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Cognitive-Behavioral Group Treatments in Childhood Anxiety Disorders: The Role of Parental Involvement
Abstract
Objectives This study examined (1) the effect of a cognitive-behavioral group intervention on anxiety, depression, and coping strategies in school-age children (aged 7-12 years) with Axis I anxiety disorders; and (2) the effect of parental involvement on treatment outcomes.Method Parents and children (N = 62) were randomly assigned to one of three 12-week treatment conditions: parent and child intervention, child-only intervention, and parent-only intervention. Child anxiety, depression, and coping strategies were assessed before and after treatment.Results All treatment groups reported fewer symptoms of anxiety and depression posttreatment and changes in their use of coping strategies. Children in the parent and child intervention used more active coping strategies posttreatment compared with children in the other 2 treatment conditions. Parents in this treatment condition reported a significantly greater improvement in their children's emotional well-being than parents in the other treatment conditions.Conclusions Cognitive-behavioral group interventions reduced symptoms of anxiety and depression in school-age children with anxiety disorders. Concurrent parental involvement enhanced the effect on coping strategies. Further investigation is needed to corroborate the effectiveness of such short-term interventions and the maintenance of treatment effects.
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“By trying to alter the topography of parent behavior, these interventions neglect to address covert psychological processes that underlie overt parental actions and the reasons why parents engage in unhelpful responses.”
From A Qualitative Study of Participant Feedback on an Acceptance and Commitment Therapy Group-Based Intervention for Parents of Youth with Anxiety Disorders. (2026) · cites this paper as [22]
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Metadata
- Authors
- MENDLOWITZ, S. L., MANASSIS, K., BRADLEY, S., SCAPILLATO, D., MIEZITIS, S., & SHAW, B. E.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- MENDLOWITZ, SANDRA L.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1999-10
- Volume
- 38
- Issue
- 10
- Pages
- 1223-1229
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2082066759
- Cited by
- 365
- References
- 23
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 9 · 2020: 6 · 2019: 9 · 2018: 5 · 2017: 12 · 2016: 15 · 2015: 15 · 2014: 20 · 2013: 22 · 2012: 18
- FWCI
- 15.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- group cognitive behavioral therapy, childhood anxiety disorders, parental involvement, parent-child intervention, childhood depression, coping strategies, elementary school students, treatment outcomes, emotional well-being
- MeSH terms
- Adaptation, Psychological, Anxiety, Anxiety Disorders, Child, Depression, Family Therapy, Female, Humans, Male, Parent-Child Relations, Psychotherapy, Group, Cognitive Behavioral Therapy
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