Paper
Familial predictors of treatment outcome in childhood anxiety disorders.
Published Oct 1, 2001 · DOI · A. Crawford, Katharina Manassis
Journal of the American Academy of Child and Adolescent Psychiatry
222
Citations
14
Influential Citations
Abstract
OBJECTIVE To determine whether family factors are predictive of outcome in children with anxiety disorders who are receiving cognitive-behavioral treatment. METHOD Participants were 61 children aged 8 to 12 years (mean = 10.0, SD = 1.4) with Axis I anxiety disorders who had been referred to a large Toronto children's hospital. Parents and children completed measures assessing family functioning, parenting stress, parental frustration, and parental psychopathology before and after treatment. Outcome measures included clinician-rated functioning (Children's Global Assessment Scale) and self- and parent-rated anxiety (Revised Children's Manifest Anxiety Scale). RESULTS Child ratings of family dysfunction and frustration predicted clinician-rated improvement (total R2 = 0.28, p < .001). Mother and father reports of family dysfunction, and maternal parenting stress, predicted mother-rated child improvement (total R2 = 0.18, p < .01). Father-rated somatization and child reports of family dysfunction and frustration predicted child-rated improvement (total R2 = 0.25, p < .001). Several family factors improved with treatment. CONCLUSION Family dysfunction appears to be related to less favorable treatment outcome in children with anxiety disorders.
Family dysfunction is related to less favorable treatment outcomes in children with anxiety disorders receiving cognitive-behavioral treatment.
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