web based learning course for trauma-focused cognitive behavioral therapy. http://tfcbt.musc.edu. Accessed 3 Apr 2011.

  152. Cohen JA, Deblinger E, Mannarino AP, Steer RA. A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatry. 2004;43:393–402.

    PubMed  Google Scholar 

  153. Cohen JA, Mannarino AP, Knudsen K. Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse Negl. 2005;29:135–45.

    PubMed  Google Scholar 

  154. Scheering MS, Weems CF, Cohen JA, Amaya-Jackson L, Guthrie D. Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial. J Child Psychol Psychiatry. 2011;52:853–60.

    Google Scholar 

  155. de Arellano MA, Waldrop AE, Deblinger E, Cohen JA, Danielson CK, Mannarino AR. Community outreach program for child victims of traumatic events: a community-based project for underserved populations. Behav Modif. 2005;29:130–55.

    PubMed  Google Scholar 

  156. Hoagwood KE, Vogel JM, Levitt JM, D’Amico PJ, Paisner WI, Kaplan SJ. Implementing an evidence-based trauma treatment in a state system after September 11: the CATS project. J Am Acad Child Adolesc Psychiatry. 2007;46:773–9.

    PubMed  Google Scholar 

  157. Cohen JA, Mannarino AP, Knudsen K. Treating childhood traumatic grief: a pilot study. J Am Acad Child Adolesc Psychiatry. 2004;43:1225–33.

    PubMed  Google Scholar 

  158. Cohen JA, Mannarino AP, Staron VR. A pilot study of modified cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG). J Am Acad Child Adolesc Psychiatry. 2006;45:1465–73.

    PubMed  Google Scholar 

  159. Cohen JA, Mannarino AP, Iyengar S. Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: a randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165:16–21.

    PubMed  Google Scholar 

  160. Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38:319–45.

    PubMed  CAS  Google Scholar 

  161. Stallard P. A retrospective analysis to explore the applicability of the Ehlers and Clark (2000) cognitive model to explain PTSD in children. Behav Cogn Psychother. 2003;31:337–45.

    Google Scholar 

  162. Smith P, Perrin S, Yule W, Rabe-Hesketh S. War exposure and maternal reactions in the psychological adjustment of children from Bosnia-Hercegovina. J Child Psychol Psychiatry. 2001;42:395–404.

    PubMed  CAS  Google Scholar 

  163. Stein BD, Jaycox LH, Kataoka SH, Wong M, Tu W, Elliott MN, et al. A mental health intervention for schoolchildren exposed to violence: a randomized controlled trial. JAMA. 2003;290:603–11.

    PubMed  Google Scholar 

  164. Kataoka SH, Stein BD, Jaycox LH, Wong M, Escudero P, Tu W, et al. A school-based mental health program for traumatized Latino immigrant children. J Am Acad Child Adolesc Psychiatry. 2003;42:311–8.

    PubMed  Google Scholar 

  165. Dorsey S, Briggs EC, Woods BA. Cognitive-behavioral treatments for posttraumatic stress disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2011;20:255–69.

    PubMed  Google Scholar 

  166. Layne CM, Saltzman WR, Pynoos RS, Steinberg AM. Trauma and grief component therapy for adolescents. New York: New York State Office of Mental Health; 2002.

    Google Scholar 

  167. Essock SM, Covell NH, Shear KM, Donahue SA, Felton CJ. Use of clients’ self-reports to monitor Project Liberty clinicians’ fidelity to a cognitive-behavioral intervention. Psychiatr Serv. 2006;57:1320–3.

    PubMed  Google Scholar 

  168. Jaycox LH, Cohen JA, Mannarino AP, Walker DW, Langley AK, Gegenheimer KL, et al. Children’s mental health care following Hurricane Katrina: a field trial of trauma-focused psychotherapies. J Trauma Stress. 2010;23:223–31.

    PubMed  Google Scholar 

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Read, K.L., Puleo, C.M., Wei, C., Cummings, C.M., Kendall, P.C. (2013). Cognitive–Behavioral Treatment for Pediatric Anxiety Disorders. In: Vasa, R., Roy, A. (eds) Pediatric Anxiety Disorders. Current Clinical Psychiatry. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-6599-7_13

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