“You Want Me to Do What?!” Ethical Considerations When Conducting Exposure Tasks With Youth With Anxiety

References

• Ale, C. M., McCarthy, D. M., Rothschild, L. M., & Whiteside, S. P. (2015). Components of cognitive behavioral therapy related to outcome in childhood anxiety disorders. Clinical Child and Family Psychology Review, 18, 240–251. doi:10.1007/s10567-015-0184-8
   PubMed Web of Science ®Google Scholar
• American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073. doi:10.1037/0003-066X.57.12.1060
   Google Scholar
• Andrews, G., Hobbs, M. J., Borkovec, T. D., Beesdo, K., Craske, M. G., Heimberg, R. G., … Stanley, M. A. (2010). Generalized worry disorder: A review of DSM-IV generalized anxiety disorder and options for DSM-V. Depression and Anxiety, 27, 134–147. doi:10.1002/da.20658
   PubMed Web of Science ®Google Scholar
• Anxiety and Depression Association of America. (n.d.). Videos. Retrieved from http://www.adaa.org/about-adaa/press-room/multimedia/videos
   Google Scholar
• 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, 333–342. doi:10.1037/0022-006X.64.2.333
   PubMed Web of Science ®Google Scholar
• Barrett, P. M., Rapee, R. M., Dadds, M. M., & Ryan, S. M. (1996). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology, 24, 187–203. doi:10.1207/s15374424jccp2704_10
   PubMed Web of Science ®Google Scholar
• Beidas, R. S., Barmish, A. J., & Kendall, P. C. (2009). Training as usual: Can clinician behavior change after reading a manual and attending a brief workshop on cognitive behavioral therapy for youth anxiety? Behavior Therapist, 32, 97–101.
   Google Scholar
• Beidas, R. S., Edmunds, J. M., Marcus, S. C., & Kendall, P. C. (2012). Training and consultation to promote implementation of an empirically supported treatment: A randomized trial. Psychiatric Services, 63, 660–665. doi:10.1176/appi.ps.201100401
   PubMed Web of Science ®Google Scholar
• Benjamin, C. L., Harrison, J. P., Settipani, C. A., Brodman, D. M., & Kendall, P. C. (2013). Anxiety and related outcomes in young adults 7 to 19 years after receiving treatment for child anxiety. Journal of Consulting and Clinical Psychology, 81, 865–876. doi:10.1037/a0033048
   PubMed Web of Science ®Google Scholar
• Bouchard, S., Mendlowitz, S. L., Coles, M. E., & Franklin, M. (2004). Considerations in the use of exposure with children. Cognitive and Behavioral Practice, 11, 56–65. doi:10.1016/S1077-7229(04)80007-5
   Web of Science ®Google Scholar
• Chorpita, B. F., & Daleiden, E. (2007). Evidence-based services committee—Biennial report—Effective psychological interventions for youth with behavioral and emotional needs. Honolulu: Hawaii Department of Health Child and Adolescent Mental Health Division.
   Google Scholar
• Cobham, V. E., Dadds, M. R., Spence, S. H. (1998). The role of parental anxiety in the treatment of childhood anxiety. Journal of Consulting and Clinical Psychology, 66, 893–905. doi:10.1037/0022-006X.66.6.893
   PubMed Web of Science ®Google Scholar
• Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46, 5–27. doi:10.1016/j.brat.2007.10.003
   PubMed Web of Science ®Google Scholar
• Crawford, E. A., Salloum, A., Lewin, A. B., Andel, R., Murphy, T. K., & Storch, E. A. (2013). A pilot study of computer-assisted cognitive behavioral therapy for childhood anxiety in community mental health centers. Journal of Cognitive Psychotherapy, 27, 221–234. doi:10.1891/0889-8391.27.3.221
   PubMedGoogle Scholar
• Culver, N. C., Stoyanova, M., & Craske, M. G. (2012). Emotional variability and sustained arousal during exposure. Journal of Behavior Therapy and Experimental Psychiatry, 43, 787–793. doi:10.1016/j.jbtep.2011.10.009
   PubMed Web of Science ®Google Scholar
• Farrell, N. R., Deacon, B. J., Kemp, J. J., Dixon, L. J., & Sy, J. T. (2013). Do negative beliefs about exposure therapy cause its suboptimal delivery? An experimental investigation. Journal of Anxiety Disorders, 27, 763–771. doi:10.1016/j.janxdis.2013.03.007
   PubMed Web of Science ®Google Scholar
• Feeny, N., Hembree, E., & Zoeller, L. (2003). Myths regarding exposure therapy for PTSD. Cognitive and Behavioral Practice, 10, 85–90. doi:10.1016/S1077-7229(03)80011-1
   Web of Science ®Google Scholar
• Freeman, J. B., Garcia, A. M., Coyne, L., Ale, C., Przeworski, A., Himle, M., … Leonard, H. L. (2008). Early childhood OCD: Preliminary findings from a family-based cognitive-behavioral approach. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 593–602. doi:10.1097/CHI.0b013e31816765f9
   PubMed Web of Science ®Google Scholar
• Friedberg, R. D., & McClure, J. M. (2002). Clinical practice of cognitive therapy with children and adolescents: The nuts and bolts. New York, NY: Guilford
   Google Scholar
• Gola, J. A., Beidas, R. S., Antinoro-Burke, D., Kratz, H. E., & Fingerhut, R. (2016). Ethical considerations in exposure therapy with children. Cognitive and Behavioral Practice, 23, 184–193. doi:10.1016/j.cbpra.2015.04.003
   PubMed Web of Science ®Google Scholar
• Hudson, J. L., & Kendall, P. C. (2002). Showing you can do it: Homework in therapy for children and adolescents with anxiety disorders. Journal of Clinical Psychology, 58, 525–534. doi:10.1002/jclp.10030
   PubMed Web of Science ®Google Scholar
• Kaslow, N. J., Grus, C. L., Campbell, L. F., Fouad, N. A., Hatcher, R. L., & Rodolfa, E. R. (2009). Competency Assessment Toolkit for professional psychology. Training and Education in Professional Psychology, 3, 27–45. doi:10.1037/a0015833
   Web of Science ®Google Scholar
• Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C., Flannery-Schroeder, E., & Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12, 136–148. doi:10.1016/S1077-7229(05)80048-3
   Web of Science ®Google Scholar
• Kendall, P. C. & Suveg, C. (2008). Treatment outcome studies with children: Principles of proper practice. Ethics & Behavior, 18, 215–233. doi:10.1080/10508420802064309
   Web of Science ®Google Scholar
• Kingery, J. N., Roblek, T. L., Suveg, C., Grover, R. L., Sherrill, J. T., & Bergman, R. L. (2006). They’re not just “little adults:” Developmental considerations for implementing cognitive-behavioral therapy with anxious youth. Journal of Cognitive Psychotherapy, 20, 263–273. doi:10.1891/jcop.20.3.263
   Google Scholar
• Kircanski, K., & Peris, T. S. (2015). Exposure and response prevention process predicts treatment outcome in youth with OCD. Journal of Abnormal Child Psychology, 43, 543–552. doi:10.1007/s10802-014-9917-2
   PubMed Web of Science ®Google Scholar
• Mendlowitz, S. L., Manassis, K., Bradley, S., Scapillato, D., Miezitis, S., & Shaw, B. F. (1999). Cognitive-behavioral group treatments in childhood anxiety disorders: The role of parental involvement. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1223–1229. doi:10.1097/00004583-199910000-00010
   PubMed Web of Science ®Google Scholar
• Mowrer, O. (1947). On the dual nature of learning—A re-interpretation of “conditioning” and “problem-solving.” Harvard Educational Review, 17, 102–148.
   Web of Science ®Google Scholar
• Nakamura, B. J., Pestle, S. L., & Chorpita, B. F. (2009). Differential sequencing of cognitive behavioral techniques for reducing child and adolescent anxiety. Journal of Cognitive Psychotherapy, 23, 114–135. doi:10.1891/0889-8391.23.2.114
   Google Scholar
• Olatunji, B. O., Deacon, B. J., & Abramowitz, J. S. (2009). The cruelest cure? Ethical issues in the implementation of exposure-based treatments. Cognitive and Behavioral Practice, 16, 172–180. doi:10.1016/j.cbpra.2008.07.003
   Web of Science ®Google Scholar
• Pence, S. L., Jr., Sulkowski, M. L., Jordan, C., & Storch, E. A. (2010). When exposures go wrong: Trouble-shooting guidelines for managing difficult scenarios that arise in exposure-based treatment for obsessive-compulsive disorder. American Journal of Psychotherapy, 64, 39–53.
   PubMedGoogle Scholar
• Peris, T. S., Compton, S. N., Kendall, P. C., Birmaher, B., Sherrill, J., March, J., … Piacentini, J. (2015). Trajectories of change in youth anxiety during cognitive–behavior therapy. Journal of Consulting and Clinical Psychology, 83, 239–252. doi:10.1037/a0038402
   PubMed Web of Science ®Google Scholar
• Piacentini, J., Bergman, R. L., Keller, M., & McCracken, J. (2003). Functional impairment in children and adolescents with obsessive-compulsive disorder. Journal of Child and Adolescent Psychopharmacology, 13, 61–69. doi:10.1089/104454603322126359
   PubMed Web of Science ®Google Scholar
• Piacentini, J., & Langley, A. K. (2004). Cognitive-behavioral therapy for children who have obsessive-compulsive disorder. Journal of Clinical Psychology, 60, 1181–1194. doi:10.1002/jclp.20082
   PubMed Web of Science ®Google Scholar
• Seligman, L. D., & Ollendick, T. H. (2011). Cognitive-behavioral therapy for anxiety disorders in youth. Child and Adolescent Psychiatric Clinics of North America, 20, 217–238. doi:10.1016/j.chc.2011.01.003
   PubMed Web of Science ®Google Scholar
• Shortt, A. L., Barrett, P. M., & Fox, T. L. (2001). Evaluating the FRIENDS program: A cognitive-behavioral group treatment for anxious children and their parents. Journal of Clinical Child Psychology, 30, 525–535. doi:10.1207/S15374424JCCP3004_09
   PubMed Web of Science ®Google Scholar
• Silverman, W. K., Pina, A. A., & Viswesvaran, C. (2008). Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents: A review and meta-analyses. Journal of Clinical Child & Adolescent Psychology, 37, 105–130. doi:10.1080/15374410701817907
   PubMed Web of Science ®Google Scholar
• Society of Clinical Child and Adolescent Psychology. (2015). Effective child therapy online education. Retrieved from http://www.effectivechildtherapy.fiu.edu/
   Google Scholar
• Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W. K., … Grabill, K. (2007). Family accommodation in pediatric obsessive–compulsive disorder. Journal of Clinical Child and Adolescent Psychology, 36, 207–216. doi:10.1080/15374410701277929
   PubMed Web of Science ®Google Scholar
• Thulin, U., Svirsky, L., Serlachius, E., Andersson, G., & Öst, L. G. (2014). The effect of parent involvement in the treatment of anxiety disorders in children: A meta-analysis. Cognitive Behaviour Therapy, 43, 185–200. doi:10.1080/16506073.2014.923928
   PubMed Web of Science ®Google Scholar
• Walkup, J. T., Albano, A. M., Piacentini, J., Birmaher, B., Compton, S. N., Sherrill, J. T., … Kendall, P. C. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359, 2753–2766. doi:10.156/NEJMoa0804633
   PubMed Web of Science ®Google Scholar
• Weisz, J. R. (2004). Psychotherapy for children and adolescents: Evidence-based treatments and case examples. New York, NY: Cambridge University Press.
   Google Scholar
• Wolitzky-Taylor, K. B., Viar-Paxton, M. A., & Olatunji, B. O. (2012). Ethical issues when considering exposure. In T. Davis III, T. Ollendick, & L. Ost (Eds.), Intensive one-session treatment of specific phobias (pp. 195–208). New York, NY: Springer.
   Google Scholar
• Wood, J. J., Piacentini, J. C., Southam-Gerow, M., Chu, B. C., & Sigman, M. (2006). Family cognitive behavioral therapy for child anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 314–321. doi:10.1097/01.chi.0000196425.88341.b0
   PubMed Web of Science ®Google Scholar