Directionality of change in youth anxiety treatment involving parents: An initial examination

Autor: Wendy K. Silverman, Armando Pina, William M. Kurtines, James Jaccard
Rok vydání: 2009
Předmět:
Zdroj: Journal of Consulting and Clinical Psychology. 77:474-485
ISSN: 1939-2117
0022-006X
DOI: 10.1037/a0015761
Popis: This randomized clinical trial compared cognitive-behavioral therapy (CBT) with minimal parent involvement versus CBT with active parent involvement in a sample of 119 youth (7–16 years; 33.6% Caucasian; 61.3% Latino) with anxiety disorders. The dynamics of change between youth anxiety and parent variables (positive/negative behaviors toward the child, conflict in the parent-youth relationship, and parental anxiety) in both treatment conditions over pretreatment, posttreatment, and 12-month follow-up also were examined. Results indicated that youth anxiety was significantly reduced with both treatments and that the dynamics of change may not solely flow from parent to youth but also from youth to parent. Findings highlight the need for research on directionality and mechanisms of change in order to move from evidence-based treatments toward evidence-based explanations of treatment outcome.
Databáze: OpenAIRE