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Cited by 29Child and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesObsessive-Compulsive Spectrum Disorders

Randomized Trial Comparing Standard versus Light Intensity Parent Training for Anxious Youth

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Storch, Eric A., Guzick, Andrew G., Ayton, Daphne M., Palo, Amanda D., Kook, Minjee, Candelari, Abigail E., Maye, Caitlyn E., McNeel, Morgan +7 more·2024·Behaviour Research and Therapy
DOI 10.1016/j.brat.2023.104451
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Abstract

Objective To examine the efficacy of the parent-led intervention Supportive Parenting for Anxious Childhood Emotions (SPACE) relative to a low-dose version of the protocol among children and adolescents with clinically significant anxiety and/or obsessive-compulsive disorder (OCD).Method 68 youth (7-17) with anxiety/OCD and their parents were randomized to receive 12 weekly telehealth SPACE sessions (SPACE-Standard) or bibliotherapy plus 4 telehealth sessions over 12 weeks (SPACE-light). After screening, assessments were conducted via videoconferencing at baseline, post-treatment, and one-month follow-up. Independent evaluators were blind to treatment condition.Results Treatment condition did not predict whether a participant responded to the intervention (SPACE-Standard = 70%; SPACE-Light = 68%), nor was treatment condition a predictor of anxiety severity, parent-reported anxiety, or parent-/child-reported functional impairment at post-treatment or one-month follow-up. Youth in SPACE-Light self-reported higher post-treatment anxiety than youth in SPACE-standard, though this was no longer significant at one-month follow-up. Parent-reported family accommodation total change scores were associated with anxiety severity at post-treatment across both arms.Conclusion This is the second randomized controlled trial (RCT) evaluating SPACE and provides further support for the efficacy of this intervention both in standard and low-dose formats. This study provides support for parent-led anxiety treatment targeting family accommodation as a primary mechanism of change and extends evidence of efficacy to a more clinically diverse sample.Trial registration ClinicalTrials.gov Registry: NCT04922502.https://classic.Clinicaltrials gov/ct2/show/NCT04922502.

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Authors
Storch, E. A., Guzick, A. G., Ayton, D. M., Palo, A. D., Kook, M., Candelari, A. E., Maye, C. E., McNeel, M., Trent, E. S., Garcia, J. L., Onyeka, O. C., Rast, C. E., Shimshoni, Y., Lebowitz, E. R., & Goodman, W. K.
Affiliations
  • Baylor College of Medicine (US)
  • Yale University (US)
Corresponding author
Storch, Eric A.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2024-02
Volume
173
Pages
104451
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2023.104451
OpenAlex
W4389870927
Cited by
29
References
52
Citations by year
2026: 12 · 2025: 11 · 2024: 6
FWCI
8.43
Type
journal article
Language
en
Open access
Licence
Locations
  • Behaviour Research and Therapy (acceptedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50HD103555)
  • Gillson Longenbaugh Foundation
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 › Obsessive-Compulsive Spectrum Disorders
Keywords
parent training, childhood anxiety, obsessive-compulsive disorder, telemedicine, family accommodation, bibliotherapy, parent-led intervention, youth anxiety
MeSH terms
Adolescent, Anxiety, Child, Humans, Obsessive-Compulsive Disorder, Parents, Cognitive Behavioral Therapy, Treatment Outcome

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