Purpose of review: Childhood anxiety disorders are impairing and chronic unless addressed early. While cognitive behavioral therapy with exposures has a strong evidence base, many youth continue to experience symptoms posttreatment. Enlisting parents may help improve the management and treatment of childhood anxiety.

Recent findings: Parental factors that influence childhood anxiety include family accommodation, parental emotion socialization, parental overcontrol, and parental anxiety. The merits of involving parents in childhood anxiety treatment have been debated. However, when specific, empirically- and theoretically-informed mechanisms are targeted, parental involvement in treatment appears efficacious and holds promise to increase access to care. Clinicians should consider the child's presentation, treatment barriers, and family dynamics to guide decision-making. Researchers and clinicians should also be aware of stressors that parents themselves face, considering ways to help children via supporting parents with their own mental health concerns.

Keywords: Anxiety; Child and adolescent; Cognitive behavioral therapy; Family accommodation; Parent training; Parenting.

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

回顾目的： 儿童焦虑障碍如果不及时处理，会变得严重且长期存在。虽然认知行为疗法（包括暴露疗法）有坚实的证据基础，但许多青少年在治疗后仍会经历症状。家长的参与可能有助于改善儿童焦虑症的管理和治疗。

近期发现： 影响儿童焦虑的家庭因素包括家庭适应、父母情绪社会化、父母过度控制和父母自身的焦虑。关于是否需要将家长纳入儿童焦虑治疗中的利弊一直存在争议。然而，当特定的、有实证和理论依据的机制被作为目标时，家长参与治疗似乎是有成效的，并且有可能增加治疗的可及性。临床医生应考虑孩子的表现、治疗障碍以及家庭动态以指导决策。研究人员和临床医生还应注意父母自身面临的压力，寻找通过支持父母的心理健康来帮助孩子的方法。

关键词： 焦虑；儿童与青少年；认知行为疗法；家庭适应；家长培训；养育方式。