Acceptance and commitment therapy group protocol for caregivers of anxious youth: an open trial pilot study

• Main Authors: Jacquelyn N. Raftery-Helmer (Author), Ashley S. Hart (Author), Madeline R. Levitt (Author), Steven M. Hodge (Author), Lisa W. Coyne (Author), Phoebe S. Moore (Author)
• Format: Book
• Published: Frontiers Media S.A., 2024-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2813-4540; 10.3389/frcha.2024.1347295
• Keywords: child anxiety; acceptance and commitment therapy; parenting; child internalizing problems; cognitive fusion; Psychiatry; RC435-571; Pediatrics; RJ1-570
• Source: Frontiers in Child and Adolescent Psychiatry, Vol 3 (2024)

IntroductionAnxiety disorders are common, distressing, and impairing for children and families. Cognitive-behavioral interventions targeting the role of family interactions in child anxiety treatment may be limited by lack of attention to antecedents to parental control; specifically, internal parent factors such as experiential avoidance and cognitive fusion. This pilot study evaluates the preliminary efficacy of a group-delivered caregiver treatment program, ACT for Parents of Anxious Children (ACT-PAC) that targets parental experiential avoidance, cognitive fusion, and child internalizing symptoms.MethodsTwenty-three youth ages 7-17 years with a primary anxiety disorder diagnosis and their primary caregiver participated in six one-hour, weekly group treatment sessions. Parents and children reported on child symptomatology and parents reported on parent symptomatology and quality of life at two assessment points: within one week before ACT-PAC treatment and within one week after treatment. Parents self-reported on parental internal processes specifically targeted by ACT (e.g., cognitive fusion) weekly during the 6-week treatment.ResultsResults support the feasibility and acceptability of ACT-PAC and indicate reductions in parents' cognitive fusion and child internalizing symptoms.