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The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis
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 an...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541960/ https://www.ncbi.nlm.nih.gov/pubmed/34471966 http://dx.doi.org/10.1007/s10567-021-00364-2 |
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author | Baker, Holly J. Lawrence, Peter J. Karalus, Jessica Creswell, Cathy Waite, Polly |
author_facet | Baker, Holly J. Lawrence, Peter J. Karalus, Jessica Creswell, Cathy Waite, Polly |
author_sort | Baker, Holly J. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8541960 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-85419602021-10-27 The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis Baker, Holly J. Lawrence, Peter J. Karalus, Jessica Creswell, Cathy Waite, Polly Clin Child Fam Psychol Rev Article 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. Springer US 2021-09-01 2021 /pmc/articles/PMC8541960/ /pubmed/34471966 http://dx.doi.org/10.1007/s10567-021-00364-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Baker, Holly J. Lawrence, Peter J. Karalus, Jessica Creswell, Cathy Waite, Polly The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis |
title | The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis |
title_full | The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis |
title_fullStr | The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis |
title_full_unstemmed | The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis |
title_short | The Effectiveness of Psychological Therapies for Anxiety Disorders in Adolescents: A Meta-Analysis |
title_sort | effectiveness of psychological therapies for anxiety disorders in adolescents: a meta-analysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541960/ https://www.ncbi.nlm.nih.gov/pubmed/34471966 http://dx.doi.org/10.1007/s10567-021-00364-2 |
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