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May 8, 2026BMC PsychologyOpen Access

Long-term effectiveness of cognitive behavioral therapy (CBT) for children and adolescents in routine care

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Authors

MHMatthis Michael HüwelmeierLSLena StaniczekSSSilvia Schneider

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Overview

Observational analysis shows lasting symptom improvements from CBT in children and adolescents, suggesting strong treatment durability.

Key Points

  • This study examines the long-term effectiveness of cognitive behavioral therapy (CBT) for children and adolescents in routine outpatient care.
  • Analyses based on routine outcome monitoring data from 1225 patients receiving CBT between 2017 and 2025.
  • Symptoms assessed using the Strengths and Difficulties Questionnaire (SDQ) at multiple time points: pre-treatment, post-treatment, and 6-24 month follow-ups.
  • Effectiveness measured using Wilcoxon signed-rank tests and partial Spearman correlations.
  • Significant improvements in SDQ assessments from pre-treatment to post-treatment and follow-ups, with moderate-to-large effect sizes (r_rb = 0.59–0.77).
  • Higher SDQ difficulties were linked to lower self-rated treatment success across follow-up ratings.
  • Many patients achieved reliable symptom improvement, though a notable number remained unchanged according to conservative criteria.

Cite This Study

Hüwelmeier et al. (2026) studied this question.

synapsesocial.com/papers/69fd7f65bfa21ec5bbf07f38https://doi.org/10.1186/s40359-026-04667-3
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