Emotion Focused Family Therapy for Parents of Children With Mental Health Difficulties

NCT ID: NCT05603000

Last Updated: 2026-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-11

Study Completion Date

2027-03-31

Brief Summary

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Emotion Focused Family Therapy (EFFT) is a promising intervention that aims to teach parents advanced skills to support their child's development of emotion skills and increase their adaptive behaviours, potentially leading to improvements in their child's psychological functioning and family functioning more broadly.

This randomized controlled trial (RCT; EFFT vs waitlist control) will (1) test the efficacy of a 6-week group EFFT program on parent and child outcomes and (2) examine maintenance of treatment gains up to four months post-intervention.

Detailed Description

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This randomized controlled trial (RCT) will test the efficacy of a 6-week Emotion Focused Family Therapy (EFFT) group program on parent and child outcomes, compared to a waitlist control. Families will be randomized to either the EFFT group treatment or a waitlist. The RCT will evaluate changes in parent functioning, child functioning, and parent-child relationship functioning. A 4-month follow-up will test whether any changes from pre-to-post intervention are maintained at 4 months.

The RCT will also test proposed mechanisms of change (parent-child relationship quality, family functioning) and moderators of treatment effectiveness (parental stress).

Conditions

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Anxiety Depression Behavior Problem

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study is a randomized controlled trial, consisting of an intervention arm (EFFT) and a waitlist control (delayed intervention) arm, which will occur concurrently.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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Waitlist (delayed intervention)

No treatment will be administered to participants in this arm until after the 4-month follow-up in-lab assessment is completed.

Group Type NO_INTERVENTION

No interventions assigned to this group

EFFT intervention

Treatment (6-week group Emotion Focused Family Therapy) will be administered to participants in this arm.

Group Type EXPERIMENTAL

Emotion Focused Family Therapy

Intervention Type BEHAVIORAL

The Emotion Focused Family Therapy (EFFT) intervention for this study will be delivered to groups of four to ten parents over six weekly sessions of two hours each. The goal of EFFT is to teach and empower parents to coach their child to process the emotions at the source of their mental health symptoms, to increase their child's adaptive behaviours, and to repair emotional injuries within the parent-child relationship. EFFT also targets parents' own emotional challenges that may prevent them from feeling capable or being able to support their child's treatment.

Each EFFT session will include introductions, psychoeducation about emotion and psychopathology, introduction of skills, experiential activities (e.g., chair work), open discussion and feedback, and homework activities covering the foci of EFFT: emotion coaching, behaviour coaching, therapeutic apology, and parental emotion blocks.

Interventions

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Emotion Focused Family Therapy

The Emotion Focused Family Therapy (EFFT) intervention for this study will be delivered to groups of four to ten parents over six weekly sessions of two hours each. The goal of EFFT is to teach and empower parents to coach their child to process the emotions at the source of their mental health symptoms, to increase their child's adaptive behaviours, and to repair emotional injuries within the parent-child relationship. EFFT also targets parents' own emotional challenges that may prevent them from feeling capable or being able to support their child's treatment.

Each EFFT session will include introductions, psychoeducation about emotion and psychopathology, introduction of skills, experiential activities (e.g., chair work), open discussion and feedback, and homework activities covering the foci of EFFT: emotion coaching, behaviour coaching, therapeutic apology, and parental emotion blocks.

Intervention Type BEHAVIORAL

Other Intervention Names

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EFFT

Eligibility Criteria

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Inclusion Criteria

* Parent of child aged 7 to 15 years old with anxiety, depression, or behavioural challenges
* Parent of child is willing to participate in intervention
* Parent is living at home with the child

Exclusion Criteria

* Parent or child not proficient enough in speaking/understanding English to complete measures or EFFT intervention components
* Parent or child with a severe mental health disorder (e.g., active suicidality and psychosis) is not considered suitable for the trial intervention due to the clinical need for immediate intervention
* Parent or child is actively receiving, or due to receive, intensive psychological intervention focused on cognitive and/or behavioural strategies to intervene with emotional or behavioural difficulties
* Parent or child has any disabilities in language, speech or hearing that would interfere with their completion of the EFFT and measures
* Parent or child are allergic to adhesive electrode gel use in some tasks (i.e., sodium chloride)
Minimum Eligible Age

7 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Guelph

OTHER

Sponsor Role lead

Responsible Party

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Kristel Thomassin

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kristel Thomassin, Ph.D

Role: PRINCIPAL_INVESTIGATOR

University of Guelph

Locations

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Maplewoods Centre for Family Therapy and Child Psychology, University of Guelph

Guelph, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Kristel Thomassin, Ph.D

Role: CONTACT

519-824-4120 ext. 3016

Jessica A Seddon, MSc

Role: CONTACT

References

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Morris AS, Silk JS, Steinberg L, Myers SS, Robinson LR. The Role of the Family Context in the Development of Emotion Regulation. Soc Dev. 2007 May 1;16(2):361-388. doi: 10.1111/j.1467-9507.2007.00389.x.

Reference Type BACKGROUND
PMID: 19756175 (View on PubMed)

Ramsden SR, Hubbard JA. Family expressiveness and parental emotion coaching: their role in children's emotion regulation and aggression. J Abnorm Child Psychol. 2002 Dec;30(6):657-67. doi: 10.1023/a:1020819915881.

Reference Type BACKGROUND
PMID: 12481978 (View on PubMed)

Granic I, O'Hara A, Pepler D, Lewis MD. A dynamic systems analysis of parent-child changes associated with successful "real-world" interventions for aggressive children. J Abnorm Child Psychol. 2007 Oct;35(5):845-57. doi: 10.1007/s10802-007-9133-4. Epub 2007 Jun 5.

Reference Type BACKGROUND
PMID: 17549621 (View on PubMed)

National Research Council (US) and Institute of Medicine (US) Committee on the Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions; O'Connell ME, Boat T, Warner KE, editors. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington (DC): National Academies Press (US); 2009. Available from http://www.ncbi.nlm.nih.gov/books/NBK32775/

Reference Type BACKGROUND
PMID: 20662125 (View on PubMed)

Ogundele MO. Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World J Clin Pediatr. 2018 Feb 8;7(1):9-26. doi: 10.5409/wjcp.v7.i1.9. eCollection 2018 Feb 8.

Reference Type BACKGROUND
PMID: 29456928 (View on PubMed)

Campbell SB, Shaw DS, Gilliom M. Early externalizing behavior problems: toddlers and preschoolers at risk for later maladjustment. Dev Psychopathol. 2000 Summer;12(3):467-88. doi: 10.1017/s0954579400003114.

Reference Type BACKGROUND
PMID: 11014748 (View on PubMed)

Freuchen A, Kjelsberg E, Lundervold AJ, Groholt B. Differences between children and adolescents who commit suicide and their peers: A psychological autopsy of suicide victims compared to accident victims and a community sample. Child Adolesc Psychiatry Ment Health. 2012 Jan 4;6:1. doi: 10.1186/1753-2000-6-1. Erratum In: Child Adolesc Psychiatry Ment Health. 2013 Jun 17;7(1):18. doi: 10.1186/1753-2000-7-18.

Reference Type BACKGROUND
PMID: 22216948 (View on PubMed)

Reef J, Diamantopoulou S, van Meurs I, Verhulst FC, van der Ende J. Developmental trajectories of child to adolescent externalizing behavior and adult DSM-IV disorder: results of a 24-year longitudinal study. Soc Psychiatry Psychiatr Epidemiol. 2011 Dec;46(12):1233-41. doi: 10.1007/s00127-010-0297-9. Epub 2010 Oct 10.

Reference Type BACKGROUND
PMID: 20936464 (View on PubMed)

Buckholdt KE, Parra GR, Jobe-Shields L. Intergenerational Transmission of Emotion Dysregulation Through Parental Invalidation of Emotions: Implications for Adolescent Internalizing and Externalizing Behaviors. J Child Fam Stud. 2014 Feb 1;23(2):324-332. doi: 10.1007/s10826-013-9768-4.

Reference Type BACKGROUND
PMID: 24855329 (View on PubMed)

Cao M, Powers A, Cross D, Bradley B, Jovanovic T. Maternal emotion dysregulation, parenting stress, and child physiological anxiety during dark-enhanced startle. Dev Psychobiol. 2017 Dec;59(8):1021-1030. doi: 10.1002/dev.21574. Epub 2017 Oct 13.

Reference Type BACKGROUND
PMID: 29027660 (View on PubMed)

Fabes RA, Leonard SA, Kupanoff K, Martin CL. Parental coping with children's negative emotions: relations with children's emotional and social responding. Child Dev. 2001 May-Jun;72(3):907-20. doi: 10.1111/1467-8624.00323.

Reference Type BACKGROUND
PMID: 11405590 (View on PubMed)

Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002 Aug;32(6):959-76. doi: 10.1017/s0033291702006074.

Reference Type BACKGROUND
PMID: 12214795 (View on PubMed)

Weisz JR, Vaughn-Coaxum RA, Evans SC, Thomassin K, Hersh J, Ng MY, Lau N, Lee EH, Raftery-Helmer JN, Mair P. Efficient Monitoring of Treatment Response during Youth Psychotherapy: The Behavior and Feelings Survey. J Clin Child Adolesc Psychol. 2020 Nov-Dec;49(6):737-751. doi: 10.1080/15374416.2018.1547973. Epub 2019 Jan 18.

Reference Type BACKGROUND
PMID: 30657721 (View on PubMed)

Lahey BB, Applegate B, Chronis AM, Jones HA, Williams SH, Loney J, Waldman ID. Psychometric characteristics of a measure of emotional dispositions developed to test a developmental propensity model of conduct disorder. J Clin Child Adolesc Psychol. 2008 Oct;37(4):794-807. doi: 10.1080/15374410802359635.

Reference Type BACKGROUND
PMID: 18991130 (View on PubMed)

Foroughe M, Stillar A, Goldstein L, Dolhanty J, Goodcase ET, Lafrance A. Brief Emotion Focused Family Therapy: An Intervention for Parents of Children and Adolescents with Mental Health Issues. J Marital Fam Ther. 2019 Jul;45(3):410-430. doi: 10.1111/jmft.12351. Epub 2018 Aug 13.

Reference Type BACKGROUND
PMID: 30105875 (View on PubMed)

Lafrance Robinson A, Dolhanty J, Stillar A, Henderson K, Mayman S. Emotion-Focused Family Therapy for Eating Disorders Across the Lifespan: A Pilot Study of a 2-Day Transdiagnostic Intervention for Parents. Clin Psychol Psychother. 2016 Jan-Feb;23(1):14-23. doi: 10.1002/cpp.1933. Epub 2014 Nov 23.

Reference Type BACKGROUND
PMID: 25418635 (View on PubMed)

Lafrance A, Strahan EJ, Stillar A. Treatment-engagement fears in family-oriented interventions: validation of the caregiver traps scale for eating disorders. Eat Disord. 2022 Nov-Dec;30(6):670-685. doi: 10.1080/10640266.2021.1993706. Epub 2021 Nov 7.

Reference Type BACKGROUND
PMID: 34743672 (View on PubMed)

Lafrance A, Henderson KA, Mayman S. Emotion-focused family therapy: A transdiagnostic model for caregiver-focused interventions. American Psychological Association; 2020.

Reference Type BACKGROUND

Vrana G, Greenberg L. Overview of emotion-focused therapy. In Emotion Focused Family Therapy with Children and Caregivers 2018 Mar 15 (pp. 1-22). Routledge.

Reference Type BACKGROUND

Strahan EJ, Stillar A, Files N, Nash P, Scarborough J, Connors L, Gusella J, Henderson K, Mayman S, Marchand P, Orr ES. Increasing parental self-efficacy with emotion-focused family therapy for eating disorders: A process model. Person-Centered & Experiential Psychotherapies. 2017 Jul 3;16(3):256-69.

Reference Type BACKGROUND

Wilhelmsen-Langeland A, Aardal H, Hjelmseth V, Fyhn KH, Stige SH. An emotion focused family therapy workshop for parents with children 6-12 years increased parental self-efficacy. Emotional and Behavioural Difficulties. 2020 Jan 2;25(1):29-41.

Reference Type BACKGROUND

Nash P, Renelli M, Stillar A, Streich B, Lafrance A. Long-term outcomes of a brief emotion-focused family therapy intervention for eating disorders across the lifespan: a mixed-methods study. Canadian Journal of Counselling and Psychotherapy. 2020 Apr 14;54(2):130-49.

Reference Type BACKGROUND

Bode AA, George MW, Weist MD, Stephan SH, Lever N, Youngstrom EA. The impact of parent empowerment in children's mental health services on parenting stress. Journal of Child and Family Studies. 2016 Oct;25(10):3044-55.

Reference Type BACKGROUND

Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment. 2004 Mar;26(1):41-54.

Reference Type BACKGROUND

Fabes RA, Poulin RE, Eisenberg N, Madden-Derdich DA. The Coping with Children's Negative Emotions Scale (CCNES): Psychometric properties and relations with children's emotional competence. Marriage & Family Review. 2002.

Reference Type BACKGROUND

Hamilton VE, Matthews JM, Crawford SB. Development and preliminary validation of a parenting self-regulation scale:"me as a parent". Journal of child and family studies. 2015 Oct;24(10):2853-64.

Reference Type BACKGROUND

Berry JO, Jones WH. The Parental Stress Scale: Initial psychometric evidence. Journal of Social and Personal Relationships. 1995; 12(3), 463-472.

Reference Type BACKGROUND

Hawley K, Weersing V, Weisz J. The parent and youth consumer satisfaction scales; unpublished questionnaire; 1998.

Reference Type BACKGROUND

Epstein NB, Baldwin LM, Bishop DS. The McMaster Family Assessment Device. Journal of Marital and Family Therapy. 1983; 9(2), 171-180.

Reference Type BACKGROUND

Seddon JA, Reaume CL, Thomassin K. A six-week group program of emotion focused family therapy for parents of children with mental health challenges: protocol for a randomized controlled trial. BMC Psychiatry. 2025 Feb 14;25(1):131. doi: 10.1186/s12888-024-06382-y.

Reference Type DERIVED
PMID: 39953468 (View on PubMed)

Other Identifiers

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EFFT

Identifier Type: -

Identifier Source: org_study_id

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