ACCOMMODATION AND TREATMENT OF ANXIOUS YOUTH: Kagan et al.
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BACKGROUND: Parental accommodation refers to the ways in which a parent modifies their behavior to avoid or reduce the distress their child experiences. Parents of youth with anxiety disorders have been found to accommodate their child's anxiety in a variety of ways that contribute to the maintenance of the disorder. The current study evaluated the relationship between parental accommodation and the outcome of treatment for youth with anxiety. METHODS: Sixty-two youth (age 6-17) and their parents were evaluated for youth anxiety and parental accommodation before and after treatment. All youth received individual cognitive behavioral therapy (CBT). RESULTS: Parental accommodation was significantly reduced from before to after treatment. Reduction in parent-rated accommodation was significantly associated with the severity of youth's posttreatment anxiety, even when controlling for pretreatment youth anxiety. Level of pretreatment accommodation was significantly associated with treatment response. CONCLUSIONS: Findings indicate that parental accommodation is significantly reduced after individual youth CBT, and suggest that accommodation may be an important treatment focus. Clinical implications and future directions are discussed.
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Baseline parental accommodation was significantly associated with post-treatment anxiety following 16 weeks of CBT; marginally significant associations with responder status were also reported.
“One study found that baseline levels of parental accommodation were significantly associated with post-treatment anxiety following 16 weeks of CBT; marginally significant associations with responder status also were reported [74].”
From Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety. (2020) · cites this paper as [74]
The Relation Between Accommodation and Anxiety section reports a significant association between pretreatment accommodation and posttreatment anxiety ratings, plus a marginally significant association with responder status (P = .057). However, the Procedure section says only 65% completed 16 weeks of treatment; the others received 10–15 sessions, so the 16-week description does not apply to the full sample. (LLM, conf=0.90)
Experimental — accuracy not yet measuredAccommodation was originally examined in OCD, but researchers have increasingly recognized its importance in SAD and youth anxiety disorders more broadly.
“although originally examined in the context of obsessive compulsive disorder (OCD) [70, 71], researchers have increasingly recognized the importance of accommodation in the maintenance of separation anxiety disorder (SAD) [64, 72, 73] and youth anxiety disorders more broadly [63, 74]”
From Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety. (2020) · cites this paper as [74]
Accommodation has been found to decrease following CBT treatment for anxiety, even when not specifically targeted in treatment.
“Overall, accommodation has been found to decrease following CBT treatment for anxiety, even when not specifically targeted in treatment [61, 74, 84–86].”
From Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety. (2020) · cites this paper as [74]
Research in samples of anxious youth has found that family symptom accommodation improves following CBT without targeting symptom accommodation.
“research in samples of anxious youth has found that family SA improves following CBT without targeting SA (Kagan et al ., 2016; Wahlund et al ., 2020).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Kagan et al., 2016
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“Consistently, research in samples of anxious youth has found that family SA improves following CBT without targeting SA (Kagan et al ., 2016; Wahlund et al ., 2020).”
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- Authors
- Kagan, E. R., Peterman, J. S., Carper, M. M., & Kendall, P. C.
- Affiliations
- Temple University (US)
- Corresponding author
- Kagan, Elana R.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2016-05-23
- Volume
- 33
- Issue
- 9
- Pages
- 840-847
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2405567949
- Semantic Scholar
- 9164cb4ca159df45ba89052018a74a50041a656d
- Cited by
- 87
- References
- 37
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 7 · 2023: 6 · 2022: 11 · 2021: 13 · 2020: 16 · 2019: 8 · 2018: 4 · 2017: 5 · 2016: 1
- FWCI
- 8.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- parental accommodation, youth anxiety, anxiety disorders, cognitive behavioral therapy, treatment response, anxiety maintenance, parent-child interaction
- MeSH terms
- Adolescent, Anxiety Disorders, Child, Female, Humans, Male, Parents, Personality Assessment, Statistics as Topic, Cognitive Behavioral Therapy, Parenting, Treatment Outcome, Checklist
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