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Family treatment of childhood anxiety: A controlled trial.
Abstract
A family-based treatment for childhood anxiety was evaluated. Children (n = 79) aged 7 to 14 who fulfilled diagnostic criteria for separation anxiety, overanxious disorder, or social phobia were randomly allocated to 3 treatment conditions: cognitive-behavioral therapy (CBT), CBT plus family management (CBT+ FAM ), and waiting list. The effectiveness of the interventions was evaluated at posttreatment and at 6 and 12 months follow-up. The results indicated that across treatment conditions, 69.8% of the children no longer fulfilled diagnostic criteria for an anxiety disorder, compared with 26% of the waiting-list children. At the 1 2-month follow-up, 70.3% of the children in the CBT group and 95.6% of the children in the CBT + FAM group did not meet criteria. Comparisons of children receiving CBT with those receiving CBT+ FAM on self-report measures and clinician ratings indicated added benefits from CBT+ FAM treatment. Age and gender interacted with treatment condition, with younger children and female participants responding better to the CBT+ FAM condition.
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“An early study of 79 children with anxiety in 1996 reported gender differences in the way parents interacted with anxious children, indicating that younger, female children benefitted more from parental involvement [33]. It is inconsistent with our finding.”
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“An early study of 79 children with anxiety in 1996 reported gender differences in the way parents interacted with anxious children, indicating that younger, female children benefitted more from parental involvement [33].”
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Schoenwald, S. K., & Rowland, M. D. (2002) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195134575.003.0005 · Cited by 24
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Yuen, E. K., Gros, K., Welsh, K. E., McCauley, J. L., Resnick, H. S., Danielson, C., Price, M. S., & Ruggiero, K. (2015) · Health Informatics Journal · doi:10.1177/1460458215579292 · Cited by 15
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Self-citationIhle, W., & Jahnke, D. (2005) · Kindheit und Entwicklung · doi:10.1026/0942-5403.14.1.12 · Cited by 12
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“Promising results for cognitive-behavioral interventions have also been reported by Barrett, Dadds, and Rapee (1996).”
BackgroundEmotional Memory, Psychopathology, and Well‐Being
Salmon, K., & O’Kearney, R. (2013) · Wiley eBooks · doi:10.1002/9781118597705.ch33 · Cited by 11
Assessment and Diagnosis in Evidence‐Based Practice
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Farley, R., de Diaz, N. A. N., Emerson, L., Simcock, G. P., Donovan, C. L., & Farrell, L. J. (2023) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01492-2 · Cited by 18
“For example, one study examining family-based treatment for childhood anxiety found parent involvement yielded higher remission rates for younger children (7–10 years) than older children [34]; and therefore we should investigate novel parental involvement interventions for young children.”
BackgroundFamily-Based Treatment of Pediatric Obsessive-Compulsive Disorder
Anderson, L. M., Freeman, J. B., Franklin, M. E., & Sapyta, J. J. (2015) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2015.02.003 · Cited by 11
Parental changes after involvement in their anxious child's cognitive behavior therapy
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“individual formats, and with and without structured family involvement ( Barrett, Dadds, & Rapee, 1996; Mendlowitz et al., 1999; Spence, Donovan, & Brechman-Toussaint, 2000; Wood et al., 2006).”
BackgroundClarifying a Construct: An Integrative Functional Model of Reassurance-Seeking Behaviors
Gillett, D. A., & Mazza, S. J. (2018) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-018-0291-9 · Cited by 10
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“…programs focus on therapists coaching parents rather than directly intervening with children, some evidence-based parenting programs have a dual focus on working with parents and children themselves in joint or parallel parent and child sessions (e.g. Barrett et al., 1996; Healy & Sanders, 2014).”
BackgroundCoyne, J. J., Barrett, P. M., & Duffy, A. L. (2000) · Journal of Child and Family Studies · doi:10.1023/a:1026400725090 · Cited by 11
“Given the results of Barrett et al.’s (1996a) study, children from backgrounds of family violence could be expected to display a similar vigilance toward perceiving threat on the basis that they have elevated rates of anxious and oppositional disorders (Mathias et al.”
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“As such, the role of parents in treatments designed for childhood anxiety and depression has become a topic of increasing investigation, with many researchers attempting to ascertain whether and what type of parental involvement is optimal for the child's treatment success (eg, Barrett, Dadds, & Rapee, 1996 ; Kolko, B…”
BackgroundMiller, V. A., & Feeny, N. C. (2003) · Journal of Contemporary Psychotherapy · doi:10.1023/b:jocp.0000004501.18852.40 · Cited by 11
“Children across these studies demonstrated significant improvements in anxiety compared to children in control groups (Barrett, 1998; Barrett et al., 1996; Beidel et al., 2000; Kendall, 1994; Kendall et al., 1997; Silverman et al., 1999a; Silverman et al., 1999b; Spence et al., 2000).”
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Davis, R., de Souza, M. A. M., Rigatti, R., & Heldt, E. (2014) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000047 · Cited by 10
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“…with good psychometric properties that has been used in a number of randomized clinical trials of treatment for childhood anxiety disorders (Barrett et al., 1996; Kendall, 1994; Kendall et al., 1997; Silverman, Kurtines, Ginsburg, Weems, Lumpkin, et al., 1999; Silverman, Kurtines,…”
MethodInterventions for child and youth anxiety disorders: Involving parents, teachers, and peers
Barrett, P. M. (1999) · The Australian Educational and Developmental Psychologist · doi:10.1017/s0816512200050045 · Cited by 11
Self-citationTreatment of SAD and Panic Disorder in Children and Adolescents
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“In general, girls appear to do better than boys when CBT has a family/parent component (vs. no family component) (Barrett et al., 1996; Cobham, Daddds, & Spence, 1998; Mendlowitz, Manassis, & Bradley, 1999).”
BackgroundResultThe role of genetic and environmental factors in covariation between anxiety and anger in childhood
Scaini, S., Centorame, G., Lissandrello, F., Sardella, S., Stazi, M. A., Fagnani, C., Brombin, C., & Battaglia, M. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01543-2 · Cited by 11
“Parents of anxious or aggressive children are less likely to agree with their children and are less likely to acknowledge positive consequences of situations, as compared to parents of nonclinical children [27, 28].”
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Parent Training for Childhood Anxiety
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“In addition, this treatment includes four optional caregiver sessions for a parent, guardian or carer as inclusion of caregivers in treatment is indicated to enhance positive treatment outcomes for young people (Barrett et al., 1996; Carnes et al., 2019; Carr, 2014).”
BackgroundKhodayarifard, M., & Fatemi, S. M. (2013) · Psychology · doi:10.4236/psych.2013.44060 · Cited by 9
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“The FCBT was developed based on (Barrett et al., 1996), piloted by Bögels and Siqueland (2006), and evaluated in an RCT (Bodden, Bögels, et al., 2008; Bodden, Dirksen, et al., 2008).”
BackgroundMethodParents' perception of children's fear: from FSSC-IT to FSSC-PP
Salcuni, S., Dazzi, C., Mannarini, S., Riso, D. D., & Delvecchio, E. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01199 · Cited by 8
“…1998) as well as in psychodynamic approach (Finn, 2007; Tharinger et al., 2009) is useful with children, especially where parents are very anxious (Barrett et al., 1996), and may be helpful, for example, starting from FSSC results and more endorsed fears, using pictures and drawing techniques…”
An Adaptation of the Coping Cat Program
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BackgroundCognitive-Behavioral Treatment of Generalized Anxiety
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“In addition, parent involvement can enhance the effectiveness of CBT for childhood anxiety disorders (Barrett et al., 1996).”
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“For example, in the Silverman et al. [29] study, among others [ 40 ], parents were taught to create contingencies to facilitate child exposure to feared stimuli.”
BackgroundDie Behandlung sozialer Ängste im Kindes- und Jugendalter
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“Die australische Version, das «Coping Koala Program» [Barrett et al., 1996], kombiniert CAT mit einem Angstmanagementtraining für die Familien.”
BackgroundTargeting Discrete Response Channels in the Treatment of Childhood Specific Phobia
Bergman, R. L., & Piacentini, J. C. (2005) · Clinical Psychology Science and Practice · doi:10.1093/clipsy.bpi020 · Cited by 7
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“Australian researchers have shown that treatment for parents with troubled children can be the key target for focus rather than the child alone (Barrett et al., 1996; Sanders, 2008).”
BackgroundApplying new evidence standards to youth cognitive behavioral therapies – A review
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“Research evidence suggests that parent involvement is likely to improve treatment outcome in anxious children and adolescents (Albano and Kendall 2002; Barrett et al. 1996).”
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Child Therapy Outcome Research
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Self-citationSysteemtherapeutische interventies bij kinderen met angststoornissen
Bögels, S. M., & Boer, F. (2002) · Kind en adolescent · doi:10.1007/bf03060862 · Cited by 6
Anxiety in Children-FRIENDS Program
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Self-citationSystematic review and meta-analysis of the Skills for Social and Academic Success (SASS) program
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“The effectiveness of the 16-week face-to-face Coping Cat intervention (Kendall, 1994) to treat anxiety has been replicated in children of varying ethnicity, gender (Treadwell, Flannery-Schroeder, & Kendall, 1995) and culture (Barrett & Turner, 2001; Barrett, Dadds, & Rapee, 1996).”
BackgroundAdapting Cognitive Behavioral Therapy for Anxious Children and Adolescents
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Self-citationThe role of parental anxiety symptoms in the treatment of childhood social anxiety disorder
Baartmans, J. M. D., van Steensel, F. J. A., Klein, A. M., Wiers, R. W. H. J., & Bögels, S. M. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104157 · Cited by 9
“For instance, it has been found that family CBT was more effective for younger children compared to older children (Barrett, Dadds, & Rapee, 1996).”
Backgroundde Jong, R., Lommen, M. J. J., van Hout, W. J. P. J., Kuijpers, R., Stone, L. L., de Jong, P. J., & Nauta, M. H. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102785 · Cited by 6
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“Previous studies have demonstrated that, for primary school aged children (e.g., 7-11-years-old), parent participation has a significant impact on CBT effectiveness (Barrett et al., 1996).”
Maternal Care as the Central Environmental Variable
de Rosnay, M., & Murray, L. (2012) · Cambridge University Press eBooks · doi:10.1017/cbo9781139016827.005 · Cited by 5
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Cook, J. M., Donovan, C. L., & Garnett, M. S. (2017) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.31.3.204 · Cited by 5
Chonthannathi, B., Pisitsungkagarn, K., & Jurukasemthawee, S. (2022) · International Journal for the Advancement of Counselling · doi:10.1007/s10447-022-09482-0 · Cited by 7
Metadata
- Authors
- Barrett, P. M., Dadds, M. R., & Rapee, R. M.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1996
- Volume
- 64
- Issue
- 2
- Pages
- 333-342
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W4294809992
- Cited by
- 791
- References
- 0
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 14 · 2022: 16 · 2021: 21 · 2020: 22 · 2019: 15 · 2018: 24 · 2017: 20 · 2016: 24 · 2015: 39 · 2014: 38 · 2013: 38 · 2012: 36
- FWCI
- 26.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- Griffith Research Online (submittedVersion)
- 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, family-based treatment, family management, cognitive behavioral therapy, separation anxiety disorder, overanxious disorder, social anxiety disorder, treatment effectiveness
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