Assessing Different Methods of Anxiety Care in Pediatric Settings

Approximately 13% of adolescents aged 9 to 17 suffer from an anxiety disorder, which can
cause disruptive fear, worry, or uneasiness that impairs their normal functioning. These
anxiety disorders can include generalized anxiety disorder (GAD), phobias, panic disorder,
and obsessive-compulsive disorder (OCD), and they often co-occur with a second anxiety
disorder or another mental or behavioral disorder, like depression. Research on
interventions such as cognitive behavioral therapy (CBT) indicates that these interventions
are helpful to children who suffer from anxiety disorders, but are not always used. This
study will examine the feasibility of implementing CBT for children between the ages of 8
and 13 in two different forms: through in-person contact at the pediatric primary care
setting and through telephone-based contact.

Participants in this study will be randomly assigned to receive either cognitive behavioral
therapy in primary care (CBT-PC) or therapist-assisted bibliotherapy in primary care
(TAB-PC). In CBT-PC, participants will have therapy administered by a child anxiety
specialist, and the parents of participants will learn how to support the new skills their
children learn in therapy. In TAB-PC, parents will receive educational workbooks and ongoing
support over the phone from a child anxiety specialist to learn how to use CBT skills to
manage their children's fears and worries. Participation in this study will last 3 to 4
months, with therapy visits occuring once a week at the beginning and tapering to once every
other week at the end of treatment. At pre-treatment, mid-treatment, post-treatment, and a
3-month follow-up, participants will undergo structured clinical interviews to assess their
anxiety levels and the severity of their conditions.