A Parent-only Group Cognitive Behavioral Intervention for Children With Anxiety Disorders: a Control Group Study
23 aprile 2016 aggiornato da: Zahra Shahrivar, Tehran University of Medical Sciences
A Parent-only Group Cognitive Behavioral Intervention for Children With Anxiety Disorders: a Control Waiting List Group Study
The fact that Cognitive Behavioral Therapy (CBT) is a well known efficacious intervention for children with anxiety disorders (AD) is undeniable.
However, most children with AD have limited access to CBT.
There is some controversial evidence on group CBT in AD involving families in treatment of their children and a published article on efficacy of a parent only group CBT for these children.
Considering these data, the investigators hypothesized that teaching anxiety-fighting skills to parents of children with AD would diminish anxiety symptoms of both parents and children and improve family relational functioning.
Panoramica dello studio
Stato
Completato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
All children and their parents were interviewed using K-SADS-PL-Persian Version, a semi-structured diagnostic interview to confirm the diagnoses and assess possible comorbidities.
All diagnostic assessments were conducted by a fellowship of child and adolescent psychiatry.
Following assessment, once the participants reached twenty members, they were invited to complete child and parent self-report measures.
The level of child functioning and family relationship functioning were also evaluated.
Then they were randomly allocated to either parent training (N=20) or a 6 week wait-list (N=22) groups.
During 2 weeks after treatment the assessments were repeated and satisfaction ratings were collected for the intervention group.
Tipo di studio
Interventistico
Iscrizione (Effettivo)
40
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Luoghi di studio
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Tehran, Iran (Repubblica Islamica del, 13333
- Rouzbeh Hospital
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
Da 6 anni a 18 anni (Bambino, Adulto)
Accetta volontari sani
No
Sessi ammissibili allo studio
Tutto
Descrizione
Inclusion Criteria:
- having DSM-IV criteria for a primary diagnosis of generalized anxiety disorder (GAD), separation anxiety disorder (SAD), social phobia, or specific phobia.
- age 6 to 12 years,
- receiving one of selective serotonin reuptake inhibitor (SSRI) medicine at the stable dose for at least 8 weeks before baseline assessments and during the study,
- at least one parent willing to participate and give written consent.
Exclusion Criteria:
- diagnosed as bipolar disorder, autism spectrum disorders or mental disability by data obtained in personal history and clinical assessments,
- there was a change in drug regime during the study period,
- if parents missed more than 2 of 6 sessions of treatment.
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Comparatore attivo: A parent only group CBT
There was a Group cognitive behavioral intervention -based on parent training component of "FRIENDS" program- for parents of children with anxiety disorders who were allocated to intervention group.
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A Group cognitive behavioral intervention _based on parent training component of FRIENDS program_ was performed.The program protocol was translated to Persian, using the back translation method.The intervention was delivered in 6 two-hour weekly sessions.
Two intervention groups ran, each group included 10 parents.The therapy was provided by an attending board certified child and adolescent psychiatrist and co lead by a fellow of child and adolescent psychiatry who distributed psychometric procedures and completed treatment adherence ratings.
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Nessun intervento: Waiting list group
Parents of children with anxiety disorders who met the inclusion criteria and gave written informed consent and were allocated to wait list group.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Revised Children's Manifest Anxiety (RCMA)
Lasso di tempo: up to 30 minutes
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This self report questionnaire consists of 28 items assessing a child's chronic or trait anxiety and 9 items assessing social desirability or potential lying.
The RCMA has achieved a high internal consistency and moderate test-retest reliability.
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up to 30 minutes
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Children's Depression Inventory (CDI)
Lasso di tempo: 20 minutes
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This self report inventory has 27 items related to the cognitive, affective and behavioral signs of depression.
The scale has high internal consistency and moderate test-retest reliability
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20 minutes
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Depression-Anxiety-Stress Scale (DASS)
Lasso di tempo: 20 minutes
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This is a 42 item self-report instrument designed to measure the negative emotional states of depression, anxiety and stress.
The DASS was shown to possess satisfactory psychometric properties.45-47
Parents completed this scale about their own negative emotional states
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20 minutes
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Children Global Assessment Scale (CGAS)
Lasso di tempo: 15 minutes
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This Scale was developed to be a more child-specific measure of functioning.
This measure is currently used in diagnosis, treatment, and evaluation of children's mental health problems to determine eligibility to receive mental health services and document treatment outcome status
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15 minutes
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Assessment of Consumer Satisfaction
Lasso di tempo: 25 minutes
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Post treatment, parents in the intervention group completed a satisfaction questionnaire to rate how useful the program was in controlling their own anxiety, in managing their child anxious behavior, in improving family relations, the likelihood they would attend the treatment program again if needed, and if they would recommend the program to others on a 1 (not recommend) to 7 (highly recommend) likert scale
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25 minutes
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Strengths and Difficulties Questionnaire (SDQ) Home Version
Lasso di tempo: [Time Frame: 30 minutes]
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This questionnaire is a parent report of psychopathology in children and adolescents.
The scale consists of 25 items which generates five subscale scores (Emotional Symptoms, Conduct Problems, Inattention/Hyperactivity, Peer Problems and Prosocial Behavior) and a Total Difficulties Score.
We used the SDQ Emotional Symptoms Scale (SDQ-Em) as a parent measure of child anxiety.
SDQ has adequate internal consistency (α=0.37) and good test-retest reliability (r=0.62).42-44
The validity and reliability of SDQ has been confirmed in community samples of Iranian children and adolescents
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[Time Frame: 30 minutes]
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Global Relational Assessment of Functioning (GRAF)
Lasso di tempo: [Time Frame: 15 minutes]
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It provides a measure of the quality of functioning based on a review of three major areas: problem-solving, organization, and the emotional atmosphere.
Available psychometric evidence suggests that clinician and even non clinician raters can achieve good to excellent reliability with only minimal training.
The validity of the GRAF is supported by expected correlations with other measures of family and couple distress and functioning
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[Time Frame: 15 minutes]
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Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Investigatori
- Cattedra di studio: Zahra Shahrivar, MD, Tehran University of Medical Sciences
Pubblicazioni e link utili
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Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 luglio 2008
Completamento primario (Effettivo)
1 maggio 2009
Completamento dello studio (Effettivo)
1 luglio 2009
Date di iscrizione allo studio
Primo inviato
16 gennaio 2012
Primo inviato che soddisfa i criteri di controllo qualità
19 gennaio 2012
Primo Inserito (Stima)
20 gennaio 2012
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
26 aprile 2016
Ultimo aggiornamento inviato che soddisfa i criteri QC
23 aprile 2016
Ultimo verificato
1 aprile 2016
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- Parent CBT for Anxiety
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