Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESCognitive-Behavioral Treatment of Generalized Anxiety Disorder Among Adolescents: A Case Series
Section snippets
Participants
Seven adolescents who responded to an advertisement in a local newspaper were included in this study. They were four girls (aged 17, 17, 17, and 18 years) and three boys (aged 16, 18, and 18 years), and all were French Canadian. The principal entry criteria were (1) age 14 to 18 and (2) primary diagnosis of GAD. All participants, and parents for participants under 18, gave consent for this report to be published.
Diagnostic Assessment.
The Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV) (Brown et al., 1994)
RESULTS AND DISCUSSION
Table 1 presents scores on the different measures at each assessment time. The clinical significance of change was based on the evaluation of treatment response, following the lines of Ladouceur et al. (2000). For self-report questionnaires and daily self-monitoring of worry, treatment response was defined by a 20% change in pretreatment scores. For the GAD residual score on the ADIS-IV, a score of 3 or less was considered to reflect treatment response. For each participant, responder status
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Intolerance of Uncertainty–Focused Treatment for Adolescents With Excessive Worry: A Pilot Feasibility Study
2020, Cognitive and Behavioral PracticePediatric generalized anxiety disorder
2019, Pediatric Anxiety DisordersIntolerance of uncertainty in youth with obsessive-compulsive disorder and generalized anxiety disorder: A transdiagnostic construct with implications for phenomenology and treatment
2018, Clinical Psychology ReviewCitation Excerpt :Children are encouraged to “give back” worries that are not their responsibility to their parents. Leger, Ladouceur, Dugas, and Freeston (2003) published a case series of French Canadian adolescents demonstrating significant improvement in five of seven patients with individual CBT-IU; however, change in IU over treatment was not reported. A randomized trial of a GAD-specific intervention in Australian children with some focus specifically on IU has been published recently and has shown a significant reduction in clinical severity of symptoms compared with a waitlist control condition (Holmes, Donovan, Farrell, & March, 2014).
Intolerance of Uncertainty in eating disorders: An update on the field
2017, Clinical Psychology ReviewCitation Excerpt :Our evolving theoretical understanding has also been translated into empirically supported treatments for GAD that specifically target IU via cognitive-behavioural interventions, such as problem orientation, and exposure to uncertainty (Dugas & Ladouceur, 2000a, 2000b; Dugas & Robichaud, 2007; Robichaud & Dugas, 2006). These types of treatments have been delivered in both individual and group formats, and successfully adapted to treat children and adolescents (Leger, Ladouceur, Dugas, & Freeston, 2003; Payne, Bolton, & Perrin, 2011). However, randomised-controlled trials of IU-specific components of treatment are urgently needed to strengthen support for IU as a complementary target of interventions, across a broad range of psychopathologies.
The efficacy of a group-based, disorder-specific treatment program for childhood GAD - A randomized controlled trial
2014, Behaviour Research and TherapyTargeted Behavioral Therapy for childhood generalized anxiety disorder: A time-series analysis of changes in anxiety and sleep
2014, Journal of Anxiety DisordersCitation Excerpt :Two additional studies have examined cognitive treatments developed for adults in youth with GAD. Leger, Ladouceur, Dugas, and Freeston (2003) treated seven older adolescents (16–18 years) using an intervention developed by Dugas, Gagnon, Ladouceur and Freeston (1998). All adolescents were seen once a week for an average of 13 sessions by the same therapist.
This study was funded by the Medical Research Council of Canada.