Social Anxiety Disorder Clinical Trial
Official title:
Efficacy of a Group Cognitive Behavioral Therapy Program in the Treatment of Young Children With Social Anxiety Disorder and/or Selective Mutism: A Randomized Controlled Trial
This study is to assess the efficacy of a brief, 11-week, manualized Taming Sneaky Fears for Social Anxiety Disorder (SAD) and/or Selective Mutism (SM) child and parent group Cognitive Behavioural Therapy (CBT) treatment protocol. Children 4 to 7 years old (n = 88) meeting criteria for SAD and/or SM, and their parents are recruited from the Psychiatry Outpatient Program and participants will be randomized to either the Taming Sneaky Fears group or a parent psycho-education and child socialization group. Trained clinicians blinded to all measures and treatment assignment will administer pre, post and 6-month follow-up outcome measures. Investigators assess within-the-child and within-the-parent/environment factors that predict treatment outcomes.
This study utilizes a repeated measures, longitudinal, randomized controlled trial design to
compare the efficacy of two interventions in the treatment of children aged 4 to 7 years with
SM and/or SAD. Participants are randomized into either the:
1. Taming Sneaky Fears for SAD and/or SM parent and child group CBT treatment, or
2. the Parent Psycho-education and Child Socialization comparison program.
Both programs run for 10 consecutive weeks (plus one additional introduction week). To
control for the nonspecific factors associated with treatment, such as the support, attention
and expectation of improvement, parents and children in both treatment protocols receive
comparable levels of attention from therapists (i.e., same duration of group sessions and
total number of sessions with a therapist) and comparable opportunities for socialization
(e.g., for the children: invitation to discuss how the previous week went, snack time, story
time; for the parents: discussion of specific topics at each session). However, parents and
children in the comparison group are not taught CBT strategies.
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