CBT for the treatment of child anxiety disorders: a review of why parental involvement has not enhanced outcomes

Sonja Breinholst, Barbara Hoff Esbjørn, Marie Louise Reinholdt-Dunne, Paul Stallard

    98 Citations (Scopus)

    Abstract

    Anxiety affects 10% of all children and disrupts educational, socio-emotional development and overall functioning of the child and family. Research has shown that parenting factors (i.e. intrusiveness, negativity, distorted cognitions) contribute to the development and maintenance of childhood anxiety. Recent studies have therefore investigated if the treatment effect of traditional cognitive behavioural therapy may be enhanced by adding a parental component. However, randomised controlled trials have not shown unequivocal support for this assumption. The results are inconsistent and ambiguous. This article investigates possible reasons for this inconsistency and in particular differences in methodology and the theoretical relevance of the applied parental components are highlighted as possible contributory factors. Another factor is that treatment effect is mainly measured by change in the child's diagnostic status rather than changes in parental or family functioning.
    Original languageEnglish
    JournalJournal of Anxiety Disorders
    Volume26
    Issue number3
    Pages (from-to)416-424
    Number of pages9
    ISSN0887-6185
    DOIs
    Publication statusPublished - Apr 2012

    Keywords

    • Anxiety Disorders
    • Child
    • Cognitive Therapy
    • Family Therapy
    • Humans
    • Parent-Child Relations
    • Parenting
    • Parents
    • Treatment Outcome

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