Data from a randomized clinical trial comparing the relative efficacy of individual cognitive-behavioral therapy (ICBT), family CBT (FCBT), and a family-based education/support/attention control (FESA) condition were used to examine associations between in-session therapeutic techniques related to parent training (PT) and treatment outcomes. This…

Empirical data support the efficacy of cognitive-behavioral therapy (CBT) for child anxiety, but there is need and merit in the development and evaluation of cost-effective and transportable CBT approaches. Relatedly, a widely endorsed goal is the dissemination of evidence-based treatments from research clinics to community settings.…

This study examined emotion-related functioning following cognitive-behavioral therapy (CBT) with 37 youth with anxiety disorders (22 boys, 15 girls) ranging in age from 7 to 15 with a principal diagnosis of generalized anxiety disorder (n = 27), separation anxiety disorder (n = 12), and/or social phobia (n = 13). Treated youth exhibited a…

Cognitive-behavioral therapy (CBT) has been reviewed and described as an empirically supported treatment for anxious youth. One component of CBT is the use of out-of-session "Show That I Can" tasks (STIC; i.e., homework tasks). STIC tasks vary in content and are to be completed between sessions. We discuss homework in CBT for Robert, a 13-year-old…

This randomized clinical trial compared the relative efficacy of individual (child) cognitive-behavioral therapy (ICBT), family cognitive-behavioral therapy (FCBT), and a family-based education/support/attention (FESA) active control for treating anxiety disordered youth ages 7-14 years (M = 10.27). Youth (N = 161; 44% female; 85% Caucasian, 9%…

Investigated psychosocial treatment for 47 children with anxiety disorders, comparing cognitive-behavioral treatment with wait-list condition. Evaluated outcomes using child self-report, parent report, teacher report, cognitive assessment, and behavioral observations. Found that many treated subjects were without diagnosis at posttest and at…

Explored the specific behavior of therapists contributing to a child client's perception of a therapeutic alliance with youth (n = 56) who received a manualized cognitive-behavioral treatment for anxiety disorders. The first 3 sessions were coded for 11 therapist behaviors hypothesized to predict ratings of alliance. Child, therapist, and observer…

An illustrative selection of measures appropriate for use in evaluation of cognitive-behavioral interventions designed to improve adjustment is reviewed in terms of specifying level and impact level assessments. The need to consider factors operative within the school situation is also discussed. (Author/GK)

Ratings of child involvement in manual-based cognitive-behavioral treatment for anxiety were associated with the absence of primary anxiety diagnosis and reductions in impairment ratings at posttreatment for 59 children with anxiety (ages 8-14 years). Good-to-excellent interrater reliability was established for the independent ratings of 237…

From a population of 20 children, the treatment group received six sessions of verbal self-instructions via modeling with response-cost contingent upon efforts during training, and controls received similar training without specific treatment. Two self-report measures and teacher and staff ratings of locus of conflict did not show treatment…

Compared the effects of cognitive-behavioral treatment, behavioral treatment or an attention-control condition on 27 non-self-controlled children. The cognitive-behavioral intervention improved teachers' ratings of self-control and children's self-reported self-concept. Off-task verbal and physical behaviors suggested treatment efficacy.…

Findings support the effectiveness of an integration of cognitive and behavioral procedures for developing self-control in children and suggest the relative superiority of the conceptual approach to cognitive-behavioral treatment. (Author)

Following a historical precis regarding exposure and a brief description of a representative cognitive-behavioral therapy (CBT) program for anxiety disorders in youth, we discuss several factors related to conducting exposure tasks in youth. Topics include assessing anxious situations, creating a hierarchy, and using imaginal, as well as in vivo…

Examined one-year follow-up data on a cognitive-behavioral treatment. Improvements were found for subjects in all treatment groups, and these effects were attributed to increased age. Results indicated that conceptually trained children showed significantly better recall of the material than either concrete trained or control group children.…

Select research and practice issues that merit further attention are described. Specifically, we argue that the pathways for profitable research include studies of normative development, assessment and diagnostic considerations, the role of parents, and the ways to optimize the conduct and evaluation of treatment. At present, the field is too…