Predictive Relationship Between Parental Beliefs and Accommodation of Pediatric Anxiety

Meyer, Johanna M.; Clapp, Joshua D.; Whiteside, Stephen P.; Dammann, Julie E.; Kriegshauser, Kathryn D.; Hale, Lisa R.; Jacobi, David M.; Riemann, Bradley C.; Deacon, Brett J.

doi:10.1016/j.beth.2017.11.004

Cited by 22 publications

(15 citation statements)

References 35 publications

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“…The current study provides preliminary evidence that when examined together, maternal accommodation may be more of a reaction to child distress than mother distress. This supports a growing field of literature in which parent beliefs about the ramifications of child distress (e.g., child loss of emotional or behavior control and ability to handle anxious feelings) relate to parental accommodation and child avoidance behaviors (Feinberg, Kerns, Pincus, & Comer, 2018; Meyer et al, 2018; Wolk et al, 2016). It may be that regardless of a mother's own distress or emotion regulation capabilities, mothers who anticipate their child reacting to a given situation or stimuli with a high degree of distress are more likely to take measures to prevent such distress.…”

Section: Discussionsupporting

confidence: 71%

Parent and child emotion and distress responses associated with parental accommodation of child anxiety symptoms

et al. 2020

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Objective: Parental accommodation contributes to the maintenance of child anxiety and related symptoms. The current study examines the contributions of parent and child factors to parental accommodation in a sample of anxious youth. Methods: Sixty-four treatment-seeking youth (6-16 years) and their mothers, as well as a subset of fathers (N = 41) reported on parental accommodation, parental distress and emotion regulation, child psychopathology, child externalizing behaviors, and child intolerance of uncertainty. Results: Parental accommodation was not related to parental distress or emotion regulation. Parents who viewed their child as being more symptomatic (e.g., anxious, externalizing, and intolerant of uncertainty) were more likely to engage in accommodation. For mothers, child anxiety and externalizing symptoms were notable predictors of accommodation. Conclusions: Parent perceptions of child symptomology is an important factor significantly related to accommodation behaviors. This finding can be used to inform programming designed to target parental responses to child anxiety and related disorders. K E Y W O R D S accommodation, anxiety, family, pediatric

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Section: Discussionsupporting

confidence: 71%

Parent and child emotion and distress responses associated with parental accommodation of child anxiety symptoms

et al. 2020

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“…Parental experiential avoidance has been cited as a relevant factor and a significant predictor of child anxiety, after controlling for parent anxiety and control (Emerson et al, 2019). Meyer et al (2018) reported that parental use of FA may be related to parental beliefs that not providing FA would result in the child losing behavioural and emotional control.…”

Section: Willingnessmentioning

confidence: 99%

The use of acceptance and commitment therapy (ACT) in addressing family accommodation (FA) for child anxiety

Byrne

2021

tCBT

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Many parents of children with anxiety tend to engage in varying levels of family accommodation (FA) in order to alleviate anxiety symptoms. This can exacerbate anxiety symptoms and have adverse effects for psychological treatments. A small number of general and specific interventions have been developed for FA but treatment research is at a nascent stage. Acceptance and commitment therapy (ACT) may be an effective treatment for FA. This article reviews the potential advantages and uses of ACT and how ACT’s six core processes can help target particular features of FA. The theoretical support for ACT is reviewed relevant to FA. The article concludes by conjecturing how ACT may be a useful and adaptive treatment in targeting FA. Key learning aims (1) To understand how FA impacts on child anxiety. (2) To help provide an overview of how ACT may be a relevant treatment in addressing FA. (3) To look at how each of the six core processes may address specific components of FA.

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“…The word 'necessary' was deliberately chosen to facilitate treatment outcome assessment for clinicians delivering CBT, which aims to help clients learn that safety behaviours are unnecessary. Belief items are rated from 0 (very little) to 4 (very much) and were developed based on beliefs specified in exposure-based CBT manuals (Abramowitz et al, 2012;Craske et al, 2006;Schmidt et al, 2012;Whiteside et al, 2015), findings from a similar study assessing parental beliefs about accommodation of youth anxiety (Meyer et al, 2018), clinical experience, and discussions with expert anxiety researchers and clinicians. To form the 10-item SBS-Belief scale score, responses to these five items on both the preventive safety behaviour section and the restorative safety behaviour section of the SBS are averaged.…”

Section: Screening Measuresmentioning

confidence: 99%

“…However, there is rarely a distinction made between the belief that safety behaviours are necessary to reduce the likelihood of threat and the belief that safety behaviours are necessary to reduce the severity of threat, if it were to occur. Furthermore, it is possible that clients believe safety behaviours are necessary for reasons other than their perceived impact on anxiety tolerability and threat, such as their perceived impact on functioning (Meyer et al, 2018). Understanding the precise beliefs an individual has regarding the necessity of their safety behaviours would enable clinicians to tailor exposure tasks more precisely to modify the individual's specific maladaptive beliefs.…”

Section: Introductionmentioning

confidence: 99%

Beliefs about safety behaviours in the prediction of safety behaviour use

Meyer

Kirk

Arch

et al. 2019

Behav. Cogn. Psychother.

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Background: Safety behaviours are ubiquitous across anxiety disorders and are associated with the aetiology, maintenance and exacerbation of anxiety. Cognitive behavioural models posit that beliefs about safety behaviours directly influence their use. Therefore, beliefs about safety behaviours may be an important component in decreasing safety behaviour use. Unfortunately, little empirical research has evaluated this theorized relationship.Aims: The present study aimed to examine the predictive relationship between beliefs about safety behaviours and safety behaviour use while controlling for anxiety severity.Method: Adults with clinically elevated levels of social anxiety (n = 145) and anxiety sensitivity (n = 109) completed an online survey that included established measures of safety behaviour use, quality of life, and anxiety severity. Participants also completed the Safety Behaviour Scale (SBS), a measure created for the current study which includes a transdiagnostic checklist of safety behaviours, as well as questions related to safety behaviour use and beliefs about safety behaviours.Results: Within both the social anxiety and anxiety sensitivity groups, positive beliefs about safety behaviours predicted greater safety behaviour use, even when controlling for anxiety severity. Certain beliefs were particularly relevant in predicting safety behaviour use within each of the clinical analogue groups.Conclusions: Findings suggest that efforts to decrease safety behaviour use during anxiety treatment may benefit from identifying and modifying positive beliefs about safety behaviours.

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Predictive Relationship Between Parental Beliefs and Accommodation of Pediatric Anxiety

Cited by 22 publications

References 35 publications

Parent and child emotion and distress responses associated with parental accommodation of child anxiety symptoms

Parent and child emotion and distress responses associated with parental accommodation of child anxiety symptoms

The use of acceptance and commitment therapy (ACT) in addressing family accommodation (FA) for child anxiety

Beliefs about safety behaviours in the prediction of safety behaviour use

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