Objective-To test whether intolerance of uncertainty (IU) is related to eating disorder (ED) pathology.Method-Thirty individuals with anorexia nervosa (AN), 19 with bulimia nervosa (BN) and 28 healthy control women (CW) completed the Intolerance of Uncertainty Scale (IUS).Results-AN and BN groups showed higher IU compared to CW. In AN and BN, Harm Avoidance and Depression scores were positively correlated with IU. In AN but not BN, IU was related positively to Drive for Thinness and Body Dissatisfaction.
Conclusion-ElevatedIU is associated with AN and BN. Anxious traits may be inherent in EDs and IU could be a developmental factor contributing to anxiety, mood and ED behavior in AN and BN.
Cognitive-Behavioral Therapy (CBT) has shown to be effective in the treatment of childhood OCD. This online Therapist Guide outlines a 12-session CBT-based treatment for OCD that benefits not only children and adolescents, but their families as well. Each session incorporates a family therapy component in addition to individual treatment for the child. It is a combined approach program that educates the child and family about OCD in order to reduce negative feelings of guilt and blame and to normalise family functioning. It also provides guidelines for conducting both imaginal and in vivo exposures, which are techniques at the core of helping children reduce their anxiety. For use with children ages 8 to 17, this online resource is an indispensable tool for clinicians helping children and their families cope with OCD.
Developmental factors direct optimal implementations of cognitive-behavioral therapy (CBT) protocols with children and adolescents. Although chronological age can approximate level of development, youthful clients benefit when clinicians carefully assess each child’s cognitive, social, and emotional skills and adjust manualized treatments accordingly. Using several components of manualized CBT for anxiety in youth (i.e., affective education, cognitive restructuring, exposure tasks) as a framework, this article reviews empirical literature and provides practical suggestions for modifying these aspects of treatment to fit a child’s level of development. Important issues such as engaging youth in treatment, and involving school personnel and parents in this process are also discussed. This article concludes with a call for future research that will inform the implementation of manualized treatments based on developmental factors.
Discusses the potential roles of parents in cognitive-behavioral therapy (CBT) with anxious youth and how parents can both facilitate and/or impede treatment progress. Parents facilitate the attainment of treatment goals by providing invaluable information regarding the child’s level of functioning and assisting the therapist with the development and implementation of treatment components such as exposure tasks. Parental involvement in treatment also gives the therapist an opportunity to more fully assess and address family factors that may be maintaining the child’s anxiety. Common challenges encountered with parents that may impede treatment progress include rescuing the child from anxious situations, under- or over-involvement in the treatment process, difficulty setting limits, and the presence of parental psychopathology. Finally, the relevance of developmental level, child gender, diagnosis, and the presence of parental psychopathology to the decision of how and when to include parents in treatment is discussed.
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