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What caregivers like the most (and least) about cognitive behavioral therapy for youth anxiety: A mixed methods approach.
Norris, Lesley A; Rabner, Jonathan C; Crane, Margaret E; Cervin, Matti; Ney, Julia S; Benito, Kristen G; Kendall, Philip C; Frank, Hannah E.
Afiliación
  • Norris LA; Department of Psychology, Temple University, Philadelphia, PA, USA; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: Lesley.norris@temple.edu.
  • Rabner JC; Department of Psychology, Temple University, Philadelphia, PA, USA.
  • Crane ME; Department of Psychology, Temple University, Philadelphia, PA, USA; Department of Psychiatry, Weill Cornell Medicine, New York City, NY, USA.
  • Cervin M; Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
  • Ney JS; Department of Psychology, Temple University, Philadelphia, PA, USA.
  • Benito KG; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Kendall PC; Department of Psychology, Temple University, Philadelphia, PA, USA.
  • Frank HE; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
J Anxiety Disord ; 98: 102742, 2023 08.
Article en En | MEDLINE | ID: mdl-37343420
Cognitive behavioral therapy (CBT) is an efficacious therapy for youth anxiety disorders. Caregivers are key stakeholders in youth therapy, and their feedback on treatment can help to inform intervention personalization. This mixed-methods study applied a systematic inductive thematic analysis to identify themes among most- and least-liked CBT features reported by caregivers using open-ended responses on the Client Satisfaction Questionnaire (CSQ-8). The sample included 139 caregivers of youth ages 7-17 (M = 12.21, SD = 3.05; 59% female; 79.1% Caucasian, 5.8% Black, 2.9% Asian, 2.2% Hispanic, 7.9% Multiracial, 2.2% Other) with principal anxiety diagnoses who completed 16-sessions of CBT. CSQ-8 quantitative satisfaction scores (M = 29.18, SD = 3.30; range: 16-32) and survey-based treatment response rates (responders n = 93, 67%) were high. Most-liked treatment features included: coping skills (i.e., exposure, understanding/identifying anxiety, rewards, homework), therapist factors (interpersonal style/skill, relationship, accessibility), caregiver involvement, one-on-one time with a therapist, structure, consistency, and personally tailored treatment. Least-liked treatment features included: questionnaires, logistical barriers, telehealth, need for more sessions, non-anxiety concerns not addressed, insufficient caregiver involvement, and aspects of exposure tasks. Proportional frequencies of most- and least-liked themes differed by treatment responder status (e.g., responders cited exposure and homework as most-liked more frequently).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Cuidadores Tipo de estudio: Prognostic_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Anxiety Disord Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Cuidadores Tipo de estudio: Prognostic_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Anxiety Disord Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos