Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis

Manassis, Katharina, Lee, Trevor Changgun, Bennett, Kathryn, Zhao, Xiu Yan, Mendlowitz, Sandra, Duda, Stephanie, Saini, Michael, Wilansky, Pamela, Baer, Susan, Barrett, Paula, Bodden, Denise, Cobham, Vanessa E., Dadds, Mark R., Flannery-Schroeder, Ellen, Ginsburg, Golda, Heyne, David, Hudson, Jennifer L., Kendall, Philip C., Liber, Juliette, Masia-Warner, Carrie, Nauta, Maaike H., Rapee, Ronald M., Silverman, Wendy, Siqueland, Lynne, Spence, Susan H., Utens, Elisabeth and Wood, Jeffrey J. (2014) Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis. Journal of Consulting and Clinical Psychology, 82 6: 1163-1172. doi:10.1037/a0036969

Author Manassis, Katharina
Lee, Trevor Changgun
Bennett, Kathryn
Zhao, Xiu Yan
Mendlowitz, Sandra
Duda, Stephanie
Saini, Michael
Wilansky, Pamela
Baer, Susan
Barrett, Paula
Bodden, Denise
Cobham, Vanessa E.
Dadds, Mark R.
Flannery-Schroeder, Ellen
Ginsburg, Golda
Heyne, David
Hudson, Jennifer L.
Kendall, Philip C.
Liber, Juliette
Masia-Warner, Carrie
Nauta, Maaike H.
Rapee, Ronald M.
Silverman, Wendy
Siqueland, Lynne
Spence, Susan H.
Utens, Elisabeth
Wood, Jeffrey J.
Title Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis
Journal name Journal of Consulting and Clinical Psychology   Check publisher's open access policy
ISSN 0022-006X
Publication date 2014-05-19
Year available 2014
Sub-type Article (original research)
DOI 10.1037/a0036969
Volume 82
Issue 6
Start page 1163
End page 1172
Total pages 10
Place of publication Washington DC United States
Publisher American Psychological Association
Language eng
Abstract Objective: Meta-analytic studies have not confirmed that involving parents in cognitive behavior therapy (CBT) for anxious children is therapeutically beneficial. There is also great heterogeneity in the type of parental involvement included. We investigated parental involvement focused on contingency management (CM) and transfer of control (TC) as a potential outcome moderator using a meta-analysis with individual patient data. Method: Investigators of randomized controlled trials (RCTs) of CBT for anxious children, identified systematically, were invited to submit their data. Conditions in each RCT were coded based on type of parental involvement in CBT (i.e., low involvement, active involvement without emphasis on CM or TC, active involvement with emphasis on CM or TC). Treatment outcomes were compared using a 1-stage meta-analysis. Results: All cases involved in active treatment (894 of 1,618) were included for subgroup analyses. Across all CBT groups, means of clinical severity, anxiety, and internalizing symptoms significantly decreased posttreatment and were comparable across groups. The group without emphasis on CM or TC showed a higher proportion with posttreatment anxiety diagnoses than the low-involvement group. Between posttreatment and 1-year follow-up, the proportion with anxiety diagnoses significantly decreased in CBT with active parental involvement with emphasis on CM or TC, whereas treatment gains were merely maintained in the other 2 groups. Conclusions: CBT for anxious children is an effective treatment with or without active parental involvement. However, CBT with active parental involvement emphasizing CM or TC may support long-term maintenance of treatment gains. Results should be replicated as additional RCTs are published. (PsycINFO Database Record
Keyword Anxiety disorders
Cognitive behavior therapy
Anxious children
Parental involvement
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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