Limited research has focused on parent-only group CBT informed interventions. Studies to date have primarily focused on parents of neurotypical children. Cartwright-Hatton et al. (2011) reported that 57% of children under the age 9 were free of their primary diagnosis after completing the From Timid to Tiger program compared to 15% in the control condition. Similar positive findings were reported by Thirlwall et al. (2013) which found that a fully guided parent CBT program led to 50% of children being free from their primary anxiety diagnosis compared to 39% being diagnosis free in a shorter brief guided CBT group. These and other findings (Cobham et al., 2017; Salari et al., 2018) have indicated the clinical utility of parent-led CBT groups in addressing child anxiety. To date, there has been limited research into parent-led approaches for children diagnosed with ASD struggling with anxiety disorders, with much of the research to date focusing on interventions combining both parent and child components (Driscoll et al., 2020; Reaven et al., 2015). The findings regarding parent-led approaches have been somewhat mixed. Cook et al. (2019) reported on a parent-led approach for young children with high functioning ASD and anxiety. At post-treatment no treatment effects were found on child or parent measures but at 3-month follow-up, children demonstrated a reduction on internalizing measures. A further feasibility and acceptability study (Rodgers et al., 2017) comprising of 11 parents reported on the effectiveness of an intervention group in reducing Intolerance of Uncertainty (IU). Findings indicated that parents reported significant reductions in terms of parent reported child anxiety and parent self-report IU and general mental health, with effect sizes in the moderate to large range. The mixed findings to date suggest that further work is required in optimising parental engagement in parent-only programs and child outcomes (Creswell et al., 2020).




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