Effectiveness of an Individualized Case Formulation-Based CBT for Non-responding Youths with Anxiety Disorders

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• 作者：Irene Lundkvist-Houndoumadi ; Mikael Thastum…
• 关键词：Non ; responders ; Anxiety disorders ; CBT ; Case formulation ; Individualized treatment
• 刊名：Journal of Child and Family Studies
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：25
• 期：2
• 页码：503-517
• 全文大小：796 KB
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• 作者单位：Irene Lundkvist-Houndoumadi (1)
  Mikael Thastum (1)
  Esben Hougaard (1)
  
  1. Department of Psychology and Behavioural Sciences, Aarhus University, Bartholins Allé 9, 8000, Aarhus C, Denmark
  
• 刊物类别：Behavioral Science
• 刊物主题：Psychology
  Child and School Psychology
  Social Sciences
  Sociology
  
• 出版者：Springer Netherlands
• ISSN：1573-2843

文摘

The study examined the effectiveness of an individualized case formulation-based cognitive behavior therapy (CBT) for youths (9–17 years) with anxiety disorders and their parents after unsuccessful treatment with a manualized group CBT program (the Cool Kids). Out of 106 participant youths assessed at a 3-month follow-up after manualized CBT, 24 were classified as non-responders on the Clinical Global Impression-Improvement scale (CGI-I), and 14 of 16 non-responders with anxiety as their primary complaint accepted an offer for additional individual family CBT. The treatment was short-term (M sessions = 11.14) and based on a revised case formulation that was presented to and agreed upon by the families. At post-treatment, nine youths (64.3 %) were classified as responders on the CGI-I and six (42.9 %) were free of all anxiety diagnoses, while at the 3-month follow-up 11 (78.6 %) had responded to treatment and nine (64.3 %) had remitted from all anxiety diagnoses. Large effect sizes from pre- to post-individualized treatment were found on youths’ anxiety symptoms, self-reported (d = 1.05) as well as mother-reported (d = .81). There was further progress at the 3-month follow-up, while treatment gains remained stable from post-treatment to the 1-year follow-up. Results indicate that non-responders to manualized group CBT for youth anxiety disorders can be helped by additional CBT targeting each family’s specific needs.