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Seeking and accessing professional support for child anxiety in a community sample
Open accessAbstract
There is a lack of current data on help-seeking, and barriers to accessing professional support for child anxiety disorders. This study aimed to provide current data on the frequency and type of parental help-seeking, professional support received, and parent-reported barriers/facilitators in the context of child anxiety, and to explore factors associated with help-seeking, and parent-reported barriers among help-seekers and non help-seekers. We conducted a survey of help-seeking in parents of 222 children (aged 7-11) with elevated anxiety symptoms identified through screening in schools, 138 children of whom met diagnostic criteria for an anxiety disorder. Almost two-thirds (64.5%) of parents of children with an anxiety disorder reported seeking help from a professional; in 38.4% of cases parents reported that their child had received support from a professional to help manage and overcome their anxiety difficulties, and < 3% had received evidence-based treatment (CBT). Frequently reported parental barriers related to difficulties differentiating between developmentally appropriate and clinically significant anxiety, a lack of help-seeking knowledge, perceived negative consequences of help-seeking, and limited service provision. Non-help seekers were more likely than help seekers to report barriers related to thinking a child's anxiety may improve without professional support, and the absence of professional recognition. Findings identify the need for (i) tools for parents and primary school staff to help identify children who may benefit from professional support to overcome difficulties with anxiety; and (ii) increased evidence-based provision for child anxiety disorders, including delivery within schools and direct support for parents.
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“A British community-based survey found that less than 3% of children aged 7–11 with an anxiety disorder had received adequate CBT [6].”
From Developing a primary care-based cognitive behavioral intervention for anxiety in children through a participatory approach: a qualitative study. (2026) · cites this paper as [6]
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“In line with previous studies that have identified paren - tal psychological factors as key determinants in this context [ 38, 45, 50], our results indicate that parents who had a history of psychiatric conditions or current psychological difficulties were more likely to recognize their child’s…”
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“Psychological interventions for childhood anxiety are typically costly and resource-intensive (e.g., one-on-one therapy), and access is hindered by long waitlists in healthcare systems [4].”
Understanding the bidirectional associations between parenting and child anxiety
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Metadata
- Authors
- Reardon, T., Harvey, K., & Creswell, C.
- Affiliations
- University of Oxford (GB)
- University of Reading (GB)
- Corresponding author
- Harvey, Kate
- Venue
- European Child & Adolescent Psychiatry
- Published
- 2019-08-13
- Volume
- 29
- Issue
- 5
- Pages
- 649-664
- ISSN
- 1018-8827 (ISSN-L)
- 1435-165X
- PMC
- PMC7250799
- OpenAlex
- W2969151236
- Cited by
- 111
- References
- 35
- Citations by year
- 2026: 17 · 2025: 17 · 2024: 14 · 2023: 16 · 2022: 30 · 2021: 10 · 2020: 5 · 2019: 2
- FWCI
- 14.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- European Child & Adolescent Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- CentAUR (University of Reading) (submittedVersion, cc-by)
- Funders
- National Institute for Health Research (NIHR-RP-2014-04-018)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- childhood anxiety disorders, help-seeking, parental help-seeking, help-seeking barriers, evidence-based treatment, cognitive behavioral therapy, school-based screening, parental support, children aged 7-11
- MeSH terms
- Child Health, Anxiety Disorders, Child, Female, Humans, Male
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