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Cited by 240Child and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild Therapy and Development

Cognitive behavioral therapy for 4- to 7-year-old children with anxiety disorders: A randomized clinical trial.

Hirshfeld-Becker, Dina R., Masek, Bruce, Henin, Aude, Blakely, Lauren Raezer, Pollock-Wurman, Rachel A., McQuade, Julia, DePetrillo, Lillian, Briesch, Jacquelyn +3 more·2010·Journal of Consulting and Clinical Psychology
DOI 10.1037/a0019055
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Abstract

OBJECTIVE: To examine the efficacy of a developmentally appropriate parent-child cognitive behavioral therapy (CBT) protocol for anxiety disorders in children ages 4-7 years. DESIGN: Randomized wait-list controlled trial. Conduct: Sixty-four children (53% female, mean age 5.4 years, 80% European American) with anxiety disorders were randomized to a parent-child CBT intervention (n = 34) or a 6-month wait-list condition (n = 30). Children were assessed by interviewers blind to treatment assignment, using structured diagnostic interviews with parents, laboratory assessments of behavioral inhibition, and parent questionnaires. ANALYSIS: Chi-square analyses of outcome rates and linear and ordinal regression of repeated measures, examining time by intervention interactions. RESULTS: The response rate (much or very much improved on the Clinical Global Impression Scale for Anxiety) among 57 completers was 69% versus 32% (CBT vs. controls), p < .01; intent-to-treat: 59% vs. 30%, p = .016. Treated children showed a significantly greater decrease in anxiety disorders (effect size [ES] = .55) and increase in parent-rated coping (ES = .69) than controls, as well as significantly better CGI improvement on social phobia/avoidant disorder (ES = .95), separation anxiety disorder (ES = .82), and specific phobia (ES = .78), but not on generalized anxiety disorder. Results on the Child Behavior Checklist Internalizing scale were not significant and were limited by low return rates. Treatment response was unrelated to age or parental anxiety but was negatively predicted by behavioral inhibition. Gains were maintained at 1-year follow-up. CONCLUSIONS: Results suggest that developmentally modified parent-child CBT may show promise in 4- to 7-year-old children.

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  • Being Brave is a parent-child anxiety treatment that was originally designed for school-age, neurotypical children and adapted for a younger population.

    “Being Brave is a parent-child anxiety treatment that was originally designed for school-age, neurotypical children and adapted for a younger population [9, 17, 19].”

    From DINOSAUR: an integrated cognitive-behavioral treatment for anxiety in young children with ASD (2021) · cites this paper as [17]

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Authors
Hirshfeld-Becker, D. R., Masek, B., Henin, A., Blakely, L. R., Pollock-Wurman, R. A., McQuade, J., DePetrillo, L., Briesch, J., Ollendick, T. H., Rosenbaum, J. F., & Biederman, J.
ORCID
Venue
Journal of Consulting and Clinical Psychology
Publisher
American Psychological Association (APA)
Published
2010
Volume
78
Issue
4
Pages
498-510
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
DOI
10.1037/a0019055
OpenAlex
W1970796631
Cited by
240
References
58
Citations by year
2026: 8 · 2025: 6 · 2024: 9 · 2023: 14 · 2022: 9 · 2021: 9 · 2020: 16 · 2019: 17 · 2018: 18 · 2017: 18 · 2016: 16 · 2015: 22 · 2014: 15 · 2013: 22 · 2012: 17
FWCI
21.83
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (K08 MH001538)
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
cognitive behavioral therapy, childhood anxiety disorders, parent-child therapy, preschool children, separation anxiety disorder, social anxiety disorder, specific phobia, behavioral inhibition, coping, treatment response, maintenance therapy
MeSH terms
Anxiety Disorders, Anxiety, Separation, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Male, Personality Assessment, Phobic Disorders, Psychometrics, Cognitive Behavioral Therapy

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