Children and Adolescents in Cognitive–Behavioral Therapy: Some Past Efforts and Current Advances, and the Challenges in Our Future
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- 作者：Kendall ; Philip C. ; Choudhury ; Muniya S.
- 关键词：cognitive ; behavioral therapy ; child therapy ; adolescents ; clinical significance ; parenting ; developmental issues ; transportability of treatments
- 刊名：Cognitive Therapy and Research
- 出版时间：2003
- 出版年：2003
- 期刊代码：9_01475916
- 类别：en
- 卷：27
- 期：1
- 页码：89-104
- 数据来源：sp
摘要
The last two decades have been witness to advances in cognitive-behavioral therapy for children and adolescents, and certain treatments have been labeled ‘empirically supported.’ However, not all cases show irrefutable gains and much treatment development and research remains. Following a brief precis of the past and present, we identify and examine several important directions for future research in child and adolescent therapy. Specifically, we consider (a) the nature and magnitude of improvement, including the need to assess the clinical significance of improvement, (b) general issues in assessment, such as parent-child agreement, method variance, and measurement equivalence, (c) the optimal role of parents in child and adolescent treatment, (d) potential moderators and mediators of positive outcomes, (e) the place of medications, and the potential role of parental expectations and/or preferences surrounding treatment selection, (f) therapist factors that may contribute to outcome, and (g) the effects of treatment on the sequelae of the target disorder. Last, the need to consider developmental issues and the transportability of CBT across settings are discussed.