Types of Parental Involvement in CBT with Anxious Youth: A Preliminary Meta-Analysis

Authors

Katharina Manassis, University of TorontoFollow
Trevor Changgun Le, McMaster University
Kathryn Bennett, University of British ColumbiaFollow
Xiu Yan Zhao, Pathways Health and Research Centre
Sandra Mendlowitz, Utrecht UniversityFollow
Stephanie Duda, University of QueenslandFollow
Michael Saini, University of New South Wales
Pamela Wilansky, University of Rhode IslandFollow
Susan Baer, Johns Hopkins UniversityFollow
Paula Barrett, Leiden UniversityFollow
Denise Bodden, Macquarie UniversityFollow
Vanessa E. Cobham, Temple UniversityFollow
Mark R. Dadds, University of GroningenFollow
Ellen Flannery-Schroeder, Yale UniversityFollow
Golda Ginsburg, Children's Center for OCD and AnxietyFollow
David Heyne, Griffith University Queensland
Jennifer L. Hudson, Erasmus University Rotterdam
Philip C. Kendall, University of California at Los Angeles
Juliette Liber, Utrecht UniversityFollow
Carrie Masia, Montclair State UniversityFollow
Maaike H. Nauta, University of GroningenFollow
Ronald M. Rapee, Macquarie UniversityFollow
Wendy Silverman, Florida International UniversityFollow
Lynne Siqueland, University of PennsylvaniaFollow
Susan H. Spence, Griffith University QueenslandFollow
Elisabeth Utens, Erasmus University RotterdamFollow
Jeffrey J. Wood, University of California at Los AngelesFollow

Document Type

Article

Publication Date

1-1-2014

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.

DOI

10.1037/a0036969

MSU Digital Commons Citation

Manassis, Katharina; Changgun Le, Trevor; 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, Carrie; Nauta, Maaike H.; Rapee, Ronald M.; Silverman, Wendy; Siqueland, Lynne; Spence, Susan H.; Utens, Elisabeth; and Wood, Jeffrey J., "Types of Parental Involvement in CBT with Anxious Youth: A Preliminary Meta-Analysis" (2014). Department of Psychology Faculty Scholarship and Creative Works. 560.
https://digitalcommons.montclair.edu/psychology-facpubs/560