CBT Helps Half of Kids With Anxiety Disorders

CBT Helps Half of Kids With Anxiety Disorders New Support for Cognitive Behavioral Therapy

CBT Helps Half of Kids With Anxiety Disorders

By Daniel DeNoon
WebMD Medical News Reviewed By Louise Chang, MD
on Wednesday, October 19, 2005

Oct. 19, 2005 — Cognitive behavioral therapy helps children and teens suffering from anxiety disorders.

That’s the judgment of a Cochrane review, widely considered the gold-standard rating system for medical treatments. Cochrane reviews evaluate whether clinical studies provide enough first-rate evidence to say a treatment truly works.

Cognitive behavioral therapy — or CBT — is a brief form of psychotherapy. Using specific, step-by-step techniques, it teaches patients skill sets that allow them to change the ways they think and act.

CBT treatments for anxiety, for example, teach patients skills to help them deal with anxiety-provoking situations. Patients are then gradually exposed — either in imagination or in real life — to the things that make them anxious or fearful.

Psychiatrist Anthony James, MD, senior lecturer at the University of Oxford in England, and colleagues analyzed 13 clinical studies of CBT in children and teens with mild-to-moderate anxiety disorders. The results:

* 56% of children and teens got better, vs. 28% of kids in untreated groups.
* Children and teens treated with CBT averaged 58% fewer symptoms of anxiety.
* Three kids must be treated with CBT to cure one case of anxiety disorder.

“Cognitive-behavioral therapy does work for children with anxiety disorders,” James tells WebMD. “It probably compares favorably with the effects of drug treatment. CBT probably should be offered as a first-line treatment where therapists are available to deliver it.”

James says the studies offer “robust” support for CBT as a treatment for pediatric anxiety. He gets no argument from Jennifer Hagman, MD, associate professor of psychiatry with the University of Colorado Health Sciences Center and co-director of the eating disorders treatment program at The Children’s Hospital, Denver.

“Fifty percent improvement in symptoms is really pretty good,” Hagman says. “In clinical practice, patients do very well with goal-oriented therapy that teaches specific skills. And the outcomes are very strong in the studies where a consistent approach is used.”

While CBT clearly benefits patients, James warns that it is not a cure-all.

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SOURCES: James, A. “Cognitive Behavioral Therapy for Anxiety Disorders in Children and Adolescents,” The Cochrane Collaboration, 2005. Anthony James, MD, senior lecturer, University of Oxford, England. Jennifer Hagman, MD, associate professor of psychiatry, University of Colorado Health Sciences Center; co-director, eating disorders treatment program, The Children’s Hospital, Denver.

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