Anxiety disorders are common among adolescents and lead to poor long-term outcomes. Cognitive Behavioural Therapy (CBT) is an evidenced-based intervention for adolescent anxiety disorders, but little is known about whether and how parents should be involved. This systematic review evaluated how parents have been involved and associated treatment outcomes in studies of CBT for adolescent anxiety disorders. Electronic systematic searches were conducted in PsycINFO, Embase, CINAHL, Medline, AMED databases, to identify studies investigating CBT for adolescent anxiety disorder(s) that included parents in treatment. Twenty-three papers were identified. Parents were involved in treatment in a number of different ways: by attending separate parent sessions, joint parent–adolescent sessions, or both, or through provision of a workbook while attending some adolescent sessions. Content varied but was most typically aimed at the parent developing an understanding of core CBT components and skills to help them manage their adolescent’s anxiety and avoidance. Treatment outcomes indicate that CBT with parental involvement is an effective intervention for adolescent anxiety disorders; however, it is not possible to draw conclusions regarding whether parental involvement (generally or in any particular form) enhances treatment outcomes. Poor reporting and methodological issues also limit the conclusions. Further research is required to identify whether there are particular types of parental involvement in CBT that bring clinical benefits to adolescents with anxiety disorders generally, as well as in particular circumstances.

焦虑症在青少年中很常见，会导致不良的长期结果。认知行为疗法 (CBT) 是一种针对青少年焦虑症的循证干预措施，但对于父母是否应该以及如何参与，我们知之甚少。本系统评价评估了父母如何参与青少年焦虑症的 CBT 研究以及相关的治疗结果。在 PsycINFO、Embase、CINAHL、Medline、AMED 数据库中进行了电子系统搜索，以确定调查 CBT 治疗青少年焦虑症的研究，其中包括父母参与治疗。确定了 23 篇论文。父母以多种不同的方式参与治疗：通过参加单独的父母会议、联合父母-青少年会议，或两者兼而有之，或通过在参加一些青少年课程时提供工作簿。内容各不相同，但最典型的目的是让家长了解核心 CBT 组成部分和技能，以帮助他们管理青少年的焦虑和回避。治疗结果表明，有父母参与的 CBT 是一种有效的青少年焦虑症干预措施；然而，无法就父母是否参与（一般或以任何特定形式）得出结论提高治疗效果。糟糕的报告和方法问题也限制了结论。需要进一步的研究来确定是否有特定类型的父母参与 CBT 为患有焦虑症的青少年以及在特定情况下带来临床益处。