The Effect of Cognitive-Behavioral Family Therapy on Children's Non-clinical Anxiety

Authors

1 Department of Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran

2 Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences

Abstract

Introduction: The present study aims at determining the efficacy of family based cognitive-behavioral therapy on children's anxiety.Methods: In a quasi-experimental study, 120 girls’ with the ages of 10-11 with scores above 24 on the Spence Children's Anxiety Scale were enrolled. The mothers completed the Spence Children's Anxiety Scale-Parent Version. Mothers and children were randomly assigned to both control and case groups. The case group attended 8 sessions of family based cognitive-behavioral therapy (Cool Kids).Results: The findings showed a significant difference between case and control groups in anxiety, with reduction in the case group. Case group mothers also, reported a significant reduction in their children’s anxiety.Conclusion: Based on these findings, we can apply family based cognitive-behavioral therapy as an effective means of reducing children's anxiety.

Keywords

References

  1. Merikangas KR, Avenevoli S. Epidemiology of mood and anxiety disorders in children and adolescents. Textbook in psychiatric epidemiology (2nd Ed.). 2002: 657-704.
  2. Costello E, Mustillo S, Keeler G, Angold A. Prevalence of Psychiatric Disorders in Childhood and Adolescence. In B. Luborsky Levin, J. Petrila and K. Hennessy (eds) Mental Health Service: A Public Health Perspective (pp. 111-128). New York: Oxford University Press. 2004.
  3. APA. Diagnostic and Statistical Manual of the Mental Disorders (DSM–5). Washington, DC: APA, 2013.
  4. Carr A. The Effectiveness of Family Therapy and Systemic Interventions for Child-Focused Problems. J Fam Ther. 2009; 31: 3-45.
  5. Boden JM, Fergusson DM, Horwood LJ. Anxiety disorders and suicidal behaviors in adolescence and young adulthood: findings from a longitudinal study. Psychol Med. 2007; 37: 431-40.
  6. Olatunji BO, Cisler JM, Tolin DF. Quality of life in the anxiety disorders: a meta-analytic review. Clin Psychol Rev. 2007; 27: 572-81.
  7. Hirshfeld-Becker DR, Biederman J. Rationale and principles for early intervention with young children at risk for anxiety disorders. Clin Child Fam Psychol Rev. 2002; 5: 161-72.
  8. Essau CA, Conradt J, Petermann F. Frequency, Comorbidity, and psychosocial impairment of specific phobia in adolescents. J Clin Child Psychol. 2000; 29: 221–31.
  9. Wood JJ, McLeod BD. Child anxiety disorders: a family-based treatment manual for practitioners. New York: W. W. Norton & Co. 2008.
  10. Crawford AM, Manassis K. Anxiety, social skills, friendship quality, and peer victimization: An integrated model, J Anxiety Disord. 2011; 25: 924– 31.
  11. McLeod BD, Wood JJ, Weisz JR. Examining the association between parenting and childhood anxiety: a meta-analysis. Clin Psychol Rev. 2007; 27(2): 155-72.
  12. Waters AM, Ford LA, Wharton TA, Cobham VE. Cognitive-behavioral therapy for young children with anxiety disorders: Comparison of a Child- Parent condition versus a Parent Only condition. Behav Res Ther. 2009; 47:654–62.
  13. Ginsburg GS, Grover RL, Cord JJ, Ialongo N. Observational measures of parenting in anxious and non-anxious mothers: Does type of task matter. J Clin Child Adolesc Psychol. 2006; 35(2): 323–28.
  14. Micco JA, Henin A, Mick E, Kim S, Hopkins CA, Biederman J, et al. Anxiety and depressive disorders in offspring at high risk for anxiety: a meta-analysis. J Anxiety Disord. 2009; 23: 1158–64.
  15. In-Albon T, Schneider S. Psychotherapy of Childhood Anxiety Disorders: A Meta-Analysis. Psychother Psychosomat J. 2007; 76:15-24.
  16. Suveg C; Hudson JL, Brewer G; Flannery-Schroeder E, Gosch E, Kendall PC. Cognitive-Behavioral Therapy for Anxiety-Disordered Youth: Secondary outcomes from a randomized clinical trial evaluating child and family modalities. J Anxiety Disord. 2009; 23:341–49.
  17. Kleya H, Heinrichsa N, Benderb C, Tuschen-Caffierb B. Predictors of outcome in a cognitive-behavioral group program for children and adolescents with social anxiety disorder, J Anxiety Disord. 2012; 26: 79-87.
  18. Barrett PM, Rapee RM, Dadds MR, Ryan SM. Family enhancement of cognitive style in anxious and aggressive children. J Abnorm Child Psychol. 1996; 24:187–203.
  19. Mendlowitz SL, Manassis K, Bradley S, Scapillato D, Miezitis S, Shaw BF. Cognitive–behavioral group treatments in childhood anxiety disorders: The role of parental involvement. J Am Academ Child Adolesc Psychiatr. 1999; 38:1233–29.
  20. Silverman WK., Kurtines WM, Ginsburg GS, Weems CF, Rabian B, Serafini LT. Contingency management, self-control, and education support in the treatment of childhood phobic disorders: a randomized clinical trial. J Consul Clin Psychol. 1999; 67:675–87.
  21. Spence SH, Donovan C, Brechman-Toussaint M. The Treatment of Childhood Social Phobia: The Effectiveness of Social Skills Training-Based, Cognitive-Behavioral Intervention, With and Without Parental Involvement. J Child Psychol Psychiatr. 2000; 41(6): 713-26.
  22. Rapee RM. Group treatment of children with anxiety disorders: outcome and predictors of treatment response. Australian J Psychol. 2000; 52: 125–30.
  23. Manassis K, Mendlowitz SL, Scapillato D, Avery D, Fiksenbaum L, Freire M, Monga S, Owens M. Group and Individual Cognitive-Behavioral Therapy for Childhood Anxiety Disorders: A randomized Trial. J Am Academ Child Adolesc Psychiatry. 2002; 41(12):1423–30.
  24. Bögels SM, Siqueland L. Family cognitive Behavioral Therapy for Children and Adolescents with Clinical Anxiety Disorders. J Am Academ Child Adolesc Psychiatr. 2006; 45(2): 134-41.
  25. Kendall PC, Hudson J, Gosch E, Flannery-Schroeder, E., Suveg C. Child and family therapy for anxiety-disordered youth: results of a randomized clinical trial. J Consul Clin Psychol. (2008). 76: 282–97.
  26. Cobham VE, Dadds MR, Spence, SH. The role of parental anxiety in the treatment of childhood anxiety. J Consul Clin Psychol. 1998; 66: 893–905.
  27. Barrett PM, Duffy AL, Dadds MR, Rapee RM. Cognitive-behavioral treatment of anxiety disorders in children: long-term (6-years) follow-up. J Consul Clin Psychol. 2001; 69:135–41.
  28. Wood JJ, Piacentini JC, Southam-Gerow M, Chu BC, Sigman, M. Family Cognitive Behavioral Therapy for Child Anxiety Disorders, J Am Academ Child Adolesc Psychiatr. 2006; 45: 314–21.
  29. De Groot J, Cobham V, Leong J, McDermott B. Individual versus group family-focused cognitive-behavior therapy or childhood anxiety: pilot randomized controlled trial. Australian New Zealand J Psychiatr. 2007; 41(12): 990-97.
  30. Bodden DH. Bögels SM, Nauta MH, De Haan E. Ringrose J, Appelboom C, Brinkman AG, Appelboom-Geerts, KC. Child Versus Family Cognitive-Behavioral Therapy in Clinically Anxious Youth: An Efficacy and Partial Effectiveness Study. J Am Academ Child Adolesc Psychiatr. 2008; 47(12):1384-94.
  31. Breinholst S, Esbjørn B, Reinholdt-Dunne ML, Stallard P. CBT for the treatment of child anxiety disorders: A review of why parental involvement has not enhanced outcomes. J Anxiety Disord. 2012; 26: 416-24.
  32. Cobham VE, Dadds MR, Spence SH, McDermott B. Parental anxiety in the treatment of childhood anxiety: a different story three years later. J Clin Child Adolesc Psychol. 2010; 39:410–20.
  33. Spence SH. A Measure of Anxiety Symptoms among Children. Behav Res Ther. 1998; 36:545–66.
  34. Mousavi R, Moradi A, Mahdavi-Harsini SE. The Effectiveness of Structural Family Therapy on Treating Children's Separation Anxiety Disorder. Psychol Stud. 2007; 3(2):7-28. [Persian]
  35. Spence SH. Spence Children’s Anxiety Scale (parent version). Brisbane: University of Queensland. 1999.
  36. Rapee R, Wignall A, Spence SH, Cobham V, Lyneham H. Helping Your Anxious Child. Oakland, New Harbinger Publications; 2008.
International Journal of Behavioral Sciences
Volume 9, Issue 3 - Serial Number 3
51
Autumn 2015
Pages 187-191

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