Randomized trial comparing standard versus light intensity parent training for anxious youth.
Behav Res Ther
; 173: 104451, 2024 Feb.
Article
en En
| MEDLINE
| ID: mdl-38154287
ABSTRACT
OBJECTIVE:
To examine the efficacy of the parent-led intervention Supportive Parenting for Anxious Childhood Emotions (SPACE) relative to a low-dose version of the protocol among children and adolescents with clinically significant anxiety and/or obsessive-compulsive disorder (OCD).METHOD:
68 youth (7-17) with anxiety/OCD and their parents were randomized to receive 12 weekly telehealth SPACE sessions (SPACE-Standard) or bibliotherapy plus 4 telehealth sessions over 12 weeks (SPACE-light). After screening, assessments were conducted via videoconferencing at baseline, post-treatment, and one-month follow-up. Independent evaluators were blind to treatment condition.RESULTS:
Treatment condition did not predict whether a participant responded to the intervention (SPACE-Standard = 70%; SPACE-Light = 68%), nor was treatment condition a predictor of anxiety severity, parent-reported anxiety, or parent-/child-reported functional impairment at post-treatment or one-month follow-up. Youth in SPACE-Light self-reported higher post-treatment anxiety than youth in SPACE-standard, though this was no longer significant at one-month follow-up. Parent-reported family accommodation total change scores were associated with anxiety severity at post-treatment across both arms.CONCLUSION:
This is the second randomized controlled trial (RCT) evaluating SPACE and provides further support for the efficacy of this intervention both in standard and low-dose formats. This study provides support for parent-led anxiety treatment targeting family accommodation as a primary mechanism of change and extends evidence of efficacy to a more clinically diverse sample. TRIAL REGISTRATION ClinicalTrials.gov Registry NCT04922502.https//classic. CLINICALTRIALS gov/ct2/show/NCT04922502.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Terapia Cognitivo-Conductual
/
Trastorno Obsesivo Compulsivo
Idioma:
En
Revista:
Behav Res Ther
Año:
2024
Tipo del documento:
Article