The purpose of this study is to compare three treatments to determine which is most
effective in reducing anxiety in children.
Children and their parents will complete a comprehensive diagnostic assessment to determine
eligibility. The assessment will include an individual diagnostic interview with the child,
interviews with the parents, and written observations of the child from family members and
teachers. Participants will then be randomly assigned to receive individual cognitive
behavioral therapy (ICBT), family CBT (FCBT), or education/support/attention (ESA) for 5
months. Children in the ICBT group will meet individually with a therapist. In the FCBT and
ESA treatment groups, children and their parents will meet weekly with a therapist.
At the end of treatment and 1 year following treatment completion, families will complete
another assessment to determine the effectiveness of each treatment at reducing short- and
long-term anxiety symptoms in their children.
- Child with DSM-IV criteria for separation anxiety disorder, social phobia, or
generalized anxiety disorder
Exclusion Criteria for Child Participants:
- IQ less than 80
- Current use of anti-anxiety or antidepressant medications
- Psychotic symptoms
- Child and/or parent is non-English speaking