A randomized-controlled examination of the effect of cognitive reappraisal instruction on maternal accommodation of child anxiety symptoms |
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| Affiliation: | 1. Department of Psychological and Brain Sciences, Boston University, 900 Commonwealth Ave. #2, Boston, MA, 02215, United States;2. Department of Psychology, Florida International University, 11200 SW 8th Street, Miami, FL, 33199, United States;1. ARQ Centrum’45, Diemen/Oegstgeest, the Netherlands;2. Department of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, the Netherlands;3. Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands;4. Department for Epidemiology, University Medical Center Groningen, University of Groningen, the Netherlands;1. Department of Psychology, Auburn University, United States;2. Department of Psychology, Westfield State University, United States;3. Department of Psychology, University of Toledo, United States;4. Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, United States;5. Department of Pharmacology and Toxicology, University of Mississippi Medical Center;1. National Center for Veteran Studies, 260 South Campus Dr. Suite 3525, Salt Lake City, UT 84112, United States;2. College of Social Work at the University of Utah, 395 South 1500 East #111, Salt Lake City, UT 84112, United States;3. Department of Psychology at the University of Utah, 380 South 1530 East, Salt Lake City, UT 84112, United States;1. Department of Psychology, Temple University, 1301 North 13th Street, Philadelphia, PA, 19122, USA;2. Columbia University Clinic for Anxiety and Related Disorders, 1775 Broadway, Suite 601, New York, NY, 10019, USA;3. UCLA Semel Institute, 760 Westwood Blvd, Rm 67-439, Los Angeles, CA, 90024, USA;4. The Johns Hopkins University School of Medicine, Division of Child and Adolescent Psychiatry, 550 North Broadway, Suite 202, Baltimore, MD, 21205, USA;5. Duke University Medical Center, Department of Psychiatry and Behavioral Sciences, DUMC Box 3527, Durham, NC, 27710, USA;6. University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic, 3811 O''Hara Street, Pittsburgh, PA, 15213, USA;7. Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences at Northwestern University Feinberg School of Medicine, 446 East Ontario, Suite 7-200, Chicago, IL, 60611, USA |
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| Abstract: | Parental accommodation plays a key role in the maintenance of child anxiety, yet much of the research to date has been correlational, making it difficult to draw conclusions about underlying mechanisms. Given preliminary evidence that parental beliefs play a role in parental accommodation, the present study sought to experimentally reduce accommodation by targeting parental attitudes about child anxiety. Mothers of children ages 4–9 (N = 47) were randomly assigned to either receive brief instruction in cognitive reappraisal (EXP) or to a control intervention in which they received no instruction (CON). At pre- and post-intervention mothers were presented with bogus information that their child was experiencing varying levels of distress while completing a task in a nearby room. Maternal distress, negative affect and perceived likelihood of accommodation in the context of child distress were measured pre- and post-intervention. EXP mothers reported greater pre- to post-intervention decreases in distress and perceived likelihood of accommodation, compared to CON mothers. EXP and CON mothers showed similar changes in negative affect. Findings from this study provide preliminary experimental evidence that targeting maternal beliefs about child anxiety can result in changes in maternal distress and behavior following exposure to child distress. Implications for prevention and treatment are discussed. |
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| Keywords: | Accommodation Anxiety Parents Child |
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