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Cognitive behavioral therapy (CBT) has been established as an empirically supported treatment for anxiety in youth. Recent efforts have been underway to elucidate the evidence- based process factors that are associated with successful outcomes. These factors have included both therapy content (homework; exposure tasks) and therapy process (therapeutic alliance; therapist actions). Although exposure tasks have been identified as a key component of CBT, they are not always implemented with the greatest efficacy, in session or at home. Successful implementation of exposure tasks may rely, in part, on a strong therapeutic alliance. Furthermore, therapist actions influence the alliance and client motivation and participation in homework and exposure tasks. A review of the relevant literature indicates that additional research is needed to elucidate the interaction between therapeutic process factors, such as alliance and therapist actions, and therapeutic content, including exposure tasks.
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Ackerman, S. J., & Hilsenroth, M. J. (2001). A review of therapist characteristics and techniques negatively impacting the therapeutic alliance. Psychotherapy: Theory, Research, Practice, and Training, 38, 171–185. CrossRef
Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, and Practice, 16, 252. CrossRef
Bouchard, S., Mendlowitz, S. L., Coles, M. E., & Franklin, M. (2004). Considerations in the use of exposure with children. Cognitive and Behavioral Practice, 11, 56–65. CrossRef
Chorpita, B. F., & Southam-Gerow, M. A. (2006). Fears and anxieties. Treatment of Childhood Disorders, 3, 271–335.
Chu, B. C., Choudhury, M. S., Shortt, A. L., Pincus, D. B., Creed, T. A., & Kendall, P. C. (2005). Alliance, technology, and outcome in the treatment of anxious youth. Cognitive and Behavioral Practice, 11, 44–55. CrossRef
Chu, B. C., Colognori, D. B., Yang, G., Xie, M., Lindsey Bergman, R., & Piacentini, J. (2015). Mediators of exposure therapy for youth obsessive-compulsive disorder: Specificity and temporal sequence of client and treatment factors. Behavior Therapy, 46, 395–408. doi: 10.1016/j.beth.2015.01.003. PubMedCrossRef
Crawford, E. A., Kendall, P. C., Gosch, E., Compton, S. N., & Olino, T. M., Birmaher, B., … Ginsburg, G. (under review). Involvement and collaboration: Role in anxious youth receiving CBT with/without medication. Journal of Consulting and Clinical Psychology.
Davis, T. E., & Ollendick, T. H. (2005). Empirically supported treatments for specific phobia in children: Do efficacious treatments address the components of a phobic response? Clinical Psychology: Science and Practice, 12, 144–160.
Diamond, G., Liddle, H., Hogue, A., & Dakof, G. (1999). Alliance building interventions with adolescents in family therapy: A process study. Psychotherapy: Theory, Research, Practice, and Training, 36, 355–368. CrossRef
DiGiuseppe, R., Linscott, J., & Jilton, R. (1996). Developing the therapeutic alliance in child—adolescent psychotherapy. Applied and Preventive Psychology, 5, 85–100. CrossRef
Franklin, M., Foa, E., & March, J. S. (2003). The pediatric obsessive-compulsive disorder treatment study: Rationale, design, and methods. Journal of Child and Adolescent Psychopharmacology, 13(2), 39–51. CrossRef
Freiheit, S. R., Vye, C., Swan, R., & Cady, M. (2004). Cognitive-behavioral therapy for anxiety: Is dissemination working? The Behavior Therapist, 27, 25–32.
Friedberg, R. D., & Gorman, A. A. (2007). Integrating psychotherapeutic processes with cognitive behavioral procedures. Journal of Contemporary Psychotherapy, 37, 185–193. CrossRef
Friedberg, R. D., & Wilt, L. H. (2010). Metaphors and stories in cognitive behavioral therapy with children. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 28, 100–113. CrossRef
Hollon, S. D., & Beck, A. T. (2013). Cognitive and cognitive-behavioral therapies. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (6th edn.). Mahwah, NJ: Wiley.
Houlding, C., Schmidt, F., & Walker, D. (2010). Youth therapist strategies to enhance client homework completion. Child and Adolescent Mental Health, 15, 103–109. CrossRef
Hughes, A. A., & Kendall, P. C. (2007). Prediction of cognitive behavior treatment outcome for children with anxiety disorders: Therapeutic relationship and homework compliance. Behavioural and Cognitive Psychotherapy, 35, 487. CrossRef
Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2005). A theoretical model of common process factors in youth and family therapy. Mental Health Services Research, 7, 35–51.
Karver, M., Shirk, S., Handelsman, J. B., Fields, S., Crisp, H., Gudmundsen, G., & McMakin, D. (2008). Relationship processes in youth psychotherapy: Measuring alliance, alliance-building behaviors, and client involvement. Journal of Emotional and Behavioral Disorders, 16, 15–28. CrossRef
Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26, 50–65. PubMedCrossRef
Kazantzis, N., Deane, F. P., & Ronan, F. R. (2000). Homework assignments in cognitive and behavioural therapy: A meta-analysis. Clinical Psychology: Science and Practice, 7, 189–202.
Kazantzis, N., Whittington, C., & Datillio, F. M. (2010). Meta-analysis of homework effects in cognitive and behavioral therapy: A replication and extension. Clinical Psychology: Science and Practice, 17, 144–156.
Kazdin, A. E., Siegel, T. C., & Bass, D. (1990). Drawing on clinical practice to inform research on child and adolescent psychotherapy: Survey of practitioners. Professional Psychology: Research and Practice, 21, 189–198. CrossRef
Kendall, P. C. (2012). Treating anxiety disorders in youth. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (4th edn.). New York: Guilford Press.
Kendall, P. C., & Barmish, A. J. (2007). Show-that-I-can (homework) in cognitive-behavioral therapy for anxious youth: Individualizing homework for Robert. Cognitive and Behavioral Practice, 14, 289–296. CrossRef
Kendall, P. C., Choudhury, M., Hudson, J., & Webb, A. (2002). The CAT project therapist manual. Ardmore PA: Workbook Publishing.
Kendall, P. C., & Choudhury, M. S. (2003). Children and adolescents in cognitive–behavioral therapy: Some past efforts and current advances, and the challenges in our future. Cognitive Therapy and Research, 27, 89–104. CrossRef
Kendall, P. C., & Hedtke, K. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual. (3rd edn.). Ardmore, PA: Workbook Publishing.
Kendall, P. C., & Ollendick, T. H. (2004). Setting the research and practice agenda for anxiety in children and adolescence: A topic comes of age. Cognitive and Behavioral Practice, 11, 65–74. CrossRef
Kendall, P. C., Robin, J., Hedtke, K., Suveg, C., Flannery-Schroeder, E., & Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12, 136–148. CrossRef
Knepley, M., Frank, H., & Kendall, P. C. (in press). Working with children and adolescents. In N. Kazantzis, F. M. Dattilio & K. S. Dobson (Eds.), The therapeutic relationship in cognitive behavior therapy: A clinician’s guide to the heart and soul of effective practice. New York, NY: Guilford Press.
Lewin, A. B., Peris, T. S., Bergman, R. L., McCracken, J. T., & Piacentini, J. (2011). The role of treatment expectancy in youth receiving exposure-based CBT for obsessive compulsive disorder. Behavior Research and Therapy, 49, 536–543. CrossRef
Liber, J. M., McLeod, B. D., Van Widenfelt, B. M., Goedhart, A. W., van der Leeden, A. J., Utens, E. M., & Treffers, P. D. (2010). Examining the relation between the therapeutic alliance, treatment adherence, and outcome of cognitive behavioral therapy for children with anxiety disorders. Behavior Therapy, 41, 172–186. PubMedCrossRef
March, J. S., Foa, E., Gammon, P., Chrisman, A., Curry, J., Fitzgerald, D., … & Zhao, N. (2004). Cognitive-behavior therapy, sertraline, and their combination for children and adolescents with obsessive-compulsive disorder-The Pediatric OCD Treatment Study (POTS) randomized controlled trial. Journal of the American Medical Association, 292, 1969–1976. CrossRef
Merlo, L. J., Storch, E. A., Lehmkuhl, H. D., Jacob, M. L., Murphy, T. K., Goodman, W. K., & Geffken, G. R. (2010). Cognitive behavioral therapy plus motivational interviewing improves outcome for pediatric obsessive–compulsive disorder: A preliminary study. Cognitive Behaviour Therapy, 39, 24–27. PubMedPubMedCentralCrossRef
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: Guilford Press.
Olatunji, B. O., Deacon, B. J., & Abramowitz, J. S. (2009). The cruelest cure? Ethical issues in the implementation of exposure-based treatments. Cognitive and Behavioral Practice, 16, 172–180. CrossRef
Ollendick, T. H., & King, N. J. (2012). Evidence-based treatments for children and adolescents: Issues and commentary. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (4th edn., pp. 499–519). New York: Guilford Press.
Peterman, J., Read, K., Wei, C., & Kendall, P. C. (2015). The art of exposure: Putting science into practice. Cognitive and Behavioral Practice, 22, 379–392. CrossRef
Podell, J. L., Kendall, P. C., Gosch, E. A., Compton, S. N., March, J. S., Albano, A. M., … & Keeton, C. P., et al. (2013). Therapist factors and outcomes in CBT for anxiety in youth. Professional Psychology: Research and Practice, 44, 89. CrossRef
Randall, C. L., & McNeil, D. W. (2016). Motivational interviewing as an adjunct to cognitive behavior therapy for anxiety disorders: A critical review of the literature. Cognitive and Behavioral Practice. doi: 10.1016/j.cbpra.2016.05.003
Rapee, R. M., Wignall, A., Hudson, J. L., & Schniering, C. A. (2000). Treating anxious children and adolescents: An evidence-based approach. Oakland, CA: New Harbinger.
Richard, D. C. S., & Gloster, A. T. (2007). Exposure therapy has a public relations problem: A dearth of litigation amid a wealth of concern. In D. C. S. Richard & D. Lauterbach (Eds.), Handbook of exposure therapy (pp. 409–425). Amsterdam: Academic. CrossRef
Shirk, S. & Karver, M. (2006). Process issues in cognitive-behavioral therapy for youth. In P. C. Kendall (Ed.) Child and adolescent therapy: Cognitive-behavioral procedures (3rd edn.) New York, NY: Guildford Press.
Swan, A. J., & Kendall, P. C. (2016). Fear and missing out: Youth anxiety and functional outcomes. Clinical Psychology: Science and Practice. doi: 10.1111/cpsp.12169.
Vande Voort, J. L. V., Svecova, J., Jacobson, A. B., & Whiteside, S. P. (2010). A retrospective examination of the similarity between clinical practice and manualized treatment for childhood anxiety disorders. Cognitive and Behavioral Practice, 17, 322–328. CrossRef
Waters, A. M., Potter, A., Jamesion, L., Bradley, B. P., & Mogg, K. (2015). Predictors of treatment outcomes in anxious children receiving group cognitive-behavioural therapy: Pretreatment attention bias to threat and emotional variability during exposure tasks. Behaviour Change, 32, 143. CrossRef
Wolk, C. B., Kendall, P. C., & Beidas, R. S. (2015). Cognitive-behavioral therapy for child anxiety confers long-term protection from suicidality. Journal of the America Academy of Child and Adolescent Psychiatry, 54, 175–179. CrossRef
Wolpe, J. (1969). The practice of behavior therapy (1st edn.). New York: Pergamon Press.
Zickgraf, H. F., Chambless, D. L., McCarthy, K. S., Gallop, R., Sharpless, B. A., Milrod, B. L., & Barber, J. P. (2016). Interpersonal factors are associated with lower therapist adherence in cognitive–behavioural therapy for panic disorder. Clinical Psychology and Psychotherapy, 23, 272. PubMedCrossRef
- Process Factors Associated with Improved Outcomes in CBT for Anxious Youth: Therapeutic Content, Alliance, and Therapist Actions
Erika A. Crawford
Hannah E. Frank
Sophie A. Palitz
Jordan P. Davis
Philip C. Kendall
- Springer US