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. Author manuscript; available in PMC: 2012 Apr 1.
Published in final edited form as: Child Adolesc Psychiatr Clin N Am. 2011 Apr;20(2):217–238. doi: 10.1016/j.chc.2011.01.003

Table 1.

Summary of treatment studies.

Authors Year N Age (in years) Diagnosis or Symptom Clusters Treatment Conditions Results
Kendall (1994)[23] 47 9–13 OAD, SAD, AD CBT
WL
CBT was superior to WL
Barrett et al. (1996)[53] 79 7–14 SAD, OAD, SOC CBT
CBT + family treatment
WL
Both treatments were better than WL. Some measures showed marginal improvements with addition of family treatment component.
Kendall & Southam-Gerow (1996)[52] 36 11–18 OAD, SAD, AD CBT – follow-up study Treatment gains were generally maintained after approximately 3 years.
Kendall et al. (1997)[38] 94 9–13 OAD, SAD, AD CBT
WL
CBT was superior to WL
Kendall & Sugarman (1997) [54] 190 8–14 OAD, SAD, AD Examined termination in CBT Termination more likely for ethnic minority children, children who were less anxious, and children living in a single-parent household.
Barrett (1998)[55] 60 7–14 SAD, OAD, SOC CBT – group
CBT + family treatment – group
WL
Both treatments were better than WL. Some measures showed marginal improvements with addition of family treatment component.
Cobham et al. (1998)[56] 67 7–14 SAD, OAD, GAD, SPEC, SOC, AG CBT
CBT + family treatment
The addition of family treatment was beneficial only in cases in which there was significant parental anxiety.
De Haan et al. (1998)[57] 22 8–18 OCD BT
Clomipramine
BT was superior to clomipramine on some measures; on others the two treatments were not different.
King et al. (1998)[58] 34 5–15 School refusal CBT + parent and teacher training
WL
CBT was superior to WL.
Last et al. (1998)[59] 56 6–17 School refusal CBT
Attention control treatment
Both treatments were effective; no differences between treatments.
Muris et al. (1998)[60] 26 8–17 SPEC EMDR - In-vivo exposure
Computerized exposure
In vivo-exposure superior to computerized exposure and EMDR.
Mendlowitz et al. (1999)[61] 62 7–12 Any anxiety disorder CBT- parent only
CBT – child only
CBT – parent + child
All treatments were effective; some benefits with parental involvement.
Silverman et al. (1999)[62] 81 6–16 SPEC, SOC, AG Exposure based self control treatment
Exposure based contingency management treatment
Education support
All groups showed improvement.
Silverman et al. (1999)[63] 56 6–16 GAD, SOC, OAD CBT – Group
WL
CBT superior to WL.
Beidel et al. (2000)[64] 67 8–12 SOC CBT
Active, non-specific treatment
CBT was superior to non-specific treatment.
Berman et al. (2000)[65] 106 6–17 SPEC, OAD, SOC, GAD, AG CBT Best predictors of treatment outcome were child’s pretreatment levels of anxiety and depression and parental depression, hostility, and paranoia; however, effects of parental psychopathology were weaker for older children.
Flannery-Schroeder & Kendall (2000)[66] 37 8–14 GAD, SAD, SOC CBT – Individual
CBT – Group
WL
Most measures suggested that both CBT treatments were better than WL but not different than each other.
Hayward et al. (2000)[67] 35 13–17 SOC CBT – Group
No treatment control
CBT was more effective than no treatment at posttreatment but not at 1 year follow-up. CBT did seem to decrease risk of relapse of depression for those who had already experienced a major depressive episode
King et al. (2000)[68] 36 5–17 PTSD CBT
CBT + family treatment
WL
Both treatments were superior to WL but the additional family treatment did not add significant benefit.
Spence et al. (2000)[69] 50 7–14 SOC CBT
CBT + family treatment
WL
Both treatments were superior to WL but the additional family treatment did not add significant benefit. Treatment gains were generally maintained after approximately 1 year.
Barrett et al. (2001)[70] 52 13–21 SAD, OAD, SOC CBT
CBT + family treatment – follow-up study
Treatment gains were generally maintained after approximately 6 years. Most measures did not show differences between the two treatments.
Kendall et al. (2001)[71] 173 8–13 GAD, SOC, SAD Examined comorbidity in CBT and WL Comorbidity did not predict treatment outcome or interact with treatment group.
Muris et al. (2001)[72] 36 8–13 GAD, SAD, SOC, OCD CBT
CBT – Group
Treatments were about equally effective.
Ost et al. (2001)[73] 60 7–17 SPEC CBT
CBT + Parent
WL
Both treatments were effective but not different than one another; treatment gains maintained at approximately 1 year.
Shortt et al. (2001)[39] 71 6–10 SAD, SOC, GAD CBT + family treatment –group
WL
CBT was superior to WL
Southam-Gerow et al. (2001)[74] 135 7–15 SAD, GAD, SOC, AD Examined correlates of outcome in CBT Poorer treatment outcome was related to older age at treatment, more internalizing symptoms at pretreatment, and higher levels of maternal depression. Most demographic variables did not predict outcome.
Waters et al. (2001)[75] 7 10–14 OCD CBT + family treatment Six of the seven youth were diagnosis free at posttreatment.
Ginsburg & Drake (2002)[22] 9 14–17 Any anxiety disorder except PTSD or OCD CBT
Attention Control Placebo
CBT was superior to placebo.
Heyne et al. (2002)[76] 61 7–14 Anxiety-based school refusal CBT
Parent and teacher training
CBT + Parent and teacher training
All treatments were effective but CBT for the child only was not as good at increasing school attendance in the short-term. The combined treatment did not result in a significant benefit.
Manassis et al. (2002)[77] 78 8–12 GAD, SAD, SPEC, SOC, PD CBT
CBT – Group
Few differences between the two treatments.
Muris et al. (2002)[78] 30 9–12 SAD, GAD, SOC CBT – Group
Emotional disclosure
WL
CBT superior to emotional disclosure and WL; emotional disclosure and WL did not result in significant improvements.
Nauta et al. (2003)[79] 79 7–18 SAD, SOC, GAD, PD CBT
CBT + family treatment
WL
CBT treatments were both superior to WL.
Pina et al. (2003)[80] 131 6–16 SPEC, SOC, AG, GAD, OAD Examined ethnicity as a predictor of treatment outcome in CBT Treatment outcomes and maintenance of treatment gains were similar for Latino and European-American youth.
Rapee (2003)[81] 165 7–16 SAD, GAD, SOC, SPEC, OCD, PD CBT + family treatment -Group Treatment was about equally effective for youth with or without comorbid disorders.
Barrett et al. (2004)[82] 77 7–17 OCD CBT + family treatment – Individual
CBT + family treatment - Group
WL
Both treatments were effective but not different than one another.
Flannery-Schroder et al (2004)[83] 38 15–22 GAD, SAD, AD either with or without a comorbid externalizing disorder CBT –follow-up study Treatment was about equally effective for both those with and without an externalizing disorder at approximately 7 ½ years.
Gallagher et al. (2004)[84] 23 8–11 SOC CBT – Group
WL
Treatment was effective even through it was abbreviated (3 weeks).
Kendall et al. (2004)[85] 86 15–22 OAD, SAD, AD CBT – follow-up study Treatment gains were generally maintained after approximately 7 ½ years.
Manassis et al. (2004)[86] 43 Mean = 16.5 Any anxiety disorder CBT – follow-up study Males, youth diagnosed with GAD, and those with less severe anxiety at pretreatment had better outcomes at 6–7 year follow-up.
POTS Team (2004)[87] 112 7–17 OCD CBT
Sertraline, CBT + sertraline
Pill placebo
All active treatments better than placebo, combined treatments better than CBT or sertraline alone; CBT and sertraline did not differ.
Asbahr et al. (2005)[88] 40 9–17 OCD CBT-Group
Sertraline
Both treatments were effective but CBT resulted in lower relapse rates.
Baer & Garland (2005)[89] 12 13–18 SOC CBT – Group
WL
CBT was superior to WL
Beidel et al. (2005)[90] 29 11–18 SOC CBT – follow-up study Treatment gains were generally maintained after approximately 3 years.
Berstein et al. (2005)[91] 61 7–11 SAD, GAD, or SOC CBT – Group
CBT + Parent training -Group
No treatment control
Both treatments were effective, some benefit with addition of parent training.
Flannery-Schroder et al. (2005)[92] 30 9–15 SAD, GAD, or SOC CBT
CBT – Group
Treatment was about equally effective for both groups at approximately 1 year.
Masia-Warner et al. (2005)[93] 35 13–17 SOC CBT – Group
WL
CBT superior to WL.
Beidel et al. (2006)[94] 31 13–20 SOC CBT – follow-up study Treatment gains were generally maintained after approximately 5 years. Treated group was not different on a number of measures than youth who had never had social phobia.
Lyneham & Rapee (2006)[95] 100 6–12 GAD, SAD, SOC, OCD, SPEC, PD CBT – Bibliotherapy + email contact
CBT – Bibliotherapy + telephone contact
CBT – Bibliotherapy + client initiated contacts
WL
Bibliotherapy with therapist initiated telephone contact produced the best outcomes.
Rapee et al. (2006)[96] 267 6–12 GAD, SOC, SAD, SPEC, OCD, PD CBT – Group
CBT – Bibliotherapy
WL
Both treatments superior to WL but bibliotherapy not as effective as standard CBT.
Spence et al. (2006)[97] 72 7–14 GAD, SAD, SOC, SPEC CBT
CBT delivered through internet
WL
Both treatments were superior to WL but not different than one another; gains maintained at approximately 1 year
Wood et al. (2006)[98] 40 6–13 SAD, GAD, SOC CBT
CBT + family treatment
Both treatments were effective; some evidence of additional benefit of family treatment.
Beidel et al. (2007)[99] 60 7–17 SOC CBT
Fluoxetine
Placebo
Both treatments were superior to placebo but CBT was superior to fluoxetine and the only treatment better than placebo for improving social skills.
Chalfant et al. (2007)[100] 47 8–13 High Functioning Autism Spectrum Disorders + an anxiety disorder Family based CBT – Group
WL
CBT was effective in treating anxiety disorders in youth comorbid with high-functioning autism spectrum disorders.
de Groot et al. (2007)[101] 29 7–12 Any anxiety disorder CBT
CBT- Group
Treatments were about equally effective.
Levy et al. (2007)[102] 69 8–14 Aggression comorbid with SAD, GAD, SOC, SPEC, or PD CBT – for anxiety only
CBT – for anxiety and aggresion
Both treatments were effective; no significant benefit with the combined treatment.
March et al. (2007)[103] 112 7–17 OCD with or without comorbid tics CBT
Sertraline
SBT +sertraline
Placebo
Medication alone was less effective for youth with tics; comorbid tics did not negatively affect outcomes for CBT. In general the combination treatment resulted in the best outcome for youth with or without tics.
Masia-Warner et al. (2007)[104] 36 14–16 SOC CBT – Group
Attention control
CBT superior to attention control treatment.
Smith et al. (2007)[105] 24 8–18 PTSD CBT
WL
CBT superior to WL; outcome partially mediated by cognitive change.
Storch et al. (2007)[106] 40 7–17 OCD CBT – Intensive
CBT – Weekly
Some short-term advantage for the intensive treatment but both treatments about equal at three months posttreatment.
Victor et al (2007)[107] 61 7–11 SAD, GAD, or SOC CBT – Group
No treatment control
Higher family cohesion was related to better outcome in CBT group.
Berstein et al. (2008)[26] 61 7–11 SAD, GAD, or SOC CBT – Group
CBT + Parent training -Group
No treatment control
Treatment gains were generally maintained after approximately 1 year; some evidence of added benefit with addition of parent training.
Kendall et al (2008)[108] 161 7–14 SAD, SOC, GAD CBT
Family based CBT
Family based education support
CBT groups were superior to family based support in reducing principal anxiety disorder. Individual CBT was superior to family based CBT on some measures but family based CBT was superior to individual CBT if both parents had an anxiety disorder.
Warner et al. (2009)[109] 7 8–15 Anxiety disorder + somatic complaints CBT All children responded to treatment.
Waters et al. (2009)[110] 60 4–8 SPEC, SOC, GAD, SAD CBT – Parent only
CBT – Parent + child
WL
Both treatments superior to WL but not significantly different than one another; gains were generally maintained after approximately 1 year
Cobham et al. (2010)[111] 60 10–17 SAD, OAD, GAD, SPEC, SOC, AG CBT
CBT + family treatment – follow-up study
Children were more likely to be diagnosis free at 3 year follow-up if they had been in the CBT + family treatment condition, regardless of parents’ level of anxiety at pretreatment.
Garcia et al. (2010)[112] 112 7–17 OCD CBT
Sertraline
CBT + Sertraline
Placebo
Less severe OCD, fewer externalizing symptoms, less family accommodation, and more insight was predictive of better treatment outcome.

Note: AD = avoidant disorder, AG = agoraphobia, BT = behavior therapy, CBT = cognitive-behavioral therapy, EMDR = eye movement desensitization and reprocessing therapy, GAD = generalized anxiety disorder, n = sample size, OAD = overanxious disorder, OCD = obsessive-compulsive disorder, PD = panic disorder, PTSD = post-traumatic stress disorder, SAD = separation anxiety disorder, SOC = social phobia, SPEC = specific phobia, WL = waitlist.

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