Family Accommodation as a Predictor of Cognitive-Behavioral Treatment Outcome for Childhood Anxiety

Author:

Salloum Alison1,Andel Ross2,Lewin Adam B.3,Johnco Carly4,McBride Nicole M.5,Storch Eric A.6

Affiliation:

1. PhD, LCSW, associate professor, School of Social Work, Department of Pediatrics, University of South Florida

2. PhD, professor, School of Aging Studies, University of South Florida

3. PhD, ABPP, associate professor, Department of Pediatrics, Department of Psychiatry & Behavioral Neurosciences, Department of Psychology, University of South Florida

4. PhD, postdoctoral research fellow, Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney NSW, Australia

5. MPH, clincial research program manager, Division of Child and Adolescent Psychiatry, University of Arkansas for Medical Sciences

6. PhD, professor & McIngvale Presidential Endowed Chair, Vice Chair of Psychology, Menninger Department of Psychiatry & Behavioral Sciences, Baylor College of Medicine

Abstract

The current study examined the association of family accommodation (i.e., assisting the child to avoid experiencing anxiety and/or removing demands secondary to anxiety) and treatment remission and response among 72 youth (ages 7 to 13 years) who participated in a randomized clinical trial of a computer-assisted cognitive-behavioral therapy for pediatric anxiety. Measures of family accommodation, anxiety, treatment improvement, and functional impairment were administered. Results suggest that every one unit increase in the level of impact of accommodation on child functioning at baseline was associated with a 26% decrease in the odds of remission at the end of treatment. None of the accommodation subscales predicted treatment response. Findings support the practitioner assessing family accommodation at baseline and further research on family accommodation and treatment outcomes.

Publisher

SAGE Publications

Subject

Social Sciences (miscellaneous)

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