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Clinical Child and Family Psychology Review

Gepubliceerd in:

07-11-2024

A Systematic Review of Parental Involvement in Digital Cognitive Behavioural Therapy Interventions for Child Anxiety

Auteurs: Meri M. V. Grajdan, Evren Etel, Lara J. Farrell, Caroline L. Donovan

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 1/2025

Abstract

Cognitive behavioural therapy (CBT) is an efficacious intervention for child anxiety that has been translated into accessible digital formats, many of which involve parents in treatment. However, the value of parental involvement in treatment is not clearly understood. This systematic review examined characteristics of parental involvement (i.e., format and content of sessions, level of therapist guidance, and parent session compliance) in digital CBT for child anxiety (mean child age ≤ 12 years) and their relation to child outcomes (primary disorder remission, clinician-, parent-, and child-rated anxiety, and global functioning). Systematic searches in CINAHL, Embase, ERIC, PsychINFO, PubMed, and Scopus up to 14th August 2023, and citation searching, identified 27 articles (as 23 studies) assessing 14 interventions. Two were parent-only programmes for 3–6-year-old children, with the remaining being parent–child programmes targeting older children. Parents were actively involved as coaches/collaborators, assisting their children with anxiety management and exposure, and less often as co-clients working on their own difficulties. Benefits of treatment were observed across interventions, except for one, psychoeducation-based programme. Higher remission rates were more frequently observed in interventions delivered in controlled settings, those with fewer parent-only sessions, or those incorporating more parent- or therapist-led exposure sessions. Most studies were conducted with affluent samples, limiting generalisability, and several received a high risk of bias rating. Future research should examine parent and family related mechanisms of change and modify interventions for improved adherence, such as restricting the number of modules parents are required to complete and teaching key therapeutic strategies such as exposure early in the programme.

vorige artikel Multi-Informant Universal Mental Health Screening for Preschool-Aged Children by Parents and Educators: A PRISMA Systematic Review

volgende artikel Manualised Attachment-Based Interventions for Improving Caregiver-Infant Relationships: A Two-Stage Systematic Review

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Deviations from the original protocol were: (1) conducting the title/abstract screening by one reviewer, (2) excluding adolescent samples with a mean age > 12 years, (3) specifying the outcomes that were referred to in the original protocol to as “any other child/parent/family outcomes”, (4) asking additional research questions (q2 & q3) and clarifying/specifying original questions (q4 & q5).

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Titel: A Systematic Review of Parental Involvement in Digital Cognitive Behavioural Therapy Interventions for Child Anxiety
Auteurs: Meri M. V. Grajdan
Evren Etel
Lara J. Farrell
Caroline L. Donovan
Publicatiedatum: 07-11-2024
Uitgeverij: Springer US
Gepubliceerd in: Clinical Child and Family Psychology Review / Uitgave 1/2025
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI: https://doi.org/10.1007/s10567-024-00505-3

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A Systematic Review of Parental Involvement in Digital Cognitive Behavioural Therapy Interventions for Child Anxiety

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Motivations for Self-Harm in Young People and Their Correlates: A Systematic Review

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