Evidence map›Paper›PMID 29520926›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2018

The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders.

Anna McKinnon, Robert Keers, Jonathan R I Coleman, Kathryn J Lester, Susanna Roberts, Kristian Arendt, Susan M Bögels, Peter Cooper, Cathy Creswell, Catharina A Hartman and 16 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.1field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Patterns of sub-optimal change following CBT for childhood anxiety.Journal of child psychology and psychiatry, and allied disciplines · 2024
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 8 countries.

Anna McKinnonDepartment of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia.
Robert KeersDepartment of Biological and Experimental Psychology, School of Biological and Chemical Sciences, Queen Mary University of London, London, UK.
Jonathan R I ColemanSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Kathryn J LesterSchool of Psychology, University of Sussex, Brighton, UK.
Susanna RobertsSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Kristian ArendtDepartment of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Denmark.
Susan M BögelsResearch Institute Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.
Peter CooperSchool of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
Cathy CreswellSchool of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
Catharina A HartmanDepartment of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Krister W FjermestadDepartment of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway.
Tina In-AlbonDepartment of Psychology, University Landau Koblenz, Landau, Germany.
Kristen LavalleeDepartment of Psychology, Ruhr-Universität Bochum, Bochum, Germany.
Heidi J LynehamDepartment of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia.
Patrick SmithDepartment of Psychology, Institute of Psychiatry, King's College London, London, UK.
Richard Meiser-StedmanDepartment of Psychology, University of East Anglia, Norwich, UK.
Maaike H NautaDepartment of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
Ronald M RapeeDepartment of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia.
Yasmin ReyDepartment of Psychology, Child Anxiety and Phobia Program, Florida International University, Miami, FL, USA.
Silvia SchneiderDepartment of Psychology, Ruhr-Universität Bochum, Bochum, Germany.
Wendy K SilvermanChild Study Center, School of Medicine, Yale University, New Haven, CT, USA.
Mikael ThastumDepartment of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Denmark.
Kerstin ThirlwallSchool of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
Gro Janne WergelandDepartment of Child and Adolescent Psychiatry, Anxiety Disorders Research Network, Haukeland University Hospital, Bergen, Norway.
Thalia C EleySocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Jennifer L HudsonDepartment of Psychology, Centre for Emotional Health, Macquarie University, Sydney, NSW, Australia.
Macquarie University · AUKing's College London · GBAarhus University · DKRuhr University Bochum · DEUniversity of Reading · GBCentre for Mental Health · GBFlorida International University · USHaukeland University Hospital · NOQueen Mary University of London · GBUniversity Medical Center Groningen · NLUniversity of Amsterdam · NLUniversity of Bergen · NOUniversity of Cape Town · ZAUniversity of East Anglia · GBUniversity of Groningen · NLUniversity of Koblenz and Landau · DEUniversity of Sussex · GBYale University · US

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 G0802821Medical Research Council G0901874Medical Research Council MC_EX_G0802821Medical Research Council MR/J011762/1Medical Research Council MR/K021281/1Medical Research Council MR/K021281/2NIMH NIH HHS R01 MH079943
6 · The paper itself

Abstract

backgroundSeveral delivery formats of cognitive behaviour therapy (CBT) for child anxiety have been proposed, however, there is little consensus on the optimal delivery format. The primary goal of this study was to investigate the impact of the child's primary anxiety diagnosis on changes in clinical severity (of the primary problem) during individual CBT, group CBT and guided parent-led CBT. The secondary goal was to investigate the impact of the child's primary anxiety diagnosis on rates of remission for the three treatment formats.

methodsA sample of 1,253 children (5-12 years; Mage = 9.3, SD = 1.7) was pooled from CBT trials carried out at 10 sites. Children had a primary diagnosis of generalised anxiety disorder (GAD), social anxiety disorder (SoAD), specific phobia (SP) or separation anxiety disorder (SAD). Children and parents completed a semistructured clinical interview to assess the presence and severity of DSM-IV psychiatric disorders at preintervention, postintervention and follow-up. Linear mixture modelling was used to evaluate the primary research question and logistic modelling was used to investigate the secondary research question.

resultsIn children with primary GAD, SAD or SoAD, there were no significant differences between delivery formats. However, children with primary SP showed significantly larger reductions in clinical severity following individual CBT compared to group CBT and guided parent-led CBT. The results were mirrored in the analysis of remission responses with the exception that individual CBT was no longer superior to group CBT for children with a primary SP. The difference between individual and group was not significant when follow-up data were examined separately.

conclusionsData show there may be greater clinical benefit by allocating children with a primary SP to individual CBT, although future research on cost-effectiveness is needed to determine whether the additional clinical benefits justify the additional resources required.

Indexed as

Outcome and Process Assessment, Health CareParentsAnxiety DisordersAnxiety, SeparationChildChild, PreschoolCognitive Behavioral TherapyFemaleHumansMalePhobia, SocialPhobic DisordersPsychotherapy, GroupRemission InductionSeverity of Illness IndexAnxietycognitive therapytreatment trials

Identifiers

PMID29520926
PMCPMC6055633
OpenAlexW2780069879

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.