Skip to main content

Welkom bij Scalda & Bohn Stafleu van Loghum

Scalda heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen.Je kunt de producten hieronder links aanschaffen en rechts inloggen.

Registreer

Schaf de BSL Academy aan: 

BSL Academy mbo AG

Eenmaal aangeschaft kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL.

Heb je een vraag, neem dan contact op met Jan van der Velden.

Login

Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.

Top
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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
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).
 
Literatuur
go back to reference Carl, J. R., Jones, D. J., Lindhiem, O. J., Doss, B. D., Weingardt, K. R., Timmons, A. C., & Comer, J. S. (2022). Regulating digital therapeutics for mental health: Opportunities, challenges, and the essential role of psychologists. British Journal of Clinical Psychology, 61(S1), 130–135. https://doi.org/10.1111/bjc.12286CrossRefPubMed Carl, J. R., Jones, D. J., Lindhiem, O. J., Doss, B. D., Weingardt, K. R., Timmons, A. C., & Comer, J. S. (2022). Regulating digital therapeutics for mental health: Opportunities, challenges, and the essential role of psychologists. British Journal of Clinical Psychology, 61(S1), 130–135. https://​doi.​org/​10.​1111/​bjc.​12286CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). L. Erlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). L. Erlbaum Associates.
go back to reference Cornacchio, D., Sanchez, A. L., Chou, T., & Comer, J. S. (2017). Chapter 11—Cognitive-behavioral therapy for children and adolescents. In S. G. Hofmann & G. J. G. Asmundson (Eds.), The science of cognitive behavioral therapy (pp. 257–288). Academic Press.CrossRef Cornacchio, D., Sanchez, A. L., Chou, T., & Comer, J. S. (2017). Chapter 11—Cognitive-behavioral therapy for children and adolescents. In S. G. Hofmann & G. J. G. Asmundson (Eds.), The science of cognitive behavioral therapy (pp. 257–288). Academic Press.CrossRef
go back to reference Creswell, C., Cartwright-Hatton, S., & Rodriguez, N. (2013). Working collaboratively with parents and carers in cognitive behaviour therapy (CBT). In P. Graham & S. Reynolds (Eds.), Cognitive behaviour therapy for children and families (pp. 91–109). Cambridge University Press.CrossRef Creswell, C., Cartwright-Hatton, S., & Rodriguez, N. (2013). Working collaboratively with parents and carers in cognitive behaviour therapy (CBT). In P. Graham & S. Reynolds (Eds.), Cognitive behaviour therapy for children and families (pp. 91–109). Cambridge University Press.CrossRef
go back to reference Creswell, C., Taylor, L., Giles, S., Howitt, S., Radley, L., Whitaker, E., Brooks, E., Knight, F., Raymont, V., Hill, C., van Santen, J., Williams, N., Mort, S., Harris, V., Yu, S., Pollard, J., Violato, M., Waite, P., & Yu, L.-M. (2024). Digitally augmented, parent-led CBT versus treatment as usual for child anxiety problems in child mental health services in England and Northern Ireland: A pragmatic, non-inferiority, clinical effectiveness and cost-effectiveness randomised controlled trial. The Lancet Psychiatry, 11(3), 193–209. https://doi.org/10.1016/S2215-0366(23)00429-7CrossRefPubMed Creswell, C., Taylor, L., Giles, S., Howitt, S., Radley, L., Whitaker, E., Brooks, E., Knight, F., Raymont, V., Hill, C., van Santen, J., Williams, N., Mort, S., Harris, V., Yu, S., Pollard, J., Violato, M., Waite, P., & Yu, L.-M. (2024). Digitally augmented, parent-led CBT versus treatment as usual for child anxiety problems in child mental health services in England and Northern Ireland: A pragmatic, non-inferiority, clinical effectiveness and cost-effectiveness randomised controlled trial. The Lancet Psychiatry, 11(3), 193–209. https://​doi.​org/​10.​1016/​S2215-0366(23)00429-7CrossRefPubMed
go back to reference Ewing, D., Pike, A., Dash, S., Hughes, Z., Thompson, E. J., Hazell, C., Ang, C. M., Kucuk, N., Laine, A., & Cartwright-Hatton, S. (2020). Helping parents to help children overcome fear: The influence of a short video tutorial. British Journal of Clinical Psychology, 59(1), 80–95. https://doi.org/10.1111/bjc.12233CrossRefPubMed Ewing, D., Pike, A., Dash, S., Hughes, Z., Thompson, E. J., Hazell, C., Ang, C. M., Kucuk, N., Laine, A., & Cartwright-Hatton, S. (2020). Helping parents to help children overcome fear: The influence of a short video tutorial. British Journal of Clinical Psychology, 59(1), 80–95. https://​doi.​org/​10.​1111/​bjc.​12233CrossRefPubMed
go back to reference Green, I., Reardon, T., Button, R., Williamson, V., Halliday, G., Hill, C., Larkin, M., Sniehotta, F. F., Ukoumunne, O. C., Ford, T., Spence, S. H., Stallard, P., & Creswell, C. (2023). Increasing access to evidence-based treatment for child anxiety problems: Online parent-led CBT for children identified via schools. Child and Adolescent Mental Health, 28(1), 42–51. https://doi.org/10.1111/camh.12612CrossRefPubMed Green, I., Reardon, T., Button, R., Williamson, V., Halliday, G., Hill, C., Larkin, M., Sniehotta, F. F., Ukoumunne, O. C., Ford, T., Spence, S. H., Stallard, P., & Creswell, C. (2023). Increasing access to evidence-based treatment for child anxiety problems: Online parent-led CBT for children identified via schools. Child and Adolescent Mental Health, 28(1), 42–51. https://​doi.​org/​10.​1111/​camh.​12612CrossRefPubMed
go back to reference Guy, W. (1976). Clinical global impressions. ECDEU assessment manual for psychopharmacology. National Institute of Mental Health. Guy, W. (1976). Clinical global impressions. ECDEU assessment manual for psychopharmacology. National Institute of Mental Health.
go back to reference Jolstedt, M., Vigerland, S., Mataix-Cols, D., Ljótsson, B., Wahlund, T., Nord, M., Högström, J., Öst, L. G., & Serlachius, E. (2021). Long-term outcomes of internet-delivered cognitive behaviour therapy for paediatric anxiety disorders: Towards a stepped care model of health care delivery. European Child and Adolescent Psychiatry, 30(11), 1723–1732. https://doi.org/10.1007/s00787-020-01645-xCrossRefPubMed Jolstedt, M., Vigerland, S., Mataix-Cols, D., Ljótsson, B., Wahlund, T., Nord, M., Högström, J., Öst, L. G., & Serlachius, E. (2021). Long-term outcomes of internet-delivered cognitive behaviour therapy for paediatric anxiety disorders: Towards a stepped care model of health care delivery. European Child and Adolescent Psychiatry, 30(11), 1723–1732. https://​doi.​org/​10.​1007/​s00787-020-01645-xCrossRefPubMed
go back to reference Jolstedt, M., Wahlund, T., Lenhard, F., Ljótsson, B., Mataix-Cols, D., Nord, M., Öst, L. G., Högström, J., Serlachius, E., & Vigerland, S. (2018b). Efficacy and cost-effectiveness of therapist-guided internet cognitive behavioural therapy for paediatric anxiety disorders: A single-centre, single-blind, randomised controlled trial. Lancet Child & Adolescent Health, 2(11), 792–801. https://doi.org/10.1016/S2352-4642(18)30275-XCrossRef Jolstedt, M., Wahlund, T., Lenhard, F., Ljótsson, B., Mataix-Cols, D., Nord, M., Öst, L. G., Högström, J., Serlachius, E., & Vigerland, S. (2018b). Efficacy and cost-effectiveness of therapist-guided internet cognitive behavioural therapy for paediatric anxiety disorders: A single-centre, single-blind, randomised controlled trial. Lancet Child & Adolescent Health, 2(11), 792–801. https://​doi.​org/​10.​1016/​S2352-4642(18)30275-XCrossRef
go back to reference Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. https://doi.org/10.1097/00004583-199707000-00021CrossRefPubMed Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. https://​doi.​org/​10.​1097/​00004583-199707000-00021CrossRefPubMed
go back to reference Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2020). Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: A randomized noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child and Adolescent Psychiatry, 59(3), 362–372. https://doi.org/10.1016/j.jaac.2019.02.014CrossRefPubMed Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2020). Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: A randomized noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child and Adolescent Psychiatry, 59(3), 362–372. https://​doi.​org/​10.​1016/​j.​jaac.​2019.​02.​014CrossRefPubMed
go back to reference Lee, P., Zehgeer, A., Ginsburg, G. S., McCracken, J., Keeton, C., Kendall, P. C., Birmaher, B., Sakolsky, D., Walkup, J., Peris, T., Albano, A. M., & Compton, S. (2019). Child and adolescent adherence with cognitive behavioral therapy for anxiety: Predictors and associations with outcomes. Journal of Clinical Child & Adolescent Psychology, 48(Sup1), S215–S226. https://doi.org/10.1080/15374416.2017.1310046CrossRef Lee, P., Zehgeer, A., Ginsburg, G. S., McCracken, J., Keeton, C., Kendall, P. C., Birmaher, B., Sakolsky, D., Walkup, J., Peris, T., Albano, A. M., & Compton, S. (2019). Child and adolescent adherence with cognitive behavioral therapy for anxiety: Predictors and associations with outcomes. Journal of Clinical Child & Adolescent Psychology, 48(Sup1), S215–S226. https://​doi.​org/​10.​1080/​15374416.​2017.​1310046CrossRef
go back to reference Manassis, K., Lee, T. C., Bennett, K., Zhao, X. Y., Mendlowitz, S., Duda, S., Saini, M., Wilansky, P., Baer, S., Barrett, P., Bodden, D., Cobham, V. E., Dadds, M. R., Flannery-Schroeder, E., Ginsburg, G., Heyne, D., Hudson, J. L., Kendall, P. C., Liber, J., & Wood, J. J. (2014). Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1163–1172. https://doi.org/10.1037/a0036969CrossRefPubMed Manassis, K., Lee, T. C., Bennett, K., Zhao, X. Y., Mendlowitz, S., Duda, S., Saini, M., Wilansky, P., Baer, S., Barrett, P., Bodden, D., Cobham, V. E., Dadds, M. R., Flannery-Schroeder, E., Ginsburg, G., Heyne, D., Hudson, J. L., Kendall, P. C., Liber, J., & Wood, J. J. (2014). Types of parental involvement in CBT with anxious youth: A preliminary meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1163–1172. https://​doi.​org/​10.​1037/​a0036969CrossRefPubMed
go back to reference Morgan, A. J., Rapee, R. M., Salim, A., Goharpey, N., Tamir, E., McLellan, L. F., & Bayer, J. K. (2017). Internet-delivered parenting program for prevention and early intervention of anxiety problems in young children: Randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 56(5), 417–425. https://doi.org/10.1016/j.jaac.2017.02.010CrossRefPubMed Morgan, A. J., Rapee, R. M., Salim, A., Goharpey, N., Tamir, E., McLellan, L. F., & Bayer, J. K. (2017). Internet-delivered parenting program for prevention and early intervention of anxiety problems in young children: Randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 56(5), 417–425. https://​doi.​org/​10.​1016/​j.​jaac.​2017.​02.​010CrossRefPubMed
go back to reference Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., . . . Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Journal of Clinical Epidemiology, 134, 178–189. https://doi.org/10.1016/j.jclinepi.2021.03.001 Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., . . . Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Journal of Clinical Epidemiology, 134, 178–189. https://​doi.​org/​10.​1016/​j.​jclinepi.​2021.​03.​001
go back to reference Sapru, I., Khalid-Khan, S., Choi, E., Alavi, N., Patel, A., Sutton, C., Odejayi, G., & Calancie, O. G. (2018). Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: A pilot study. International Journal of Adolescent Medicine and Health, 30(4), 1–7. https://doi.org/10.1515/ijamh-2016-0069CrossRef Sapru, I., Khalid-Khan, S., Choi, E., Alavi, N., Patel, A., Sutton, C., Odejayi, G., & Calancie, O. G. (2018). Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: A pilot study. International Journal of Adolescent Medicine and Health, 30(4), 1–7. https://​doi.​org/​10.​1515/​ijamh-2016-0069CrossRef
go back to reference Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV-child and parent versions. Graywinds Publications. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV-child and parent versions. Graywinds Publications.
go back to reference Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H. Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. https://doi.org/10.1136/bmj.l4898CrossRefPubMed Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H. Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. https://​doi.​org/​10.​1136/​bmj.​l4898CrossRefPubMed
go back to reference Storch, E. A., Salloum, A., King, M. A., Crawford, E. A., Andel, R., McBride, N. M., & Lewin, A. B. (2015). A randomized controlled trial in community mental health centers of computer-assisted cognitive behavioral therapy versus treatment as usual for children with anxiety. Depression and Anxiety, 32(11), 843–852. https://doi.org/10.1002/da.22399CrossRefPubMed Storch, E. A., Salloum, A., King, M. A., Crawford, E. A., Andel, R., McBride, N. M., & Lewin, A. B. (2015). A randomized controlled trial in community mental health centers of computer-assisted cognitive behavioral therapy versus treatment as usual for children with anxiety. Depression and Anxiety, 32(11), 843–852. https://​doi.​org/​10.​1002/​da.​22399CrossRefPubMed
go back to reference Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., & Hopp, L. (2020). Systematic reviews of effectiveness. In E. Aromataris & Z. Munn (Eds.), JBI manual for evidence synthesis. JBI. Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., & Hopp, L. (2020). Systematic reviews of effectiveness. In E. Aromataris & Z. Munn (Eds.), JBI manual for evidence synthesis. JBI.
Metagegevens
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