E-ISSN 2636-8765 | ISSN 2146-9490
 

Original Research 


Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders

Nilgun Ongider-Gregory, Burak Baykara.

Abstract
Objective: It was aimed to investigate efficacy of Cognitive behavioral group therapy (CBGT) in childhood anxiety disorders by pre and post therapy.
Method: Trial sample was obtained from an university outpatient child psychiatry clinic. Therapy group (n=12) was selected from children and their parents whom was diagnosed as DSM-IV childhood anxiety disorder. And comparation group (n=12) was selected from children and their parents whom was in the waiting list. The total sample includes 72 indivudual. Before and after CBGT; sociodemographic data questionnaire and State-Trait Anxiety Inventory for Children was applied to children, State-Trait Anxiety Inventory was applied to parents.
Results: Data analysis was done by Wilcoxon non-parametric test. Children whom in therapy group both state and trait anxiety levels was significantly reduced after CBGT sessions (z=-2.549 p<.01; z=-2.828 p<.001). There were significant differences between children of therapy group and the comparation group in wich state and trait anxiety levels . For parents from therapy group, state and trait anxiety levels was significantly reduced after CBGT sessions which were applied to their offsprings. Also there were significant differences between parents of therapy group and the comparation group both state and trait anxiety levels .
Conclusion: Anxiety levels were reduced significantly after CBGT sessions and also differences between therapy and the comparation groups were important. Therefore it was interpreted that CBGT was effective for reducing anxiety levels in children. Anxiety levels of parents were reduced after their children’s CBGT sessions; it is showed that whole family is playing an important role in anxiety treatment. Many research in the literature highlights that parents play crucial role in emerging anxiety sympoms of their children.

Key words: Cognitive behavior group therapy (CBGT), children, anxiety disorders


 
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REFERENCES
Albeno AM, Chorpina BF, Barlow DH (1996) Childhood anxiety disorders. In Mash EJ, Barkley RA ve ark (Ed) Child psychopathology. New york: Guilford Pres, s. 196- 241.
Almerigogna J, Ost J, Bull R ve ark (2007) A State of High Anxiety: How Non-Supportive Interviewers can Increase the Suggestibility of Child Witnesses. Appl Cogn Psychol, 21: 963-74. [DOI via Crossref]   
Amerikan Psikiyatri Birliði (1994) Mental bozukluklarýn tanýsal ve sayýmsal el kitabý, dördüncü baský (DSM-IV) (Çev. Ed. E. Köroðlu) Hekimler Yayýn Birliði, Ankara.
Amerikan Psikiyatri Birliði (2013) Mental bozukluklarýn taný ölçütleri baþvuru kitabý, beþinci baský (DSM-V) (Çev. Köroðlu, E.) Hekimler Yayýn Birliði, Istanbul.
Barrett PM (1998) Evaluation of cognitive-behavioral group treatments for childhood anxiety disorders. J Clin Child Psychol, 27: 459-68. [DOI via Crossref]    [Pubmed]   
Barrett PM, Dadds, MR, Rapee RM (1996) Family treatment of childhood anxiety: A controlled trial. J Consult and Clin Psychol, 64: 333-42. [DOI via Crossref]   
Barrett PM, Duffy AL, Dadds MR ve ark (2001) Cognitive– behavioral treatment of anxiety disorders in children: long-term (6-year) follow-up. J Consult and Clin Psychol, 69:135-41. [DOI via Crossref]   
Birmaher B, Brent DA (2007) Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with depressive disorder. J Am Acad Child Adolesc Psychiatry, 46: 1503-26. [DOI via Crossref]    [Pubmed]   
Choate ML, Pincus DB, Eyberg SM ve ark (2005) Parent-child interaction therapy for treatment of separation anxiety disorder in young children: A pilot study. Cognit Behav Pract, 12: 126-35. [DOI via Crossref]   
Chorpita BF, Taylor AA, Francis SE ve ark (2004) Efficacy of modular cognitive behavior therapy for childhood anxiety disorders. Beh Ther, 35: 263-87. [DOI via Crossref]   
Cobham VE, Dadds MR, Spence SH (1998) The role of parental anxiety in the treatment of childhood anxiety. J Consult Clin Psychol, 66: 893-905. [DOI via Crossref]    [Pubmed]   
Creswell C ve ark (2008) Treatment of Child Anxiety: An Exploratory Study of the Role of Maternal Anxiety and Behaviours in Treatment Outcome. Clin Psychol Psychother, 15: 38-44. [DOI via Crossref]    [Pubmed]   
Ehrenreich-May J, Bilek EL (2012) The Development of a Transdiagnostic, Cognitive Behavioral Group Intervention for Childhood Anxiety Disorders and Co-Occurring Depression Symptoms. Cognit Behav Pract, 19 : 41-55. [DOI via Crossref]   
Eisen AR, Silverman WK (1993) Should I relax or change my thoughts? A preliminary examination of cognitive therapy, relaxation training, and their combination with overanxious children. J Cognit Psychother, 7: 265-279.
Epkins CC (2002) A comparison of two self-report measures of children's social anxiety in clinical and community samples. J Clin Child Adolesc Psychol, 31: 69-79. [DOI via Crossref]    [Pubmed]   
Friedberg RD, McClure JM, Garcia JH (2010) Cognitive Therapy Techniques for Children and Adolescents: Tools for Enhancing Practice.
Ginsburg GS, Siqueland L, Masia-Warner C ve ark (2004) Anxiety disorders in children: Family matters. Cognit Behav Pract, 11: 28-43. [DOI via Crossref]   
Gosch EA, Flannery-Schroeder E, Mauro CF ve ark (2006) Principles of Cognitive-Behavioral Therapy for Anxiety Disorders in Children. J Cognit Psychother, 20: 247-62. [DOI via Crossref]   
Hallion LS, Ruscio AM (2011) A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychol Bull, 137: 940-58. [DOI via Crossref]    [Pubmed]   
Hoag MJ, Burlingame GM (1997) Evaluating the effectiveness of child and adolescent group treatment: A meta-analytic review. J Clin Child Psychol, 26: 234-46. [DOI via Crossref]    [Pubmed]   
Hofmann SG, Asnaani A, Vonk IJJ ve ark (2012) The Efficacy of Cognitive Behavioral Therapy: A Review of Metaanalyses. Cognitive Ther Res, 36 : 427-40. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
Kandil-Tanrýöver S (2007) Anksiyete bozukluklarý ve Ayrýlma Anksiyetesi bozuklukluðu. Çocuk Ve Ergen Ruh Saðlýðý Ve Hastalýklarý. Soykan Aysev A, Iþýk Taner Y (Eds), Ýstanbul. Asimetri Paralel, s.441-530.
Kelly A, O'Neil MA, Kendall PC (2012) Role of Comorbid Depression and Co-occurring Depressive Symptoms in Outcomes for Anxiety-Disordered Youth Treated with Cognitive-Behavioral Therapy. ChĂ˝ld Fam Behav Ther, 34: 197-209. [DOI via Crossref]   
Kendall PC (1994) Treating anxiety disorders in children: Results of a randomized clinical trial. J Consult Clin Psychol, 62: 100-10. [DOI via Crossref]    [Pubmed]   
Kendall PC (2000) Cognitive-behavioral therapy for anxious children: Therapist manual (2nd Ed.). Ardmore, PA: Workbook Publishing.
Kendall PC, Hudson JL, Gosch E ve ark (2008) Cognitivebehavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. J Consult Clin Psychol, 76: 282-97. [DOI via Crossref]    [Pubmed]   
Kramer GP, Bernstein DA, Phares V (2010) Introduction to Clinical Psychology. Seventh Edition. Pearson, New Jersey, s: 358-95.
Lumpkin PW, Silverman WK, Weems CF ve ark (2002) Treating a heterogeneous set of anxiety disorders in youths with group cognitive behavioral therapy: A partially nonconcurrent multiple-baseline evaluation. Behav Ther, 33: 163-77. [DOI via Crossref]   
McLeod BD, Wood JJ, Weisz JR (2007) Examining the association between parenting and child anxiety: A metaanalysis. Clin Psychol Rev, 27: 155-72. [DOI via Crossref]    [Pubmed]   
McLeod C, Mathews A (2012) Cognitive Bias Modification Approaches to Anxiety. Annu Rev Clin Psychol, 8: 189- 217. [DOI via Crossref]    [Pubmed]   
Nakamura BJ, Pestle SL, Chorpita BF (2009) Differential Sequencing of Cognitive-Behavioral Techniques for Reducing Child and Adolescent Anxiety. J Cognit Psychother, 23: 114-35. [DOI via Crossref]   
Oltmans TF, Emery RE (2012) Abnormal Psychology. 7th. Ed. Pearson, New Jersey, s:419-48.
Ă–ner N, Le Compte A (1985) Hand Book of State-Trait Anxiety Inventory. Turkey Bogazici University Press No. 333.
Öngider N (2011) Anksiyete Düzeyleri Açýsýndan Boþanmýþ ve Evli Anneler ile Çocuklarýnýn Ýncelenmesi. Nöropsikiyatri Arþivi Derg, 48: 66-70.
Öngider N (2013) Biliþsel Davranýþçý Terapi (BDT)'nin Boþanma Sonrasýnda Kadýnlarýn Depresyon, Anksiyete ve Yalnýzlýk Semptomlarýnda Etkinliði: Bir Pilot Çalýþma. Biliþsel Davranýþçý Psikoterapi ve Araþtýrmalar Derg, 2: 147-55.
Öngider N (2014) Bilissel Davraniþci Terapinin Duygu Durum ve Anksiyete Bozukluðu Olan Çocuk ve Ergenlerde Kullanýmý: Bir Gözden Geçirme Çalýþmasý. Biliþsel Davranýþçý Psikoterapi ve Araþtýrmalar Derg, 3: 99-108.
Özusta HÞ (1995) Çocuklar Ýçin Durumluk-Sürekli Kaygý Envanteri Uyarlama, Geçerlik ve Güvenirlik Çalýþmasý. Türk Psikoloji Derg, 10: 32-44.
Richardson T, Stallard P, Velleman S (2010) Computerised Cognitive Behavioural Therapy for the Prevention and Treatment of Depression and Anxiety in Children and Adolescents: A Systematic Review.Clin Child Fam Psych, 13 : 275-90. [DOI via Crossref]    [Pubmed]   
Rose SD, Tolman R, Tallant S (1985) Group process in cognitive-behavioral therapy. the Behav Ther, 8:71-5.
Seligman LD, Ollendick TH (2011) Cognitive Behavioral Therapy for Anxiety Disorders in Youth. Child Adolesc Psychiatr Clin N Am, 20: 217-38. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
Silverman WK, Kurtines WM, Ginsburg GS ve ark (1999) Treating anxiety disorders in children with group cognitive-behavioral therapy: A randomized clinical trial. J Consult Clin Psychol, 67: 675–87. [DOI via Crossref]    [Pubmed]   
Sorias O, Bildik T, Tekinsav-Sütcü S ve ark (2009) Korku Avcýsý. Anksiyete Bozukluðu Olan Çocuklar için Biliþsel Davranýþçý Terapi Rahberi. Ege Üni. Yayýnlarý, Ýzmir.
Spence SH (1998) A measure of anxiety symptoms among children. Behav Res Ther, 36: 545-66. [DOI via Crossref]   
Spielberger CD, Gorsuch RL, Lushene RE ve ark (1983) Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press.
Stirling LJ, Eley TC, Clark DM (2006) Preliminary Evidence for an Association Between Social Anxiety Symptoms and Avoidance of Negative Faces in School-Age Children. J Clin Child and Adolesc Psychol, 35: 440-5. [DOI via Crossref]   
Storch EA, Masia-Warner C, Heidgerken AD ve ark (2006) Factor Structure of the Liebowitz Social Anxiety Scale for Children and Adolescents Child Psychiatry. Hum Dev, 37: 25-37
Suveg C, Roblek TL, Robin J ve ark (2006) Parental Involvement When Conducting Cognitive-Behavioral Therapy for Children With Anxiety Disorders. J Cognit Psychother, 20: 287-99. [DOI via Crossref]   
Tanaka M, Kitamura T, Chen Z ve ark (2009) Do Parents Rear their Children as they were Reared Themselves? Intergenerational Transmission of Parental Styles and Possible Mediation by Personality Traits. The Open Fam Stud J, 2: 82-90. [DOI via Crossref]   
Velting ON, Setzer NJ, Albano AM (2004) Update on and advances in assessment and cognitivebehavioral treatment of anxiety disorders in children and adolescents. Prof Psychol Res Pract, 35: 42-54. [DOI via Crossref]   
Weersing VR , Rozenman MS, Maher-Bridge M ve ark (2012) Anxiety, Depression, and Somatic Distress: Developing a Transdiagnostic Internalizing Toolbox for Pediatric Practice. Cogn Behav Pract, 19 : 68–82. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
Wood J, McLeod BD, Sigman M ve ark (2003) Parenting and childhood anxiety: Theory, empirical findings and future directions. J Child Psychol Psychiatry App Discip, 44: 134-51. [DOI via Crossref]   

How to Cite this Article
Pubmed Style

Nilgun Ongider-Gregory, Burak Baykara. [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. JCBPR. 2015; 4(1): 26-37. Turkish. doi:10.5455/JCBPR.174138


Web Style

Nilgun Ongider-Gregory, Burak Baykara. [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. http://www.jcbpr.org/?mno=174138 [Access: September 04, 2021]. Turkish. doi:10.5455/JCBPR.174138


AMA (American Medical Association) Style

Nilgun Ongider-Gregory, Burak Baykara. [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. JCBPR. 2015; 4(1): 26-37. Turkish. doi:10.5455/JCBPR.174138



Vancouver/ICMJE Style

Nilgun Ongider-Gregory, Burak Baykara. [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. JCBPR. (2015), [cited September 04, 2021]; 4(1): 26-37. Turkish. doi:10.5455/JCBPR.174138



Harvard Style

Nilgun Ongider-Gregory, Burak Baykara (2015) [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. JCBPR, 4 (1), 26-37. Turkish. doi:10.5455/JCBPR.174138



Turabian Style

Nilgun Ongider-Gregory, Burak Baykara. 2015. [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. Journal of Cognitive-Behavioral Psychotherapy and Research, 4 (1), 26-37. Turkish. doi:10.5455/JCBPR.174138



Chicago Style

Nilgun Ongider-Gregory, Burak Baykara. "[Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]." Journal of Cognitive-Behavioral Psychotherapy and Research 4 (2015), 26-37. Turkish. doi:10.5455/JCBPR.174138



MLA (The Modern Language Association) Style

Nilgun Ongider-Gregory, Burak Baykara. "[Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]." Journal of Cognitive-Behavioral Psychotherapy and Research 4.1 (2015), 26-37. Print.Turkish. doi:10.5455/JCBPR.174138



APA (American Psychological Association) Style

Nilgun Ongider-Gregory, Burak Baykara (2015) [Efficacy of Cognitive Behavioral Group Therapy (CBGT) among children with anxiety disorders]. Journal of Cognitive-Behavioral Psychotherapy and Research, 4 (1), 26-37. Turkish. doi:10.5455/JCBPR.174138