Development of the pediatric accommodation scale: Reliability and validity of clinician- and parent-report measures

Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response

“…Severity and interference ratings range from 0 (none; no interference) to 4 (extreme; interference from accommodation is disabling in one or more areas; overall functioning is severely limited due to accommodation). The PAS yields 3 subscales: the PAS Frequency scale, measuring frequency of accommodation over the previous week across all items; the PAS Parent Impact scale (impact ratings for 4 items), measuring impact of accommodation on the parent over the previous week; and the PAS Child Impact scale (impact ratings for 7 items), measuring impact of accommodation on the child over the previous week (Benito et al, 2015). In addition, there are three global items assessing accommodation from the primary caregiver, secondary caregiver, and first sibling.…”

“…In addition, there are three global items assessing accommodation from the primary caregiver, secondary caregiver, and first sibling. Psychometric support for the PAS has been reported, including strong internal consistency, inter-rater reliability, and construct validity (Benito et al, 2015). The PAS was completed at the pre-and post-treatment assessments.…”

An initial study of family accommodation in children and adolescents with chronic tic disorders

“…First, we report on the nature and incidence of family accommodation among youth with tics. In light of our clinical experiences as well as considering data among youth with OCD and anxiety [18,20,21,23,25,27,28,31], we expected that parents of youth with TS would endorse significant rates of family accommodation with a frequency lower than that observed among samples of youth with OCD or anxiety disorders. Second, we examined the reliability and factor structure of a measure of tic-related family accommodation, namely the Tic Family Accommodation Scale, in a sample of youth with TS.…”

“…Thirdly, we examined clinical correlates of family accommodation, namely tic symptom severity, functional impairment, child anxiety and depressive symptoms, and child externalizing behavior problems. Given findings in youth with OCD and anxiety [18,20,21,23,25,27,28,31], positive associations between these clinical variables and family accommodation were expected. Fourth, we investigated the extent to which child anxiety, depressive symptoms, externalizing symptoms, and tic symptom severity predict family accommodation.…”

“…Across pediatric OCD and anxiety, accommodation is ubiquitous, occurring to some degree in virtually all families [14,[21][22][23][24][25][26][27]. Direct associations have been reported between family accommodation and obsessive-compulsive or anxiety severity [26][27][28][29][30], functional impairment [26][27][28][29], child externalizing behaviors [20,23,25,26,28,29,31], and family discord [21]. Accommodation in pediatric OCD and anxiety has been inconsistently related to child age with some finding inverse relations [25] and others finding no significant relationship [22][23][24]28].…”