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.