Premium
Cognitive‐Behavioral Therapy for Anxious Children: From Evidence to Practice
Author(s) -
Sawyer Monique C.,
Nunez Diane E.
Publication year - 2014
Publication title -
worldviews on evidence‐based nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.052
H-Index - 49
eISSN - 1741-6787
pISSN - 1545-102X
DOI - 10.1111/wvn.12024
Subject(s) - psycinfo , anxiety , cinahl , psychological intervention , cognitive behavioral therapy , mental health , psychology , clinical psychology , medline , cognitive therapy , evidence based practice , cognition , psychotherapist , psychiatry , medicine , alternative medicine , pathology , political science , law
ABSTRACT Background Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive‐behavioral therapy (CBT) is recommended as a first‐line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of feasibility, affordability, and transportability. Aims The primary purpose of this review was to appraise current literature regarding the effectiveness of individual CBT for childhood anxiety. Secondary purposes were to identify reasons for the discrepancy between current evidence and practice as well as to offer suggestions to overcome this dilemma. Methods A systematic review of the literature published between 2007 and 2012 was conducted, searching four databases—Cochrane, PubMed, CINAHL, and PsycINFO. Findings In all 10 studies reviewed, individual CBT significantly reduced rates of anxiety diagnoses when compared with controls, and was equally effective or superior to comparison therapies. The only exception was when CBT was compared to a combination of CBT and pharmacological management, in which case the latter was more effective. Linking Evidence to Action Each study included in this review employed hour‐long sessions over a minimum of 12 visits. In order to meet clinical demands and patient preferences, affordability, and feasibility of CBT interventions must be addressed. A brief, manualized CBT program that can be supported to be clinically effective is proposed as an evidence‐based solution for anxious children in outpatient mental health and primary care settings.