Individual Versus Group Family-Focused Cognitive–Behaviour Therapy for Childhood Anxiety: Pilot Randomized Controlled Trial

Objective: The aim of the present study was to compare the relative effectiveness of group and individual formats of a family-focused cognitive–behavioural intervention, for the treatment of childhood anxiety disorders. Method: Twenty-nine clinically anxious children aged between 7 and 12 years were randomly allocated to either individual cognitive–behaviour therapy (ICBT) or group cognitive–behaviour therapy (GCBT). Results: At post-treatment assessment 57% of children in the ICBT condition no longer met criteria for any anxiety disorder, compared to 47% of children in the GCBT condition. At 3 month follow up these improvements were retained with some weakening. By the 6 month follow up 50% of children in the ICBT compared to 53% of children in the GCBT condition were anxiety diagnosis free. In terms of questionnaire data, no significant differences were detected between the ICBT and GCBT conditions at any of the follow-up points. However, a significant treatment effect for time was found, with both self-reports and parent reports indicating a significant reduction over time in anxiety symptoms. Conclusion: Overall, results suggest that children with anxiety disorders appear to improve following a family-focused cognitive behavioural intervention, regardless of individual or group administration. The interpretation and potential clinical implications of these findings are discussed, together with the limitations of this study and suggestions for future research.

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Cognitive Behaviour Therapy For Auditory Hallucinations Without Concurrent Medication: A Single Case

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465800013126 ◽

1994 ◽

Vol 22 (3) ◽

pp. 259-264 ◽

Cited By ~ 24

Author(s):

Anthony P. Morrison

Keyword(s):

Single Case ◽

Auditory Hallucinations ◽

Behavioural Intervention ◽

Behaviour Therapy ◽

Cognitive Behavioural ◽

End Of Treatment ◽

Cognitive Behaviour ◽

Cognitive Behavioural Intervention ◽

Concurrent Medication

A 38 year old patient with auditory hallucinations was treated with a brief cognitive-behavioural intervention without concurrent medication. This intervention was based upon the theory of Bentall (1990a, b) and the methods of Haddock, Bentall and Slade (1993). The patient's ratings for frequency of hallucinations and distress caused were significantly reduced at end of treatment, and her belief in the reality of these voices was correspondingly diminished. These gains were maintained at one and three month follow-up.

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

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465813000702 ◽

2013 ◽

Vol 43 (1) ◽

pp. 20-30 ◽

Cited By ~ 11

Author(s):

Barbara H. Esbjørn ◽

Marie Louise Reinholdt-Dunne ◽

Sara K. Nielsen ◽

Abigael C. Smith ◽

Sonja Breinholst ◽

...

Keyword(s):

Anxiety Disorders ◽

Feasibility Study ◽

Cognitive Behaviour Therapy ◽

The Other ◽

Case Formulation ◽

Behaviour Therapy ◽

Cognitive Behaviour ◽

Feasible Option ◽

Meta Analyses

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.

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An Evaluation of Cognitive-Behaviour Therapy for Depression in Patients with Multiple Sclerosis

The British Journal of Psychiatry ◽

10.1192/bjp.145.4.366 ◽

1984 ◽

Vol 145 (4) ◽

pp. 366-371 ◽

Cited By ~ 81

Author(s):

Nora A. Larcombe ◽

Peter H. Wilson

Keyword(s):

Multiple Sclerosis ◽

Depressive Symptoms ◽

Cognitive Behaviour Therapy ◽

Condition Assessment ◽

Waiting List ◽

Behaviour Therapy ◽

Cognitive Behavioural ◽

Cognitive Behaviour ◽

Pre Treatment

SummaryTwenty depressed multiple sclerotic patients were randomly allocated either to cognitive-behaviour therapy or to a waiting list control condition. Assessment of depressive symptoms was conducted at pre-treatment, post-treatment, and a four-week follow-up. In comparison to the waiting list control condition, cognitive-behaviour therapy was found to result in clinically and statistically significant improvement on most measures. Although the mechanism by which such treatment achieves its effects is unclear, these results clearly support the use of cognitive-behavioural treatments for depression in this population.

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Quality of Life in Depression and Anxiety Disorders: An Exploratory Follow-Up Study after Intensive Inpatient Cognitive Behaviour Therapy

Psychopathology ◽

10.1159/000029161 ◽

2000 ◽

Vol 33 (6) ◽

pp. 297-302 ◽

Cited By ~ 16

Author(s):

G. Lenz ◽

U. Demal

Keyword(s):

Quality Of Life ◽

Anxiety Disorders ◽

Cognitive Behaviour Therapy ◽

Depression And Anxiety ◽

Behaviour Therapy ◽

Follow Up Study ◽

Cognitive Behaviour

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Case-Series Evaluating a Transdiagnostic Cognitive-Behavioural Treatment for Co-occurring Anxiety Disorders

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465814000435 ◽

2014 ◽

Vol 43 (6) ◽

pp. 744-758 ◽

Cited By ~ 3

Author(s):

Freda McManus ◽

Gavin Clark ◽

Kate Muse ◽

Roz Shafran

Keyword(s):

Anxiety Disorder ◽

Anxiety Disorders ◽

Well Being ◽

Behavioural Intervention ◽

Behavioural Interventions ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention ◽

Axis I ◽

Cognitive Behavioural Interventions

Background: Patients with anxiety disorder diagnoses commonly have more than one anxiety diagnosis. While cognitive-behavioural interventions have proven efficacy in treating single anxiety disorder diagnoses, there has been little investigation of their efficacy in treating co-occurring anxiety disorders. Aims: To evaluate the efficacy of a transdiagnostic cognitive-behavioural intervention for treating co-occurring anxiety disorders. Method: An A-B single case study design (N = 6) was used to evaluate the efficacy of a 12 to 13-session modular transdiagnostic cognitive-behavioural intervention for treating co-occurring anxiety disorders across patients with at least two of the following diagnoses: GAD, Social Phobia, Panic Disorder and/or OCD. Results: Five of the six participants completed treatment. At posttreatment assessment the five treatment completers achieved diagnostic and symptomatic change, with three participants being diagnosis free. All participants who completed treatment no longer met criteria for any DSM-IV-TR Axis-I diagnosis at the 3-month follow-up assessment, and demonstrated reliable and clinically-significant improvements in symptoms. Across the participants, statistically significant improvements from pre to postintervention were found on measures of anxiety, depression and general well-being, and all improvements were maintained at 3-month follow-up. Conclusions: Results suggest that transdiagnostic cognitive behavioural interventions can be of benefit to patients with co-occurring anxiety disorders.

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