TABLE 4.
Level 1 | Level 2 | Level 3 | Level 4 | Level 5 | |
---|---|---|---|---|---|
Well-Established | Probably Efficacious | Possibly Efficacious | Experimental | Questionable | |
Anxiety | None | Exposure-based CBT w/social skills 3 hours [66] CBT 9 hours [9, 36] 10 hours [4, 33] Digital parent training w/clinician supporta, d 6 hours [34, 57] Behavioral therapy 8 hours [59] Stress inoculation training 8 hours [2] |
CBT 8 hours [10] CBT plus psychoeducation for parents, teachers, and community health workers 7.5 hours [13] Parent trainingd 6 hours [12] 9 hours [53] Digital CBT w/clinician supporta 3 hours [14] 5 hours [44] 6 hours [51] 7 hours [18] Growth mind-set training 0.5 hours [64] Family-based CBT 8 hours [15, 38] Parent and teacher trainingd, e 7 hours [6] Clinician-guided bibliotherapya,b 3 hours [31] 5 hours [31] ABMt (away from negative) 1920 trials [28] ABMt (toward positive) 640 trials [32] |
CBT 6 hours [7] Relaxation training 4 hours [1] Cognitive training 4 hours [1] Clinician-guided, parent-coached exposurea 6 hours [40] Digital biofeedback w/relaxation training 6 hours [49] Digital neurofeedback w/exposure and attention training 5 hours [50] ABMt (away from negative) 640 trials [43] 768 trials [21] 1152 trials [55] 1600 trials [63] Bibliotherapy w/no clinician supportc [30] |
None |
Phobias | In vivo exposure 3 hours [72, 73] |
None | Psychoeducation 3 hours [74] In vivo exposure 1.5 hours [68] Emotive imagery 4 hours [69] |
None | Eye movement desensitization and reprocessing (EMDR) 2.5 hours [70] |
Level of Support Designations is described in Table 1. Number in [] refers to the studies as cited in Table 2. ABMt = Attention Bias Modification Training; CBT = Cognitive behavior therapy; dash indicates not enough data to meta-analyze (i.e., at least two studies).
Clinician here broadly refers to any person in a position in which they are delivering these interventions (e.g., clinical psychologists, counselors, social workers, nurses, prevention or behavior specialists, school psychologists).
Overcoming your Child’s Fears and Worries: A Self-help Guide using Cognitive-Behavioral Techniques (Creswell & Willetts, 2007). Helping Your Anxious Child: A Step-by-Step Guide (Rapee et al., 2008).
Focused on teaching cognitive-behavioral skills relevant to managing parent anxiety and/or supporting child in managing their anxiety. Teacher training occurred through in-person and telephone consultation with a clinician.