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Exploring the Effect of Case Formulation Driven CBT for Children with Anxiety Disorders: A Feasibility Study

Published online by Cambridge University Press:  13 August 2013

Barbara H. Esbjørn ,
Marie Louise Reinholdt-Dunne ,
Sara K. Nielsen ,
Abigael C. Smith ,
Sonja Breinholst  and
Ingrid Leth
Barbara H. Esbjørn*
Affiliation:
University of Copenhagen, Denmark
Marie Louise Reinholdt-Dunne
Affiliation:
University of Copenhagen, Denmark
Sara K. Nielsen
Affiliation:
University of Copenhagen, Denmark
Abigael C. Smith
Affiliation:
University of Copenhagen, Denmark
Sonja Breinholst
Affiliation:
University of Copenhagen, Denmark
Ingrid Leth
Affiliation:
University of Copenhagen, Denmark
*
Reprint requests to B. H. Esbjørn, Department of Psychology, Øster Farimagsgade 2A, 1353 Copenhagen K, Denmark. E-mail: barbara.hoff@psy.ku.dk
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Abstract

Background: Little is known about the effect of case-formulation based cognitive behaviour therapy (CBT) for anxious children. Aim: The present study explores the feasibility of case-formulation driven CBT for anxious children. Parents were involved in treatment as either co-facilitators (involved only as the child's assistants, treatment being primarily directed at the child), or as co-clients (parents received therapy targeting theoretically established maintaining mechanisms; children received half of the sessions, parents the other half). Method: Feasibility of the case-formulation driven CBT was established by comparing the completion rate and the percentage of children free of anxiety after treatment, with manualized treatments reported in existing meta-analyses. Children aged 7–12 years and their parents participated (n = 54). Families were assessed at pre- and posttreatment and at 6-month follow-up. Results: All families completed treatment and the percentage of recovery in the case-formulation driven approach was comparable to results obtained in manualized treatments. Conclusion: The findings from this stage I study supports the notion that a case-formulation driven approach to CBT may be a feasible option when selecting treatment for anxious children; however, further studies must be conducted before firm conclusions can be drawn.

Keywords

Childhood anxietyclinical trialCBTparent trainingcase formulation
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 20 - 30
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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