Working with parents to treat anxiety-disordered children: A proof of concept RCT evaluating Fear-less Triple P
Abstract
Little is known about the efficacy of parent-only interventions and the maintenance of gains over time with anxiety-disordered children and adolescents. The current study aimed to evaluate the efficacy of a 6-session parent-focused intervention (Fear-less Triple P) in reducing children's anxiety symptomatology. The parents of 61 anxiety-disordered children (7-14 years) were randomly assigned to either the 6-session parent-only group CBT intervention or a wait-list control (WL) group. Diagnostic and questionnaire measures were administered at post-treatment; as well as 3-, 6- and 12 months following the completion of treatment. Families in the WL group were re-assessed after 6 weeks (the duration of the active intervention) and were then offered the intervention. The parent-only intervention produced superior outcomes for children on diagnostic and questionnaire measures. The percentages of children free of any anxiety diagnosis following the intervention were 38.7% (post-treatment); 58.6% (3-mth); 69.2% (6-mth); and 84% (12-mth). At the post-treatment assessment point, 3.4% of children in the WL group were free of any anxiety diagnosis. Mother and child questionnaire measures demonstrated gains from pre to post-treatment that were maintained over time. This proof of concept study suggests that the brief, parent-only intervention evaluated is an efficacious treatment approach for child anxiety disorders. A parent-only, group CBT intervention such as the one described here offers a cost-effective, low intensity alternative to traditional child-focused interventions.
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It remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder, and previous studies have produced conflicting findings.
“However, it remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder, and previous studies have produced conflicting findings [13, 16–18].”
Language and cognitive competence are major obstacles for child-focused CBT, especially for young children.
“First, language and cognitive competence are major obstacles, especially for young children [13].”
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- Authors
- Cobham, V. E., Filus, A., & Sanders, M. R.
- Affiliations
- The University of Queensland (AU)
- University of Southern California (US)
- Corresponding author
- Cobham, Vanessa E.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 95
- Pages
- 128-138
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2624837124
- Cited by
- 48
- References
- 73
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 1 · 2022: 8 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 8 · 2017: 1
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Queensland
- Topics
- 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
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- childhood anxiety disorders, cognitive behavioral therapy, parent training, maintenance of treatment gains, brief intervention, cost-effective treatment, child and adolescent mental health
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Family Therapy, Female, Humans, Male, Parent-Child Relations, Parents, Cognitive Behavioral Therapy, Parenting, Treatment Outcome
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