Openly accessible

Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial

Sciberras, Emma, Efron, Daryl, Patel, Pooja, Mulraney, Melissa, Lee, Katherine J., Mihalopoulos, Cathy, Engel, Lidia, Rapee, Ronald M., Anderson, Vicki, Nicholson, Jan M., Schembri, Rachel and Hiscock, Harriet 2019, Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial, BMC psychiatry, vol. 19, pp. 1-9, doi: 10.1186/s12888-019-2276-3.

Attached Files
Name Description MIMEType Size Downloads

Title Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial
Author(s) Sciberras, EmmaORCID iD for Sciberras, Emma orcid.org/0000-0003-2812-303X
Efron, Daryl
Patel, Pooja
Mulraney, Melissa
Lee, Katherine J.
Mihalopoulos, CathyORCID iD for Mihalopoulos, Cathy orcid.org/0000-0002-7127-9462
Engel, LidiaORCID iD for Engel, Lidia orcid.org/0000-0002-7959-3149
Rapee, Ronald M.
Anderson, Vicki
Nicholson, Jan M.
Schembri, Rachel
Hiscock, Harriet
Journal name BMC psychiatry
Volume number 19
Article ID 359
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2019-11
ISSN 1471-244X
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Psychiatry
ADHD
Anxiety
Child
Randomized controlled trial
Efficacy
Treatment
PSYCHOMETRIC PROPERTIES
SLEEP PROBLEMS
COMORBID ANXIETY
HEALTH
SCALE
PREVALENCE
WORKING
DEVELOP
Summary Background: Up to 60% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) meet diagnostic criteria for at least one anxiety disorder, including Social, Generalized and/or Separation Disorder. Anxiety in children with ADHD has been shown to be associated with poorer child and family functioning. Small pilot studies suggest that treating anxiety in children with ADHD using cognitive-behavioral therapy (CBT) has promising benefits. In a fully powered randomized controlled trial (RCT), we aim to investigate the efficacy of an existing CBT intervention adapted for children with ADHD and comorbid anxiety compared with usual care. Methods: This RCT is recruiting children aged 8-12 years (N = 228) from pediatrician practices in Victoria, Australia. Eligibility criteria include meeting full diagnostic criteria for ADHD and at least one anxiety disorder (Generalized, Separation or Social). Eligible children are randomized to receive a 10 session CBT intervention (Cool Kids) versus usual clinical care from their pediatrician. The intervention focuses on building child and parent skills and strategies to manage anxiety and associated impairments including cognitive restructuring and graded exposure. Minor adaptations have been made to the delivery of the intervention to meet the needs of children with ADHD including increased use of visual materials and breaks between activities. The primary outcome is change in the proportion of children meeting diagnostic criteria for an anxiety disorder at 5 months randomization. This will be assessed via diagnostic interview with the child's parent (Anxiety Disorders Interview Schedule for Children V) conducted by a researcher blinded to intervention condition. Secondary outcomes include a range of child (e.g., anxiety symptoms, ADHD severity, behavior, quality of life, sleep, cognitive functioning, school attendance) and parent (e.g., mental health, parenting behaviors, work attendance) domains of functioning assessed at 5 and 12 months post-randomization. Outcomes will be analyzed using logistic and mixed effects regression. Discussion: The results from this study will provide evidence on whether treating comorbid anxiety in children with ADHD using a CBT approach leads to improvements in anxiety and/or broader functional outcomes. Trial registration: This trial was prospectively registered: Current Controlled Trials ISRCTN59518816 (https://doi.org/10.1186/ISRCTN59518816). The trial was first registered 29/9/15 and last updated 15/1/19.
Language eng
DOI 10.1186/s12888-019-2276-3
Indigenous content off
Field of Research 111714 Mental Health
140208 Health Economics
1103 Clinical Sciences
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, The Author(s)
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30132485

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 6 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Thu, 28 Nov 2019, 09:05:15 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.