NDLI: Cognitive Mediation of Cognitive-Behavioural Therapy Outcomes for Anxiety-Based School Refusal

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Cognitive Mediation of Cognitive-Behavioural Therapy Outcomes for Anxiety-Based School Refusal

Content Provider	Scilit
Author	Maric, Marija Heyne, David A. Kinnon, David P. Mac van Widenfelt, Brigit M. Westenberg, P. Michiel
Copyright Year	2012
Description	Background: Cognitive-behavioural therapy (CBT) has proven to be effective for anxiety-based school refusal, but it is still unknown how CBT for school refusal works, or through which mechanisms. Aims: Innovative statistical approaches for analyzing small uncontrolled samples were used to investigate the role of self-efficacy in mediating CBT outcomes for anxiety-based school refusal. Method: Participants were 19 adolescents (12 to 17 years) who completed a manual-based cognitive-behavioural treatment. Primary outcomes (school attendance; school-related fear; anxiety) and secondary outcomes (depression; internalizing problems) were assessed at post-treatment and 2-month follow-up. Results: Post-treatment increases in school attendance and decreases in fear about attending school the next day were found to be mediated by self-efficacy. Mediating effects were not observed at 2-month follow-up. Conclusions: These findings provide partial support for the role of self-efficacy in mediating the outcome of CBT for school refusal. They contribute to a small body of literature suggesting that cognitive change enhances CBT outcomes for young people with internalizing problems. Regarding methodology, the product of coefficient test appears to be a valuable way to study mediation in outcome studies involving small samples.
Related Links	http://europepmc.org/articles/pmc3772992?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772992/pdf https://www.cambridge.org/core/services/aop-cambridge-core/content/view/BFBEC79599D079DC9CAE92AF3C6F6A69/S1352465812000756a.pdf/div-class-title-cognitive-mediation-of-cognitive-behavioural-therapy-outcomes-for-anxiety-based-school-refusal-div.pdf
Ending Page	564
Page Count	16
Starting Page	549
ISSN	13524658
e-ISSN	14691833
DOI	10.1017/s1352465812000756
Journal	Behavioural and cognitive psychotherapy
Issue Number	5
Volume Number	41
Language	English
Publisher	Cambridge University Press (CUP)
Publisher Date	2013-10-01
Access Restriction	Open
Subject Keyword	Behavioural and cognitive psychotherapy Clinical Psychology
Content Type	Text
Resource Type	Article
Subject	Medicine Clinical Psychology

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