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. 2022 Oct;90(10):827-836.
doi: 10.1037/ccp0000770.

Parent involvement enhances CBTs for anxiety disorders in Hispanic/Latino youth: Acculturation as a moderator

Guadalupe C Patriarca  1 , Yasmin Rey  1 , Carla E Marin  2 , Carlos E Yeguez  1 , Jeremy W Pettit  1 , Wendy K Silverman  2
Affiliations

Parent involvement enhances CBTs for anxiety disorders in Hispanic/Latino youth: Acculturation as a moderator

Guadalupe C Patriarca et al. J Consult Clin Psychol. 2022 Oct.

Abstract

Objective: Although cognitive behavioral treatments (CBTs) are well-established evidence-based interventions for anxiety disorders in youth, there is long-standing underrepresentation of Hispanic/Latino (H/L) families in youth anxiety clinical trials research. The impact of such underrepresentation is that clinicians who work with H/L youth have minimal evidence-based guidance on best practices. The present study moves toward informing best practices for working with H/L youth with anxiety disorders by examining H/L parents' acculturation and enculturation as moderators of youth anxiety outcomes following CBTs.

Method: Two hundred eleven H/L youths ages 6-16 (M = 9.41 years, SD = 2.39 years; 43.8% female) and their parents were assigned to individual-youth CBT or one of two parent involvement CBTs: one targeted decreasing parent psychological control, the other targeted decreasing parent use of negative reinforcement. Parent acculturation and enculturation were measured at pretreatment; youth anxiety severity was measured at pretreatment, posttreatment, and 12-month follow-up evaluations.

Results: Youth anxiety outcomes were enhanced in both parent involvement CBTs compared with individual-youth CBT. Parent acculturation, but not enculturation, significantly moderated outcomes. At lower levels of parent acculturation, youth anxiety outcomes were enhanced in the parent involvement CBT that targeted negative reinforcement. At higher levels of parent acculturation, youth anxiety outcomes were enhanced in the parent involvement CBT that targeted psychological control.

Conclusions: These findings further support the efficacy of CBTs for anxiety disorders in H/L youth and suggest guidance for tailoring parent involvement treatments based on parent acculturation levels. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Trial registration: ClinicalTrials.gov NCT00620958.

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References

    1. Barber BK (1996). Parental psychological control: Revisiting a neglected construct. Child Development, 67(6), 3296–3319. 10.2307/1131780 - DOI - PubMed
    1. Baumann AA, Kuhlberg JA, & Zayas LH (2010). Familism, mother-daughter mutuality, and suicide attempts of adolescent Latinas. Journal of Family Psychology, 24(5), 616–624. 10.1037/a0020584 - DOI - PubMed
    1. Berry JW (2005). Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations, 29(6), 697–712. 10.1016/j.ijintrel.2005.07.013 - DOI
    1. Buriel R (1993). Childrearing orientations in Mexican American families: The influence of generation and sociocultural factors. Journal of Marriage and Family, 55(4), 987–1000. 10.2307/352778 - DOI
    1. Calzada EJ, Fernandez Y, & Cortes DE (2010). Incorporating the cultural value of respeto into a framework of Latino parenting. Cultural Diversity & Ethnic Minority Psychology, 16(1), 77–86. 10.1037/a0016071 - DOI - PMC - PubMed

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