The effect of cognitive behavioral interventions applied to children with anxiety disorders on their anxiety level: A meta-analysis study

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dc.contributor.authorAlemdar, Hacer
dc.contributor.authorKaraca, Aysel
dc.date.accessioned2025-10-11T20:48:27Z
dc.date.available2025-10-11T20:48:27Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractBackground: Anxiety disorders are among the most prevalent mental health conditions in childhood, affecting an estimated 10 % to 20 % of children. Cognitive Behavioral Therapy (CBT) is the most commonly employed treatment for these disorders. This study utilizes a meta-analytic approach to evaluate the effectiveness of CBT interventions in reducing anxiety levels among children diagnosed with anxiety disorders. Methods: A comprehensive search was conducted in the PubMed, Science Direct, Scopus, and Web of Science databases to identify randomized controlled and quasi-experimental studies that investigated the impact of CBT on children's anxiety levels. Studies that met the inclusion criteria were selected for analysis. The methodological quality of the selected studies was assessed using the Critical Appraisal Checklists developed by the Joanna Briggs Institute (JBI). Meta-analytic procedures were performed using the Review Manager 5.4.1 software. Results: Twenty-nine studies published between 2015 and 2024 met the inclusion criteria and were included in the meta-analysis. The results indicate that CBT interventions are significantly effective in reducing anxiety levels in children with anxiety disorders (SMD: -1.51,95 % CI: -2.07, -0.95, Z = 5.28, p < 0.00001). Among the various types of CBT, cognitive behavioral play therapy emerged as the most effective in reducing anxiety (SMD: -2.41, 95 % CI: -2.95, -1.88, Z = 8.84, p < 0.00001). Additionally, follow-up assessments at 3, 6, and 12 months post-intervention demonstrated that CBT has a sustained effect in lowering children's anxiety levels over time. Conclusions: This meta-analysis offers a valuable update to the existing literature by reinforcing the efficacy of CBT interventions in treating anxiety disorders in children. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.en_US
dc.identifier.doi10.1016/j.pedn.2024.12.020
dc.identifier.endpagee254en_US
dc.identifier.issn0882-5963
dc.identifier.pmid39779425en_US
dc.identifier.scopus2-s2.0-85214346497en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpagee246en_US
dc.identifier.urihttps://doi.org/10.1016/j.pedn.2024.12.020
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21937
dc.identifier.volume80en_US
dc.identifier.wosWOS:001442012800001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Pediatric Nursing-Nursing Care of Children & Familiesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectCognitive behavioral therapyen_US
dc.subjectCognitive behavioral interventionen_US
dc.subjectAnxietyen_US
dc.subjectChilden_US
dc.subjectMeta-analysisen_US
dc.titleThe effect of cognitive behavioral interventions applied to children with anxiety disorders on their anxiety level: A meta-analysis studyen_US
dc.typeArticleen_US

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