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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.
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]
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: Secondary Youth-Level Mechanisms of Change in Parent Training for Anxious Youth.
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  Data: *<searchLink fieldCode="DE" term="%22Parenting+education%22">Parenting education</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+relations%22">Family relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Behavior%22">Behavior</searchLink><br />*<searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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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  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/s10566-025-09880-6
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      – SubjectFull: Parenting education
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      – SubjectFull: Family relations
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