Journal
EXPERT REVIEW OF NEUROTHERAPEUTICS
Volume 12, Issue 2, Pages 229-238Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1586/ERN.11.200
Keywords
anxiety disorders; cognitive-behavioral therapy; family accommodation; family members; obsessive-compulsive disorder; treatment outcomes
Categories
Funding
- Yale Child Study Center
- National Institute of Mental Health
- NIH [1K23MH091240-01]
- APIRE/Eli Lilly
- AACAP/Eli Lilly
- Trichotillomania Learning Center
- NARSAD
- National Center for Research Resources, a component of the NIH [UL1 RR024139]
- NIH roadmap for Medical Research
Ask authors/readers for more resources
Family accommodation refers to ways in which family members take part in the performance of rituals, avoidance of anxiety-provoking situations or modification of daily routines to assist a relative with obsessive-compulsive disorder (OCD). Our goal is to review the available data on the role of family accommodation in both children and adults with OCD. A search of available peer-reviewed English language papers was conducted through PubMed and PsycINFO cross-referencing the keyword OCD with accommodation, family relations and parents. The resulting 641 papers were individually evaluated for relevance to the scope of the review. It was found that accommodation is common in OCD and is strongly and consistently correlated with OCD symptom severity. Family accommodation also appears to be increased when the proband has cleaning contamination symptoms and increased internalizing or externalizing problems. Family accommodation is associated with increased parental OCD and anxiety symptoms. Levels of accommodation are associated with treatment outcomes for both behavioral and pharmacological treatment. Significant improvement of OCD symptoms with treatment is associated with reductions in family accommodation. Family accommodation represents important clinical data that is worth measuring, monitoring and tracking in clinical care. Therapies targeting family accommodation may be successful in improving treatment outcomes in OCD.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available