scholarly journals Parental Predictors of School Attendance Difficulties in Children Referred to an Anxiety Disorders Clinic

2019 ◽  
Vol 12 (1) ◽  
pp. 31 ◽  
Author(s):  
Carla E. Marin ◽  
Tess Anderson ◽  
Eli R. Lebowitz ◽  
Wendy K. Silverman
Keyword(s):  
Anxiety Disorders ◽  
Psychological Control ◽  
School Attendance ◽  
Parental Depression ◽  
Childhood Anxiety ◽  
Parental Anxiety ◽  
Parental Factors ◽  
Family Accommodation ◽  
Parental Psychological Control ◽  
Childhood Anxiety Disorders

Difficulties with attending school are common in children referred to anxiety disorders clinics. Although parental factors have been posited as playing an important predictive role, little is known about which parental factors are associated with school attendance difficulties (SADs). We address this gap by examining family accommodation, parental psychological control, parental anxiety, and parental depression as possible predictors of SADs in children (N=343; ages 6 to 17 years, M=10.40 years, SD=2.93; 84% mothers; M=41.20 years, SD=5.49) who presented to a childhood anxiety disorders clinic. Forty-eight percent (n= 166) had SADs including not attending school, arriving to school late and/or leaving early, not staying in the classroom during school hours, or behavior problems associated with attending school (e.g. morning tantrums). Logistic regression analyses using child and parent ratings revealed that of the parental variables examined, family accommodation and parental depression were significant predictors of SADs after controlling for the effects of parental psychological control, parental anxiety, child age, child anxiety and child depression. The study’s findings suggest that high levels of family accommodation and high levels of parental depression increase the odds of SADs in anxious children.

Parenting and Parental Anxiety and Depression as Predictors of Treatment Outcome for Childhood Anxiety Disorders: Has the Role of Fathers Been Underestimated?

2008 ◽  
Vol 37 (4) ◽  
pp. 747-758 ◽  
Author(s):  
Juliette M. Liber ◽  
Brigit M. van Widenfelt ◽  
Arnold W. Goedhart ◽  
Elisabeth M. W. J. Utens ◽  
Adelinde J. M. van der Leeden ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Anxiety Disorders ◽  
Childhood Anxiety ◽  
Anxiety And Depression ◽  
Parental Anxiety ◽  
Childhood Anxiety Disorders

scholarly journals Group- Versus Parent-Involvement CBT for Childhood Anxiety Disorders: Treatment Specificity and Long-Term Recovery Mediation

2019 ◽  
Vol 7 (4) ◽  
pp. 840-855 ◽  
Author(s):  
Wendy K. Silverman ◽  
Carla E. Marin ◽  
Yasmin Rey ◽  
William M. Kurtines ◽  
James Jaccard ◽  
...  
Keyword(s):  
Parent Involvement ◽  
Anxiety Disorders ◽  
Psychological Control ◽  
Group Versus ◽  
Childhood Anxiety ◽  
Anxiety Reduction ◽  
Parental Psychological Control ◽  
Youth Anxiety

Treatment specificity and long-term recovery mediation of peer-involvement group cognitive behavioral therapy (GCBT) and parent-involvement CBT (PCBT) were investigated for youth anxiety disorders. Two hundred forty youths with primary anxiety diagnoses participated in a randomized controlled efficacy trial. Youth anxiety and peer variables/mediators (positive peer–youth relationships; social skills) and parent variables/mediators (psychological control; negative parent–youth relationships) were assessed. At posttreatment and 12-month follow-up, positive peer-youth relationships were significantly higher in GCBT than PCBT (specificity) according to youth and parent ratings. At posttreatment but not follow-up, parental psychological control was significantly lower in PCBT than GCBT (specificity) and findings varied by informants. Parental psychological control and positive peer–youth relationships were putative mediators. The two CBTs produced similar anxiety reductions through different mechanisms. CBT targets show specificity and mediation, providing insight into specific mechanisms through which GCBT and PCBT bring about anxiety reduction and guidance for streamlining these CBTs in practice.

Why Parents Accommodate

2019 ◽  
pp. 21-26
Author(s):  
Eli R. Lebowitz
Keyword(s):  
Anxiety Disorders ◽  
Family Functioning ◽  
Social Status ◽  
Childhood Anxiety ◽  
Effective Intervention ◽  
Short Term ◽  
Family Accommodation ◽  
Childhood Anxiety Disorders ◽  
Empathic Understanding ◽  
Child Distress

This chapter reviews common reasons and motives that maintain the high levels of family accommodation commonly reported by parents of anxious children. Among these reasons are to reduce child distress, the belief that anxiety is harmful to children, the need to promote short-term child or family functioning, to protect a child’s social status, the parent’s own anxiety, and aggressive behaviors of anxious children that promote family accommodation. This chapter discusses each of these reasons, beliefs, and motivational factors and addresses the challenges they present to clinicians working to reduce family accommodation in the treatment of childhood anxiety disorders. An empathic understanding of the factors contributing to family accommodation is critical to effective intervention by the therapist.

Childhood Anxiety Disorders

2012 ◽  
Author(s):  
Kelly O’Neil ◽  
Douglas Brodman ◽  
Jeremy Cohen ◽  
Julie Edmunds ◽  
Philip Kendall
Keyword(s):  
Anxiety Disorders ◽  
Childhood Anxiety ◽  
Childhood Anxiety Disorders

scholarly journals Highlights of this issue

2013 ◽  
Vol 203 (6) ◽  
pp. A22-A22
Author(s):  
Kimberlie Dean
Keyword(s):  
Eating Disorders ◽  
Randomised Controlled Trial ◽  
Anxiety Disorders ◽  
Early Life ◽  
Controlled Trial ◽  
Childhood Anxiety ◽  
Childhood Anxiety Disorders ◽  
Low Intensity ◽  
Randomised Controlled ◽  
Diagnostic Outcomes

Interventions throughout early life - antenatally, in childhood and in adolescenceTwo papers in the Journal this month describe trials of interventions targeting young people – one focused on treating anxiety disorders in childhood and another on preventing eating disorders in adolescence. While CBT for childhood anxiety disorders is known to be effective, its availability is limited. Thirlwall et al (pp. 436–444) conducted a randomised controlled trial of low-intensity guided parent-delivered CBT in a sample of children with anxiety disorders referred by primary or secondary care to a specialist clinic. Compared with waiting-list controls, the children receiving the full intervention demonstrated superior diagnostic outcomes, whereas those receiving a brief version of the intervention showed no improvements. In a linked editorial, Cartwright-Hatton (pp. 401–402) highlights the prevalence of childhood anxiety disorders, the implications of failing to treat them and the evidence supporting their treatability. She also points to the implications of findings from Thirlwall et al indicating that therapists need not be highly trained or experienced to achieve significant results.

scholarly journals Alterations in HPA-axis and autonomic nervous system functioning in childhood anxiety disorders point to a chronic stress hypothesis

2015 ◽  
Vol 51 ◽  
pp. 135-150 ◽  
Author(s):  
Gwendolyn C. Dieleman ◽  
Anja C. Huizink ◽  
Joke H.M. Tulen ◽  
Elisabeth M.W.J. Utens ◽  
Hanneke E. Creemers ◽  
...  
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Anxiety Disorders ◽  
Chronic Stress ◽  
Hpa Axis ◽  
Childhood Anxiety ◽  
Childhood Anxiety Disorders ◽  
Autonomic Nervous ◽  
System Functioning
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