Evidence map›Paper›PMID 26004660›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2015

Clinical Predictors of Response to Cognitive-Behavioral Therapy in Pediatric Anxiety Disorders: The Genes for Treatment (GxT) Study.

Jennifer L Hudson, Robert Keers, Susanna Roberts, Jonathan R I Coleman, Gerome Breen, Kristian Arendt, Susan Bögels, Peter Cooper, Cathy Creswell, Catharina Hartman and 20 more

Registry-linked trialOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03062891 (Sleep Treatment Outcome Predictors), which is not on this map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03062891 nacompletednot on this mapstarted 2016, after this paper: background citation

Sleep Treatment Outcome Predictors: A Pilot Study (STOP-pilot)

TypeinterventionalSponsorKing's College LondonRan2016 to 2017Enrolled240ConditionsSleep ProblemArmsOnline CBT for insomnia
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

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  6. Implications of cooccurring ADHD for the cognitive behavioural treatment of anxiety in autistic children.Journal of child psychology and psychiatry, and allied disciplines · 2025
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 13 institutions in 8 countries.

Jennifer L HudsonCentre for Emotional Health, Macquarie University, Sydney, Australia.
Robert KeersKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Medical Research Council (MRC) Social, Genetic and Developmental Psychiatry (SGDP) Centre, London.
Susanna RobertsKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Medical Research Council (MRC) Social, Genetic and Developmental Psychiatry (SGDP) Centre, London.
Jonathan R I ColemanKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Medical Research Council (MRC) Social, Genetic and Developmental Psychiatry (SGDP) Centre, London.
Gerome BreenKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Medical Research Council (MRC) Social, Genetic and Developmental Psychiatry (SGDP) Centre, London.
Kristian ArendtUniversity of Aarhus, Denmark.
Susan BögelsResearch Institute Child Development and Education, University of Amsterdam.
Peter CooperSchool of Psychology and Clinical Language Sciences, University of Reading, UK.
Cathy CreswellSchool of Psychology and Clinical Language Sciences, University of Reading, UK.
Catharina HartmanUniversity Medical Center Groningen, University of Groningen, The Netherlands.
Einar R HeiervangInstitute of Clinical Medicine, University of Oslo, Norway and Anxiety Research Network, Haukeland University Hospital, Bergen, Norway.
Katrin HötzelRuhr-Universität Bochum, Germany.
Tina In-AlbonUniversity Koblenz-Landau, Landau, Germany.
Kristen LavalleeUniversity of Basel, Switzerland.
Heidi J LynehamCentre for Emotional Health, Macquarie University, Sydney, Australia.
Carla E MarinYale University, New Haven, CT.
Anna McKinnonMRC Cognition and Brain Sciences Unit, Cambridge, UK.
Richard Meiser-StedmanMRC Cognition and Brain Sciences Unit, Cambridge, UK.
Talia MorrisCentre for Emotional Health, Macquarie University, Sydney, Australia.
Maaike NautaUniversity Medical Center Groningen, University of Groningen, The Netherlands.
Ronald M RapeeCentre for Emotional Health, Macquarie University, Sydney, Australia.
Silvia SchneiderRuhr-Universität Bochum, Germany.
Sophie C SchneiderCentre for Emotional Health, Macquarie University, Sydney, Australia.
Wendy K SilvermanYale University, New Haven, CT.
Mikael ThastumUniversity of Aarhus, Denmark.
Kerstin ThirlwallSchool of Psychology and Clinical Language Sciences, University of Reading, UK.
Polly WaiteSchool of Psychology and Clinical Language Sciences, University of Reading, UK.
Gro Janne WergelandAnxiety Research Network, Haukeland University Hospital.
Kathryn J LesterSchool of Psychology, University of Sussex, UK. Electronic address: k.lester@sussex.ac.uk.
Thalia C EleyKing's College London, Institute of Psychiatry, Psychology and Neuroscience, Medical Research Council (MRC) Social, Genetic and Developmental Psychiatry (SGDP) Centre, London. Electronic address: thalia.eley@kcl.ac.uk.
Macquarie University · AUUniversity of Reading · GBRuhr University Bochum · DEAarhus University · DKHaukeland University Hospital · NOMRC Cognition and Brain Sciences Unit · GBYale University · USUniversity Medical Center Groningen · NLUniversity of Amsterdam · NLUniversity of Basel · CHUniversity of Groningen · NLUniversity of Koblenz and Landau · DEUniversity of Sussex · GB

Funding

Parent Mediation of Child Anxiety CBT OutcomeR01MH079943 · NIMH · FLORIDA INTERNATIONAL UNIVERSITY · PI PETTIT, JEREMY W · 2008 to 2012
$3.0M
Department of Health PB-PG-0107-12042Department of Health PB-PG-0110-21190Department of Health RP_2014-04-018Medical Research Council 09-800-17Medical Research Council G0601020Medical Research Council G0601874Medical Research Council G0802326Medical Research Council G0901874Medical Research Council G0901874/1Medical Research Council G1002011Medical Research Council MC_EX_G0802821Medical Research Council MR/J011762/1Medical Research Council MR/K021281/1NIMH NIH HHS R01 MH079943NIMH NIH HHS R01MH079943
6 · The paper itself

Abstract

objectiveThe Genes for Treatment study is an international, multisite collaboration exploring the role of genetic, demographic, and clinical predictors in response to cognitive-behavioral therapy (CBT) in pediatric anxiety disorders. The current article, the first from the study, examined demographic and clinical predictors of response to CBT. We hypothesized that the child's gender, type of anxiety disorder, initial severity and comorbidity, and parents' psychopathology would significantly predict outcome.

methodA sample of 1,519 children 5 to 18 years of age with a primary anxiety diagnosis received CBT across 11 sites. Outcome was defined as response (change in diagnostic severity) and remission (absence of the primary diagnosis) at each time point (posttreatment, 3-, 6-, and/or 12-month follow-up) and analyzed using linear and logistic mixed models. Separate analyses were conducted using data from posttreatment and follow-up assessments to explore the relative importance of predictors at these time points.

resultsIndividuals with social anxiety disorder (SoAD) had significantly poorer outcomes (poorer response and lower rates of remission) than those with generalized anxiety disorder (GAD). Although individuals with specific phobia (SP) also had poorer outcomes than those with GAD at posttreatment, these differences were not maintained at follow-up. Both comorbid mood and externalizing disorders significantly predicted poorer outcomes at posttreatment and follow-up, whereas self-reported parental psychopathology had little effect on posttreatment outcomes but significantly predicted response (although not remission) at follow-up.

conclusionSoAD, nonanxiety comorbidity, and parental psychopathology were associated with poorer outcomes after CBT. The results highlight the need for enhanced treatments for children at risk for poorer outcomes.

Indexed as

AdolescentAnxiety DisordersChildChild, PreschoolCognitive Behavioral TherapyComorbidityFemaleHumansLogistic ModelsMaleParentsPhobic DisordersPrognosisSeverity of Illness IndexTreatment Outcomeanxiety disorderscognitive-behavioral therapypredictorstreatment

Identifiers

PMID26004660
PMCPMC4469376
OpenAlexW2135215672

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.