A Retrospective Examination of the Similarity Between Clinical Practice and Manualized Treatment for Childhood Anxiety Disorders
Section snippets
Participants
Data regarding 43 child patients (21 male, 48.8%) ranging in age from 6 to 18 (M = 11.59, SD = 3.2) seen in an outpatient clinic between January 2005 and March 2008 were extracted from an IRB-approved clinical database. Patients were selected on the basis of having questionnaires regarding anxiety symptoms completed before and after treatment. A wide age range was preserved to reflect the variability in patients likely to be treated for anxiety. The majority of children were Caucasian (34, 79.1%;
Treatment Descriptions
The first round of data analysis was conducted to describe the nature of the treatment provided and examine how this compared to the treatment manuals. Since there are different commonly accepted manuals for the treatment of OCD versus the other anxiety disorders, these groups were examined separately for these analyses. Single sample t-tests were used to compare the current treatment to the protocol described in the published manuals. The percentage of sessions that included the various
Discussion
The first goal of this study was to compare the structure of treatment administered in a clinical practice to that described in prominent treatment manuals. These analyses indicated that the intervention provided in this clinical setting was shorter and introduced exposures earlier than what is prescribed in the published manuals. In addition, relaxation strategies were rarely used clinically despite their prevalence in the anxiety but not the OCD treatment manual. Although, anxiety management
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