The Feasibility of a Parent Group Treatment for Youth with Anxiety Disorders and Obsessive Compulsive Disorder

Child Psychiatry Hum Dev. 2021 Dec;52(6):1044-1049. doi: 10.1007/s10578-020-01082-6. Epub 2020 Oct 17.

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 (N = 25), 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.

Keywords: Anxiety; Children; Obsessive compulsive disorder (OCD); Supportive parenting for anxious childhood emotions (SPACE).

MeSH terms

  • Adolescent
  • Anxiety Disorders / therapy
  • Child
  • Cognitive Behavioral Therapy*
  • Feasibility Studies
  • Humans
  • Obsessive-Compulsive Disorder* / therapy
  • Parenting
  • Treatment Outcome