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Quantifying Session Content in the Delivery of Parent Coached Exposure Therapy
Stephen P H Whiteside1, Elle Brennan1, Bridget K Biggs1
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
Evidence-Based Practice in Child and Adolescent Mental Health
|November 28, 2022
Summary
Parent Coached Exposure Therapy (PCET) effectively integrates parents and prioritizes exposure early in treatment for childhood anxiety disorders (CADs). This approach maximizes exposure time and minimizes other anxiety management strategies, enhancing treatment efficiency.
Area of Science:
- Child Psychology
- Clinical Psychology
- Therapeutic Interventions
Background:
- Exposure therapy is the key component in treating childhood anxiety disorders (CADs).
- Current protocols often include various anxiety management strategies (AMS) alongside exposure.
- This can reduce treatment efficiency and effectiveness.
Purpose of the Study:
- To descriptively quantify the implementation of Parent Coached Exposure Therapy (PCET).
- To assess adherence to key PCET components: early exposure, exclusion of AMS, and parent involvement.
- To provide preliminary guidelines for PCET session structure.
Main Methods:
- Utilized audio recordings from a pilot study of PCET.
- Therapists involved in PCET protocol development implemented the therapy.
- Quantified session time dedicated to exposure, AMS, and parent-child co-attendance.
Main Results:
- Majority of session time (0.60) was dedicated to exposure activities.
- Anxiety management strategies (AMS) were minimally included (0.01).
- Parents and youth attended sessions together almost entirely (0.98).
Conclusions:
- PCET implementation accurately reflected the protocol's design.
- PCET meaningfully differs from traditional Cognitive Behavioral Therapy (CBT) for CADs.
- Findings offer guidance on in-session exposure time for PCET delivery.
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