Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12611000860965
Ethics application status
Approved
Date submitted
12/08/2011
Date registered
12/08/2011
Date last updated
12/08/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of parental anxiety management on child anxiety treatment outcomes: a controlled trial.
Query!
Scientific title
Parental anxiety management versus no parental anxiety management as an adjunct to cognitive behaviour therapy for childhood anxiety disorders: changes in anxiety diagnosis and anxiety symptoms.
Query!
Secondary ID [1]
262822
0
Nil
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Anxiety disorders in children and parents
270545
0
Query!
Condition category
Condition code
Mental Health
270703
270703
0
0
Query!
Anxiety
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Parental Anxiety Management (PAM) for experimental group. This program is based on cognitive behavioural therapy, 5 x 40mins sessions delivered in a group format, once per fortnight. The treatment components included: psychoeducation, cognitive restructuring, time management, problem-solving, and gradual exposure for the parents. ALL children and families received cognitive behavioural therapy [Cool Kids treatment program (Rapee, Wignall, Hudson, and Schniering, 2000)] 10 x 2 hour sessions delivered in group format, once a week. These sessions included psychoeducation, cognitive restructuring, problem-solving, assertiveness training, and gradual exposure. Both parents and children were involved in the Cool Kids treatment program. For families randomly assigned to the PAM group, the PAM program was conducted simultaneously with the Cool Kids treatment program over the 10-week period. For families that were randomly assigned to the PAM program, the program was offered to both parents. Moreover, both anxious and non-anxious parents were randomly allocated to the PAM program.
Query!
Intervention code [1]
269171
0
Treatment: Other
Query!
Intervention code [2]
269174
0
Behaviour
Query!
Comparator / control treatment
No Parental Anxiety Management group (No PAM or CBT only group): This group completed the Cool Kids but the parents in this group did not receive the parental anxiety management program.
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
269418
0
Presence/absence of anxiety disorder assessed by the Anxiety Disorder Interview Schedule for Children (ADIS-IV-C/P; Silverman & Albano, 1996). Presence/absence of anxiety disorder assessed by the ADIS for the parents' anxiety difficulties (ADIS-IV; Brown, Di Nardo, & Barlow, 1994).
Query!
Assessment method [1]
269418
0
Query!
Timepoint [1]
269418
0
pre-treatment, post-treatment, and 6-month follow-up
Query!
Secondary outcome [1]
287590
0
Parental and child reported anxiety symptoms:
Spence Children's Anxiety Scale (Spence, 1998) for the child's anxiety
Depression Anxiety Stress Scale - 21 Items (Lovibond & Lovibond, 1995) for the parent's anxiety
Query!
Assessment method [1]
287590
0
Query!
Timepoint [1]
287590
0
pre-treatment, post-treatment, and 6-month follow-up
Query!
Eligibility
Key inclusion criteria
principal anxiety disorder for the child
Query!
Minimum age
6
Years
Query!
Query!
Maximum age
13
Years
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Intellectual and developmental disability, psychoses, disabling medical condition and concurrent psychological treatment. Youths with co-morbid behavioral disorders who had a clinical severity rating of 6 or more were also excluded.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Following a brief telephone screen, parents signed consent forms at the assessment and children provided verbal assent. Children who met criteria for inclusion and agreed to participate were allocated to a group based on the child's age. Allocation was concealed: clinicians determined the child's eligibility for the study and then the clinic administration team conteacted the research officer who held the allocation schedule.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The first author used a schedule from a random number generator (computer software obtained online) to assign each group to treatment condition and to therapists.
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Not Applicable
Query!
Type of endpoint/s
Efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
25/01/2006
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
200
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Funding & Sponsors
Funding source category [1]
269646
0
Government body
Query!
Name [1]
269646
0
National Health and Medical Research Council
Query!
Address [1]
269646
0
Level 1
16 Marcus Clarke Street
Canberra ACT 2601
Query!
Country [1]
269646
0
Australia
Query!
Primary sponsor type
University
Query!
Name
Macquarie University
Query!
Address
Balaclava Rd
Macquarie University
NSW 2109
Query!
Country
Australia
Query!
Secondary sponsor category [1]
266678
0
None
Query!
Name [1]
266678
0
Query!
Address [1]
266678
0
Query!
Country [1]
266678
0
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
269594
0
Macquarie University Human Ethics
Query!
Ethics committee address [1]
269594
0
Macquarie University NSW 2109
Query!
Ethics committee country [1]
269594
0
Australia
Query!
Date submitted for ethics approval [1]
269594
0
Query!
Approval date [1]
269594
0
23/09/2005
Query!
Ethics approval number [1]
269594
0
HE23SEP2005-R04293
Query!
Summary
Brief summary
Objective: The current trial examined whether the inclusion of a parental anxiety management (PAM) program in addition to family cognitive-behavioral therapy (CBT) was more efficacious than family CBT only in treating childhood anxiety disorders. Method: Two hundred and nine children (aged 6-13 years) with a principal anxiety disorder were randomly allocated to a 5 session PAM program (n = 109) in addition to family CBT or family CBT only. Results: Overall, results revealed that the addition of PAM did not significantly improve principal anxiety diagnostic outcomes for the child or the parent compared to the CBT only group at post-treatment and 6-month follow-up. Results further suggest that children with non-anxious parents were more likely to be diagnosis-free for any anxiety disorder compared to children with anxious parents at post-treatment and 6-mth follow-up. Conclusions: The present findings indicate that the addition of PAM in its current format did not lead to additional gains in diagnostic status when used as an adjunct to family CBT in the treatment of the child’s anxiety disorder. The addition of PAM did not lead to a sufficient decline in parental anxiety disorders over and above the decline observed across time for children receiving CBT. Parental anxiety status impacted on child diagnostic outcome: Children were less likely to be diagnosis-free following treatment if they had a parent who also had an anxiety disorder.
Query!
Trial website
Query!
Trial related presentations / publications
Hudson, J.L., Rapee, R.M., Lyneham, H.J., Wuthrich, V., Edwards, S., Seeley, E., & Gar, N. (September, 2009). Treating parent anxiety to enhance the efficacy of cognitive behavioural treatment for children with anxiety disorders. Paper presented at the Australian Association for Cognitive and Behaviour Therapy, Perth, Australia. Rapee, R.M., Hudson, J.L., Schniering, C.A., Lyneham, H.J., Wuthrich, V., Edwards, S.,Seeley, E., & Gar, N. (November, 2008). Treating parent anxiety to enhance the efficacy of cognitive behavioural treatment for children with anxiety disorders. Paper presented at the Association for Behavioral & Cognitive Therapies, Orlando, FL Hudson, J.L., Rapee, R.M., Lyneham, H.J., Wuthrich, V., Edwards, S., Seeley, E., & Gar, N. (September 2011). Treating parent anxiety to enhance the efficacy of family-based cognitive behavioural treatment for childhood anxiety disorders. Paper to be presented at The European Association for Behavioural and Cognitive Therapies, Reykjavik, Iceland.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
33008
0
Query!
Address
33008
0
Query!
Country
33008
0
Query!
Phone
33008
0
Query!
Fax
33008
0
Query!
Email
33008
0
Query!
Contact person for public queries
Name
16255
0
Associate Professor Jennifer L. Hudson
Query!
Address
16255
0
Department of Psychology
Balaclava Rd
Macquarie University
NSW 2109
Query!
Country
16255
0
Australia
Query!
Phone
16255
0
+61 2 9850 8668
Query!
Fax
16255
0
Query!
Email
16255
0
[email protected]
Query!
Contact person for scientific queries
Name
7183
0
Associate Professor Jennifer L. Hudson
Query!
Address
7183
0
Department of Psychology
Balaclava Rd
Macquarie University
NSW 2109
Query!
Country
7183
0
Australia
Query!
Phone
7183
0
+61 2 9850 8668
Query!
Fax
7183
0
Query!
Email
7183
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF