The Feasibility of a Parent Group Treatment for Youth with Anxiety Disorders and Obsessive Compulsive Disorder.
Authors: Dekel I, Dorman-Ilan S, Lang C, Bar-David E, Zilka H, Shilton T, Lebowitz ER, Gothelf D
Journal: Child psychiatry and human development
Anxiety
Children
Obsessive compulsive disorder (OCD)
Supportive parenting for anxious childhood emotions (SPACE)
Adolescent
Anxiety Disorders
Child
Cognitive Behavioral Therapy
Feasibility Studies
Humans
Obsessive-Compulsive Disorder
Parenting
Treatment Outcome
Abstract
Cognitive behavioral therapy (CBT) is an effective treatment for children and adolescents with anxiety disorders and obsessive-compulsive disorder (OCD). Yet CBT is insufficiently effective in approximately half of cases in clinical trials and in a substantial number of cases children refuse to participate in CBT sessions altogether. Parent training offers a promising alternative to direct child therapy. The present study examined the feasibility of a group implementation of SPACE (Supportive Parenting for Anxious Childhood Emotions), a novel parent training approach aimed at reducing parent's accommodation of children's anxiety symptoms. Based on parent reports (Nā=ā25), following treatment there was a significant decrease in parental accommodation, in family power struggles and in parental sense of helplessness, as well as a significant reduction in anxiety and OCD symptom severity. Results support the promise of group SPACE treatment and underscore the need for additional clinical trial research.