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Evidence Base Update: Six Decades of Research on Treatment for Child and Adolescent Anxiety.

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Title: Evidence Base Update: Six Decades of Research on Treatment for Child and Adolescent Anxiety.
Authors: Becker, Kimberly D. (AUTHOR), Yarrington, Julia S. (AUTHOR), Higa-McMillan, Charmaine K. (AUTHOR), Francis, Sarah E. (AUTHOR), Chorpita, Bruce F. (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. Jul/Aug2026, Vol. 55 Issue 4, p575-600. 26p.
Subjects: Exposure therapy, Anxiety disorders, Psychiatric research, Treatment effectiveness, Psychotherapy, Cognitive therapy, Evidence-based medicine
Abstract: Objectives: Anxiety disorders are among the most prevalent and impairing youth mental health problems, underscoring the need for effective treatments. This review synthesized 290 trials of psychosocial interventions for youth with anxiety or avoidance problems. Published between 1966 and mid-2024, these trials encompassed 697 study groups across 66 treatment families. Method: Studies were drawn from the PracticeWise Evidence-Based Services database and evaluated using a five-level strength-of-evidence framework. We identified efficacious treatments, examined contexts of effectiveness, and assessed impact and durability on symptoms and functioning. We also analyzed practice element profiles to compare the procedures most often used in CBT, Exposure, and other approaches. Results: Of the 66 treatment families, 43 reached Level 4 support or better: 8 at Level 1 (Best), 26 at Level 2 (Good), 5 at Level 3 (Moderate), and 4 at Level 4 (Minimal). The remaining 23 families were at Level 5 (No Support). CBT and Exposure continued to have the strongest support. Notably, 30 (69.8%) effective families did not involve CBT, reflecting a theoretical diversity of approaches. Additional findings highlight persistent gaps related to generalizability, limited assessment of functioning, and practice element distinctions across treatment types. Conclusions: Disseminating CBT- and Exposure-based treatments is indicated, and continued investigation of a diversity of approaches is needed to support innovation, access, and contextual fit. Beyond cataloging treatments, this review raises critical questions about methodologies best suited to the ongoing stewardship of decades of research and its equitable translation into actionable knowledge to guide treatment design, training, practice, and policy. [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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  Data: Evidence Base Update: Six Decades of Research on Treatment for Child and Adolescent Anxiety.
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  Data: <searchLink fieldCode="AR" term="%22Becker%2C+Kimberly+D%2E%22">Becker, Kimberly D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yarrington%2C+Julia+S%2E%22">Yarrington, Julia S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Higa-McMillan%2C+Charmaine+K%2E%22">Higa-McMillan, Charmaine K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Francis%2C+Sarah+E%2E%22">Francis, Sarah E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chorpita%2C+Bruce+F%2E%22">Chorpita, Bruce F.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. Jul/Aug2026, Vol. 55 Issue 4, p575-600. 26p.
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  Data: <searchLink fieldCode="DE" term="%22Exposure+therapy%22">Exposure therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+research%22">Psychiatric research</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence-based+medicine%22">Evidence-based medicine</searchLink>
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  Data: Objectives: Anxiety disorders are among the most prevalent and impairing youth mental health problems, underscoring the need for effective treatments. This review synthesized 290 trials of psychosocial interventions for youth with anxiety or avoidance problems. Published between 1966 and mid-2024, these trials encompassed 697 study groups across 66 treatment families. Method: Studies were drawn from the PracticeWise Evidence-Based Services database and evaluated using a five-level strength-of-evidence framework. We identified efficacious treatments, examined contexts of effectiveness, and assessed impact and durability on symptoms and functioning. We also analyzed practice element profiles to compare the procedures most often used in CBT, Exposure, and other approaches. Results: Of the 66 treatment families, 43 reached Level 4 support or better: 8 at Level 1 (Best), 26 at Level 2 (Good), 5 at Level 3 (Moderate), and 4 at Level 4 (Minimal). The remaining 23 families were at Level 5 (No Support). CBT and Exposure continued to have the strongest support. Notably, 30 (69.8%) effective families did not involve CBT, reflecting a theoretical diversity of approaches. Additional findings highlight persistent gaps related to generalizability, limited assessment of functioning, and practice element distinctions across treatment types. Conclusions: Disseminating CBT- and Exposure-based treatments is indicated, and continued investigation of a diversity of approaches is needed to support innovation, access, and contextual fit. Beyond cataloging treatments, this review raises critical questions about methodologies best suited to the ongoing stewardship of decades of research and its equitable translation into actionable knowledge to guide treatment design, training, practice, and policy. [ABSTRACT FROM AUTHOR]
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  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.)
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        Value: 10.1080/15374416.2026.2660294
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      – TitleFull: Evidence Base Update: Six Decades of Research on Treatment for Child and Adolescent Anxiety.
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              Text: Jul/Aug2026
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