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Research Review: A meta-analysis of relapse rates in cognitive behavioral therapy for anxiety and related disorders in youth / H. C. LEVY in Journal of Child Psychology and Psychiatry, 63-3 (March 2022)
[article]
Titre : Research Review: A meta-analysis of relapse rates in cognitive behavioral therapy for anxiety and related disorders in youth Type de document : Texte imprimé et/ou numérique Auteurs : H. C. LEVY, Auteur ; Kimberly T. STEVENS, Auteur ; D. F. TOLIN, Auteur Article en page(s) : p.252-260 Langues : Anglais (eng) Mots-clés : Anxiety Cbt adolescents children relapse Index. décimale : PER Périodiques Résumé : BACKGROUND: Cognitive behavioral therapy (CBT) is an effective treatment for youth with anxiety and related disorders, with a 59% remission rate at post-treatment. Results of reviews and meta-analyses indicate that treatment gains are maintained across long-term follow-up, at least in terms of symptom improvement. Less is known about relapse, defined as patients who initially achieve remission status but then experience a return of symptoms after a follow-up period. METHOD: The current study used meta-analysis to determine the overall rate of relapse in CBT for children and adolescents (age 18?years or younger) with anxiety and related disorders. Potential moderating factors of relapse rates, including demographic, methodological, and clinical/intervention characteristics, were also examined. Out of a pool of 78 abstracts, 13 full-text articles were retained for meta-analysis. An additional two articles were identified from other sources (total N?=?535 patients). RESULTS: Results showed an overall relapse rate of 10.5% (including comorbid autism spectrum disorder) and 8% (excluding comorbid autism spectrum disorder) across studies. Moderator analyses demonstrated that relapse rates were higher among younger and more racially diverse samples, as well as among patients with comorbid externalizing disorders and those taking psychiatric medications. There were no differences in relapse rates as a function of primary diagnosis. CONCLUSIONS: Taken together, the findings indicate that relapse rates in CBT for anxious youth are relatively low, suggesting that treatment development and refinement efforts should focus on improving treatment response and remission rates for this population. En ligne : http://dx.doi.org/10.1111/jcpp.13486 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457
in Journal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.252-260[article] Research Review: A meta-analysis of relapse rates in cognitive behavioral therapy for anxiety and related disorders in youth [Texte imprimé et/ou numérique] / H. C. LEVY, Auteur ; Kimberly T. STEVENS, Auteur ; D. F. TOLIN, Auteur . - p.252-260.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.252-260
Mots-clés : Anxiety Cbt adolescents children relapse Index. décimale : PER Périodiques Résumé : BACKGROUND: Cognitive behavioral therapy (CBT) is an effective treatment for youth with anxiety and related disorders, with a 59% remission rate at post-treatment. Results of reviews and meta-analyses indicate that treatment gains are maintained across long-term follow-up, at least in terms of symptom improvement. Less is known about relapse, defined as patients who initially achieve remission status but then experience a return of symptoms after a follow-up period. METHOD: The current study used meta-analysis to determine the overall rate of relapse in CBT for children and adolescents (age 18?years or younger) with anxiety and related disorders. Potential moderating factors of relapse rates, including demographic, methodological, and clinical/intervention characteristics, were also examined. Out of a pool of 78 abstracts, 13 full-text articles were retained for meta-analysis. An additional two articles were identified from other sources (total N?=?535 patients). RESULTS: Results showed an overall relapse rate of 10.5% (including comorbid autism spectrum disorder) and 8% (excluding comorbid autism spectrum disorder) across studies. Moderator analyses demonstrated that relapse rates were higher among younger and more racially diverse samples, as well as among patients with comorbid externalizing disorders and those taking psychiatric medications. There were no differences in relapse rates as a function of primary diagnosis. CONCLUSIONS: Taken together, the findings indicate that relapse rates in CBT for anxious youth are relatively low, suggesting that treatment development and refinement efforts should focus on improving treatment response and remission rates for this population. En ligne : http://dx.doi.org/10.1111/jcpp.13486 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder: A follow-up study / Robert R. SELLES in Autism, 19-5 (July 2015)
[article]
Titre : Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder: A follow-up study Type de document : Texte imprimé et/ou numérique Auteurs : Robert R. SELLES, Auteur ; Elysse B. ARNOLD, Auteur ; Vicky PHARES, Auteur ; Adam B. LEWIN, Auteur ; Tanya K. MURPHY, Auteur ; Eric A. STORCH, Auteur Article en page(s) : p.613-621 Langues : Anglais (eng) Mots-clés : efficacy maintenance relapse treatment Index. décimale : PER Périodiques Résumé : Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder appears efficacious; however, maintenance of treatment gains has not yet been studied. Using a sample of 32 youth who had benefited at least minimally from a past trial of cognitive-behavioral therapy for anxiety in autism spectrum disorder, this study assessed anxiety symptoms in youth 10–26 months following treatment completion. Compared to baseline, follow-up scores were associated with large effects for treatment. Relative to post-treatment, a small effect for return in symptoms was present and significantly fewer individuals were rated as responders at follow-up. Future studies should investigate factors associated with poor treatment maintenance and modifications or additions to treatment that may help maintain treatment gains. En ligne : http://dx.doi.org/10.1177/1362361314537912 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261
in Autism > 19-5 (July 2015) . - p.613-621[article] Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder: A follow-up study [Texte imprimé et/ou numérique] / Robert R. SELLES, Auteur ; Elysse B. ARNOLD, Auteur ; Vicky PHARES, Auteur ; Adam B. LEWIN, Auteur ; Tanya K. MURPHY, Auteur ; Eric A. STORCH, Auteur . - p.613-621.
Langues : Anglais (eng)
in Autism > 19-5 (July 2015) . - p.613-621
Mots-clés : efficacy maintenance relapse treatment Index. décimale : PER Périodiques Résumé : Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder appears efficacious; however, maintenance of treatment gains has not yet been studied. Using a sample of 32 youth who had benefited at least minimally from a past trial of cognitive-behavioral therapy for anxiety in autism spectrum disorder, this study assessed anxiety symptoms in youth 10–26 months following treatment completion. Compared to baseline, follow-up scores were associated with large effects for treatment. Relative to post-treatment, a small effect for return in symptoms was present and significantly fewer individuals were rated as responders at follow-up. Future studies should investigate factors associated with poor treatment maintenance and modifications or additions to treatment that may help maintain treatment gains. En ligne : http://dx.doi.org/10.1177/1362361314537912 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261