Family and couple integrated cognitive-behavioural therapy for adults with OCD: A meta-analysis

Stewart, Kathleen E.; Sumantry, David; Malivoire, Bailee L.

doi:10.1016/j.jad.2020.07.140

Cited by 17 publications

(5 citation statements)

References 43 publications

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“…In a meta-analysis of 15 studies (16 independent samples), Stewart et al 65 (AMSTAR = low quality) concluded that integrating family treatment with CBT protocols reduced OCD severity (good effect size: Hedge’s g = 1.39). The authors also suggested that this combination may help reduce the severity of depressive symptoms and functional impairment, in addition to improving satisfaction with personal relationships and the mental health of family members (COR = 2b, LOE = C-LD).…”

Section: Resultsmentioning

confidence: 99%

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Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy

Mathis,

Chacon,

Boavista

et al. 2023

Brazilian Journal of Psychiatry

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Objectives: To summarize evidence-based cognitive-behavioral therapy (CBT) treatment and propose clinical interventions for adult patients with obsessive-compulsive disorder (OCD). Methods: The literature on CBT interventions for adult OCD, including BT and exposure and response prevention, was systematically reviewed to develop updated clinical guidelines for clinicians, providing comprehensive details about the necessary procedures for the CBT protocol. We searched the literature from 2013-2020 in five databases (PubMed, Cochrane, Embase, PsycINFO, and Lilacs) regarding study design, primary outcome measures, publication type, and language. Selected articles were assessed for quality with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association. Results: We examined 44 new studies used to update the 2013 American Psychiatric Association guidelines. High-quality evidence supports CBT with exposure and response prevention techniques as a first-line treatment for OCD. Protocols for Internet-delivered CBT have also proven efficacious for adults with OCD. Conclusion: High-quality scientific evidence supports the use of CBT with exposure and response prevention to treat adults with OCD.

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Section: Resultsmentioning

confidence: 99%

“…Our search found one meta-analysis on this topic. 65 Professionals who regularly deal with this disorder know the importance of psychoeducation in OCD treatment. Having a family member collaborate in treatment can help reduce OC symptoms, not only among adults, but in children and adolescents as well.…”

Section: Discussionmentioning

confidence: 99%

Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy

Mathis,

Chacon,

Boavista

et al. 2023

Brazilian Journal of Psychiatry

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“…However, none of the included studies involved iCBT, neither did they report effects of change in family accommodation. For adult OCD in particular, a recent meta-analysis did not find that specifically targeting family accommodation improved treatment outcome, but family integrated CBT was more effective than individual CBT in reducing family accommodation and OCD symptomatology (Stewart, Sumantry, & Malivoire, 2020). This suggests that family involvement is essential for optimizing treatment efficacy in adult OCD.…”

Section: Discussionmentioning

confidence: 99%

Family accommodation as a predictor of treatment outcome in outpatient intensive cognitive behavioral therapy of adult obsessive compulsive disorder

Berg

Veld

Kampman

2022

Journal of Obsessive-Compulsive and Related Disorders

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“…Moreover, most research on families and OCD has centered on pediatric samples (Himle et al, 2017; Peris et al, 2012; Stewart et al, 2017). Although some researchers have found success in family-integrated treatment for adult OCD (Stewart et al, 2020), research on family functioning and treatment outcome in adult OCD overall remains sparse. The present findings highlight the substantial gap in incorporation of family intervention for adult OCD in clinical and research settings.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Family Functioning on Help-Seeking Behavior and Symptom Severity in Obsessive-Compulsive Disorder

2023

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Poor family functioning is associated with higher symptom severity in pediatric obsessive-compulsive disorder (OCD) and delayed help-seeking behavior in other forms of psychopathology. However, little is known about the impact of family functioning on help-seeking behavior and symptom severity in adults with OCD. The present study investigated the association between family functioning and both treatment delay and symptom severity in adults with obsessive-compulsive symptoms. Participants were 194 adults who self-identified as having OCD and completed an internet survey, including measures assessing family functioning, obsessive-compulsive symptom severity, help-seeking behavior, and depression symptom severity. Poorer family functioning was associated with higher obsessive-compulsive and depression symptom severity, after controlling for significant demographic variables. With respect to domains of family functioning, poorer general functioning, problem solving, communication skills, role functioning, affective involvement, and affective responsiveness were associated with higher obsessive-compulsive and depression symptom severity, after controlling for demographics. Poorer problem solving and communication were not significantly associated with treatment delay after controlling for demographics. Findings highlight the need for family intervention within the treatment framework for adult OCD and suggest targets (e.g., communication) to be addressed.

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Family and couple integrated cognitive-behavioural therapy for adults with OCD: A meta-analysis

Cited by 17 publications

References 43 publications

Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy

Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy

Family accommodation as a predictor of treatment outcome in outpatient intensive cognitive behavioral therapy of adult obsessive compulsive disorder

The Impact of Family Functioning on Help-Seeking Behavior and Symptom Severity in Obsessive-Compulsive Disorder

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