Parent-Child Interactions During a Speech Preparation Task: A Comparison of OCD and Non-Clinical Control Families.

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Title: Parent-Child Interactions During a Speech Preparation Task: A Comparison of OCD and Non-Clinical Control Families.
Authors: McGrath, Chloe A.1 (AUTHOR), Abbott, Maree J.1 (AUTHOR) maree.abbott@sydney.edu.au, Mantz, Sharlene C.1 (AUTHOR), O'Brien, Margot2 (AUTHOR), Hawes, David J.1 (AUTHOR), Waters, Felicity A.2 (AUTHOR)
Source: Child & Youth Care Forum. Feb2026, Vol. 55 Issue 1, p81-103. 23p.
Subject Terms: *Autonomy (Psychology), *Parent-child relationships, *Anxiety, *Confidence, *Cognitive therapy, *Comparative studies, *Child behavior, *Adolescence, *Children, Families & psychology, Repeated measures design, Statistical power analysis, Pearson correlation (Statistics), Speech, Professional practice, Questionnaires, Responsibility, Descriptive statistics, Chi-squared test, Multivariate analysis, Obsessive-compulsive disorder, Family systems theory, One-way analysis of variance, Analysis of variance, Psychological stress, Data analysis software, Evidence-based medicine
Abstract: Background: Recent findings suggest that family environmental factors contribute to obsessive compulsive disorder (OCD) symptom maintenance for young people and are also context dependent. Targeting these factors in family-based interventions is increasingly warranted. Objective: This study examined family factors associated with pediatric OCD in the novel context of an anxiety-provoking situation, and in response to family-based cognitive behavior therapy (FCBT). We aimed to (1) identify parent and child behaviors distinguishing families of young people with OCD from non-clinical controls during a speech preparation task, and (2) evaluate changes in these behaviors following FCBT, with a focus on associations with OCD symptom improvement. Methods: Participants were 38 children and adolescents and their parents, assigned to OCD or non-clinical control groups. Groups were compared on observer-rated child and parent behavioral dimensions. Observed parent and child behaviors were also compared pre- and post-treatment for OCD group participants completing FCBT. Results: OCD families could be distinguished from control families on negative interaction patterns in response to the stressor task, primarily for parents. OCD group parents demonstrated more overinvolvement, task responsibility, reassurance providing, and doubt, and less autonomy granting and confidence in their child, compared to controls. Young people with OCD showed more reassurance-seeking behavior compared to controls, which significantly improved after treatment, along with corresponding reductions in parental reassurance. Notably, decreases in parental overinvolvement were significantly correlated with reductions in OCD symptom severity pre- to post-treatment. Conclusions: Findings support integrating family factors into OCD models and targeting these factors in evidence-based treatment. [ABSTRACT FROM AUTHOR]
Copyright of Child & Youth Care Forum is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Parent-Child Interactions During a Speech Preparation Task: A Comparison of OCD and Non-Clinical Control Families.
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  Data: <searchLink fieldCode="AR" term="%22McGrath%2C+Chloe+A%2E%22">McGrath, Chloe A.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abbott%2C+Maree+J%2E%22">Abbott, Maree J.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> maree.abbott@sydney.edu.au</i><br /><searchLink fieldCode="AR" term="%22Mantz%2C+Sharlene+C%2E%22">Mantz, Sharlene C.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Brien%2C+Margot%22">O'Brien, Margot</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hawes%2C+David+J%2E%22">Hawes, David J.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Waters%2C+Felicity+A%2E%22">Waters, Felicity A.</searchLink><relatesTo>2</relatesTo> (AUTHOR)
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  Data: *<searchLink fieldCode="DE" term="%22Autonomy+%28Psychology%29%22">Autonomy (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Parent-child+relationships%22">Parent-child relationships</searchLink><br />*<searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br />*<searchLink fieldCode="DE" term="%22Confidence%22">Confidence</searchLink><br />*<searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Child+behavior%22">Child behavior</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br />*<searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Families+%26+psychology%22">Families & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Repeated+measures+design%22">Repeated measures design</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+power+analysis%22">Statistical power analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Speech%22">Speech</searchLink><br /><searchLink fieldCode="DE" term="%22Professional+practice%22">Professional practice</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Responsibility%22">Responsibility</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Obsessive-compulsive+disorder%22">Obsessive-compulsive disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Family+systems+theory%22">Family systems theory</searchLink><br /><searchLink fieldCode="DE" term="%22One-way+analysis+of+variance%22">One-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence-based+medicine%22">Evidence-based medicine</searchLink>
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  Data: Background: Recent findings suggest that family environmental factors contribute to obsessive compulsive disorder (OCD) symptom maintenance for young people and are also context dependent. Targeting these factors in family-based interventions is increasingly warranted. Objective: This study examined family factors associated with pediatric OCD in the novel context of an anxiety-provoking situation, and in response to family-based cognitive behavior therapy (FCBT). We aimed to (1) identify parent and child behaviors distinguishing families of young people with OCD from non-clinical controls during a speech preparation task, and (2) evaluate changes in these behaviors following FCBT, with a focus on associations with OCD symptom improvement. Methods: Participants were 38 children and adolescents and their parents, assigned to OCD or non-clinical control groups. Groups were compared on observer-rated child and parent behavioral dimensions. Observed parent and child behaviors were also compared pre- and post-treatment for OCD group participants completing FCBT. Results: OCD families could be distinguished from control families on negative interaction patterns in response to the stressor task, primarily for parents. OCD group parents demonstrated more overinvolvement, task responsibility, reassurance providing, and doubt, and less autonomy granting and confidence in their child, compared to controls. Young people with OCD showed more reassurance-seeking behavior compared to controls, which significantly improved after treatment, along with corresponding reductions in parental reassurance. Notably, decreases in parental overinvolvement were significantly correlated with reductions in OCD symptom severity pre- to post-treatment. Conclusions: Findings support integrating family factors into OCD models and targeting these factors in evidence-based treatment. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Child & Youth Care Forum is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10566-025-09876-2
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        Text: English
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      – SubjectFull: Autonomy (Psychology)
        Type: general
      – SubjectFull: Parent-child relationships
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      – SubjectFull: Anxiety
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      – SubjectFull: Confidence
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      – SubjectFull: Families & psychology
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      – SubjectFull: Repeated measures design
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      – SubjectFull: Statistical power analysis
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      – SubjectFull: Pearson correlation (Statistics)
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      – SubjectFull: Speech
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      – TitleFull: Parent-Child Interactions During a Speech Preparation Task: A Comparison of OCD and Non-Clinical Control Families.
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              Text: Feb2026
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