Effects of targeting fathers versus mothers in cognitive behavioral parent training for parents of children with an anxiety disorder

ISRCTN ISRCTN11647019
DOI https://doi.org/10.1186/ISRCTN11647019
Secondary identifying numbers ecpow11-2007
Submission date
27/10/2011
Registration date
02/12/2011
Last edited
30/10/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Anxiety disorders are one of the most common mental disorders in pre-adolescent children. International prevalence rates range from 2.6% to 41.2%. This study examines whether there is a difference between a father or a mother helping their children overcome anxiety disorders by means of Cognitive Behavioral Parent Training (CBPT). The extent to whether changes in parents’ own anxiety, their parenting, and sense of parental competence are related to a reduction in children’s anxiety levels is investigated.

Who can participate?
Fathers and mothers of anxiety disorder children of 7-12 years old participated in the study.

What does the study involve?
Effectiveness of Father and Mother CBPT was compared and the training had the same format and content for fathers and mothers.

What are the possible benefits and risks of participating?
There were no risks to participants. The treatment of children’s anxiety disorders might have benefited from enrolling in the study.

Where is the study run from?
The study was run in the University of Amsterdam’s mental health clinic for children and parents (Netherlands).

When is the study starting and how long is it expected to run for?
Between November 2007 and April 2010.

Who is funding the study?
The study was funded by the Research Institute Child Development and Education, University of Amsterdam (Netherlands).
Who is the main contact?
Dr Corine van der Bruggen
c.o.vanderbruggen@uva.nl

Contact information

Dr Corine van der Bruggen
Scientific

University of Amsterdam
Research Institute Child Development and Education
PO BOX 94208
Amsterdam
1090 GE
Netherlands

Email c.o.vanderbruggen@uva.nl

Study information

Study designA single centre interventional randomized controlled longitudinal trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not availabe in web format, please use the contact details below to request a patient information sheet
Scientific titleEffects of targeting fathers versus mothers in cognitive behavioral parent training for parents of children with an anxiety disorder
Study objectivesThis study compares father cognitive behavioral parent training (CBPT) and mother CBPT for parents of children with an anxiety disorder, in order to investigate:
1. Whether father or mother CBPT is more effective in decreasing anxiety levels in children in the short and longer term
2. The extent to whether changes in parents’ own anxiety, their parenting, and sense of parental competence is related to a reduction in children’s anxiety levels in the short and longer term
Ethics approval(s)Ethics Commission of Child Development and Education, University of Amsterdam, 1 November 2007
Health condition(s) or problem(s) studiedChildhood anxiety disorders
InterventionThe cognitive behavioral parent training (CBPT) is based on earlier work of Bögels and Siqueland (2006) and Bodden et al. (2008).

The training consists of 2 hour group meetings once a week for 6 weeks. Father and mother CBPT has the same format and content. Its main ingredients are:
1. Psycho-education
2. Challenging anxious thoughts
3. Exposure with a reward system
4. Parenting behaviors
5. Courageous modeling
6. Acting as a parent-team

The therapists ware trained clinical psychologists. The first follow-up period is 6 weeks, the second is 6 months after the CBPT finished.
Intervention typeOther
Primary outcome measure1. Diagnostic status of the children using the Anxiety Disorder Interview Schedule Child and Parent versions (ADIS C/P) (Silverman & Albano, 1996). To consider change in the number of anxiety disorders and their interference their combination was examined (number of anxiety disorders × mean interference).
2. Children’s anxiety symptoms using the Screen for Child Anxiety Related Emotional Disorders (SCARED-71). Child, father, and mother completed the SCARED-71 (Bodden et al., 2009), and their reports were aggregated into an overall score for child anxiety symptoms.
Secondary outcome measures1. Parenting behavior using the Parental Rearing Questionnaire (PRQ). Father and mother completed a self- and partner-report version of the subscales autonomy granting, overcontrol, and rejection of the PRQ (Bögels & Van Melick, 2004; new subscale structure Verhoeven, Bögels, Van der Bruggen, 2011). Self- and partner-report were aggregated into an overall score of parent’s autonomy granting, overcontrol, and rejection.
2. Challenging parenting behavior using the questionnaire Challenging Parenting Behavior (Majdandzic, De Vente, & Bögels, 2010). Father and mother completed a self- and partner-report version. Self- and partner-report were aggregated into an overall score of parent’s challenging behavior.
3. Parents' sense of competence using the Sense of Competence subscale of Parenting Stress Index (PSI; Abidin, 1983; De Brock, Vermulst, Gerris, & Abidin, 1992). Father and mother completed a self-report version.
4. Parents’ own anxiety using the Screen for Child Anxiety Related Emotional Disorders Adult version (SCARED-A; Bögels & Van Melick, 2004). Father and mother completed a self-report version.
Overall study start date01/11/2007
Completion date01/05/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants21 fathers and 27 mothers of anxiety disorder children (26 boys and 22 girls)
Key inclusion criteria1. Fathers and mothers of anxiety disorder children of 7-12 years old, referred or recruited by community announcement
2. The child having a primary anxiety disorder on the Anxiety Disorder Interview Schedule (ADIS) [Silverman & Albano, 1996]
3. Both parents willing and able to participate in CBPT
Key exclusion criteria1. Prior child CBT and no parent treatment in relation to the child’s anxiety
2. Other severe psychiatric problems that might interfere with treatment
Date of first enrolment01/11/2007
Date of final enrolment01/05/2010

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University of Amsterdam
Amsterdam
1090 GE
Netherlands

Sponsor information

University of Amsterdam (UK)
University/education

Research Institute Child Development and Education
PO BOX 94208
Amsterdam
1090 GE
Netherlands

Email s.m.bogels@uva.nl
Website http://www.english.uva.nl/
ROR logo "ROR" https://ror.org/04dkp9463

Funders

Funder type

University/education

Research Institute Child Development and Education, University of Amsterdam (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan