Cited by 35Child and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychology and Mental Health

Parent and child emotion and distress responses associated with parental accommodation of child anxiety symptoms

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O'Connor, Erin E., Holly, Lindsay E., Chevalier, Lydia L., Pincus, Donna B., Langer, David A.·2020·Journal of Clinical Psychology

Abstract

Objective: Parental accommodation contributes to the maintenance of child anxiety and related symptoms. The current study examines the contributions of parent and child factors to parental accommodation in a sample of anxious youth. Methods: Sixty‐four treatment‐seeking youth (6–16 years) and their mothers, as well as a subset of fathers (N = 41) reported on parental accommodation, parental distress and emotion regulation, child psychopathology, child externalizing behaviors, and child intolerance of uncertainty. Results: Parental accommodation was not related to parental distress or emotion regulation. Parents who viewed their child as being more symptomatic (e.g., anxious, externalizing, and intolerant of uncertainty) were more likely to engage in accommodation. For mothers, child anxiety and externalizing symptoms were notable predictors of accommodation. Conclusions: Parent perceptions of child symptomology is an important factor significantly related to accommodation behaviors. This finding can be used to inform programming designed to target parental responses to child anxiety and related disorders.

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  • A reciprocal relationship exists between parenting and children's SPs such that parental perceptions of heightened distress symptoms in their child are associated with more accommodating parenting, which relates to greater child avoidance behaviours.

    “A reciprocal relationship exists between parenting and children ' s SPs such that parental perceptions of heightened distress symptoms in their child are associated with more accommodating parenting, which relates to greater child avoidance behaviours (O ' connor et al., 2020).”

    From Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms. (2025) · cites this paper as O'connor et al., 2020

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  • Other studies have not found a meaningful relationship between parental distress and accommodation.

    “Other studies, however, have not found a meaningful relationship between parental distress and accommodation [81, 82].”

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  1. Silverman WK (1996). Anxiety Disorders Interview Schedule for DSM-IV.: Parent interview schedule. Oxford University Press.

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Authors
O'Connor, E. E., Holly, L. E., Chevalier, L. L., Pincus, D. B., & Langer, D. A.
Affiliations
  • Department of Psychological and Brain Sciences Boston University Boston Massachusetts
  • Boston University (US)
Venue
Journal of Clinical Psychology
Publisher
Wiley
Published
2020-02-15
Volume
76
Issue
7
Pages
1390-1407
ISSN
  • 0021-9762 (ISSN-L)
  • 1097-4679
OpenAlex
W3005931147
Cited by
35
References
66
Citations by year
2026: 4 · 2025: 6 · 2024: 8 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 2
FWCI
1.70
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • e-Publications@Marquette (Marquette University) (submittedVersion)
Funders
National Institute of Mental Health (MH101238)
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 › Psychology and Mental Health
Keywords
parental accommodation, childhood anxiety, parental distress, emotion regulation, intolerance of uncertainty, externalizing problems, parent-child perceptions, mothers, fathers, child psychopathology
MeSH terms
Psychological Distress, Adolescent, Adult, Anxiety, Child, Child Behavior, Female, Humans, Male, Parent-Child Relations, Parenting

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