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
2022
Anxiety and Social Functioning: The Moderating Roles of Family Accommodation and Youth Characteristics
Etkin RG, Silverman WK, Lebowitz ER. Anxiety and Social Functioning: The Moderating Roles of Family Accommodation and Youth Characteristics. Research On Child And Adolescent Psychopathology 2022, 50: 781-794. PMID: 34997402, DOI: 10.1007/s10802-021-00884-z.Peer-Reviewed Original ResearchConceptsYouth anxiety severityFamily accommodationAnxiety severitySocial functioningYouth anxietyAnxiety disordersSocial anxiety disorder diagnosisYouth ageSocial functioning difficultiesSocial anxiety disorderYouth social functioningAnxiety disorder diagnosisHierarchical linear regressionSocial functioning variablesAnxious youthTypes of difficultiesSocial impairmentFunctioning variablesPotential moderatorsModerating RoleIntervention effortsExtent of identificationFuture research directionsDepression symptomsAnxiety
2020
SPACE‐ARFID: A pilot trial of a novel parent‐based treatment for avoidant/restrictive food intake disorder
Shimshoni Y, Silverman WK, Lebowitz ER. SPACE‐ARFID: A pilot trial of a novel parent‐based treatment for avoidant/restrictive food intake disorder. International Journal Of Eating Disorders 2020, 53: 1623-1635. PMID: 33464594, DOI: 10.1002/eat.23341.Peer-Reviewed Original ResearchConceptsRestrictive food intake disorderParent-based treatmentFood intake disorderPilot trialFamily accommodationSymptom severityParental responsesClient Satisfaction QuestionnaireAnxious Childhood EmotionsWeekly treatment sessionsAdverse eventsClinical outcomesPreliminary efficacyARFID symptomsTreatment sessionsChildhood EmotionsEligible familiesSupportive parentingEating habitsWeekly sessionsARFIDSatisfaction questionnaireTrialsTreatmentPreliminary evidenceSeparating From the Mothership: A Coordinated Individual and Parent-Based Approach to Severe Agoraphobia in a Young Adult
Raila HE, Julian M, Lebowitz ER, Silverman WK. Separating From the Mothership: A Coordinated Individual and Parent-Based Approach to Severe Agoraphobia in a Young Adult. Cognitive And Behavioral Practice 2020, 28: 422-434. PMID: 34305384, PMCID: PMC8296594, DOI: 10.1016/j.cbpra.2020.06.004.Peer-Reviewed Original ResearchCognitive behavioral therapyTraditional cognitive behavioral therapyIntegration of CBTAnxious Childhood EmotionsParent-based treatmentSelf-reported scoresChildhood EmotionsFamily accommodationSupportive parentingPsychological treatmentAdolescent psychopathologyBehavioral indicesAge-appropriate independenceSuch psychopathologyOlder adolescentsSevere agoraphobiaAdult childrenPanic disorderAnxietyYoung adultsPsychopathologyParentsSame treatment centerAgoraphobiaAdultsParent-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 predictorsChildren
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 objectiveParental 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 dataAnxietyAccommodationParticipants
2017
Anxiety 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
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 burden