A New Parenting-Based Group Intervention for Young Anxious Children: Results of a Randomized Controlled Trial
Open accessAbstract
Objective Despite recent advances, there are still no interventions that have been developed for the specific treatment of young children who have anxiety disorders. This study examined the impact of a new, cognitive-behaviorally based parenting intervention on anxiety symptoms.Method Families of 74 anxious children (aged 9 years or less) took part in a randomized controlled trial, which compared the new 10-session, group-format intervention with a wait-list control condition. Outcome measures included blinded diagnostic interview and self-reports from parents and children.Results Intention-to-treat analyses indicated that children whose parent(s) received the intervention were significantly less anxious at the end of the study than those in the control condition. Specifically, 57% of those receiving the new intervention were free of their primary disorder, compared with 15% in the control condition. Moreover, 32% of treated children were free of any anxiety diagnosis at the end of the treatment period, compared with 6% of those in the control group. Treatment gains were maintained at 12-month follow-up.Conclusions This new parenting-based intervention may represent an advance in the treatment of this previously neglected group.
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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].”
From Efficacy and acceptability of parent-only group cognitive behavioral intervention for treatment of anxiety disorder in children and adolescents: a meta-analysis of randomized controlled trials (2021) · cites this paper as [18]
The introduction describes earlier parent-focused studies as preliminary and calls for further research on anxiety treatment in young children, supporting uncertainty for that age group. It reports mostly promising findings rather than conflicting findings, and it does not extend that uncertainty to adolescents. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredTimid to Tiger reduced primary diagnoses (46% vs 76%) and any anxiety diagnoses (54% vs 91%), both with large effect sizes (OR=3.68 and 8.50, respectively), but had no impact on symptoms.
“Timid to Tiger reduced primary diagnoses (46% vs 76%) and any anxiety diagnoses (54% vs 91%), both with large effect sizes (OR=3.68 and 8.50, respectively), but had no impact on symptoms.40”
From Six decades of preventing and treating childhood anxiety disorders: a systematic review and meta-analysis to inform policy and practice (2019) · cites this paper as [40]
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Meta-analysis: Counseling Outcomes for Youth with Anxiety Disorders
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Parenting and Family Intervention in Treatment
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Evidence-Based Practice in a Pediatric Partial Hospitalization Setting
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Helping parents to help children overcome fear: The influence of a short video tutorial
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Anxiety in Preadolescent Children: What Happens If We Don't Treat It, and What Happens If We Do?
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“ham, 2009), 6 hr (Cartwright-Hatton et al., 2011) and 8 hr (Thienemann, Moore, & Tompkins, 2006) of clinician contact per family in research settings.”
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Self-citationWorking collaboratively with parents and carers in cognitive behaviour therapy (CBT)
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“…relaxation to alleviate stress and promote overall wellbeing (Da Paz & Wallander, 2017) In the second module, centred on the parents managing their child ’ s anxiety, the videos address how a child ’ s anxiety about school can contribute to an avoidance cycle (Cartwright-Hatton et al., 2011).”
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Applying new evidence standards to youth cognitive behavioral therapies – A review
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Evidence-Based Psychosocial Treatments for Pediatric Mood and Anxiety Disorders
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- Authors
- Cartwright-Hatton, S., McNally, D., Field, A. P., Rust, S., Laskey, B., Dixon, C., Gallagher, B., Harrington, R., Miller, C., Pemberton, K., Symes, W., White, C., & Woodham, A.
- Affiliations
- University of Sussex (GB)
- University of Manchester (GB)
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 50
- Issue
- 3
- Pages
- 242-251.e6
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2038218301
- Cited by
- 146
- References
- 29
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 2 · 2023: 10 · 2022: 11 · 2021: 5 · 2020: 12 · 2019: 8 · 2018: 9 · 2017: 21 · 2016: 5 · 2015: 9 · 2014: 13 · 2013: 11 · 2012: 11
- FWCI
- 13.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Sussex Research Online (University of Sussex) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Wellcome Trust
- University of Sussex
- 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 › Child Therapy and Development
- Keywords
- childhood anxiety, parenting support, group intervention, cognitive-behavioral intervention, anxious children, family-based treatment, treatment outcomes, maintenance of treatment gains
- MeSH terms
- Adult, Anxiety, Anxiety Disorders, Child, Child, Preschool, Female, Humans, Interview, Psychological, Male, Parent-Child Relations, Parents, Sensitivity Training Groups, Cognitive Behavioral Therapy, Behavior Control, Diagnostic and Statistical Manual of Mental Disorders, Self Report
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