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    Targeting Parental Accommodation in the Treatment of Youth with Anxiety: A Comparison of Two Cognitive Behavioral Treatments

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    Genre
    Thesis/Dissertation
    Date
    2019
    Author
    Kagan, Elana Rachel
    Advisor
    Kendall, Philip C.
    Committee member
    Olino, Thomas
    Heimberg, Richard G.
    Gosch, Elizabeth A.
    Giovannetti, Tania
    McCloskey, Michael S.
    Department
    Psychology
    Subject
    Psychology, Clinical
    Anxiety
    Child
    Cognitive Behavioral Therapy
    Family Accommodation
    Youth
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/1560
    
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    DOI
    http://dx.doi.org/10.34944/dspace/1542
    Abstract
    Parental accommodation refers to the ways in which a parent modifies his/her behavior to avoid or reduce the distress their child experiences. Parental accommodation of youth anxiety is common, and reduction in accommodation is associated with reduced anxiety after treatment. The current study evaluated the efficacy of an adapted cognitive-behavioral therapy program (CBT) designed to address parental accommodation (Accommodation Reduction Intervention; ARI). Sixty children and adolescents (age 7-17) and their parents were evaluated for youth anxiety and parental accommodation before and after 16 weeks of treatment. Thirty youth received ARI and 30 received Coping Cat (CC). Both youth anxiety and parental accommodation were significantly reduced from pre to posttreatment in youth who received ARI as well as those who received CC. No significant difference was found between the two treatment conditions on any measure of anxiety or accommodation. Findings indicate that an adapted CBT that focuses on parent accommodation (ARI) produced favorable outcomes comparable to Coping Cat. Clinical implications and future directions are discussed.
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