Kognitiv atferdsterapi for barn og ungdom med angstlidelser: Metaanalyse av sekundære utfall

Cognitive-behavior therapy for children and adolescents with anxiety disorders: A meta-analysis of secondary outcomes

Kreuze, L. J. Pijnenborg, G. H. M. de Jonge, Y. B. Nauta, M. H.
Journal of Anxiety Disorders
Anxiety-focused cognitive-behavioral therapy (CBT) effectively reduces anxiety in children and adolescents. An important remaining question is to what extent anxiety-focused CBT also affects broader outcome domains. Additionally, it remains unclear whether parental involvement in treatment may have impact on domains other than anxiety. A meta-analysis (n<sub>studies</sub> = 42, n<sub>participants</sub> = 3239) of the effects of CBT and the moderating role of parental involvement was conducted on the following major secondary outcomes: depressive symptoms, externalizing behaviors, general functioning, and social competence. Randomized controlled trials were included when having a waitlist or active control condition, a youth sample (aged<19) with a primary anxiety disorder diagnosis receiving anxiety-focused CBT and reported secondary outcomes. Controlled effect sizes (Cohen's d) were calculated employing random effect models. CBT had a large effect on general functioning (-1.25[-1.59;0.90], n<sub>studies</sub> = 17), a small to moderate effect on depressive symptoms (-0.31[-0.41;-0.22], n<sub>studies</sub> = 31) and a small effect on externalizing behaviors (-0.23[-0.38;-0.09], n<sub>studies</sub> = 12) from pre-to post-treatment. Effects remained or even further improved at follow-up. Social competence only improved at follow-up (n<sub>studies</sub> = 6). Concluding, anxiety-focused CBT has a positive effect on broader outcome domains than just anxiety. Higher parental involvement seemed to have beneficial effects at follow-up, with improvements in general functioning and comorbid symptoms.

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Behandling og hjelpetiltak


Psykiske vansker og lidelser


Angst og engstelighet (inkl. både vansker og lidelse)

Utvikling og livsmestring

Sosiale ferdigheter (inkl. vennerelasjoner)


Psykologiske behandlingsmetoder

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi


Barn i skolealder (6-12 år)

Ungdom (13-18 år)

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