Top

Gepubliceerd in:

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

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.

vorige artikel Exploring the Link Between Transdiagnostic Cognitive Risk Factors, Anxiogenic Parenting Behaviors, and Child Anxiety

volgende artikel Parenting Stress Moderates the Relation between Parental Trauma Exposure and Child Anxiety Symptoms

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

James AC et al (2015) Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev 2:CD004690

Kendall PC, Stark KD, Adam T (1990) Cognitive deficit or cognitive distortion in childhood depression. J Abnorm Child Psychol 18(3):255–270CrossRef

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

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

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

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

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 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.

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DCCrossRef

11.

Lebowitz ER et al (2013) Family accommodation in pediatric anxiety disorders. Depress Anxiety 30(1):47–54CrossRef

12.

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.

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.

National Institute of Mental Health (1985) CGI (Clinical Global Impressions Scale)-NIMH. Psychopharmacol Bull 21:839–844

15.

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.

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.

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.

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.

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.

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.

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.

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.

Storch EA et al (2007) Family accommodation in pediatric obsessive-compulsive disorder. J Clin Child Adolesc Psychol 36(2):207–216CrossRef

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

A Systematic Review of Household and Family Alcohol Use and Childhood Neurodevelopmental Outcomes in Low- and Middle-Income Countries

Open Access
Article

Emotional School Engagement and Psychiatric Symptoms among 6–9-Year-old Children with an Immigrant Background in the First Years of School in Finland

Open Access
Original Article

Longitudinal Relations Between Parental Strain, Parent–Child Relationship Quality, and Child Well-Being During the Unfolding COVID-19 Pandemic

Open Access
Original Article

The Impact of Contextual, Maternal and Prenatal Factors on Receptive Language in a Chilean Longitudinal Birth Cohort

Open Access
Original Article

Using Mixed Methods to Identify the Primary Mental Health Problems and Needs of Children, Adolescents, and Their Caregivers during the Coronavirus (COVID-19) Pandemic

Original Article

Posttraumatic Symptoms in 3–7 Year Old Trauma-Exposed Children: Links to Impairment, Other Mental Health Symptoms, Caregiver PTSD, and Caregiver Stress

Open Access
Original Article