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The Child Anxiety Prevention Study: intervention model and primary outcomes
1Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287-3325, USA. gginsbu@jhmi.edu
Journal of Consulting and Clinical Psychology
|June 3, 2009
Summary
A family-based cognitive-behavioral intervention, the Coping and Promoting Strength program (CAPS), effectively prevented anxiety disorders in children of anxious parents. No children in the CAPS group developed anxiety disorders, unlike 30% in the wait list control group.
Area of Science:
- Child and Adolescent Psychiatry
- Clinical Psychology
- Family Therapy
Background:
- Children with parents who have anxiety disorders are at increased risk of developing anxiety disorders themselves.
- Early intervention is crucial for preventing the onset of these conditions.
Purpose of the Study:
- To evaluate the effectiveness of a family-based cognitive-behavioral intervention, the Coping and Promoting Strength program (CAPS), in preventing anxiety disorders in at-risk children.
- To assess the impact of CAPS on reducing anxiety symptoms in children with a parental history of anxiety disorders.
Main Methods:
- A randomized controlled trial involving 40 children (mean age 8.94) with parents diagnosed with anxiety disorders.
- Families were assigned to either the 8-week CAPS intervention or a wait list control group.
- Assessments included independent evaluator diagnostic interviews and parent/child anxiety symptom measures at multiple time points up to 12 months post-intervention.
Main Results:
- By the 1-year follow-up, 30% of children in the wait list group developed an anxiety disorder, compared to 0% in the CAPS group.
- Significant decreases in anxiety symptoms were observed in the CAPS group (parent-reported and IE-assessed) but not the wait list group.
- Parental satisfaction with the CAPS intervention was high.
Conclusions:
- The family-based CAPS intervention demonstrates significant potential in preventing the onset of anxiety disorders in offspring of parents with anxiety disorders.
- Cognitive-behavioral strategies delivered in a family context may be effective in mitigating anxiety risk in vulnerable children.
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