Separation Anxiety Symptom Profiles and Parental Accommodation Across Pediatric Anxiety Disorders
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Parental accommodation refers to ways in which caregivers modify their behavior to decrease child distress in the short-term. Accommodation is prevalent among anxious youth and related to decreased treatment and functional outcomes. Although separation anxiety disorder (SAD) is associated with increased accommodation, SAD is not a predictor of treatment response, suggesting that a diagnosis of SAD alone may not be enough to clarify the relationship between accommodation and separation anxiety symptoms within a clinical context. Participants were youth with a primary anxiety disorder (N = 186; aged 7-17) enrolled in an outpatient anxiety clinic. Latent class analysis was used to extract profiles from parent-reported SAD symptoms using the Anxiety Disorders Interview Schedule for DSM-IV/5. Profiles were compared on pre-treatment accommodation. Low, moderate, and interfering SAD classes emerged. Interfering SAD was associated with high accommodation. Results help to clarify the association between SAD and accommodation and has implications for personalized intervention.
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Several studies suggest that accommodation may be more prevalent among youth with a primary diagnosis of SAD.
“several studies suggest that accommodation may be more prevalent among youth with a primary diagnosis of SAD [64, 72, 73].”
From Intolerance of Uncertainty and Parental Accommodation: Promising Targets for Personalized Intervention for Youth Anxiety. (2020) · cites this paper as [73]
Accommodation 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 [73]
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Cites
Estimating the Dimension of a Model
Schwarz, G. (1978) · The Annals of Statistics · doi:10.1214/aos/1176344136 · Cited by 47,033 · see citing works
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701575396 · Cited by 11,415 · see citing works
Beck, A. T., Steer, R. A., & Brown, G. (2011) · PsycTESTS Dataset · doi:10.1037/t00742-000 · Cited by 7,535 · see citing works
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., & Wang, P. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09091379 · Cited by 7,067 · see citing works
Emotional processing of fear: Exposure to corrective information.
Foa, E. B., & Kozak, M. J. (1986) · Psychological Bulletin · doi:10.1037/0033-2909.99.1.20 · Cited by 5,396 · see citing works
Akaike, H. (1987) · Psychometrika · doi:10.1007/bf02294359 · Cited by 5,264 · see citing works
Akaike, H. (1987) · Springer Series in Statistics · doi:10.1007/978-1-4612-1694-0_29 · Cited by 4,027 · see citing works
Muthén, B., & Muthén, L. K. (2000) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2000.tb02070.x · Cited by 3,161 · see citing works
Application of model-selection criteria to some problems in multivariate analysis
Sclove, S. L. (1987) · Psychometrika · doi:10.1007/bf02294360 · Cited by 2,541 · see citing works
The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity
MARCH, J. S., PARKER, J. D. A., SULLIVAN, K., STALLINGS, P., & CONNERS, C. K. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199704000-00019 · Cited by 2,236 · see citing works
McCutcheon, A. L. (1987) · Sage eBooks · doi:10.4135/9781412984713 · Cited by 2,082 · see citing works
The Path to Personalized Medicine
Hamburg, M. A., & Collins, F. S. (2010) · New England Journal of Medicine · doi:10.1056/nejmp1006304 · Cited by 1,970 · see citing works
Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00130-8 · Cited by 1,966 · see citing works
A measure of anxiety symptoms among children
Spence, S. H. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00034-5 · Cited by 1,928 · see citing works
Mowrer, O. H. (1960) · doi:10.1037/10802-000 · Cited by 1,670 · see citing works
Gonzalez, R. C., & Mowrer, O. H. (1962) · The American Journal of Psychology · doi:10.2307/1419634 · Cited by 1,584 · see citing works
The NIMH Research Domain Criteria (RDoC) Project: Precision Medicine for Psychiatry
Insel, T. R. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14020138 · Cited by 1,472 · see citing works
SILVERMAN, W. K., SAAVEDRA, L. M., & PINA, A. A. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200108000-00016 · Cited by 1,190 · see citing works
Children’s Depression Inventory
Kovács, M. (1978) · PsycTESTS Dataset · doi:10.1037/t00788-000 · Cited by 1,166 · see citing works
Psychometric properties of the revised child anxiety and depression scale in a clinical sample
Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.02.004 · Cited by 905 · see citing works
The Future of Intervention Science: Process-Based Therapy
Hofmann, S. G., & Hayes, S. C. (2019) · Clinical Psychological Science · doi:10.1177/2167702618772296 · Cited by 888 · see citing works
636,120 Ways to Have Posttraumatic Stress Disorder
Galatzer-Levy, I. R., & Bryant, R. A. (2013) · Perspectives on Psychological Science · doi:10.1177/1745691613504115 · Cited by 778 · see citing works
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Randomized Controlled Trial
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R., Gallagher, M. W., & Barlow, D. H. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.01.001 · Cited by 746 · see citing works
Some myths of psychotherapy research and the search for a paradigm.
Kiesler, D. J. (1966) · Psychological Bulletin · doi:10.1037/h0022911 · Cited by 735 · see citing works
Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3103_05 · Cited by 594 · see citing works
The Precision Medicine Initiative
Ashley, E. A. (2015) · JAMA · doi:10.1001/jama.2015.3595 · Cited by 562 · see citing works
Family accommodation in obsessive-compulsive disorder
Calvocoressi, L., Lewis, B. A., Harris, M., Trufan, S. J., Goodman, W. K., McDougle, C. J., & Price, L. H. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.3.441 · Cited by 560 · see citing works
Nylund-Gibson, K. K., Bellmore, A. D., Nishina, A., & Graham, S. (2007) · Child Development · doi:10.1111/j.1467-8624.2007.01097.x · Cited by 526 · see citing works
DeRubeis, R. J., Cohen, Z. D., Forand, N. R., Fournier, J. C., Gelfand, L. A., & Lorenzo-Luaces, L. (2014) · PLoS ONE · doi:10.1371/journal.pone.0083875 · Cited by 509 · see citing works
Dziak, J. J., Lanza, S. T., & Tan, X. (2014) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705511.2014.919819 · Cited by 441 · see citing works
Lebowitz, E. R., Woolston, J., Bar-Haim, Y., Calvocoressi, L., Dauser, C., Warnick, E., Scahill, L., Chakir, A. R., Shechner, T., Hermes, H., et al. (2013) · Depression and Anxiety · doi:10.1002/da.21998 · Cited by 385 · see citing works
Garcia, A. M., Sapyta, J. J., Moore, P. S., Freeman, J. B., Franklin, M. E., March, J. S., & Foa, E. B. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.06.013 · Cited by 377 · see citing works
A Symptom-Level Examination of Parent–Child Agreement in the Diagnosis of Anxious Youths
Comer, J. S., & Kendall, P. C. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000125092.35109.c5 · Cited by 373 · see citing works
Self-citationClinical characteristics of anxiety disordered youth
Kendall, P. C., Compton, S. N., Walkup, J. T., Birmaher, B., Albano, A. M., Sherrill, J., Ginsburg, G., Rynn, M., McCracken, J., Gosch, E., et al. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.01.009 · Cited by 369 · see citing works
Self-citationShear, K. M., Jin, R., Ruscio, A. M., Walters, E. E., & Kessler, R. C. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.6.1074 · Cited by 342 · see citing works
LYNEHAM, H. J., ABBOTT, M. J., & RAPEE, R. M. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3180465a09 · Cited by 307 · see citing works
Merlo, L. J., Lehmkuhl, H. D., Geffken, G. R., & Storch, E. A. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0012652 · Cited by 297 · see citing works
Considering CBT with anxious youth? Think exposures
Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C. M., Flannery-Schroeder, E. C., & Gosch, E. A. (2005) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(05)80048-3 · Cited by 273 · see citing works
Self-citationParent Training for Childhood Anxiety Disorders: The SPACE Program
Lebowitz, E. R., Omer, H., Hermes, H., & Scahill, L. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2013.10.004 · Cited by 247 · see citing works
Chorpita, B. F., & Weisz, J. R. (2009) · Cited by 242 · see citing works
Compton, S. N., Peris, T. S., Almirall, D., Birmaher, B., Sherrill, J., Kendall, P. C., March, J. S., Gosch, E. A., Ginsburg, G. S., Rynn, M. A., et al. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0035458 · Cited by 226 · see citing works
Self-citationFamily accommodation in obsessive-compulsive and anxiety disorders: a five-year update
Lebowitz, E. R., Panza, K. E., & Bloch, M. H. (2016) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.2016.1126181 · Cited by 216 · see citing works
Should Parents Be Co-Clients in Cognitive-Behavioral Therapy for Anxious Youth?
Barmish, A. J., & Kendall, P. C. (2005) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3403_12 · Cited by 208 · see citing works
Self-citationFear and missing out: Youth anxiety and functional outcomes.
Swan, A. J., & Kendall, P. C. (2016) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12169 · Cited by 201 · see citing works
Self-citationMcLachlan, G. J., & Peel, D. A. (2000) · Wiley series in probability and statistics · doi:10.1002/0471721182.ch8 · Cited by 197 · see citing works
Familial Predictors of Treatment Outcome in Childhood Anxiety Disorders
CRAWFORD, A. M., & Manassis, K. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200110000-00012 · Cited by 193 · see citing works
Parental accommodation of child anxiety and related symptoms: Range, impact, and correlates
Thompson-Hollands, J., Kerns, C. E., Pincus, D. B., & Comer, J. S. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.09.007 · Cited by 186 · see citing works
Nandi, A., Beard, J., & Galea, S. (2009) · BMC Psychiatry · doi:10.1186/1471-244x-9-31 · Cited by 177 · see citing works
Open trial of a personalized modular treatment for mood and anxiety
Fisher, A. J., Bosley, H. G., Fernandez, K. C., Reeves, J. W., Soyster, P. D., Diamond, A. E., & Barkin, J. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.01.010 · Cited by 156 · see citing works
The psychometric properties of the MASC in a pediatric psychiatric sample
Rynn, M. A., Barber, J. P., Khalid-Khan, S., Siqueland, L., Dembiski, M., McCarthy, K. S., & Gallop, R. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2005.01.004 · Cited by 138 · see citing works
Assessing Anxiety in Youth with the Multidimensional Anxiety Scale for Children
Wei, C., Hoff, A. L., Aalberg, M., Peterman, J. S., Kendall, P. C., Piacentini, J. C., McCracken, J. T., Walkup, J. T., Albano, A. M., Rynn, M. A., et al. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.814541 · Cited by 130 · see citing works
Self-citationLebowitz, E. R., Scharfstein, L. A., & Jones, J. (2014) · Depression and Anxiety · doi:10.1002/da.22251 · Cited by 128 · see citing works
Children’s Depression Inventory-2
Morelen, D. M. (2020) · Springer eBooks · doi:10.1007/978-3-319-24612-3_16 · Cited by 127 · see citing works
Aalberg, M., Gere, M. K., Torgersen, S. O., March, J. S., & Kendall, P. C. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.632350 · Cited by 121 · see citing works
Self-citationWhiteside, S. P. H. (2009) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410903103551 · Cited by 120 · see citing works
Benito, K. G., Caporino, N. E., Frank, H. E., Ramanujam, K., Garcia, A., Freeman, J., Kendall, P. C., Geffken, G., & Storch, E. A. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.10.004 · Cited by 95 · see citing works
Self-citationNelemans, S. A., Hale, W. W., Branje, S., Raaijmakers, Q. A. W., Frijns, T., van Lier, P. A. C., & Meeus, W. (2013) · Development and Psychopathology · doi:10.1017/s0954579413000503 · Cited by 94 · see citing works
Accommodation in youth with OCD and anxiety.
Kagan, E. R., Frank, H. E., & Kendall, P. C. (2017) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12186 · Cited by 89 · see citing works
Self-citationMathyssek, C. M., Olino, T., Hartman, C., Ormel, J., Verhulst, F., & van Oort, F. V. (2013) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1380 · Cited by 88 · see citing works
Rudy, B. M., Lewin, A. B., Geffken, G. R., Murphy, T. K., & Storch, E. A. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.08.002 · Cited by 86 · see citing works
Obsessive‐compulsive disorder in the DSM‐5.
Abramowitz, J. S., & Jacoby, R. J. (2014) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12076 · Cited by 86 · see citing works
Phenomenology and clinical correlates of family accommodation in pediatric anxiety disorders
Storch, E. A., Salloum, A., Johnco, C. J., Dane, B. F., Crawford, E. A., King, M. A., McBride, N. M., & Lewin, A. B. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.09.001 · Cited by 84 · see citing works
The Art of Exposure: Putting Science Into Practice
Peterman, J. S., Read, K. L., Wei, C., & Kendall, P. C. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.02.003 · Cited by 62 · see citing works
Self-citationBates, M. E. (2000) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2000.tb02069.x · Cited by 62 · see citing works
Suicidal Ideation in Anxiety‐Disordered Youth
O’Neil, K. A., Puleo, C. M., Wolk, C. B., Podell, J. L., & Kendall, P. C. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00091.x · Cited by 56 · see citing works
Self-citationFerdinand, R. F., van Lang, N. D. J., Ormel, J., & Verhulst, F. C. (2005) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2004.12.003 · Cited by 51 · see citing works
Family Accommodation as a Predictor of Cognitive-Behavioral Treatment Outcome for Childhood Anxiety
Salloum, A., Andel, R., Lewin, A. B., Johnco, C., McBride, N. M., & Storch, E. A. (2018) · Families in Society: The Journal of Contemporary Social Services · doi:10.1177/1044389418756326 · Cited by 38 · see citing works
Anxiety Disorders Interview Schedule for Children
Silverman, W. K., & Nelles, W. B. (1988) · PsycTESTS Dataset · doi:10.1037/t28577-000 · Cited by 30 · see citing works
Schleider, J. L., Lebowitz, E. R., & Silverman, W. K. (2017) · Child Psychiatry & Human Development · doi:10.1007/s10578-017-0740-1 · Cited by 23 · see citing works
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Self-citationModerators of Outcome for Youth Anxiety Treatments: Current Findings and Future Directions
Norris, L. A., & Kendall, P. C. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1833337 · Cited by 46 · see citing works
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- Authors
- Phillips, K. E., Norris, L. A., & Kendall, P. C.
- Affiliations
- Temple University (US)
- Corresponding author
- Phillips, Katherine E.
- Kendall, Philip C.
- Venue
- Child Psychiatry & Human Development
- Published
- 2020-01-06
- Volume
- 51
- Issue
- 3
- Pages
- 377-389
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- PMC
- PMC8109254
- OpenAlex
- W2998063194
- Cited by
- 8
- References
- 69
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Psychiatry & Human Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (F31MH123038)
- 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 › Child Therapy and Development
- Keywords
- separation anxiety disorder, parental accommodation, childhood anxiety disorders, symptom profiles, parent-reported symptoms, treatment response, personalized interventions, child distress
- MeSH terms
- Adolescent, Adult, Anxiety, Separation, Child, Female, Humans, Male, Maternal Behavior, Parent-Child Relations, Paternal Behavior
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