Department of Clinical Psychology, Experimental Psychopathology, and Psychotherapy, Institute of Psychology, Philipps-University Marburg, Gutenbergstraße 18, 35037, Marburg, Germany.
Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA.
Child Psychiatry Hum Dev. 2022 Oct;53(5):1047-1061. doi: 10.1007/s10578-021-01190-x. Epub 2021 May 19.
Previous studies investigating family accommodation (FA) in pediatric anxiety disorders have primarily relied on mothers' reports, while data on FA by fathers remains scarce. We examined the frequency and correlates of fathers' FA of anxious children and compared fathers' and mothers' reports of FA. Participants were 69 parents of treatment-seeking children and adolescents with a primary anxiety disorder. FA was highly prevalent amongst fathers, with the majority of fathers participating in symptom-related behaviors and modifying family routines due to child anxiety. Fathers' accommodation levels were significantly correlated with fathers' reports of child internalizing symptoms, child externalizing symptoms, and fathers' own anxiety symptoms. Fathers' and mothers' reports of FA were moderately correlated, whereas their reports of their respective distress related to the need to accommodate were only weakly correlated. Fathers reported a significantly lower frequency of FA than did mothers. These findings highlight the importance of obtaining reports from both fathers and mothers when assessing FA. Results are particularly relevant to family-focused and parent-based interventions designed to address and reduce FA amongst parents of clinically anxious children.
先前研究儿童焦虑障碍中的家庭顺应(FA)主要依赖于母亲的报告,而父亲FA 的数据则相对较少。我们考察了焦虑儿童的父亲 FA 的频率和相关因素,并比较了父亲和母亲的 FA 报告。参与者为 69 名患有原发性焦虑障碍的接受治疗的儿童和青少年的父母。父亲的顺应行为非常普遍,大多数父亲因孩子的焦虑而参与与症状相关的行为,并改变家庭常规。父亲的适应水平与父亲报告的孩子的内化症状、外化症状以及父亲自身的焦虑症状显著相关。父亲和母亲的 FA 报告中度相关,而他们对适应需求相关的困扰的报告仅弱相关。父亲报告的 FA 频率明显低于母亲。这些发现强调了在评估 FA 时同时获取父亲和母亲报告的重要性。研究结果对于以家庭为中心和以父母为基础的干预措施特别重要,旨在解决和减少临床焦虑儿童父母的 FA。