Clinical judgment based on the child's overall severity of symptoms and family functioning.Severe symptoms of obsessive-compulsive disorder (OCD).Severe impairment in school functioning or attendance.Serious impairment in eating or sleeping habits.The following criteria are used in determining whether the child can wait for 6 months before receiving treatment: (In the controlled trial): Child judged clinically unable to wait six months for treatment.Child judged too uncooperative or distractible to take part in intervention.Mental retardation or pervasive developmental disorder in parent or child.Current alcohol or substance abuse in a parent.The child and parent(s) have a working command of English.The child is between the ages of 4 and 7 years.the child has both a parent with lifetime history of anxiety disorder (as determined by direct Structured Clinical Interview for DSM-IV with both parents) and the child has anxious symptomatology, as indicated by Child Behavior Checklist scale scores (T-scores) on Anxious/Depressed or Withdrawn of 55 or higher.the child meets criteria for a DSM-IV or IIIR anxiety disorder (as determined by Kiddie-Schedule for Affective Disorders and Schizophrenia, Epidemiologic Version with the mother) or.the child has behavioral inhibition (as determined by observed behavioral assessment).The child is at risk for anxiety disorders, as indicated by at least one of the following:.Condition or diseaseīehavioral: "Being Brave: A Program for Coping with Anxiety for Young Children and Their Parents." The hypotheses were that the children assigned to the intervention group would show significantly better improvement (measured via Clinician Global Impression-Anxiety Improvement scale and absence of anxiety disorders) than children assigned to the wait-list condition.
Post-trial assessments were conducted at six months, and at one-year follow-up. The intervention consisted of 6 parent-only sessions, 8-13 child-parent sessions, and a final parent session.
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Children were blocked on presence or absence of parental anxiety disorder and randomized to the intervention or to a no-intervention wait-list control group. Parents will have access to 10, 35-minute training modules that will provide information on the nature of anxiety, how to identify excessive anxiety, and step-by-step instructions on how to teach your child coping strategies and practice approaching anxiety rather than avoiding difficult situations. In practice all children but one had at least one anxiety disorder at baseline. Children had to either have an anxiety disorder, behavioral inhibition, or be the offspring of a parent with an anxiety disorder who had elevated symptoms of anxiety.
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The intervention was then tested in 65 children in a randomized controlled trial versus a monitoring-only wait-list control condition. The 20-session intervention was first piloted openly in 9 children (between 3/10/98 and ). The aim of this study was to develop and pilot a cognitive-behavioral therapy (CBT) parent-child intervention for 4-7-year-old children at risk for anxiety disorders. Why Should I Register and Submit Results?.