Coping Cat

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The Coping Cat program is a CBT manual-based and comprehensive treatment program for children from 7 to 13 years old with separation anxiety disorder, social anxiety disorder, generalized anxiety disorder, and/or related anxiety disorders. [1] It was designed by Philip C. Kendall, PhD, ABPP, and colleagues at the Child and Adolescent Anxiety Disorders Clinic at Temple University. [2] A related program called C.A.T. Project is aimed at adolescents aged 14 to 17. [3]

Contents

The goals of the treatment are three-fold: [4]

Application

In 16 individual therapy program is divided into two parts: The first eight sessions are the training segment, and the second eight sessions are the practice (exposure tasks) segment. Sessions last approximately 50 minutes. In addition, two sessions between the therapist and the parent(s)/guardian(s) are scheduled at session 4 and session 9. While the therapist follows a treatment manual, the youth uses the Coping cat workbook to guide completion of the exercises and to aid involvement and skill acquisition.

The therapist and youth together create a personalized FEAR plan for the youth to use in anxiety-provoking situations. FEAR stands for Feeling frightened?; Expecting bad things to happen?; Actions and attitudes that can help?; Results and rewards.

Youth are also given homework, referred to as a STIC (Show That ICan) task. [5]

Evidence

Coping Cat is a "well supported" intervention for treating separation anxiety disorder, social anxiety disorder, and generalized anxiety disorder. [6] Based on the numerous rigorous research evaluations, the program has met the criteria for an "empirically supported treatment". [7] The program has been evaluated in several randomized clinical trials with one-year follow-up data conducted both in the United States, [8] [9] Norway, [10] and in Australia. [11] The outcomes have been very favorable, with 3.35 year-follow-up of one study [12] and 7.4 year follow-up of the second study [13] providing evidence of the maintenance gains. One trial comparing the effects of Coping Cat, sertraline, and their combination, demonstrated that youths who received the combination of Coping Cat and medication received the most benefits, and both Coping Cat and sertraline alone resulted in significant improvements that were also greater than a pill placebo. [14] Coping Cat has also been found to be effective in treating children with anxiety with high-function autism spectrum disorder. [15] [16]

Versions

See also

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References

  1. ↑ Kendall, P. C., Crawford, E. A., Kagan, E. R., Furr, J. M., & Podell, J. L. (2017). "Child-Focused Treatment of Anxiety". In J. R. Weisz & A. E. Kazdin (ed.). Evidence-Based Psychotherapies for Children and Adolescents. New York, NY: The Gilford Press. pp. 17–34.{{cite book}}: CS1 maint: multiple names: authors list (link)
  2. ↑ Kendall, P.C., & Hedtke, K.A. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing.{{cite book}}: CS1 maint: multiple names: authors list (link)
  3. 1 2 Kendall, Choudhury, Hudson, & Webb (2002). "The C.A.T. Project Manual".{{cite web}}: CS1 maint: multiple names: authors list (link)
  4. ↑ Tracy L. Morris; John S. March (MD.) (January 2004). Anxiety Disorders in Children and Adolescents. Guilford Press. p. 313. ISBN   978-1-57230-981-4.
  5. ↑ Eva Szigethy; John R. Weisz; Robert L. Findling (1 January 2012). Cognitive-Behavior Therapy for Children and Adolescents. American Psychiatric Pub. p. 231. ISBN   978-1-58562-406-5.
  6. 1 2 "CEBC » Coping Cat › Program › Detailed". www.cebc4cw.org. Retrieved 2018-08-10.
  7. ↑ Hollon, S. D. & Beck, A. T. (2013). "Cognitive and cognitive-behavioral therapies". In Lambert MJ (ed.). Bergin and Garfield's Handbook of Psychotherapy and Behavior Change (6th ed.). Mahwah, NJ: Wiley.{{cite book}}: CS1 maint: multiple names: authors list (link)
  8. ↑ Kendall, P. C. (1994). "Treating anxiety disorders in children: Results of a randomized clinical trial". Journal of Consulting and Clinical Psychology. 62 (1): 100–110. doi:10.1037/0022-006X.62.1.100. PMID   8034812.
  9. ↑ Kendall, P. C.; Flannery-Schroeder, E.; Panichelli-Mindel, S. M.; Southam-Gerow, M. A.; Henin, A.; Warman, M. (1997). "Therapy for youths with anxiety disorders: A second randomized clinical trial". Journal of Consulting and Clinical Psychology. 65 (3): 366–380. doi:10.1037/0022-006X.65.3.366. PMID   9170760.
  10. 1 2 Villabø, M.; Narayanan, M.; Compton, S.; Kendall, P. C.; Neumer, S. (2018). "Cognitive-behavioral therapy for youth anxiety: An effectiveness evaluation in community practice". Journal of Consulting and Clinical Psychology. 86 (9): 751–764. doi:10.1037/ccp0000326. PMC   6108446 . PMID   30138014.
  11. ↑ Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). "Family treatment of childhood anxiety: A controlled trial". Journal of Consulting and Clinical Psychology. 64 (2): 333–342. doi:10.1037/0022-006x.64.2.333. PMID   8871418.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  12. ↑ Kendall, P. C.; Southam-Gerow, M. A. (1996). "Long-term follow-up of a cognitive–behavioral therapy for anxiety-disordered youth". Journal of Consulting and Clinical Psychology. 64 (4): 724–730. doi:10.1037/0022-006X.64.4.724. PMID   8803362.
  13. ↑ Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). "Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up". Journal of Consulting and Clinical Psychology. 7 (2): 276–287. doi:10.1037/0022-006X.72.2.276. PMID   15065961.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  14. ↑ Walkup, J. T.; Albano, A. M.; Piacentini, J.; Birmaher, B.; Compton, S. N.; Sherrill, J. T.; et al. (2008). "Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety". The New England Journal of Medicine. 359 (26): 2753–2766. doi:10.1056/NEJMoa0804633. PMC   2702984 . PMID   18974308.
  15. ↑ Keehn, R. H. M.; Lincoln, A. J.; Brown, M. Z.; Chavira, D. A. (2013). "The Coping Cat program for children with anxiety and autism spectrum disorder: a pilot randomized controlled trial". Journal of Autism and Developmental Disorders. 43 (1): 57–67. doi:10.1007/s10803-012-1541-9. PMC   3537891 . PMID   22588377.
  16. ↑ Kids Autism Therapy
  17. ↑ Manassis, K., Mendlowitz, S. L., Scapillato, D., Avery, D., Fiksenbaum, L., Freire, M., ... & Owens, M. (2002). "Group and individual cognitive-behavioral therapy for childhood anxiety disorders: A randomized trial". Journal of the American Academy of Child & Adolescent Psychiatry. 41 (12): 1423–1430. doi:10.1097/00004583-200212000-00013. PMID   12447028.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  18. ↑ Kendall, P.C., Hudson, J., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). "Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities". Journal of Consulting and Clinical Psychology. 76 (2): 282–297. doi:10.1037/0022-006x.76.2.282. PMID   18377124. S2CID   8995446.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  19. ↑ Rodriguez, K., Kendall, P. C., Stark, K., & Martinsen, K. (2013). EMOTION: Coping kids' workbook. Ardmore, PA: Workbook Publishing.{{cite book}}: CS1 maint: multiple names: authors list (link)
  20. ↑ Kendall, Hedtke, & Ramirez. El Gato Valiente: Cuaderno de Actividades (2nd ed.). Workbook Publishing.{{cite book}}: CS1 maint: multiple names: authors list (link)
  21. ↑ Khanna, M. S., & Kendall, P. C. (2008). "Computer-assisted CBT for child anxiety: The Coping Cat CD-ROM". Cognitive and Behavioral Practice. 15 (2): 159–165. doi:10.1016/j.cbpra.2008.02.002.{{cite journal}}: CS1 maint: multiple names: authors list (link)
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