2024
Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment
Weeks G, Sakmar E, Clark T, Rose A, Silverman W, Lebowitz E. Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment. Child Psychiatry & Human Development 2024, 1-10. PMID: 38755332, DOI: 10.1007/s10578-024-01705-2.Peer-Reviewed Original ResearchSeparation anxiety symptomsFamily accommodationAnxiety symptomsAttachment securitySeparation anxietyLevels of attachment securitySeverity of anxiety symptomsAssociated with separation anxietyNo significant moderating effectsClinically anxious childrenAnxiety-related distressHigher attachment securityChild attachment securityFindings enhance understandingAnxious childrenSignificant moderating effectChild anxietyChild attachmentParenting behaviorsAnxietyModerating roleModerating effectSymptomsChildrenAttachment
2023
Transactional associations of child irritability and anxiety with parent psychological control in Taiwanese school‐aged children
Lee K, Lebowitz E, Silverman W, Tseng W. Transactional associations of child irritability and anxiety with parent psychological control in Taiwanese school‐aged children. JCPP Advances 2023, 3: e12192. PMID: 38054061, PMCID: PMC10694542, DOI: 10.1002/jcv2.12192.Peer-Reviewed Original ResearchParents’ psychological controlPsychological controlChild irritabilityChild anxietyParent-rated Child Behavior ChecklistIntercept cross-lagged panel modelPsychological Control ScaleCross-lagged panel modelTaiwanese school-aged childrenChild Behavior ChecklistPositive reinforcement techniquesSchool-aged childrenDirect cross-cultural comparisonsPerson processesTransactional associationsPerson levelTransactional pathwaysAnxiety symptomsBehavior ChecklistCommunity sampleCross-cultural comparisonTransactional relationsControl ScaleCollaborative parentingAnxietyThe Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations
Ben-Sasson A, Podoly T, Lebowitz E. The Role of Pediatric Sensory Over-responsivity and Anxiety Symptoms in the Development of Family Accommodations. Child Psychiatry & Human Development 2023, 1-8. PMID: 37219643, DOI: 10.1007/s10578-023-01547-4.Peer-Reviewed Original ResearchFamily accommodationAnxiety symptomsCo-occurring anxiety symptomsSensory Profile 2Elevated anxiety symptomsSOR symptomsChild anxietyGreater symptom severityElevated anxietyEmotional disordersChildren's ImpactIntervention outcomesFamily impactSymptom severityAnxietySensory scaleProfile 2Online surveyChildrenSymptomsStepwise linear regressionAccommodationScoresSensoryFamily
2020
Abnormal asymmetry of thalamic volume moderates stress from parents and anxiety symptoms in children and adolescents with social anxiety disorder
Zhang Y, Liu W, Lebowitz ER, Zhang F, Hu Y, Liu Z, Yang H, Wu J, Wang Y, Silverman WK, Yang Z, Cheng W. Abnormal asymmetry of thalamic volume moderates stress from parents and anxiety symptoms in children and adolescents with social anxiety disorder. Neuropharmacology 2020, 180: 108301. PMID: 32910952, DOI: 10.1016/j.neuropharm.2020.108301.Peer-Reviewed Original ResearchConceptsThalamic volumeThalamic asymmetryAge group differencesAbnormal asymmetryAnxiety disordersBilateral thalamic volumeAnxiety symptomsBrain developmental abnormalitiesOlder age groupsSocial anxiety disorderChronic family stressMedication-free childrenFunctional lateralizationMental disordersAge groupsChronic stressBrain developmentTotal SCARED scoresDisordersFamilial stressChildrenAnxiety severityAdolescentsEmotional disordersDevelopmental abnormalitiesAssessing Symptom Accommodation of Social Anxiety Symptoms Among Chinese Adults: Factor Structure and Psychometric Properties of Family Accommodation Scale Anxiety—Adult Report
Lou C, Zhou X, Lebowitz ER, Williams LL, Storch EA. Assessing Symptom Accommodation of Social Anxiety Symptoms Among Chinese Adults: Factor Structure and Psychometric Properties of Family Accommodation Scale Anxiety—Adult Report. Frontiers In Psychology 2020, 11: 1018. PMID: 32581921, PMCID: PMC7287202, DOI: 10.3389/fpsyg.2020.01018.Peer-Reviewed Original ResearchSocial anxiety symptomsSymptom accommodationSocial anxietyAnxiety symptomsPsychometric propertiesFactor structureTwo-factor latent structureSelf-report measuresSymptom-related behaviorsMultiple Indicators Multiple Causes (MIMIC) modelTwo-factor modelConfirmatory factor analysisChinese undergraduate studentsGood psychometric propertiesMultiple causes modelWorse treatment outcomesMental health conditionsInterpersonal constructsDivergent validityChinese adultsInterpersonal relationshipsImportant constructBehavior subscalesConvergent validityNon-significant relation
2019
Measuring Family Accommodation of Childhood Anxiety: Confirmatory Factor Analysis, Validity, and Reliability of the Parent and Child Family Accommodation Scale – Anxiety
Lebowitz ER, Marin CE, Silverman WK. Measuring Family Accommodation of Childhood Anxiety: Confirmatory Factor Analysis, Validity, and Reliability of the Parent and Child Family Accommodation Scale – Anxiety. Journal Of Clinical Child & Adolescent Psychology 2019, 49: 752-760. PMID: 31136200, PMCID: PMC6881529, DOI: 10.1080/15374416.2019.1614002.Peer-Reviewed Original ResearchConceptsConfirmatory factor analysisFamily accommodationChildhood anxietyExploratory factor analysisTest-retest reliabilityFactor analysisChild anxiety symptomsChild depression symptomsChild-parent dyadsTwo-factor modelTest-retest reliability dataChild anxietyAnxiety symptomsFamily routinesDivergent validityDepression symptomsTest-retest dataConvergent validityFactorial structureKey constructsAnxietyAccommodation measuresTheory developmentClinical applicationStudy objective
2018
Using Motion Tracking to Measure Avoidance in Children and Adults: Psychometric Properties, Associations With Clinical Characteristics, and Treatment-Related Change
Lebowitz ER, François B. Using Motion Tracking to Measure Avoidance in Children and Adults: Psychometric Properties, Associations With Clinical Characteristics, and Treatment-Related Change. Behavior Therapy 2018, 49: 853-865. PMID: 30316485, PMCID: PMC6394864, DOI: 10.1016/j.beth.2018.04.005.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyBehavioral avoidanceThreat facesMotion-tracking technologyChild-rated anxiety symptomsChildhood anxiety disordersSelf-rated fearAnxiety symptom severitySpider stimuliAnxious childrenTest-retest correlationsAreas of psychopathologyState anxietyTest-retest reliabilityAnxiety symptomsAnxiety disordersTime-effective measurementsAvoidance behaviorPsychometric propertiesTreatment-related changesSymptom severityThird studySecond studyAvoidanceLarge sample
2017
Oxytocin response to youth–mother interactions in clinically anxious youth is associated with separation anxiety and dyadic behavior
Lebowitz ER, Silverman WK, Martino AM, Zagoory‐Sharon O, Feldman R, Leckman JF. Oxytocin response to youth–mother interactions in clinically anxious youth is associated with separation anxiety and dyadic behavior. Depression And Anxiety 2017, 34: 127-136. PMID: 28052452, PMCID: PMC5503301, DOI: 10.1002/da.22585.Peer-Reviewed Original ResearchConceptsSeparation anxiety disorderAnxious youthAnxiety disordersSeparation anxietySalivary oxytocinAffective touchDSM-5 anxiety disordersYouth anxiety symptomsOT responseParticular anxiety disordersAttachment figuresReliable codersMaternal sensitivityDyadic behaviorsChildren's ratingsMaternal intrusivenessAttachment behaviorAnxiety symptomsAnxiety regulationSocial supportPossible intervention strategiesSignificant distressHigher youthYouthIntervention strategies
2015
Salivary oxytocin in clinically anxious youth: Associations with separation anxiety and family accommodation
Lebowitz ER, Leckman JF, Feldman R, Zagoory-Sharon O, McDonald N, Silverman WK. Salivary oxytocin in clinically anxious youth: Associations with separation anxiety and family accommodation. Psychoneuroendocrinology 2015, 65: 35-43. PMID: 26716876, PMCID: PMC4895196, DOI: 10.1016/j.psyneuen.2015.12.007.Peer-Reviewed Original ResearchConceptsSalivary OT levelsFamily accommodationSeparation anxiety disorderYouth anxietyAnxiety disordersAnxious youthInterpersonal behaviorSeparation anxietyOT levelsDSM-5 anxiety disordersSeparation anxiety symptomsTreatment of anxietyNeuropeptide oxytocinSalivary OTClinical anxietyMaternal ratingsSalivary oxytocinAnxiety symptomsOxytocinergic systemRegulation of anxietyAnxious behaviorOwn behaviorAnxiety assessmentAnxietyParental involvementFamily Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment
Norman KR, Silverman WK, Lebowitz ER. Family Accommodation of Child and Adolescent Anxiety: Mechanisms, Assessment, and Treatment. Journal Of Child And Adolescent Psychiatric Nursing 2015, 28: 131-140. PMID: 26238937, PMCID: PMC4896065, DOI: 10.1111/jcap.12116.Peer-Reviewed Original ResearchConceptsAnxiety-related distressFamily accommodationPediatric anxiety disordersAnxiety disordersAnxiety symptomsCurrent evidence-based interventionsChild anxiety symptomsCommon mental health concernsPsychiatric mental health nurse practitionersPotential neurobiological underpinningsMental health concernsCortico-limbic circuitryEvidence-based interventionsAdolescent anxietyNeurobiological underpinningsOxytocinergic systemOwn behaviorMultidisciplinary team membersGreater caregiver burdenTeam membersCurrent findingsPsychotherapy servicesClinical interventionsPsyc INFOCaregiver burdenFamily accommodation mediates the association between anxiety symptoms in mothers and children
Jones JD, Lebowitz ER, Marin CE, Stark KD. Family accommodation mediates the association between anxiety symptoms in mothers and children. Journal Of Child And Adolescent Mental Health 2015, 27: 41-51. PMID: 25958796, DOI: 10.2989/17280583.2015.1007866.Peer-Reviewed Original ResearchConceptsFamily accommodationChild anxietyStructural equation modellingAnxiety symptomsMaternal anxietySubclinical anxiety symptomsPediatric anxiety disordersDevelopment of interventionsChild avoidMothers of childrenMediational roleGreater symptom severityAnxiety disordersOwn anxietyMaternal accommodationAnxietyEquation modellingPoor treatment outcomesSymptom severityParentsChildrenTreatment outcomesAccommodationYouthMothers
2012
FAMILY ACCOMMODATION IN PEDIATRIC ANXIETY DISORDERS
Lebowitz ER, Woolston J, Bar‐Haim Y, Calvocoressi L, Dauser C, Warnick E, Scahill L, Chakir AR, Shechner T, Hermes H, Vitulano LA, King RA, Leckman JF. FAMILY ACCOMMODATION IN PEDIATRIC ANXIETY DISORDERS. Depression And Anxiety 2012, 30: 47-54. PMID: 22965863, PMCID: PMC3932435, DOI: 10.1002/da.21998.Peer-Reviewed Original ResearchConceptsChildhood anxiety disordersFamily Accommodation ScaleFamily accommodationAnxiety disordersMeasures of anxietyFamilies of childrenObsessive-compulsive disorderGood internal consistencyTwo-factor solutionAnxious childrenPediatric anxietyAccommodation ScaleSeparation anxietyGreater symptom severityAnxiety symptomsCompulsive disorderDivergent validityFamily routinesAnxietyDiagnostic InterviewPoor treatment outcomesInternal consistencySymptom severityMost parentsFactor analysis