Family accommodation in obsessive–compulsive disorder: Relation to symptom dimensions, clinical and family characteristics

Albert, Umberto; Bogetto, Filippo; Maina, Giuseppe; Saracco, Paola; Brunatto, Cinthia; Mataix‐Cols, David

doi:10.1016/j.psychres.2009.06.008

Cited by 129 publications

(135 citation statements)

References 37 publications

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“…Further, and crucially, it is clear that while some coping strategies may facilitate adaptation, others -in this context, accommodating or ignoring a child's symptoms for example -may obstruct the process. (Albert et al, 2010;Lebowitz et al, 2012;Peay, Rosenstein, & Biesecker, 2013) It is important that interventions for supporting the long-term adaptation process of parents of children with OCD are developed, refined, and implemented, both for parental well-being and to improve outcomes for affected children via optimized family functioning. (Peris et al, 2012) Genetic counseling, which involves comprehensive discussion of, and supportive counseling around, genetic and environmental contributions to conditions in families(National Society of Genetic Counselors' Definition Task Force et al, 2006), is ideally placed to support parents in their journey of adapting to their child's OCD, and indeed directly addresses several of the important concepts that emerged from our data, in particular family history of mental illness, conceptualizing the meaning of OCD, stigma, and navigating the impact of OCD on family dynamics.…”

Section: Discussionmentioning

confidence: 99%

“…At one end of the spectrum were parents' day-to-day decisions, such as with whom to socialize or whether to go on vacation, which were related to accommodating their child's OCD (Albert et al, 2010;Lebowitz et al, 2012). More specifically, parents described changing their behavior to appease their child.…”

Section: Processes Of Parental Adaptationmentioning

confidence: 99%

“…OCD has well-documented and unique impacts on family functioning, primarily related to parental accommodation of symptoms. Accommodation represents a counter-therapeutic process that involves parents enabling children's avoidance of triggers and assisting in their rituals (Albert et al, 2010;Lebowitz, Panza, Su, & Bloch, 2012). Individuals with OCD and their relatives experience significant stigmatization associated with the disorder, and fear of this stigma often results in concealment of the illness and delayed help-seeking (Hansson, Jormfeldt, Svedberg, & Svensson, 2013;Simonds & Thorpe, 2003;Stengler-Wenzke, Trosbach, Dietrich, & Angermeyer, 2004b).…”

Section: Introductionmentioning

confidence: 99%

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Obsessive‐Compulsive Disorder: The Process of Parental Adaptation and Implications for Genetic Counseling

Andrighetti

Semaka

Stewart

et al. 2015

Journal of Genetic Counseling

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Obsessive-compulsive disorder (OCD) has primarily pediatric onset and well-documented unique impacts on family functioning. Limited research has assessed the understanding that parents of children with OCD have of the etiology of the condition, and there are no data regarding potential applications of genetic counseling for this population. We recruited 13 parents of 13 children diagnosed with OCD from the OCD Registry at British Columbia Children's Hospital, and conducted qualitative semi-structured telephone interviews to explore participants' experiences with their child's OCD, causal attributions of OCD, and perceptions of two genetic counseling vignettes. Interviews were audio-recorded, transcribed, and analyzed using elements of grounded theory qualitative methodology. Analysis revealed key components and contextual elements of the process through which parents adapt to their child's OCD. This adaptation process involved conceptualizing the meaning of OCD, navigating its impact on family dynamics, and developing effective illness management strategies. Adaptation took place against a backdrop of stigmatization and was shaped by participants' family history of mental illness and their child's specific manifestations of OCD. Parents perceived genetic counseling, as described in the vignettes, as being empowering, alleviating guilt and blame, and positively impacting treatment orientation. These data provide insight into the process of parental adaptation to pediatric OCD, and suggest that genetic counseling services for families affected by OCD may help facilitate adaptation to this illness.

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Section: Discussionmentioning

confidence: 99%

Section: Processes Of Parental Adaptationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Obsessive‐Compulsive Disorder: The Process of Parental Adaptation and Implications for Genetic Counseling

Andrighetti

Semaka

Stewart

et al. 2015

Journal of Genetic Counseling

View full text Add to dashboard Cite

show abstract

“…Family accommodation is significantly associated with elevated levels of distress among family members and poorer overall family functioning (Albert et al, 2010;Steketee & Van Noppen, 2003). It has also been shown to be highly correlated with increased severity of OCD symptoms (Storch et al, 2010).…”

Section: Guiding Conception With Research and Clinical Experience Supmentioning

confidence: 99%

Treating a Mother's Accommodation Behaviors of Her Adult Son's OCD: The Case of "Brianne" and "Charlie"

Marinchak¹

2013

PCSP

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Obsessive-compulsive disorder (OCD) is an anxiety disturbance in which distress and impairment extend beyond the patient to their immediate family members. Many family members become involved in their loved one's compulsions by engaging in accommodation behaviors, which ultimately make it easier to perform compulsions or avoid obsession-invoking triggers, frequently exacerbating the severity of the OCD symptoms and decreasing motivation for treatment. Also, accommodation behaviors can indirectly result in negative consequences for the family member engaging in them and for other non-OCD members of the family, reducing their quality-of-life. The current case study documents and discusses a 3-month, 10-session, cognitive-behavioral treatment designed to help "Brianne," a married Caucasian mother of two in her 40s, reduce her accommodation behaviors with her 19-year-old son, "Charlie," who was unmotivated to accept treatment for his diagnosed OCD and who was living at home. In line with the above, the treatment was premised on the hypothesis that reducing Brianne's accommodation behaviors would have a positive impact not only on Charlie and Brianne, but also on the other two members of Brianne's nuclear family: her husband "Jack," and her older son "Shane." The therapy focused on (a) providing Brianne with psychoeducation regarding the nature of OCD and the negative impact of accommodation behaviors, (b) developing Brianne's alternative coping behaviors in response to Charlie's rituals, (c) offering Brianne communication training, and (d) promoting Brianne's self-care behaviors. Results indicate that the treatment was effective in reducing Brianne's accommodation and improving her quality of life as well as her husband's and other son's within the household, but that more treatment was likely necessary in order to consolidate therapeutic gains. The treatment did not appear to impact Charlie's OCD treatmentseeking motivation nor his levels of anxiety or aggressive outbursts by the end of therapy. Factors contributing to the results of the treatment are discussed. Overall, the case results suggest that family members living with OCD-diagnosed adults not currently seeking treatment can derive benefit from a brief intervention designed to reduce accommodation behaviors, improve family communication, and promote self-care.

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“…It is frequent for parents and other caregivers to "accommodate" to children's OCSs. The level of "family accommodation" has been associated with worse treatment response and outcome (41) as well as to depression and anxiety rates in the family members (42). Finally, high scores in the Child Behavior Checklist (43) Dysregulation Profile were associated with OCS symptom severity, depressive mood, and family accommodation.…”

Section: Ocd Diagnosismentioning

confidence: 99%

Sintomas obsessivo-compulsivos em escolares: prevalência, dimensões psicopatológicas, agregação familiar, comorbidades e fatores clínicos associados

Alvarenga¹

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Family accommodation in obsessive–compulsive disorder: Relation to symptom dimensions, clinical and family characteristics

Cited by 129 publications

References 37 publications

Obsessive‐Compulsive Disorder: The Process of Parental Adaptation and Implications for Genetic Counseling

Obsessive‐Compulsive Disorder: The Process of Parental Adaptation and Implications for Genetic Counseling

Treating a Mother's Accommodation Behaviors of Her Adult Son's OCD: The Case of "Brianne" and "Charlie"

Sintomas obsessivo-compulsivos em escolares: prevalência, dimensões psicopatológicas, agregação familiar, comorbidades e fatores clínicos associados

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