Examining the Psychometric Properties of the Family Accommodation Scale-Parent-Report (FAS-PR)

Flessner, Christopher A.; Sapyta, Jeffrey; Garcia, Abbe; Freeman, Jennifer B.; Franklin, Martin E.; Foa, Edna B.; March, John S.

doi:10.1007/s10862-010-9196-3

Cited by 78 publications

(75 citation statements)

References 32 publications

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“…Alternatively, as it may be difficult for parents to only consider tic-related accommodation (resulting in ratings of more global levels of accommodation), this potentially could partially explain the non-significant association between family accommodation and tic severity, as well as the relationship between family accommodation and other symptomology (e.g., anxiety, externalizing problems). Consistent with findings in pediatric OCD [24,26,31], heightened levels of anxiety and depressive symptoms were linked to increased family accommodation. Youths may present with higher anxiety sensitivity, intolerance of distress, and motivation to complete tasks, increasing the amount of support needed from family members.…”

Section: Discussionsupporting

confidence: 83%

“…Additionally, families may also perceive modifications to the child's environment to be more problematic than the actual tics, leading to lower incidence rates of modifications to the child's environment. Regarding demographic correlates, neither age nor gender were associated with family accommodation, which is largely in line with the extant literature in other pediatric psychiatric disorders [22,24,28], barring some exceptions [23]. When examining clinical correlates, it was somewhat surprising that tic symptom severity was not related to family accommodation.…”

Section: Discussionsupporting

confidence: 74%

“…The initial family accommodation scale (FAS) was developed as a semistructured clinician-administered interview to assess family accommodation among patients with OCD [47,48]. Subsequently, this instrument was adapted to serve as a parentreport measure in both OCD [19,24] and anxiety disorder samples [23] and found to have acceptable psychometric properties. The 13 items on these scales were reworded to reflect and assess family accommodation due to tics.…”

Section: Methodsmentioning

confidence: 99%

“…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].…”

mentioning

confidence: 99%

“…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]. Among youth with OCD, family accommodation is negatively associated with cognitivebehavioral [32,33] and pharmacological outcomes [32], and reductions in family accommodation were associated with improved cognitive-behavioral therapy outcome [33,34].…”

mentioning

confidence: 99%

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

Storch

Johnco

McGuire

et al. 2016

Eur Child Adolesc Psychiatry

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This initial study examined the nature, incidence, and clinical correlates of family accommodation in youth with tic disorders, and validated a brief self-report measure of tic-related family accommodation, the Tic Family Accommodation Scale (TFAS). Seventy-five youth aged 6-18 who were diagnosed with a tic disorder and their parent completed a diagnostic clinical interview, and clinician and parent-report measures of tic severity, depressive symptoms, anxiety symptoms, behavioral problems, family accommodation and impairment. An exploratory factor analysis of the TFAS showed a two-factor structure, with good internal consistency for the Total score, Modification of Child Environment and Modification of Parent Environment subscales (α = 0.88, 0.86, and 0.81, respectively). Family accommodation was not associated with tic severity. Family accommodation was associated with increased anxiety and depressive symptoms, higher externalizing, rule breaking, aggressive behaviors and social problems, and with greater tic-related functional impairment. Anxiety and externalizing problems (but not depressive symptoms) predicted family accommodation when controlling for tic severity. Family accommodation predicted high levels of functional impairment over and above the effect of tic severity, anxiety, depression and externalizing problems. Family accommodation is a common phenomenon for youth with tic disorders, with modifications typically encompassing changes to the child and/or parent environments. Accommodation was not associated with tic severity, but was related to higher levels of anxiety, depressive symptoms, externalizing symptoms, aggression, and rule breaking behaviors. Results suggest that other emotional symptoms are more likely to drive accommodation practices than the tic symptoms per se.

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Section: Discussionsupporting

confidence: 83%