Mechanisms of Change in Cognitive Behavioral Therapy for Anxious Youth


Address correspondence to Jennifer L. Hudson, Department of Psychology, Macquarie University, NSW 2109 Australia. E-mail:


Davis and Ollendick (this issue) challenge CBT therapists to move beyond the measurement of subjective fear and diagnostic status in the treatment of phobic youth and urge that cognitive, behavioral, and physiological measurements of the emotional response be included. In this paper I highlight the ways in which current measures of child and adolescent anxiety assess the emotional response and discuss the need for reliable and valid measures of these three components. Next, I review some of the current evidence for the mechanisms of change in CBT for anxious youth and highlight the need for future research in this area.