Table 1.

Coding variables: names and definitions.

Coding Variable	Definition	Example	Hypothesized Effect on Anxiety During Exposure
Therapist
Address Accommodation	Therapist verbally discourages parents from activities that lower child anxiety level	“This time I want you to look at the picture without your mom’s help.” “It’s important for you to stand next to this spot on the wall without holding your mom’s hand.”	Increase
Encourage Cognitive Strategy	Therapist prompts child to use anxiety-lowering cognitive strategy	“What can you say to OCD right now?” “What are the chances that you’ll really get cancer from this?”	Decrease
Therapist or Parent
Accommodation Statement	Therapist or Parent make a statement to lower child’s anxiety level, such as reassurance	“I eat this all the time and nothing bad has happened to me.” “You’ll be ok.”	Decrease
Discourage Avoidance	Therapist or parent discourage child from decreased mental or actual avoidance of exposure stimulus	“I noticed you’re wiping your hands on your pants.” “Keep looking at the sink.”	Increase
Unrelated Talk	Therapist or Parent engage in conversation/instructions unrelated to exposure task	“Don’t talk that way” “What are you going to choose for a reward today?”	Decrease
Exposure Comments	Therapist or Parent make a statement that may increase child’s anxiety	“Maybe something bad will happen to your brother.” “Wow…that was really dirty. I can’t believe you touched that.”	Increase
Accommodation Behavior	Therapist or Parent engage in behavior that may lower the child’s anxiety level, such as helping with avoidance	Taking child to bathroom Holding child in lap	Decrease
Therapist, Parent, or Child
Externalizing Talk	Therapist, Parent, or Child refer to anxiety as separate from the child	“Now you’re really in charge of OCD!” “Throwing those papers away is really going to show OCD who’s boss!”	Increase (through motivation to approach exposure stimulus)
Child
Cognitive Strategy	Child verbalizes the use of cognitive strategy to lower anxiety	“I know I won’t actually hurt anyone because I’ve never done it before.” “This isn’t that bad.”	Decrease
Avoidance Statement	Child statement indicating avoidance or distraction from exposure stimulus	“Is this going to hurt me?” “Can I use the bathroom?”	Decrease
Avoidance Behavior	Child displays behavior indicating avoidance or distraction from the exposure stimulus	Child avoids contact with exposure stimulus Child uses a ritual	Decrease