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Special Considerations in Treating Anxiety Disorders in Adolescents

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Handbook of Treating Variants and Complications in Anxiety Disorders

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Abstract

Special considerations are needed when examining and treating anxiety disorders in adolescents due to the unique developmental and social factors characteristic of this group. Although few studies have looked exclusively at anxiety in adolescents, this chapter examines the available research on the treatment of this age group, as well as treatment approaches that could improve outcomes. The chapter concludes with a case study on treating an anxious teen and also provides future directions for research aimed at tailoring treatment appropriately for this population.

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References

  • Adler-Nevo, G., & Manassis, K. (2009). Outcomes for treated anxious children: A critical review of long-term follow-up studies. Depression and Anxiety, 26(7), 650–660.

    Article  Google Scholar 

  • Albano, A. M., & Kendall, P. C. (2002). Cognitive behavioural therapy for children and adolescents with anxiety disorders: Clinical research advances. International Review of Psychiatry, 14(2), 129–134.

    Article  Google Scholar 

  • Albano, A. M., Marten, P. A., Holt, C. S., Heimberg, R. G., & Barlow, D. H. (1995). Cognitive-behavioral group treatment for social phobia in adolescents: A preliminary study. Journal of Nervous and Mental Disease, 183, 685–692.

    Article  Google Scholar 

  • Baer, S., & Garland, E. J. (2005). Pilot study of community-based cognitive behavioral group therapy for adolescents with social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 258–264.

    Article  PubMed  Google Scholar 

  • Bennett, K., Manassis, K., Walter, S., Cheung, A., Wilansky-Traynor, P., Diaz-Granados, N., et al. (2010). Does age moderate cognitive behavioural therapy (CBT) treatment effect for child and adolescent anxiety? Results from an individual patient data (IPD) meta-analysis. Manuscript in submission.

    Google Scholar 

  • Berman, S. L., Weems, C. F., Silverman, W. K., & Kurtines, W. M. (2000). Predictors of outcome in exposure-based cognitive and behavioral treatments for phobic and anxiety disorders in children. Behavior Therapy, 31, 713–731.

    Article  Google Scholar 

  • Bodden, D. H. M., Bogels, S. M., Nauta, M. H., de Haan, E., Ringrose, J., Appelboom, C., et al. (2008). Efficacy of individual versus family cognitive behavioral therapy in clinically anxious youth. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1384–1394.

    Article  PubMed  Google Scholar 

  • Canadian Psychiatric Association (CPA). (2006). Clinical practice guidelines: Management of anxiety disorders. Canadian Journal of Psychiatry, 51(Suppl 2), 65S–72S.

    Google Scholar 

  • Carey, T. A., & Oxman, L. N. (2007). Adolescents and mental health treatments: Reviewing the evidence to discern common themes for clinicians and areas for future research. Journal of Clinical Psychology, 11(3), 79–87.

    Article  Google Scholar 

  • Cartwright-Hatton, S., Roberts, C., Chisabesan, P., Fothergill, C., & 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.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford.

    Google Scholar 

  • Christensen, H., Pallister, E., Smale, S., Hickie, I. B., & Calear, A. L. (2010). Community-based prevention programs for anxiety and depression in youth: A systematic review. Journal of Primary Prevention, 31, 139–170.

    Article  PubMed  Google Scholar 

  • Cobham, V. E., Dadds, M. R., & Spence, S. H. (1998). The role of parental anxiety in the treatment of childhood anxiety. Journal of Consulting and Clinical Psychology, 66, 893–905.

    Article  PubMed  Google Scholar 

  • Compton, S. N., March, J. S., Brent, D., Albano, A. M., Weersing, V. R., & Curry, J. (2004). Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: An evidence-based medicine review. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 930–959.

    Article  PubMed  Google Scholar 

  • Compton, S. N., Walkup, J. T., Albano, A. M., Piacentini, J. C., Birmaher, B., Sherrill, J. T., et al. (2010). Child/adolescent anxiety multimodal study: Rationale, design, and methods. Child and Adolescent Psychiatry and Mental Health, 4, 1.

    Article  PubMed  Google Scholar 

  • Connolly, S. D., Bernstein, G. A., & the Work Group on Quality Issues. (2007). Practice parameter for the assessment and treatment of children and adolescent with anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46(2), 267–283.

    Google Scholar 

  • Field, A. P., Cartwright-Hatton, S., Reynolds, S., & Creswell, C. (2008). Future directions for child anxiety theory and treatment. Cognition and Emotion, 22(3), 385–394.

    Article  Google Scholar 

  • Foa, E. B., & Andrews, L. W. (2006). If your adolescent has an anxiety disorder. New York: Oxford University Press.

    Google Scholar 

  • Ginsburg, G. S., Becker, K. D., Kingery, J. N., & Nichols, T. (2008). Transporting CBT for childhood anxiety disorders into inner-city school-based mental health clinics. Cognitive and Behavioral Practice, 15(2), 148–158.

    Article  Google Scholar 

  • Ginsburg, G. S., & Drake, K. L. (2002). School-based treatment for anxious African-American adolescents: A controlled pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 768–775.

    Article  PubMed  Google Scholar 

  • Ginsburg, G. S., & Silverman, W. K. (2000). Gender role orientation and fearfulness in children with anxiety disorders. Journal of Anxiety Disorders, 14, 57–67.

    Article  PubMed  Google Scholar 

  • Hayward, C., Varady, S., Albano, A. M., Thienemann, M., Henderson, L., & Schatzberg, A. F. (2000). Cognitive-behavioral group therapy for social phobia in female adolescents: Results of a pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 721–726.

    Article  PubMed  Google Scholar 

  • Herbert, J. D., Gaudiano, B. A., Rheingold, A. A., Moitra, E., Myers, V. H., Dairymple, K. L., et al. (2009). Cognitive behavior therapy for generalized social anxiety disorder in adolescents: A randomized controlled trial. Journal of Anxiety Disorders, 23, 167–177.

    Article  PubMed  Google Scholar 

  • Jerrell, J. M. (2010). Neuroendocrine-related adverse events associated with antidepressant treatment in children and adolescents. CNS Neuroscience and Therapeutics, 16, 83–90.

    Article  PubMed  Google Scholar 

  • Kendall, P. C. (2006). Coping Cat Workbook (2nd ed.). Retrieved December 1, 2009, http://www.workbookpublishing.com.

  • Kendall, P. C., Choudhury, M. S., Hudson, J. L., & Webb, A. (2002). The C.A.T. project manual: Manual for the individual cognitive-behavioral treatment of adolescents with anxiety disorders. Ardmore, PA: Workbook Publishing, Inc.

    Google Scholar 

  • Kendall, P. C., & Choudoury, M. S. (2003). Children and adolescents in cognitive-behavioral therapy: Some past efforts and current advances, and the challenges of the future. Cognitive Therapy and Research, 27(1), 89–104.

    Article  Google Scholar 

  • Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282–297.

    Article  PubMed  Google Scholar 

  • Khanna, M. S., & Kendall, P. C. (2008). Computer-assisted CBT for child anxiety: The Coping Cat CD-ROM. Cognitive and Behavioral Practice, 15(2), 159–165.

    Article  Google Scholar 

  • Kingery, J. N., Roblek, T. L., Suveg, C., Grover, R. L., Sherrill, J. T., & Bergman, R. L. (2006). They’re not just “little adults”: Developmental considerations for implementing cognitive-behavioral therapy with anxious youth. Journal of Cognitive Psychotherapy, 20, 263–273.

    Article  Google Scholar 

  • Labellarte, M. J., Ginsburg, G. S., Walkup, J. T., & Riddle, M. A. (1999). The treatment of anxiety disorders in children and adolescents. Biological Psychiatry, 46(11), 1567–1578.

    Article  PubMed  Google Scholar 

  • Layne, A. E., Bernstein, G. A., Egan, E. A., & Kushner, M. G. (2003). Predictors of treatment response in anxious-depressed adolescents with school refusal. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 319–326.

    Article  PubMed  Google Scholar 

  • Legerstee, J. S., Huizink, A. C., van Gastel, W., Liber, J. M., Treffers, P. D., Verhulst, F. C., et al. (2008). Maternal anxiety predicts favourable treatment outcomes in anxiety disordered adolescents. Acta Psychiatrica Scandinavica, 117, 289–298.

    Article  PubMed  Google Scholar 

  • Lonigan, C. J., Vasey, M. W., Phillips, B. M., & Hazen, R. A. (2004). Temperament, anxiety, and the processing of threat-relevant stimuli. Journal of Clinical Child and Adolescent Psychology, 33, 8–20.

    PubMed  Google Scholar 

  • Manassis, K. (2009). Cognitive behavioral therapy with children: A guide for the community practitioner. New York: Routledge.

    Google Scholar 

  • Manassis, K., Wilansky-Traynor, P., Farzan, N., Kleiman, V., Parker, K., & Sanford, M. (2010). The Feelings Club: A randomized controlled trial of school-based intervention for anxious and depressed children. Depress Anxiety, 27, 945–952.

    Google Scholar 

  • Masia-Warner, C., Fisher, P. H., & Reigada, L. C. (2008). Special series: Expanding the research agenda on interventions for child and adolescent anxiety disorders. Cognitive Behavioral Practice, 15(2), 115–117.

    Article  Google Scholar 

  • National Institute for health and Clinical Excellence (NICE). (April 2007). Anxiety (amended): Management of anxiety (panic disorder with or without agoraphobia, and generalized anxiety disorder) in adults in primary, secondary and community care. NICE clinical guideline, 22. Retrieved April 29, 2010, from NICE website: http://www.nice.org.uk/nicemedia/live/10960/29642/29642.pdf

  • Research Unit on Pediatric Psychopharmacology Anxiety Study Group (RUPP). (2001). Fluvoxamine for the treatment of anxiety disorders in children and adolescents. New England Journal of Medicine, 344, 1279–1285.

    Article  Google Scholar 

  • Sauter, F. M., Heyne, D., & Westenberg, P. M. (2009). Cognitive behavior therapy for anxious adolescents: Developmental influences on treatment design and delivery. Clinical Child and Family Psychology Review, 12, 310–335.

    Article  PubMed  Google Scholar 

  • Scapillato, D., & Manassis, K. (2002). Cognitive-behavioral/interpersonal group treatment for anxious adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 739–741.

    Article  PubMed  Google Scholar 

  • Sherrill, J. T. (2008). Commentary: Expanding the research agenda on interventions for child and adolescent anxiety disorders. Cognitive Behavioral Practice, 15(2), 166–171.

    Article  Google Scholar 

  • Silverman, W. K., Pina, A. A., & Viswesvaran, C. (2008). Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 37(1), 105–130.

    PubMed  Google Scholar 

  • Siqueland, L., Rynn, M., & Diamond, G. S. (2005). Cognitive behavioral and attachment based family therapy for anxious adolescents: Phase I and II studies. Journal of Anxiety Disorders, 19, 361–381.

    Article  PubMed  Google Scholar 

  • Southam-Gerow, M. A., Kendall, P. C., & Weersing, V. R. (2001). Examining outcome variability: Correlates of treatment response in a child and adolescent anxiety clinic. Journal of Clinical Child Psychology, 30, 422–436.

    Article  PubMed  Google Scholar 

  • Stallard, P. (2002). A clinicians’ guide to Think Good, Feel Good: Using CBT with children and young people. West Sussex: Wiley.

    Google Scholar 

  • Waters, A. M., Donaldson, J., & Zimmer-Gembeck, M. J. (2008). Cognitive-behavioral therapy combined with an interpersonal skills component in the treatment of generalized anxiety disorder in adolescent females: A case series. Behaviour Change, 25, 35–43.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychiatry, Hospital for Sick Children, University of Toronto, 555 University Avenue, M5G 1X8, Toronto, ON, Canada

    Katharina Manassis

  2. Ontario Shores Centre for Mental Health Sciences, University of Toronto, Toronto, ON, Canada

    Pamela Wilansky-Traynor

Authors
  1. Katharina Manassis
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  2. Pamela Wilansky-Traynor
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Correspondence to Katharina Manassis .

Editor information

Editors and Affiliations

  1. , Departments of Pediatrics, Psychiatry, a, University of South Florida, Tampa, 33612, Florida, USA

    Eric A. Storch

  2. , Department of Psychology, Fordham University, East Fordham Road 441, Bronx, 10458, New York, USA

    Dean McKay

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Manassis, K., Wilansky-Traynor, P. (2013). Special Considerations in Treating Anxiety Disorders in Adolescents. In: Storch, E., McKay, D. (eds) Handbook of Treating Variants and Complications in Anxiety Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6458-7_11

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