Evidence map›Paper›PMID 34464490›Full record

Trial reportDepression and anxiety2021

Directional effects of parent and child anxiety 1 year following treatment of child anxiety, and the mediational role of parent psychological control.

Wendy K Silverman, Carla E Marin, Yasmin Rey, James Jaccard, Jeremy W Pettit

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Depression and anxiety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wendy K SilvermanYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-4415-4098
Carla E MarinYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6287-0111
Yasmin ReyDepartment of Psychology, Florida International University, Miami, Florida, USA.ORCID 0000-0002-5914-3175
James JaccardSilver School of Social Work, New York University, New York, New York, USA.
Jeremy W PettitDepartment of Psychology, Florida International University, Miami, Florida, USA.ORCID 0000-0002-7426-9411

Funding

Parent Mediation of Child Anxiety CBT OutcomeR01MH079943 · NIMH · FLORIDA INTERNATIONAL UNIVERSITY · PI PETTIT, JEREMY W · 2008 to 2012
$3.0M
NIMH NIH HHS R01 MH079943
6 · The paper itself

Abstract

backgroundWe leveraged a recent efficacy trial to investigate directionality between parent anxiety and child anxiety at posttreatment and 12-month follow-up, and the potential role of parent psychological control as a mediator. We also explored child age and sex as moderators.

methodTwo-hundred and fifty-four children were randomized to individual cognitive behavioral therapy (CBT) or to one of two CBT arms with parent involvement. Parent anxiety was not a treatment target in any of the three arms.

resultsChild anxiety at posttreatment was associated with parent anxiety and psychological control at 12-month follow-up, providing evidence of child-to-parent directionality. Parent anxiety at posttreatment was associated indirectly with child anxiety at 12-month follow-up through associations with parent psychological control, providing evidence of parent-to-child directionality. At posttreatment, parent psychological control contemporaneously mediated the relation between parent and child anxiety. Neither child age nor sex moderated any association.

conclusionsFindings highlight the directional effects between child anxiety, parent anxiety, and psychological control from posttreatment to 12-month follow-up, even when parent anxiety is not a treatment target. Research and clinical implications are discussed, with an emphasis on enhancing durability following treatment effects.

Indexed as

Anxiety DisordersParent-Child RelationsAnxietyHumansParentsTreatment Outcomeanxiety/anxiety disorderschild/adolescentmaternal-child

Identifiers

PMID34464490
PMCPMC8664994

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Registered trials

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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.