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Vicarious Improvement Among Parents Participating in Child-Focused Cognitive-Behavioral Therapy for Anxiety
Authors:Emily L Escovar  Amy Drahota  Carla Hitchcock  Bruce F Chorpita  Denise A Chavira
Institution:1. Clinical Psychology Doctoral Program, Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA;2. Department of Psychology, Michigan State University, East Lansing, MI, USA;3. Child and Adolescent Services Research Center, San Diego, CA, USA;4. Alexandria Veterans Affairs Health Care System, Pineville, LA, USA;5. Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA
Abstract:Parental variables likely have important and bidirectional influences on the etiology of child anxiety. Although some child-focused cognitive-behavioral therapy (CCBT) anxiety trials have found vicarious improvements among parents who participated in their children’s treatment, this is an understudied area. We hypothesized that parental variables (psychopathology, stress, and burden) will significantly decrease from pre- to post-CCBT and will be associated with child treatment response. We explored whether intervention delivery method—in-person CCBT versus parent-mediated bibliotherapy—influenced vicarious parental improvements. Parental variables decreased from pre- to post-CCBT and were associated with child treatment response. Effects did not interact with delivery method. Parent participation in anxiety CCBT may result in vicarious improvements for parents.
Keywords:Bibliotherapy  cognitive behavioral therapy  child anxiety  mental health  parental factors
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