Cognitive and behavioural processes in anxious children/adolescents V1

  • Research type

    Research Study

  • Full title

    Cognitive and behavioural processes in children and adolescents with anxiety disorders

  • IRAS ID

    171193

  • Contact name

    Polly Waite

  • Contact email

    p.l.waite@reading.ac.uk

  • Sponsor organisation

    University of Reading

  • Duration of Study in the UK

    2 years, 4 months, 29 days

  • Research summary

    Anxiety disorders, such as Social Anxiety Disorder (SAD) and Generalised Anxiety Disorder (GAD) are common in childhood/adolescence and are associated with poorer life course outcomes. The most effective treatment is Cognitive Behaviour Therapy (CBT), which is designed to treat any anxiety disorder, rather than specific disorders, but around 35% of children/adolescents still have their primary anxiety disorder at the end of treatment. In adults, treatments tend to be disorder-specific, with better outcomes than typically seen in child and adolescent populations.

    The core tenet of CBT is that emotion, cognition and behaviour are interlinked and each process influences the other. There is evidence in adult populations for disorder-specific cognitions (e.g. self-focused attention in SAD and intolerance of uncertainty in GAD) and behaviours (e.g. trying not to attract attention in SAD and procrastination in GAD). Disorder-specific treatments involve teasing apart and addressing these processes in order to break the associated vicious cycles. In children and adolescents, specific cognitive processes and behaviours have not been investigated.

    The aims of this study are to examine whether cognitive processes and behaviours that have been identified in adults with SAD and GAD are present in both children and adolescents with SAD and GAD and to investigate whether these processes are specific to these particular anxiety disorders.

    We will recruit children/adolescents with SAD and children/adolescents with an anxiety disorder that does not include SAD (i.e. GAD, Separation Anxiety Disorder, a Specific Phobia, Panic Disorder or Agoraphobia). We will also recruit children/adolescents with GAD and children/adolescents with an anxiety disorder that does not include GAD (i.e. SAD, Separation Anxiety Disorder, a Specific Phobia, Panic Disorder or Agoraphobia). Finally, we will recruit a non-anxious control group of children and adolescents. They will complete self-report questionnaires and their primary caregiver will also complete questionnaires reporting on the child/adolescent.

  • REC name

    South Central - Berkshire B Research Ethics Committee

  • REC reference

    15/SC/0081

  • Date of REC Opinion

    20 Apr 2015

  • REC opinion

    Further Information Favourable Opinion