Evaluation of a parent-led cognitive behaviour therapy programme in routine clinical practice: A controlled trial.
anxiety
child
cognitive behavioural therapy
parenting
Journal
The British journal of clinical psychology
ISSN: 0144-6657
Titre abrégé: Br J Clin Psychol
Pays: England
ID NLM: 8105533
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
revised:
29
03
2021
received:
05
10
2020
pubmed:
8
6
2021
medline:
26
11
2021
entrez:
7
6
2021
Statut:
ppublish
Résumé
Parent-led cognitive behavioural therapy for child anxiety disorders have garnered a growing evidence base. However, it is unclear how such approaches translate into routine clinical practice. The current study aims to evaluate the effectiveness of an 8-session treatment (From Timid to Tiger) in reducing child anxiety and behavioural difficulties, as well as family accommodation. The parents of 71 children (aged 4-11) were assigned to the treatment or a waitlist control. Parent report measures were completed pre-treatment, at treatment-end, and at 3-month follow-up. Parents assigned to the waitlist were assessed 8 weeks after the initial assessment. Findings indicated that parents who attended the group reported significant reductions in child anxiety and behavioural difficulties. In addition, the parents in the treatment group reported a reduction in family accommodation compared to those in the waitlist. The current control trial provides tentative evidence of the use and effectiveness of such parent-led approaches in addressing child anxiety difficulties commonly seen in routine clinical practice. PRACTITIONER POINTS: Parent-led approaches are effective treatments in managing child anxiety difficulties. Very little research to date has assessed the effectiveness of such approaches in routine clinical practice. The From Timid to Tiger program is a brief parent-led CBT intervention. The programme was effective in reducing child anxiety and behavioural difficulties. Parents also reported a reduction in behaviours related to family accommodation. Such programmes show promise and can be used in routine clinical practice.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
486-503Informations de copyright
© 2021 British Psychological Society.
Références
Beesdo, K., Knappe, S., & Pine, D. S. (2011). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32, 483-524. https://doi.org/10.1016/j.psc.2009.06.002
Benito, K. G., Caporino, N. E., Frank, H. E., Ramanujam, K., Garcia, A., Freeman, J., … Storch, E. A. (2015). Development of the pediatric accommodation scale: Reliability and validity of clinician- and parent-report measures. Journal of Anxiety Disorders, 29, 14-24. https://doi.org/10.1016/j.janxdis.2014.10.004
Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 1230-1236. https://doi.org/10.1097/0000-4583-199910000-00011
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 545-553. https://doi.org/10.1097/00004583-199704000-00018
Bourdon, K. H., Goodman, R., Rae, D. S., Simpson, G., & Koretz, D. S. (2005). The Strengths and Difficulties Questionnaire: U.S. normative data and psychometric properties. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 557-564. https://doi.org/10.1097/01.chi.0000159157.57075, c8
Bowen, R. C., Offord, D. R., & Boyle, M. H. (1990). The prevalence of overanxious disorder and separation anxiety disorder: Results from the Ontario child health study. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 753-758. https://doi.org/10.1097/00004583-199009000-00013
Brendel, K. E., & Maynard, B. R. (2014). Child-parent interventions for childhood anxiety disorders: A systematic review and meta-analysis. Research on Social Work Practice, 24, 287-295. https://doi.org/10.1177/1049731513503713
Buchanan-Pascall, S., Gray, K. M., Gordon, M., & Melvin, G. A. (2018). Systematic review and meta-analysis of parent group interventions for primary school children aged 4-12 years with externalizing and/or internalizing problems. Child Psychiatry & Human Development, 49(2), 244-267. https://doi.org/10.1007/s10578-017-0745-9
Byrne, G. (2021). The use of acceptance and commitment therapy (ACT) in addressing family accommodation (FA) for child anxiety. The Cognitive Behaviour Therapist, 14. https://doi.org/10.1017/S1754470X21000064
Calvocoressi, L., Lewis, B., Harris, M., Trufan, S. J., Goodman, W. K., McDougie, C. J., & Price, L. H. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152, 441-443. https://doi.org/10.1176/ajp.152.3.441
Cartwright-Hatton, S., Laskey, B., Rust, S., & McNally, D. (2010). From Timid to Tiger: A treatment manual for parenting the anxious child. Hoboken, NJ: Wiley-Blackwell.
Cartwright-Hatton, S., McNally, D., White, C., & Verduyn, C. (2005). Parenting skills training: An effective intervention for internalizing symptoms in younger children? Journal of Child and Adolescent Psychiatric Nursing, 18(2), 45-52. https://doi.org/10.1111/j.1744-6171.2005.00014.x
Cartwrigth-Hatton, S., McNally, D., Field, A. P., Rust, S., Laskey, B., Dixon, C., … Woodham, A. (2011). A new parenting-based group interventions for young anxious children: Results of a randomised controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 50, 242-251. https://doi.org/10.1016/j.jaac.2010.12.015
Cornacchio, D., Crum, K. I., Coxe, S., Pincus, D. B., & Comer, J. S. (2016). Irritability and severity of anxious symptomatology among youth with anxiety disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 55(1), 54-61. https://doi.org/10.1016/j.jaac.2015.10.007
Creswell, C., Parkinson, M., Thirlwall, K., & Willetts, L. (2019). Parent-led CBT for child anxiety: Helping parents help their kids. New York, NY: Guilford Publications.
Creswell, C., Waite, P., & Hudson, J. (2020). Practitioner Review: Anxiety disorders in children and young people-assessment and treatment. Journal of Child Psychology and Psychiatry, 61(6), 628-643. https://doi.org/10.1111/jcpp.13186
Drabick, D. A. G., Ollendick, T. H., & Bubier, J. L. (2010). Co-occurrence of ODD and anxiety: Shared risk processes and evidence for a dual-pathway model. Clinical Psychology: Science and Practice, 17, 307-318. https://doi.org/10.1111/j.1468-2850.2010.01222.x
Evans, R., Hill, C., O'Brien, D., & Creswell, C. (2019). Evaluation of a group format of clinician-guided, parent-delivered cognitive behavioural therapy for child anxiety in routine clinical practice: A pilot-implementation study. Child and Adolescent Mental Health, 24(1), 36-43. https://doi.org/10.1111/camh.12274
Ewing, D. L., Monsen, J. J., Thompson, E. J., Cartwright-Hatton, S., & Field, A. P. (2013). A meta-analysis of transdiagnositc cognitive behavioural therapy in the treatment of child and young person anxiety disorders. Behavioural and Cognitive Psychotherapy, 43, 1-16. https://doi.org/10.1017/S1352465813001094
Flessner, C. A., Freeman, J. B., Sapyta, J., Garcia, A., Franklin, M. E., March, J. S., & Foa, E. (2011). Predictors of parental accommodation in pediatric obsessive-compulsive disorder: Findings from the Pediatric Obsessive-Compulsive Disorder Treatment Study (POTS) trial. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 716-725. https://doi.org/10.1016/j.jaac.2011.03.019
Forehand, R., Jones, D. J., & Parent, J. (2013). Behavioural parenting interventions for child disruptive behaviours and anxiety: What’s different and what’s the same. Clinical Psychology Review, 33, 133-145. https://doi.org/10.1016/j.cpr.2012.10.010
Freeman, J., Sapyta, J., Garcia, A., Compton, S., Khanna, M., Flessner, C., … Franklin, M. (2014). Family-based treatment of early childhood obsessive- compulsive disorder: The Pediatric Obsessive-Compulsive Disorder Treatment Study for Young Children (POTS Jr)- a randomized clinical trial. JAMA Psychiatry, 71, 689-698. https://doi.org/10.1001/jamapsychiatry.2014.170
Gere, M. K., Villabø, M. A., Torgersen, S., & Kendall, P. C. (2012). Overprotective parenting and child anxiety: The role of co-occurring child behaviour problems. Journal of Anxiety Disorders, 26(6), 642-649. https://doi.org/10.1016/j.janxdis.2012.04.003
GNU Project. (2015). GNU PSPP (Version 0.8.5) Computer Software. Boston, MA: Free Software Foundation.
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581-586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x
Goodman, R., & Scott, S. (1999). Comparing the strengths and difficulties questionnaire and the child behaviour checklist: Is small beautiful? Journal of Abnormal Child Psychology, 27, 17-24. https://doi.org/10.1023/a:1022658222914
Hans, E., & Hiller, W. (2013). Effectiveness of and dropout from outpatient cognitive behavioural therapy for adult unipolar depression: A meta-analysis of nonrandomized effectiveness studies. Journal of Consulting and Clinical Psychology, 81(1), 75. https://doi.org/10.1037/a0031080
Hawton, K. E., Salkovskis, P. M., Kirk, J. E., & Clark, D. M. (1989). Cognitive behaviour therapy for psychiatric problems: A practical guide. Oxford, UK: Oxford University Press.
Hudson, J. L., & Rapee, R. (2004). From anxious temperament to disorder: An etiological model of generalised anxiety disorder. In R. Heinberg, C. Turk & D. Mennin (Eds.), Generalised anxiety disorder: Advances in research and practice. New York, NY: Guilford Press.
James, A. C., James, G., Cowdrey, F. A., Soler, A., & Choke, A. (2013). Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Review, 6, https://doi.org/10.1002/14651858.CD004690.pub3
James, A., Soler, A., & Wetherall, R. (2006). Cognitive behavioural therapy for anxiety disorders in children and adolescents. The Cochrane Library, 1, 1-25. https://doi.org/10.1002/ebch.206
Jones, J. D., Lebowitz, E. R., Marin, C. E., & Stark, K. D. (2015). Family accommodation mediates the association between anxiety symptoms in mothers and children. Journal of Child & Adolescent Mental Health, 27, 41-51. https://doi.org/10.2989/17280583.2015.1007866
Kagan, E. R., Peterman, J. S., Carper, M. M., & Kendall, P. C. (2016). Accommodation and treatment of anxious youth. Depression and Anxiety, 33, 840-847. https://doi.org/10.1002/da.22520
Kendall, P., Furr, J. M., & Podell, J. L. (2010). Child-focused treatment of anxiety. In J. Weisz & A. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 45-60). New York, NY: Guilford Press.
Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioural therapy for anxiety disordered youth: A randomised clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282-297. https://doi.org/10.1037/0022-006X.76.2.282
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602. https://doi.org/10.1001/archpsyc.62.6.593
Laskey, B. J., & Cartwright-Hatton, S. (2009). Parental discipline behaviours and beliefs about their child: Associations with child internalizing and mediation relationships. Child: Care. Health and Development, 35, 717-727. https://doi.org/10.1111/j.1365-2214.2009.00977.x
Lawrence, P. J., Waite, P., & Creswell, C. (2019). Environmental factors in the development and maintenance of anxiety disorders. In S. N. Compton, M. A. Villabo, & H. Kristensen (Eds.), Pediatric anxiety disorders (pp. 101-124). Amsterdam, Netherlands: Elsevier.
Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent- based treatment as efficacious as cognitive behavioural therapy for childhood anxiety: A randomized non-inferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child & Adolescent Psychiatry, 59(3), 362-372. https://doi.org/10.1016/j/jaac.2019.02.014
Lebowitz, E. R., Omer, H., Hermes, H., & Scahill, L. (2014). Parent training for childhood anxiety disorders: The SPACE program. Cognitive and Behavioural Practice, 21, 456-469. https://doi.org/10.1016/j.cbpra.2013.10.004
Lebowitz, E. R., Panza, K. E., & Bloch, M. H. (2015). Family accommodation in obsessive- compulsive and anxiety disorders: A five year update. Expert of Review of Neurotherapeutics, 16, 45-53. https://doi.org/10.1586/14737175.2016.1126181
Lebowitz, E. R., Vitulano, L. A., Mataix-Cols, D., & Leckman, J. F. (2011). When OCD takes over…the family! Coercive and disruptive behaviours in paediatric obsessive compulsive disorder. Journal of Child Psychology and Psychiatry, 52, 1249-1250. https://doi.org/10.1111/j.1469-7610.2011.02480.x
Lebowitz, E. R., Woolston, J., Bar-Haim, Y., Calvocoressi, L., Dauser, C., Warnick, E., … Leckman, J. F. (2013). Family accommodation in paediatric anxiety disorders. Depression and Anxiety, 30, 47-54. https://doi.org/10.1002/da.21998
McCoy, C. E. (2017). Understanding the intention-to-treat principle in randomized controlled trials. Western Journal of Emergency Medicine, 18, 1075.
McKinnon, A., Keers, R., Coleman, J. R. I., Lester, K. J., Roberts, S., Arendt, K., … Hudson, J. L. (2018). The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders. Journal of Child Psychology and Psychiatry, 59(7), 763-772. https://doi.org/10.1111/jcpp.12872
McLeod, B. D., Wood, J. J., & Weisz, J. (2007). Examining the association between parenting and childhood anxiety: A meta-analysis. Clinical Psychology Review, 27, 155-172. https://doi.org/10.1016/j.cpr.2007.03.001
Mingebach, T., Kamp-Becker, I., Christiansen, H., & Weber, L. (2018). Meta-meta-analysis on the effectiveness of parent-based interventions for the treatment of child externalizing behaviour problems. PLoS One, 13(9), e0202855. https://doi.org/10.1371/journal.pone.0202855
Monga, S., Rosenbloom, B. N., Tanha, A., Owens, M., & Young, A. (2015). Comparison of child- parent and parent-only cognitive-behavioural therapy programs for anxious children aged 5 to 7 years: Short- and long-term outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 54(2), 138-146. https://doi.org/10.1016/j.jaac.2014.10.008
Norman, K. R., Silverman, W. K., & Lebowitz, E. R. (2015). Family accommodation of child and adolescent anxiety: Mechanisms, assessment, and treatment. Journal of Child and Adolescent Psychiatric Nursing, 28, 131-140. https://doi.org/10.1111/jcap.12116
Öst, L. G. (2011). CBT for anxiety disorders in children. A systematic review and meta- analysis. In Keynote at the 41st congress of European Association of Behavioural and Cognitive Therapies, Reykjavik, September.
Özyurt, G., Gencer, Ö., Öztürk, Y., & Özbek, A. (2015). Is Triple P positive parenting program effective on anxious children and their parents? 4th month follow-up results. Journal of Child and Family Studies, 1646-1655. https://doi.org/10.1007/s10826-015-0343-z
Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55, 56-64. https://doi.org/10.1001/archpsyc.55.1.56
Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345-365. https://doi.org/10.1111/jcpp.12381
Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behaviour therapy for children with high-functioning autism spectrum disorders and anxiety: A randomized trial. Journal of Child Psychology and Psychiatry, 53(4), 410-419. https://doi.org/10.1111/j.1469-7610.2011.02486.x
Reynolds, S., Wilson, C., Austin, J., & Hooper, L. (2012). Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clinical Psychology Review, 32(4), 251-262. https://doi.org/10.1016/j.cpr.2012.01.005
Salloum, A., Andel, R., Lewin, A. B., Johnco, C., McBride, N. M., & Storch, E. A. (2018). Family accommodation as a predictor of cognitive-behavioural treatment outcome for childhood anxiety. Families in Society, 99(1), 45-55. https://doi.org/10.1177/1044389418756326
Seligman, L. D., & Ollendick, T. H. (2012). Cognitive-behavioural therapy for anxiety disorders in youth. Child and Adolescent Psychiatric Clinics, 20, 217-238. https://doi.org/10.1016/j.chc.2011.01.003
Taboas, W. R., McKay, D., Whiteside, S. P., & Storch, E. A. (2015). Parental involvement in youth anxiety treatment: Conceptual bases, controversies, and recommendations for intervention. Journal of Anxiety Disorders, 30, 16-18. https://doi.org/10.1016/j.janxdis.2014.12.005
Thienemann, M., Moore, P., & Tompkins, K. (2006). A parent only-group intervention for children with anxiety disorders: Pilot study. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 37-46. https://doi.org/10.1097/01.chi0000186404.90217.02
Thirlwall, K., Cooper, P. J., Karalus, J., Voysey, M., Willetts, L., & Creswell, C. (2013). Treatment of child anxiety disorders via guided parent-delivered cognitive-behavioural therapy: Randomised controlled trial. The British Journal of Psychiatry, 203, 436-444. https://doi.org/10.1192/bjp.bp.113.126698
Thulin, U., Svirsky, L., Serlachius, E., Andersson, G., & Öst, L.-G. (2014). The effect of parent involvement in the treatment of anxiety disorders in children: A meta-analysis. Cognitive Behaviour Therapy, 43, 185-200. https://doi.org/10.1080/16506073.2014.923928
van der Sluis, C. M., van der Bruggen, C. O., Brechman-Toussaint, M. L., Thissen, M. A., & Bögels, S. M. (2012). Parent-directed cognitive behavioural therapy for young anxious children: A pilot study. Behaviour Therapy, 43(3), 583-592.
Webster-Stratton, C. (1990). Long-term follow up of families with young conduct disordered children: From pre-school to grade school. Journal of Clinical Child Psychology, 19(2), 144-149.
Wei, C., & Kendall, P. C. (2014). Parental involvement: Contribution to childhood anxiety and its treatment. Clinical Child and Family Psychology Review, 17, 319-399. https://doi.org/10.1007/s10567-014-01706
White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C., Southam-Gerow, M. A., … Scahill, L. (2013). Randomized controlled trial: Multimodal anxiety and Social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(2), 382-394. https://doi.org/10.1007/s10803-012-1577-x
Whiteside, S. P., Sim, L. A., Morrow, A. S., Farah, W. H., Hilliker, D. R., Murad, M. H., & Wang, Z. (2020). A meta-analysis to guide the enhancement of CBT for childhood anxiety: Exposure over anxiety management. Clinical Child and Family Psychology Review, 23(1), 102-121. https://doi.org/10.1007/s10567-019-00303-2
Wittchen, H. U., & Fehm, L. (2003). Epidemiology and natural course of social fears and social phobia. Acta Psychiatry Scandanavia, 417, 4-18. https://doi.org/10.1034/j.1600-0447.108.s417.1.x
Zavrou, S., Rudy, B., Johnco, C., Storch, E. A., & Lewin, A. B. (2019). Preliminary study of family accommodation in 4-7 year-olds with anxiety: Frequency, clinical correlates, and treatment response. Journal of Mental Health, 28(4), 365-371. https://doi.org/10.1080/09638237.2018.1466034
Zhou, X., Zhang, Y., Furukawa, T. A., Cuijpers, P., Pu, J., Weisz, J. R., … Xie, P. (2019). Different types and acceptability of psychotherapies for acute anxiety disorders in children and adolescents: A network meta-analysis. JAMA Psychiatry, 76(1), 41-50. https://doi.org/10.1001/jamapsychiatry.2018.3070