Disorders - Anxiety Disorders
Dunkley, D.
M., Richard, A., Tobin, R., Saucier, A.
M., Gossack, A., Zuroff, D. C., Moskowitz, D. S., Foley, J. E., Russell, J. J.
This study of 176 university students tested a single-session explanatory feedback intervention (EFI), derived from the perfectionism coping
processes model. Participants with higher self-critical perfectionism completed daily measures of stress appraisals, coping, and affect for 7 days. A
randomized control design was used to compare an EFI condition with a waitlist control condition over 4 weeks with individualized feedback delivered
one-on-one by student trainees in-person or remotely through videoconferencing. The feasibility of the individualized analyses of each participant's
daily data was supported by identifying daily trigger patterns, maintenance tendencies, strengths, common triggers, and best targets for reducing
negative mood and increasing positive mood across several stressors for each participant. Participant ratings indicated that the comprehensive
feedback was coherent and functional. Participants in the EFI condition, compared to those in the control condition, reported increases in
empowerment, coping self-efficacy, and problem-focused coping, as well as decreases in depressive and anxious symptoms. Between-group effect sizes
were moderate-to-large. There were reliable improvements in empowerment and depressive symptoms for 56% and 36%, respectively, of participants in the
EFI condition. These findings demonstrate the broad applicability, conceptual utility, and effectiveness of the EFI for self-critical perfectionistic
individuals. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
, 29 : 29
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions, Biofeedback, neurofeedback, audio/video feedback
Dhakal, S., Gupta, S., Sharma, N. P., Upadhyay, A., Oliver, A., Sumich, A., Kumari, V., Niraula, S., Pandey, R., Lau, J. Y. F.
Child labourers are more likely to have experienced physical victimisation, which may increase risk for anxiety/depression, by
shaping threat biases in information-processing. To target threat biases and vulnerability for anxiety/depression, we evaluated whether Cognitive
Bias Modification (CBM) training could be feasibly and acceptably delivered to rescued youth labourers. Seventy-six physically abused rescued
labourers aged 14-17 (40 from Nepal, 36 from India) in out-of-home care institutions received either multi-session computerised CBM or control
training. Training targeted attention away from threat to positive cues and the endorsement of benign over threat interpretations. Feasibility and
acceptability data were gathered along with pre and post intervention measures of attention and interpretation bias and emotional and behavioural
symptoms. In terms of feasibility, uptake (proportion of those who completed the pre-intervention assessment from those who consented) and retention
(proportion of those who completed the post-intervention assessment from those who completed the pre-intervention assessment) were above 75% in both
countries. Average acceptability ratings were mostly 'moderate' on most indices for both countries, and none of the participants reported
experiencing serious adverse events or reactions in response to or during the trial. Secondarily, CBM participants showed increased attention to
positive and decreased attention to threatening stimuli, as well as increased endorsement of benign interpretation and decreased endorsement in
negative interpretations of ambiguous social situations. Symptom changes were less clear. Delivering CBM to former child labourers in out-of-home
care institutions has interventive potential. ClinicalTrials.gov Identifier: NCT03625206, Date of registration: August 10, 2018. Copyright © 2023
Behaviour Research and Therapy, 162 (no
pagination) :
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Attention/cognitive bias
modification
Dennis Tiwary, T. A., Cho, H., Myruski, S.
Objective: Attention bias modification (ABM) aims to decrease anxiety symptom severity through the reduction of threat-related
attention bias (AB). Individual differences in treatment response and poor measurement reliability of AB have called its clinical promise into
question. The current study examined whether individual differences in anxiety severity at baseline moderated treatment response, and employed both
behavioral and neurophysiological metrics of AB. Method(s): Participants (N = 99) were randomly assigned to four weeks of ABM or placebo control
training (PT). Self-reported anxiety symptom severity, and AB metrics and ERPs generated during the dot probe task were collected at baseline (Time
1), one-week post-intervention (Time 5), and at a three-month follow-up (Time 6). Result(s): ABM, relative to PT, reduced ERPs indexing attention
discrimination (N170) and increased ERPs indexing salience tracking (P3). Increases in P3 were associated with ABM-related reductions in anxiety.
Anxiety severity was reduced following ABM, but only among those with higher baseline anxiety symptom severity. Conclusion(s): ABM effectively
reduced symptom severity among those with higher levels of anxiety, and modulated neurophysiological indices of AB. Significance: Results provide
evidence for attention-relevant ERPs as outcomes of ABM treatment responsivity and suggest that ABM may be most beneficial for those with more severe
anxiety symptoms. Copyright © 2023 International Federation of Clinical Neurophysiology
Clinical Neurophysiology, 147 : 45-57
- Year: 2023
- Problem: Anxiety Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Attention/cognitive bias
modification
da-Silva, C. C.
G., Bolognani, C. V., Amorim, F. F., Imoto, A. M.
Background: Medical schools have used mindfulness meditation as a strategy to assist students in
stress management. This study aimed to seek evidence regarding the effectiveness of mindfulness-based training programs in reducing psychological
distress and promoting the well-being of medical students. Method(s): We conducted a systematic review and meta-analysis. Cochrane Library, Embase,
PubMed/MEDLINE, PsycINFO/PsycNet, LILACS/BVS, ERIC (ProQuest), Web of Science, OpenGrey, and Google Scholar were searched for randomized clinical
trials published until March 2022, without time or language restrictions. Two authors independently screened the articles, extracted data using a
standardized extraction form, and assessed the methodological quality of the included studies using the Cochrane's Risk of Bias 2 (ROB 2) tool and
the quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool. Result(s): Of the 848 articles
retrieved, 8 met the inclusion criteria. Mindfulness-based training improved the outcomes: mindfulness (small post-intervention effect: SMD = 0.29;
95% CI: 0.03 to 0.54; p = 0.03; I 2 = 46%; high evidence quality, and small effect at follow-up: SMD = 0.37; 95% CI: 0.04 to 0.70; p =
0.03; I 2 = 53%; low evidence quality), psychological well-being/health (there was no statistically significant difference between the
groups in the post-intervention effect: SMD = - 0.27; 95% CI: - 0.67 to 0.13; p = 0.18; I 2 = 76%; moderate evidence quality, and a
significant difference at follow-up: SMD = - 0.73; 95% CI: - 1.23 to - 0.23; p = 0.004; I 2 = 61%; low evidence quality), and stress
(small post-intervention effect: SMD = - 0.29; CI of 95%: - 0.56 to - 0.02; p = 0.04; I 2 = 57%; moderate evidence quality, and moderate
effect at follow-up: SMD = - 0.45, 95% CI: - 0.67 to - 0.22, p = 0.0001, I 2 = 0%, moderate evidence quality). The quality of evidence for
the anxiety, depression, and resilience outcomes is low and for the empathy outcome, very low. Conclusion(s): The results indicate that the students
who participated in the mindfulness training perceived improvements in the stress and psychological distress symptoms and improved health perception
and psychological well-being. However, the significant heterogeneity among studies should be considered when interpreting these findings. Systematic
review registration: PROSPERO CRD42020153169. Copyright © 2023, The Author(s).
Systematic Reviews, 12(1) :
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Clements, Z. A., Riggle, E.
D., Rostosky, S. S.
Transgender people report high levels of discrimination, prejudice, stigma-related anxiety and depression, and suicidality. In socially,
politically, and religiously conservative areas, emphasis on traditional gender roles may lead to heightened levels of stigma-related stress and
anxiety in transgender people and pose additional challenges to the development of positive transgender identities. Using a pre-/posttest
experimental design, we evaluated an online resource aimed at increasing positive identity and psychological well-being (PWB) in young adult
transgender individuals living in the Southeast and Midwest United States. Participants, ages 18-26, were randomized into two groups to watch either
a video about positive transgender identity (intervention; n = 24) or a video with general information about lesbian, gay, bisexual, trans, queer
people (control; n = 14). Both groups completed preintervention and 2-week post measures of positive identity and PWB. One-way analysis of variance
of pre-post difference scores suggested that the intervention group reported significantly increased community connectedness, positive affect, and
positive relations with others, and significantly lowered depressive symptom scores compared to the control group. Findings suggest that brief online
interventions may be useful in supporting emotional health in transgender people; however, additional community supports may be crucial to positive
identity development. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement Transgender young adults in the Southeast and
Midwestern United States watched a brief general video about LGBTQ people or an intervention video highlighting positive aspects of transgender and
nonbinary identities. Compared to the group that watched the general video, the group that watched the positive identity video reported lower
depressive symptom scores and more positive feelings 2 weeks later. This study suggests brief, strengths-based, accessible interventions for
transgender individuals that may help facilitate some aspects of psychological well-being. (PsycInfo Database Record (c) 2023 APA, all rights
reserved)
Professional Psychology: Research and Practice, : No Pagination
Specified
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Cheung, K., Ma, K. Y., Tsang, H., Leung, N. H., Lui, K. Y., Ho, S. W.
Background: University students are identified as a
high-risk group for mental health problems. Artworks have been found effective in enhancing individuals' mental well-being in different populations,
but none have been conducted on university students. This study was to address this research gap to determine the feasibility and estimate the
preliminary effects of Zentangle and Pastel Nagomi on the mental well-being of undergraduate students during the COVID-19 pandemic.\rMethod: This was
a 3-arm randomized controlled trial, with 33 undergraduates allocated to two 8-week artworks (Zentangle or Pastel Nagomi Art group) and a control
group. Data were collected at baseline, and weeks 4, 6, 8, and 12. Focus group interviews were conducted at the 12-week follow-up.\rResults: The
consent and attrition rates were 80.5 and 6.06%, respectively. The attendance rate ranged from 83.3 to 100%. Compared with the control group, the
Pastel Nagomi art group had a significant improvement in retaining positive affect at week 6. This retention could be further observed at week 12.
Moreover, the Zentangle group had a significant increase in positive affect at week 4, with better retention at week 12. In addition, the within-
group analyses showed that the Pastel Nagomi art group had significantly decreased negative affect at weeks 6 and week 12; and the Zentangle group
had significantly decreased depression at week 8. The qualitative findings suggested that the intervention resulted in the participants enjoying the
artwork process, and being proud of their artwork and personal growth.\rLimitation: The study included an imbalance number of online vs. face-to-face
sessions, and repeated measures may have affected the results.\rConclusion: The study suggests that both artworks are effective in improving
undergraduates' mental well-being and that it is feasible to conduct future large-scale studies (263 words).
, 14 : 1132923
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Creative expression: music, dance, drama, art
Chen, S., Zhang, Y., Qu,
D., He, J., Yuan, Q., Wang, Y., Bi, W., Chen, P., Wu, F., Chen, R.
In this randomized clinical trial, we investigated the efficacy of an online solution focused brief therapy
(SFBT) for adolescents' anxiety symptoms during the COVID-19 period. Eligible participants were between the ages of 11 and 18 years, scored a 10 or
above on the Generalized Anxiety Disorder-7 (GAD-7). The results found that compared to adolescents who did not receive any treatment, the
intervention yielded significant results in alleviating adolescents' anxiety and depressive symptoms while promoting problem oriented coping
strategies at immediate post-intervention. The therapeutic benefit has persisted, as shown in our results from the 1-month follow-up.
Asian Journal of
Psychiatry, 86 : 103660
- Year: 2023
- Problem: Anxiety Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Chen, D., Cobb, M., Alexandria,
S., Sajwani, A., Diskin, R., Muldoon, A., Kuhns, L., Garofalo, R.
Purpose: Young sexual minority men (YSMM) experience mood and anxiety disorders
at 2-3 times the rate of heterosexual young men (Shearer et al., 2016). Mental health disparities in YSMM are attributable to minority stress (Meyer,
2003), whereby YSMM experience stressors induced by a hostile, homophobic culture which increases vulnerability to depression and anxiety. Evidence-
based mental health treatments have been culturally adapted to be LGBTQ-affirming (Pachankis et al., 2022); however, YSMM face many barriers to
accessing face-to-face care, including cost, privacy concerns, and stigma related to sexual identity. To address these barriers, we developed TODAY!,
a 10-week, culturally-tailored, app-based intervention and coaching protocol drawing on concepts from transdiagnostic CBT integrated with minority
stress considerations (Fleming et al., 2017). The goal of this pilot study was to evaluate the feasibility, acceptability, and preliminary efficacy
of TODAY! on improving symptoms of depression and anxiety in YSMM in a small randomized controlled trial. Method(s): YSMM ages 14-24 were recruited
through an adolescent and young adult medicine clinic, social media, and a registry of past research participants. Eligible participants were
randomized to receive either TODAY! or community referrals (control condition). Outcomes were feasibility of recruitment and retention, acceptability
of the intervention, and preliminary efficacy. Mixed effects models were used to evaluate the effect of TODAY! on depression (via PHQ-9) and anxiety
symptoms (via GAD-7). Result(s): Of 194 individuals screened, 98 were ineligible due to age, residence, gender identity, sex assigned at birth, or
sexual orientation/identity. Of 96 eligible individuals, 44 completed baseline assessments and 18 were ineligible due to subthreshold
depression/anxiety symptoms, concurrent mental health treatment, or co-occurring mental health conditions considered too severe to benefit from
TODAY! Thus, 26 individuals were eligible for randomization. Of these, 22 were randomized and 18 participated. Regarding retention, 100% completed
the phone assessment and 94% completed the online assessment at 5-weeks, 100% completed the phone assessment and 88% completed the online assessment
at 10-weeks, and 86% completed the phone and online assessments at 22-weeks. Participants randomized to intervention completed the Client
Satisfaction Questionnaire (range 10-40; higher scores = greater satisfaction) at 5-weeks: M(SD) = 30.3 (7.6); 10-weeks: M(SD) = 26.7 (9.1); and 22-
weeks: M(SD) = 25.8 (11.15). Linear mixed effects models suggested TODAY! did not impact PHQ-9 (Point Estimate: 0.8 points [95%CI -2.4, 4.1]; p =
0.61) or GAD-7 scores (PE: 0.6 points [95% CI -4.1, 5.3]; p = 0.81) at 10-weeks, relative to control. However, TODAY! reduced PHQ-9 scores by 3.7
points (95%CI -0.5, -7.0; p = 0.03) relative to control at 5-weeks. Post-hoc examination of usage data suggests app use declines after the initial 5
weeks. Conclusion(s): TODAY! appears acceptable to YSMM and feasible to implement. However, preliminary efficacy findings suggest TODAY! content may
need further development to more effectively target depression and anxiety symptoms, and improve engagement and adherence over a 10-week treatment
course. Sources of Support: This work was supported by internal funding from the Potocsnak Family Division of Adolescent and Young Adult Medicine.
Copyright © 2022
Journal of Adolescent Health, 72(3 Supplement) : S14-
S15
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other Psychological Interventions
Chen, B., Yang, T., Xiao, L., Xu, C., Zhu, C.
Background: Mobile mindfulness meditation (MMM) is a mindfulness meditation intervention implemented using mobile devices such as smartphones and
apps. MMM has been used to help manage the mental health of university students. Objective(s): This study aims to evaluate the effectiveness of MMM
on the mental health of university students in the areas of stress, anxiety, depression, mindfulness, well-being, and resilience. Method(s): We
conducted a systematic review and meta-analysis of the effectiveness of MMM on the mental health of university students. This study followed the
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. An electronic literature search was performed on PubMed, Web
of Science, EBSCO, Cochrane Library, and Embase databases, from inception to July 16, 2021. This study was conducted to identify studies that
reported the effects of MMM on the primary outcomes including stress, anxiety, and depression, and on the secondary outcomes including mindfulness,
well-being, and resilience. Two reviewers retrieved articles, evaluated quality, and extracted data independently. The methodological quality of the
selected studies was determined using the Cochrane criteria for risk-of-bias assessment. Standardized mean differences (SMDs) for continuous outcomes
and risk ratios for dichotomous outcomes were calculated. Sensitivity analyses and subgroup analyses were performed for results with high
heterogeneity. The RevMan version 5.3 was used to perform meta-analysis. Result(s): A total of 10 studies, including 958 university students, were
selected for this meta-analysis. Results of the primary outcome showed that the MMM groups were more effective than the control groups in decreasing
stress (SMD -0.41, 95% CI -0.59 to -0.23; P<.001) and alleviating anxiety (SMD -0.29, 95% CI -0.50 to -0.09; P=.004). However, there was no
difference between the MMM groups and the control groups in depression (SMD -0.14, 95% CI -0.30 to 0.03; P=.11). The use of either waitlist control
or traditional face-to-face intervention in the control group was identified as the source of heterogeneity. Specifically, the waitlist control
subgroup (SMD -0.33, 95% CI -0.53 to -0.13; P=.002) was superior when compared with the face-to-face subgroup (SMD 0.29, 95% CI -0.01 to 0.59;
P=.06). Results of the secondary outcome showed that the MMM groups were more effective than the control groups in enhancing well-being (SMD 0.30,
95% CI 0.11-0.50; P=.003) and improving mindfulness (SMD 2.66, 95% CI 0.77-4.55; P=.006). Whether commercial sponsorship was obtained was considered
as the source of heterogeneity. The \"without company support\" group (SMD 17.60, 95% CI 11.32-23.87; P<.001) was superior to the \"with company
support\" group (SMD 1.17, 95% CI -0.82 to 3.15; P=.25) in raising the level of mindfulness. However, there was no difference between the MMM and
control groups in resilience (SMD -0.06, 95% CI -0.26 to 0.15; P=.59). The evidence level of the results from the 10 studies was determined to be
moderate to low. Conclusion(s): MMM was an effective method to reduce stress and anxiety, and to increase the well-being and mindfulness of
university students. However, further studies are needed to confirm our findings. Trial Registration: PROSPERO International Prospective Register of
Systematic Reviews CRD42022303585; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=303585 Copyright ©Bin Chen, Ting Yang, Lei Xiao,
Changxia Xu, Chunqin Zhu.
Journal of Medical Internet Research, 25 (no pagination) :
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Mindfulness based
therapy, Technology, interventions delivered using technology (e.g. online, SMS)
Charbonnier, E., Le Vigouroux, S., Puechlong, C., Montalescot,
L., Goncalves, A., Baussard, L., Gisclard, B., Philippe, A. G., Lespiau, F.
University students are a vulnerable population, and many recent studies show that anxiety, depressive symptoms, and academic burnout have
been on the increase since the beginning of the COVID-19 pandemic. These findings point to a need for interventions to reduce these difficulties. The
purpose of the present study was to assess the effects of 2 formats of an innovative program on students' mental health (anxiety, depressive
symptoms, and academic burnout), intolerance of uncertainty, learned helplessness, and learning. Our sample was composed of 105 university students,
recruited on a voluntary basis. They were divided into 3 groups: online intervention group (n=36), face-to-face intervention group (n=32), and
control group (n=37). The following variables were measured through online questionnaires: anxiety and depressive symptoms, academic burnout,
intolerance of uncertainty, learned helplessness, perceived social support, learning strategies, and beliefs. There were 2 assessments 10weeks apart
(ie, before and after the program in the case of the 2 intervention groups). We performed nonparametric analyses to run comparisons between the 2
assessment timepoints in each group. Results showed that participants in the 2 intervention groups had lower levels of learned helplessness and
intolerance of uncertainty at the end of the program. Furthermore, participants in the face-to-face group reported higher levels of perceived social
support, academic self-efficacy, and help-seeking strategies. The present study highlighted the benefits of our innovative program, especially its
face-to-face format.Clinical Trial - ID: NCT04978194.
Inquiry: a Journal of Medical Care Organization, Provision and
Financing, 60 : 469580231159962
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Chang, C., Palermo, E., Deswert, S., Brown, A., Nuske, H. J.
Mental health disorders are prevalent among college students and increasing in frequency and
severity. However, there is a significant gap between those who need treatment and those who engage in treatment. Given the documented efficacy of
financial incentives for promoting health behavior change and engagement in treatment, financial incentives may help, along with nonfinancial
behavioral incentives such as motivational messaging, gamification, and loss aversion techniques. We compared brief (28-day) use of two versions of a
behavioral economics-inspired digital mental health app, NeuroFlow: (1) the full app including financial incentives and nonfinancial behavioral
incentives (treatment group) and (2) a version of the app with nonfinancial behavioral incentives only (control group). In our intent-to-treat
analyses, in order to examine the primary outcome of app engagement, a one-way analysis of variance (ANOVA) (treatment vs. control) was conducted,
and to examine the secondary outcomes (depression, anxiety, emotion dysregulation, and wellbeing), a two-way repeated measures ANOVAs (treatment vs.
control x baseline vs. post-trial) were conducted. We found that there were no differences between treatment groups on app engagement or the change
in the mental health/wellness outcome measures. There was a main effect of timepoint on symptoms of anxiety and emotion dysregulation, such that
there were significantly lower self-reported symptoms at post-trial relative to baseline. Our results suggest that financial incentives in digital
mental health apps over and above nonfinancial behavioral incentives do not have an impact on app engagement or mental health/wellness outcomes.
Digital
Health, 9 : 20552076231170693
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Mindfulness based
therapy, Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement
interventions
Byrne, S., Cobham, V., Richardson, M., Imuta, K.
The last 20 years has seen debate regarding the merits of involving
parents in cognitive behavior therapy (CBT) for youth anxiety played out across systematic reviews which have high impact. These reviews examined
varying treatment formats in relation to parent involvement, including youth only CBT (Y-CBT), parent only CBT (P-CBT) and family CBT (youth and
parent; F-CBT). This is a novel overview of systematic reviews examining evidence for parental involvement in CBT for youth anxiety over the period
this was studied. Two independent coders systematically searched for studies in medical and psychological databases using the categories \"Review\",
\"Youth\", \"Anxiety\", \"Cognitive Behavior Therapy\" and \"Parent/Family\". Of the 2,189 unique articles identified, there were 25 systematic
reviews since 2005 which compared the effects of CBT for youth anxiety with varying parent involvement. Despite systematically studying the same
phenomenon, the reviews were heterogeneous in outcome, design, inclusion criteria and often had methodological limitations. Of the 25 reviews, 21
found no difference between formats and 22 reviews were considered inconclusive. Yet while there were typically no statistical differences,
consistent patterns in the direction of effects were detected over time. P-CBT was less effective than other formats, suggesting the importance of
directly treating anxious youths. Early reviews favored F-CBT over Y-CBT, however, later reviews did not show this trend. We consider the effects of
moderators including exposure therapy, long-term outcomes and the child's age. We consider how to manage heterogeneity in primary studies and
reviews to better detect treatment differences where they exist.Trial registration This protocol is registered with the Open Science Framework:
osf.io/2u58t. Copyright © 2023. The Author(s).
Clinical child and family psychology review, 22 :
- Year: 2023
- Problem: Anxiety Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Other Psychological Interventions, Other service delivery and improvement
interventions