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Disorder-specific Effects of CBT for Anxious and Depressed Youth: A Meta-analysis of Candidate Mediators of Change

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Abstract

The commonalities between anxiety and depression have been discussed before, but few have delineated the potentially different mechanisms through which treatments work for these populations. The current study conducted a comprehensive review of child and adolescent randomized clinical trials that tested cognitive-behavioral therapy (CBT) for anxiety or depression. All studies were required to have assessed both treatment outcomes and at least one theory-specific process target, including behavioral, physiological, cognitive, and coping variables. Using a meta-analytic approach, CBT demonstrated positive treatment gains across anxiety, depression, and general functioning outcomes. CBT for anxiety also produced moderate to large effects across behavioral, physiological, cognitive, and coping processes, with behavioral targets demonstrating potentially the greatest change. CBT for depression produced small effects for cognitive processes but nonsignificant effects for behavioral and coping variables. Findings were generally consistent with CB theory but suggest potentially different mediators in the treatment of anxiety and depression. Results are discussed in terms of implications for mechanisms research, theories of change, and treatment development.

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References

  • Achenbach, T. M. (1991). The derivation of taxonometric constructs: A necessary stage in the development of developmental psychopathology. In D. Cicchetti & S. Toth (Eds.), Rochester symposium on developmental psychopathology: Models and integrations (Vol. 3, pp. 43–74). Hillsdale: Erlbaum.

    Google Scholar 

  • *Ackerson, J., Scogin, F., McKendree-Smith, N., & Lyman, R. D. (1998). Cognitive bibliotherapy for mild and moderate adolescent depressive symptomatology. Journal of Consulting and Clinical Psychology, 66, 685–690.

    Article  PubMed  Google Scholar 

  • Addis, M. E., & Martell, C. R. (2004). Overcoming depression one step at a time. Oakland: New Harbinger Publications, Inc.

    Google Scholar 

  • Albano, A., Marten, P. A., Holt, C. S., Heimberg, R. G., & Barlow, D. H. (1995). Cognitive-behavioral group treatment for social phobia in adolescents: A preliminary study. The Journal of Nervous and Mental Disease, 183, 649–656.

    Article  PubMed  Google Scholar 

  • Allart-van Dam, E., Hosman, C. M. H., Hoogduin, C. A. L., & Schaap, C. P. D. R. (2003). The Coping with Depression Course: Short-term outcomes and mediating effects of a randomized controlled trial in the treatment of subclinical depression. Behavior Therapy, 34, 381–396.

    Article  Google Scholar 

  • Alloy, L., Kelly, K., Mineka, S., & Clements, C. (1990). Comorbidity in anxiety and depressive disorders: A helplessness/hopelessness perspective. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 499–543). Washington, DC: American Psychiatry Press.

    Google Scholar 

  • American Psychological Association [APA] Task Force on Promotion and Dissemination of Psychological Procedures (1995). Training in and dissemination of empirically-validated psychological treatments: Report and recommendations. The Clinical Psychologist, 48, 3–23.

    Google Scholar 

  • Angold, A., & Costello, E. J. (2001). The epidemiology of depression in children and adolescents. In I. M. Goodyer (Ed.), The depressed child and adolescent (2nd ed., pp. 143–178). New York: Cambridge University Press.

    Google Scholar 

  • Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.

    Article  PubMed  Google Scholar 

  • Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230.

    Article  Google Scholar 

  • Barlow, D. H., Chorpita, B. F., & Turovsky, J. (1996). Fear, panic, anxiety, and disorders of emotion. In D. A. Hope (Eds.), Nebraska symposium on motivation, 1995: Perspectives on anxiety, panic, and fear. Current theory and research in motivation (Vol. 43, pp. 251–328). Lincoln: University of Nebraska Press.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  Google Scholar 

  • *Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342.

    Article  PubMed  Google Scholar 

  • Beaman, A. L. (1991). An empirical comparison of meta-analytic and traditional reviews. Personality and Social Psychology Bulletin, 17, 252–257.

    Article  Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • *Beidel, D. C., Turner, S. M., & Morris, T. L. (2000). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68, 1072–1080.

    Article  PubMed  Google Scholar 

  • Bernstein, G. A., Layne, A. E., Egan, E. A., & Tennison, D. M. (2005). School-based interventions for anxious children. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1118–1127.

    Article  PubMed  Google Scholar 

  • Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., Perel, J., & Nelson, B. (1996). Childhood and adolescent depression: A review of he past 10 years. Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1427–1439.

    Article  PubMed  Google Scholar 

  • Brady, E. U., & Kendall, P. C. (1992). Comorbidity of anxiety and depression in children and adolescents. Psychological Bulletin, 111, 244–255.

    Article  PubMed  Google Scholar 

  • Brown, T. A., & Barlow, D. H. (2005). Dimensional versus categorical classification of mental disorders in the fifth edition of the DSM and beyond: Comment on the special section. Journal of Abnormal Psychology, 114, 551–556.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., Yim, L., Donkervoet, J. C., Aresdorf, A., Amundsen, M. J., McGee, C., et al. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9, 165–190.

    Article  Google Scholar 

  • Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.

    Article  PubMed  Google Scholar 

  • Clarke, G. N., DeBar, L. L., & Lewinsohn, P. M. (2003). Cognitive-behavioral group treatment for adolescent depression. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 120–134). New York: The Guilford Press.

    Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates.

    Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Article  PubMed  Google Scholar 

  • Cohen, R., Cohen, J., Kasen, S., Veelez, C. N., Hartmark, C., Johnson, J., Rojas, M., Brook, J., & Steuning, E. L. (1993). An epidemiological study of disorders in late childhood and adolescence – I. Age- and gender-specific prevalence. Journal of Child Psychology and Psychiatry and Allied Disciplines, 34, 851–867.

    Google Scholar 

  • Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127, 87–127.

    Article  PubMed  Google Scholar 

  • Compton, S. N., Burns, B. J., Egger, H. L., & Robertson, E. (2002). Review of the evidence base for treatment of childhood psychopathology: Internalizing disorders. Journal of Consulting and Clinical Psychology, 70, 1240–1266.

    Article  PubMed  Google Scholar 

  • Costello, E. J., Egger, H. L., & Angold, A. (2005). Prevalence and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 14, 631–648.

    Article  PubMed  Google Scholar 

  • Craske, M. G., & Mystkowski, J. L. (2006). Exposure therapy and extinction: Clinical studies. In M. G. Craske, D. Hermans & D. Vansteenwegen (Eds.), Fear and learning: From basic processes to clinical implications (pp. 217–233). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Davis, T. E., & Ollendick, T. H. (2005). Empirically supported treatments for specific phobia in children: Do efficacious treatments address the components of a phobic response? Clinical Psychology: Science and Practice, 12, 144–160.

    Article  Google Scholar 

  • *De Cuyper, S., Timbremont, B., Braet, C., De Backer, V., & Wullaert, T. (2004). Treating depressive symptoms in school children: A pilot study. Journal of European Child and Adolescent Psychiatry, 13, 105–114.

    Article  Google Scholar 

  • Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658–670.

    Article  PubMed  Google Scholar 

  • Durlak, J. A., Furhman, T., & Lampman, C. (1991). Effectiveness of cognitive-behavior therapy for maladapting children: A meta-analysis. Psychological Bulletin, 110, 204–214.

    Article  PubMed  Google Scholar 

  • *Fine, S., Forth, A., Gilbert, M., & Haley, G. (1991). Group therapy for adolescent depressive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 79–85.

    Article  PubMed  Google Scholar 

  • *Flannery-Schroeder, E., & Kendall, P. C. (2000). Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial. Cognitive Therapy and Research, 24, 251–278.

    Article  Google Scholar 

  • Foa, E. B., & McNally, R. J. (1996). Mechanisms of change in exposure therapy. In M. Rapee (Ed.), Current controversies in the anxiety disorders (pp. 329–343). New York: The Guilford Press.

    Google Scholar 

  • *Gallagher, H. M., Rabian, B. A., & McCloskey, M. S. (2004). A brief group cognitive-behavioral intervention for social phobia in childhood. Journal of Anxiety Disorders, 18, 459–479.

    Article  PubMed  Google Scholar 

  • *Garcia-Lopez, L. J., Olivares, J., Turner, S. M., Beidel, D., Albano, A. M., & Sanchez-Meca, J. (2002). Results at long-term among three psychological treatments for adolescents with generalized social phobia (II): Clinical significance and effect size. Psicologia Conductual Revista Internacional de Psicologia Clinica de las Salud, 10, 371–385.

    Google Scholar 

  • Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. San Diego: Academic Press.

    Google Scholar 

  • Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.

    Article  PubMed  Google Scholar 

  • Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive–behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295–304.

    Article  PubMed  Google Scholar 

  • Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8, 255–270.

    Article  Google Scholar 

  • Judd, C. M., & Kenny, D. A. (1981). Process analysis: Estimating mediation in treatment evaluations. Evaluation Review, 5, 602–619.

    Article  Google Scholar 

  • *Kahn, J. S., Kehle, T. J., Jenson, W. R., & Clark, E. (1990). Comparison of cognitive-behavioral, relaxation, and self-modeling interventions for depression among middle school students. School Psychology Review, 19, 196–211.

    Google Scholar 

  • Kaslow, N. J., & Thompson, M. P. (1998). Applying the criteria for empirically supported treatments to studies of psychosocial interventions for child and adolescent depression. Journal of Clinical Child Psychology, 27, 146–155.

    Article  PubMed  Google Scholar 

  • *Kaufman, N. K., Rohde, P., Seeley, J. R., Clarke, G. N., & Stice, E. (2005). Potential mediators of cognitive-behavioral therapy for adolescents with co-morbid major depression and conduct disorder. Journal of Consulting and Clinical Psychology, 73, 38–46.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Kendall, P. C. (1998). Current progress and future plans for developing effective treatments: Comments and perspectives. Journal of Clinical Child Psychology, 27, 217–226.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Nock, M. K. (2003). Delineating mechanisms of change in child and adolescent therapy: Methodological issues and research recommendations. Journal of Child Psychology and Psychiatry, 44, 1116–1129.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Weisz, J. R. (1998). Identifying and developing empirically supported child and adolescent treatments. Journal of Consulting and Clinical Psychology, 66, 19–36.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Weisz, J. R. (2003). Context and background of evidence-based psychotherapies for children and adolescents. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 3–21). New York: The Guilford Press.

    Google Scholar 

  • *Kendall, P. C. (1994). Treating anxiety disorders in youth: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.

    Article  PubMed  Google Scholar 

  • Kendall, P. C., Aschenbrand, S. G., & Hudson, J. L. (2003). Child-focused treatment of anxiety. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 3–21). New York: The Guilford Press.

    Google Scholar 

  • *Kendall, P. C., Flannery-Schroeder, E. C., Panichelli-Mindel, S. P., Southam-Gerow, M. A., Henin, A., & Warman, M. J. (1997). Treating anxiety disorders in youth: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 366–380.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Zhao, S., Blazer, D. G., & Swartz, M. (1997). Prevalence, correlates, and course of minor depression and major depression in the national comorbidity survey. Journal of Affective Disorders, 45, 19–30.

    Article  PubMed  Google Scholar 

  • *King, N. J., Tonge, B. J., Heyne, D., Pritchard, M., Rollings, S., Young, D., Myserson, N., & Ollendick, T. H. (1998). Cognitive–behavioral treatment of school-refusing children: A controlled evaluation. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 395–403.

    Article  PubMed  Google Scholar 

  • *Kolko, D., Brent, D., Baugher, M., Bridge, J., & Birmaher, B. (2000). Cognitive and family therapies for adolescent depression: Treatment specificity, mediation and moderation. Journal of Consulting and Clinical Psychology, 68, 603–614.

    Article  PubMed  Google Scholar 

  • Kovacs, M. (1990). Comorbid anxiety disorders in childhood-onset depressions. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 272–281). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Kovacs, M., Paulauskas, S., Gatsonis, C., & Richards, C. (1988). Depressive disorders in childhood: III. Longitudinal study of comorbidity with and risk for conduct disorders. Journal of Affective Disorders, 15, 205–217.

    Article  PubMed  Google Scholar 

  • Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877–883.

    Article  PubMed  Google Scholar 

  • Krueger, R. F., Watson, D., & Barlow, D. H. (2005). Introduction to the special section: Toward a dimensionally based taxonomy of psychopathology. Journal of Abnormal Psychology, 114, 491–493.

    Article  PubMed  Google Scholar 

  • *Last, C. G., Hansen, C., & Franco, N. (1998). Cognitive-behavioral treatment of school phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 404–411.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., & Clarke, G. N. (1999). Psychosocial treatments for adolescent depression. Clinical Psychology Review, 19, 329–342.

    Article  PubMed  Google Scholar 

  • *Lewinsohn, P. M., Clarke, G. N., Hops, H., & Andrews, J. (1990). Cognitive-behavioral treatment for depressed adolescents. Behavior Therapy, 21, 385–401.

    Article  Google Scholar 

  • Lewinsohn, P. M., & Graf, M. (1973). Pleasant activities and depression. Journal of Consulting and Clinical Psychology, 41, 261–268.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102, 133–144.

    Article  PubMed  Google Scholar 

  • Lewisohn, P. M., & Libet, J. (1972). Pleasant events, activity schedules, and depression. Journal of Abnormal Psychology, 79, 291–295.

    Article  Google Scholar 

  • *Liddle, B., & Spence, S. H. (1990). Cognitive-behaviour therapy with depressed primary school children: A cautionary note. Behavioural Psychotherapy, 18, 85–102.

    Article  Google Scholar 

  • Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis (Applied Social Research Methods Series, Vol. 49). Thousand Oaks: Sage.

  • MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104.

    Article  PubMed  Google Scholar 

  • *Masia-Warner, C., Klein, R. G., Dent, H. C., Fisher, P. H., Alvir, J., Albano, A., & Guardino, M. (2005). School-based intervention for adolescents with social anxiety disorder: Results of a controlled study. Journal of Abnormal Child Psychology, 33, 707–722.

    Article  PubMed  Google Scholar 

  • *Mendlowitz, S. L., Manassis, K., Bradley, S., Scapillato, D., Miezitis, S., & Shaw, B. F. (1999). Cognitive–behavioral group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1223–1229.

    Article  PubMed  Google Scholar 

  • Michael, K. D., & Crowley, S. L. (2002). How effective are treatments for child and adolescent depression? A meta-analytic review. Clinical Psychology Review, 22, 247–269.

    Article  PubMed  Google Scholar 

  • Munoz, R. F., Ying, Y. W., Bernal, G., Perez-Stable, E. J., Sorensen, J. L., Hargreaves, W. A., et al. (1995). Prevention of depression with primary care patients: A randomized controlled trial. American Journal of Community Psychology, 23, 199–222.

    Article  PubMed  Google Scholar 

  • *Muris, P., Meesters, C., & Gobel, M. (2002). Cognitive coping versus emotional disclosure in the treatment of anxious children: A pilot-study. Cognitive Behaviour Therapy, 31, 59–67.

    Article  Google Scholar 

  • Nauta, M. H., Scholing, A., Emmelkamp, P. M. G., & Minderaa, R. B. (2003). Cognitive-behavioral therapy for children with anxiety disorders in a clinical setting: No additional effect of a cognitive parent training. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1270–1278.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., & King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: Current status. Journal of Clinical Child Psychology, 27, 156–167.

    Article  PubMed  Google Scholar 

  • Ollendick, T. H., & King, N. J. (2000). Empirically supported treatments for children and adolescents. In P. C. Kendall (Ed.), Child & adolescent therapy: cognitive–behavioral procedures (2nd ed.). New York: Guilford Press.

    Google Scholar 

  • Prins, P. J. M., & Ollendick, T. H. (2003). Cognitive change and enhanced coping: Missing mediational links in cognitive behavior therapy with anxiety-disordered children. Clinical Child and Family Psychology Review, 6, 87–105.

    Article  PubMed  Google Scholar 

  • Reinecke, M. A., Ryan, N. E., & DuBois, D. L. (1998). Cognitive–behavioral therapy of depression and depressive symptoms during adolescence: A review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 26–34.

    Article  Google Scholar 

  • *Reynolds, W. M., & Coats, K. I. (1986). A comparison of cognitive-behavioral therapy and relaxation training for the treatment of depression in adolescents. Journal of Consulting and Clinical Psychology, 54, 653–660.

    Article  PubMed  Google Scholar 

  • *Rohde, P., Clarke, G. N., Mace, D. E., Jorgensen, J. S., & Seeley, J. R. (2004). An efficacy/effectiveness study of cognitive-behavioral treatment for adolescents with co-morbid major depression and conduct disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 660–668.

    Article  Google Scholar 

  • Rohde, P., Lewisohn, P. M., & Seeley, J. R. (1994). Are adolescents changed by an episode of major depression? Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1289–1298.

    Article  PubMed  Google Scholar 

  • *Rossello, J., & Bernal, G. (1999). The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. Journal of Consulting and Clinical Psychology, 67, 734–745.

    Article  PubMed  Google Scholar 

  • Shadish, W. R., & Sweeney, R. B. (1991). Mediators and moderators in meta-analysis: There’s a reason we don’t let dodo birds tell us which psychotherapies should have prizes. Journal of Consulting and Clinical Psychology, 59, 883–893.

    Article  PubMed  Google Scholar 

  • Shirk, S. R. (2005). Research in service of children and adolescents. In Balance: Society of Clinical Child and Adolescent Psychology Newsletter, 20(1), 1.

    Google Scholar 

  • Silverman, W. K. (2006). Nothing is as practical as a good theory: A mantra for our efforts to disseminate evidence-based practice. In Balance: Society of Clinical Child and Adolescent Psychology Newsletter, 21(1), 1.

    Google Scholar 

  • *Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Rabian, B., & Serafini, L. T. (1999). Contingency management, self-control, and education support in the treatment of childhood phobic disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 675–687.

    Article  PubMed  Google Scholar 

  • Smith, M. L., Glass, G. V., & Miller, T. L. (1980). The benefits of psychotherapy. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Spielmans, G. I., Pasek, L. F., & McFall, J. P. (2007). What are the active ingredients in cognitive and behavioral psychotherapy for anxious and depressed children? A meta-analytic review. Clinical Psychology Review, 27, 642–654.

    Article  PubMed  Google Scholar 

  • *Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (2000). The treatment of childhood school phobia: The effectiveness of a social skills training-based, cognitive-behavioral intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 713–726.

    Google Scholar 

  • *Stark, K. D., Reynolds, W. M., & Kaslow, N. J. (1987). A comparison of the relative efficacy of self-control therapy and a behavioral problem-solving therapy for depression in children. Journal of Abnormal Child Psychology, 15, 91–113.

    Article  PubMed  Google Scholar 

  • Treadwell, K. R. H., & Kendall, P. C. (1996). Self-talk in youth with anxiety disorders: States of mind, content specificity, and treatment outcome. Journal of Consulting and Clinical Psychology, 64, 941–950.

    Article  PubMed  Google Scholar 

  • Treatment for Adolescents with Depression Study (TADS). (2004). Fluoxetine, cognitive–behavioral therapy, and their combination for adolescents with depression. Journal of the American Medical Association, 292, 807–820.

    Article  PubMed  Google Scholar 

  • *Vostanis, P., Feehan, C., Grattan, E., & Bickerton, W. (1996). Treatment for children and adolescents with depression: Lessons from a controlled trial. Clinical Child Psychology and Psychiatry, 1, 199–212.

    Article  Google Scholar 

  • Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536.

    Article  PubMed  Google Scholar 

  • Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96, 465–490.

    Article  PubMed  Google Scholar 

  • Weersing, V. R., & Weisz, J. R. (2002). Mechanisms of action in youth psychotherapy. Journal of Child Psychology and Psychiatry, 43, 3–29.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Donenberg, G. R., Han, S. S., & Weiss, B. (1995). Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63, 688–701.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006). Effects of psychotherapy for depression in children and adolescents: A meta-analysis. Psychological Bulletin, 132, 132–149.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Southam-Gerow, M. A., Gordis, E. B., & Connor-Smith, J. (2003). Primary and secondary control enhancement training for youth depression: Applying the deployment-focused model of treatment development and testing. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 148–164). New York: The Guilford Press.

    Google Scholar 

  • Weisz, J. R., Thurber, C. A., Sweeney, L., Proffitt, V. D., & LeGagnoux, G. L. (1997). Brief treatment of mild-to-moderate child depression using primary and secondary control enhancement training. Journal of Consulting and Clinical Psychology, 65, 703–707.

    Article  PubMed  Google Scholar 

  • Wilson, D. B. (2003). SPSS macros. http://mason.gmu.edu/~dwilsonb/ma.html. Retrieved 1 September 2006.

  • *Wood, A., Harrington, R., & Moore, A. (1996). Controlled trial of a brief cognitive-behavioural intervention in adolescent patients with depressive disorders. Journal of Child Psychology and Psychiatry, 37, 737–746.

    Article  PubMed  Google Scholar 

  • Wood, J. J., Piacentini, J. C., Southam-Gerow, M., Chu, B. C., & Sigman, M. (2006). Family cognitive behavioral therapy for child anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 314–321.

    Article  PubMed  Google Scholar 

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Acknowledgment

The authors thank Kelly Pugh and Jessica Dahan for their tireless efforts and organization in tracking down the many journal articles that informed study analyses.

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  1. Department of Psychology, Rutgers, The State University of New Jersey, 152 Frelinghuysen Road, Piscataway, NJ, 08854, USA

    Brian C. Chu & Tara L. Harrison

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Chu, B.C., Harrison, T.L. Disorder-specific Effects of CBT for Anxious and Depressed Youth: A Meta-analysis of Candidate Mediators of Change. Clin Child Fam Psychol Rev 10, 352–372 (2007). https://doi.org/10.1007/s10567-007-0028-2

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