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Predictors of school-based cognitive behavior therapy outcome for youth with anxiety
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.ORCID iD: 0000-0002-4351-2810
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Number of Authors: 102023 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 169, article id 104400Article in journal (Refereed) Published
Abstract [en]

Meta-analyses of school-based CBT have shown that prevention for anxiety symptoms typically report small but significant effects. There is limited knowledge regarding which youths may benefit most and least from such programs, and characteristics of youth who respond differentially to interventions of different intensity. The present study examined predictors of school-based CBT outcomes among 302 youths (mean age 14.0 years, SD 0.8, 84% female) who participated in a randomized waitlist-controlled trial comparing a 10-session and a 5-session group intervention. Potential predictors included youth and parental factors, and credibility and expectancy of the interventions. Pre-intervention anxiety and depression levels, and clinician rated severity were examined as moderators of intervention effects. Outcomes were youth-, and parent-reported youth anxiety and depressive symptoms at post-intervention and 1-year follow-up. Higher parent-reported impairment from youth anxiety predicted larger parent-reported anxiety and depressive symptom change, whereas higher caregiver strain was associated with less symptom change. Higher parent rated credibility and expectancy was associated with improved outcomes at post-intervention. At 1-year follow-up, no predictors of outcome were identified. No moderators were identified. Families with high levels of caregiver strain associated with youth anxiety may need extra support regardless of length of intervention program. Parents’ credibility and expectancy of interventions should be targeted to optimize school-based CBT.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 169, article id 104400
Keywords [en]
school-based CBT, indicated prevention, anxiety, youth, predictors, moderators
National Category
Psychiatry
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-223954DOI: 10.1016/j.brat.2023.104400ISI: 001077717400001PubMedID: 37690362Scopus ID: 2-s2.0-85170224078OAI: oai:DiVA.org:su-223954DiVA, id: diva2:1814694
Note

The RCT study received support from The Research Council of Norway (grant no. 229020). Additional financial support was received from the Oslofjord fund (grant no. 245807), Regional Research Fund Western Norway (grant no. 235707), and the Norwegian Directorate of Health (reference no. 11/751-38 and 14/4285-3).

Available from: 2023-11-27 Created: 2023-11-27 Last updated: 2024-01-30Bibliographically approved

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Öst, Lars-Göran

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