Secondary Youth-Level Mechanisms of Change in Parent Training for Anxious Youth.
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| Title: | Secondary Youth-Level Mechanisms of Change in Parent Training for Anxious Youth. |
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| Authors: | Anderberg, Jacey L.1 (AUTHOR), Barry, Kelly1 (AUTHOR), Upshaw, Blake M.1 (AUTHOR), Mangen, Katie H.1 (AUTHOR), Spencer, Samuel D.1,2 (AUTHOR) samuel.spencer@unt.edu, Guzick, Andrew G.1,3 (AUTHOR), Ayton, Daphne M.1 (AUTHOR), Palo, Amanda D.1 (AUTHOR), Candelari, Abigail E.1 (AUTHOR), Storch, Eric A.1 (AUTHOR) |
| Source: | Child & Youth Care Forum. Feb2026, Vol. 55 Issue 1, p1-19. 19p. |
| Subject Terms: | *Parenting education, *Family relations, *Behavior, *Pre-tests & post-tests, Research funding, Secondary analysis, T-test (Statistics), Research evaluation, Questionnaires, Descriptive statistics, Psychological stress, Anxiety disorders, Data analysis software |
| Abstract: | Background: Parent-focused treatments are a promising approach for addressing youth anxiety outside of traditional therapist-delivered modalities. Supportive Parenting for Anxious Childhood Emotions (SPACE) has preliminarily demonstrated efficacy for reducing family accommodation (FA), a key treatment outcome for youth anxiety. Objective: Since the mechanisms of SPACE remain relatively understudied, we examined youth-reported distress tolerance (DT), anxiety sensitivity (AS), and negative automatic thoughts as candidate mechanisms of SPACE using data from a previously conducted clinical trial. Methods: In a sample of N = 68 youth (Mage = 10.2; 52% male; 62% White), we examined: (a) associations among candidate mechanisms and FA at baseline, (b) pre- to post-intervention change in candidate mechanisms, and (c) the association between pre- to post-intervention changes in candidate mechanisms and FA at post-intervention. Results: Youth-reported DT, AS, and negative automatic thoughts were correlated with one another, but were not associated with parent-reported FA at baseline. These findings were inconsistent with youth-reported FA, which evidenced significant relations with DT and AS at baseline. Scores of candidate mechanisms slightly improved from pre- to post-intervention, with AS evidencing the most prominent reduction, although effect sizes were small. Finally, only salutary pre- to post-intervention changes in DT and social-based negative automatic thoughts were associated with parent-reported FA at post-intervention, suggesting the potential relevance of these variables as putative mechanisms in SPACE. Conclusions: While our results do not permit definitive conclusions concerning the underlying youth-level mechanisms of SPACE, our findings may inform further refinement of parent-led interventions for anxious youth. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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| Abstract: | Background: Parent-focused treatments are a promising approach for addressing youth anxiety outside of traditional therapist-delivered modalities. Supportive Parenting for Anxious Childhood Emotions (SPACE) has preliminarily demonstrated efficacy for reducing family accommodation (FA), a key treatment outcome for youth anxiety. Objective: Since the mechanisms of SPACE remain relatively understudied, we examined youth-reported distress tolerance (DT), anxiety sensitivity (AS), and negative automatic thoughts as candidate mechanisms of SPACE using data from a previously conducted clinical trial. Methods: In a sample of N = 68 youth (Mage = 10.2; 52% male; 62% White), we examined: (a) associations among candidate mechanisms and FA at baseline, (b) pre- to post-intervention change in candidate mechanisms, and (c) the association between pre- to post-intervention changes in candidate mechanisms and FA at post-intervention. Results: Youth-reported DT, AS, and negative automatic thoughts were correlated with one another, but were not associated with parent-reported FA at baseline. These findings were inconsistent with youth-reported FA, which evidenced significant relations with DT and AS at baseline. Scores of candidate mechanisms slightly improved from pre- to post-intervention, with AS evidencing the most prominent reduction, although effect sizes were small. Finally, only salutary pre- to post-intervention changes in DT and social-based negative automatic thoughts were associated with parent-reported FA at post-intervention, suggesting the potential relevance of these variables as putative mechanisms in SPACE. Conclusions: While our results do not permit definitive conclusions concerning the underlying youth-level mechanisms of SPACE, our findings may inform further refinement of parent-led interventions for anxious youth. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10531890 |
| DOI: | 10.1007/s10566-025-09880-6 |
