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Some important messages from our @Cochrane_CCMD #TonyJames @Tess_Reardon @Cathy_Creswell review on cognitive behavioural therapy (CBT) for anxiety disorders in children and adolescents. THREAD (1/9)
Read here: http://ow.ly/vAcs50ClA50
Read here: http://ow.ly/vAcs50ClA50
The main conclusion is that there is sufficient evidence that CBT is an effective treatment for anxiety disorders in children and young people….(2/9)
…HOWEVER the average recovery rate across studies was only 49% showing we still have a long way to go (3/9)
We also cannot conclude that CBT is ‘the best’ treatment. We don’t know. Few studies have compared it to other treatments and from those that have, there is little to no evidence that CBT is superior to usual care or alternative treatments…(4/9)
…It is important to note that there was no evidence of differences in outcomes based on therapist contact time. Given the pressures on services and families’ time we can’t justify overly lengthy treatments, but could make brief treatments widely available (5/9)
…Future research needs to identify core mechanisms of effective treatments (CBT and alternative treatments) and cost-effectiveness analyses so we can improve the efficiency and effectiveness of treatments…(6/9)
… It is great to see that research on CBT for child anxiety is growing, but it is yet to extend to children in low or middle-income countries, children with intellectual disabilities, physical health conditions or in inpatient settings … (7/9)
…Finally many studies have lumped together children and adolescents and we know little about the specific outcomes for either young children or adolescents (8/9)
..clearly lots of work still to do! (9/9)
