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  • Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis

    Author(s)
    Manassis, Katharina
    Lee, Trevor Changgun
    Bennett, Kathryn
    Zhao, Xiu Yan
    Mendlowitz, Sandra
    Duda, Stephanie
    Saini, Michael
    Wilansky, Pamela
    Baer, Susan
    Barrett, Paula
    Bodden, Denise
    Cobham, Vanessa E
    Dadds, Mark R
    Flannery-Schroeder, Ellen
    Ginsburg, Golda
    Heyne, David
    Hudson, Jennifer L
    Kendall, Philip C
    Liber, Juliette
    Masia-Warner, Carrie
    Nauta, Maaike H
    Rapee, Ronald M
    Silverman, Wendy
    Siqueland, Lynne
    Spence, Susan H
    Utens, Elisabeth
    Wood, Jeffrey J
    Griffith University Author(s)
    Spence, Susan H H.
    Year published
    2014
    Metadata
    Show full item record
    Abstract
    Objective: Meta-analytic studies have not confirmed that involving parents in cognitive behavior therapy (CBT) for anxious children is therapeutically beneficial. There is also great heterogeneity in the type of parental involvement included. We investigated parental involvement focused on contingency management (CM) and transfer of control (TC) as a potential outcome moderator using a meta-analysis with individual patient data. Method: Investigators of randomized controlled trials (RCTs) of CBT for anxious children, identified systematically, were invited to submit their data. Conditions in each RCT were coded based on type ...
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    Objective: Meta-analytic studies have not confirmed that involving parents in cognitive behavior therapy (CBT) for anxious children is therapeutically beneficial. There is also great heterogeneity in the type of parental involvement included. We investigated parental involvement focused on contingency management (CM) and transfer of control (TC) as a potential outcome moderator using a meta-analysis with individual patient data. Method: Investigators of randomized controlled trials (RCTs) of CBT for anxious children, identified systematically, were invited to submit their data. Conditions in each RCT were coded based on type of parental involvement in CBT (i.e., low involvement, active involvement without emphasis on CM or TC, active involvement with emphasis on CM or TC). Treatment outcomes were compared using a 1-stage meta-analysis. Results: All cases involved in active treatment (894 of 1,618) were included for subgroup analyses. Across all CBT groups, means of clinical severity, anxiety, and internalizing symptoms significantly decreased posttreatment and were comparable across groups. The group without emphasis on CM or TC showed a higher proportion with posttreatment anxiety diagnoses than the low-involvement group. Between posttreatment and 1-year follow-up, the proportion with anxiety diagnoses significantly decreased in CBT with active parental involvement with emphasis on CM or TC, whereas treatment gains were merely maintained in the other 2 groups. Conclusions: CBT for anxious children is an effective treatment with or without active parental involvement. However, CBT with active parental involvement emphasizing CM or TC may support long-term maintenance of treatment gains. Results should be replicated as additional RCTs are published.
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    Journal Title
    Journal of Consulting and Clinical Psychology
    Volume
    82
    Issue
    6
    DOI
    https://doi.org/10.1037/a0036969
    Subject
    Psychology not elsewhere classified
    Psychology
    Publication URI
    http://hdl.handle.net/10072/66844
    Collection
    • Journal articles

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