The Role of Parental Involvement in Cognitive Behavioural Therapy for Children with Social or Separation Anxiety Disorder: An Individual Patient Data Meta-Analysis

Axmann, Charlotte (2022) The Role of Parental Involvement in Cognitive Behavioural Therapy for Children with Social or Separation Anxiety Disorder: An Individual Patient Data Meta-Analysis. Bachelor thesis, Psychology.

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Abstract

Cognitive behavioural therapy (CBT) effectively reduces anxiety in children and adolescents. It has been suggested that remission rates improve if parents are involved in CBT because it might make the parent more competent in helping their child. However, previous studies have found inconsistent and ambiguous results of the effect of parental involvement in CBT. Therefore, the objective of this study was to re-analyze whether remission rates differ for levels of parental involvement in their children's CBT. Method: An Individual Patient Data Meta-Analysis (nstudies = 16, nparticipants = 397, mean age = 10.6, 52.9% female) was conducted. Anxiety disorders were assessed by the Anxiety Disorder Interview Schedule (ADIS) before and after treatment. If participants after treatment no longer met the criteria for anxiety, this was considered as remission. Chi-Square tests were used to determine if there was a difference between the groups of parental involvement in remission of the anxiety disorder, for separation anxiety, social anxiety, and levels of parental anxiety. Results: After treatment, 45.6% of the children no longer met criteria of anxiety disorders. CBT was found to be more effective for separation anxiety than for social anxiety (remission rates of 52.6% versus 40.1%, respectively). There was no significant difference between groups of parental involvement for social anxiety, separation anxiety, and levels of parental anxiety, p > .05. Conclusion: CBT was found to be effective, although adjustments may be needed for children with social anxiety. Effectiveness was not dependent on parental involvement in CBT. Thus, focusing on additional parental involvement in CBT does not appear to be beneficial for the time being. Keywords: anxiety disorder, children, young people, adolescence, cognitive behavioral therapy, CBT, separation anxiety disorder, social anxiety disorder, parental anxiety, IPDMA

Item Type:	Thesis (Bachelor)
Supervisor name:	Nauta, M.H. and Kooiman, B.E.A.M.
Degree programme:	Psychology
Differentiation route:	None [Bachelor Psychology]
Date Deposited:	08 Nov 2022 14:48
Last Modified:	08 Nov 2022 14:48
URI:	http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/1470

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