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ARTICLES SUMMARIES 3

Articles Summaries

Melissa Kelly

Albany State University

COUN5620 Research and Program Evaluation

Dr. Calder

September 7, 2021

Articles Summary

Guided internet-based cognitive behavioral therapy for adolescent anxiety: Predictors of treatment response

From the article, the main purpose of the research was to examine guided internet-based cognitive behavioral therapy for adolescent anxiety and whether it works effectively in reducing the symptoms of anxiety in adolescences that have an anxiety disorder. Some of the questions that were asked included; does gender affect internet-based cognitive behavioral therapy? Also, do the symptoms vary from one adolescent to the other, or are they the same? The hypothesis that emerged from the research was as follows; the higher baseline symptom severity, higher age (within the range 13 to 17), more completed modules, as well as higher therapeutic alliance scores would predict larger improvements, while more baseline depressive symptoms, a primary diagnosis of SoP, and low computer comfortability would predict less improvement (Luo & McAloon, 2021). The dependent variables for the study would be sixty-five adolescents (13–17 years) with anxiety disorders according to DSM-IV received 14 weeks of therapist-guided ICBT (Luo & McAloon, 2021). The research findings are that higher levels of self-and clinician-rated baseline anxiety and self-rated depressive symptoms, female gender, and higher levels of computer comfortability were associated with increased treatment response. None of the hypothesized therapeutic process variables were shown to be effective in predicting treatment response. The strength of the study was the use of psychometrically strong and validated assessment instruments, low attrition rates, and one-year FU (Luo & McAloon, 2021). To the best of our knowledge, it is the first trial specifically aimed at identifying predictors of ICBT treatment response for adolescents with anxiety disorders (Luo & McAloon, 2021). The limitation of the research was the limited research on the age of onset, gender, and degree of parent and therapist support as candidate predictors, these analyses were considered exploratory (Luo & McAloon, 2021). The future research will aim and focus on internet-based cognitive behavioral therapy for adults.

Child−Parent Interventions for Childhood Anxiety Disorders: A Systematic Review and Meta-Analysis

From the article, the main purpose of the research of Child–Parent Interventions for Childhood Anxiety Disorders is to examine the differential effect on anxiety outcomes of child–parent interventions compared to child-focused interventions for children with anxiety disorders. The researchers also looked at the effects of direct child–parent therapies versus child-focused interventions on anxiety outcomes in children with anxiety disorders. The research questions include; Are child–parent interventions more effective than interventions involving solely the child in decreasing anxiety for children with anxiety disorders? And are there differences in the magnitude of effects by type of child–parent intervention? A systematic review methodology was used to search, select, and extract data from studies examining the effects of child–parent interventions against child-focused interventions. The data analysis composed is that the overall mean effect of parent–child interventions was 0.26, 95% confidence interval [0.05, 0.47], p < .05, a small but positive and significant effect, favoring child–parent interventions. Also from the study, the statistical analysis was designed to produce descriptive information on the characteristics of the included studies, the effect size of each intervention on anxiety outcomes, the grand mean effect size, and the heterogeneity of effect sizes around the mean. The findings of the research were that Meta-analytic results revealed a small but overall positive and significant effect of parent–child interventions compared to child-focused individual or group interventions (Stjerneklar et al., 2019). The strength of the research was a comprehensive and systematic search strategy was conducted in an attempt to identify and retrieve all relevant published and unpublished studies meeting inclusion criteria. Future research could assess and report on implementation issues, intervention fidelity, and the cost and benefit of interventions to help clinicians, organizations, and clients make well-informed decisions about treatment (Stjerneklar et al., 2019).

Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents with Anxiety Disorders

From the article, the main purpose of the research was to compile scientifically supported recommendations for the psychosocial and psychopharmacologic treatment of anxiety. Another purpose is to compile expert-based recommendations for assessing anxiety as part of treatment and implementing empirically based treatments in clinical practice. The research question from the article was how CBT and SSRI are safe and effective treatments? How can anxiety disorders be assessed for determining treatment? The hypothesis was whether CBT and SSRI are effective treatments for adolescents with anxiety. The research design used was a sampling of adolescents who meet certain criteria including age, diagnosis, etc. The variables of interest were the adolescent children between 3 and 18 years of age who have been diagnosed with anxiety. And the children were considered as the dependent variables. The findings suggested that CBT and SSRI have considerable empirical support as safe and effective short-term treatments for anxiety in children and adolescents (Walter et al., 2020). The findings of the research were that children who received the combination of the two treatments had a more effective treatment than if the two treatments were done separately. The strength of the study is that a foundation for new knowledge was laid by learning the effectiveness of the combination of treatments. The limitation is that the professional judgment could be biased and a small sampling of evidence. The future research will look at and examine the different treatments available for effectiveness in helping adolescents with anxiety disorders.

References

Luo, A., & McAloon, J. (2021). Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis.  Depression and Anxiety38(2), 220-232.

Stjerneklar, S., Hougaard, E., & Thastum, M. (2019). Guided internet-based cognitive behavioral therapy for adolescent anxiety: predictors of treatment response.  Internet interventions15, 116-125.

Walter, H. J., Bukstein, O. G., Abright, A. R., Keable, H., Ramtekkar, U., Ripperger-Suhler, J., & Rockhill, C. (2020). Clinical practice guideline for the assessment and treatment of children and adolescents with anxiety disorders.  Journal of the American Academy of Child & Adolescent Psychiatry59(10), 1107-1124.