GIV CARE: A group intervention to reduce accommodation among relatives of individuals with fear-based disorders

Fear-based disorders (FBDs) occur in an interpersonal context as relatives (e.g., partners, parents) often accommodate symptoms. Symptom accommodation, which is ubiquitous and reinforces FBD behavior, is associated with increased FBD symptom severity and interferes with treatment. Accordingly, reducing accommodation represents a crucial aim for intervention. The current study tested a brief, manualized group intervention to decrease symptom accommodation and caregiver burden among relatives. The study was the first intervention to date that a) jointly included parents and partners to target symptom accommodation, and b) used a transdiagnostic group treatment approach. Adult relatives (N=20) participated in an intervention that included five weekly, two-hour sessions, as well as assessments at baseline, post-treatment, and one-month follow-up. Results revealed that a transdiagnostic, relative-only group intervention to reduce symptom accommodation was feasible and acceptable. Participants that completed the intervention (n = 18) exhibited reductions in symptom accommodation; however, modifications to improve the effectiveness of the intervention are warranted. Study limitations and future directions are discussed.Doctor of Philosoph