Journal ArticleDOI
Evidence Base Update: 50 Years of Research on Treatment for Child and Adolescent Anxiety
TLDR
Findings from this review suggest substantial support for cognitive-behavioral therapy (CBT) as an effective and appropriate first-line treatment for youth with anxiety disorders.Abstract:
Anxiety disorders are the most common mental health disorder among children and adolescents. We examined 111 treatment outcome studies testing 204 treatment conditions for child and adolescent anxiety published between 1967 and mid-2013. Studies were selected for inclusion in this review using the PracticeWise Evidence-Based Services database. Using guidelines identified by this journal (Southam-Gerow & Prinstein, 2014), studies were included if they were conducted with children and/or adolescents (ages 1-19) with anxiety and/or avoidance problems. In addition to reviewing the strength of the evidence, the review also examined indicators of effectiveness, common practices across treatment families, and mediators and moderators of treatment outcome. Six treatments reached well-established status for child and adolescent anxiety, 8 were identified as probably efficacious, 2 were identified as possibly efficacious, 6 treatments were deemed experimental, and 8 treatments of questionable efficacy emerged. Findings from this review suggest substantial support for cognitive-behavioral therapy (CBT) as an effective and appropriate first-line treatment for youth with anxiety disorders. Several other treatment approaches emerged as probably efficacious that are not primarily CBT based, suggesting that there are alternative evidence-based treatments that practitioners can turn to for children and adolescents who do not respond well to CBT. The review concludes with a discussion of treatments that improve functioning in addition to reducing symptoms, common practices derived from evidence-based treatments, mediators and moderators of treatment outcomes, recommendations for best practice, and suggestions for future research.read more
Citations
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Journal ArticleDOI
Administration and policy in mental health
TL;DR: The upshot of these needs for change is both dismaying and exciting, both disturbing in the destruction of long-familiar patterns of dealing with human suffering, and paradoxically hopeful in raising the possibility that significant failures in health care systems of the past may now be addressed more successfully.
Journal ArticleDOI
Prevalence and Treatment of Depression, Anxiety, and Conduct Problems in US Children.
Reem M. Ghandour,Laura J. Sherman,Catherine J. Vladutiu,Mir M. Ali,Sean Lynch,Rebecca H. Bitsko,Stephen J. Blumberg +6 more
TL;DR: The latest nationally representative data from the NSCH show that depression, anxiety, and behavioral/conduct problems are prevalent among US children and adolescents and treatment gaps remain.
Journal ArticleDOI
Mental Health Surveillance Among Children — United States, 2013–2019
Rebecca H. Bitsko,Angelika H. Claussen,Jesse C. Lichstein,Lindsey I. Black,Sherry Everett Jones,Melissa L. Danielson,Jennifer M. Hoenig,Shane P Davis Jack,Debra J. Brody,Shiromani Gyawali,Matthew J. Maenner,Margaret Warner,Kristin M. Holland,Ruth Perou,Alex E. Crosby,Stephen J. Blumberg,Shelli Avenevoli,Jennifer W. Kaminski,Reem M. Ghandour,Leah N. Meyer +19 more
TL;DR: The data confirm that mental disorders among children continue to be a substantial public health concern and can be used by public health professionals, health care providers, state health officials, policymakers, and educators to understand the prevalence of specific mental disorders and other indicators of mental health and the challenges related to mental health surveillance.
Journal ArticleDOI
The Effectiveness of School-Based Mental Health Services for Elementary-Aged Children: A Meta-Analysis
Amanda L. Sanchez,Danielle Cornacchio,Bridget Poznanski,Alejandra M. Golik,Tommy Chou,Jonathan S. Comer +5 more
TL;DR: Considering serious barriers precluding youth from accessing necessary mental health care, the present meta-analysis suggests child psychiatrists and other mental health professionals are wise to recognize the important role that school personnel, who are naturally in children's lives, can play in decreasing child mental health problems.
References
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Journal ArticleDOI
Diagnostic and Statistical Manual of Mental Disorders
Vijay A. Mittal,Elaine F. Walker +1 more
TL;DR: An issue concerning the criteria for tic disorders is highlighted, and how this might affect classification of dyskinesias in psychotic spectrum disorders.
Journal ArticleDOI
Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A)
Kathleen R. Merikangas,Jian-Ping He,Marcy Burstein,Sonja A. Swanson,Shelli Avenevoli,Lihong Cui,Corina Benjet,Katholiki Georgiades,Joel Swendsen +8 more
TL;DR: Estimates of the lifetime prevalence of DSM-IV mental disorders with and without severe impairment, their comorbidity across broad classes of disorder, and their sociodemographic correlates are presented to provide the first prevalence data on a broad range of mental disorders in a nationally representative sample of U.S. adolescents.
Journal ArticleDOI
Defining Empirically Supported Therapies
TL;DR: It is suggested that, in evaluating the benefits of a given treatment, the greatest weight should be given to efficacy trials but that these trials should be followed by research on effectiveness in clinical settings and with various populations and by cost-effectiveness research.
Journal ArticleDOI
Mediators and Moderators of Treatment Effects in Randomized Clinical Trials
TL;DR: An analytic framework is described to identify and distinguish between moderators and mediators in RCTs when outcomes are measured dimensionally and it is recommended that R CTs routinely include and report such analyses.