Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder

Background: Cognitive–behavioral family-based treatment (CBFT) is the treatment standard in very young children with obsessive–compulsive disorder (OCD), which includes the same core components of cognitive–behavioral therapy (CBT) with significant family involvement. Although the latter reports hig...

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Autores principales:	Ángel Rosa-Alcázar, Ana I. Rosa-Alcázar, José Luis Parada-Navas, Pablo J. Olivares-Olivares, Encarnación Rosa-Alcázar
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	obsessive-compulsive disorder young children parental accommodation externalizing symptoms predictors Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/b799415e2a82491a853bf76ae5ea21ba
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spelling	oai:doaj.org-article:b799415e2a82491a853bf76ae5ea21ba2021-11-16T06:06:09ZPredictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder1664-064010.3389/fpsyt.2021.737062https://doaj.org/article/b799415e2a82491a853bf76ae5ea21ba2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.737062/fullhttps://doaj.org/toc/1664-0640Background: Cognitive–behavioral family-based treatment (CBFT) is the treatment standard in very young children with obsessive–compulsive disorder (OCD), which includes the same core components of cognitive–behavioral therapy (CBT) with significant family involvement. Although the latter reports high rates of remission, some children do not improve with treatments. Therefore, it is necessary to identify possible moderating variables such as comorbidity, severity of disorder, years of onset, parental anxiety, and parental accommodation. This study has two main aims: (1) to propose a predictive model on family accommodation (father and mother), taking into account variables related to the children (severity of obsessive–compulsive responses, internalizing and externalizing symptoms, and comorbidity) and with the parents before intervention (worry, accommodation of one parental member over the other) and (2) to examine the mediating role of externalizing symptoms and mother's accommodation in the relation between initial severity and improvement of severity of obsessive–compulsive responses in children aged 5–8 years.Methods: Participants comprised 56 children with OCD [mean = 6.61 (SD = 0.76)] and their parents; 79% of the sample was men. Treatment was implemented by two clinicians specialized in OCD (>15 years of experience). Clinicians were trained to administer CBT protocol in the same way. They were doctors of clinical psychology and researchers at the OCD.Results: Mother's accommodation was associated with child variables (Child Behavior Checklist–Externalizing and Initial Severity, Children's Yale–Brown Obsessive–Compulsive Scale). Father's accommodation could be explained by parent variables (mother's accommodation and worry). Simple mediation model tested using the SPSS macro PROCESS supported the relation of the initial severity of symptoms with that following intervention, through the simple indirect effect of externalizing symptoms of the child.Conclusions: Comorbidities with externalizing symptoms, father's worry, and mother's accommodation were variables that should be controlled in treatment of pediatric OCD.Ángel Rosa-AlcázarAna I. Rosa-AlcázarJosé Luis Parada-NavasPablo J. Olivares-OlivaresEncarnación Rosa-AlcázarFrontiers Media S.A.articleobsessive-compulsive disorderyoung childrenparental accommodationexternalizing symptomspredictorsPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	obsessive-compulsive disorder young children parental accommodation externalizing symptoms predictors Psychiatry RC435-571
spellingShingle	obsessive-compulsive disorder young children parental accommodation externalizing symptoms predictors Psychiatry RC435-571 Ángel Rosa-Alcázar Ana I. Rosa-Alcázar José Luis Parada-Navas Pablo J. Olivares-Olivares Encarnación Rosa-Alcázar Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
description	Background: Cognitive–behavioral family-based treatment (CBFT) is the treatment standard in very young children with obsessive–compulsive disorder (OCD), which includes the same core components of cognitive–behavioral therapy (CBT) with significant family involvement. Although the latter reports high rates of remission, some children do not improve with treatments. Therefore, it is necessary to identify possible moderating variables such as comorbidity, severity of disorder, years of onset, parental anxiety, and parental accommodation. This study has two main aims: (1) to propose a predictive model on family accommodation (father and mother), taking into account variables related to the children (severity of obsessive–compulsive responses, internalizing and externalizing symptoms, and comorbidity) and with the parents before intervention (worry, accommodation of one parental member over the other) and (2) to examine the mediating role of externalizing symptoms and mother's accommodation in the relation between initial severity and improvement of severity of obsessive–compulsive responses in children aged 5–8 years.Methods: Participants comprised 56 children with OCD [mean = 6.61 (SD = 0.76)] and their parents; 79% of the sample was men. Treatment was implemented by two clinicians specialized in OCD (>15 years of experience). Clinicians were trained to administer CBT protocol in the same way. They were doctors of clinical psychology and researchers at the OCD.Results: Mother's accommodation was associated with child variables (Child Behavior Checklist–Externalizing and Initial Severity, Children's Yale–Brown Obsessive–Compulsive Scale). Father's accommodation could be explained by parent variables (mother's accommodation and worry). Simple mediation model tested using the SPSS macro PROCESS supported the relation of the initial severity of symptoms with that following intervention, through the simple indirect effect of externalizing symptoms of the child.Conclusions: Comorbidities with externalizing symptoms, father's worry, and mother's accommodation were variables that should be controlled in treatment of pediatric OCD.
format	article
author	Ángel Rosa-Alcázar Ana I. Rosa-Alcázar José Luis Parada-Navas Pablo J. Olivares-Olivares Encarnación Rosa-Alcázar
author_facet	Ángel Rosa-Alcázar Ana I. Rosa-Alcázar José Luis Parada-Navas Pablo J. Olivares-Olivares Encarnación Rosa-Alcázar
author_sort	Ángel Rosa-Alcázar
title	Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
title_short	Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
title_full	Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
title_fullStr	Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
title_full_unstemmed	Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
title_sort	predictors of parental accommodation and response treatment in young children with obsessive-compulsive disorder
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/b799415e2a82491a853bf76ae5ea21ba
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Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder

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