Clinical Guidance: Early Family Intervention for Childhood Anxiety
Children who are inhibited can be identified in preschool and are at risk for anxiety disorders later in childhood. Rapee et al. (CME , p. 1518) developed a six-session parent group intervention that consists of education in parenting skills and cognitive restructuring to diminish overprotective behaviors toward the child. Positive effects, assessed as decreased numbers and severity of anxiety disorders and symptoms, were then observed in the children several years later in midchildhood. Dr. Bruce Cuth-bert notes in his editorial (p. 1428) that the treatment effects were relatively modest at 1 year but were more robust at 24 and 36 months.