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dc.contributor.authorManassis, Katharina
dc.contributor.authorLee, Trevor Changgun
dc.contributor.authorBennett, Kathryn
dc.contributor.authorZhao, Xiu Yan
dc.contributor.authorMendlowitz, Sandra
dc.contributor.authorDuda, Stephanie
dc.contributor.authorSaini, Michael
dc.contributor.authorWilansky, Pamela
dc.contributor.authorBaer, Susan
dc.contributor.authorBarrett, Paula
dc.contributor.authorBodden, Denise
dc.contributor.authorCobham, Vanessa E
dc.contributor.authorDadds, Mark R
dc.contributor.authorFlannery-Schroeder, Ellen
dc.contributor.authorGinsburg, Golda
dc.contributor.authorHeyne, David
dc.contributor.authorHudson, Jennifer L
dc.contributor.authorKendall, Philip C
dc.contributor.authorLiber, Juliette
dc.contributor.authorMasia-Warner, Carrie
dc.contributor.authorNauta, Maaike H
dc.contributor.authorRapee, Ronald M
dc.contributor.authorSilverman, Wendy
dc.contributor.authorSiqueland, Lynne
dc.contributor.authorSpence, Susan H
dc.contributor.authorUtens, Elisabeth
dc.contributor.authorWood, Jeffrey J
dc.date.accessioned2017-06-21T12:31:15Z
dc.date.available2017-06-21T12:31:15Z
dc.date.issued2014
dc.identifier.issn0022-006X
dc.identifier.doi10.1037/a0036969
dc.identifier.urihttp://hdl.handle.net/10072/66844
dc.description.abstractObjective: 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherAmerican Psychological Association
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1163
dc.relation.ispartofpageto1172
dc.relation.ispartofissue6
dc.relation.ispartofjournalJournal of Consulting and Clinical Psychology
dc.relation.ispartofvolume82
dc.rights.retentionY
dc.subject.fieldofresearchPsychology not elsewhere classified
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode170199
dc.subject.fieldofresearchcode1701
dc.titleTypes of parental involvement in CBT with anxious youth: A preliminary meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorSpence, Susan H H.


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