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Family and Peer Involvement in the Treatment of Anxiety Disorders in Children



Family and Peer Involvement in the Treatment of Anxiety Disorders in Children

For Condition: Anxiety Disorders
Status: Recruiting
Sponsor(s): National Institute of Mental Health (NIMH) ,
Synopsis: The purpose of this study is to compare the effectiveness of family- and peer-oriented therapy in treating children with anxiety disorders.
Details: Data suggest that individual Cognitive Behavior Therapy (CBT) is effective in reducing anxiety disorders in children. The incorporation of family and peers in a CBT treatment program may be more effective in reducing anxiety symptoms than CBT alone because a child's environment affects the development, course, and outcome of childhood psychopathology and functional status. This study will evaluate the effectiveness of family and peer involvement in CBT treatment. Children and their parents will be randomly assigned to one of two treatment conditions: Family/Parents CBT (FCBT) or Peer/Group CBT (GCBT) for 14 to 16 weekly sessions. Parent-child relationships are the focus of the FCBT. Parents will be trained to manage their children's anxiety and avoidant behaviors by increasing acceptance and warmth toward their children. Children in the GCBT group will be trained to be more helpful and positive toward other children through role-playing activities. Interviews, questionnaires, and behavior observation tasks will be used to assess participants. All participants will be assessed at pretreatment, post-treatment, and at yearly follow-up visits for 5 years.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 8 Years/14 Years
Genders: Both
Protocol Entry Criteria: Inclusion criteria: - DSM-IV criteria for Generalized Anxiety Disorder (GAD), Social Phobia (SP), or Separation Anxiety Disorder (SAD) - Mean score >= 4 on the Clinician's Rating Scale of Severity - Discontinuation of all other psychosocial treatment upon consultation with clinic staff and the service provider - Discontinuation of stimulants for Attention Deficit Hyperactivity Disorder (ADHD) or other psychopharmacological agents that would confound the study Exclusion Criteria: - DSM-IV criteria for a disorder other than GAD, SP, and SAD - Diagnosis of any one of the following: pervasive developmental disorders, mental retardation, selective mutism, organic mental disorders, or schizophrenia and other psychotic disorders - At risk for harm to self or others
Total Enrollment: 250

Location and Contact Information:

Florida International University *Recruiting*
Miami,  Florida,  33174
United States
Recruiting Patricia  Alvarez 305-348-2494


Additional Information:
Study ID Numbers:
  63997-01A1; 
Study Start Date: July 2002
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00073645

Other Anxiety Disorders Studies:
1. Reward-Related Processes and Brain Function

2. Child and Adolescent Anxiety Disorders (CAMS)

3. Family and Peer Involvement in the Treatment of Anxiety Disorders in Children

4. The Psychobiology of Childhood Temperament

5. MRI Study of Brain Activity and Risk for Depression in Adolescents

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Family and Peer Involvement in the Treatment of Anxiety Disorders in Children

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