Evidence map›Paper›PMID 34471966›Full record

SynthesisClinical child and family psychology review2021

The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis.

Holly J Baker, Peter J Lawrence, Jessica Karalus, Cathy Creswell, Polly Waite

Open access · hybridAbstract readMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Clinical child and family psychology review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
6.7field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 6 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  19. [Anxiety and depression in adolescents].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Review
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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

5 authors at 4 institutions in 1 country.

Holly J BakerSchool of Psychology and Clinical Language Sciences, University of Reading, Reading, RG6 6AL, UK.
Peter J LawrenceCentre for Innovation in Mental Health, School of Psychology, University of Southampton, Southampton, SO17 1BJ, UK.
Jessica KaralusCentral North West London NHS Foundation Trust, Grenfell Health and Wellbeing Service, St Charles Hospital, Exmoor Street, London, W10 6DZ, UK.
Cathy CreswellRadcliffe Observatory, University of Oxford, Anna Watts Building, Woodstock Rd, Oxford, OX2 6GG, UK.
Polly WaiteSchool of Psychology and Clinical Language Sciences, University of Reading, Reading, RG6 6AL, UK. p.l.waite@reading.ac.uk.ORCID 0000-0002-1967-8028
University of Oxford · GBSt Charles Hospital · GBUniversity of Reading · GBUniversity of Southampton · GB

Funding

NIHR Postdoctoral Research Fellowship PDF-2016-09-092The Oxford and Thames Valley NIHR Applied Research Collaboration NIHR-RP-2014-04-018University of Reading Studentship GS17-001
6 · The paper itself

Abstract

Anxiety disorders are common in adolescence but outcomes for adolescents are unclear and we do not know what factors moderate treatment outcome for this age group. We conducted meta-analyses to establish the effectiveness of psychological therapies for adolescent anxiety disorders in (i) reducing anxiety disorder symptoms, and (ii) remission from the primary anxiety disorder, compared with controls, and examine potential moderators of treatment effects. The protocol was registered with PROSPERO (CRD42018091744). Electronic databases (Web of Science, MEDLINE, Psycinfo, EMBASE) were searched from January 1990 to December 2019. 2511 articles were reviewed, those meeting strict criteria were included. Random effects meta-analyses were conducted. Analyses of symptom severity outcomes comprised sixteen studies (CBT k = 15, non-CBT k = 1; n = 766 adolescents), and analyses of diagnostic remission outcomes comprised nine (CBT k = 9; n = 563 adolescents). Post-treatment, those receiving treatment were significantly more likely to experience reduced symptom severity (SMD = 0.454, 95% CI 0.22-0.69) and remission from the primary anxiety disorder than controls (RR = 7.94, 95% CI 3.19-12.7) (36% treatment vs. 9% controls in remission). None of the moderators analysed were statistically significant. Psychological therapies targeting anxiety disorders in adolescents are more effective than controls. However, with only just over a third in remission post-treatment, there is a clear need to develop more effective treatments for adolescents, evaluated through high-quality randomised controlled trials incorporating active controls and follow-up data.

Indexed as

Cognitive Behavioral TherapyAdolescentAnxietyAnxiety DisordersHumansPsychotherapyTreatment OutcomeAdolescentAnxietyMeta-analysisPsychological treatment

Identifiers

PMID34471966
PMCPMC8541960
OpenAlexW3190024969

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.