ERIC Number: EJ1437148
Record Type: Journal
Publication Date: 2024-Oct
Pages: 16
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1053-1890
EISSN: EISSN-1573-3319
Available Date: N/A
Predictors of Treatment Outcome for Parent-Led, Transdiagnostic Cognitive Behavioral Therapy for Youth with Emotional Problems Related to the COVID-19 Pandemic
David B. Riddle; Andrew G. Guzick; Alison Salloum; Sarah Kennedy; Asim Shah; Wayne K. Goodman; David S. Mathai; Alicia W. Leong; Emily M. Dickinson; Daphne M. Ayton; Saira A. Weinzimmer; Jill Ehrenreich-May; Eric A. Storch
Child & Youth Care Forum, v53 n5 p1125-1140 2024
A brief, parent-led, transdiagnostic cognitive behavioral therapy (CBT) approach demonstrated utility among youth struggling with emotional problems during the COVID-19 pandemic. Homework completion between sessions is directly associated with psychotherapy treatment outcomes in non-parent-led CBT interventions. The present study sought to examine the relationship between homework completion and treatment response in a parent-led transdiagnostic CBT protocol. The first aim was to determine if completion of between session CBT homework was associated with change in symptom severity. The second aim was to determine if pre-treatment anxiety severity, social anxiety severity, and depressive symptoms were associated with treatment outcomes. One-hundred twenty-nine parents of youth (ages 5-13) with significant emotional problems received 6 sessions of telehealth parent-led CBT during the COVID-19 pandemic. Data on children's anxiety symptomology, clinical severity, homework compliance, depression, family relationships, perceptions on the impacts of the pandemic, treatment response, and therapists rating of symptom improvement were collected. Homework completion explained 9% of the variance in symptom improvement at post-treatment. Greater homework completion was associated with a significantly higher odds of treatment response (OR = 1.52, p = 0.001). Child anxiety severity, depressive symptoms, family relationships, and perceptions on the impacts of the COVID-19 pandemic were not significantly related to treatment outcome. Completion of homework predicted treatment outcomes in parent-led, transdiagnostic CBT for youth with emotional problems during the COVID-19 pandemic, while controlling for parent-rated anxiety, depression, family relationships, and COVID-related distress. Enhancing and targeting homework compliance between CBT sessions should be a central element of parent-led treatment.
Descriptors: COVID-19, Pandemics, Children, Emotional Problems, Predictor Variables, Homework, Severity (of Disability), Anxiety, Depression (Psychology), Symptoms (Individual Disorders), Behavior Modification, Cognitive Restructuring, Parent Participation
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: P50HD103555
Author Affiliations: N/A