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Research article
Peng Xie
The First Affiated Hospital of Chongqing Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8104-9230
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Anxiety disorder is the most prevalent mental disorder among children and adolescents, causing significant psychosocial problems and physical health conditions. Cognitive behavioral therapy (CBT) is an effective treatment for anxiety disorder in children and adolescents. As a new type of CBT, parent-only CBT has some advantages. However, it remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder.
Methods: In this study, we evaluated the efficacy and acceptability of parent-only cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorder. We searched electronic databases, including PubMed, Cochrane Library, Embase, Web of Science, ProQuest, and PsycINFO from inception to June 2019. We included randomized controlled trials (RCTs) comparing parent-only CBT either with waitlist (WL), or CBT with parents in children and adolescents with anxiety disorder.
Results: Finally, six RCTs with 407 participants were included in the meta-analyses. In terms of efficacy, pooled analyses indicated that parent-only CBT was significantly more effective than WL for reducing anxiety symptoms with SMD of −0.72 (95% CI −1.41 to −0.03, p = 0.04), and more remission rate with RR of 4.33 (37.96% vs. 6.85%, 95% CI 1.82 to 10.27, p = 0.0009) at post-treatment. And our analyses showed no evidence that parent-only CBT had significantly greater efficacy than CBT with parents with SMD of 0.21 (95% CI −0.09 to 0.50, p = 0.17). Acceptability in the parent-only CBT group was not significantly different to the WL group with RR of 0.92 (95% CI 0.52 to 1.62, p = 0.77), and was significantly worse than in the CBT with parents group with RR of 1.93 (95% CI 1.05 to 3.57, p = 0.03).
Conclusions: Current evidence indicates that parent-only CBT can be an effective and acceptable intervention for treating children and adolescents with anxiety disorder.
Keywords
anxiety, parent-only CBT, meta-analysis, child, adolescent
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View the published article at BMC Psychiatry.
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On 23 Dec, 2020
Editorial decision: Accept
On 21 Dec, 2020
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Posted 14 Dec, 2020
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On 14 Dec, 2020
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On 14 Dec, 2020
Editor invited
On 14 Dec, 2020
This version was not preprinted
Version (no preprint)
Posted 13 Dec, 2020
Editorial decision: Minor revision
On 13 Dec, 2020
Editor assigned
On 08 Dec, 2020
Submission checks complete
On 08 Dec, 2020
Editor invited
On 08 Dec, 2020
This version was not preprinted
Version (no preprint)
Posted 10 Nov, 2020
Editorial decision: Major revision
On 10 Nov, 2020
Review #1 received
Received 02 Nov, 2020
Reviewer #1 agreed
On 28 Oct, 2020
Reviewers invited
Invitations sent on 04 Aug, 2020
Editor assigned
On 03 Aug, 2020
Submission checks complete
On 02 Aug, 2020
Editor invited
On 02 Aug, 2020
This version was not preprinted
Version 1
Posted 23 Jan, 2020
No comments provided
Editorial decision: Major revision
On 29 Jun, 2020
Review #2 received
Received 25 Jun, 2020
Reviewer #2 agreed
On 31 Mar, 2020
Review #1 received
Received 16 Feb, 2020
Reviewers invited
Invitations sent on 28 Jan, 2020
Reviewer #1 agreed
On 28 Jan, 2020
Editor assigned
On 22 Jan, 2020
Submission checks complete
On 21 Jan, 2020
Editor invited
On 20 Jan, 2020
First submitted
On 12 Jan, 2020
Metrics
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Subject Areas
Psychiatry
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Psychiatry.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Peng Xie
The First Affiated Hospital of Chongqing Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-8104-9230
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Psychiatry.
No community comments so far
Submission checks complete
On 23 Dec, 2020
Editorial decision: Accept
On 21 Dec, 2020
Version (no preprint)
Posted 14 Dec, 2020
Editor assigned
On 14 Dec, 2020
Submission checks complete
On 14 Dec, 2020
Editor invited
On 14 Dec, 2020
This version was not preprinted
Version (no preprint)
Posted 13 Dec, 2020
Editorial decision: Minor revision
On 13 Dec, 2020
Editor assigned
On 08 Dec, 2020
Submission checks complete
On 08 Dec, 2020
Editor invited
On 08 Dec, 2020
This version was not preprinted
Version (no preprint)
Posted 10 Nov, 2020
Editorial decision: Major revision
On 10 Nov, 2020
Review #1 received
Received 02 Nov, 2020
Reviewer #1 agreed
On 28 Oct, 2020
Reviewers invited
Invitations sent on 04 Aug, 2020
Editor assigned
On 03 Aug, 2020
Submission checks complete
On 02 Aug, 2020
Editor invited
On 02 Aug, 2020
This version was not preprinted
Version 1
Posted 23 Jan, 2020
No comments provided
Editorial decision: Major revision
On 29 Jun, 2020
Review #2 received
Received 25 Jun, 2020
Reviewer #2 agreed
On 31 Mar, 2020
Review #1 received
Received 16 Feb, 2020
Reviewers invited
Invitations sent on 28 Jan, 2020
Reviewer #1 agreed
On 28 Jan, 2020
Editor assigned
On 22 Jan, 2020
Submission checks complete
On 21 Jan, 2020
Editor invited
On 20 Jan, 2020
First submitted
On 12 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Psychiatry
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Psychiatry.
Background: Anxiety disorder is the most prevalent mental disorder among children and adolescents, causing significant psychosocial problems and physical health conditions. Cognitive behavioral therapy (CBT) is an effective treatment for anxiety disorder in children and adolescents. As a new type of CBT, parent-only CBT has some advantages. However, it remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder.
Methods: In this study, we evaluated the efficacy and acceptability of parent-only cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorder. We searched electronic databases, including PubMed, Cochrane Library, Embase, Web of Science, ProQuest, and PsycINFO from inception to June 2019. We included randomized controlled trials (RCTs) comparing parent-only CBT either with waitlist (WL), or CBT with parents in children and adolescents with anxiety disorder.
Results: Finally, six RCTs with 407 participants were included in the meta-analyses. In terms of efficacy, pooled analyses indicated that parent-only CBT was significantly more effective than WL for reducing anxiety symptoms with SMD of −0.72 (95% CI −1.41 to −0.03, p = 0.04), and more remission rate with RR of 4.33 (37.96% vs. 6.85%, 95% CI 1.82 to 10.27, p = 0.0009) at post-treatment. And our analyses showed no evidence that parent-only CBT had significantly greater efficacy than CBT with parents with SMD of 0.21 (95% CI −0.09 to 0.50, p = 0.17). Acceptability in the parent-only CBT group was not significantly different to the WL group with RR of 0.92 (95% CI 0.52 to 1.62, p = 0.77), and was significantly worse than in the CBT with parents group with RR of 1.93 (95% CI 1.05 to 3.57, p = 0.03).
Conclusions: Current evidence indicates that parent-only CBT can be an effective and acceptable intervention for treating children and adolescents with anxiety disorder.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
This is a list of supplementary files associated with this preprint. Click to download.
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