Parent-only group cognitive behavioral intervention for children with anxiety disorders: A control group study

Abstract

Objective: Parents play an important role in development and continuation of anxiety disorders in children. Yet the evidence on parent contribution in cognitive behavioral therapy (CBT) for childhood anxiety is limited. This open randomized trial examined the effectiveness of a parent-directed group CBT to manage children with anxiety disorders. Method: Parents of 42 children aged 6-12 with primary anxiety disorders were allocated to a six, two-hour weekly intervention and a wait-list (WL) control. The Revised Children�s Manifest Anxiety, Children�s Depression Inventory, Strengths and Difficulties Questionnaire-Home Version, Depression-Anxiety-Stress Scale, Children Global Assessment Scale, and Global Relational Assessment of Functioning were used to assess children�s and parents� functioning and emotional symptoms. Parents completed consumer satisfaction questionnaire. Results: Parents in the CBT group reported significant improvement in their depressive symptoms (p=0.006) and the family functioning (p=0.04), as well as reduction in children�s emotional symptoms (p=0.007). Clinician rating of children�s functioning showed significant improvement in the CBT group(p=0.001). There was no significant difference in children rating of their anxiety within groups from pre- to post-intervention. Parents were satisfied mostly with the intervention. Conclusion: A brief parent-only CBT based intervention can be effective in the management of childhood anxiety. © 2018, Canadian Academy of Child and Adolescent Psychiatry. All rights reserved