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Child Psychiatry & Human Development

, Volume 45, Issue 3, pp 338–347 | Cite as

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

  • Cheng-Fang Yen
  • Yu-Min Chen
  • Jen-Wen Cheng
  • Tai-Ling Liu
  • Tzu-Yu Huang
  • Peng-Wei Wang
  • Pinchen Yang
  • Wen-Jiun Chou
Original Article

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.

Keywords

Anxiety disorder Children Cognitive-behavioral therapy Parenting stress 

Notes

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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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Cheng-Fang Yen
    • 1
    • 2
  • Yu-Min Chen
    • 1
    • 2
  • Jen-Wen Cheng
    • 3
  • Tai-Ling Liu
    • 1
    • 2
  • Tzu-Yu Huang
    • 4
  • Peng-Wei Wang
    • 1
    • 2
  • Pinchen Yang
    • 1
    • 2
  • Wen-Jiun Chou
    • 5
  1. 1.Department of Psychiatry, Faculty of Medicine, Kaohsiung Medical University HospitalKaohsiung Medical UniversityKaohsiungTaiwan
  2. 2.Graduate Institute of Medicine, College of MedicineKaohsiung Medical UniversityKaohsiungTaiwan
  3. 3.Department of PsychiatryKaohsiung Veterans General HospitalKaohsiungTaiwan
  4. 4.Department of Psychology, College of Humanities and Social SciencesKaohsiung Medical UniversityKaohsiungTaiwan
  5. 5.Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center and College of MedicineChang Gung UniversityKaohsiungTaiwan

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