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Psychother."],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Cognitive-behavioural therapy (CBT) has proven to be effective for anxiety-based school refusal, but it is still unknown how CBT for school refusal works, or through which mechanisms. <jats:bold>Aims:<\/jats:bold> Innovative statistical approaches for analyzing small uncontrolled samples were used to investigate the role of self-efficacy in mediating CBT outcomes for anxiety-based school refusal. <jats:bold>Method:<\/jats:bold> Participants were 19 adolescents (12 to 17 years) who completed a manual-based cognitive-behavioural treatment. Primary outcomes (school attendance; school-related fear; anxiety) and secondary outcomes (depression; internalizing problems) were assessed at post-treatment and 2-month follow-up. <jats:bold>Results:<\/jats:bold> Post-treatment increases in school attendance and decreases in fear about attending school the next day were found to be mediated by self-efficacy. Mediating effects were not observed at 2-month follow-up. <jats:bold>Conclusions:<\/jats:bold> These findings provide partial support for the role of self-efficacy in mediating the outcome of CBT for school refusal. They contribute to a small body of literature suggesting that cognitive change enhances CBT outcomes for young people with internalizing problems. Regarding methodology, the product of coefficient test appears to be a valuable way to study mediation in outcome studies involving small samples.<\/jats:p>","DOI":"10.1017\/s1352465812000756","type":"journal-article","created":{"date-parts":[[2012,9,30]],"date-time":"2012-09-30T13:15:00Z","timestamp":1349010900000},"page":"549-564","source":"Crossref","is-referenced-by-count":57,"title":["Cognitive Mediation of Cognitive-Behavioural Therapy Outcomes for Anxiety-Based School Refusal"],"prefix":"10.1017","volume":"41","author":[{"given":"Marija","family":"Maric","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Heyne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"MacKinnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigit M.","family":"van Widenfelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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