Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen
Top
Journal of Child and Family Studies
Gepubliceerd in:

24-08-2022 | Original Paper

An Uncontrolled Investigation of the Feasibility of Parent-Coached Exposure Therapy for Youth with Anxiety Disorders

Auteurs: Elle Brennan, Kim J. Bailey, Bridget K. Biggs, Megan L. Cunningham, Julie E. Dammann, Stephanie T. Reneson-Feeder, Michael S. Tiede, Stephen P. H. Whiteside

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 6/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

While exposure therapy has long been recognized as the gold-standard treatment for anxiety disorders in youth, access to exposure-focused treatment remains limited for many families. A parent-coached exposure therapy (PCET) protocol was designed to ameliorate this deficit, as previously discussed within the framework of individual therapy and a 5-day intensive treatment. The present study describes the application of PCET within a weekly group-based protocol and presents outcomes associated with this treatment model as implemented within an outpatient clinic setting. Preliminary uncontrolled data support potential effectiveness through statistically significant improvement in symptoms and functioning from baseline evaluation to post-treatment, while demonstrating the feasibility of providing exposure-focused treatment in an efficient and scalable format. These results further emphasize the flexible nature of this treatment protocol. Limitations and future directions are discussed which promote continued dissemination of and research on exposure-focused treatment protocols, such as PCET, for childhood anxiety disorders.
vorige artikel Predictors of Fathers’ Participation in a Longitudinal Psychological Research Study on Child and Adolescent Psychopathology
volgende artikel Pilot Study Examining Caregiver–Child and Family Functioning in PEERS® for Preschoolers
Literatuur
Alegría, M., Green, J. G., McLaughlin, K. A., & Loder, S. (2015). Disparities in child and adolescent mental health and mental health services in the US. New York, NY: William T. Grant Foundation.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV). Washington, DC:American Psychiatric Association, 1994.
Cartwright-Hatton, S., McNally, D., Field, A. P., Rust, S., Laskey, B., Dixon, C., & Woodham, A. (2011). A new parenting-based group intervention for young anxious children: Results of a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 50(3), 242–251.CrossRef
Cartwright-Hatton, S., McNicol, K., & Doubleday, E. (2006). Anxiety in a neglected population: Prevalence of anxiety disorders in pre-adolescent children. Clinical Psychology Review, 26(7), 817–833.PubMedCrossRef
Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., Nakamura, B. J., Phillips, L., Ward, A., Lynch, R., & Trent, L. (2011). Evidence‐based treatments for children and adolescents: An updated review of indicators of efficacy and effectiveness. Clinical Psychology: Science and Practice, 18(2), 154–172.
Cohen, J. (1988). The effect size index: d. Statistical power analysis for the behavioral sciences, 2(1).
Costello, E. J., Egger, H. L., & Angold, A. (2005). The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics, 14(4), 631–648.CrossRef
Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27.PubMedCrossRef
Craske, M. G., Roy-Byrne, P., Stein, M. B., Sullivan, G., Hazlett-Stevens, H., Bystritsky, A., & Sherbourne, C. (2006). CBT intensity and outcome for panic disorder in a primary care setting. Behavior Therapy, 37(2), 112–119.PubMedCrossRef
Craske, M. G., Treanor, M., Conway, C. C., Zbozinek, T., & Vervliet, B. (2014). Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10–23.PubMedPubMedCentralCrossRef
Crawley, S. A., Kendall, P. C., Benjamin, C. L., Brodman, D. M., Wei, C., Beidas, R. S., Podell, J. L., & Mauro, C. (2013). Brief cognitive-behavioral therapy for anxious youth: Feasibility and initial outcomes. Cognitive and Behavioral Practice, 20, 123–133.CrossRef
de Lijster, J. M., Dieleman, G. C., Utens, E. M., Dierckx, B., Wierenga, M., Verhulst, F. C., & Legerstee, J. S. (2018). Social and academic functioning in adolescents with anxiety disorders: A systematic review. Journal of Affective Disorders, 230, 108–117.PubMedCrossRef
Deacon, B. J., Farrell, N. R., Kemp, J. J., Dixon, L. J., Sy, J. T., Zhang, A. R., & McGrath, P. B. (2013). Assessing therapist reservations about exposure therapy for anxiety disorders: The Therapist Beliefs about Exposure Scale. Journal of Anxiety Disorders, 27(8), 772–780.PubMedCrossRef
Erskine, H., Baxter, A., Patton, G., Moffitt, T., Patel, V., Whiteford, H., & Scott, J. (2017). The global coverage of prevalence data for mental disorders in children and adolescents. Epidemiology and Psychiatric Sciences, 26(4), 395–402.PubMedCrossRef
Flannery-Schroeder, E. C., Choudhury, M. S., & Kendall, P. C. (2005). Group and individual cognitive-behavioral treatments for youth with anxiety disorders: 1-year follow-up. Cognitive Therapy and Research, 29(2), 253–259.CrossRef
Flannery-Schroeder, E. C., & Kendall, P. C. (2000). Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial. Cognitive Therapy and Research, 24(3), 251–278.CrossRef
Haine-Schlagel, R., & Walsh, N. E. (2015). A review of parent participation engagement in child and family mental health treatment. Clinical Child and Family Psychology Review, 18(2), 133–150.PubMedPubMedCentralCrossRef
Harris, J. I., Strom, T. Q., Jain, S., Doble, T., Raisl, H., Hundt, N., Polusny, M., Fink, D. M., & Erbes, C. (2020). Peer-Enhanced Exposure Therapy (PEET): A Case Study Series. Cognitive and Behavioral Practice, 27(2), 113–125.CrossRef
Hembree, E. A., & Brinen, A. P. (2009). Prolonged Exposure (PE) for Treatment of Childhood Sexual Abuse-Related PTSD: Do We Need to Augment It? Pragmatic Case Studies in Psychotherapy, 5(2), 35–44.CrossRef
Hudson, J. L., & Kendall, P. C. (2002). Showing you can do it: Homework in therapy for children and adolescents with anxiety disorders. Journal of Clinical Psychology, 58(5), 525–534.PubMedCrossRef
Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62(1), 100–110.PubMedCrossRef
Kendall, P. C. (2006). Coping cat workbook. Workbook Pub.
Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C., Flannery-Schroeder, E., & Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12(1), 136–148.CrossRef
LeBeau, R. T., Davies, C. D., Culver, N. C., & Craske, M. G. (2013). Homework compliance counts in cognitive-behavioral therapy. Cognitive Behaviour Therapy, 42(3), 171–179.PubMedCrossRef
Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2020). Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: A randomized noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child & Adolescent Psychiatry, 59(3), 362–372.CrossRef
Love, S. R., Matson, J. L., & West, D. (1990). Mothers as effective therapists for autistic children’s phobias. Journal of Applied Behavior Analysis, 23(3), 379–385.PubMedPubMedCentralCrossRef
Manassis, K., Russell, K., & Newton, A. S. (2010). The Cochrane Library and the treatment of childhood and adolescent anxiety disorders: An overview of reviews. Evidence‐Based Child Health: A Cochrane Review Journal, 5(2), 541–554.CrossRef
Merikangas, K. R., He, J.-p, Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989.CrossRef
Muris, P., Merckelbach, H., Ollendick, T., King, N., & Bogie, N. (2002). Three traditional and three new childhood anxiety questionnaires: Their reliability and validity in a normal adolescent sample. Behaviour Research and Therapy, 40(7), 753–772.PubMedCrossRef
Muris, P., Schmidt, H., & Merckelbach, H. (2000). Correlations among two self-report questionnaires for measuring DSM-defined anxiety disorder symptoms in children: The Screen for Child Anxiety Related Emotional Disorders and the Spence Children’s Anxiety Scale. Personality and Individual Differences, 28(2), 333–346.CrossRef
Mychailyszyn, M. P., Méndez, J. L., & Kendall, P. C. (2010). School functioning in youth with and without anxiety disorders: Comparisons by diagnosis and comorbidity. School Psychology Review, 39(1), 106–121.CrossRef
Nail, J. E., Christofferson, J., Ginsburg, G. S., Drake, K., Kendall, P. C., McCracken, J. T., Birmaher, B., Walkup, J. T., Compton, S. N., & Keeton, C. (2015). Academic impairment and impact of treatments among youth with anxiety disorders. Child & Youth Care Forum
Ollendick, T. H., & Davis, III, T. E. (2013). One-session treatment for specific phobias: a review of Öst’s single-session exposure with children and adolescents. Cognitive Behaviour Therapy, 42(4), 275–283.PubMedCrossRef
Pliszka, S., & AACAP, W. Go. Q. I. (2007). Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 46(7), 894–921.CrossRef
Puliafico, A. C., Comer, J. S., & Pincus, D. B. (2012). Adapting parent-child interaction therapy to treat anxiety disorders in young children. Child and Adolescent Psychiatric. Clinics, 21(3), 607–619.
Reid, A. M., Bolshakova, M. I., Guzick, A. G., Fernandez, A. G., Striley, C. W., Geffken, G. R., & McNamara, J. P. (2017). Common barriers to the dissemination of exposure therapy for youth with anxiety disorders. Community Mental Health Journal, 53(4), 432–437.PubMedCrossRef
Reynolds, S., Wilson, C., Austin, J., & Hooper, L. (2012). Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clinical Psychology Review, 32(4), 251–262.PubMedCrossRef
Rudy, B. M., Zavrou, S., Johnco, C., Storch, E. A., & Lewin, A. B. (2017). Parent-led exposure therapy: a pilot study of a brief behavioral treatment for anxiety in young children. Journal of Child and Family Studies, 26(9), 2475–2484.CrossRef
Sattler, A. F., Tiede, M. S., Dammann, J. E., Hilson Jensen, A., Walton, G. A., & Whiteside, S. P. (2017). Utility of a single-item child anxiety rating for use in community practice. Professional Psychology: Research and Practice, 48, 259–266. https://​doi.​org/​10.​1037/​pro0000096.CrossRef
Sheehan, D. V., Sheehan, K. H., Shytle, R. D., Janavs, J., Bannon, Y., Rogers, J. E., Milo, K. M., Stock, S. L., & Wilkinson, B. (2010). Reliability and validity of the mini international neuropsychiatric interview for children and adolescents (MINI-KID). Journalof Clinical Psychiatry, 71(3), 313–326. https://​doi.​org/​10.​4088/​JCP.​09m05305whi.CrossRef
Silverman, W. K., & Kurtines, W. M. (1996). Transfer of control: A psychosocial intervention model for internalizing disorders in youth. In Hibbs, E. D., & Jensen, P. S. (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (pp. 63–81). Washington, DC: American Psychological Association.
Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545–566.PubMedCrossRef
Stewart, E., Frank, H., Benito, K., Wellen, B., Herren, J., Skriner, L. C., & Whiteside, S. P. (2016). Exposure therapy practices and mechanism endorsement: A survey of specialty clinicians. Professional Psychology: Research and Practice, 47(4), 303.CrossRef
Strauss, C. C., Frame, C. L., & Forehand, R. (1987). Psychosocial impairment associated with anxiety in children. Journal of Clinical Child Psychology, 16(3), 235–239.CrossRef
Taboas, W. R., McKay, D., Whiteside, S. P., & Storch, E. A. (2015). Parental involvement in youth anxiety treatment: Conceptual bases, controversies, and recommendations for intervention. Journal of Anxiety Disorders, 30, 16–18.PubMedCrossRef
Thienemann, M., Moore, P., & Tompkins, K. (2006). A parent-only group intervention for children with anxiety disorders: pilot study. Journal of the American Academy of Child & Adolescent Psychiatry, 45(1), 37–46.CrossRef
Thulin, U., Svirsky, L., Serlachius, E., Andersson, G., & Öst, L. G. (2014). The effect of parent involvement in the treatment of anxiety disorders in children: A meta-analysis. Cognitive Behaviour Therapy, 43(3), 185–200.PubMedCrossRef
Wang, Z., Whiteside, S. P., Sim, L. A., Farah, W., Morrow, A. S., Alsawas, M., Barrionuevo, P., Tello, M., Asi, N., & Beuschel, B. (2017). Comparative effectiveness and safety of cognitive behavioral therapy and pharmacotherapy for childhood anxiety disorders: A systematic review and meta-analysis. Journal of the American Medical Association: Pediatrics, 171(11), 1049–1056.PubMed
Wergeland, G. J. H., Fjermestad, K. W., Marin, C. E., Haugland, B. S.-M., Bjaastad, J. F., Oeding, K., Bjelland, I., Silverman, W. K., Öst, L.-G., & Havik, O. E. (2014). An effectiveness study of individual vs. group cognitive behavioral therapy for anxiety disorders in youth. Behaviour Research and Therapy, 57, 1–12.PubMedCrossRef
Wheaton, M. G., & Chen, S. R. (2020). Homework Completion in Treating Obsessive–Compulsive Disorder with Exposure and Ritual Prevention: A Review of the Empirical Literature. Cognitive Therapy and Research, 1–14.
Whiteside, S. P. (2009). Adapting the Sheehan Disability Scale to assess child and parent impairment related to childhood anxiety disorders. Journal of Clinical Child & Adolescent Psychology, 38(5), 721–730.CrossRef
Whiteside, S. P., Ale, C. M., Young, B., Olsen, M. W., Biggs, B. K., Gregg, M. S., Geske, J. R., & Homan, K. (2016). The length of child anxiety treatment in a regional health system. Child Psychiatry & Human Development, 47(6), 985–992.CrossRef
Whiteside, S. P., Biggs, B. K., Dammann, J. E., Tiede, M. S., Hofschulte, D., & Brennan, E. (2020). Community therapist response to technology-assisted training in exposure therapy for childhood anxiety disorders. Behavior Modification. online ahead of print, https://​doi.​org/​10.​1177/​0145445520982966​.
Whiteside, S. P., Biggs, B. K., & Ollendick, T. H. (2020). Exposure Therapy for Child and Adolescent Anxiety and OCD. Oxford University Press.
Whiteside, S. P., Biggs, B. K., Tiede, M. S., Dammann, J. E., Hathaway, J. C., Blasi, M. E., Hofschulte, D., & Vickers, K. (2019). An online-and mobile-based application to facilitate exposure for childhood anxiety disorders. Cognitive and Behavioral Practice, 26(3), 478–491.PubMedPubMedCentralCrossRef
Whiteside, S. P., Dammann, J. E., Tiede, M. S., Biggs, B. K., & Hillson Jensen, A. (2018). Increasing availability of exposure therapy through intensive group treatment for childhood anxiety and OCD. Behavior Modification, 42(5), 707–728.PubMedCrossRef
Whiteside, S. P., Deacon, B. J., Benito, K., & Stewart, E. (2016). Factors associated with practitioners’ use of exposure therapy for childhood anxiety disorders. Journal of Anxiety Disorders, 40, 29–36.PubMedPubMedCentralCrossRef
Whiteside, S. P., & Jacobsen, A. B. (2010). An uncontrolled examination of a 5-day intensive treatment for pediatric OCD. Behavior Therapy, 41(3), 414–422.PubMedCrossRef
Whiteside, S. P., McKay, D., De Nadai, A. S., Tiede, M. S., Ale, C. M., & Storch, E. A. (2014). A baseline controlled examination of a 5-day intensive treatment for pediatric obsessive-compulsive disorder. Psychiatry Research, 220(1-2), 441–446.PubMedCrossRef
Whiteside, S. P., Ollendick, T. H., & Biggs, B. K. (2020). Exposure therapy for child and adolescent anxiety and OCD. Oxford University Press.
Whiteside, S. P., Sim, L. A., Morrow, A. S., Farah, W. H., Hilliker, D. R., Murad, M. H., & Wang, Z. (2020). A meta-analysis to guide the enhancement of CBT for childhood anxiety: Exposure over anxiety management. Clinical Child and Family Psychology Review, 23(1), 102–121.PubMedPubMedCentralCrossRef
Metagegevens
Titel
An Uncontrolled Investigation of the Feasibility of Parent-Coached Exposure Therapy for Youth with Anxiety Disorders
Auteurs
Elle Brennan
Kim J. Bailey
Bridget K. Biggs
Megan L. Cunningham
Julie E. Dammann
Stephanie T. Reneson-Feeder
Michael S. Tiede
Stephen P. H. Whiteside
Publicatiedatum
24-08-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 6/2023
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-022-02396-w

Andere artikelen Uitgave 6/2023

Publisher Correction: Change Patterns During Family-Based Treatment for Pediatric Obsessive Compulsive Disorder

  • Open Access
  • Publisher Correction

A Short Measure of Childbearing Motivations: Development and Psychometric Evaluation in Polish Samples of Adults and Adolescents

  • Open Access
  • Original Paper

Factor Structure, Reliability, and Validity of the Wraparound Fidelity Index Short Form (WFI-EZ)

  • Original Paper

Pilot Study Examining Caregiver–Child and Family Functioning in PEERS® for Preschoolers

  • Open Access
  • Original Paper

Coding Interactive Behaviour Instrument: Mother-Infant Interaction Quality, Construct Validity, Measurement Invariance, and Postnatal Depression and Anxiety

  • Open Access
  • Original Paper

Examining a Key Measure of Youth Disclosure to Parents for Measurement Invariance Across Time and Reporters

  • Original Paper