Vinsamlegast notið þetta auðkenni þegar þið vitnið til verksins eða tengið í það: http://hdl.handle.net/1946/30599
Cognitive behavioral therapy (CBT) is a first-line treatment of anxiety disorders in children and adolescents. This study conducts a systematic review and meta-analysis of the literature to assess the efficacy of CBT modalities in comparison to control contingencies for pediatric anxiety disorders. Studies were selected if they were randomized controlled trials, if CBT was manualized or modular, alone or in combination with medication. CBT was required to include behavioral treatment, exposure treatment, or cognitive elements. Eligible studies included participants aged 18 years or younger. Seventy-five studies were included, with 3132 CBT participants and 2307 control participants. The overall results indicated that CBT is an effective treatment for childhood anxiety disorders. The results showed that individual-based CBT is superior to wait-list and attention control. Group-based CBT is superior to wait-list control and treatment as usual. Remote-based CBT is superior to attention control and wait-list control. Family-based CBT is superior to treatment as usual, wait-list control, and attention control. Selective serotonin reuptake inhibitors are no more effective than individual-based CBT. Combination treatment is, however, more effective than individual-based CBT. To our best knowledge, no meta-analysis has thus far disentangled the effects of CBT modalities across various comparisons. This meta-analysis hence provides an important update to the literature on the efficacy of CBT for treating anxiety disorders in young people.
Keywords: CBT, anxiety, children, adolescents, meta-analysis, systematic review
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