Evidence Base Update on the Treatment of Early Childhood Anxiety and Related Problems.
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| Title: | Evidence Base Update on the Treatment of Early Childhood Anxiety and Related Problems. |
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| Authors: | Comer, Jonathan S., Hong, Natalie, Poznanski, Bridget, Silva, Karina, Wilson, Maria |
| Source: | Journal of Clinical Child & Adolescent Psychology. Jan/Feb2019, Vol. 48 Issue 1, p1-15. 15p. |
| Subjects: | Children, Anxiety, Evidence |
| Abstract: | The controlled evaluation of treatments for early childhood anxiety and related problems has been a relatively recent area of investigation, and accordingly, trials examining early childhood anxiety treatment have not been well represented in existing systematic reviews of youth anxiety treatments. This Evidence Base Update provides the first systematic review of evidence supporting interventions specifically for the treatment of early childhood anxiety and related problems. Thirty articles testing 38 treatments in samples with mean age < 7.9 years (N = 2,228 children) met inclusion criteria. We applied Southam-Gerow and Prinstein's (2014) review criteria, which classifies families of treatments according to one of five levels of empirical support—Well-Established, Probably Efficacious, Possibly Efficacious, Experimental, and of Questionable Efficacy. We found family-based cognitive-behavioral therapy (CBT) to be a Well-Established treatment, and Group Parent CBT and Group Parent CBT + Group Child CBT to both be Probably Efficacious treatments. In contrast, play therapy and attachment-based therapy are still only Experimental treatments for early childhood anxiety, relaxation training has Questionable Efficacy, and there is no evidence to date to speak to the efficacy of individual child CBT and/or medication in younger anxious children. All 3 currently supported interventions for early childhood anxiety entail exposure-based CBT with significant parental involvement. This conclusion meaningfully differs from conclusions for treating anxiety in older childhood that highlight the well-established efficacy of individual child CBT and/or medication and that question whether parental involvement in treatment enhances outcomes. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 134749327 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evidence Base Update on the Treatment of Early Childhood Anxiety and Related Problems. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Comer%2C+Jonathan+S%2E%22">Comer, Jonathan S.</searchLink><br /><searchLink fieldCode="AR" term="%22Hong%2C+Natalie%22">Hong, Natalie</searchLink><br /><searchLink fieldCode="AR" term="%22Poznanski%2C+Bridget%22">Poznanski, Bridget</searchLink><br /><searchLink fieldCode="AR" term="%22Silva%2C+Karina%22">Silva, Karina</searchLink><br /><searchLink fieldCode="AR" term="%22Wilson%2C+Maria%22">Wilson, Maria</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. Jan/Feb2019, Vol. 48 Issue 1, p1-15. 15p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence%22">Evidence</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: The controlled evaluation of treatments for early childhood anxiety and related problems has been a relatively recent area of investigation, and accordingly, trials examining early childhood anxiety treatment have not been well represented in existing systematic reviews of youth anxiety treatments. This Evidence Base Update provides the first systematic review of evidence supporting interventions specifically for the treatment of early childhood anxiety and related problems. Thirty articles testing 38 treatments in samples with mean age < 7.9 years (N = 2,228 children) met inclusion criteria. We applied Southam-Gerow and Prinstein's (2014) review criteria, which classifies families of treatments according to one of five levels of empirical support—Well-Established, Probably Efficacious, Possibly Efficacious, Experimental, and of Questionable Efficacy. We found family-based cognitive-behavioral therapy (CBT) to be a Well-Established treatment, and Group Parent CBT and Group Parent CBT + Group Child CBT to both be Probably Efficacious treatments. In contrast, play therapy and attachment-based therapy are still only Experimental treatments for early childhood anxiety, relaxation training has Questionable Efficacy, and there is no evidence to date to speak to the efficacy of individual child CBT and/or medication in younger anxious children. All 3 currently supported interventions for early childhood anxiety entail exposure-based CBT with significant parental involvement. This conclusion meaningfully differs from conclusions for treating anxiety in older childhood that highlight the well-established efficacy of individual child CBT and/or medication and that question whether parental involvement in treatment enhances outcomes. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=134749327 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/15374416.2018.1534208 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 1 Subjects: – SubjectFull: Children Type: general – SubjectFull: Anxiety Type: general – SubjectFull: Evidence Type: general Titles: – TitleFull: Evidence Base Update on the Treatment of Early Childhood Anxiety and Related Problems. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Comer, Jonathan S. – PersonEntity: Name: NameFull: Hong, Natalie – PersonEntity: Name: NameFull: Poznanski, Bridget – PersonEntity: Name: NameFull: Silva, Karina – PersonEntity: Name: NameFull: Wilson, Maria IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan/Feb2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 15374416 Numbering: – Type: volume Value: 48 – Type: issue Value: 1 Titles: – TitleFull: Journal of Clinical Child & Adolescent Psychology Type: main |
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