The Feasibility of a Parent Group Treatment for Youth with Anxiety Disorders and Obsessive Compulsive Disorder
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ORIGINAL ARTICLE
The Feasibility of a Parent Group Treatment for Youth with Anxiety Disorders and Obsessive Compulsive Disorder Idit Dekel1,2 · Shirel Dorman‑Ilan1 · Claudia Lang1 · Eva Bar‑David3 · Hadas Zilka1,3 · Tal Shilton1,2 · Eli R. Lebowitz4 · Doron Gothelf1,2,5 Accepted: 9 October 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
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 · Obsessive compulsive disorder (OCD) · Children · Supportive parenting for anxious childhood emotions (SPACE)
Introduction Anxiety disorders are highly prevalent among children and adolescents [1]. Cognitive behavioral therapy (CBT) is considered an effective treatment for children and adolescents with anxiety disorders or obsessive compulsive disorder (OCD) [2]. Though a widely used treatment, up to 50% of Idit Dekel and Shirel Dorman-Ilan have contributed as first authors. * Idit Dekel [email protected] 1
The Child Psychiatry Division, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
2
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
3
The Psychology Department, Tel Aviv University, Tel Aviv, Israel
4
Yale Child Study Center, New Haven, USA
5
Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
children treated with CBT do not attain remission [2]. One possible explanation for these findings is the need for active collaboration between the therapist and the child required in CBT. Some children are too anxious or otherwise unwilling to cooperate with CBT. Furthermore, the efficacy of CBT for younger children remains uncertain, since a degree of cognitive maturity is required [3]. Parent training offers a promising alternative to CBT. Previous studies investigating the efficacy of parent-only interventions for child and adolescent anxiety disorders have shown promising results [4, 5]. However, taking into account the typically long waiting lists and the limited resources available for mental health treatment [6], recent studies
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