Top

Journal of Child and Family Studies

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

22-05-2017 | Original Paper

Parent-Led Exposure Therapy: A Pilot Study of a Brief Behavioral Treatment for Anxiety in Young Children

Auteurs: Brittany M. Rudy, Sophia Zavrou, Carly Johnco, Eric A. Storch, Adam B. Lewin

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 9/2017

Abstract

Despite prevalence rates as high as 9.4%, few studies have examined the applicability of cognitive-behavioral therapy for treatment of anxiety disorders in very young children (i.e., below the age of 7 years). The present study examined the preliminary efficacy of a parent-led exposure therapy protocol (PLET) designed for young children with anxiety disorders. Twenty-two youth aged 4–7 years and their parents participated in this pilot randomized control trial. Families of youth with significant anxiety concerns were randomized to either PLET (n = 12), a 10 session/5-week family-based exposure therapy program designed to target anxiety in young children, or treatment as usual (TAU; n = 10). Children in the PLET condition demonstrated a greater reduction in anxiety symptoms compared to TAU (d = 3.18), with 90.91% of PLET participants (active condition) being classified as treatment responders at post-treatment as opposed to 0 in the TAU condition. Gains were maintained at 1 month-follow-up. Although pilot in nature, these data suggest in a preliminary fashion that a parent led exposure therapy protocol that is adapted appropriately for developmental age and incorporates an active coaching component for parents may be efficacious for the treatment of young children with anxiety disorders. This clinical trial was registered through clinicaltrials.gov under the following identifier: NCT02051192.

vorige artikel Processes of Belonging for Citizen-Children of Undocumented Mexican Immigrants

volgende artikel Effects of Maternal Depression Symptoms and Alcohol Use Problems on Child Internalizing and Externalizing Behavior Problems

Bandura, A. (1969). Principles of behavior modification. New York, NY: Holt, Rinehart, & Winston.

Beesdo, K., Knappe, S., & Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32, 483–524. doi: 10.1016/j.psc.2009.06.002. CrossRefPubMedPubMedCentral

Bouton, M. (2004). Context and behavioral processes in extinction. Learning and Memory, 11, 485–494. doi: 10.1101/lm.78804. CrossRefPubMed

Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012). Psychiatric disorders in preschoolers: Continuity from ages 3 to 6. The American Journal of Psychiatry, 169, 1157–1164. doi: 10.1176/appi.ajp.2012.12020268. CrossRefPubMedPubMedCentral

Cartwright-Hatton, S., McNally, D., Field, A. P., Rust, S., Laskey, B., & Dixon, C., et al. (2011). A new parenting-based group intervention for young anxious children: Results of a randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 242–251. doi: 10.1016/j.jaac.2010.12.015. CrossRefPubMed

Chu, B. C., Skriner, L. C., & Zandberg, L. J. (2013). Shape of change in cognitive behavioral therapy for youth anxiety: Symptom trajectory and predictors of change. Journal of Consulting and Clinical Psychology, 81, 573–587. doi: 10.1037/a0033390. CrossRefPubMed

Comer, J. S., Puliafico, A. C., Aschenbrand, S. G., McKnight, K., Robin, J. A., Goldfine, M. E., & Albano, M. (2012). A pilot feasibility evaluation of the CALM program for anxiety disorders in early childhood. Journal of Anxiety Disorders, 26(1), 40–49. doi: 10.1016/j.janxdis.2011.08.011. CrossRefPubMed

Costello, E. J., Egger, H. L., Copeland, W., Erkanli, A., & Angold, A. (2011). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. In W. K. Silverman, & A. P. Field (Eds.), Anxiety disorders in children and adolescents: Research, assessment and intervention (pp. 56–75). New York, NY: Cambridge University Press. CrossRef

Davis, III, T. E., May, A. C., & Whiting, S. E. (2011). Evidence-based treatment of anxiety and phobia in children and adolescents: current status and effects on the emotional response. Clinical Psychology Review, 31, 592–602. doi: 10.1016/j.cpr.2011.01.001. CrossRefPubMed

Davis, III, T. E., & Ollendick, T. H. (2005). Empirically supported treatments for specific phobia in children: Do efficacious treatments address the components of a phobic response? Clinical Psychology: Science and Practice, 12, 144–160. doi: 10.1093/clipsy.bpi018.

Egger, H. L., & Angold A. (2006). Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337

Ezpeleta, L., Keeler, G., Alaatin, E., Costello, E. J., & Angold, A. (2001). Epidemiology of psychiatric disability in childhood and adolescence. Journal of Child Psychology and Psychiatry, 42, 901–914. doi: 10.1111/1469-7610.00786. CrossRefPubMed

Flavell, J. H., Miller, P. H., & Miller, S. A. (2001). Cognitive development (4th ed.). New York, NY: Prentice Hall.

Freeman, J. B., Garcia, A. M., Coyne, L., Ale, C., Przeworski, A., Himle, M., Compton, S., & Leonard, H. L. (2008). Early childhood OCD: Preliminary findings from a family-based cognitive-behavioral approach. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 593–602. doi: 10.1097/CHI.0b013e31816765f9. CrossRefPubMedPubMedCentral

Freeman, J. B., Sapyta, J., Garcia, A., Compton, S., Khanna, M., & Flessner, C., et al. (2014). Family-based treatment of early childhood obsessive-compulsive disorder. The pediatric obsessive-compulsive disorder treatment study for young children (POTS Jr)-A randomized clinical trial. JAMA Psychiatry, 71, 689–698. doi: 10.1001/jamapsychiatry.2014.170. CrossRefPubMedPubMedCentral

Ginsburg, G. S., Keeton, C. P., Drazdowski, T. K., & Riddle, M. A. (2011). The utility of clinicians ratings of anxiety using the pediatric anxiety rating scale (PARS). Child and Youth Care Forum, 40, 93–105. doi: 10.1007/s10566-010-9125-3. CrossRef

Guy, W. (1976). Clinical global impressions. In: ECDEU assessment manual for psychopharmacology, revised. (pp. 218–222). Rockville, MD: U.S. Department of Health, Education, and Welfare.

Hirshfeld-Becker, D. R., & Biederman, J. (2002). Rationale and principles for early intervention with young children at risk for anxiety disorders. Clinical Child and Family Psychology Review, 5, 161–172. doi: 10.1023/A:1019687531040. CrossRefPubMed

Hirshfeld-Becker, D. R., Masek, B., Henin, A., Blakely, L. R., Pollock-Wurman, R. A., & McQuade, J., et al. (2010). Cognitive behavioral therapy for 4- to 7-year-old children with anxiety disorders: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 78, 498–510. doi: 10.1037/a0019055. CrossRefPubMed

Horwitz, S. M., Hoagwood, K., Stiffman, A. R., Summerfeld, T., Weisz, J. R., & Costello, J., et al. (2001). Reliability of the services assessment for children and adolescents. Psychiatric Services, 52, 1088–1094. doi: 10.1176/appi.ps.52.8.1088. CrossRefPubMed

Johnco, C. J., Salloum, A., Lewin, A. B., & Storch, E. A. (2015). Refining clinical judgment of treatment response and symptom remission identification in childhood anxiety using a signal detection analysis on the pediatric anxiety rating scale. Journal of Child and Adolescent Psychopharmacology, 25, 674–683. doi: 10.1089/cap.2015.0102. CrossRefPubMedPubMedCentral

Karevold, E., Roysamb, E., Ystrom, E., & Mathiesen, K. S. (2009). Predictors and pathways from infancy to symptoms of anxiety and depression in early adolescence. Developmental Psychology, 45, 1051–1060. doi: 10.1037/a0016123. CrossRefPubMed

Labouliere, C. D., Arnold, E. A., Storch, E. A., & Lewin, A. B. (2014). Family-based cognitive-behavioral treatment for a preschooler with obsessive compulsive disorder. Clinical Case Studies, 13, 37–51. doi: 10.1177/1534650113504985. CrossRef

Lebowitz, E. R., Woolston, J., Bar-Haim, Y., Calvocoressi, L., Dauser, C., & Warnick, E., et al. (2013). Family accommodation in pediatric anxiety disorders. Depression and Anxiety, 30, 47–54. doi: 10.1002/da.21998. CrossRefPubMed

Leitenberg, H., & Callahan, E. J. (1973). Reinforced practice and reduction of different kinds of fears in adults and children. Behaviour Research and Therapy, 11, 19–30. doi: 10.1016/0005-7967(73)90065-X. CrossRefPubMed

Lewin, A. B., McGuire, J. F., Murphy, T. K., & Storch, E. A. (2014). Editorial perspective: The importance of considering parent’s preferences when planning treatment for their children - The case of childhood obsessive-compulsive disorder. Journal of Child Psychology and Psychiatry, 55, 1314–1316. doi: 10.1111/jcpp.12344. CrossRefPubMed

Lewin, A. B., Park, J. M., Jones, A. M., Crawford, E. A., DeNadai, A. S., & Menzel, J., et al. (2014). Family-based exposure and response prevention therapy for preschool-aged children with obsessive-compulsive disorder: A pilot randomized controlled trial. Behaviour Research and Therapy, 56, 30–38. doi: 10.1016/j.brat.2014.02.001. CrossRefPubMed

May, A. C., Rudy, B. M., Davis, T. E., & Matson, J. L. (2012). Evidence-based behavioral treatment of dog phobia with young children: Two case examples. Behavior Modification, 37, 143–160. doi: 10.1177/0145445512458524. CrossRefPubMed

Minde, K., Roy, J., Bezonsky, R., & Hashemi, A. (2010). The effectiveness of CBT in 3-7 year old anxious children: Preliminary data. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19, 109–115. PubMedPubMedCentral

Monga, S., Rosenbloom, B. N., Tanha, A., Owens, M., & Young, A. (2015). Comparison of child-parent and parent-only cognitive-behavioral therapy programs for anxious children aged 5 to 7 years: Short- and long-term outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 138–146. doi: 10.1016/j.jaac.2014.10.008. CrossRefPubMed

Monga, S., Young, A., & Owens, M. (2009). Evaluating a cognitive behavioral therapy group program for anxious five to seven year old children: A pilot study. Depression and Anxiety, 26, 243–250. doi:10.1002/da.20551. CrossRefPubMed

Myers, K., & Davis, M. (2002). Behavioral and neural analysis of extinction. Neuron, 36, 567–584. doi: 10.1101/lm.119806. CrossRefPubMed

National Institute of Mental Health. (1985). Clinical global impressions. Psychopharmacology Bulletin, 21, 839–843.

Ollendick, T. H., Halldorsdottir, T., Fraire, M. G., Austin, K. E., Noguchi, R. J., & Lewis, K. M., et al. (2015). Specific phobias in youth: A randomized controlled trial comparing one-session treatment to a parent-augmented one-session treatment. Behavior Therapy, 46, 141–155. doi: 10.1016/j.beth.2014.09.004. CrossRefPubMed

Rapee, R. M., Kennedy, S. J., Ingram, M., Edwards, S. L., & Sweeney, L. (2010). Altering the trajectory of anxiety in at-risk young children. American Journal of Psychiatry, 167, 1518–1525. doi: 10.1176/appi.ajp.2010.09111619. CrossRefPubMed

RUPP (Research Units of Pediatric Psychopharmacology) Group. (2002). The pediatric anxiety rating scale: Development and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1061–1069. CrossRef

Settipani, C. A., O’Neil, K. A., Podell, J. L., Beidas, R. S., & Kendall, P. C. (2013). Youth anxiety and parent factors over time: Directionality of change among youth treated for anxiety. Journal of Clinical Child & Adolescent Psychology, 42(1), 9–21. doi: 10.1080/15374416.2012.719459. CrossRef

Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV-child and parent versions. San Antonio, TX: Graywinds Publications, A division of the Psychological Corporation.

Storch, E. A., Zavrou, S., Collier, A. B., Ung, D., Arnold, E. B., Mutch, P. J., Lewin, A. B., & Murphy, T. K. (2015). Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response. Journal of Anxiety Disorders, 10.1016/j.janxdis.2015.06.007

Towe-Goodman, N. R., Franz, L., Copeland, W., Angold, A., & Egger, H. (2014). Perceived family impact of preschool anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 53, 437–446. doi: 10.1016/j.jaac.2013.12.017. CrossRefPubMedPubMedCentral

van der Sluis, C. M., van der Bruggen, C. O., Brechman-Toussaint, M. L., Thissen, M. A. P., & Bogels, S. M. (2012). Parent-directed cognitive behavioral therapy for young anxious children: A pilot study. Behavior Therapy, 43, 583–592. doi: 10.1016/j.beth.2011.10.002. CrossRefPubMed

Walkup, J. T., Albano, A. M., & Piacentini, J., et al. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359, 2753–2766. doi: 10.1056/NEJMoa0804633. CrossRefPubMedPubMedCentral

Titel: Parent-Led Exposure Therapy: A Pilot Study of a Brief Behavioral Treatment for Anxiety in Young Children
Auteurs: Brittany M. Rudy
Sophia Zavrou
Carly Johnco
Eric A. Storch
Adam B. Lewin
Publicatiedatum: 22-05-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 9/2017
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-017-0772-y

Mijn bibliotheek

Shop

Tips voor Mijn BSL

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Parent-Led Exposure Therapy: A Pilot Study of a Brief Behavioral Treatment for Anxiety in Young Children

Abstract

Mijn bibliotheek

Shop

Tips voor Mijn BSL

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 9/2017

Processes of Belonging for Citizen-Children of Undocumented Mexican Immigrants

Psychological Flexibility in Parents of Children with Asthma: Analysis Using a Structural Equation Model

Do Marital Conflict Behaviors in Response to a Novel Stressor Uniquely Predict Adolescent Outcomes?

Peer Support Program for Chinese Low Income Mothers: An Evaluation Study and Implications for Practice

Relationship between Disabilities and Adoption Outcomes in African American Children

Effects of Maternal Depression Symptoms and Alcohol Use Problems on Child Internalizing and Externalizing Behavior Problems