Carla J Walton, Kim Skerven, Andrew White, Taylor Davine
{"title":"Engagement in dialectical behaviour therapy in LBC-certified DBT programs: comparison of in-person <i>vs</i> telehealth treatment delivery.","authors":"Carla J Walton, Kim Skerven, Andrew White, Taylor Davine","doi":"10.1017/S1352465826101337","DOIUrl":"10.1017/S1352465826101337","url":null,"abstract":"<p><strong>Background: </strong>Since the COVID-19 pandemic, delivering psychotherapy via telehealth has become commonplace, including with dialectical behaviour therapy (DBT); however, there is minimal research examining the difference in engagement between in-person and telehealth DBT. A multi-component intervention, DBT addresses problems associated with emotion dysregulation across a range of diagnoses, including suicidal and self-harming behaviour. Comprehensive DBT includes weekly individual and group sessions, out-of-session skills coaching, and consultation team for therapists. The DBT-Linehan Board of Certification (LBC) certifies DBT programs that demonstrate fidelity to the evidence-based model.</p><p><strong>Aims: </strong>This paper presents data drawn from LBC-certified DBT programs on the delivery of the treatment via telehealth. Primary aims were to determine differences in DBT attendance or non-completion: (1) associated with the transition to telehealth and (2) between clients attending solely in-person <i>vs</i> telehealth.</p><p><strong>Method: </strong>Data were analysed by cohort: (1) clients who started DBT in-person and transitioned to telehealth; (2) those who were seen solely in-person; and (3) those seen only via telehealth.</p><p><strong>Results: </strong>There was a lack of significant differences in missed sessions and treatment non-completion when comparing before and after the move to telehealth. Comparing solely in-person to telehealth, significant differences emerged with telehealth demonstrating fewer missed sessions as well as a lower rate of treatment non-completion. No differences were found when comparing adolescent and adult participants.</p><p><strong>Conclusions: </strong>Implications for telehealth delivery of DBT are provided, along with reflections on the potential impact of client characteristics that can inform future research.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"198-210"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Polly Waite, Rachel Sutton, Ray Percy, David M Clark, Laura Maratchi, Mark Jeavons, Lottie Shipp, Mara Violato
{"title":"A randomised controlled feasibility study of brief cognitive therapy for the treatment of PANic Disorder in Adolescents (PANDA).","authors":"Polly Waite, Rachel Sutton, Ray Percy, David M Clark, Laura Maratchi, Mark Jeavons, Lottie Shipp, Mara Violato","doi":"10.1017/S1352465826101349","DOIUrl":"10.1017/S1352465826101349","url":null,"abstract":"<p><strong>Background: </strong>Panic disorder occurs in 1-3% of adolescents and without treatment often has a chronic course. Treatments need to be effective and efficient to be delivered in routine services. Given that a brief version of cognitive therapy has been shown to be effective in adults, an adapted version could be beneficial for adolescents with panic disorder.</p><p><strong>Aims: </strong>We aimed to establish clinical and economic proof-of-concept for brief cognitive therapy for adolescent panic disorder and examine the feasibility of a future definitive trial compared with a brief generic form of CBT, using several well-defined criteria.</p><p><strong>Method: </strong>Thirty-four young people (aged 12-17 years) meeting diagnostic criteria for panic disorder and attending a routine clinical service, were randomly allocated to receive either brief cognitive therapy (B-CT) or a brief generic form of CBT; both involved five treatment sessions and up to two booster sessions and were delivered by Children's Wellbeing Practitioners. We examined patient outcomes, expectations, and experiences, as well as health economic factors post-treatment and at 3-month follow-up. We also explored panic severity 12 months after treatment completion.</p><p><strong>Results: </strong>The trial met feasibility and acceptability criteria in relation to recruitment and there were no serious concerns around acceptability of treatment and trial procedures.</p><p><strong>Conclusions: </strong>This study provides preliminary evidence that both B-CT and a generic form of CBT are associated with positive outcomes, expectations, and experiences for adolescents, parents/carers and clinicians. However, there appear to be additional benefits from B-CT that are worthy of evaluation in a future definitive RCT.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"147-169"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Callam Constant, Lucy Serpell, Matthew Pugh, John Fox, Tamara Leeuwerik, Anna-Marie Bibby-Jones, Penny Herbert, Mark Hayward
{"title":"Relating Therapy for the anorexic voice: exploring the feasibility of evaluating an extended version of the therapy.","authors":"Callam Constant, Lucy Serpell, Matthew Pugh, John Fox, Tamara Leeuwerik, Anna-Marie Bibby-Jones, Penny Herbert, Mark Hayward","doi":"10.1017/S1352465826101386","DOIUrl":"10.1017/S1352465826101386","url":null,"abstract":"<p><strong>Background: </strong>The experience of hearing an 'anorexic voice' is common amongst those diagnosed with anorexia nervosa and can act as a barrier to recovery. The relationship with the anorexic voice can become coercive and hostile. Relating Therapy promotes assertive responding to the anorexic voice and was previously evaluated over 16 sessions. Consultation with people with lived experience suggested that Relating Therapy should be offered over an extended duration to facilitate the guided application of learning to eating behaviours.</p><p><strong>Aims: </strong>The primary aim of this study was to inform the design of a future trial by exploring the feasibility of evaluating an extended course of Relating Therapy over 24 sessions. A secondary aim focused on the preliminary exploration of signals of change.</p><p><strong>Method: </strong>A mixed-methods feasibility study used a case series with repeated within-person measures to explore signals of change.</p><p><strong>Results: </strong>Seven of nine participants completed a course of Relating Therapy. Feasibility outcomes were positively confirmed. Signals of change were evident in relation to a greater ability to engage with important and meaningful aspects of life, a re-defined relationship with the anorexic voice, and reduced distress around eating and body image.</p><p><strong>Conclusion: </strong>The study generated evidence of the feasibility of evaluating an extended version of Relating Therapy for those who are distressed by an anorexic voice. Qualitative and quantitative data were suggestive of positive changes for some participants. A larger trial is warranted to evaluate the efficacy of Relating Therapy for the anorexic voice.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"223-229"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A thematic analysis of an online discussion forum for people with problematic hoarding behaviours.","authors":"Elizabeth Sillence, Claire Murphy-Morgan","doi":"10.1017/S1352465826101295","DOIUrl":"https://doi.org/10.1017/S1352465826101295","url":null,"abstract":"<p><strong>Background: </strong>People with hoarding behaviours (PwHB) need to be able to access a range of support options in a timely manner for their own wellbeing as well as that of friends and family. In response to recent calls to understand more about support groups and the role of peers in relation to hoarding, we investigate an online forum for PwHB.</p><p><strong>Aims: </strong>To explore the types of messages exchanged on the popular online discussion platform Reddit and the sort of information and support that is available.</p><p><strong>Method: </strong>We randomly scraped 100 threads from a hoarding subreddit or subcommunity on Reddit and undertook a thematic analysis of the 1297 individual messages collected.</p><p><strong>Results: </strong>The analysis produced three themes: <i>Emotional and practical support for help seekers</i>; <i>Seeking help on behalf of others</i>; and <i>Practical problems with discarding.</i> The forum provides a place for exchanging emotional and practical support where posters detail their lived experience of practical strategies for reducing their 'hoard'. Progress updates provide a sense of continued connection and posters seeking advice on behalf of someone else are welcomed and supported. The forum exposes debate and frustration around the practicalities and ethics of disposing of items, highlighting additional obstacles for PwHB and the limitations of geographically dispersed support groups.</p><p><strong>Conclusions: </strong>The online forum provides both opportunities and challenges for PwHB. The type of content exchanged within the online forum helps us better understand support issues for PwHB and points to clinical implications for therapy.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catriona M Larkin, Simon McCarthy-Jones, Craig Chigwedere
{"title":"Investigating associations of intolerance of uncertainty and inflated responsibility beliefs with postnatal specific anxiety and infant feeding outcomes.","authors":"Catriona M Larkin, Simon McCarthy-Jones, Craig Chigwedere","doi":"10.1017/S1352465825101264","DOIUrl":"10.1017/S1352465825101264","url":null,"abstract":"<p><strong>Background: </strong>Despite its significant impact on parenting and child outcomes, postnatal anxiety receives less attention than postnatal depression. Intolerance of uncertainty (IU) and inflated responsibility (IR) may be vulnerability factors for postnatal anxiety and infant feeding outcomes. For this reason, we investigated the associations of postnatal anxiety and a range of factors including IR and IU.</p><p><strong>Method: </strong>Postnatal women (<i>n</i>=126), predominantly white Irish, completed an anonymous online survey assessing postnatal anxiety, IU and IR, and infant feeding. Hierarchical multiple regression analyses were tested for unique predictors of postnatal anxiety. Multivariate tests were used to assess variables associated with feeding outcomes.</p><p><strong>Results: </strong>Although both IR and IU were significantly correlated with postnatal anxiety, regression analyses found only IR accounted for a significant amount of unique variance in postnatal anxiety. In terms of feeding outcomes, IR and IU were associated with reduced likelihood to breastfeed.</p><p><strong>Conclusions: </strong>IU and IR may have different impacts on postnatal anxiety. IU and IR may explain the higher incidence of anxiety in postnatal women and impact on a mother's decision to breastfeed her infant. Although important, these are results of a small cross-sectional study with some limitations. As such, they should be interpreted with caution. More investigation of these concepts would be beneficial.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"84-98"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peter J Lawrence, Abby Dunn, Mallika Agarwal, Chloe Bowen, Beril Can, Victoria E Castle, Rebecca L Dean, Chloë Elsby-Pearson, Georgina Heath, James Heath, Kathryn J Lester, Ailish MacInnes, Pippa McGowan, Victoria Piskun, Jenny Tata, Abi Thomson, Sam Cartwright-Hatton
{"title":"What happens to children's mental health when we treat their parent's depression? We have no idea. An empty systematic review.","authors":"Peter J Lawrence, Abby Dunn, Mallika Agarwal, Chloe Bowen, Beril Can, Victoria E Castle, Rebecca L Dean, Chloë Elsby-Pearson, Georgina Heath, James Heath, Kathryn J Lester, Ailish MacInnes, Pippa McGowan, Victoria Piskun, Jenny Tata, Abi Thomson, Sam Cartwright-Hatton","doi":"10.1017/S1352465825100970","DOIUrl":"10.1017/S1352465825100970","url":null,"abstract":"<p><strong>Background: </strong>Parent depression is a well-established prospective risk factor for adverse offspring mental health. Multiple lines of evidence suggest that improvements in parent depression predicts improved offspring mental health. However, no systematic review has examined the impact on offspring of psychological treatment of purely parent depression after the postnatal period.</p><p><strong>Aims: </strong>To systematically review the literature of randomised controlled trials examining the impact on offspring mental health outcomes of psychological interventions for parental depression after the postnatal period.</p><p><strong>Method: </strong>We pre-registered our systematic review on PROSPERO (CRD42023408953), and searched the METAPSY database in April 2023 and October 2024, for randomised controlled trials of psychological interventions for adults with depression, which also included a child mental health or wellbeing outcome. We double screened 938 studies for inclusion using the 'Paper in a Day' approach. All included studies would be rated using the Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>We found no studies that met our inclusion criteria.</p><p><strong>Conclusions: </strong>Robust research into psychological therapy for depression in adults outside the postnatal period has failed to consider the potential benefits for the children of those adults. This is a missed clinical opportunity to evaluate the potential preventive benefits for those children at risk of adverse psychological outcomes, and a missed scientific opportunity to test mechanisms of intergenerational transmission of risk for psychopathology. Seizing the clinical and scientific opportunities would require adult-focused mental health researchers to make inexpensive additions of child mental health outcomes measures to their evaluation projects.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"36-46"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Satchell, Gary Brown, Chris R Brewin, Jo Billings, Gerard Leavey, Marc Antony Serfaty
{"title":"A novel person-reported measure of safety-seeking behaviours: a preliminary study in older victims of community crime.","authors":"Jessica Satchell, Gary Brown, Chris R Brewin, Jo Billings, Gerard Leavey, Marc Antony Serfaty","doi":"10.1017/S1352465825101197","DOIUrl":"10.1017/S1352465825101197","url":null,"abstract":"<p><strong>Background: </strong>Community crime against older people is of increasing concern but the relationship between safety-seeking behaviours and continued psychological distress has not been examined. As existing assessment tools have limited validity, we aimed to investigate this by designing a novel person-reported safety-seeking behaviour measure (PRSBM) and conducting preliminary evaluation of its wider applicability.</p><p><strong>Method: </strong>We collected mixed-methods data from <i>n</i>=100 initially distressed older victims at 3 months post-crime, using the PRSBM. This asked older victims how often they engaged in six behaviours (checking, reassurance-seeking, rumination, avoidance, rituals, hypervigilance), what these were, how often, and how much they had changed since the crime. We measured continued distress using the two-item General Anxiety Disorder and Patient Health Questionnaires. We analysed qualitative behaviour data using codebook thematic analysis, quantitative data on behaviour frequency and change using logistic regression adjusted for gender, age and crime type, and explored the PRSBM psychometric structure using unique variable analysis.</p><p><strong>Results: </strong>Older victims reported a wide range of safety-seeking behaviours conceptually consistent with their experiences. Some were highly restrictive; others may help maintain independence. The frequency of checking, avoidance, and hypervigilance, and a change in avoidance, were most strongly associated with continued distress. The PRSBM was acceptable, comprehensive, and captured differences and commonalities in safety-seeking.</p><p><strong>Conclusions: </strong>As older victims identified as avoidant appear at risk of losing their independence, referral for treatment is recommended. The PRSBM appears promising as a research and clinical tool in a range of settings, suggesting further testing in different populations would be worthwhile.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"99-120"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesca Cocks, Cara Davis, Charlotte Peters, Rita De Nicola, Jo Daniels
{"title":"Health anxiety by proxy: exploring factors that influence parents' worries about their child's health.","authors":"Francesca Cocks, Cara Davis, Charlotte Peters, Rita De Nicola, Jo Daniels","doi":"10.1017/S1352465825101252","DOIUrl":"10.1017/S1352465825101252","url":null,"abstract":"<p><strong>Background: </strong>Health anxiety by proxy (HAP) refers to parents' worries about their child's health. Research into HAP is in its infancy, but it is known that the children of those with HAP and the broader family system are affected by these elevated health concerns.</p><p><strong>Aims: </strong>This study aimed to explore factors associated with HAP in parents of children with cancer, and parents of 'well' children, particularly parental health anxiety (HA), social support, and illness characteristics.</p><p><strong>Method: </strong>Cross-sectional online questionnaire design using social media and NHS paediatric oncology services to recruit parents of children with cancer (<i>n</i>=41) and parents of 'well' children (<i>n</i>=79).</p><p><strong>Results: </strong>HAP (but not HA) was significantly higher in parents of children with cancer than those with 'well' children (<i>p</i> < .001). HAP was negatively associated with social support in parents of 'well' children only (<i>p</i>=.002), but both groups demonstrated a positive association between social support and HA (<i>p=</i>.006). Both HA (<i>B=</i>.588; <i>p</i> < .001) and health status of child (<i>B=</i>-30.281; <i>p</i> < .001) were significant independent predictors of HAP (controlling for interactions between group and variables) in a hierarchical regression.</p><p><strong>Conclusions: </strong>Parents of children with cancer have higher rates of HAP (but not HA), with HAP associated with lower levels of social support in both groups. Parental HA and child health status are key to understanding HAP. Further research is needed to establish underlying mechanisms and vulnerability to HAP to inform development of effective interventions for this group.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"47-61"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Descriptive analysis of recovery-related outcomes following cognitive behavioural therapy in a Japanese clinical sample using definitions from the Talking Therapies for Anxiety and Depression programme.","authors":"Noriko Numata, Chihiro Sutoh, Yijing Bai, Shinnosuke Okada, Kumiko Muramatsu, Eiji Shimizu","doi":"10.1017/S1352465826101301","DOIUrl":"10.1017/S1352465826101301","url":null,"abstract":"<p><strong>Background: </strong>The United Kingdom's Talking Therapies for Anxiety and Depression (TTAD) programme provides standardised definitions for recovery-related outcomes, allowing transparent and comparable reporting. This study aimed to descriptively examine recovery-related outcomes following cognitive behavioural therapy (CBT) in a Japanese clinical sample using established TTAD definitions.</p><p><strong>Method: </strong>Data were drawn from patients who received CBT in routine clinical practice. Depressive and anxiety symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, respectively. Recovery, reliable improvement, and reliable recovery were classified according to the TTAD criteria.</p><p><strong>Results: </strong>The sample consisted of 241 participants, of whom 178 (73.9%) met the criteria for caseness at baseline. Among those with baseline caseness, 75 participants (42.1%) met the criteria for recovery at the end of treatment. Across the full sample, 103 participants (47.2%) demonstrated reliable improvement. Reliable recovery, defined as meeting the criteria for both recovery and reliable improvement, was observed in 65 participants (36.5% of those with baseline caseness).</p><p><strong>Conclusions: </strong>Using standardised TTAD definitions, this study provides a descriptive account of recovery-related outcomes following CBT in routine clinical practice in Japan. The findings show the distribution of recovery and improvement outcomes in this sample and highlight the importance of clearly distinguishing between recovery-related indicators when interpreting outcomes in real-world clinical settings.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":"54 1","pages":"62-71"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Internet-delivered parent-led intervention for anxiety in children and adolescents: a review of the literature.","authors":"Sujin Kim, Hyo Shin Kang","doi":"10.1017/S1352465826101283","DOIUrl":"10.1017/S1352465826101283","url":null,"abstract":"<p><strong>Background: </strong>Internet-delivered parent-led interventions can be useful for treating anxiety in children and adolescents, and they also help increase access to services while reducing time and cost.</p><p><strong>Aims: </strong>This review aimed to investigate the effects of internet-delivered parent-led interventions on reducing anxiety in children and adolescents.</p><p><strong>Method: </strong>A search of PubMed, PsycArticles, Cochrane Library, and Google Scholar databases identified 13 studies published between 2013 and 2024, which examined internet-delivered, parent-led interventions targeting anxiety in children.</p><p><strong>Results: </strong>Internet-delivered parent-led interventions had overall positive effects on reduced anxiety in children and adolescents that could be maintained through follow-up. Interventions directly targeting anxiety symptoms had significant treatment effects.</p><p><strong>Discussion: </strong>Internet-delivered parent-led interventions may be effective in reducing anxiety symptoms in children and adolescents, particularly when the intervention directly targets anxiety rather than focusing solely on parenting approaches. Interventions supplemented with therapist support, such as telephone consultations, appear to enhance treatment outcomes and help maintain effects over time. Two-thirds of the included studies had a moderate risk of bias, and one-third had a serious risk of bias. Further studies using rigorous methodologies are needed to strengthen the evidence base.</p>","PeriodicalId":47936,"journal":{"name":"Behavioural and Cognitive Psychotherapy","volume":" ","pages":"16-35"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}