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Group cognitive behavioural treatment of youth anxiety in community based clinical practice: Clinical significance and benchmarking against efficacy |
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| Institution: | 1. Centre for Mental Health & Safety, Division of Psychology & Mental Health, School of Health Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester and Manchester Academic Health Sciences Centre, Manchester, UK;2. National Institute for Health Research (NIHR) Greater Manchester Patient Safety Translational Research Centre, Manchester, UK;3. Centre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester and Manchester Academic Health Sciences Centre, UK;4. School of Medicine, Faculty of Medicine and Health Sciences, Keele University, Staffs, UK;5. Division of Neuroscience & Experimental Psychology, Faculty of Biology, Medicine and Health, The University of Manchester & and Royal Manchester Children''s Hospital, Central Manchester University Hospitals NHS Foundation, Manchester, UK;6. Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK |
| Abstract: | The efficacy of a group cognitive behavioural therapy (CBT) programme (Cool Kids) of youth anxiety has been demonstrated at university clinics in Australia and Denmark and similar CBT programmes have been found effective within community settings in other countries. However, most effectiveness studies of CBT for youth anxiety have either used a mixture of CBT guidelines, or translated protocols not previous tested in an efficacy trial. This study used a benchmarking strategy to compare outcomes from the same CBT programme used at a university research clinic (N = 87) and community centres (N = 82). There was a significant reduction on both clinical and self-report measures of youth anxiety over time with medium to large effect sizes within both samples. Treatment effects on self-report measures of youth anxiety were significantly larger within the university sample, while changes in clinical measures of youth anxiety were similar in the two samples. Overall these findings suggest that an efficacious CBT group treatment programme developed within research contexts is transportable to community centres. Despite being effective within the community, the results indicate that the treatment may lose some of its efficacy when disseminated to the community. |
| Keywords: | Youth anxiety Cognitive behaviour therapy Group therapy Effectiveness CS"} {"#name":"keyword" "$":{"id":"kw0030"} "$$":[{"#name":"text" "_":"Community sample US"} {"#name":"keyword" "$":{"id":"kw0040"} "$$":[{"#name":"text" "_":"University sample SCC"} {"#name":"keyword" "$":{"id":"kw0050"} "$$":[{"#name":"text" "_":"School counselling centre CAPC"} {"#name":"keyword" "$":{"id":"kw0060"} "$$":[{"#name":"text" "_":"Children and adolescent psychiatric centre |
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