Children’s and Parents’ Ability to Tolerate Child Distress: Impact on Cognitive Behavioral Therapy for Pediatric Obsessive Compulsive Disorder
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The present study explored the concept of tolerance for child distress in 46 children (ages 5-8), along with their mothers and fathers, who received family-based CBT for OCD. The study sought to describe baseline tolerance, changes in tolerance with treatment, and the predictive impact of tolerance on symptom improvement. Tolerance was rated by clinicians on a single item and the CY-BOCS was used to measure OCD severity. Descriptive results suggested that all participants had some difficulty tolerating the child's distress at baseline while paired t tests indicated large improvements were made over treatment (d = 1.2-2.0). Fathers' initial tolerance was significantly related to symptom improvement in a multivariate regression as were fathers' and children's changes in distress tolerance over the course of treatment. Overall, results provide support for examining tolerance of child distress including its predictive impact and potential as a supplemental intervention target.
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Both mothers and fathers of young children with OCD demonstrate difficulty tolerating emotional distress, and fathers' level of distress tolerance and changes in fathers' and children's distress tolerance predict improvement in OCD symptoms in family-based CBT for pediatric OCD.
“Both mothers and fathers of young children with OCD also demonstrate difficulty tolerating emotional distress, and fathers’ level of distress tolerance and changes in fathers’ and children’s distress tolerance predicted improvement in OCD symptoms in family-based CBT for pediatric OCD [18].”
From A Qualitative Study of Participant Feedback on an Acceptance and Commitment Therapy Group-Based Intervention for Parents of Youth with Anxiety Disorders. (2026) · cites this paper as [18]
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- Authors
- Selles, R. R., Franklin, M., Sapyta, J., Compton, S. N., Tommet, D., Jones, R. N., Garcia, A., & Freeman, J.
- Affiliations
- University of British Columbia (CA)
- University of Pennsylvania (US)
- Duke Medical Center (US)
- Brown University (US)
- Corresponding author
- Selles, Robert R.
- ORCID
- Venue
- Child Psychiatry & Human Development
- Published
- 2017-07-29
- Volume
- 49
- Issue
- 2
- Pages
- 308-316
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- PMC
- PMC6007877
- OpenAlex
- W2740062398
- Cited by
- 44
- References
- 40
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 2 · 2022: 8 · 2021: 9 · 2020: 6 · 2019: 3 · 2018: 3 · 2017: 1
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Psychiatry & Human Development (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01-MH079377, R01-MH 079154, R01-MH79217)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- pediatric obsessive-compulsive disorder, fathers, mothers, treatment response, children's distress
- MeSH terms
- Adolescent, Child, Child, Preschool, Female, Humans, Male, Obsessive-Compulsive Disorder, Parents, Stress, Psychological, Cognitive Behavioral Therapy, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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