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Innovations in the psychosocial treatment of youth with anxiety disorders: implications for a stepped care approach
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
Number of Authors: 32018 (English)In: Evidence-Based Mental Health, ISSN 1362-0347, E-ISSN 1468-960X, Vol. 21, no 3, p. 112-115Article, review/survey (Refereed) Published
Abstract [en]

Anxiety disorders are highly prevalent among children and adolescents and frequently result in impairments across multiple domains of life. While psychosocial interventions, namely cognitive-behavioural therapy (CBT), have been found to be highly effective in treating these conditions, significant numbers of youth simply do not have access to these evidence-based interventions, and of those who do, a substantial proportion (up to 40%) fail to achieve remission. Thus, there is a pressing need for innovation in both the delivery of evidence-based treatments and efforts to enhance treatment outcomes for those who do not respond to standard care. This paper reviews current innovations attempting to address these issues, including evidence for brief, low-intensity approaches to treatment; internet delivered CBT and brief, high-intensity CBT. Moreover, we propose a model of stepped care delivery of evidence-based mental health interventions for children and youth with anxiety. In general, a stepped care approach begins with a lower intensity, evidence-based treatment that entails minimal therapist involvement (ie, brief, low-intensity self-help or internet delivered CBT) and then proceeds to more intensive treatments with greater therapist involvement (ie, brief high-intensity CBT), but only for those individuals who show a poor response at each step along the way. Future research is needed in order to evaluate such a model, and importantly, to identify predictors and moderators of response at each step, in order to inform an evidence-based, fully-integrated stepped care approach to service delivery.

Place, publisher, year, edition, pages
2018. Vol. 21, no 3, p. 112-115
Keywords [en]
anxiety disorders, CBT, innovation
National Category
Psychology Psychiatry
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-160153DOI: 10.1136/eb-2018-102892ISI: 000442427000012PubMedID: 29976564OAI: oai:DiVA.org:su-160153DiVA, id: diva2:1248817
Available from: 2018-09-17 Created: 2018-09-17 Last updated: 2019-01-21Bibliographically approved

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