Mindfulness for Parents of OCD-affected Children

A Trial of Mindfulness-Based Skills Training Groups Versus a Waiting List Control Period for Parents of Obsessive-Compulsive Disorder (OCD)-Affected Youth

Sponsors

Lead Sponsor: University of British Columbia

Collaborator: Michael Smith Foundation for Health Research

Source University of British Columbia
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.

Overall Status Completed
Start Date 2015-07-01
Completion Date 2020-09-01
Primary Completion Date 2020-09-01
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Change in parental stress levels compared to waiting list control (WLC). 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). 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 Outcome
Measure Time Frame
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).
Enrollment 39
Condition
Intervention

Intervention Type: Behavioral

Intervention Name: Mindfulness-Based Skills Training (MBST)

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

Arm Group Label: Waitlist control (WLC)

Intervention Type: Other

Intervention Name: Waitlist control (WLC)

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

Arm Group Label: Mindfulness-Based Skills Training (MBST)

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.

Gender:

All

Minimum Age:

18 Years

Maximum Age:

N/A

Healthy Volunteers:

No

Overall Official
Last Name Role Affiliation
S. Evelyn Stewart, MD Principal Investigator University of British Columbia
Overall Contact Contact information is only displayed when the study is recruiting subjects.
Location
Facility: BC Children's Hospital Research Institute
Location Countries

Canada

Verification Date

2021-01-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: University of British Columbia

Investigator Full Name: Evelyn Stewart, MD

Investigator Title: Principal Investigator

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: Waitlist control (WLC)

Type: Active Comparator

Description: Observation surveys over an 8-week period.

Label: Mindfulness-Based Skills Training (MBST)

Type: Active Comparator

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

Acronym MBST
Study Design Info

Allocation: Non-Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: None (Open Label)

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