Attachment as a predictor of non response to CBT treatment in children with anxiety disorders
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Attachment as a predictor of non response to CBT treatment in children with anxiety disorders. / Walczak, Monika Anna; Esbjørn, Barbara Hoff; Breinholst, Sonja.
In: Attachment & Human Development, Vol. 19, No. 6, 14.06.2017, p. 635-653.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Attachment as a predictor of non response to CBT treatment in children with anxiety disorders
AU - Walczak, Monika Anna
AU - Esbjørn, Barbara Hoff
AU - Breinholst, Sonja
PY - 2017/6/14
Y1 - 2017/6/14
N2 - Children’s and parents’ attachment patterns have been linked with the presence of pediatric anxiety disorders. The present study examined the role of attachment in predicting cognitive behavior therapy (CBT) treatment outcomes. A total of 69 children aged 7–13 years were assessed using a semi-structured interview, and treated with CBT. Differences between responders and nonresponders with regard to pretreatment characteristics were explored, and the predictive power of factors significantly different between groups was assessed using binominal logistic regression. Responders and nonresponders did not significantly differ with regard to child’s attachment to parent. Maternal attachment anxiety was found to be the strongest predictor of treatment outcome, remaining significant after controlling for symptoms severity. Results suggest that clinicians should pay more attention to how the relationships formed between anxious children and their anxiously attached mothers may prohibit a positive treatment response, and augment treatment appropriately.
AB - Children’s and parents’ attachment patterns have been linked with the presence of pediatric anxiety disorders. The present study examined the role of attachment in predicting cognitive behavior therapy (CBT) treatment outcomes. A total of 69 children aged 7–13 years were assessed using a semi-structured interview, and treated with CBT. Differences between responders and nonresponders with regard to pretreatment characteristics were explored, and the predictive power of factors significantly different between groups was assessed using binominal logistic regression. Responders and nonresponders did not significantly differ with regard to child’s attachment to parent. Maternal attachment anxiety was found to be the strongest predictor of treatment outcome, remaining significant after controlling for symptoms severity. Results suggest that clinicians should pay more attention to how the relationships formed between anxious children and their anxiously attached mothers may prohibit a positive treatment response, and augment treatment appropriately.
KW - Faculty of Social Sciences
KW - Childhood anxiety
KW - attachment
KW - parents
KW - CBT
KW - treatment response
U2 - 10.1080/14616734.2017.1339099
DO - 10.1080/14616734.2017.1339099
M3 - Journal article
C2 - 28612690
VL - 19
SP - 635
EP - 653
JO - Attachment & Human Development
JF - Attachment & Human Development
SN - 1461-6734
IS - 6
ER -
ID: 179640774