Preliminary study of family accommodation in 4–7 year-olds with anxiety: frequency, clinical correlates, and treatment response

Zavrou, Sophia; Rudy, Brittany M.; Johnco, Carly; Storch, Eric A.; Lewin, Adam B.

doi:10.1080/09638237.2018.1466034

Cited by 16 publications

(18 citation statements)

References 34 publications

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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]. 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].…”

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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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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“…As FA specific‐interventions focus specifically on parent behaviour it is reasonable to conclude that this may be an important treatment target in other parent‐only child interventions, such as From Timid to Tiger . Recent research also suggests that FA can be targeted successfully through the use of parent‐led CBT interventions (Zavrou, Rudy, Johnco, Storch, & Lewin, 2019).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a parent‐led cognitive behaviour therapy programme in routine clinical practice: A controlled trial

Byrne

Connon

Martin

et al. 2021

British J Clinic Psychol

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Parent‐led cognitive behavioural therapy for child anxiety disorders have garnered a growing evidence base. However, it is unclear how such approaches translate into routine clinical practice. The current study aims to evaluate the effectiveness of an 8‐session treatment (From Timid to Tiger) in reducing child anxiety and behavioural difficulties, as well as family accommodation. The parents of 71 children (aged 4–11) were assigned to the treatment or a waitlist control. Parent report measures were completed pre‐treatment, at treatment‐end, and at 3‐month follow‐up. Parents assigned to the waitlist were assessed 8 weeks after the initial assessment. Findings indicated that parents who attended the group reported significant reductions in child anxiety and behavioural difficulties. In addition, the parents in the treatment group reported a reduction in family accommodation compared to those in the waitlist. The current control trial provides tentative evidence of the use and effectiveness of such parent‐led approaches in addressing child anxiety difficulties commonly seen in routine clinical practice. Practitioner points Parent‐led approaches are effective treatments in managing child anxiety difficulties. Very little research to date has assessed the effectiveness of such approaches in routine clinical practice. The From Timid to Tiger program is a brief parent‐led CBT intervention. The programme was effective in reducing child anxiety and behavioural difficulties. Parents also reported a reduction in behaviours related to family accommodation. Such programmes show promise and can be used in routine clinical practice.

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“…The provision of reassurance for children on the spectrum experiencing anxiety is frequently reported in both clinical (Storch et al, 2015) and non‐clinical samples (Adams & Emerson, 2020). Within TD samples, parents' efforts to reassure and avoid triggers to protect children or reduce their distress, can negatively reinforce the child's anxiety, consequently increasing their anxiety in the long term (Zavrou, Rudy, Johnco, Storch, & Lewin, 2019). Overprotective responses to behaviour, too much assistance, or the reinforcement of avoidance behaviour by teachers have also been suggested to increase rather than ameliorate worry (Allen & Lerman, 2017; Arbeau, Coplan, & Weeks, 2010).…”

Section: Discussionmentioning

confidence: 99%

Parent perspectives of what helps and hinders their child on the autism spectrum to manage their anxiety

Clark

Adams

2020

Clinical Psychologist

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Objectives Although anxiety is recognised as one of the most common co‐occurring conditions to affect school‐aged children with an autism spectrum disorder, little research has explored the strategies that children on the autism spectrum use to manage their own anxiety. Methods Seventy‐two parents of children on the spectrum aged 5 to 17 years identified things that supported their child to manage their anxiety (enablers) and things that hindered their child's management of anxiety (barriers) across the home, school, and community. Using content analysis, parents' open‐ended responses were coded into a series of subcategories for each setting. Results At home, “routine, modifications, and adaptations” was the most frequently reported enabler while “social, communication, and personal challenges” was the most frequently reported barrier to managing anxiety. “Supports and strategies (at school/in the community)” was the most commonly identified enabler that supported children to manage their anxiety in both the school and community environments. “Overstimulation, unpredictability, and demands (at school/in the community)” was the most commonly identified barrier hindering children's management of anxiety in both the school and community settings. Conclusions Given the wide range of barriers and enablers identified, working with children and families to identify the barriers and enablers for each child in managing their anxiety may be a useful process during therapy. Targeting interventions to align with the identified barriers and enablers may assist children on the autism spectrum to develop strategies for the management of their own anxiety across settings.

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Preliminary study of family accommodation in 4–7 year-olds with anxiety: frequency, clinical correlates, and treatment response

Abstract: Reductions in family accommodation were associated with greater improvements in child anxiety symptoms following treatment.

Cited by 16 publications

References 34 publications

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

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

Evaluation of a parent‐led cognitive behaviour therapy programme in routine clinical practice: A controlled trial

Parent perspectives of what helps and hinders their child on the autism spectrum to manage their anxiety

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