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. Author manuscript; available in PMC: 2020 Sep 4.
Published in final edited form as: J Clin Child Adolesc Psychol. 2020 Apr 14;49(4):435–459. doi: 10.1080/15374416.2020.1738237

TABLE 4.

Level of support designations for the brief, non-pharmacological interventions for anxiety and phobias in youth.

Level 1 Level 2 Level 3 Level 4 Level 5
Well-Established Probably Efficacious Possibly Efficacious Experimental Questionable
Anxiety None Exposure-based CBT w/social skills
  3 hours [66]
 CBT
  9 hours [9, 36]
  10 hours [4, 33]
 Digital parent training w/clinician supporta, d
  6 hours [34, 57]
 Behavioral therapy
  8 hours [59]
 Stress inoculation training
  8 hours [2]
CBT
  8 hours [10]
 CBT plus psychoeducation for parents, teachers, and community health workers
  7.5 hours [13]
 Parent trainingd
  6 hours [12]
  9 hours [53]
 Digital CBT w/clinician supporta
  3 hours [14]
  5 hours [44]
  6 hours [51]
  7 hours [18]
 Growth mind-set training
  0.5 hours [64]
 Family-based CBT
  8 hours [15, 38]
 Parent and teacher trainingd, e
  7 hours [6]
 Clinician-guided bibliotherapya,b
  3 hours [31]
  5 hours [31]
 ABMt (away from negative)
  1920 trials [28]
 ABMt (toward positive)
  640 trials [32]
CBT
  6 hours [7]
 Relaxation training
  4 hours [1]
 Cognitive training
  4 hours [1]
 Clinician-guided, parent-coached exposurea
  6 hours [40]
 Digital biofeedback w/relaxation training
  6 hours [49]
 Digital neurofeedback w/exposure and attention training
  5 hours [50]
 ABMt (away from negative)
  640 trials [43]
  768 trials [21]
  1152 trials [55]
  1600 trials [63]
 Bibliotherapy w/no clinician supportc [30]
None
Phobias In vivo exposure
  3 hours [72, 73]
None Psychoeducation
  3 hours [74]
 In vivo exposure
  1.5 hours [68]
 Emotive imagery
  4 hours [69]
None Eye movement desensitization and reprocessing (EMDR)
  2.5 hours [70]

Level of Support Designations is described in Table 1. Number in [] refers to the studies as cited in Table 2. ABMt = Attention Bias Modification Training; CBT = Cognitive behavior therapy; dash indicates not enough data to meta-analyze (i.e., at least two studies).

Clinician here broadly refers to any person in a position in which they are delivering these interventions (e.g., clinical psychologists, counselors, social workers, nurses, prevention or behavior specialists, school psychologists).

Overcoming your Child’s Fears and Worries: A Self-help Guide using Cognitive-Behavioral Techniques (Creswell & Willetts, 2007). Helping Your Anxious Child: A Step-by-Step Guide (Rapee et al., 2008).

Focused on teaching cognitive-behavioral skills relevant to managing parent anxiety and/or supporting child in managing their anxiety. Teacher training occurred through in-person and telephone consultation with a clinician.