Cognitive Therapy and Research

, Volume 29, Issue 2, pp 253–259 | Cite as

Group and Individual Cognitive-Behavioral Treatments for Youth With Anxiety Disorders: 1-Year Follow-Up

  • Ellen Flannery-Schroeder
  • Muniya S. Choudhury
  • Philip C. Kendall
Article

Abstract

This study reports the 1-year follow-up of a cognitive-behavioral treatment for anxiety disorders in children and adolescents. Thirty-seven anxiety-disordered youth (aged 8–14 years at the time of treatment) were randomly assigned to individual cognitive-behavioral treatment (ICBT), group cognitive-behavioral treatment (GCBT), or a waitlist control (WLC) condition. Previously reported posttreatment results demonstrated significant reductions in anxiety whereas children in the WLC failed to demonstrate changes in report of anxiety or in diagnostic status. At the present 1-year follow-up, 81% of ICBT and 77% of GCBT children no longer met criteria for their primary anxiety disorder. Multivariate analyses of variance demonstrated maintenance of treatment gains for both ICBT and CGBT but failed to reveal differences between the conditions. Results not only suggest the nondifferential efficacy of individual and group cognitive-behavioral treatments for anxiety-disordered children but also add to the evidence suggesting GCBT as a “probably efficacious treatment.”

Keywords

group cognitive-behavioral treatment anxiety child follow-up 

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References

  1. Barrett, P. M. (1998). Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. Journal of Clinical Child Psychology, 27, 459–468.Google Scholar
  2. Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342.Google Scholar
  3. Barrett, P. M., Duffy, A. L., Dadds, M. R., & Rapee, R. M. (2001). Cognitive-behavioral treatment of anxiety disorders in children: Long-term (6-year) follow-up. Journal of Consulting and Clinical Psychology, 69, 135–141.Google Scholar
  4. Costello, E. J., & Angold, A. (1995). Epidemiology. In J. S. March (Ed.), Anxiety disorders in children and adolescents (pp. 109–124). New York: Guilford.Google Scholar
  5. Flannery-Schroeder, E., & Kendall, P. C. (1996). Cognitive-behavioral therapy for anxious children: Therapist manual for group treatment. Ardmore, PA: Workbook.Google Scholar
  6. Flannery-Schroeder, E., & Kendall, P. C. (2000). Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial. Cognitive Therapy and Research, 24, 251–278.Google Scholar
  7. Kendall, P. C. (2000). Cognitive-behavioral therapy for anxious children: Therapist manual (2nd ed.). Ardmore, PA: Workbook.Google Scholar
  8. Kendall, P., Flannery-Schroeder, E., Panicelli-Mindel, S., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 366–380.Google Scholar
  9. Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (in press). Child anxiety treatment: Maintenance of outcomes in adolescence and impact on substance use and depression at 7.4 year follow-up. Journal of Consulting and Clinical Psychology.Google Scholar
  10. Manassis, K., Mendlowitz, S. L., Scapillato, D., Avery, D., Fiksenbaum, L., Freire, M., et al. (2002). Group and individual cognitive-behavioral therapy for childhood anxiety disorders. A randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 41(12),1423–1430.Google Scholar
  11. Mendlowitz, S. L., Manassis, K., Bradley, S., Scapillato, D., Miezitis, S., & Shaw, B. F. (1999). Cognitive-behavioral group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1223–1229.Google Scholar
  12. Muris, P., Meesters, C., & van Melick, M. (2002). Treatment of childhood anxiety disorders: A preliminary comparison between cognitive-behavioral group therapy and a psychological placebo intervention. Journal of Behavior Therapy and Experimental Psychiatry, 33, 143–158.Google Scholar
  13. 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
  14. Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Lumpkin, P., White, C., et al. (1999). Treating anxiety disorders in children with group cognitive-behavioral therapy: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 995–1003.Google Scholar
  15. Task Force on Promotion and Dissemination of Psychological Procedures. (1995). Training in and dissemination of empirically validated psychological treatments: Report and recommendations. The Clinical Psychologist, 48, 3–23.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Ellen Flannery-Schroeder
    • 1
    • 3
  • Muniya S. Choudhury
    • 2
  • Philip C. Kendall
    • 2
  1. 1.Department of Social SciencesUniversity of the Sciences in PhiladelphiaPhiladelphia
  2. 2.Temple UniversityPhiladelphia
  3. 3.Department of PsychologyUniversity of Rhode IslandKingston

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