Increasing access to low-intensity interventions for childhood anxiety: A pilot study of a guided self-help program for Scandinavian parents
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Increasing access to low-intensity interventions for childhood anxiety : A pilot study of a guided self-help program for Scandinavian parents. / Esbjørn, Barbara Hoff; Breinholst, Sonja; Christiansen, Bianca Munkebo; Bukh, Lotte; Walczak, Monika Anna.
I: Scandinavian Journal of Psychology, Bind 60, Nr. 4, 01.08.2019, s. 323-328.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Increasing access to low-intensity interventions for childhood anxiety
T2 - A pilot study of a guided self-help program for Scandinavian parents
AU - Esbjørn, Barbara Hoff
AU - Breinholst, Sonja
AU - Christiansen, Bianca Munkebo
AU - Bukh, Lotte
AU - Walczak, Monika Anna
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Cognitive Behavior Therapy (CBT) is an effective treatment for child anxiety. However, access to treatment is limited. It has been suggested that low-intensity formats of parent-delivered CBT may improve access to treatment. Our aim was to develop and pilot-test the acceptability and effect of a low-intensity therapist-guided parent-delivered group program for anxious children (age 7–12 years) adjusted to the Scandinavian culture. The program required 1.5 hours of therapist-time per family. Mothers, fathers and children reported on revised child anxiety and depression scale (RCADS) at referral, pre- and post-treatment. Mothers and fathers also gave a qualitative account of their experiences. Thirty-one families were enrolled and only one family dropped out. Mean age of the children was 9 years. Intent-to-treat analyses revealed significant reductions in anxiety and depressive symptoms from pre- to post-treatment for all informants. Large effect sizes were found for child anxiety symptoms as reported by mothers and fathers, and for child depressive symptoms as reported by mothers. Medium to large effect sizes was found for the self-reported anxiety symptoms by the children, and for depressive symptoms reported by both children and fathers. More than 93% of the parents would recommend the program. Results suggest that our program may provide a new approach to improve access to treatment for anxious children in Scandinavia; however, further research must be conducted before firm conclusions can be drawn.
AB - Cognitive Behavior Therapy (CBT) is an effective treatment for child anxiety. However, access to treatment is limited. It has been suggested that low-intensity formats of parent-delivered CBT may improve access to treatment. Our aim was to develop and pilot-test the acceptability and effect of a low-intensity therapist-guided parent-delivered group program for anxious children (age 7–12 years) adjusted to the Scandinavian culture. The program required 1.5 hours of therapist-time per family. Mothers, fathers and children reported on revised child anxiety and depression scale (RCADS) at referral, pre- and post-treatment. Mothers and fathers also gave a qualitative account of their experiences. Thirty-one families were enrolled and only one family dropped out. Mean age of the children was 9 years. Intent-to-treat analyses revealed significant reductions in anxiety and depressive symptoms from pre- to post-treatment for all informants. Large effect sizes were found for child anxiety symptoms as reported by mothers and fathers, and for child depressive symptoms as reported by mothers. Medium to large effect sizes was found for the self-reported anxiety symptoms by the children, and for depressive symptoms reported by both children and fathers. More than 93% of the parents would recommend the program. Results suggest that our program may provide a new approach to improve access to treatment for anxious children in Scandinavia; however, further research must be conducted before firm conclusions can be drawn.
KW - CBT
KW - child anxiety
KW - guided self-help
KW - low-intensity intervention
KW - parent-delivered
U2 - 10.1111/sjop.12544
DO - 10.1111/sjop.12544
M3 - Journal article
C2 - 31099055
AN - SCOPUS:85066024988
VL - 60
SP - 323
EP - 328
JO - Scandinavian Journal of Psychology
JF - Scandinavian Journal of Psychology
SN - 0036-5564
IS - 4
ER -
ID: 226530118