Do anxiety-disordered children need to come into the clinic for efficacious treatment?

Cobham, Vanessa E. (2012) Do anxiety-disordered children need to come into the clinic for efficacious treatment?. Journal of Consulting and Clinical Psychology, 80 3: 465-476. doi:10.1037/a0028205

Author Cobham, Vanessa E.
Title Do anxiety-disordered children need to come into the clinic for efficacious treatment?
Journal name Journal of Consulting and Clinical Psychology   Check publisher's open access policy
ISSN 0022-006X
Publication date 2012-06
Sub-type Article (original research)
DOI 10.1037/a0028205
Volume 80
Issue 3
Start page 465
End page 476
Total pages 12
Place of publication Washington, DC, United States
Publisher American Psychological Association
Collection year 2013
Language eng
Formatted abstract
This study compared 3 experimental conditions: wait-list, therapist supported bibliotherapy, and individual therapy, in the treatment of child anxiety.

Participants were 55 children (25 girls and 30 boys), aged 7 to 14 years diagnosed with an anxiety disorder, and their parents. Families were assigned using a modified random assignment process to 1 of the 3 conditions. The intervention evaluated in the 2 active treatment conditions was a family-focused, cognitive-behavioral program.


At posttreatment, participants in both treatment conditions had improved significantly on both diagnostic and questionnaire outcome measures compared with participants in the wait-list condition, with no differences demonstrated between the treatment conditions. Thus, at posttreatment, 0% of children in the wait-list condition were anxiety diagnosis free, compared with 95% in the therapist-supported bibliotherapy condition and 78.3% in the individual therapy condition. There was no significant difference between diagnostic status at posttreatment between the 2 treatment conditions. Participants assigned to a treatment condition were reassessed at 3-month and 6-month follow-up. Treatment gains were maintained in both conditions across the follow-up period.

In light of the fact that more than 80% of anxiety-disordered children never receive treatment, these data suggest that therapist-supported bibliotherapy represents a cost-effective means of reaching a greater number of anxious children.
Keyword Bibliotherapy
Childhood anxiety
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published Online First 30 April 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Psychology Publications
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