Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety

Kendall, Philip C.; Norris, Lesley A.; Rabner, Jonathan; Crane, Margaret E.; Rifkin, Lara S.

doi:10.1007/s11920-020-01170-3

Cited by 33 publications

(11 citation statements)

References 88 publications

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“…Compared to fear, intolerance of uncertainty is a more persistent emotional state and the level of tolerance of uncertain situations can be built more easily through appropriate interventions. The research findings show that there are cognitive treatments aimed to increase the level of tolerance to the unavoidable uncertainties in our lives and the level of intolerance may decrease with appropriate interventions (Kendall et al, 2020;Robichaud & Dugas, 2006).…”

Section: Introductionmentioning

confidence: 91%

The Fear of COVID-19 Raises the Level of Depression, Anxiety and Stress through the Mediating Role of Intolerance of Uncertainty

Kardaş¹

2021

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The COVID-19 pandemic has resulted in various psycho-social effects, including adverse effects on mental health in the general population. Many studies across different countries showed a significant increase in symptoms of fear, depression, anxiety and stress compared to the situation before the COVID-19 outbreak. Thus, it has gained more importance to examine the relationship between fear of the disease and mental health problems. This study aims to investigate the mediating role of intolerance of uncertainty in the relationship between fear of COVID-19, depression, anxiety, and stress. In this study, the sample consisted of 679 individuals. Among 679 respondents, 467 respondents were women (68.8%) and 212 respondents were men (31.2%). Data were collected through an online survey using the Fear of COVID-19 Scale, Intolerance of Uncertainty Scale and Depression, Anxiety and Stress Scale. Correlation analysis and structural equation modeling were used for data analysis. A significant positive relationship was observed between fear of COVID-19 and intolerance of uncertainty, depression, anxiety, and stress. All variables were found as differing significantly concerning gender, and the levels of fear were significantly higher in women than in men. Intolerance of uncertainty was found to fully mediate the relationship between fear of COVID-19 and depression, anxiety and stress. The findings obtained from this study were discussed in the light of literature findings and various suggestions were presented to researchers, mental health practitioners and policy makers.

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Section: Introductionmentioning

confidence: 91%

The Fear of COVID-19 Raises the Level of Depression, Anxiety and Stress through the Mediating Role of Intolerance of Uncertainty

Kardaş¹

2021

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“…Recently, the term "family accommodation" has been identified as a potentially important target for interventions aimed at reducing youth anxiety [9,10]. Family accommodation is defined as any change that parents make to their behavior with the intent of lessening or protecting their child from anxiety or fear in the short-term [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Family accommodation is defined as any change that parents make to their behavior with the intent of lessening or protecting their child from anxiety or fear in the short-term [11,12]. Current theories posit that family accommodation increases anxiety over time through negative reinforcement of avoidance behaviors that interfere with the natural extinction of conditioned fear [9]. Family accommodation may be seen as a part of a broader set over overprotective parenting behaviors, which include intrusive parental involvement and reduced autonomy for the child [11].…”

Section: Introductionmentioning

confidence: 99%

Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment

Bertelsen

Himle

Håland

2022

Child Psychiatry Hum Dev

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Family accommodation is associated with an increase in anxiety and has recently received attention as a target for intervention for youth anxiety. Existing theories posit that the increase in family accommodation increases youth anxiety and can attenuate the effect of psychotherapy. However, the directionality between family accommodation and youth anxiety has not been investigated. A cross-lagged cross-panel design was used to assess accommodation and anxiety for 10 sessions for 73 youths with an anxiety disorder, who were receiving cognitive-behavioral therapy. The analysis revealed a bidirectional relationship, such that to some extent previous session family accommodation increased youth anxiety symptoms (β = 0.11, 95% CI [0.06, 0.17]), but to an even greater extent previous session youth-rated anxiety symptoms increased family accommodation (β = 0.23, 95% CI [0.08, 0.38]). Family accommodation is an important target for reducing youth anxiety but should be addressed simultaneously as interventions directly targeting youth anxiety.

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“…Preliminary findings from these studies suggest that CBT may be effective for this age range; however, further study is needed. Results also suggest that targeting intolerance of uncertainty (IU) and parental accommodation, known mechanistic and maintaining variables, respectively, of anxiety in neurotypical and ASD populations, may be effective in reducing anxiety [ 12 , 18 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

DINOSAUR: an integrated cognitive-behavioral treatment for anxiety in young children with ASD

Keefer

Vasa

2021

J Neurodevelop Disord

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Background Anxiety disorders are highly prevalent in children and adolescents with autism spectrum disorder and often emerge before the age of 6 years. Yet, only a few studies have examined anxiety treatment for this group. Preliminary evidence from these studies suggests that utilizing cognitive behavioral therapy (CBT) as well as strategies to target intolerance of uncertainty (IU) and parental accommodation, known mechanistic and maintaining factors of anxiety may improve anxiety and optimize outcomes in this age group. Main body To meet this need, we developed an integrated treatment called DINO Strategies for Anxiety and intolerance of Uncertainty Reduction (DINOSAUR), a 12-week group telehealth treatment for 4- to 6-year-old children with ASD. DINOSAUR works with young children and their parents to deliver CBT along with interventions targeting IU and parental accommodation. In this paper, we first discuss the rationale for developing this treatment and then describe a pilot study of its feasibility and preliminary efficacy. Conclusions There is a great need to develop anxiety treatments for young children with ASD. We proposed a novel integrated treatment approach that aims to alter the way young children and parents respond to fear, which could potentially improve short- and long-term mental health outcomes for this age group. Trial registration ClinicalTrials.govNCT04432077 on June 03, 2020

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Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety

Cited by 33 publications

References 88 publications

The Fear of COVID-19 Raises the Level of Depression, Anxiety and Stress through the Mediating Role of Intolerance of Uncertainty

The Fear of COVID-19 Raises the Level of Depression, Anxiety and Stress through the Mediating Role of Intolerance of Uncertainty

Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment

DINOSAUR: an integrated cognitive-behavioral treatment for anxiety in young children with ASD

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