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Long-term effectiveness of cognitive behavioral therapy for youth with anxiety disorders
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Number of Authors: 102018 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 53, p. 58-67Article in journal (Refereed) Published
Abstract [en]

Cognitive behavioral therapy (CBT) has demonstrated favorable long-term outcomes in youth with anxiety disorders in efficacy trials. However, long-term outcomes of CBT delivered in a community setting are uncertain. This study examined the long-term outcomes of individual (ICBT) and group CBT (GCBT) in youth with anxiety disorders treated in community mental health clinics. A total of 139 youth (mean age at assessment 15.5 years, range 11-21 years) with a principal diagnosis of separation anxiety disorder (SAD), social anxiety disorder (SOP), and/or generalized anxiety disorder (GAD) were evaluated, on average, 3.9 years post-treatment (range 2.2-5.9 years). Outcomes included loss of all inclusion anxiety diagnoses, loss of the principal anxiety diagnosis and changes in youth- and parent-rated youth anxiety symptoms. At long-term follow-up, there was loss of all inclusion anxiety diagnoses in 53%, loss of the principal anxiety diagnosis in 63% of participants as well as significant reductions in all anxiety symptom measures. No statistical significant differences in outcome were obtained between ICBT and GCBT. Participants with a principal diagnosis of SOP had lower odds for recovery, compared to those with a principal diagnosis of SAD or GAD. In conclusion, outcomes of CBT for youth anxiety disorders delivered in community mental health clinics were improved at nearly 4 years post-treatment, and recovery rates at long-term follow-up were similar to efficacy trials.

Place, publisher, year, edition, pages
2018. Vol. 53, p. 58-67
Keywords [en]
Anxiety disorders, Long-term follow-up, Youth, Cognitive behavioral therapy, Community clinic
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:su:diva-153666DOI: 10.1016/j.janxdis.2017.11.003ISI: 000423418600008PubMedID: 29195188OAI: oai:DiVA.org:su-153666DiVA, id: diva2:1188122
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-03-06Bibliographically approved

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Öst, Lars-Göran
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