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Mediators of Cognitive Behavioral Therapy for Anxiety-Disordered Children and Adolescents: Cognition, Perceived Control, and Coping

Overview of attention for article published in Journal of Clinical Child & Adolescent Psychology, June 2013
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Title
Mediators of Cognitive Behavioral Therapy for Anxiety-Disordered Children and Adolescents: Cognition, Perceived Control, and Coping
Published in
Journal of Clinical Child & Adolescent Psychology, June 2013
DOI 10.1080/15374416.2013.807736
Pubmed ID
Authors

Sanne M. Hogendoorn, Pier J. M. Prins, Frits Boer, Leentje Vervoort, Lidewij H. Wolters, Harma Moorlag, Maaike H. Nauta, Harry Garst, Catharina A. Hartman, Else de Haan

Abstract

The purpose is to investigate whether a change in putative mediators (negative and positive thoughts, coping strategies, and perceived control over anxious situations) precedes a change in anxiety symptoms in anxiety-disordered children and adolescents receiving cognitive behavioral therapy (CBT). Participants were 145 Dutch children (8-18 years old, M = 12.5 years, 57% girls) with a primary anxiety disorder. Assessments were completed pretreatment, in-treatment, posttreatment, and at 3-month follow-up. Sequential temporal dependencies between putative mediators and parent- and child-reported anxiety symptoms were investigated in AMOS using longitudinal Latent Difference Score Modeling. During treatment an increase of positive thoughts preceded a decrease in child-reported anxiety symptoms. An increase in three coping strategies (direct problem solving, positive cognitive restructuring, and seeking distraction) preceded a decrease in parent-reported anxiety symptoms. A reciprocal effect was found for perceived control: A decrease in parent-reported anxiety symptoms both preceded and followed an increase in perceived control. Using a longitudinal design, a temporal relationship between several putative mediators and CBT-outcome for anxious children was explored. The results suggest that a change in positive thoughts, but not negative thoughts, and several coping strategies precedes a change in symptom reduction and, therefore, at least partly support theoretical models of anxiety upon which the anxiety intervention is based.

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Geographical breakdown

Country Count As %
Malaysia 1 <1%
United Kingdom 1 <1%
Spain 1 <1%
Norway 1 <1%
Unknown 186 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 44 23%
Student > Ph. D. Student 41 22%
Researcher 19 10%
Student > Bachelor 15 8%
Student > Doctoral Student 13 7%
Other 31 16%
Unknown 27 14%
Readers by discipline Count As %
Psychology 112 59%
Medicine and Dentistry 14 7%
Social Sciences 11 6%
Nursing and Health Professions 4 2%
Agricultural and Biological Sciences 3 2%
Other 8 4%
Unknown 38 20%