Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Child and Family Studies 7/2015

01-07-2015 | Original Paper

When Families Won’t Play Ball: A Case Example of the Effect of Family Accommodation on Anxiety Symptoms and Treatment

Auteurs: Brittany M. Rudy, Eric A. Storch, Adam B. Lewin

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 7/2015

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

Family accommodation is a pervasive problem among families of youth with anxiety disorders that frequently perpetuates anxiety symptoms and oppositional behaviors occurring in response to anxiety. Unfortunately, this problem is addressed all too infrequently in the literature regarding empirically supported treatments for anxiety disorders. The purpose of this report is to present a case of severe family accommodation for a young child with anxiety and oppositional behaviors. This case highlights the detriment of family factors such as accommodation, maternal distress, and anxious modeling as well as provides strategies for adapting an empirically supported treatment protocol (i.e. cognitive-behavioral therapy) to address such family factors. Behavioral and cognitive behavioral techniques, described within, were modified and utilized for treatment of a 6-year-old with significant anxiety symptoms. With adaptations, despite complicating family factors, behavioral treatment was successful in alleviating clinical symptoms of anxiety in a young child. This case exemplar suggests that treatment adaptation can produce successful outcomes in terms of symptom reduction; however, for circumstances in which families are particularly challenging, full remission may not be achieved should family accommodation fail to be eradicated.
Literatuur
go back to reference Achenbach, T. M., & Rescorla, L. (2001). ASEBA school- age forms and profiles. ASEBA. Achenbach, T. M., & Rescorla, L. (2001). ASEBA school- age forms and profiles. ASEBA.
go back to reference Bögels, S. M., & Brechman-Toussaint, M. L. (2006). Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs. Clinical Psychology Review, 26(7), 834–856. PubMedCrossRef Bögels, S. M., & Brechman-Toussaint, M. L. (2006). Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs. Clinical Psychology Review, 26(7), 834–856. PubMedCrossRef
go back to reference Bouton, M. E. (2004). Context and behavioral processes in extinction. Learning & Memory, 11(5), 485–494. CrossRef Bouton, M. E. (2004). Context and behavioral processes in extinction. Learning & Memory, 11(5), 485–494. CrossRef
go back to reference Calvocoressi, L., Lewis, B., Harris, M., Trufan, S. J., Goodman, W. K., McDougle, C. J., et al. (1995). Family accommodation in obsessive–compulsive disorder. American Journal of Psychiatry, 152(3), 441–443. PubMedCrossRef Calvocoressi, L., Lewis, B., Harris, M., Trufan, S. J., Goodman, W. K., McDougle, C. J., et al. (1995). Family accommodation in obsessive–compulsive disorder. American Journal of Psychiatry, 152(3), 441–443. PubMedCrossRef
go back to reference Catania, A. C., & Reynolds, G. (1968). A quantitative analysis of the responding maintained by interval schedules of reinforcement. Journal of the Experimental analysis of behavior, 11(3S2), 327-383. Catania, A. C., & Reynolds, G. (1968). A quantitative analysis of the responding maintained by interval schedules of reinforcement. Journal of the Experimental analysis of behavior, 11(3S2), 327-383.
go back to reference Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford Press. Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford Press.
go back to reference 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(4), 573. PubMedCrossRef 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(4), 573. PubMedCrossRef
go back to reference Cooper, P. J., Gallop, C., Willetts, L., & Creswell, C. (2008). Treatment response in child anxiety is differentially related to the form of maternal anxiety disorder. Behavioural and Cognitive Psychotherapy, 36(01), 41–48. CrossRef Cooper, P. J., Gallop, C., Willetts, L., & Creswell, C. (2008). Treatment response in child anxiety is differentially related to the form of maternal anxiety disorder. Behavioural and Cognitive Psychotherapy, 36(01), 41–48. CrossRef
go back to reference Creswell, C., & Cartwright-Hatton, S. (2007). Family treatment of child anxiety: Outcomes, limitations and future directions. Clinical Child and Family Psychology Review, 10(3), 232–252. PubMedCrossRef Creswell, C., & Cartwright-Hatton, S. (2007). Family treatment of child anxiety: Outcomes, limitations and future directions. Clinical Child and Family Psychology Review, 10(3), 232–252. PubMedCrossRef
go back to reference Ferster, C. B. S., & Skinner, B. F. (1957). Schedules of reinforcement. New York, NY: Appleton-Century-Crofts. CrossRef Ferster, C. B. S., & Skinner, B. F. (1957). Schedules of reinforcement. New York, NY: Appleton-Century-Crofts. CrossRef
go back to reference Hudson, J. L., & Rapee, R. M. (2001). Parent–child interactions and anxiety disorders: An observational study. Behaviour Research and Therapy, 39(12), 1411–1427. PubMedCrossRef Hudson, J. L., & Rapee, R. M. (2001). Parent–child interactions and anxiety disorders: An observational study. Behaviour Research and Therapy, 39(12), 1411–1427. PubMedCrossRef
go back to reference In-Albon, T., & Schneider, S. (2006). Psychotherapy of childhood anxiety disorders: A meta-analysis. Psychotherapy and Psychosomatics, 76(1), 15–24. CrossRef In-Albon, T., & Schneider, S. (2006). Psychotherapy of childhood anxiety disorders: A meta-analysis. Psychotherapy and Psychosomatics, 76(1), 15–24. CrossRef
go back to reference Kendall, P. C. (1993). Cognitive-behavioral therapies with youth: Guiding theory, current status, and emerging developments. Journal of Consulting and Clinical Psychology, 61(2), 235. PubMedCrossRef Kendall, P. C. (1993). Cognitive-behavioral therapies with youth: Guiding theory, current status, and emerging developments. Journal of Consulting and Clinical Psychology, 61(2), 235. PubMedCrossRef
go back to reference Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clincal trial. Journal of Consulting and Clinical Psychology, 65(3), 366. PubMedCrossRef Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clincal trial. Journal of Consulting and Clinical Psychology, 65(3), 366. PubMedCrossRef
go back to reference Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76(2), 282. PubMedCrossRef Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76(2), 282. PubMedCrossRef
go back to reference Lattal, K. A., St Peter, C., & Escobar, R. (2013). Operant extinction: Elimination and generation of behavior. Lattal, K. A., St Peter, C., & Escobar, R. (2013). Operant extinction: Elimination and generation of behavior.
go back to reference 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(1), 47–54. PubMedCentralPubMedCrossRef 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(1), 47–54. PubMedCentralPubMedCrossRef
go back to reference 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. PubMedCrossRef 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. PubMedCrossRef
go back to reference Marien, W. E., Storch, E. A., Geffken, G. R., & Murphy, T. K. (2009). Intensive family-based cognitive-behavioral therapy for pediatric obsessive–compulsive disorder: Applications for treatment of medication partial-or nonresponders. Cognitive and Behavioral Practice, 16(3), 304–316. CrossRef Marien, W. E., Storch, E. A., Geffken, G. R., & Murphy, T. K. (2009). Intensive family-based cognitive-behavioral therapy for pediatric obsessive–compulsive disorder: Applications for treatment of medication partial-or nonresponders. Cognitive and Behavioral Practice, 16(3), 304–316. CrossRef
go back to reference May, A. C., Rudy, B. M., Davis, T. E., & Matson, J. L. (2013). Evidence-based behavioral treatment of dog phobia with young children: Two case examples. Behavior Modification, 37, 143–160. PubMedCrossRef May, A. C., Rudy, B. M., Davis, T. E., & Matson, J. L. (2013). Evidence-based behavioral treatment of dog phobia with young children: Two case examples. Behavior Modification, 37, 143–160. PubMedCrossRef
go back to reference Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive–compulsive disorder. Journal of Consulting and Clinical Psychology, 77(2), 355. PubMedCentralPubMedCrossRef Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive–compulsive disorder. Journal of Consulting and Clinical Psychology, 77(2), 355. PubMedCentralPubMedCrossRef
go back to reference Muris, P., & Field, A. P. (2010). The role of verbal threat information in the development of childhood fear. “Beware the Jabberwock!”. Clinical Child and Family Psychology Review, 13(2), 129–150. PubMedCentralPubMedCrossRef Muris, P., & Field, A. P. (2010). The role of verbal threat information in the development of childhood fear. “Beware the Jabberwock!”. Clinical Child and Family Psychology Review, 13(2), 129–150. PubMedCentralPubMedCrossRef
go back to reference Murray, L., De Rosnay, M., Pearson, J., Bergeron, C., Schofield, E., Royal-Lawson, M., et al. (2008). Intergenerational transmission of social anxiety: The role of social referencing processes in infancy. Child Development, 79(4), 1049–1064. PubMedCrossRef Murray, L., De Rosnay, M., Pearson, J., Bergeron, C., Schofield, E., Royal-Lawson, M., et al. (2008). Intergenerational transmission of social anxiety: The role of social referencing processes in infancy. Child Development, 79(4), 1049–1064. PubMedCrossRef
go back to reference Öst, L.-G. (1989). One-session treatment for specific phobias. Behaviour Research and Therapy, 27(1), 1–7. PubMedCrossRef Öst, L.-G. (1989). One-session treatment for specific phobias. Behaviour Research and Therapy, 27(1), 1–7. PubMedCrossRef
go back to reference Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia. Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia.
go back to reference Rapee, R. M. (2012). Family factors in the development and management of anxiety disorders. Clinical Child and Family Psychology Review, 15(1), 69–80. PubMedCrossRef Rapee, R. M. (2012). Family factors in the development and management of anxiety disorders. Clinical Child and Family Psychology Review, 15(1), 69–80. PubMedCrossRef
go back to reference Rapee, R. M., Wignall, A., Spence, S., Cobham, V., & Lyneham, H. (2008). Helping your anxious child. Oakland, CA: New Harbinger. Rapee, R. M., Wignall, A., Spence, S., Cobham, V., & Lyneham, H. (2008). Helping your anxious child. Oakland, CA: New Harbinger.
go back to reference Research Units of Pediatric Psychoparmacology Anxiety Study 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 Research Units of Pediatric Psychoparmacology Anxiety Study 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
go back to reference Salkovskis, P. M., Clark, D. M., & Gelder, M. G. (1996). Cognition-behaviour links in the persistence of panic. Behaviour Research and Therapy, 34(5), 453–458. PubMedCrossRef Salkovskis, P. M., Clark, D. M., & Gelder, M. G. (1996). Cognition-behaviour links in the persistence of panic. Behaviour Research and Therapy, 34(5), 453–458. PubMedCrossRef
go back to reference 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. 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. CrossRef
go back to reference Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV: Parent interview schedule (vol. 1). Oxford: Oxford University Press. Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV: Parent interview schedule (vol. 1). Oxford: Oxford University Press.
go back to reference Skinner, B. F. (1969). Contingencies of reinforcement. New York, NY: Appleton-Century-Crofts. Skinner, B. F. (1969). Contingencies of reinforcement. New York, NY: Appleton-Century-Crofts.
go back to reference Storch, E. A., Björgvinsson, T., Riemann, B., Lewin, A. B., Morales, M. J., & Murphy, T. K. (2010a). Factors associated with poor response in cognitive-behavioral therapy for pediatric obsessive–compulsive disorder. Bulletin of the Menninger Clinic, 74(2), 167–185. PubMedCrossRef Storch, E. A., Björgvinsson, T., Riemann, B., Lewin, A. B., Morales, M. J., & Murphy, T. K. (2010a). Factors associated with poor response in cognitive-behavioral therapy for pediatric obsessive–compulsive disorder. Bulletin of the Menninger Clinic, 74(2), 167–185. PubMedCrossRef
go back to reference Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W., et al. (2007). Family accommodation in pediatric obsessive–compulsive disorder. Journal of Clinical Child & Adolescent Psychology, 36(2), 207–216. CrossRef Storch, E. A., Geffken, G. R., Merlo, L. J., Jacob, M. L., Murphy, T. K., Goodman, W., et al. (2007). Family accommodation in pediatric obsessive–compulsive disorder. Journal of Clinical Child & Adolescent Psychology, 36(2), 207–216. CrossRef
go back to reference Storch, E. A., Jones, A. M., Lack, C. W., Ale, C. M., Sulkowski, M. L., Lewin, A., et al. (2012). Rage attacks in pediatric obsessive–compulsive disorder: Phenomenology and clinical correlates. Journal of the American Academy of Child and Adolescent Psychiatry, 51(6), 582–592. PubMedCrossRef Storch, E. A., Jones, A. M., Lack, C. W., Ale, C. M., Sulkowski, M. L., Lewin, A., et al. (2012). Rage attacks in pediatric obsessive–compulsive disorder: Phenomenology and clinical correlates. Journal of the American Academy of Child and Adolescent Psychiatry, 51(6), 582–592. PubMedCrossRef
go back to reference Storch, E. A., Lehmkuhl, H. D., Ricketts, E., Geffken, G. R., Marien, W., & Murphy, T. K. (2010b). An open trial of intensive family based cognitive-behavioral therapy in youth with obsessive–compulsive disorder who are medication partial responders or nonresponders. Journal of Clinical Child & Adolescent Psychology, 39(2), 260–268. CrossRef Storch, E. A., Lehmkuhl, H. D., Ricketts, E., Geffken, G. R., Marien, W., & Murphy, T. K. (2010b). An open trial of intensive family based cognitive-behavioral therapy in youth with obsessive–compulsive disorder who are medication partial responders or nonresponders. Journal of Clinical Child & Adolescent Psychology, 39(2), 260–268. CrossRef
go back to reference Walkup, J. T., Albano, A. M., Piacentini, J., Birmaher, B., Compton, S. N., Sherrill, J., et al. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359(26), 2753–2766. PubMedCentralPubMedCrossRef Walkup, J. T., Albano, A. M., Piacentini, J., Birmaher, B., Compton, S. N., Sherrill, J., et al. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359(26), 2753–2766. PubMedCentralPubMedCrossRef
go back to reference Zlomke, K., & Davis, T. E, I. I. I. (2008). One-session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39(3), 207–223. PubMedCrossRef Zlomke, K., & Davis, T. E, I. I. I. (2008). One-session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39(3), 207–223. PubMedCrossRef
Metagegevens
Titel
When Families Won’t Play Ball: A Case Example of the Effect of Family Accommodation on Anxiety Symptoms and Treatment
Auteurs
Brittany M. Rudy
Eric A. Storch
Adam B. Lewin
Publicatiedatum
01-07-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 7/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-014-0008-3

Andere artikelen Uitgave 7/2015

Journal of Child and Family Studies 7/2015 Naar de uitgave