Skip to main content

Advertisement

Log in

The effectiveness of a family-friendly program on parental meta-worry beliefs and health anxiety and social anxiety disorder in children

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

Social Anxiety disorders (SAD) of children and adolescents and parental meta-worry beliefs (PMWB), and parental health anxiety (PHA) are the cause of many functional disorders. This study aimed to investigate the effect of the family-friendly program (FFP) on reducing PMWB and PHA also SAD in children and adolescents. The present study was a semi-experimental study in which the pretest–posttest with the control group was utilized. The statistical population of this study consisted of all children and adolescents who had social anxiety themselves and their parents who were anxious and referred to the psychiatric and psychological clinic of Soroush center in Mashhad. In this study, subjects were randomly divided into two groups: test (n = 30) and control groups (n = 30). The test group, along with regular medical care, received the personal intervention program in 11 weekly sessions of 1 h. The control group received only regular medical care in this period. Subjects in both groups responded to the Anxiety Thought Questionnaire of Wells (AnTI) and the Screen for Child Anxiety Related Disorder-71 (SCARED-71) (to diagnose the social disorder in children and adolescents), before intervention (pretest) and immediately after the intervention (posttest). ANCOVA test via SPSS 23 showed that in the post-test stage, the mean scores of PMWB, PHA, and SAD in children and adolescents in the test group were significantly lower than the control group. Teaching FFP affects reducing PMWB and PHA and also SAD in children and adolescents. The implication of FFP can significantly improve the quality of life and prevent or alleviate anxiety, and stress among family members.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Data Availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Association.

    Book  Google Scholar 

  • Beh-Pajooh, A., Abdollahi, A., & Hosseinian, S. (2018). The effectiveness of painting therapy program for the treatment of externalizing behaviors in children with intellectual disability. Vulnerable Children and Youth Studies, 13(3), 221–227. https://doi.org/10.1080/17450128.2018.1428779

    Article  Google Scholar 

  • Benedetto, L., La Fauci, E., & Ingrassia, M. (2018). Exploring meta-worry and perceived parenting behaviors in adolescents‟ anxiety. Life Span and Disability, XXI, 2, 117–141.

    Google Scholar 

  • Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child & Adolescent Psychiatry, 38(10), 1230–1236. https://doi.org/10.1097/00004583-199910000-00011

    Article  Google Scholar 

  • Bodden, D. H., Bogels, S. M., & Muris, P. (2009). The diagnostic utility of the Screen for Child Anxiety Related Emotional Disorders-71 (SCARED-71). Behaviour Research and Therapy, 47(5), 418–425. https://doi.org/10.1016/j.brat.2009.01.015

    Article  PubMed  Google Scholar 

  • Bögels, S. M., & Perotti, E. C. (2011). Does father know best? A formal model of the paternal influence on childhood social anxiety. Journal of Child and Family Studies, 20(2), 171–181. https://doi.org/10.1007/s10826-010-9441-0

    Article  PubMed  Google Scholar 

  • Boggs, S. R., Eyberg, S. M., Edwards, D. L., Rayfield, A., Jacobs, J., Bagner, D., & Hood, K. K. (2004). Outcomes of Parent-Child Interaction Therapy: A Comparison of Treatment Completers and Study Dropouts One to Three Years Later. Child & Family Behavior Therapy, 26(4), 1–22. https://doi.org/10.1300/J019v26n04_01

    Article  Google Scholar 

  • Boni, M., Schütze, R., Kane, R. T., Morgan-Lowes, K. L., Byrne, J., & Egan, S. J. (2018). Mindfulness and avoidance mediate the relationship between yoga practice and anxiety. Complementary Therapies in Medicine, 40, 89–94. https://doi.org/10.1016/j.ctim.2018.08.002

    Article  PubMed  Google Scholar 

  • Boparai, S., Borelli, J. L., Partington, L., Smiley, P., Jarvik, E., Rasmussen, H. F., Seaman, L. C., & Nurmi, E. L. (2018). Interaction between the Opioid Receptor OPRM1 Gene and Mother-Child Language Style Matching Prospectively Predicts Children’s Separation Anxiety Disorder Symptoms. Research in Developmental Disabilities, 82, 120–131. https://doi.org/10.1016/j.ridd.2018.03.002

    Article  PubMed  Google Scholar 

  • Brinkmeyer, M., & Eyberg, S. M. (2003). Parent-child interaction therapy for oppositional children (pp. 204–223). Guilford.

    Google Scholar 

  • Cartwright-Hatton, S., & Wells, A. (1997). Beliefs about worry and intrusions: The metacognitions questionnaire. Journal of Anxiety Disorders, 11(3), 279–296. https://doi.org/10.1016/s0887-6185(97)00011-x

    Article  PubMed  Google Scholar 

  • Cartwright-Hatton, S., Tschernitz, N., & Gomersall, H. (2005). Social anxiety in children: Social skills deficit, or cognitive distortion? Behaviour Research and Therapy, 43(1), 131–141. https://doi.org/10.1016/j.brat.2003.12.003

    Article  PubMed  Google Scholar 

  • Cartwright-Huttons, S., Leski, B., Right, S., & McNally, D. (2010). From coward to tiger: treatment guidelines for parenting anxious children. Wiley; 1 edition, p186

  • Coelho, H. F., Cooper, P. J., & Murray, L. (2007). A family study of co-morbidity between generalized social phobia and generalized anxiety disorder in a non-clinic sample. The Journal of Affective Disorders, 100, 103–113.

    Article  PubMed  Google Scholar 

  • Crane, R. (2017). Mindfulness-based cognitive therapy: Distinctive features. 2nd Edition, Routledge; 178 Pages

  • Creswell, C., & Cartwright-Hatton, S. (2007). Family treatment of child anxiety: Outcomes, limitations and future directions. Clinical Child and Family Psychology Review, 10(3), 232–252. https://doi.org/10.1007/s10567-007-0019-3

    Article  PubMed  Google Scholar 

  • Davey, G.C., & Wells, A. (2006). Worry and its Psychological Disorders: Theory, Assessment and Treatment. John Wiley & Sons, Ltd, England.

  • Davoudi, I., Nargesi, F., & Mehrabizadeh, H. M. (2012). Gender Differences in Health Anxiety and Related Functional Beliefs: Controlling Age Variability. Quarterly Journal of Health Psychology, 1(3), 1–9.

    Google Scholar 

  • Den Boer, J. A. (2000). Social anxiety disorder/social phobia: Epidemiology, diagnosis, neurobiology, and treatment. Comprehensive Psychiatry, 41, 405–415.

    Article  Google Scholar 

  • Ehsanpur, S., & Razavi, M. R. (2020). A Comparative analysis of learning, retention, learning and study strategies in the traditional and M-learning systems. European Review of Applied Psychology, 70(6), 100605. https://doi.org/10.1016/j.erap.2020.100605

    Article  Google Scholar 

  • Ellis, D. M., & Hudson, J. L. (2010). The Metacognitive Model of Generalized Anxiety Disorder in Children and Adolescents. Clinical Child and Family Psychology Review, 13, 151–163. https://doi.org/10.1007/s10567-010-0065-0

    Article  PubMed  Google Scholar 

  • Festa, C. C., & Ginsburg, G. S. (2011). Parental and Peer Predictors of Social Anxiety in Youth. Child Psychiatry & Human Development, 42(3), 291–306. https://doi.org/10.1007/s10578-011-0215-8

    Article  Google Scholar 

  • Fisak, B., Mentuccia, M., & Przeworski, A. (2014). Meta-worry in adolescents: Examination of the psychometric properties of the meta-worry questionnaire in an adolescent sample. Behavioural and Cognitive Psychotherapy, 42(4), 491–496. https://doi.org/10.1017/S1352465813000374

    Article  PubMed  Google Scholar 

  • Greco, L. A., Sorrell, J. T., & McNeil, C. B. (2001). Understanding manualbased behavior therapy: Some theoretical foundations of parent-child interaction therapy. Journal of Child & Family Behavior Therapy, 23(4), 21–36.

    Article  Google Scholar 

  • Haegen, M. V., Etienne, A. M., & Duregger, C. (2016). Cognitive processes across anxiety disorders related to intolerance of uncertainty: Clinical review. Cogent Psychology, 3(1), 1215773. https://doi.org/10.1080/23311908.2016.1215773

    Article  Google Scholar 

  • Hajebi, A., Motevalian, S. A., Rahimi-Movaghar, A., Sharifi, V., Amin-Esmaeili, M., Radgoodarzi, R., & Hefazi, M. (2018). Major anxiety disorders in Iran: Prevalence, sociodemographic correlates and service utilization. BMC Psychiatry, 18, 261. https://doi.org/10.1186/s12888-018-1828-2

    Article  PubMed  PubMed Central  Google Scholar 

  • Hedmana, E., Ljótssona, B., Anderssona, E., Anderssonc, G., Lindeforsc, N., Rückc, C., Axelssona, E., & Lekanderb, M. (2015). Psychometric properties of Internet-administered measures of health anxiety: An investigation of the Health Anxiety Inventory, the Illness Attitude Scales, and the Whiteley Index. Journal of Anxiety Disorders, 31, 32–37.

    Article  Google Scholar 

  • Hoseini Ghafari, F., Mohammadkhani, P., Pourshahbaz, A., & Dolatshahi, B. (2013). The Effectiveness of Group Metacognitive Therapy on Metacognitive Beliefs, Worry and Worry Domains in patients with Generalized. Journal of Clinical Psychology, 1(17), 11–20. https://doi.org/10.22075/jcp.2017.2112

    Article  Google Scholar 

  • Javadi, Z., & Ghorbani, M. (2019). The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) On the Improvement of Sleep Quality in Patients with Generalized Anxiety Disorder. The Horizon of Medical Sciences, 25(2), 117–26. http://hms.gmu.ac.ir/article-1-2945-en.html

  • John, H. R., Claudio, S., Gioia, B., Marta, G., & Todd, B. K. (2017). Cognitive vulnerabilities in parents as a potential risk factor for anxiety symptoms in young adult offspring: An exploration of looming cognitive style. Journal of Behavior Therapy and Experimental Psychiatry, 54, 229–238.

    Article  Google Scholar 

  • Jong-Meyer, R. D., Beck, B., & Riede, K. (2009). Relationships between rumination, worry, intolerance of uncertainty and meta-cognitive beliefs. Personality and Individual Differences, 46, 547–551.

    Article  Google Scholar 

  • Karami, J., & Zabet, M. (2015). Efficacy of Child-Parent Relationship Therapy in Reducing Anxiety Syndrome in Preschool children. Quarterly Journal of Child Mental Health, 2(3), 39–47. http://childmentalhealth.ir/article-1-56-en.html

  • Kaviani, H., Javaheri, F., & Bahiray, H. (2005). Efficacy of Mindfulness-Based Cognitive Therapy in Reducing Automatic Thoughts, Dysfunctional Attitude, Depression and Anxiety: A Sixty Day Follow-Up. Advances in Cognitive Sciences, 7(1), 49–59.

    Google Scholar 

  • Khanjani, Z., Peymannia, B., Hashemi, T., & Aghagolzadeh, M. (2014). Relationship between the quality of mother-child interaction, separation anxiety, and school phobia in children. The Journal of Urmia University of Medical Sciences, 25(3), 231–240. http://umj.umsu.ac.ir/article-1-2198-en.html

  • Kjernisted, K.D., & Bleau, P. (2004). Long-term goals in the management of acute and chronic anxiety disorders. Canadian Journal of Psychiatry, 49(1), 51–63. https://pubmed.ncbi.nlm.nih.gov/15147036/

  • Leigh, E., & Clark, D. M. (2018). Understanding social anxiety disorder in adolescents and improving treatment outcomes: Applying the cognitive model of Clark and Wells (1995). Clinical Child and Family Psychology Review, 21(3), 388–414. https://doi.org/10.1007/s10567-018-0258-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Lenze, E. J., & Wetherell, J. L. (2011). A lifespan view of anxiety disorders. Dialogues in Clinical Neuroscience, 13(4), 381–399. https://doi.org/10.31887/DCNS.2011.13.4/elenze

    Article  PubMed  PubMed Central  Google Scholar 

  • Lijster, J. M. D., Dierckx, B., Utens, E. M., Verhulst, F. C., Zieldorff, C., Dieleman, G. C., & Legerstee, J. S. (2017). The age of onset of anxiety disorders: A meta-analysis. The Canadian Journal of Psychiatry, 62(4), 237–246.

    Article  PubMed  Google Scholar 

  • Longley, S., Watson, D., & Noyes, R. (2005). Assessment of the hypochondriasis domain: The multidimensional inventory of hypochondriacal traits (MIHT). Psychological Assessment, 17(1), 3–14. https://doi.org/10.1037/1040-3590.17.1.3

    Article  PubMed  Google Scholar 

  • MacSwaina, K. L. H., Sherrya, S. B., Stewarta, S. H., Wattb, M. C., Hadjistavropoulosc, H. D., & Grahama, A. R. (2009). Gender differences in health anxiety: An investigation of the interpersonal model of health anxiety. Personality and Individual Differences, 47(8), 938–943. https://doi.org/10.1016/j.paid.2009.07.020

    Article  Google Scholar 

  • Mahdavi, A., Yazdanbakhsh, K., & Sharifi, M. (2016). The effectiveness of mindfulness-based cognitive therapy in reducing psychological symptoms, meta-worry and thought fusion of multiple sclerosis patients. Annals of Military & Health Sciences Research, 14(1), 16–21.

    Google Scholar 

  • Masen, P. K., Jerome, H., Karoul, A., & Kanjer, J. V. (2007). Child development and personality (pp. 300–312). Publication of Media.

    Google Scholar 

  • Mash, E.J., & Wolff, A.D. (2018). Abnormal Child Psychology. Cengage Learning; 7 edition (January 1, 2018), 672 pages.

  • McDiarmid, M.D., & Bagner, D.M. (2005). Parent Child Interaction Therapy for Children with Disruptive Behavior and Developmental Disabilities. Education & Treatment of Children, 28(2), 130–141. https://www.jstor.org/stable/42899837

  • Mihalopoulos, C., Vos, T., Rapee, R. M., Pirkis, J., Chatterton, M. L., Lee, Y. C., & Carter, R. (2015). The population cost-effectiveness of a parenting intervention designed to prevent anxiety disorders in children. Journal of Child Psychology and Psychiatry, 56(9), 1026–1033. https://doi.org/10.1111/jcpp.12438

    Article  PubMed  Google Scholar 

  • Mohammadi, M. R., Davidian, H., Noorbala, A. A., Malekafzali, H., Naghavi, H. R., Pouretemad, H. R., et al. (2005). An epidemiological survey of psychiatric disorders in Iran. Clinical Practice and Epidemiology in Mental Health, 1, 16. https://doi.org/10.1186/1745-0179-1-16

    Article  PubMed  PubMed Central  Google Scholar 

  • Moradi Manesh, F., Mirjafari, S., Godarzi, M.A., & Mohamadi, N. (2007). Psychometric Properties of Anxiety Sensitivity Index- Revised (ASI-R). Psychology Journal, 11(4), 49–61. [persian]

  • Moreno, A.L., Gomez, W.B., De Souza, L.K., & Gauer, G. (2014). Validation of the "Anxious Thoughts Inventory" for use in Brazil. Arquivos Brasileiros de Psicologia; Rio de Janeiro, 66 (3), 20–30.

  • Muris, P., Meesters, C., & van Brakel, A. (2003). Assessment of Anxious Rearing Behaviors with a Modified Version of “Egna Minnen Betr¨affande Uppfostran” Questionnaire for Children. Journal of Psychopathology and Behavioral Assessment, 25(4), 229–237.

    Article  Google Scholar 

  • Mussen, P.K. (1990). Child development and personality. Harpercollins College Div; 7 edition, 688 pages.

  • Myhr, P., Hursti, T., Emanuelsson, K., Löfgren, E., & Hjemdal, O. (2019). Can the Attention Training Technique Reduce Stress in Students? A Controlled Study of Stress Appraisals and Meta-Worry. Frontiers in Psychology, 10, 1532. https://doi.org/10.3389/fpsyg.2019.01532

    Article  PubMed  PubMed Central  Google Scholar 

  • Naghavi, M., Abolhassani, F., Pourmalek, F., Lakeh, M., Jafari, N., Vaseghi, S., Mahdavi Hezaveh, N., & Kazemeini, H. (2009). The burden of disease and injury in Iran 2003. Population Health Metrics, 7, 9. https://doi.org/10.1186/1478-7954-7-9

    Article  PubMed  PubMed Central  Google Scholar 

  • Ollendick, T. H., & Benoit, K. E. (2012). A parent–child interactional model of social anxiety disorder in youth. Clinical Child and Family Psychology Review, 15(1), 81–91. https://doi.org/10.1007/s10567-011-0108-1

    Article  PubMed  Google Scholar 

  • Palahang, H., Rabiei, M., Khorramdel, K., Zerehpush, A., & Sajjadian, P. (2012). Validity, Reliability and Factor Structure Analysis of the Revised Version of the Screen for Child Anxiety Related Emotional Disorders-71 (SCARED-71). Iranian Journal of Psychiatry and Clinical Psychology, 18(3), 202–10. http://ijpcp.iums.ac.ir/article-1-1886-en.html

  • Platt, R., Williams, S. R., & Ginsburg, G. S. (2016). Stressful life events and child anxiety: Examining parent and child mediators. Child Psychiatry & Human Development, 47(1), 23–34. https://doi.org/10.1007/s10578-015-0540-4

    Article  Google Scholar 

  • Rapaport, M. H., Schettler, P. J., Larson, E. R., Boadie, W., Dunlop, B. W., Rakofsky, J. J., & Kinkead, B. (2021). Six versus twelve weeks of Swedish massage therapy for generalized anxiety disorder: Preliminary findings. Complementary Therapies in Medicine, 56, 102593. https://doi.org/10.1016/j.ctim.2020.102593

    Article  PubMed  Google Scholar 

  • Rayfield A., Monaco L., & Eyberg S.M. (1999). Parent-Child Interaction Therapy with Oppositional Children. In: Russ S.W., Ollendick T.H. (eds) Handbook of Psychotherapies with Children and Families. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4755-6_17

  • Rees, C. S., & Van-Koesveld, K. E. (2008). An open trial of group meta-cognitive therapy for obsessivecompulsive disorder. Journal of Behavioral Therapy & Experimental Psychiatry, 39, 451–458.

    Article  Google Scholar 

  • Riskind, J. H., Sica, C., Bottesi, G., Ghisi, M., & Kashdan, T. B. (2017). Cognitive vulnerabilities in parents as a potential risk factor for anxiety symptoms in young adult offspring: An exploration of looming cognitive style. Journal of Behavior Therapy and Experimental Psychiatry, 54, 229–238. https://doi.org/10.1016/j.jbtep.2016.08.010

    Article  PubMed  Google Scholar 

  • Roohi, A. (2014). Theoretical and Applicable Approaches in Anxiety Disorders in Children. Exceptional Education, 3(125), 47–58. http://exceptionaleducation.ir/article-1-57-en.html

  • Roshan, M., Aghayousefi, A., Alipour, A., & Rezaee, A. (2016). Effectiveness comparison of parent-child interaction therapy and mother's coping therapy on reduction of intensity of child behavior problems in 3–6-year-old children. Clinical Psychology and Personality, 14(1), 111–123. http://cpap.shahed.ac.ir/article-1-946-en.html

  • Schneider, S., & Lavallee, K. L. (2013). Separation anxiety disorder. In C. A. Essau & T. H. Ollendick (Eds.), The Wiley-Blackwell handbook of the treatment of childhood and adolescent anxiety (pp. 301–334). Wiley-Blackwell.

    Google Scholar 

  • Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse (pp. 121–145). Guilford Press.

    Google Scholar 

  • Semple, R. J., Reid, E. F. G., & Miller, L. (2005). Treating anxiety with mindfulness: An open trial of mindfulness training for anxious children. Journal of Cognitive Psychotherapy, 19(4), 379–392. https://doi.org/10.1891/jcop.2005.19.4.379

    Article  Google Scholar 

  • Sharifi, V., Amin-Esmaeili, M., Hajebi, A., Motevalian, A., Radgoodarzi, R., Hefazi, M., & Rahimi-Movaghar, A. (2015). Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian mental health survey, 2011. Archives of Iranian medicine, 18(2), 76–84. [PubMed]

  • Silove, D., Manicavasagar, V., & Pini, S. (2016). Can separation anxiety disorder escape its attachment to childhood? World Psychiatry, 15(2), 113–115. https://doi.org/10.1002/wps.20336

    Article  PubMed  PubMed Central  Google Scholar 

  • Taghani, A., & Razavi, M.R. (2021).The effect of metacognitive skills training of study strategies on academic self-efficacy and academic engagement and performance of female students in Taybad. Current Psychology, 1-9. https://doi.org/10.1007/s12144-020-01278-y

  • Taylor, S., & Amundsen, G. J. G. (2004). Treating health anxiety. A cognitive behavioral approach. Guilford Press.

    Book  Google Scholar 

  • Thomas, R., & Zimmer-Gembeck, M. J. (2007). Behavioral outcomes of parent-child interaction therapy and Triple P—Positive Parenting Program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35(3), 475–495. https://doi.org/10.1007/s10802-007-9104-9

    Article  PubMed  Google Scholar 

  • Thomas, R., Abell, B., Webb, H. J., Avdagic, E., & Zimmer-Gembeck, M. J. (2017). Parent-child interaction therapy: A meta-analysis. Pediatrics, 140(3), 20170352. https://doi.org/10.1542/peds.2017-0352

    Article  Google Scholar 

  • Timmer, S. G., Urquiza, A. J., & Zebell, N. (2006). Challenging foster caregiver-maltreated child relationships: The effectiveness of parent-child interaction therapy. Children and Youth Services Review, 28(1), 1–19. https://doi.org/10.1016/j.childyouth.2005.01.006

    Article  Google Scholar 

  • Toit, P.L., & Stein, D.J. (2002). Social anxiety disorder. In: Nutt D, Ballenger J. (editors). Anxiety disorders. Massachusetts: Blackwell; 95-124.

  • Wells, A. (2004). A Cognitive Model of GAD: Metacognitions and Pathological Worry. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 164–186). The Guilford Press.

    Google Scholar 

  • Wells, A. (2005). The metacognitive model of GAD: Assessment of meta-worry and relationship with DSM-IV generalized anxiety disorder. Cognitive Therapy and Research, 29(1), 107–1021. https://doi.org/10.1007/s10608-005-1652-0

    Article  Google Scholar 

  • Wells, A., & Davies, M. I. (1994). The Thought Control Questionnaire: A measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32(8), 871–878. https://doi.org/10.1016/0005-7967(94)90168-6

    Article  PubMed  Google Scholar 

  • Wells, A., & King, P. (2006). Metacognitive therapy for generalized anxiety disorder: An open trial. Journal of Behavior Therapy and Experimental Psychiatry, 37(3), 206–212. https://doi.org/10.1016/j.jbtep.2005.07.002

    Article  PubMed  Google Scholar 

  • Wells, A., Welford, M., King, P., Papageorgiou, C., Wisely, J., & Mendel, E. (2010). A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment of adults with generalized anxiety disorder. Behaviour Research and Therapy, 48, 429–434.

    Article  PubMed  Google Scholar 

  • Wren, F. J., Scholle, S. H., Heo, J., & Comer, D. M. (2003). Pediatric mood and anxiety syndromes in primary care: Who gets identified? The International Journal of Psychiatry in Medicine, 33(1), 1–6. https://doi.org/10.2190/UT6D-RDFG-LBT7-G39N

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors hereby express their gratitude to the Soroush Center for Child and Adolescent Psychiatry and Participants for this study in Mashhad.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Teymuri.

Ethics declarations

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration (Rickham, 1964) and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the present study.

Disclosure Statement

There is no conflict of interest among authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rahmani, N., Teymuri, S., Bayazi, M.H. et al. The effectiveness of a family-friendly program on parental meta-worry beliefs and health anxiety and social anxiety disorder in children. Curr Psychol 42, 11344–11354 (2023). https://doi.org/10.1007/s12144-021-02423-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-021-02423-x

Keywords

Navigation