Positive association of child involvement and treatment outcome within a manual-based cognitive-behavioral treatment for children with anxiety.

Abstract:

:Ratings of child involvement in manual-based cognitive-behavioral treatment for anxiety were associated with the absence of primary anxiety diagnosis and reductions in impairment ratings at posttreatment for 59 children with anxiety (ages 8-14 years). Good-to-excellent interrater reliability was established for the independent ratings of 237 therapy sessions, and strong psychometrics were established for the involvement measure. Child involvement at midtreatment, just prior to in vivo exposures, was positively associated with treatment gains but earlier involvement was not. Increased involvement during therapy (positive involvement shifts) may provide a useful index of change and may also predict outcomes. Involvement was not associated with client demographics or diagnostic category. Implications for treatment and measurement of psychotherapy process within manual-based treatments are discussed.

journal_name

J Consult Clin Psychol

authors

Chu BC,Kendall PC

doi

10.1037/0022-006X.72.5.821

keywords:

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

821-9

issue

5

eissn

0022-006X

issn

1939-2117

pii

2004-19094-010

journal_volume

72

pub_type

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