Elsevier

Behavior Therapy

Volume 31, Issue 4, Autumn 2000, Pages 713-731
Behavior Therapy

Original Research
Predictors of outcome in exposure-based cognitive and behavioral treatments for phobic and anxiety disorders in children*

https://doi.org/10.1016/S0005-7894(00)80040-4Get rights and content

This study examined predictors of exposure-based cognitive and behavioral treatments for phobic and anxiety disorders in children and adolescents. Children's so-ciodemographics, diagnostic characteristics (e.g., number of diagnoses), treatment format (i.e., individual, group), child symptoms assessed from the perspective of the child and parent (e.g., anxiety, fear), parent symptoms, and marital adjustment were examined. The best predictors of treatment outcome were depression and trait anxiety in the child, and several psychological symptoms in the parent (e.g., depression, hostility, paranoia). Parent symptoms were less effective predictors with older children and with group treatment. The results are discussed with respect to previous research findings as well as potential treatment implications.

References (57)

  • RapeeR.M. et al.

    Reliability of the DSM-III-R childhood anxiety disorders using structured interview: Interrater and parent-child agreement

    Journal of the American Academy of Child and Adolescent Psychiatry

    (1994)
  • SilvermanW.K. et al.

    Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview

    Journal of the American Academy of Child and Adolescent Psychiatry

    (1992)
  • SilvermanW.K. et al.

    The Anxiety Disorders Interview Schedule for Children

    Journal of the American Academy of Child and Adolescent Psychiatry

    (1988)
  • SilvermanW.K. et al.

    The stability of mothers' ratings of child fearfulness

    Journal of Anxiety Disorders

    (1989)
  • TreadwellK.R. et al.

    Ethnicity and gender in relation to adaptive functioning, diagnostic status, and treatment outcome in children from an anxiety clinic

    Journal of Anxiety Disorders

    (1995)
  • Webster-StrattonC. et al.

    Predictors of treatment outcome in parent training for families with conduct problem children

    Behaviour Therapy

    (1990)
  • AchenbachT.M.

    Program Manual for the 1991 Child Behavior Checklist/4ā€“18 Profile

    (1991)
  • AlbanoA.M. et al.

    Obsessive compulsive disorder

  • AlbanoA.M. et al.

    Anxiety Disorders Interview Schedule for DSM-IV Child Version: Clinician manual

    (1996)
  • Diagnostic and statistical manual of mental disorders

    (1987)
  • BarrettP.M. et al.

    Family treatment of childhood anxiety: A controlled trial

    Journal of Consulting and Clinical Psychology

    (1996)
  • BeckA.T. et al.

    An inventory for measuring depression

    Archives of General Psychiatry

    (1961)
  • BondyA. et al.

    An investigation of children's fears and their mother's fears

    Journal of Psychopathology and Behavioral Assessment

    (1979)
  • CareyM.P. et al.

    Reliability of the Dyadic Adjustment Scale

    Psychological Assessment

    (1993)
  • ClarkL.A. et al.

    Temperament, personality, and the mood and anxiety disorders

    Journal of Abnormal Psychology

    (1994)
  • CobhamV.E. et al.

    The role of parental anxiety in the treatment of childhood anxiety

    Journal of Consulting and Clinical Psychology

    (1998)
  • CraneD.R. et al.

    Assessing marital quality with distressed and nondistressed couples: A comparison and equivalency table for three frequently used measures

    Journal of Marriage and the Family

    (1990)
  • DaddsM.R. et al.

    Social support and treatment outcome in behavioral family-therapy for child conduct problems

    Journal of Consulting and Clinical Psychology

    (1992)
  • Cited by (182)

    • Psychological Predictors of Cognitive-Behavioral Therapy Outcomes for Anxiety and Depressive Disorders in Children and Adolescents: A Systematic Review and Meta-Analysis

      2021, Journal of Affective Disorders
      Citation Excerpt :

      One additional unique sample was not included due to lack of information on the effect sizes (Silk et al., 2018). For six of the 12 unique samples, conversions from either standardized mean differences or correlations into log odds ratios were computed (Berman et al., 2000; Elkins et al., 2016; Ginsburg et al., 2012; Silk et al., 2013; Southam-Gerow et al., 2001; Vaclavik et al., 2017). The logistic regression results of Thirwall et al. (2017), Vigerland et al. (2017) and Wergeland et al. (2016) were multiplied by the corresponding reported standard deviation of their severity measures.

    • Using exposure with young children

      2020, Exposure Therapy for Children with Anxiety and OCD: Clinician's Guide to Integrated Treatment
    View all citing articles on Scopus
    *

    This research was funded by NIMH grants #44781 and #49680 awarded to Wendy K. Silverman.

    View full text