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A Parent-only Group Cognitive Behavioral Intervention for Children With Anxiety Disorders: a Control Group Study

This study has been completed.
Information provided by (Responsible Party):
Zahra Shahrivar, Tehran University of Medical Sciences Identifier:
First received: January 16, 2012
Last updated: January 19, 2012
Last verified: January 2012

January 16, 2012
January 19, 2012
July 2008
May 2009   (final data collection date for primary outcome measure)
  • Revised Children's Manifest Anxiety (RCMA) [ Time Frame: up to 30 minutes ] [ Designated as safety issue: No ]
    This self report questionnaire consists of 28 items assessing a child's chronic or trait anxiety and 9 items assessing social desirability or potential lying. The RCMA has achieved a high internal consistency and moderate test-retest reliability.
  • Strengths and Difficulties Questionnaire (SDQ) Home Version [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
    This questionnaire is a parent report of psychopathology in children and adolescents. The scale consists of 25 items which generates five subscale scores (Emotional Symptoms, Conduct Problems, Inattention/Hyperactivity, Peer Problems and Prosocial Behavior) and a Total Difficulties Score. We used the SDQ Emotional Symptoms Scale (SDQ-Em) as a parent measure of child anxiety. SDQ has adequate internal consistency (α=0.37) and good test-retest reliability (r=0.62).42-44 The validity and reliability of SDQ has been confirmed in community samples of Iranian children and adolescents
  • Global Relational Assessment of Functioning (GRAF) [ Time Frame: 15 minutes ] [ Designated as safety issue: No ]
    It provides a measure of the quality of functioning based on a review of three major areas: problem-solving, organization, and the emotional atmosphere. Available psychometric evidence suggests that clinician and even non clinician raters can achieve good to excellent reliability with only minimal training. The validity of the GRAF is supported by expected correlations with other measures of family and couple distress and functioning
Same as current
Complete list of historical versions of study NCT01513915 on Archive Site
  • Children's Depression Inventory (CDI) [ Time Frame: 20 minutes ] [ Designated as safety issue: No ]
    This self report inventory has 27 items related to the cognitive, affective and behavioral signs of depression. The scale has high internal consistency and moderate test-retest reliability
  • Depression-Anxiety-Stress Scale (DASS) [ Time Frame: 20 minutes ] [ Designated as safety issue: No ]
    This is a 42 item self-report instrument designed to measure the negative emotional states of depression, anxiety and stress. The DASS was shown to possess satisfactory psychometric properties.45-47 Parents completed this scale about their own negative emotional states
  • Children Global Assessment Scale (CGAS) [ Time Frame: 15 minutes ] [ Designated as safety issue: No ]
    This Scale was developed to be a more child-specific measure of functioning. This measure is currently used in diagnosis, treatment, and evaluation of children's mental health problems to determine eligibility to receive mental health services and document treatment outcome status
  • Assessment of Consumer Satisfaction [ Time Frame: 25 minutes ] [ Designated as safety issue: No ]
    Post treatment, parents in the intervention group completed a satisfaction questionnaire to rate how useful the program was in controlling their own anxiety, in managing their child anxious behavior, in improving family relations, the likelihood they would attend the treatment program again if needed, and if they would recommend the program to others on a 1 (not recommend) to 7 (highly recommend) likert scale
Same as current
Not Provided
Not Provided
A Parent-only Group Cognitive Behavioral Intervention for Children With Anxiety Disorders: a Control Group Study
A Parent-only Group Cognitive Behavioral Intervention for Children With Anxiety Disorders: a Control Waiting List Group Study

The fact that Cognitive Behavioral Therapy (CBT) is a well known efficacious intervention for children with anxiety disorders (AD) is undeniable. However, most children with AD have limited access to CBT. There is some controversial evidence on group CBT in AD involving families in treatment of their children and a published article on efficacy of a parent only group CBT for these children. Considering these data, the investigators hypothesized that teaching anxiety-fighting skills to parents of children with AD would diminish anxiety symptoms of both parents and children and improve family relational functioning.

Not Provided
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Anxiety Disorders
Other: Group cognitive behavioral intervention
A six 2 hour session group cognitive behavioral intervention was done based on FRIENDS program for parents of children with anxiety disorders.
  • Active Comparator: A parent only group CBT
    Intervention: Other: Group cognitive behavioral intervention
  • No Intervention: Waiting list group
    The waiting list group received the active intervention after the active treatment group.
    Intervention: Other: Group cognitive behavioral intervention
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
July 2009
May 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. having DSM-IV criteria for a primary diagnosis of generalized anxiety disorder (GAD), separation anxiety disorder (SAD), social phobia, or specific phobia.
  2. age 6 to 12 years,
  3. receiving one of selective serotonin reuptake inhibitor (SSRI) medicine at the stable dose for at least 8 weeks before baseline assessments and during the study,
  4. at least one parent willing to participate and give written consent.

Exclusion Criteria:

  1. diagnosed as bipolar disorder, autism spectrum disorders or mental disability by data obtained in personal history and clinical assessments,
  2. there was a change in drug regime during the study period,
  3. if parents missed more than 2 of 6 sessions of treatment.
6 Years to 18 Years
Contact information is only displayed when the study is recruiting subjects
Iran, Islamic Republic of
Parent CBT for Anxiety
Zahra Shahrivar, Tehran University of Medical Sciences
Tehran University of Medical Sciences
Not Provided
Not Provided
Tehran University of Medical Sciences
January 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP