Abstract
This chapter presents information from evidence-based treatments. Critical insights from seminal reviews of treatments in the field are also presented, along with information about techniques that therapists can use in treatment. Techniques include distraction, relaxation, desensitization, and graded exposure. Being a detective and applying several techniques may help some children. Involving parents so that they can practice techniques with the child can be helpful as well. Excerpts from clinical examples are presented to show application of different anxiety management strategies. Using a modular approach, where the clinician moves from successful treatment techniques that may help lessen symptom severity, may be a parsimonious and effective way to apply the evidence base in clinical practice settings.
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References
Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology: Concepts, issues, and research strategies. Journal of Child Psychology & Psychiatry & Allied Disciplines, 32(7), 1063–1080. https://doi.org/10.1111/j1469-7610.1991.tb00350x
Chorpita, B. F., Daleiden, E. L., Park, A. L., Ward, A. M., Levy, M. C., Cromley, T., … Krull, J. L. (2017). Child STEPs in California: A cluster randomized effectiveness trial comparing modular treatment with community implemented treatment for youth with anxiety, depression, conduct problems, or traumatic stress. Journal of Consulting and Clinical Psychology, 85(1), 13–25. https://doi.org/10.1037/ccp0000133
Crawford, A. M., & Manassis, K. (2001). Familial predictors of treatment outcome in childhood anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1182–1189. https://doi.org/10.1097/00004583-200110000-00012
Higa-McMillan, C. K., Francis, S. E., Rith-Najarian, L., & Chorpita, B. F. (2016). Evidence-base update: 50 years of research on treatment for child and adolescent anxiety. Journal of Clinical Child and Adolescent Psychology, 45(2), 91–113. https://doi.org/10.1080/15374416.2015.1046177
Hirschfeld-Becker, D. R., Dina, R., Masek, B., Henin, A., Blakely, L. R., Pollock-Wurman, R. A., … Biederman, J. (2010). Cognitive-behavioral therapy for 4- to 7-year-old children with anxiety disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 78(4), 498–510. https://doi.org/10.1037/a0019055
Hoffman, S. G., & Otto, M. W. (2017). Cognitive behavioral therapy for social anxiety disorder: Evidence-based and disorder specific treatment techniques (2nd ed.). New York: Routledge.
Keeton, C. P., Ginsburg, G. S., Drake, K. L., Sakolsky, D., Kendall, P. C., Birmaher, B., … Walkup, J. T. (2013). Benefits of child-focused anxiety treatments for parents and family functioning. Depression and Anxiety, 30(9), 865–872. https://doi.org/10.1002/da.22055
Kendall, P. C. (2012). Anxiety disorders in youth. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (4th ed., pp. 143–189). New York: Guilford Press.
Kendall, P. C., Gosch, E., Furr, J. M., & Sood, E. (2008). Flexibility within fidelity. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 987–993. https://doi.org/10.1097/CHI.0b013e31817eed2f
Kendall, P. C., & Hedtke, K. A. (2006a). Cognitive behavioral therapy for anxious children: Therapist manual 3. Ardmore, PA: Workbook Publishing.
Kendall, P. C., & Hedtke, K. A. (2006b). Coping cat workbook 2. Ardmore, PA: Workbook Publishing.
Kendall, P. C., Makover, H., Swan, A., Carper, M. M., Mercado, R., Kagan, E., & Crawford, E. (2016). What steps to take? How to approach concerning anxiety in youth. Clinical Psychology: Science and Practice, 23(3), 211–229. https://doi.org/10.1111/cpsp.12156
Kiff, C. J., Ernestus, S., Gonzalez, A., Kendall, P. C., Albano, A. M., Compton, S. N., … Piacentini, J. (2018). The interplay of familial and individual risk in predicting clinical improvements in pediatric anxiety disorders. Journal of Clinical Child & Adolescent Psychology, 47(S1), S542–S554. https://doi.org/10.1080/15374416.2018.1460848
Lee, P., Zehgeer, A., Ginsburg, G., McCracken, J., Keeton, C., Kendall, P. C., … Compton, S. (2019). Child and adolescent adherence with cognitive behavioral therapy for anxiety: Predictors and associations with outcomes. Journal of Clinical Child & Adolescent Psychology, 48(S1), S215–S226. https://doi.org/10.1080/15374416.2017.1310046
Manassis, K., Lee, T. C., Bennett, K., Zhao, X. Y., Mendlowitz, S., Duda, S., … Wood, J. J. (2014). Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1163–1172. https://doi.org/10.1037/a0036969
Nabors, L., Odar Stough, C., Combs, A., & Elkins, J. (2019). Implementing the coping positively with my worries manual: A pilot study. Journal of Child and Family Studies, 28(10), 2708–2717. https://doi.org/10.1007/s10826-019-01451-3
Ollendick, T. H., & King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: Current status. Journal of Clinical Child Psychology, 27(2), 156–167. https://doi.org/10.1207/s15374424jccp2702_3
Ӧst, L.-G., & Ollendick, T. H. (2017). Brief, intensive and concentrated cognitive behavioral treatments for anxiety disorders in children: A systematic review and meta-analysis. Behaviour Research and Therapy, 97, 134–145. https://doi.org/10.1016/j.brat.2017.07.008
Park, A. L., Chorpita, B. F., Regan, J., & Weisz, J. R. (2014). Integrity of evidence-based practice: Are providers modifying practice content or practice sequencing? Administration and Policy in Mental Health and Mental Health Services Research, 42(2), 186–196. https://doi.org/10.1007/s10488-014-0559-z
Peterman, J. S., Carper, M. M., & Kendall, P. C. (2019). Testing the habituation-based model of exposures for child and adolescent anxiety. Journal of Child & Adolescent Psychology, 48(S1), S34–S44. https://doi.org/10.1080/15374416.2016.1163707
Piacentini, J., Bennett, S., Compton, S. N., Kendall, P. C., Birmaher, B., Albano, A. M., … Walkup, J. (2014). 24- and 36-week outcomes for the child/adolescent anxiety multimodal study (CAMS). Journal of the American Academy of Child & Adolescent Psychiatry, 53(3), 297–310. https://doi.org/10.1016/j.jaac.2013.11.010
Primeau, M., Gershon, A., Talbot, L., Cotto, I., Lotspeich, L., Hardan, A., … O’Hara, R. (2016). Individuals with autism spectrum disorders have equal success rate but require longer periods of systematic desensitization than control patients to complete ambulatory polysomnography. Journal of Clinical Sleep Medicine, 12(3), 357–362. https://doi.org/10.5664/jcsm.5584
Santucci, L., & Ehrenreich-May, J. (2013). A randomized controlled trail of the child anxiety multi-day program (CAMP) for separation anxiety disorder. Child Psychiatry and Human Development, 44, 439–451. https://doi.org/10.1007/s10578-012-0338-6
Santucci, L. C., Thomassin, K., Petrovic, L., & Weisz, J. R. (2015). Building evidence-based interventions for the youth, providers, and contexts of real-world mental health care. Child Development Perspectives, 9(2), 67–73. https://doi.org/10.1111/cdep.12118
Schoenwald, S. K., Kelleher, K., & Weisz, J. (2008). Building bridges to evidence-based practice: The MacArthur Foundation child system and treatment enhancement projects (Child STEPs). Administration and Policy in Mental Health and Mental Health Services Research, 35(1–2), 66–72. https://doi.org/10.1007/s10488-007-0160-9
Silverman, W. K., Kurtines, W. M., Jaccard, J., & Pina, A. A. (2009). Directionality of change in youth anxiety treatment involving parents: An initial examination. Journal of Consulting and Clinical Psychology, 77, 474–485. https://doi.org/10.1037/a0015761
Silverman, W. K., Pina, A. A., & Viswesvaran, C. (2008). Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. Clinical Child and Adolescent Psychology, 37(1), 105–130. https://doi.org/10.1080/15374410701817907
Silverman, W. K., & Treffers, P. D. (Eds.). (2001). Anxiety disorders in children and adolescents: Research, assessment and intervention (pp. 313–334). New York, NY: Cambridge University Press.
Spence, S. H., & Rapee, R. M. (2015). The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy, 86, 50–67. https://doi.org/10.1016/j.brat.2016.06.007
Walkup, J., Albano, A. M., Piacentini, J., Birmaher, B., Compton, S. N., Sherrill, J. T., … March, J. S. (2008). Cognitive behavioral therapy, sertraline, and their combination for children and adolescents with anxiety disorders: Acute phase efficacy and safety. New England Journal of Medicine, 359, 2753–2766. https://doi.org/10.1056/NEJMoa0804633
Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., … the Research Network on Youth Mental Health. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69, 274–282. https://doi.org/10.1001/archgenpsychiatry.2011.147
Weisz, J. R., Sandler, I. N., Durlak, J. A., & Anton, B. S. (2006). A proposal to unite two different worlds of children’s mental health. American Psychologist, 61, 644–645. https://doi.org/10.1037/0003-066X.61.6.644
Whiteside, S. P. H., Deacon, B. J., Benito, K., & Stewart, E. (2016). Factors associated with practitioners’ use of exposure therapy for childhood anxiety disorders. Journal of Anxiety Disorders, 40, 29–36. https://doi.org/10.1016/janxdis.2016.04.001
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Nabors, L. (2020). Evidence-Based Treatments for Anxiety in Children. In: Anxiety Management in Children with Mental and Physical Health Problems. Springer Series on Child and Family Studies. Springer, Cham. https://doi.org/10.1007/978-3-030-35606-4_2
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DOI: https://doi.org/10.1007/978-3-030-35606-4_2
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