Effectiveness of a cognitive-behavioral therapy (CBT) manualized program for clinically anxious children study protocol of a randomized controlled trial.docVIP
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Effectiveness of a cognitive-behavioral therapy (CBT) manualized program for clinically anxious children study protocol of a randomized controlled trial
Jansenetal.BMCPsychiatry2012,12:16
/1471-244X/12/16
STUDY PROTOCOL
OpenAccess
Effectivenessofacognitive-behavioraltherapy
(CBT)manualizedprogramforclinicallyanxious
children:studyprotocolofarandomized
controlledtrial
MélouJansen1,4*,MarleenMEMvanDoorn1,2,AnnaLichtwarck-Aschoff1,RowellaCWMKuijpers1,4,
HuubTheunissen1,4,MirjamKorte2,3,JosévanRossum3,AnnemiekWauben3andIsabelaGranic1
Abstract
Background:IntheNetherlands,theprevalenceofanxietydisordersis20%;andchildrenwithanxietyareat
increasedriskforpsychopathologythroughoutadulthood.Recently,arevisedversionofacognitivebehavioral
therapymanualizedprogramcalled‘Thinking+Doing=Daring’(TDD)wasdevelopedforchildrenbetween8and
12yearsoldwithananxietydisorder.ThemainaimofthisprojectistoconductaRandomizedControlledTrial
(RCT)toevaluatetheeffectivenessofTDD.
Methods/Design:TheCBTprogramwillbetestedwithaRCTwith120clinicallyanxiouschildren(8-12yearsold)
referredtooneofthreementalhealthcareagencies.Childrenwillberandomlyassignedtotheexperimental(N=
60,TDD)ortothecontrolcondition(N=60,treatmentasusual).Theprimaryoutcomemeasurewillbethechild’s
anxietysymptomslevel.Secondaryoutcomemeasureswillbeexternalizing(e.g.aggression)andinternalizing
problems(e.g.depression).Twopotentialmediatorsofchangewillbeexaminedinthecurrentstudy:therapeutic
allianceandparenting.Motherandchildinboththeexperimentalandcontrolconditionwillbesurveyedat
baseline,posttreatmentandafter6and12months(follow-up).Itishypothesizedthatchildrenintheexperimental
conditionwillshowastrongerdecreaseinanxietysymptomscomparedtochildrenthatreceivetreatmentas
usual.Moreover,weexpectthatastrongtherapeuticallianceanddecreasesinparentalcontrolandrejectionwill
contributetotreatmentsuccess.
Discussion:Earlytreatmentforanxietyproblemshasthepotentialtonotonlyresultinanxietyreductions,butalso
topreventfutureproblemssuchassubstanceabuseandpsychopathologythroughoutadulthood.Ourresultswill
beimmediatelyrelevanttopractice,sincewearepartneringwith‘realworld’communityagencies.IftheCBT
progra
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