Theses and Dissertations from UMD
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New submissions to the thesis/dissertation collections are added automatically as they are received from the Graduate School. Currently, the Graduate School deposits all theses and dissertations from a given semester after the official graduation date. This means that there may be up to a 4 month delay in the appearance of a give thesis/dissertation in DRUM
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Item DIRECTIONAL RELATIONS OF CHILD ANXIETY AND PARENTING ACROSS EARLY INTERVENTIONS FOR INHIBITED YOUNG CHILDREN(2022) Novick, Danielle; Chronis-Tuscano, Andrea; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Given the robust evidence-base for the efficacy of cognitive behavioral therapies (CBTs) in reducing youth anxiety disorders, researchers have moved beyond efficacy outcome analysis to better understand how such interventions operate (i.e., mediation). However, the majority of this research has examined mechanisms of change in CBTs targeting anxiety in school-age youth or adolescents, and applying such findings to younger children may be misguided. Grounded in developmental-transactional models, interventions for younger children with or at risk for anxiety tend to target key parenting and child factors implicated in the early emergence and maintenance of anxiety. Nevertheless, the directional and temporal relations among these child and parenting factors in the context of early interventions remain unknown. The current study thus builds on previous studies of CBT for older youth to elucidate mechanisms of change and treatment directionality within two early interventions for young children (N = 151) at risk for anxiety by virtue of behavioral inhibition: The multi-component Turtle Program and the parent-only Cool Little Kids program. Reciprocal relations between parent-reported child anxiety, observed parenting (negative control and positive affect), and parent-reported accommodation of child anxiety were examined across 4 timepoints (pre-, mid-, and post-treatment, and one-year follow-up). Study hypotheses were tested via 1) a traditional cross-lagged panel model (CLPM), 2) a latent curve model with structured residuals (LCM-SR), and 3) a latent change score model (LCS). Results were consistent with the child-to-parent influences found in previous research on CBT for older anxious youth. However, after extending the traditional CLPM to parse within- and between-person effects in the LCM-SR, these results only remained in Turtle. LCS analyses revealed bidirectional effects of changes in parent accommodation and changes in child anxiety during and after the intervention, but only in Turtle. Our findings coincide with developmental-transactional models suggesting that the development of child anxiety may be the result of child-to-parent influences rather than just the reverse, and highlight the importance of targeting parent and child factors simultaneously in early interventions for young inhibited children and their parents.Item Predictors and Moderators of Parent Engagement in Early Interventions for Behaviorally Inhibited Preschool-Aged Children(2019) Novick, Danielle; Chronis-Tuscano, Andrea; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Behavioral inhibition (BI) is a temperamental style that poses risk for later anxiety. Efficacious interventions have been developed for inhibited children, but their success depends on parent engagement. However, little is known regarding predictors of parent engagement in early interventions for BI. This study examined parent-, child- and treatment-level (i.e., parent-only or parent-child) factors as independent and interactive predictors of parent engagement (attendance, and parent-reported homework completion and treatment satisfaction) in a randomized-controlled trial comparing two interventions for inhibited preschoolers (N = 151). Results suggest that child anxiety may motivate parent engagement, particularly when children receive concurrent treatment and/or in-vivo coaching. However, intensive treatment may be too burdensome for depressed parents, whereas less intensive treatments may be more acceptable to non-anxious parents of anxious children.