Child-Report of Family Accommodation in Pediatric Anxiety Disorders: Comparison and Integration with Mother-Report

Overview

Journal Child Psychiatry Hum Dev

Specialties Pediatrics
Psychiatry

Date 2014 Sep 12

PMID 25209390

Citations 29

Authors

Eli R Lebowitz

Lindsay Scharfstein

Johnna Jones

Affiliations

Soon will be listed here.

Abstract

Reducing family accommodation (FA) may be beneficial in cases of childhood anxiety disorders. Assessment of FA has so far relied on single-informant maternal report, which may be biased by factors including maternal anxiety. We compared child and mother reports of FA, and examined whether maternal anxiety moderates the association between mother and child report. Participants were fifty children with primary DSM-5 anxiety disorders, and their mothers. Mother-child agreement was good for overall FA and moderate for subdomains of FA. Mothers reported significantly more FA than children. Maternal anxiety moderated the association between mother and child report of FA, such that the correlation was stronger in more anxious mothers. Children agreed that FA helps them feel less anxious and did not agree that parents should accommodate less. FA is an important clinical characteristic of childhood anxiety disorders and assessment can be enhanced through child report and consideration of maternal anxiety.

Citing Articles

Clinical Considerations for an Evidence-Based Assessment of Anxiety Disorders in Children and Adolescents.

Miller M, Steuber E, McGuire J Psychiatr Clin North Am. 2024; 47(4):641-672.

PMID: 39505446 PMC: 11541044. DOI: 10.1016/j.psc.2024.04.010.

Clinical Considerations for an Evidence-Based Assessment of Anxiety Disorders in Adults.

Steuber E, Miller M, McGuire J Psychiatr Clin North Am. 2024; 47(4):623-639.

PMID: 39505445 PMC: 11541043. DOI: 10.1016/j.psc.2024.04.009.

Family Accommodation in Anxious Irritable and Anxious Nonirritable Youth.

Budagzad-Jacobson R, Musicaro R, Marin C, Silverman W, Lebowitz E Behav Ther. 2024; 55(5):913-921.

PMID: 39174269 PMC: 11341947. DOI: 10.1016/j.beth.2024.03.003.

Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment.

Weeks G, Sakmar E, Clark T, Rose A, Silverman W, Lebowitz E Res Sq. 2023; .

PMID: 38045422 PMC: 10690319. DOI: 10.21203/rs.3.rs-3621755/v1.

Latin American Trans-ancestry INitiative for OCD genomics (LATINO): Study protocol.

Crowley J, Cappi C, Ochoa-Panaifo M, Frederick R, Kook M, Wiese A Am J Med Genet B Neuropsychiatr Genet. 2023; 195(4):e32962.

PMID: 37946624 PMC: 11076176. DOI: 10.1002/ajmg.b.32962.

References

Najman J, Williams G, Nikles J, Spence S, Bor W, OCallaghan M . Bias influencing maternal reports of child behaviour and emotional state. Soc Psychiatry Psychiatr Epidemiol. 2001; 36(4):186-94. DOI: 10.1007/s001270170062. View

Silverman W, Kurtines W, Jaccard J, Pina A . Directionality of change in youth anxiety treatment involving parents: an initial examination. J Consult Clin Psychol. 2009; 77(3):474-85. PMC: 2778202. DOI: 10.1037/a0015761. View

Watt M, Stewart S, Cox B . A retrospective study of the learning history origins of anxiety sensitivity. Behav Res Ther. 1998; 36(5):505-25. DOI: 10.1016/s0005-7967(97)10029-8. View

Lebowitz E, Omer H, Leckman J . Coercive and disruptive behaviors in pediatric obsessive-compulsive disorder. Depress Anxiety. 2011; 28(10):899-905. PMC: 4006629. DOI: 10.1002/da.20858. View

Beidel D, Turner S . At risk for anxiety: I. Psychopathology in the offspring of anxious parents. J Am Acad Child Adolesc Psychiatry. 1997; 36(7):918-24. DOI: 10.1097/00004583-199707000-00013. View

Ginsburg G, Becker E, Keeton C, Sakolsky D, Piacentini J, Albano A . Naturalistic follow-up of youths treated for pediatric anxiety disorders. JAMA Psychiatry. 2014; 71(3):310-8. PMC: 3969570. DOI: 10.1001/jamapsychiatry.2013.4186. View

Storch E, Jones A, Lack C, Ale C, Sulkowski M, Lewin A . Rage attacks in pediatric obsessive-compulsive disorder: phenomenology and clinical correlates. J Am Acad Child Adolesc Psychiatry. 2012; 51(6):582-92. DOI: 10.1016/j.jaac.2012.02.016. View

Garcia A, Sapyta J, Moore P, Freeman J, Franklin M, March J . Predictors and moderators of treatment outcome in the Pediatric Obsessive Compulsive Treatment Study (POTS I). J Am Acad Child Adolesc Psychiatry. 2010; 49(10):1024-33. PMC: 2943932. DOI: 10.1016/j.jaac.2010.06.013. View

Dibartolo P, Albano A, Barlow D, Heimberg R . Cross-informant agreement in the assessment of social phobia in youth. J Abnorm Child Psychol. 1998; 26(3):213-20. DOI: 10.1023/a:1022624318795. View

10.

Albert U, Bogetto F, Maina G, Saracco P, Brunatto C, Mataix-Cols D . Family accommodation in obsessive-compulsive disorder: Relation to symptom dimensions, clinical and family characteristics. Psychiatry Res. 2010; 179(2):204-11. DOI: 10.1016/j.psychres.2009.06.008. View

11.

Schwarz J, Pruzinsky T . Assessing child-rearing behaviors: a comparison of ratings made by mother, father, child, and sibling on the CRPBI. Child Dev. 1985; 56(2):462-79. View

12.

Comer J, Kendall P . A symptom-level examination of parent-child agreement in the diagnosis of anxious youths. J Am Acad Child Adolesc Psychiatry. 2004; 43(7):878-86. DOI: 10.1097/01.chi.0000125092.35109.c5. View

13.

Calvocoressi L, Mazure C, Kasl S, Skolnick J, Fisk D, Vegso S . Family accommodation of obsessive-compulsive symptoms: instrument development and assessment of family behavior. J Nerv Ment Dis. 1999; 187(10):636-42. DOI: 10.1097/00005053-199910000-00008. View

14.

Ehlers A . Somatic symptoms and panic attacks: a retrospective study of learning experiences. Behav Res Ther. 1993; 31(3):269-78. DOI: 10.1016/0005-7967(93)90025-p. View

15.

Last C, Francis G, Hersen M, Kazdin A, Strauss C . Separation anxiety and school phobia: a comparison using DSM-III criteria. Am J Psychiatry. 1987; 144(5):653-7. DOI: 10.1176/ajp.144.5.653. View

16.

Weissman M, Leckman J, Merikangas K, Gammon G, Prusoff B . Depression and anxiety disorders in parents and children. Results from the Yale family study. Arch Gen Psychiatry. 1984; 41(9):845-52. DOI: 10.1001/archpsyc.1984.01790200027004. View

17.

Freeman J, Garcia A, Fucci C, Karitani M, Miller L, Leonard H . Family-based treatment of early-onset obsessive-compulsive disorder. J Child Adolesc Psychopharmacol. 2003; 13 Suppl 1:S71-80. DOI: 10.1089/104454603322126368. View

18.

Lebowitz E, Scharfstein L, Jones J . Comparing family accommodation in pediatric obsessive-compulsive disorder, anxiety disorders, and nonanxious children. Depress Anxiety. 2014; 31(12):1018-25. DOI: 10.1002/da.22251. View

19.

Dadds M, Barrett P, Rapee R, Ryan S . Family process and child anxiety and aggression: an observational analysis. J Abnorm Child Psychol. 1996; 24(6):715-34. DOI: 10.1007/BF01664736. View

20.

Silverman W, Saavedra L, Pina A . Test-retest reliability of anxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry. 2001; 40(8):937-44. DOI: 10.1097/00004583-200108000-00016. View