Preliminary Predictors of Within-Session Adherence to Exposure and Response Prevention in Pediatric Obsessive–Compulsive Disorder

Morgan, Jessica; Caporino, Nicole E.; Nadai, Alessandro S. De; Truax, Tatyana V.; Lewin, Adam B.; Jung, Leah; Park, Jennifer M.; Khan, Yasmeen Ali; Murphy, Tanya K.; Storch, Eric A.

doi:10.1007/s10566-013-9196-z

Cited by 19 publications

(11 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Symptom accommodation may operate as an underlying mechanism that serves to exacerbate functional impairment, making it an important phenomenon to target in treatment. Indeed, based on the OCD literature, symptom accommodation may contribute to treatment refractoriness in anxious individuals (Cherian et al, 2014;Morgan et al, 2013;Storch, Björgvinsson, et al, 2010). Given the mediating role, it would be important to diminish accommodating behaviors such as the provision of reassurance or avoidance of anxiety-provoking situations.…”

Section: Accommodationmentioning

confidence: 99%

“…These behaviors unfortunately operate contrary to the principles of cognitive behavioral therapy, which is designed to expose the individual to feared situations to replace maladaptive behaviors and cognitions with those that are more adaptive. Indeed, symptom accommodation has been linked to treatment refractoriness in individuals with OCD (Cherian, Pandian, Bada Math, Kandavel, & Janardhan Reddy, 2014;Lebowitz, Panza, Su, & Bloch, 2012;Lewin et al, 2014;Morgan et al, 2013;Storch, Björgvinsson, et al, 2010). In addition, accommodation has also been associated with various deleterious effects such as increased symptom severity (Gomes et al, 2014;Stewart et al, 2008;Storch et al, 2007), familial distress (Albert et al, 2010;Amir, Freshman, & Foa, 2000;Ferrao et al, 2006;Futh, Simonds, & Micali, 2012), functional impairment (Caporino et al, 2012;Storch et al, 2007;Storch, Larson, et al, 2010), and decreased family functioning (Calvocoressi et al, 1995;Maina, Saracco, & Albert, 2006;Peris et al, 2008;Steketee & Van Noppen, 2003).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Symptom Accommodation Related to Social Anxiety Symptoms in Adults: Phenomenology, Correlates, and Impairment

Joogoolsingh

Lewin

et al. 2015

J Cogn Psychother

Self Cite

View full text Add to dashboard Cite

Background and Objectives: Socially anxious individuals often engage in various safety and avoidant behaviors to temporarily decrease distress. Similarly, friends or family members may engage in accommodating behaviors, commonly manifesting through the facilitation of avoidance, completion of tasks, or schedule modifications. Studies examining symptom accommodation in adult social anxiety are lacking, so this study seeks to better understand symptom accommodation and its consequent impairment in socially anxious adults. Design and Methods: There were 380 undergraduate students who completed a battery of self-report questionnaires through an online system. Constructs assessed include social anxiety, symptom accommodation, and impairment as well as related variables such as general anxiety, fear of negative evaluation, alcohol use, and anxiety sensitivity. Results: Symptom accommodation was positively correlated with social anxiety symptoms, functional impairment, general anxiety, anxiety sensitivity, fear of negative evaluation, and alcohol use. Individuals with considerable social anxiety reported significantly higher levels of symptom accommodation than individuals who reported lower levels of social anxiety. Anxiety sensitivity predicted symptom accommodation beyond the contribution of social anxiety. Symptom accommodation mediated the relationship between social anxiety and impairment. Conclusions: These data help elucidate the presentation and impact of symptom accommodation related to social anxiety. Implications for assessment, treatment, and future directions are presented.

show abstract

Section: Accommodationmentioning

confidence: 99%

mentioning

confidence: 99%

Symptom Accommodation Related to Social Anxiety Symptoms in Adults: Phenomenology, Correlates, and Impairment

Joogoolsingh

Lewin

et al. 2015

J Cogn Psychother

Self Cite

View full text Add to dashboard Cite

show abstract

“…Indeed, small-to-moderate improvements in therapeutic outcomes reported in current RCTs may be more robust when within-session habituation and between-session fear learning are achieved throughout treatment. Research has begun to examine components of within-session [104] and between-session exposure treatments [105], with further research needed to expand upon the preliminary findings reported in two DCS trials [53,59]. Furthermore, as fear learning continues beyond the treatment session, it would prove informative to examine other factors such as homework compliance and its relation to improved therapeutic outcomes and expedited treatment gains [106].…”

Section: Discussionmentioning

confidence: 99%

Enhancing exposure therapy for anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder

McGuire¹,

Lewin²,

Storch³

2014

Expert Review of Neurotherapeutics

View full text Add to dashboard Cite

Translating findings from basic science, several compounds have been identified that may enhance therapeutic outcomes and/or expedite treatment gains when administered alongside exposure-based treatments. Four of these compounds (referred to as cognitive enhancers) have been evaluated in the context of randomized controlled trials for anxiety disorders (e.g., specific phobias, panic disorder, social anxiety disorder), obsessive compulsive disorder (OCD), and posttraumatic stress disorder (PTSD). These cognitive enhancers include D-cycloserine, yohimbine hydrochloride, glucocorticoids and cortisol, and brain derived neurotrophic factor. There is consistent evidence that cognitive enhancers can enhance therapeutic outcomes and/or expedite treatment gains across anxiety disorders, OCD, and PTSD. Emerging evidence has highlighted the importance of within-session fear habituation and between-session fear learning, which can either enhance fear extinction or reconsolidate of fear responses. Although findings from these trials are promising, there are several considerations that warrant further evaluation prior to wide-spread use of cognitive enhancers in exposure-based treatments. Consistent trial design and large sample sizes are important in future studies of cognitive enhancers.

show abstract

“…Storch et al (71) reported that family members often took over responsibilities of affected youth, while Peris et al (61) reported that conflict within families increased with the degree of FA. The ability of youth to tolerate exposures delivered as part of CBT may also be diminished by high levels of FA (72) and the outcome of such treatment may be adversely affected (69,71,73,74). For this reason, effective treatment often underscores the need to recognize and manage FA (51,67,(75)(76)(77).…”

Section: Role Of the Familymentioning

confidence: 99%

Developmental Considerations in Obsessive Compulsive Disorder: Comparing Pediatric and Adult-Onset Cases

2021

View full text Add to dashboard Cite

There appear to be two peaks of incidence of Obsessive Compulsive Disorder (OCD), one with a pre-adolescent onset and another in early adulthood. As new cases are added, the cumulative prevalence of OCD increases, but the great majority of cases have an onset in youth. The notion that early onset OCD represents a unique developmental subtype of the disorder has been considered by many researchers based on several specific age-related factors. Ascertainment and early intervention in affected youth is critical to abbreviate the functional impairments associated with untreated illness. In this paper we review the clinical, familial and translational biomarker correlates seen in early onset OCD that support the notion of a developmental subtype and discuss implications for research and treatment aimed at this cohort. The importance of cognitive, academic and social development tasks of childhood and adolescence, illness-specific and familial factors, and immune-mediated inflammatory factors are discussed, with their implications for management.

show abstract

Preliminary Predictors of Within-Session Adherence to Exposure and Response Prevention in Pediatric Obsessive–Compulsive Disorder

Cited by 19 publications

References 29 publications

Symptom Accommodation Related to Social Anxiety Symptoms in Adults: Phenomenology, Correlates, and Impairment

Symptom Accommodation Related to Social Anxiety Symptoms in Adults: Phenomenology, Correlates, and Impairment

Enhancing exposure therapy for anxiety disorders, obsessive-compulsive disorder and post-traumatic stress disorder

Developmental Considerations in Obsessive Compulsive Disorder: Comparing Pediatric and Adult-Onset Cases

Contact Info

Product

Resources

About