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Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment
Family accommodation is associated with an increase in anxiety and has recently received attention as a target for intervention for youth anxiety. Existing theories posit that the increase in family accommodation increases youth anxiety and can attenuate the effect of psychotherapy. However, the dir...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140011/ https://www.ncbi.nlm.nih.gov/pubmed/34997892 http://dx.doi.org/10.1007/s10578-021-01304-5 |
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author | Bertelsen, Thomas B. Himle, Joeseph A. Håland, Åshild Tellefsen |
author_facet | Bertelsen, Thomas B. Himle, Joeseph A. Håland, Åshild Tellefsen |
author_sort | Bertelsen, Thomas B. |
collection | PubMed |
description | Family accommodation is associated with an increase in anxiety and has recently received attention as a target for intervention for youth anxiety. Existing theories posit that the increase in family accommodation increases youth anxiety and can attenuate the effect of psychotherapy. However, the directionality between family accommodation and youth anxiety has not been investigated. A cross-lagged cross-panel design was used to assess accommodation and anxiety for 10 sessions for 73 youths with an anxiety disorder, who were receiving cognitive-behavioral therapy. The analysis revealed a bidirectional relationship, such that to some extent previous session family accommodation increased youth anxiety symptoms (β = 0.11, 95% CI [0.06, 0.17]), but to an even greater extent previous session youth-rated anxiety symptoms increased family accommodation (β = 0.23, 95% CI [0.08, 0.38]). Family accommodation is an important target for reducing youth anxiety but should be addressed simultaneously as interventions directly targeting youth anxiety. |
format | Online Article Text |
id | pubmed-10140011 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-101400112023-04-29 Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment Bertelsen, Thomas B. Himle, Joeseph A. Håland, Åshild Tellefsen Child Psychiatry Hum Dev Original Article Family accommodation is associated with an increase in anxiety and has recently received attention as a target for intervention for youth anxiety. Existing theories posit that the increase in family accommodation increases youth anxiety and can attenuate the effect of psychotherapy. However, the directionality between family accommodation and youth anxiety has not been investigated. A cross-lagged cross-panel design was used to assess accommodation and anxiety for 10 sessions for 73 youths with an anxiety disorder, who were receiving cognitive-behavioral therapy. The analysis revealed a bidirectional relationship, such that to some extent previous session family accommodation increased youth anxiety symptoms (β = 0.11, 95% CI [0.06, 0.17]), but to an even greater extent previous session youth-rated anxiety symptoms increased family accommodation (β = 0.23, 95% CI [0.08, 0.38]). Family accommodation is an important target for reducing youth anxiety but should be addressed simultaneously as interventions directly targeting youth anxiety. Springer US 2022-01-08 2023 /pmc/articles/PMC10140011/ /pubmed/34997892 http://dx.doi.org/10.1007/s10578-021-01304-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Bertelsen, Thomas B. Himle, Joeseph A. Håland, Åshild Tellefsen Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment |
title | Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment |
title_full | Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment |
title_fullStr | Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment |
title_full_unstemmed | Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment |
title_short | Bidirectional Relationship Between Family Accommodation and Youth Anxiety During Cognitive-Behavioral Treatment |
title_sort | bidirectional relationship between family accommodation and youth anxiety during cognitive-behavioral treatment |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140011/ https://www.ncbi.nlm.nih.gov/pubmed/34997892 http://dx.doi.org/10.1007/s10578-021-01304-5 |
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