Cited by 527Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentPsychological Treatments and Assessments

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The Treatment of Childhood Social Phobia: The Effectiveness of a Social Skills Training‐based, Cognitive‐behavioural Intervention, with and without Parental Involvement

Spence, Susan H., Donovan, Caroline, Brechman‐Toussaint, Margaret·2000·Journal of Child Psychology and Psychiatry

DOI 10.1111/1469-7610.00659

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Abstract

Fifty children aged 7–14 years with a principal diagnosis of social phobia were randomly assigned to either child‐focused cognitive‐behaviour therapy (CBT), CBT plus parent involvement, or a wait list control (WLC). The integrated CBT program involved intensive social skills training combined with graded exposure and cognitive challenging. At post‐treatment, significantly fewer children in the treatment conditions retained a clinical diagnosis of social phobia compared to the WLC condition. In comparison to the WLC, children in both CBT interventions showed significantly greater reductions in children's social and general anxiety and a significant increase in parental ratings of child social skills performance. At 12‐month follow‐up, both treatment groups retained their improvement. There was a trend towards superior results when parents were involved in treatment, but this effect was not statistically significant.

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Baving, L., & Schmidt, M. H. (2001) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024//1422-4917.29.3.189 · Cited by 14
Report of the Working Group on Psychotropic Medications for Children and Adolescents: Psychopharmacological, Psychosocial, and Combined Interventions for Childhood Disorders: Evidence Base, Contextual Factors, and Future Directions
APA Working Group on Psychoactive Medications for Children and Adolescents (2006) · PsycEXTRA Dataset · doi:10.1037/e539722009-001 · Cited by 14
“Although a number of controlled trials have reported the benefits of family involvement in CBT for childhood anxiety versus individual treatment only, findings have not been consistent within or across the different studies (Barrett et al., 1996; Cobham et al., 1998; Nauta et al., 2003; Spence et al., 2000; Wood, 2006…”
Result
School Refusal Behavior
Kearney, C. A., & Diliberto, R. (2013) · Wiley eBooks · doi:10.1002/9781118528563.wbcbt37 · Cited by 14
Biased Facial Expression Interpretation in Shy Children
Kokin, J., Younger, A. J., Gosselin, P., & Vaillancourt, T. (2015) · Infant and Child Development · doi:10.1002/icd.1915 · Cited by 15
Evaluación y tratamiento de la fobia social en población infanto-juvenil de los países de habla española y portuguesa
Olivares, J. (2009) · Anuario de Psicología/The UB Journal of Psychology · Cited by 13
Adultmodels of anxiety and their application to children and adolescents
Cartwright‐Hatton, S., Reynolds, S. A., & Wilson, C. E. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511994920.008 · Cited by 14
Psychosocial and pharmacological treatment for pediatric anxiety disorders
Fisher, P. H., Tobkes, J. L., Kotcher, L. B., & Masia‐Warner, C. (2006) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.6.11.1707 · Cited by 14
Social anxiety in children
Avakyan, T. V., & Воликова, С. В. (2014) · Psychology in Russia State of Art · doi:10.11621/pir.2014.0108 · Cited by 13
A bibliometric analysis on adolescent social anxiety and psychoeducational variables in Web of Science 2002–2021
Urbán, D. J. A., Greca, A. M. L., García-Fernández, J. M., & Inglés, C. J. (2023) · The Journal of General Psychology · doi:10.1080/00221309.2022.2161982 · Cited by 16
Angststörungen und Phobien im Kindes- und Jugendalter
Schneider, S., & In‐Albon, T. (2010) · Psychotherapeut · doi:10.1007/s00278-010-0724-0 · Cited by 14
Empirically supported psychotherapy interventions for internalizing disorders
Oswald, D. P., & Mazefsky, C. A. (2006) · Psychology in the Schools · doi:10.1002/pits.20158 · Cited by 12
Parental Involvement in Intensive Treatment for Adolescent Panic Disorder and Its Impact on Depression
Hardway, C. L., Pincus, D. B., Gallo, K. P., & Comer, J. S. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0133-7 · Cited by 13
“…of parent involvement in the treatment of PD, which has received less attention in this regard than the treatment of other anxiety disorders, such as specific phobias (Ollendick et al. 2010), obsessive compulsive disorder (Waters et al. 2001), and social anxiety disorder (Spence et al. 2000).”
PROGRAMA DE INTERVENCIÓN PARA EL DESARROLLO DE HABILIDADES SOCIALES EN NIÑOS INSTITUCIONALIZADOS
Fragoso, C. G., Rueda, A. A., & Benítez, Y. G. (2012) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 12
Psychometric Properties of a Social Skills Assessment using a Virtual Environment
Le, T.-A. P., & Beidel, D. C. (2017) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-017-9589-7 · Cited by 12
Predicting outcomes for anxious children receiving group cognitive‐behavioural therapy: Does the type of anxiety diagnosis make a difference?
Waters, A. M., Groth, T. A., Purkis, H. M., & Alston‐Knox, C. (2017) · Clinical Psychologist · doi:10.1111/cp.12128 · Cited by 14
Impact of Child and Parent Motivation on Social Skills Training Outcome
Goolsby, J., Alvord, M. K., & Rich, B. A. (2019) · Child & Family Behavior Therapy · doi:10.1080/07317107.2019.1571774 · Cited by 12
Anxiety disorders in children and adolescents
Nauta, M. H. (2005) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 12
Evidence-based cognitive–behavioral therapies for adolescent substance use disorders: applications and challenges
Kaminer, Y., & Waldron, H. B. (2006) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543968.020 · Cited by 12
Special Education: Best Practices and First Step to Success
Epstein, M. H., & Walker, H. M. (2002) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195134575.003.0009 · Cited by 13
Assessment and Diagnosis in Evidence‐Based Practice
Silverman, W. K., & Saavedra, L. M. (2004) · Wiley eBooks · doi:10.1002/9780470753385.ch3 · Cited by 12
Parental Responses to Children’s Avoidance in Fear-Provoking Situations: Relation to Child Anxiety and Mediators of Intervention Response
Casline, E. P., Pella, J., Zheng, D., Harel, O., Drake, K. L., & Ginsburg, G. S. (2018) · Child & Youth Care Forum · doi:10.1007/s10566-018-9440-7 · Cited by 11
“1996a) and is sensitive to treatment effects in studies of youth with anxiety disorders (Kendall et al. 1997; Spence et al. 2000; Spielberger 1983).”
BackgroundInfluential
Does Cognitive-Behavioral Therapy for Youth Anxiety Disorders Improve Social Functioning and Peer Relationships?
Etkin, R. G., Juel, E. K., Lebowitz, E. R., & Silverman, W. K. (2023) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-023-00454-3 · Cited by 13
“Two studies were conducted in Australia; one’s sample was 83.2% Australian, 2.4% Indigenous Australian, and 16.8% other nationality (Spence et al., 2017); the other did not report (Spence et al., 2000).”
BackgroundInfluential
Cognitive–behavioural therapy with children, young people and families: from individual to systemic therapy
Dummett, N. (2010) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.107.004259 · Cited by 13
Social Skills Interventions
Smith, A. J., Jordan, J. A., Flood, M. F., & Hansen, D. J. (2009) · ABCT clinical assessment series · doi:10.1007/978-1-4419-0609-0_7 · Cited by 11
Evidence-based Practice for Childhood Anxiety Disorders
Ginsburg, G. S., & Kingery, J. N. (2007) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-007-9047-z · Cited by 11
“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).”
Background
Involving Parents in Cognitive-Behavioral Therapy for Child Anxiety Problems
Siddaway, A. P., Wood, A. M., & Cartwright‐Hatton, S. (2013) · Clinical Case Studies · doi:10.1177/1534650113510398 · Cited by 11
“…transfer, generalization, and maintenance of new skills into Laura’s and the family’s everyday life; the “co-client” model was adopted in sessions aimed at addressing Laura’s parents’ problem-maintaining cognitions and behavior (Cartwright-Hatton et al., 2010; Spence et al., 2000; Stallard, 2005).”
Method

Authors: Spence, S. H., Donovan, C., & Brechman‐Toussaint, M.
Affiliations: The University of Queensland (AU)
ORCID: Spence, Susan H.
Donovan, Caroline
Venue: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Published: 2000-09
Volume: 41
Issue: 6
Pages: 713-726
ISSN: 0021-9630 (ISSN-L)
1469-7610
DOI: 10.1111/1469-7610.00659
OpenAlex: W2111564971
Cited by: 527
References: 59
Citations by year: 2026: 6 · 2025: 7 · 2024: 10 · 2023: 8 · 2022: 11 · 2021: 10 · 2020: 15 · 2019: 14 · 2018: 13 · 2017: 20 · 2016: 17 · 2015: 40 · 2014: 25 · 2013: 27 · 2012: 24
FWCI: 32.34
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1137 d)
Locations: Journal of Child Psychology and Psychiatry (publishedVersion)
PubMed (publishedVersion)
Griffith Research Online (submittedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords: social skills training, cognitive behavioral therapy, parental involvement, graded exposure, social anxiety, treatment retention
MeSH terms: Adolescent, Child, Female, Follow-Up Studies, Humans, Male, Parents, Phobic Disorders, Surveys and Questionnaires, Random Allocation, Socialization, Teaching, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome

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The Treatment of Childhood Social Phobia: The Effectiveness of a Social Skills Training‐based, Cognitive‐behavioural Intervention, with and without Parental Involvement

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