Biomedical subjects

Bryce D McLeod

Publications and source records attributed to Bryce D McLeod.

4 recordsLinked to original sources

PubMed2006

Examining the association between parenting and childhood anxiety: a meta-analysis.

Theoretical models emphasize the role of parenting in the development and maintenance of child anxiety, but reviews of the empirical literature have provided mixed support for existing theories. To help clarify the role parenting plays in childhood anxiety, we conducted a meta-analysis of 47 studies testing the association between parenting and child anxiety. Across these studies, parenting accounted for only 4% of the variance in child anxiety. Moderator tests indicated that methodological factors (i.e., how child anxiety and parenting were conceptualized and assessed) may be a source of inconsistent findings within the literature. In addition, our analyses revealed that parental control was more strongly associated with child anxiety than was parental rejection. Specific subdimensions within parental rejection and control differed in their association with child anxiety (e.g., autonomy-granting accounted for 18% of the variance, but warmth <1%), indicating that efforts to disaggregate parenting dimensions may inform theory development and future research. Overall, however, the modest association between parenting and child anxiety suggests that understanding the origins of children's anxiety will require identifying factors other than parenting that account for the bulk of the variance.

Adolescent↗

PubMed2005

The therapy process observational coding system-alliance scale: measure characteristics and prediction of outcome in usual clinical practice.

The authors describe psychometric characteristics of the new Therapy Process Observational Coding System-Alliance scale (TPOCS-A; B. D. McLeod, 2001) and illustrate its use in the study of treatment as usual. The TPOCS-A uses session observation to assess child-therapist and parent-therapist alliance. Both child and parent forms showed acceptable interrater reliability and internal consistency; when applied to cases treated for internalizing disorders, both forms were associated with youth outcomes. Child-therapist alliance during treatment predicted reduced anxiety symptoms at the end of treatment. Parent-therapist alliance during treatment predicted reduced internalizing, anxiety, and depression symptoms at the end of treatment. The findings held up well after confounding variables were controlled, which suggests that both child-therapist and parent-therapist alliance play key (and potentially different) roles in the outcome of treatment as usual.

Adolescent↗

PubMed2004

Using dissertations to examine potential bias in child and adolescent clinical trials.

The major youth psychotherapy meta-analyses have relied on published studies, which may have led to biased effect size estimates. To examine this possibility, the authors compared 121 dissertations with 134 published studies and found the following: (a) few differences on individual methodological variables, but, overall, stronger methodology in dissertations; (b) no differences in the steps taken to ensure treatment integrity; and (c) a mean dissertation effect size less than half that of published studies. The effect size difference remained robust across tests controlling for all reliable method differences. The findings suggest that dissertations are so strong, both methodologically and clinically, that they warrant inclusion in child psychotherapy meta-analyses and that previous meta-analyses, by excluding them, may have overestimated treatment effects.

Academic Dissertations as Topic↗

PubMed2003

Parenting and childhood anxiety: theory, empirical findings, and future directions.

Theories of anxiety development suggest that parental acceptance, control, and modeling of anxious behaviors are associated with children's manifestations of anxiety. This paper reviews research published in the past decade on the relation between parenting and childhood anxiety. Observed parental control during parent-child interactions was consistently linked with shyness and child anxiety disorders across studies. Mixed support for the role of parental acceptance and modeling of anxious behaviors was found in observational studies. However, there was little evidence supporting the contention that self-reported parenting style was related to children's trait anxiety. Because of limitations associated with past research, inferences about the direction of effects linking parenting and child anxiety cannot be made. A conceptual framework based on recent models of anxiety development (e.g., Vasey & Dadds, 2001) is presented to aid in the interpretation of extant research findings and to provide suggestions for future research and theory development. Improved methodological designs are proposed, including the use of repeated-measure and experimental designs for examining the direction of effects.

Anxiety↗