Macquarie University
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CBT for anxious children with comorbid ADHD

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posted on 2022-03-28, 11:06 authored by Karen L. Gould
Attention-de ficit/hyperactivity disorder (ADHD) and anxiety are the most common psychiatric disorders of childhood and are highly comorbid. While cognitive behavioural therapy (CBT) has demonstrated general efficacy in treating paediatric anxiety, it is not clear whether ADHD comorbidity impacts treatment response. While some previous studies have found a negative impact of comorbidity, others have found no difference, and the role of ADHD subtype has never been assessed. We examined ADHD diagnosis as a predictor of treatment response and remission in a study of 842 children and adolescents aged 6 to 18 years undergoing group-based CBT for primary anxiety. A subsample of 94 children met criteria for comorbid, mild-to-moderate ADHD, mostly comprising Predominantly Inattentive(n = 61) and Combined (n = 27) subtypes. Neither ADHD diagnosis nor subtype predicted response or remission rates for children's primary anxiety disorders. Children with ADHD also showed modest yet significant improvements in ADHD symptoms after CBT treatment for anxiety. Our findings strongly support the suitability of manualised group-based CBT for anxiety treatment in children with non-primary ADHD . Further research should examine whether the positive outcomes reported can be extended to children with primary or severe ADHD.


Table of Contents

Introduction -- Results -- Discussion -- List of tables and figures.


Empirical thesis. Bibliography: pages 64-79

Awarding Institution

Macquarie University

Degree Type

Thesis MRes


PhD, Macquarie University, Faculty of Human Sciences, Department of Psychology

Department, Centre or School

Department of Psychology

Year of Award


Principal Supervisor

Jennifer Hudson


Copyright Karen L. Gould 2016. Copyright disclaimer:




1 online resource (79 pages)

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