Parent-based Treatment for Youth With Anxiety and Obsessive-compulsive Disorder
Condition: Obsessive-Compulsive Disorder in Children; Social Anxiety Disorder of Childhood; Obsessive-Compulsive Disorder in Adolescence; Separation Anxiety; Generalized Anxiety Disorder; Panic Disorder; Panic Attacks; Panic With Agoraphobia
MeSH terms: Anxiety Disorders; Compulsive Personality Disorder; Obsessive-Compulsive Disorder; Panic Disorder; Phobia, Social; Agoraphobia; Anxiety, Separation
Study type: Interventional
Phase: Phase 2/Phase 3

Summary: 
      Anxiety and obsessive-compulsive disorders are the most common mental health disorders in
      childhood and adolescence. A parenting intervention for youth with anxiety, called Supportive
      Parenting of Anxious Childhood Emotions ("SPACE"), has been recently developed to help target
      anxiety in children. In this intervention, therapists meet individually with parents to help
      them reduce anxiety behaviors in their children and support adaptive behaviors in their
      children. The purpose for the proposed study is to demonstrate the treatment efficacy of
      SPACE compared to a low-contact, therapist-supported bibliotherapy version of this
      intervention.
    

Detailed description: 
      Anxiety and obsessive-compulsive disorders are the most common mental health disorders in
      childhood and adolescence. Parental accommodation of their children's avoidance, escape,
      safety behaviors are a set of parenting behaviors that have been most strongly associated
      with child anxiety and obsessive-compulsive disorder. Developing and testing parent-led
      interventions that target accommodation and parenting styles associated with anxiety has the
      potential to improve treatment outcomes and reach families who may not otherwise access care
      (for example, for youth who refuse to attend therapy). A parenting intervention for youth
      with anxiety has been recently developed to address these goals called Supportive Parenting
      of Anxious Childhood Emotions ("SPACE"). In this intervention, therapists meet individually
      with parents to help them reduce accommodation and support adaptive behaviors in their
      children. SPACE was recently shown to be non-inferior to individual cognitive-behavioral
      therapy with 88% of youth being classified as responders to SPACE. The purpose for the
      proposed study is to demonstrate the treatment efficacy of SPACE compared to a low-contact,
      therapist-supported bibliotherapy version of this intervention, providing efficacy evidence
      for SPACE as delivered by an independent investigatory group.
    

Intervention name(s): Standard SPACE; Bibliotherapy, low therapist contact SPACE
Intervention type(s): Behavioral; Behavioral
Intervention description(s): 12 one hour parent sessions over 12 weeks in which the therapist guides the parent to target anxious behaviors and support adaptive child behaviors.; 4 one hour parent sessions over 12 weeks in which the therapist supports the parent in understanding and implementing content reviewed in the book "Breaking Free of Child Anxiety and OCD".
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized assignment to one of two conditions
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: obsessive-compulsive disorder; children; cognitive behavioral therapy; anxiety