{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T23:46:15Z","timestamp":1776210375860,"version":"3.50.1"},"reference-count":58,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,30]],"date-time":"2015-10-30T00:00:00Z","timestamp":1446163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","award":["10691"],"award-info":[{"award-number":["10691"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec><jats:label\/><jats:p>The purpose of the study was to examine clinical predictors of non\u2010response to manualized cognitive behaviour therapy (CBT) among youths (children and adolescents) with anxiety disorders, and to explore families' perspective on therapy, using a mixed methods approach. Non\u2010response to manualized group CBT was determined among 106 youths of Danish ethnicity (7\u201317\u2009years old) with a primary anxiety disorder, identified with the Clinical Global Impression of Improvement Scale at the 3\u2010month follow\u2010up. Twenty\u2010four youths (22.6 %) had not responded to treatment, and a logistic regression analysis revealed that youths with a primary diagnosis of social phobia were seven times more likely not to respond, whereas youths with a comorbid mood disorder were almost four times more likely. Families of non\u2010responding youths with primary social phobia and\/or a comorbid mood disorder (<jats:italic>n<\/jats:italic>\u2009=\u200915) were interviewed, and data were analysed through interpretative phenomenological analysis. Two superordinate themes emerged: <jats:italic>youths were not involved in therapy work<\/jats:italic>, and <jats:italic>manualized group format posed challenges to families<\/jats:italic>. The mixed methods approach provided new perspectives on the difficulties that may be encountered by families of non\u2010responding youths with a primary social phobia diagnosis and youths with a comorbid mood disorder during manualized group CBT. Clinical implications related to youths' clinical characteristics, and families' experience and suggestions are drawn. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Messages<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Youths with an anxiety disorder, who had a primary social phobia diagnosis and those, who had a comorbid mood disorder, were more likely not to respond to manualized group CBT.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Parents of those non\u2010responding youths often considered them as motivated to overcome their difficulties, but due to their symptomatology, they were unreceptive, reluctant and ambivalent and therefore not actively involved in therapy.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The non\u2010responding youths with social phobia felt evaluated and nervous of what others thought of them in the group.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The parents of the non\u2010responding youths with a comorbid mood disorder felt the group format placed restraints on therapists' ability to focus on their individual needs.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.1982","type":"journal-article","created":{"date-parts":[[2015,10,30]],"date-time":"2015-10-30T07:30:50Z","timestamp":1446190250000},"page":"82-93","source":"Crossref","is-referenced-by-count":40,"title":["Anxious Children and Adolescents Non\u2010responding to CBT: Clinical Predictors and Families' Experiences of Therapy"],"prefix":"10.1002","volume":"24","author":[{"given":"Irene","family":"Lundkvist\u2010Houndoumadi","sequence":"first","affiliation":[{"name":"Department of Psychology and Behavioural Sciences Aarhus University  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikael","family":"Thastum","sequence":"additional","affiliation":[{"name":"Department of Psychology and Behavioural Sciences Aarhus University  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,30]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12448"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12037"},{"key":"e_1_2_6_5_1","first-page":"209","volume-title":"New directions in behavior therapy","author":"Borkovec T. 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