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Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety

Increases in adolescent anxiety over the past several years suggest a need for trauma-informed, culturally responsive interventions that help teens cope with environmental stressors like those associated with the COVID-19 pandemic. Although abundant evidence supports the efficacy of cognitive behavi...

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Autores principales: Herres, Joanna, Krauthamer Ewing, E. Stephanie, Levy, Suzanne, Creed, Torrey A., Diamond, Guy S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165080/
https://www.ncbi.nlm.nih.gov/pubmed/37168081
http://dx.doi.org/10.3389/fpsyt.2023.1096291
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author Herres, Joanna
Krauthamer Ewing, E. Stephanie
Levy, Suzanne
Creed, Torrey A.
Diamond, Guy S.
author_facet Herres, Joanna
Krauthamer Ewing, E. Stephanie
Levy, Suzanne
Creed, Torrey A.
Diamond, Guy S.
author_sort Herres, Joanna
collection PubMed
description Increases in adolescent anxiety over the past several years suggest a need for trauma-informed, culturally responsive interventions that help teens cope with environmental stressors like those associated with the COVID-19 pandemic. Although abundant evidence supports the efficacy of cognitive behavioral therapy (CBT) in treating adolescent anxiety, not all teens respond positively to CBT. CBT does not typically include strategies that address important family factors that may be impacting the teen’s functioning, such as the attachment relationship. Attachment-based family therapy (ABFT) addresses the attachment relationship and other factors that contribute to the adolescent’s anxiety and related distress. By enhancing positive parenting behaviors, such as acceptance and validation of the adolescent’s distress and promotion of their autonomy, ABFT sessions may repair the attachment relationship and increase the family’s ability and willingness to engage in CBT tasks aimed at reducing anxiety. This theoretical paper describes the ABFT model and proposes that implementing ABFT sessions prior to CBT could result in better clinical outcomes for adolescents with anxiety disorders by improving the context within which the anxiety symptoms and treatment are experienced. Given that ABFT is sensitive and responsive to family and other contextual factors, adolescents from marginalized communities and those from less individualistic cultures may find the model to be more acceptable and appropriate for addressing factors related to their anxiety. Thus, a combined ABFT+CBT model might result in better outcomes for adolescents who have not historically responded well to CBT alone.
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spelling pubmed-101650802023-05-09 Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety Herres, Joanna Krauthamer Ewing, E. Stephanie Levy, Suzanne Creed, Torrey A. Diamond, Guy S. Front Psychiatry Psychiatry Increases in adolescent anxiety over the past several years suggest a need for trauma-informed, culturally responsive interventions that help teens cope with environmental stressors like those associated with the COVID-19 pandemic. Although abundant evidence supports the efficacy of cognitive behavioral therapy (CBT) in treating adolescent anxiety, not all teens respond positively to CBT. CBT does not typically include strategies that address important family factors that may be impacting the teen’s functioning, such as the attachment relationship. Attachment-based family therapy (ABFT) addresses the attachment relationship and other factors that contribute to the adolescent’s anxiety and related distress. By enhancing positive parenting behaviors, such as acceptance and validation of the adolescent’s distress and promotion of their autonomy, ABFT sessions may repair the attachment relationship and increase the family’s ability and willingness to engage in CBT tasks aimed at reducing anxiety. This theoretical paper describes the ABFT model and proposes that implementing ABFT sessions prior to CBT could result in better clinical outcomes for adolescents with anxiety disorders by improving the context within which the anxiety symptoms and treatment are experienced. Given that ABFT is sensitive and responsive to family and other contextual factors, adolescents from marginalized communities and those from less individualistic cultures may find the model to be more acceptable and appropriate for addressing factors related to their anxiety. Thus, a combined ABFT+CBT model might result in better outcomes for adolescents who have not historically responded well to CBT alone. Frontiers Media S.A. 2023-04-24 /pmc/articles/PMC10165080/ /pubmed/37168081 http://dx.doi.org/10.3389/fpsyt.2023.1096291 Text en Copyright © 2023 Herres, Krauthamer Ewing, Levy, Creed and Diamond. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Herres, Joanna
Krauthamer Ewing, E. Stephanie
Levy, Suzanne
Creed, Torrey A.
Diamond, Guy S.
Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
title Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
title_full Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
title_fullStr Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
title_full_unstemmed Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
title_short Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
title_sort combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165080/
https://www.ncbi.nlm.nih.gov/pubmed/37168081
http://dx.doi.org/10.3389/fpsyt.2023.1096291
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