Skip to main content
Top
Gepubliceerd in: Child Psychiatry & Human Development 6/2021

17-10-2020 | Original Article

The Feasibility of a Parent Group Treatment for Youth with Anxiety Disorders and Obsessive Compulsive Disorder

Auteurs: Idit Dekel, Shirel Dorman-Ilan, Claudia Lang, Eva Bar-David, Hadas Zilka, Tal Shilton, Eli R. Lebowitz, Doron Gothelf

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 6/2021

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

Abstract

Cognitive behavioral therapy (CBT) is an effective treatment for children and adolescents with anxiety disorders and obsessive-compulsive disorder (OCD). Yet CBT is insufficiently effective in approximately half of cases in clinical trials and in a substantial number of cases children refuse to participate in CBT sessions altogether. Parent training offers a promising alternative to direct child therapy. The present study examined the feasibility of a group implementation of SPACE (Supportive Parenting for Anxious Childhood Emotions), a novel parent training approach aimed at reducing parent’s accommodation of children’s anxiety symptoms. Based on parent reports (N = 25), following treatment there was a significant decrease in parental accommodation, in family power struggles and in parental sense of helplessness, as well as a significant reduction in anxiety and OCD symptom severity. Results support the promise of group SPACE treatment and underscore the need for additional clinical trial research.
Literatuur
1.
go back to reference Costello EJ, Egger HL, Angold A (2005) The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity. Child Adolesc Psychiatr Clin N Am 14(4):631–648, viiCrossRef Costello EJ, Egger HL, Angold A (2005) The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity. Child Adolesc Psychiatr Clin N Am 14(4):631–648, viiCrossRef
2.
go back to reference James AC et al (2015) Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev 2:CD004690 James AC et al (2015) Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev 2:CD004690
3.
go back to reference Kendall PC, Stark KD, Adam T (1990) Cognitive deficit or cognitive distortion in childhood depression. J Abnorm Child Psychol 18(3):255–270CrossRef Kendall PC, Stark KD, Adam T (1990) Cognitive deficit or cognitive distortion in childhood depression. J Abnorm Child Psychol 18(3):255–270CrossRef
4.
go back to reference Monga S et al (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. J Am Acad Child Adolesc Psychiatry 54(2):138–146CrossRef Monga S et al (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. J Am Acad Child Adolesc Psychiatry 54(2):138–146CrossRef
5.
go back to reference Thienemann M, Moore P, Tompkins K (2006) A parent-only group intervention for children with anxiety disorders: pilot study. J Am Acad Child Adolesc Psychiatry 45(1):37–46CrossRef Thienemann M, Moore P, Tompkins K (2006) A parent-only group intervention for children with anxiety disorders: pilot study. J Am Acad Child Adolesc Psychiatry 45(1):37–46CrossRef
6.
go back to reference Sheppard R, Deane FP, Ciarrochi J (2018) Unmet need for professional mental health care among adolescents with high psychological distress. Aust N Z J Psychiatry 52(1):59–67CrossRef Sheppard R, Deane FP, Ciarrochi J (2018) Unmet need for professional mental health care among adolescents with high psychological distress. Aust N Z J Psychiatry 52(1):59–67CrossRef
7.
go back to reference Buchanan-Pascall S et al (2018) Systematic review and meta-analysis of parent group interventions for primary school children aged 4–12 years with externalizing and/or internalizing problems. Child Psychiatry Hum Dev 49(2):244–267CrossRef Buchanan-Pascall S et al (2018) Systematic review and meta-analysis of parent group interventions for primary school children aged 4–12 years with externalizing and/or internalizing problems. Child Psychiatry Hum Dev 49(2):244–267CrossRef
8.
go back to reference Lebowitz ER, Shimshoni Y (2018) The SPACE program, a parent-based treatment for childhood and adolescent OCD: The case of Jasmine. Bull Menninger Clin 82(4):266–287CrossRef Lebowitz ER, Shimshoni Y (2018) The SPACE program, a parent-based treatment for childhood and adolescent OCD: The case of Jasmine. Bull Menninger Clin 82(4):266–287CrossRef
9.
go back to reference Lebowitz ER et al (2020) Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: a randomized noninferiority study of supportive parenting for anxious childhood emotions. J Am Acad Child Adolesc Psychiatry 59(3):362–372CrossRef Lebowitz ER et al (2020) Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: a randomized noninferiority study of supportive parenting for anxious childhood emotions. J Am Acad Child Adolesc Psychiatry 59(3):362–372CrossRef
10.
go back to reference American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DCCrossRef American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DCCrossRef
11.
go back to reference Lebowitz ER et al (2013) Family accommodation in pediatric anxiety disorders. Depress Anxiety 30(1):47–54CrossRef Lebowitz ER et al (2013) Family accommodation in pediatric anxiety disorders. Depress Anxiety 30(1):47–54CrossRef
12.
go back to reference Bar- David E (2009) Helplessness and violent behavior of parents and functional problems of their children: the interactive influences of parental attributions, relationship between the parents and power struggles, in the psychology department. Tel Aviv University, Tel-Aviv Bar- David E (2009) Helplessness and violent behavior of parents and functional problems of their children: the interactive influences of parental attributions, relationship between the parents and power struggles, in the psychology department. Tel Aviv University, Tel-Aviv
13.
go back to reference Cohen-Yeshurun C (2001) The relationship between parental helplessness, parental self efficacy and parental authority styles. Department of Psychology, Tel-Aviv University, Tel-Aviv Cohen-Yeshurun C (2001) The relationship between parental helplessness, parental self efficacy and parental authority styles. Department of Psychology, Tel-Aviv University, Tel-Aviv
14.
go back to reference National Institute of Mental Health (1985) CGI (Clinical Global Impressions Scale)-NIMH. Psychopharmacol Bull 21:839–844 National Institute of Mental Health (1985) CGI (Clinical Global Impressions Scale)-NIMH. Psychopharmacol Bull 21:839–844
15.
go back to reference Hedges DW, Brown BL, Shwalb DA (2009) A direct comparison of effect sizes from the clinical global impression-improvement scale to effect sizes from other rating scales in controlled trials of adult social anxiety disorder. Hum Psychopharmacol 24(1):35–40CrossRef Hedges DW, Brown BL, Shwalb DA (2009) A direct comparison of effect sizes from the clinical global impression-improvement scale to effect sizes from other rating scales in controlled trials of adult social anxiety disorder. Hum Psychopharmacol 24(1):35–40CrossRef
16.
go back to reference Mosheva M et al (2016) Do antidepressants induce psychosis in children and adolescents? A naturalistic study in ambulatory pediatric population. J Child Adolesc Psychopharmacol 26(5):478–484CrossRef Mosheva M et al (2016) Do antidepressants induce psychosis in children and adolescents? A naturalistic study in ambulatory pediatric population. J Child Adolesc Psychopharmacol 26(5):478–484CrossRef
17.
go back to reference Shilton T et al (2020) A retrospective case series of electroconvulsive therapy in the management of comorbid depression and anorexia nervosa. Int J Eat Disord 53(2):210–218CrossRef Shilton T et al (2020) A retrospective case series of electroconvulsive therapy in the management of comorbid depression and anorexia nervosa. Int J Eat Disord 53(2):210–218CrossRef
18.
go back to reference Lebowitz ER, Omer H, Hermes H, Scahill L (2014) Parent training for childhood anxiety disorders: the SPACE program. Cognit Behav Pract 21:456–469CrossRef Lebowitz ER, Omer H, Hermes H, Scahill L (2014) Parent training for childhood anxiety disorders: the SPACE program. Cognit Behav Pract 21:456–469CrossRef
19.
go back to reference Lebowitz ER, Scharfstein LA, Jones J (2014) Comparing family accommodation in pediatric obsessive-compulsive disorder, anxiety disorders, and nonanxious children. Depress Anxiety 31(12):1018–1025CrossRef Lebowitz ER, Scharfstein LA, Jones J (2014) Comparing family accommodation in pediatric obsessive-compulsive disorder, anxiety disorders, and nonanxious children. Depress Anxiety 31(12):1018–1025CrossRef
20.
go back to reference Kataoka SH, Zhang L, Wells KB (2002) Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry 159(9):1548–1555CrossRef Kataoka SH, Zhang L, Wells KB (2002) Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry 159(9):1548–1555CrossRef
21.
go back to reference Goodier GH et al (2014) Parent skills training treatment for parents of children and adolescents with eating disorders: a qualitative study. Int J Eat Disord 47(4):368–375CrossRef Goodier GH et al (2014) Parent skills training treatment for parents of children and adolescents with eating disorders: a qualitative study. Int J Eat Disord 47(4):368–375CrossRef
22.
go back to reference Shilling V et al (2013) Peer support for parents of children with chronic disabling conditions: a systematic review of quantitative and qualitative studies. Dev Med Child Neurol 55(7):602–609CrossRef Shilling V et al (2013) Peer support for parents of children with chronic disabling conditions: a systematic review of quantitative and qualitative studies. Dev Med Child Neurol 55(7):602–609CrossRef
23.
go back to reference Storch EA et al (2007) Family accommodation in pediatric obsessive-compulsive disorder. J Clin Child Adolesc Psychol 36(2):207–216CrossRef Storch EA et al (2007) Family accommodation in pediatric obsessive-compulsive disorder. J Clin Child Adolesc Psychol 36(2):207–216CrossRef
Metagegevens
Titel
The Feasibility of a Parent Group Treatment for Youth with Anxiety Disorders and Obsessive Compulsive Disorder
Auteurs
Idit Dekel
Shirel Dorman-Ilan
Claudia Lang
Eva Bar-David
Hadas Zilka
Tal Shilton
Eli R. Lebowitz
Doron Gothelf
Publicatiedatum
17-10-2020
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 6/2021
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-020-01082-6

Andere artikelen Uitgave 6/2021

Child Psychiatry & Human Development 6/2021 Naar de uitgave