Mindfulness for Parents of OCD-affected Children

NCT ID: NCT03212703

Last Updated: 2021-01-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 39 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-07-31
• Study Completion Date: 2020-09-30

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.

Detailed Description

Obsessive-compulsive disorder (OCD) is a debilitating psychiatric illness that frequently begins in childhood. It is characterized by obsessions and/or compulsions that are distressing, time consuming and significantly impairing. OCD is distinct in the extent to which it disrupts family functioning, in that there is intense parental pressure to become involved in rituals and to change home environments and schedules to avoid triggers, thus accommodating the OCD. It is also well known that OCD severity tends to worsen in the context of stressful environments and situations. While effective treatment approaches for pediatric OCD have been identified, partial response and treatment refusal are all too common, leading to chronicity of both the illness itself and of its deleterious familial effects.

The investigators plan to study a novel approach to help manage the stress of parenting a child with OCD, thus facilitating more effective resistance to OCD family accommodation and supporting the child in fighting this difficult illness. The investigators will explore the role of group-based mindfulness-based skills training (P-MBST) in supporting parents of OCD-affected youth, in particular investigating the possibility that increased distress tolerance as a result of mindfulness practice may help parents reduce OCD accommodation.

Conditions

Obsessive-Compulsive Disorder

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Waitlist control (WLC)

Observation surveys over an 8-week period.

Group Type: ACTIVE_COMPARATOR

Mindfulness-Based Skills Training (MBST)

Intervention Type: BEHAVIORAL

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

Mindfulness-Based Skills Training (MBST)

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

Group Type: ACTIVE_COMPARATOR

Waitlist control (WLC)

Intervention Type: OTHER

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

Interventions

Mindfulness-Based Skills Training (MBST)

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

Intervention Type: BEHAVIORAL

Waitlist control (WLC)

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

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Parents (or step-parents or legal guardians) with care-giving role for an OCD-affected youth from our clinic

2. Participants must be able to converse in English

3. 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.

Exclusion Criteria

1. Parents who have previously participated in mindfulness skills training.

2. Parents with active psychosis, mania, mental retardation, autism or current substance misuse.

3. Parents unwilling to provide consent.

4. Families who are not attending our program's group-family Cognitive-Behavioral Therapy treatment concurrently.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Michael Smith Foundation for Health Research

OTHER

Sponsor Role: collaborator

University of British Columbia

OTHER

Sponsor Role: lead

Responsible Party

Evelyn Stewart, MD

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

S. Evelyn Stewart, MD

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

BC Children's Hospital Research Institute

Vancouver, British Columbia, Canada

Countries

Canada

References

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.

Reference Type: DERIVED

PMID: 32379640 (View on PubMed)

Other Identifiers

H14-02099

Identifier Type: -

Identifier Source: org_study_id