Family cognitive behavioral therapy for children and adolescents with clinical anxiety disorders.
OBJECTIVE
A family cognitive-behavioral therapy for children and adolescents ages 8 to 18 years with clinical anxiety disorders was developed and evaluated.


METHODS
Seventeen families were measured before and after wait list, after treatment, and at 3-month and 1-year follow-up.


RESULTS
No children changed their diagnostic status during wait list, whereas of the treated children, 41% were free of their primary anxiety disorder posttest, 57% at 3-month follow-up, and 71% at 1-year follow-up. Effect sizes of improvement were large for children's fears, dysfunctional beliefs, and interpretations of ambiguous situations and medium for children's internalizing and externalizing symptoms. Interestingly, fathers but not mothers reported less anxiety themselves after treatment. Large improvements were observed on parents' dysfunctional beliefs about their child's anxiety and their role as a parent. Finally, some improvements occurred in family and rearing variables.


CONCLUSIONS
Family cognitive-behavioral therapy seems effective for clinically anxious children and their families.
Bögels
Susan M
SM
Dr. Bögels is with the Department of Medical, Experimental and Abnormal Psychology, University of Maastricht, Maastricht, The Netherlands; and Dr. Siqueland is with the Children's Center for OCD and Anxiety, University of Pennsylvania, Philadelphia. Electronic address: bogels@dep.unimaas.nl.
Siqueland
Lynne
L
Dr. Bögels is with the Department of Medical, Experimental and Abnormal Psychology, University of Maastricht, Maastricht, The Netherlands; and Dr. Siqueland is with the Children's Center for OCD and Anxiety, University of Pennsylvania, Philadelphia.
D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D002648:Child; D015928:Cognitive Behavioral Therapy; D005196:Family Therapy; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands; D016487:Parenting; D010290:Parents / Q000523:psychology