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 |
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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 |
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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) |
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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 |
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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 |