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Are young people with primary social anxiety disorder less likely to recover following generic CBT compared to young people with other primary anxiety disorders? A systematic review and meta-analysis

Abstract:

Background:
Social Anxiety Disorder (SoAD) in youth is often treated with a generic form of cognitive behavioural therapy (CBT). Some studies have suggested primary SoAD is associated with lower recovery rates following generic CBT compared to other anxiety disorders.


Aims:
This systematic review and meta-analysis investigated recovery rates following generic CBT for youth with primary SoAD versus other primary anxiety disorders.


Method:
5 databases (Psycinfo, Web of Science, PubMed, Embase, Medline) were searched for randomised controlled trials of generic CBT for child and/or adolescent anxiety.


Results:
10 trials met criteria for inclusion in the systematic review, 6 of which presented sufficient data for inclusion in the meta-analysis. 67 did not report data on recovery rates relative to primary diagnosis. While most individual studies included in the systematic review weren’t sufficiently powered to detect a difference in recovery rates between diagnoses, there was a pattern of lower recovery rates for youth with primary SoAD. Across the trials included in the meta-analysis, the post-CBT recovery rate from primary SoAD (35%) was significantly lower than the recovery rate from other primary anxiety disorders (54%).


Conclusions:
Recovery from primary SoAD is significantly less likely than recovery from any other primary anxiety disorder following generic CBT in youth. This suggests a need for research to enhance the efficacy of CBT for youth SoAD.

Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1017/s135246582000079x

Authors

More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Experimental Psychology
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Experimental Psychology
Role:
Author
ORCID:
0000-0003-2756-3770


Publisher:
Cambridge University Press
Journal:
Behavioural and Cognitive Psychotherapy More from this journal
Volume:
49
Issue:
3
Pages:
352-369
Publication date:
2020-12-10
Acceptance date:
2020-09-23
DOI:
EISSN:
1469-1833
ISSN:
1352-4658


Language:
English
Keywords:
Pubs id:
1136522
Local pid:
pubs:1136522
Deposit date:
2020-10-08
ARK identifier:

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