Family Accommodation of XXXX and Adolescent Anxiety: Mechanisms, Assessment, and Treatment.

@entity1 @entity148 @entity221 @entity146
TOPIC: @entity148 are the most common mental health concern for youth. Unfortunately, a substantial number of @entity1 and adolescents do not respond positively to current evidence-based interventions and/or relapse. As pediatric @entity148 are fundamentally a systemic phenomenon, focusing on the ways in which parents become involved in their @entity1 's @entity148 may be a promising alternative approach to treatment. PURPOSE: To inform @entity146 mental health nurse practitioners (PMHNPs) about the phenomenology, associated neurobiology, and assessment of family accommodation (FA) as well as clinical interventions targeting FA. FA refers to ways that parents adapt their own behaviors to reduce their @entity1 's @entity148 . SOURCES USED: A literature search was performed using Psyc-INFO and PubMed. CONCLUSIONS: Current findings indicate a high prevalence of FA associated with pediatric @entity148 . FA has a potentially deleterious impact on @entity221 and treatment response and is associated with greater caregiver burden. Potential neurobiological underpinnings of FA include dysregulation of parent cortico-limbic circuitry and the oxytocinergic system. PMHNPs are in a unique position to identify families engaged in problematic FA, educate their clientele, provide psychotherapy services with the goal of reducing FA, and consult with multidisciplinary team members.
