Mindfulness for Parents of OCD-affected Children

NCT03212703 | Completed

• 1 other identifier: H14-02099
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate the role of a mindfulness-based skills training program for parents of children with obsessive compulsive disorder (OCD). The investigators will explore if parents involved in this group experience any change in their levels of stress, feelings of being an effective parent and family relationships compared to a waiting list control period. The investigators will look at how the family manages OCD in their lives. In particular, if mindfulness skills training will help increase the parents ability to tolerate distress in their child secondary to OCD and as such reduce the family accommodation of OCD. As family accommodation is an important negative prognostic predictor for children with OCD, changes in OCD symptom severity and functional impact in these child will also be measured.

Conditions

Obsessive-Compulsive Disorder

Keywords

Mindfulness training; Parents and families; Pediatric OCD

Outcome Measures

Primary Outcomes (2)

• Change in parental stress levels compared to waiting list control (WLC).

  Parental stress levels is measured using the Parenting Stress Index - Short Form (PSI-SF) for parents with children under 13 years of age and the Stress Index for Parents of Adolescents - Short Form (SIPA-SF) for parents with children who are 13 years and older. The PSI-SF and SIPA-SF are both measures of parental stress, but with a difference in age cut-off.

  Baseline (first week of P-MBST), Mid-treatment (fifth week of P-MBST), Post-treatment (within one week of completing 8-week P-MBST sessions) and follow-up (one month following P-MBST)

• Change in ability to tolerate OCD-related distress compared to waiting list control (WLC).

  The ability to tolerate OCD-related distress is measured using the Parental Tolerance of Child Distress (PT-OCD) scale.

  Baseline (first week of P-MBST), Mid-treatment (fifth week of P-MBST), Post-treatment (within one week of completing 8-week P-MBST sessions) and follow-up (one month following P-MBST)

Secondary Outcomes (4)

• Change in ability to resist family accommodation of the child's OCD symptoms compared to waiting list control (WLC).

  Baseline (first week of P-MBST), and Post-treatment (within one week of completing 8-week P-MBST sessions).

• Change in family functioning compared to the waiting list control (WLC).

  Baseline (first week of P-MBST), and Post-treatment (within one week of completing 8-week P-MBST sessions).

• Change in OCD severity compared to waiting list control (WLC).

  Baseline (first week of P-MBST), and Post-treatment (within one week of completing 8-week P-MBST sessions).

• Change in OCD-associated coercive and disruptive symptoms compared to waiting list control (WLC).

  Baseline (first week of P-MBST), and Post-treatment (within one week of completing 8-week P-MBST sessions).

Other Outcomes (1)

• Change in mindfulness compared to waiting list control (WLC).

  Baseline (first week of P-MBST), and Post-treatment (within one week of completing 8-week P-MBST sessions).

Study Arms (2)

Waitlist control (WLC)

ACTIVE COMPARATOR

Observation surveys over an 8-week period.

Behavioral: Mindfulness-Based Skills Training (MBST)

Mindfulness-Based Skills Training (MBST)

ACTIVE COMPARATOR

Attendance at weekly 1.5-hour group sessions and surveys over an 8-week period.

Other: Waitlist control (WLC)

Interventions

Mindfulness-Based Skills Training (MBST) BEHAVIORAL

8-week mindfulness skills training sessions based on Mindfulness-Based Cognitive Therapy (MBCT) program by Zindel Segal, Mark Williams and John Teasdale

Waitlist control (WLC)

Waitlist control (WLC) OTHER

Observation surveys at baseline, mid-point and end-point of an 8-week period

Mindfulness-Based Skills Training (MBST)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Parents (or step-parents or legal guardians) with care-giving role for an OCD-affected youth from our clinic
• Participants must be able to converse in English
• Participants willing to attend 8 sessions of a weekly 1.5 hour group, in addition to complete questionnaires at multiple time points during the group and waiting list period.

You may not qualify if:

• Parents who have previously participated in mindfulness skills training.
• Parents with active psychosis, mania, mental retardation, autism or current substance misuse.
• Parents unwilling to provide consent.
• Families who are not attending our program's group-family Cognitive-Behavioral Therapy treatment concurrently.

Sponsors & Collaborators

• University of British Columbia: lead
• Michael Smith Foundation for Health Research: collaborator

Study Sites (1)

BC Children's Hospital Research Institute

Vancouver, British Columbia, V5Z4H4, Canada

Location

Related Publications (1)

• Belschner L, Lin SY, Yamin DF, Best JR, Edalati K, McDermid J, Stewart SE. Mindfulness-based skills training group for parents of obsessive-compulsive disorder-affected children: A caregiver-focused intervention. Complement Ther Clin Pract. 2020 May;39:101098. doi: 10.1016/j.ctcp.2020.101098. Epub 2020 Jan 17.

  PMID: 32379640 DERIVED

MeSH Terms

Conditions

Obsessive-Compulsive Disorder

Condition Hierarchy (Ancestors)

Anxiety Disorders; Mental Disorders

Study Officials

• S. Evelyn Stewart, MD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 4, 2017
• First Posted: July 11, 2017
• Study Start: July 1, 2015
• Primary Completion: September 1, 2020
• Study Completion: September 1, 2020
• Last Updated: January 19, 2021

Record last verified: 2021-01

Locations

CA (1)