Effects of Parental Behavior on Child Anxiety Regulation
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Purpose
Does parenting style affect emotion regulation among children who initially demonstrate high levels of fear and anxiety? Although recent correlational research has demonstrated a linkage between parental behaviors, such as excessive intrusiveness, and children's manifestations of fear and anxiety, it is not clear if parenting behaviors directly influence children's ability to regulate these emotions. Alternatively, these parental behaviors may be elicited by children who express fears and anxieties more frequently than other children do. Experimental research designs would offer a more definitive test of these competing explanations of the extant correlational findings. Intervention studies, in particular, can test whether experimentally manipulating current family interaction patterns affects children's ability to regulate emotion. This study provides a preliminary experimental test of the relationship between parental behavior and children's regulation of fear and anxiety. Some 40 clinically anxious youth, aged 6-13, were randomly assigned to a family intervention program for childhood anxiety problems, which includes extensive parent communication training, or a child intervention program without parent-training. By comparing these two interventions, we tested if it was possible to improve parenting behaviors—such as intrusiveness—through intensive parent-training, above and beyond the effects of involving children in a child intervention program. We then tested the impact of this change in parental behaviors on children's ability to regulate fear and anxiety. We hypothesized that parent-training would reduce intrusiveness, which would in turn improve children's anxiety outcomes.
| Condition | Intervention | Phase |
|---|---|---|
|
Separation Anxiety Disorder Social Phobia Generalized Anxiety Disorder |
Behavioral: Family cognitive behavioral therapy Behavioral: Child-focused cognitive behavioral therapy |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effects of Parental Behavior on Child Anxiety Regulation |
- Anxiety Disorders Interview Schedule--Child and Parent Versions [ Time Frame: Posttreatment ] [ Designated as safety issue: No ]
- Multidimension Anxiety Scale for Children [ Time Frame: Posttreatment ] [ Designated as safety issue: No ]
| Enrollment: | 40 |
| Study Start Date: | March 2000 |
| Study Completion Date: | April 2004 |
| Primary Completion Date: | April 2004 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Family CBT
|
Behavioral: Family cognitive behavioral therapy
12-16 weekly sessions of family cognitive behavioral therapy, 60-80 minutes each
|
|
Active Comparator: 2
Child-focused CBT
|
Behavioral: Child-focused cognitive behavioral therapy
12-16 weekly sessions of child-focused cognitive behavioral therapy, 60-80 minutes each
|
Eligibility| Ages Eligible for Study: | 6 Years to 13 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The child met DSM-IV criteria for a diagnosis of a principal anxiety disorder based on a semi-structured interview
- The child was not taking any psychiatric medication at the initial assessment, or was taking a stable dose of psychiatric medication (i.e., at least one month at a stable dose prior to the baseline assessment), and
- If medication was being used, families stated an intention to maintain that dose throughout the study.
Exclusion Criteria:
- The child was currently in child-focused psychotherapy
- The family was currently in family therapy or a parenting class
- Either the child or the parents evidenced psychotic symptoms
- The child began taking psychiatric medication or increased his/her dose of medication during the intervention, or
- For any reason the child or parents appeared unable to participate in the intervention program.
Contacts and Locations| United States, California | |
| UCLA | |
| Los Angeles, California, United States, 90095 | |
| Principal Investigator: | Jeffrey Wood, Ph.D. | University of California, Los Angeles |
| Principal Investigator: | Marian Sigman, Ph.D. | University of California, Los Angeles |
More Information
Publications:
| Responsible Party: | Jeffrey J. Wood, UCLA |
| ClinicalTrials.gov Identifier: | NCT00593515 History of Changes |
| Other Study ID Numbers: | 1 F31 MH64999 |
| Study First Received: | January 3, 2008 |
| Last Updated: | January 3, 2008 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Anxiety Disorders Anxiety, Separation Mental Disorders Phobic Disorders Mental Disorders Diagnosed in Childhood |
ClinicalTrials.gov processed this record on May 23, 2013