Eintrag weiter verarbeiten
Patient and family factors associated with family accommodation in obsessive–compulsive disorder
Gespeichert in:
Personen und Körperschaften: | , , , , , , |
---|---|
Titel: |
Patient and family factors associated with family accommodation in obsessive–compulsive disorder |
In: | Psychiatry and Clinical Neurosciences, 68, 2014, 8, S. 621-630 |
veröffentlicht: |
Wiley
|
Umfang: | 621-630 |
ISSN: |
1323-1316 1440-1819 |
DOI: | 10.1111/pcn.12172 |
Zusammenfassung: | <jats:sec><jats:title>Aim</jats:title><jats:p>Obsessive–compulsive disorder (<jats:styled-content style="fixed-case">OCD</jats:styled-content>) impacts family functioning as family members modify their personal and family routines, participate in rituals, and provide reassurance. These behaviors have been identified as family accommodation (<jats:styled-content style="fixed-case">FA</jats:styled-content>), a phenomenon that, if ignored, may facilitate <jats:styled-content style="fixed-case">OCD</jats:styled-content> symptoms and lead to poorer prognosis. Because <jats:styled-content style="fixed-case">FA</jats:styled-content> has been recognized as a predictor of treatment outcome, we examined the prevalence of <jats:styled-content style="fixed-case">FA</jats:styled-content> and identified patient and family sociodemographic and clinical variables associated with <jats:styled-content style="fixed-case">FA</jats:styled-content> in an outpatient sample.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The study comprised 228 subjects, namely, 114 patients with <jats:styled-content style="fixed-case">OCD</jats:styled-content> and 114 family members, assessed before the patients entered a 12‐session cognitive behavioral group therapy program. A multivariate linear regression model was used to control for confounding factors and to evaluate variables independently associated with <jats:styled-content style="fixed-case">FA</jats:styled-content>. <jats:styled-content style="fixed-case">FA</jats:styled-content> was evaluated using the Family Accommodation Scale for Obsessive–Compulsive Disorder – Interviewer Rated.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p><jats:styled-content style="fixed-case">FA</jats:styled-content> was found to be highly prevalent among family members. Two patient factors positively associated with <jats:styled-content style="fixed-case">FA</jats:styled-content> were <jats:styled-content style="fixed-case">OCD</jats:styled-content> severity as measured by the Clinical Global Impressions Scale and higher scores on the Obsessions dimension of the Obsessive–Compulsive Inventory – Revised. Family members' characteristics that were positively associated with <jats:styled-content style="fixed-case">FA</jats:styled-content> were higher scores on the Obsessive–Compulsive Inventory – Revised hoarding subscale and being the patient's spouse.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Our findings suggest that the early identification of patients and family members who could benefit from interventions aimed at reducing <jats:styled-content style="fixed-case">FA</jats:styled-content> could improve treatment outcomes.</jats:p></jats:sec> |
Format: | E-Article |
Quelle: | Wiley (CrossRef) |
Sprache: | Englisch |