Adapting CBT for youth anxiety: Flexibility, within fidelity, in different settings.

Autor:	Kendall PC; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States., Ney JS; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States., Maxwell CA; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States., Lehrbach KR; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States., Jakubovic RJ; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States., McKnight DS; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States., Friedman AL; Department of Psychology and Neuroscience, Child and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia, PA, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2023 Mar 01; Vol. 14, pp. 1067047. Date of Electronic Publication: 2023 Mar 01 (Print Publication: 2023).
DOI:	10.3389/fpsyt.2023.1067047
Abstrakt:	Anxiety disorders are common in youth, associated with impairments in daily functioning, and often persist into adulthood when untreated. Cognitive behavioral therapy (CBT) for youth anxiety is a well-established intervention and has been modified to fit several treatment settings. Despite decades of results supporting the efficacy of CBT, there is a large gap in access to this treatment and a need to consider how it can best be administered flexibly to increase uptake and personalization. We first discuss the core components of treatment for CBT through the lens of the Coping Cat treatment. Next, we review the empirical findings regarding adjustments made for CBT for youth anxiety delivered (a) in schools, (b) in community settings, (c) through telehealth, (d) through online computer programs, and (e) by caregivers at home. In each setting, we provide specific suggestions for how to implement CBT with flexibility while maintaining fidelity. Competing Interests: PK receives royalties from the sales of materials related to the treatment of anxiety in youth. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Kendall, Ney, Maxwell, Lehrbach, Jakubovic, McKnight and Friedman.)
Databáze:	MEDLINE
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