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. 2020 Nov 16;2020(11):CD013162. doi: 10.1002/14651858.CD013162.pub2

Southam Gerow 2010.

Study characteristics
Methods Study design: randomised controlled trial
Number of study centres and location: USA
Study setting: recruited from 6 mental health clinics
Participants N = 48 (CBT: N = 24; TAU: N = 24)
Mean age (SD): 10.9 (2.1)
Age range: 8 to 15
Gender: 56.2% female
Inclusion criteria: primary diagnosis of GAD, separation anxiety disorder, social phobia, specific phobia (based on DISC); anxiety the treatment priority
Exclusion criteria: a) pervasive developmental disorder, (b) a psychotic disorder, or (c) mental retardation
Interventions CBT
Intervention: Coping Cat
Concomitant/excluded medications: medication use was tracked during treatment
Delivery format: child only; individual
Therapist contact time: 16 to 20 sessions
Who delivers the intervention: social workers/doctoral‐level psychologists/Master's‐level psychologists/other (e.g. marriage and family therapists)
TAU
Intervention: usual care. Therapists used treatment procedures regularly used and believed to be effective in clinical practice.
Concomitant/excluded medications: medication use was tracked during treatment
Delivery format: child only; individual
Who delivers the intervention: social workers/doctoral‐level psychologists/Master's‐level psychologists/other (e.g. marriage and family therapists)
Outcomes Remission of primary anxiety disorder diagnosis post‐treatment: DISC
Reduction in anxiety symptoms (child report) post‐treatment: STAIC‐Trait
Reduction in anxiety symptoms (parent report) post‐treatment: STAIC‐Trait
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Judgement Comment: Block randomised
Allocation concealment (selection bias) Unclear risk Judgement Comment: No detail given
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Judgement Comment: No detail given
Blinding of outcome assessment (detection bias)
All outcomes Low risk Judgement Comment: Blind assessors
Incomplete outcome data (attrition bias)
All outcomes Low risk Judgement Comment: Attrition fully described. Appropriate method used for managing missing data ‐ diagnostic outcomes report for completers and using ITT, and explored if any differences between those with and without missing data.
Selective reporting (reporting bias) Low risk Judgement Comment: Outcomes for measures reported
Other source of bias ‐ Therapy integrity Low risk Judgement Comment: Therapists trained and supervised. Adherence assessed.
Other bias Low risk Judgement Comment: The study appears to be free of other sources of bias