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Journal of Clinical Psychology in Medical Settings

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08-12-2022 | Mood Disorders

Group Psychotherapy for Parents of Youth with Pediatric Acute-Onset Neuropsychiatric Syndrome

Authors: Hannah Ellerkamp, Margo Thienemann, Jason Tinero, Richard Shaw, LaTrice L. Dowtin, Jennifer Frankovich, Tonyanna Caren Borkovi

Published in: Journal of Clinical Psychology in Medical Settings | Issue 3/2023

Abstract

Parents of children with diagnoses of Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) and Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections (PANDAS) may experience significant psychological distress related to their child’s severe and relapsing illness and challenges with the traumatic nature of its treatment. No manualized or studied psychological interventions specifically for parents of youth with PANS have existed prior to this study. In this pilot study, we assessed the feasibility, satisfaction, and treatment fidelity of a brief 9-session group therapy intervention for parents based on principles of trauma-focused cognitive behavior therapy (CBT). We hypothesized that, if initially elevated, symptoms of depression, anxiety, and trauma would decrease and participants’ utilization of positive coping mechanisms would increase post-intervention. We adapted an existing evidence-based group intervention developed for parents of children with premature infants to target sources of stress and coping in parents of children with PANS. Ten parents participated in the study. The 9-session intervention used a combination of techniques that included cognitive restructuring, coping skills, self-care, and a trauma narrative to address psychological stress, trust, grief, and unwanted emotions. Outcome measures included parental symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD), as well as rating of parental satisfaction with the intervention. The treatment was feasible and deliverable with high fidelity. The intervention was rated as useful and satisfactory by parents (overall average usefulness of 4.54 and satisfaction of 4.71 out of 5.0). Elevated symptoms of PTSD and depression decreased with large effect sizes (Cohen’s d = 1.42 and Cohen’s d = 1.38, respectively). Participating parents demonstrated significantly more active coping and acceptance behaviors and stances. A brief 9-session group therapy intervention based on principles of trauma-focused CBT was found to be effective in reducing symptoms of psychological distress in parents of children with PANS.

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Title: Group Psychotherapy for Parents of Youth with Pediatric Acute-Onset Neuropsychiatric Syndrome
Authors: Hannah Ellerkamp
Margo Thienemann
Jason Tinero
Richard Shaw
LaTrice L. Dowtin
Jennifer Frankovich
Tonyanna Caren Borkovi
Publication date: 08-12-2022
Publisher: Springer US
Keywords: Mood Disorders
Affective Disorder
Anxiety
Published in: Journal of Clinical Psychology in Medical Settings / Issue 3/2023
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-022-09926-0

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Group Psychotherapy for Parents of Youth with Pediatric Acute-Onset Neuropsychiatric Syndrome

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