Trial reportJournal of consulting and clinical psychology2015
Parental psychopathology and treatment outcome for anxious youth: roles of family functioning and caregiver strain.
Trial report in Journal of consulting and clinical psychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 65 citations in OpenAlex.
- Impact of treatment improvement on long-term anxiety: Results from CAMS and CAMELS.Journal of consulting and clinical psychology · 2021Trial
- A randomised controlled trial of treatments of childhood anxiety disorder in the context of maternal anxiety disorder: clinical and cost-effectiveness outcomes.Journal of child psychology and psychiatry, and allied disciplines · 2020Trial
- The role of day-to-day emotions, sleep, and social interactions in pediatric anxiety treatment.Behaviour research and therapy · 2017Trial
- Mediators in the randomized trial of Child- and Family-Focused Cognitive-Behavioral Therapy for pediatric bipolar disorder.Behaviour research and therapy · 2016Trial
- The effect of targeting tolerance of children's negative emotions among anxious parents of children with anxiety disorders: A pilot randomised controlled trial.Journal of anxiety disorders · 2016Trial
- An Investigation of Family Functioning Among Caregiver-Adolescent Dyads Seeking Emergency Department Care for Adolescent Suicide Risk.Research on child and adolescent psychopathology · 2026Article
- Factors associated with caregiver strain among mothers and fathers of children with advanced cancer.Palliative & supportive care · 2024Article
- Family-Based Treatment for Anxiety, Depression, and ADHD for a Parent and Child.International journal of environmental research and public health · 2024Article
- Prenatal exposure to a natural disaster and early development of psychiatric disorders during the preschool years: stress in pregnancy study.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Combining attachment-based family therapy and cognitive behavioral therapy to improve outcomes for adolescents with anxiety.Frontiers in psychiatry · 2023Article
- Learning About Safety: Conditioned Inhibition as a Novel Approach to Fear Reduction Targeting the Developing Brain.The American journal of psychiatry · 2021Review
- Negative Life Events as Predictors of Anxiety Outcomes: An Examination of Event Type.Research on child and adolescent psychopathology · 2021Article
- Inside the Clockwork of the ECHO Factorial Trial: A Conceptual Model With Proposed Mediators for Prevention of Emotional Problems in Children.Frontiers in psychology · 2021Article
- Examining the Relationship Between Parental Symptomatology and Treatment Outcomes in Children with Autism Spectrum Disorder.Journal of autism and developmental disorders · 2019Article
- Children's DAT1 Polymorphism Moderates the Relationship Between Parents' Psychological Profiles, Children's DAT Methylation, and Their Emotional/Behavioral Functioning in a Normative Sample.International journal of environmental research and public health · 2019Article
- Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2018Article
- Treatment Concerns and Functional Impairment in Pediatric Anxiety.Child psychiatry and human development · 2016Article
- Monotherapy Insufficient in Severe Anxiety? Predictors and Moderators in the Child/Adolescent Anxiety Multimodal Study.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Article
- Parent-led, stepped-care cognitive-behavioral therapy for youth with autism and co-occurring anxiety: study rationale and method.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
- Moderators of Outcome for Youth Anxiety Treatments: Current Findings and Future Directions.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
Abstract
objectiveResearch has examined the effects of parental psychopathology, family functioning, and caregiver strain on treatment response in anxious youths. Although these variables have shown individual links to youth treatment response, theoretical models for their combined effects remain unexplored. This study tested the hypothesis that improvements in family functioning and reductions in caregiver strain explained the effects of parental psychopathology on youth treatment outcome in an anxiety treatment trial.
methodA multiple mediation technique was used to test the proposed model across independent evaluator (IE), parent, and youth informants in 488 youths, aged 7-17 years (50% female; mean age = 10.7) meeting Diagnostic and Statistical Manual of Mental Disorders criteria for social phobia, separation anxiety, and/or generalized anxiety disorder. Youths were randomized to receive 12 weeks of cognitive-behavioral treatment (Coping Cat), medication (sertraline), their combination, or a pill placebo. At pre- and posttreatment, parents completed self-report measures of global psychopathology symptoms, family functioning, and caregiver strain; parents, youths, and IEs rated youths' anxiety symptom severity.
resultsChanges in family functioning and caregiver strain jointly explained relations between parental psychopathology and reductions in youth anxiety. Specifically, across IE and parent informants, families with higher pretreatment parental psychopathology showed more improvement in family functioning and caregiver strain, which in turn predicted greater youth anxiety reductions. Further, higher pretreatment parental psychopathology predicted greater caregiver strain reductions and, in turn, greater youth anxiety reductions, based on youths' reports of their own anxiety.
conclusionsFindings suggest that improvements in family functioning and reductions in caregiver strain can influence treatment outcomes for anxious youths, especially among youths with more distressed parents.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.