2024
Preliminary Randomized Controlled Trial of the Supportive Parenting for Anxious Childhood Emotions Intervention for Highly Dependent Adult Children
Berger U, Silverman W, Lebowitz E. Preliminary Randomized Controlled Trial of the Supportive Parenting for Anxious Childhood Emotions Intervention for Highly Dependent Adult Children. Emerging Adulthood 2024, 12: 807-819. DOI: 10.1177/21676968241252851.Peer-Reviewed Original ResearchFamily accommodationSymptom severitySupportive parentingAnxious Childhood EmotionsDepressive symptom severityParents of adultsParental burdenParent-based interventionsIntellectual disabilityChild anxietyChildhood emotionalRandomized controlled trialsAdult ChildrenEmotional interventionAnxietyTrial completionTreatment satisfactionPost-treatmentCost-of-illnessWaitlistParentsSymptomsAdultsSatisfaction scoresControlled trialsFamily 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 effectSymptomsChildrenAttachmentFamily Accommodation in Anxious Irritable and Anxious Nonirritable Youth
Budagzad-Jacobson R, Musicaro R, Marin C, Silverman W, Lebowitz E. Family Accommodation in Anxious Irritable and Anxious Nonirritable Youth. Behavior Therapy 2024, 55: 913-921. PMID: 39174269, PMCID: PMC11341947, DOI: 10.1016/j.beth.2024.03.003.Peer-Reviewed Original ResearchFamily accommodationIrritable youthYouth anxietyParent ratingsCo-occurrence of anxietyLevels of irritabilityInfluence of irritabilityClinic-referredAnxiety disordersDiagnostic InterviewChild anxietyYouth ratingsAnxietyAccommodation behaviorAnxiety levelsTreatment targetModerating effectIrritability levelsYouthCo-occurrenceParentsIrritationDisordersFindingsAssociation
2023
Randomized trial comparing standard versus light intensity parent training for anxious youth
Storch E, Guzick A, Ayton D, Palo A, Kook M, Candelari A, Maye C, McNeel M, Trent E, Garcia J, Onyeka O, Rast C, Shimshoni Y, Lebowitz E, Goodman W. Randomized trial comparing standard versus light intensity parent training for anxious youth. Behaviour Research And Therapy 2023, 173: 104451. PMID: 38154287, DOI: 10.1016/j.brat.2023.104451.Peer-Reviewed Original ResearchObsessive-compulsive disorderAnxiety severityAnxious Childhood EmotionsParent-reported anxietyPost-treatment anxietyTreatment conditionsAnxious youthChildhood EmotionsParent trainingFamily accommodationSupportive parentingAnxiety treatmentDiverse sampleAnxietyOne monthSignificant anxietyYouthChange scoresIndependent evaluatorsFunctional impairmentParentsFurther supportSessionsTotal change scoresEmotionsA Pilot Trial of SPACE (Supportive Parenting for Anxious Childhood Emotions) in Autism
Rozenblat S, Shimshoni Y, Lebowitz E, Perez M, Koller J. A Pilot Trial of SPACE (Supportive Parenting for Anxious Childhood Emotions) in Autism. Child Psychiatry & Human Development 2023, 1-15. PMID: 37353645, DOI: 10.1007/s10578-023-01555-4.Peer-Reviewed Original ResearchFamily accommodationAnxious Childhood EmotionsAverage cognitive abilityCognitive behavior therapySymptom severityAnxiety symptom severityChildhood EmotionsChildhood anxietyCognitive abilitiesSupportive parentingChild distressAutistic populationManualized treatmentAutistic childrenReliable changeGreater functional impairmentAutismWeekly sessionsAnxietyPoor treatment outcomesPreliminary evidencePreliminary efficacyDistressPilot trialCaregiver burdenThe 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
Parent-Child Agreement on Family Accommodation Differentially Predicts Outcomes of Child-Based and Parent-Based Child Anxiety Treatment
Zilcha-Mano S, Shimshoni Y, Silverman WK, Lebowitz ER. Parent-Child Agreement on Family Accommodation Differentially Predicts Outcomes of Child-Based and Parent-Based Child Anxiety Treatment. Journal Of Clinical Child & Adolescent Psychology 2020, 50: 427-439. PMID: 32401557, PMCID: PMC8496486, DOI: 10.1080/15374416.2020.1756300.Peer-Reviewed Original ResearchConceptsParent-child agreementFamily accommodationMultilevel response-surface analysisAnxious Childhood EmotionsChild anxiety treatmentChild anxiety severityCognitive behavioral therapyAnxiety symptom severityDistinct underlying mechanismsChildhood EmotionsChildhood anxietySupportive parentingAnxiety treatmentParent reportBehavioral therapyRole of accommodationAnxiety severityAnxiety disordersPoor treatment outcomesTreatment outcomesSymptom severitySubsequent treatment outcomesTreatment endSignificant predictorsChildrenThe Relationship of Family Accommodation with Pediatric Anxiety Severity: Meta-analytic Findings and Child, Family and Methodological Moderators
Iniesta-Sepúlveda M, Rodríguez-Jiménez T, Lebowitz ER, Goodman WK, Storch EA. The Relationship of Family Accommodation with Pediatric Anxiety Severity: Meta-analytic Findings and Child, Family and Methodological Moderators. Child Psychiatry & Human Development 2020, 52: 1-14. PMID: 32246361, DOI: 10.1007/s10578-020-00987-6.Peer-Reviewed Original ResearchSPACE, Parent-Based Treatment for Childhood and Adolescent Anxiety: Clinical Case Illustration
Lebowitz E, Majdick J. SPACE, Parent-Based Treatment for Childhood and Adolescent Anxiety: Clinical Case Illustration. Journal Of Cognitive Psychotherapy 2020, 34: 107-118. DOI: 10.1891/jcpsy-d-19-00028.Peer-Reviewed Original ResearchCognitive behavioral therapyParent-based treatmentAnxiety disordersChildhood anxiety disordersClinical case illustrationParental accommodationAdolescent anxietyFamily accommodationChild anxietyChild distressBehavioral therapyParental behaviorSupportive stanceCase illustrationAnxietyEmpirical backgroundDistressEfficacious treatmentOnly interventionTheoretical foundationDisordersCase descriptionParentsChildrenChildhood
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 objectiveFamily Accommodation in Autism Spectrum Disorder
Feldman I, Koller J, Lebowitz ER, Shulman C, Ben Itzchak E, Zachor DA. Family Accommodation in Autism Spectrum Disorder. Journal Of Autism And Developmental Disorders 2019, 49: 3602-3610. PMID: 31134428, DOI: 10.1007/s10803-019-04078-x.Peer-Reviewed Original ResearchConceptsAutism spectrum disorderFamily accommodationSpectrum disorderAnxiety disordersParent-based interventionsFamilies of childrenParents of childrenParental accommodationChild's RRBsRRB severityGreater symptom severityRepetitive behaviorsLower functioningHighlight avenuesPoor treatment outcomesRRBsSymptom severityChildrenMost participantsDisordersTreatment outcomesOCDHigh levelsFunctioningAccommodationParental Predictors of School Attendance Difficulties in Children Referred to an Anxiety Disorders Clinic
Marin C, Anderson T, Lebowitz E, Silverman W. Parental Predictors of School Attendance Difficulties in Children Referred to an Anxiety Disorders Clinic. European Journal Of Education And Psychology 2019, 12: 31-46. DOI: 10.30552/ejep.v12i1.239.Peer-Reviewed Original ResearchSchool attendance difficultiesParental psychological controlFamily accommodationParental depressionPsychological controlParental factorsParental anxietyAttendance difficultiesAnxiety Disorders ClinicAnxious childrenChildhood anxietyChild anxietyImportant predictive roleParent ratingsParental variablesChild depressionBehavior problemsParental predictorsAnxietyChild's ageSignificant predictorsSchool hoursHigh levelsDisorders ClinicChildrenParent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions
Lebowitz ER, Marin C, Martino A, Shimshoni Y, Silverman WK. Parent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions. Journal Of The American Academy Of Child & Adolescent Psychiatry 2019, 59: 362-372. PMID: 30851397, PMCID: PMC6732048, DOI: 10.1016/j.jaac.2019.02.014.Peer-Reviewed Original ResearchConceptsParent-based treatmentAnxious Childhood EmotionsChildhood anxiety disordersFamily accommodationChildhood anxietyAnxiety disordersChildhood EmotionsSupportive parentingParenting stressAnxiety outcomesCognitive behavioral therapyPrimary anxiety disorderParent interventionBehavioral therapyChildren's ratingsAnxiety severityTreatment credibilityClinician-rated scalesParent treatmentParent involvementAnxietyDiagnostic InterviewEmotionsParentingIndependent evaluatorsFamily accommodation mediates nightmares and sleep-related problems in anxious children
Lebowitz ER, Shimshoni Y, Silverman WK. Family accommodation mediates nightmares and sleep-related problems in anxious children. Journal Of Anxiety Disorders 2019, 62: 94-99. PMID: 30660831, PMCID: PMC6432767, DOI: 10.1016/j.janxdis.2019.01.004.Peer-Reviewed Original ResearchConceptsSleep-related problemsAnxious childrenFamily accommodationHypothesized mediational pathwaysStructural equation modelingStructural equation modelChildhood anxietyMediational pathwaysFirst empirical evidenceMaternal reportsEquation modelingFit indicesNightmaresEquation modelChildrenEmpirical evidenceEmpirical dataAnxietyAccommodationParticipantsFamily accommodation in psychopathology: A synthesized review
Shimshoni Y, Shrinivasa B, Cherian AV, Lebowitz ER. Family accommodation in psychopathology: A synthesized review. Indian Journal Of Psychiatry 2019, 61: s93-s103. PMID: 30745682, PMCID: PMC6343404, DOI: 10.4103/psychiatry.indianjpsychiatry_530_18.Peer-Reviewed Original ResearchCaregiver burdenSymptom severityFamily accommodationPoor treatment outcomesEfficacy of treatmentGreater symptom severityPosttraumatic stress disorderEnglish language papersObsessive-compulsive disorderFunctional impairmentTic disordersTreatment outcomesPsychiatric disordersElectronic databasesStress disorderDisordersLanguage papersNumber of studiesFamily membersPsychopathologySeverityAutism spectrum disorderRecent findingsSpectrum disorderTreatment
2018
The SPACE program, a parent-based treatment for childhood and adolescent OCD: The case of Jasmine.
Lebowitz ER, Shimshoni Y. The SPACE program, a parent-based treatment for childhood and adolescent OCD: The case of Jasmine. Bulletin Of The Menninger Clinic 2018, 82: 266-287. PMID: 30589579, DOI: 10.1521/bumc.2018.82.4.266.Peer-Reviewed Original ResearchConceptsParent-based treatmentCurrent evidence-based treatmentsCognitive behavioral therapyObsessive-compulsive disorderEvidence-based treatmentsChild avoidFamily accommodationResponse preventionLack of motivationSupportive responsesAdolescent OCDOwn behaviorChildren's symptomsPsychopharmacological treatmentYouthDisordersOCDAdolescentsDistressMotivationCase descriptionTheoretical backgroundParentsSymptomsChildrenSymptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample
Selles RR, Højgaard DRMA, Ivarsson T, Thomsen PH, McBride N, Storch EA, Geller D, Wilhelm S, Farrell LJ, Waters AM, Mathieu S, Lebowitz E, Elgie M, Soreni N, Stewart SE. Symptom Insight in Pediatric Obsessive-Compulsive Disorder: Outcomes of an International Aggregated Cross-Sectional Sample. Journal Of The American Academy Of Child & Adolescent Psychiatry 2018, 57: 615-619.e5. PMID: 30071984, PMCID: PMC7176075, DOI: 10.1016/j.jaac.2018.04.012.Peer-Reviewed Original Research
2017
Family‐based Conceptualization and Treatment of Obsessive‐Compulsive Related Disorders
Lebowitz E, Golt J. Family‐based Conceptualization and Treatment of Obsessive‐Compulsive Related Disorders. 2017, 1193-1207. DOI: 10.1002/9781118890233.ch66.Peer-Reviewed Original ResearchObsessive-compulsive related disordersCognitive behavioral therapyFamily accommodationAnxious Childhood EmotionsParent-based interventionsObsessive-compulsive disorderClinical case examplesChildhood EmotionsSupportive parentingAccommodation reductionFamily factorsRelated disordersGreater impairmentPoor treatment outcomesMore severe symptomsSuccessful interventionsCase exampleDisordersTreatment outcomesEmotionsParentingInterventionAnxietyStrong emphasisConceptualizationAnxiety Sensitivity Moderates the Relation Between Family Accommodation and Anxiety Symptom Severity in Clinically Anxious Children
Schleider JL, Lebowitz ER, Silverman WK. Anxiety Sensitivity Moderates the Relation Between Family Accommodation and Anxiety Symptom Severity in Clinically Anxious Children. Child Psychiatry & Human Development 2017, 49: 187-196. PMID: 28616690, PMCID: PMC6688181, DOI: 10.1007/s10578-017-0740-1.Peer-Reviewed Original ResearchConceptsAnxiety symptom severityChild anxiety symptom severityFamily accommodationAnxiety sensitivityAnxious childrenSymptom severityClinically Anxious ChildrenAnxiety-provoking stimuliLong-term anxietySubset of childrenAnxiety severityImmediate distressMothers' ratingsChildren's symptomsParental involvementChildrenDistressRatingsSeverity associationStrength of associationAnxietyHigh levelsStimuliAccommodationLink
2016
Cross-generational influences on childhood anxiety disorders: pathways and mechanisms
Lebowitz ER, Leckman JF, Silverman WK, Feldman R. Cross-generational influences on childhood anxiety disorders: pathways and mechanisms. Journal Of Neural Transmission 2016, 123: 1053-1067. PMID: 27145763, PMCID: PMC5007197, DOI: 10.1007/s00702-016-1565-y.Peer-Reviewed Original ResearchConceptsAnxiety disordersChild anxiety treatment outcomeChild anxiety disordersChildhood anxiety disordersParent-based interventionsAnxiety treatment outcomesCross-generational influencesSocial referencingFamily accommodationChild anxietyParenting stylesVicarious learningOxytocinergic systemChildren's symptomsBehavioral systemsParental responsesParental anxietyMaternal anxietyAnxietyExistence of linksSevere distressDisordersPrenatal environmentTreatment outcomesResearch