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

Barbara Hoff Esbjørn, Marie Louise Reinholdt-Dunne, Sara K Nielsen, Abigael C. Smith, Sonja Breinholst, Ingrid Leth

    14 Citations (Scopus)

    Abstract

    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.
    Original languageEnglish
    JournalBehavioural and Cognitive Psychotherapy
    Volume43
    Issue number1
    Pages (from-to)20-30
    Number of pages11
    ISSN1352-4658
    DOIs
    Publication statusPublished - 22 Jan 2015

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