| Cognitive Mediation of Cognitive-Behavioural Therapy Outcomes for Anxiety-Based School Refusal. | |
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MedLine Citation:
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PMID: 23017774 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Marija Maric; David A Heyne; David P Mackinnon; Brigit M van Widenfelt; P Michiel Westenberg |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-9-28 |
Journal Detail:
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Title: Behavioural and cognitive psychotherapy Volume: - ISSN: 1469-1833 ISO Abbreviation: Behav Cogn Psychother Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-9-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9418292 Medline TA: Behav Cogn Psychother Country: - |
Other Details:
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Languages: ENG Pagination: 1-16 Citation Subset: - |
Affiliation:
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Leiden University Institute of Psychology, the Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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