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The role of exposure in the treatment of anxiety in children and adolescents: protocol of a systematic review and meta-analysis

Schopf, Kathrin and Mohr, Cornelia and Lippert, Michael W. and Sommer, Katharina and Meyer, Andrea Hans and Schneider, Silvia. (2020) The role of exposure in the treatment of anxiety in children and adolescents: protocol of a systematic review and meta-analysis. Systematic Reviews, 9 (1). p. 96.

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Official URL: https://edoc.unibas.ch/76540/

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Abstract

In children and adolescents, anxiety disorders (ADs) are among the most prevalent mental disorders. While there is a solid empirical foundation to support CBT as an evidence-based treatment for childhood ADs, the mechanisms underlying the efficacy of CBT are not well explored. Exposure is assumed to be vital to the efficacy of CBT in ADs, but empirical evidence (e.g., dismantling studies) showing that exposure is indeed a vital element of effective treatments is relatively scarce. The proposed meta-analysis aims to investigate the role of exposure in reducing symptoms of anxiety among children and adolescents.; A systematic search of several electronic databases including PubMed/MEDLINE, PsycINFO, Psyndex plus, Web of Science, Scopus, and EMBASE will be conducted (from inception onwards). We will include randomized and non-randomized clinical trials examining exposure and anxiety among children and adolescents. If feasible, we will also include experimental, quasi-experimental, and observational studies. The primary outcome will be improvement in anxiety levels (recovery or change in anxiety rating scale) after exposure. Three reviewers will independently screen all citations, abstract data, and full-text articles. The methodological quality (or risk of bias) of individual studies will be appraised using an appropriate tool. If feasible, we will conduct mixed effects meta-analysis. Additional analyses will be conducted to explore the potential sources of heterogeneity (e.g., dose of exposure, age group, methodological quality).; This systematic review and meta-analysis will examine the role of exposure in reducing symptoms of anxiety among youth. The review will provide information on the working mechanisms underlying the efficacy of CBT. Our findings will be of interest to mental health professionals, researchers, and policy makers who wish to support children and adolescents with anxiety disorders by guiding well-informed treatment decisions.; PROSPERO (CRD42019128667).
Faculties and Departments:07 Faculty of Psychology
07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Epidemiologie (Lieb)
UniBasel Contributors:Meyer, Andrea Hans
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:BioMed Central
e-ISSN:2046-4053
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:08 Feb 2021 08:55
Deposited On:01 Feb 2021 11:30

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