Cognitive-behavioral therapy for anxious children

From evidence to practice

Monique C. Sawyer, Diane Nunez

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Background: Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of feasibility, affordability, and transportability. Aims: The primary purpose of this review was to appraise current literature regarding the effectiveness of individual CBT for childhood anxiety. Secondary purposes were to identify reasons for the discrepancy between current evidence and practice as well as to offer suggestions to overcome this dilemma. Methods: A systematic review of the literature published between 2007 and 2012 was conducted, searching four databases-Cochrane, PubMed, CINAHL, and PsycINFO. Findings: In all 10 studies reviewed, individual CBT significantly reduced rates of anxiety diagnoses when compared with controls, and was equally effective or superior to comparison therapies. The only exception was when CBT was compared to a combination of CBT and pharmacological management, in which case the latter was more effective. Linking Evidence to Action: Each study included in this review employed hour-long sessions over a minimum of 12 visits. In order to meet clinical demands and patient preferences, affordability, and feasibility of CBT interventions must be addressed. A brief, manualized CBT program that can be supported to be clinically effective is proposed as an evidence-based solution for anxious children in outpatient mental health and primary care settings.

Original languageEnglish (US)
Pages (from-to)65-71
Number of pages7
JournalWorldviews on Evidence-Based Nursing
Volume11
Issue number1
DOIs
StatePublished - Feb 1 2014

Fingerprint

Cognitive Therapy
Anxiety
Mental Health
Patient Preference
Anxiety Disorders
PubMed
Primary Health Care
Outpatients
Therapeutics
Databases
Pharmacology
Delivery of Health Care

Keywords

  • Anxiety
  • Child
  • Cognitive therapy
  • Cognitive-behavioral therapy
  • Evidence-based practice
  • Review

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Cognitive-behavioral therapy for anxious children : From evidence to practice. / Sawyer, Monique C.; Nunez, Diane.

In: Worldviews on Evidence-Based Nursing, Vol. 11, No. 1, 01.02.2014, p. 65-71.

Research output: Contribution to journalReview article

@article{ff498a1aabf84f8083e97f488171c1a6,
title = "Cognitive-behavioral therapy for anxious children: From evidence to practice",
abstract = "Background: Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of feasibility, affordability, and transportability. Aims: The primary purpose of this review was to appraise current literature regarding the effectiveness of individual CBT for childhood anxiety. Secondary purposes were to identify reasons for the discrepancy between current evidence and practice as well as to offer suggestions to overcome this dilemma. Methods: A systematic review of the literature published between 2007 and 2012 was conducted, searching four databases-Cochrane, PubMed, CINAHL, and PsycINFO. Findings: In all 10 studies reviewed, individual CBT significantly reduced rates of anxiety diagnoses when compared with controls, and was equally effective or superior to comparison therapies. The only exception was when CBT was compared to a combination of CBT and pharmacological management, in which case the latter was more effective. Linking Evidence to Action: Each study included in this review employed hour-long sessions over a minimum of 12 visits. In order to meet clinical demands and patient preferences, affordability, and feasibility of CBT interventions must be addressed. A brief, manualized CBT program that can be supported to be clinically effective is proposed as an evidence-based solution for anxious children in outpatient mental health and primary care settings.",
keywords = "Anxiety, Child, Cognitive therapy, Cognitive-behavioral therapy, Evidence-based practice, Review",
author = "Sawyer, {Monique C.} and Diane Nunez",
year = "2014",
month = "2",
day = "1",
doi = "10.1111/wvn.12024",
language = "English (US)",
volume = "11",
pages = "65--71",
journal = "Worldviews on Evidence-Based Nursing",
issn = "1545-102X",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Cognitive-behavioral therapy for anxious children

T2 - From evidence to practice

AU - Sawyer, Monique C.

AU - Nunez, Diane

PY - 2014/2/1

Y1 - 2014/2/1

N2 - Background: Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of feasibility, affordability, and transportability. Aims: The primary purpose of this review was to appraise current literature regarding the effectiveness of individual CBT for childhood anxiety. Secondary purposes were to identify reasons for the discrepancy between current evidence and practice as well as to offer suggestions to overcome this dilemma. Methods: A systematic review of the literature published between 2007 and 2012 was conducted, searching four databases-Cochrane, PubMed, CINAHL, and PsycINFO. Findings: In all 10 studies reviewed, individual CBT significantly reduced rates of anxiety diagnoses when compared with controls, and was equally effective or superior to comparison therapies. The only exception was when CBT was compared to a combination of CBT and pharmacological management, in which case the latter was more effective. Linking Evidence to Action: Each study included in this review employed hour-long sessions over a minimum of 12 visits. In order to meet clinical demands and patient preferences, affordability, and feasibility of CBT interventions must be addressed. A brief, manualized CBT program that can be supported to be clinically effective is proposed as an evidence-based solution for anxious children in outpatient mental health and primary care settings.

AB - Background: Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of feasibility, affordability, and transportability. Aims: The primary purpose of this review was to appraise current literature regarding the effectiveness of individual CBT for childhood anxiety. Secondary purposes were to identify reasons for the discrepancy between current evidence and practice as well as to offer suggestions to overcome this dilemma. Methods: A systematic review of the literature published between 2007 and 2012 was conducted, searching four databases-Cochrane, PubMed, CINAHL, and PsycINFO. Findings: In all 10 studies reviewed, individual CBT significantly reduced rates of anxiety diagnoses when compared with controls, and was equally effective or superior to comparison therapies. The only exception was when CBT was compared to a combination of CBT and pharmacological management, in which case the latter was more effective. Linking Evidence to Action: Each study included in this review employed hour-long sessions over a minimum of 12 visits. In order to meet clinical demands and patient preferences, affordability, and feasibility of CBT interventions must be addressed. A brief, manualized CBT program that can be supported to be clinically effective is proposed as an evidence-based solution for anxious children in outpatient mental health and primary care settings.

KW - Anxiety

KW - Child

KW - Cognitive therapy

KW - Cognitive-behavioral therapy

KW - Evidence-based practice

KW - Review

UR - http://www.scopus.com/inward/record.url?scp=84894340064&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84894340064&partnerID=8YFLogxK

U2 - 10.1111/wvn.12024

DO - 10.1111/wvn.12024

M3 - Review article

VL - 11

SP - 65

EP - 71

JO - Worldviews on Evidence-Based Nursing

JF - Worldviews on Evidence-Based Nursing

SN - 1545-102X

IS - 1

ER -