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Effects of Cognitive-Behavioral Therapy on Improving Anxiety Symptoms, Behavioral Problems and Parenting Stress in Taiwanese Children with Anxiety Disorders and Their Mothers

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Abstract

The aims of this intervention study were to examine the effects of individual cognitive-behavioral therapy (CBT) based on the modified Coping Cat Program on improving anxiety symptoms and behavioral problems in Taiwanese children with anxiety disorders and parenting stress perceived by their mothers. A total of 24 children with anxiety disorders in the treatment group completed the 17-session individual CBT based on the modified Coping Cat Program, and 26 children in the control group received the treatment as usual intervention. The Taiwanese version of the MASC (MASC-T), the Child Behavior Checklist for Ages 6–18 (CBCL/6-18) and the Chinese version of the Parenting Stress Index (C-PSI) were applied to assess the severities of anxiety symptoms, behavioral problems and parenting stress, respectively. The effects of CBT on improving anxiety symptoms, behavioral problems and parenting stress were examined by using linear mixed-effect model with maximum likelihood estimation. The results indicated that the CBT significantly improved the severities of MASC-T Physical Symptoms and Social Anxiety subscales, CBCL/6-18 DSM-oriented Anxiety Problem subscale, and C-PSI Child domains Mood and Adaptability subscales. Individual CBT based on the modified Coping Cat Program can potentially improve anxiety symptoms in Taiwanese children with anxiety disorders and some child domains of parenting stress perceived by their mothers.

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Acknowledgments

This study was supported by Grants NSC 98-2410-H-037-005-MY3 awarded by the National Science Council, Taiwan (ROC) and grant KMUH 100-0R48 awarded by Kaohsiung Medical University Hospital.

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Authors and Affiliations

  1. Department of Psychiatry, Faculty of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

    Cheng-Fang Yen, Yu-Min Chen, Tai-Ling Liu, Peng-Wei Wang & Pinchen Yang

  2. Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, No. 100, Tzyou 1st Road, Kaohsiung, 807, Taiwan

    Cheng-Fang Yen, Yu-Min Chen, Tai-Ling Liu, Peng-Wei Wang & Pinchen Yang

  3. Department of Psychiatry, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

    Jen-Wen Cheng

  4. Department of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan

    Tzu-Yu Huang

  5. Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center and College of Medicine, Chang Gung University, 123, Ta-Pei Rd., Niao-Sung Hsiang, Kaohsiung, 83342, Taiwan

    Wen-Jiun Chou

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  1. Cheng-Fang Yen
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Correspondence to Peng-Wei Wang or Wen-Jiun Chou.

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Yen, CF., Chen, YM., Cheng, JW. et al. Effects of Cognitive-Behavioral Therapy on Improving Anxiety Symptoms, Behavioral Problems and Parenting Stress in Taiwanese Children with Anxiety Disorders and Their Mothers. Child Psychiatry Hum Dev 45, 338–347 (2014). https://doi.org/10.1007/s10578-013-0403-9

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