Phenomenology and clinical correlates of family accommodation in pediatric anxiety disorders
Autor: | Adam B. Lewin, Erika A. Crawford, Nicole M. McBride, Alison Salloum, Morgan A. King, Eric A. Storch, Brittney F. Dane, Carly Johnco |
---|---|
Rok vydání: | 2015 |
Předmět: |
Male
Parents Obsessive-Compulsive Disorder medicine.medical_specialty Functional impairment Adolescent Longitudinal data Psychological intervention Pediatric anxiety Anxiety Separation Surveys and Questionnaires Adaptation Psychological medicine Humans Child Psychiatry Clinical interview High prevalence business.industry Anxiety Disorders Psychiatry and Mental health Clinical Psychology Anxiety Female Family Relations medicine.symptom Psychology business Accommodation Clinical psychology |
Zdroj: | Journal of Anxiety Disorders. 35:75-81 |
ISSN: | 0887-6185 |
Popis: | Despite evidence documenting high prevalence of family accommodation in pediatric obsessive-compulsive disorder, examination in other pediatric anxiety disorders is limited. Preliminary evidence suggests that family accommodation is common amongst children with anxiety disorders; however, the impact on clinical presentation and functional impairment has not been addressed. This study assessed the nature and clinical correlates of family accommodation in pediatric anxiety, as well as validating a mechanistic model. Participants included 112 anxious youth and their parents who were administered a diagnostic clinical interview and measure of anxiety severity, as well as questionnaires assessing internalizing and externalizing symptoms, family accommodation and functional impairment. Some form of accommodation was present in all families. Family accommodation was associated with increased anxiety severity and externalizing behaviors, having a diagnosis of separation anxiety, and increased functional impairment. Family accommodation partially mediated the relationship between anxiety severity and functional impairment, as well as externalizing behaviors and functional impairment. Family accommodation is common in pediatric anxiety disorders, and is associated with more severe clinical presentations and functional impairment. These findings highlight the importance of parental involvement in treatment and the need to specifically target accommodation practices during interventions to mitigate negative outcomes in anxious youth. Further studies utilizing longitudinal data are needed to validate mechanistic models. |
Databáze: | OpenAIRE |
Externí odkaz: |