scholarly journals Family approaches to treatment for obsessive compulsive disorder

2003 ◽  
Vol 25 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Gail Steketee ◽  
Barbara Van Noppen
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Parental Attachment ◽  
Behavioral Treatment ◽  
Expressed Emotion ◽  
Obsessive Compulsive ◽  
Family Accommodation ◽  
Compulsive Disorder ◽  
Family Constellation ◽  
The Family ◽  
Negative Effect

This article reviews the family constellation of patients with obsessive compulsive disorder (OCD), the presence of OCD symptoms among family members, and familial aspects including parental attachment, expressed emotion (EE), and family accommodation. Some evidence supports a negative effect of hostility, emotional over-involvement, and criticism perceived by the patient on behavioral treatment outcome. However, actual criticism observed by the relative during an interview was associated with more benefit from therapy. Family accommodation predicted poorer family functioning and more severe OCD symptoms after behavioral treatment. A review of the limited treatment literature indicates no actual tests of the effects of psycho-educational and supportive treatments, although several reports suggest they are useful for families and patients. Including relatives in treatment has proved beneficial in some studies, especially with children, but not in others. Multiple family groups that focus on behavioral contracting for exposure and stopping rituals may be a promising intervention. Likewise, efforts to reduce family accommodation in the context of behavioral treatment have proved useful. Additional research on the content, process and effects of family interventions for OCD is much needed.

scholarly journals Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

2010 ◽  
Vol 32 (3) ◽  
pp. 102-112 ◽  
Author(s):  
Juliana Braga Gomes ◽  
Lisa Calvocoressi ◽  
Barbara Van Noppen ◽  
Michele Pato ◽  
Elisabeth Meyer ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Health Professionals ◽  
Brazilian Portuguese ◽  
Obsessive Compulsive ◽  
Family Accommodation ◽  
Future Studies ◽  
Compulsive Disorder ◽  
Portuguese Version ◽  
The Family ◽  
Education Levels

OBJECTIVE: To describe the process of translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). METHOD: The process of translation and adaptation of the scale involved four bilingual health professionals. The scale was initially translated into Brazilian Portuguese independently by two professionals. Then, the two versions were compared, resulting in a preliminary Portuguese version that was administered to 15 relatives of patients diagnosed with obsessive-compulsive disorder (OCD) with different education levels, deliberately chosen to collect language adjustment suggestions. Subsequently, the scale was translated back into English independently by two other professionals. After comparing the two back translations, a new English version was generated. This version was reviewed and approved by the authors of the original scale. RESULTS: The Brazilian Portuguese version of the FAS-IR proved to be easily understood and can be used in relatives of OCD patients from different socioeconomic backgrounds. CONCLUSION: Adaptation of the FAS-IR into Brazilian Portuguese will enable health professionals to assess the level of accommodation in relatives of OCD patients and allows the development of future studies aimed at 1) studying the influence of family accommodation on maintaining and possibly facilitating OCD symptoms, and 2) assessing the effect of family accommodation on treatment outcomes in Portuguese-speaking populations.

Translation and Cross-Cultural Adaptation of the Family Accommodation Scale for Obsessive-Compulsive Disorder Into Chinese

2021 ◽  
pp. JCPSY-D-20-00020
Author(s):  
Zhenhua Liao ◽  
Ciping You ◽  
Ying Chen ◽  
Lingbo Yan ◽  
Jinli Zhang ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Obsessive Compulsive ◽  
Family Accommodation ◽  
Cross Cultural Adaptation ◽  
Compulsive Disorder ◽  
Forward Translation ◽  
The Family ◽  
Conceptual Equivalence

Family accommodation is a phenomenon that has been associated with worse treatment outcome of patients with obsessive-compulsive disorder (OCD) and greater severity of symptoms and levels of functional impairment. Yet, there are no Chinese scales to assess family accommodation in OCD among family members. The present study aimed to illustrate the steps of translation and cross-cultural adaptation of the Chinese versions of the Family Accommodation Scale (FAS). After obtaining authorization of the developers, the Chinese versions of the FAS were translated and adapted from the English versions based on a standard protocol, following six steps: forward translation, pilot administration, language adjustment and cultural adaptation, back-translation, review and minor edit, and final approval of the developer. Thirty-five pairs of patients and corresponding relatives with different education levels were administered the FAS in the pretest stage. This study found that the semantic, idiomatic, and conceptual equivalence were obtained between the Chinese versions and original English scales, and the Chinese versions of FAS were well translated and culturally adapted. We also found that the Chinese versions of the FAS can be easily understood by people of different socioeconomic statuses.

Family perception of the symptoms of Obsessive-Compulsive Disorder patient and the family accommodation

2020 ◽  
pp. 002076402098110
Author(s):  
Mariana Bonati de Matos ◽  
Andressa Jacondino Pires ◽  
Jéssica Puchalski Trettim ◽  
Carolina Coelho Scholl ◽  
Viviane Porto Tabeleão ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Family Members ◽  
Cross Sectional Study ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Family Accommodation ◽  
Compulsive Disorder ◽  
The Family ◽  
Disorder Patient ◽  
Obsessive Compulsive Symptom

Background: Family members tend to modify their routine by assisting or participating in the patient’s rituals. These behaviors have been identified as family accommodation (FA). Aims: The aim of this study was to describe the relationship between family accommodation of relatives of Obsessive-Compulsive Disorder (OCD) patients and their perceptions about the obsessions and compulsions of the patient. Method: This was a cross-sectional study with family members of Obsessive-Compulsive Disorder in a Southern Brazilian city. The family perception of the OCD symptoms and their accommodation were assessed through the Family Accommodation Scale for Obsessive-Compulsive Disorder – Interviewer-Rated (FAS-IR). Results: The level of family accommodation was higher in those family members who lived with the patient when compared to those who did not live with them ( p = .011). The obsessions associated with higher levels of family accommodation were: contamination ( p < .001), hoarding/saving ( p = .001), symmetry/exactness ( p = .001), religious ( p = .019), and diverse ( p = .003). Regarding compulsions, the perception of all symptoms was associated with higher levels of family accommodation ( p < .05). Conclusion: The family accommodation is present in family members of Obsessive-Compulsive Disorder patients, regardless of the type of obsessive/compulsive symptom perceived.

scholarly journals Expressed Emotion among Caregivers of Person with Schizophrenia and Obsessive Compulsive Disorder: A Comparative Study

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Jaya Bharti
Keyword(s):  
Comparative Study ◽  
Obsessive Compulsive Disorder ◽  
Expressed Emotion ◽  
Psychosocial Support ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
The Family ◽  
Patient Groups ◽  
The Relationship

Background: This is a cross-sectional comparative study with the aim to compare two patient groups of schizophrenia and obsessive compulsive disorder (OCD) and their respective caregivers with the objectives to quantify and compare the expressed emotion (EE) in caregivers of person with schizophrenia and OCD and to study the relationship between them. It also aimed to identify factors associated with expressed emotions in above two groups. Methods: In this study, 40 patients schizophrenia, 40 patients of OCD, along with their 80 respective caregivers were taken on the basis of inclusion and exclusion criteria. Subjects were assessed using Socio-demographic and clinical sheet &FEICS. Appropriate statistics such as mean, standard deviation, unpaired t test, Pearson’s correlation were applied to analyse the data. Result: The results of the study the caregivers of patients with OCD were perceived as having greater over-involvement than the caregivers of schizophrenia. Perceived criticism had a positive correlation with stress whereas over-involvement had a negative correlation. Some of the demographic variables like age and education were also found to have significant correlation with expressed emotion. Conclusion: The presence of significant amount of expressed emotion point out to the need for psychosocial support to the family members for reduction in the expressed emotion.

scholarly journals Psychoeducation focused on family accommodation: a practical intervention for parents of children and adolescents with obsessive-compulsive disorder

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Francesco Demaria ◽  
Maria Pontillo ◽  
Maria Cristina Tata ◽  
Prisca Gargiullo ◽  
Francesco Mancini ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Obsessive Compulsive Disorder ◽  
Behavioral Treatment ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Behavioral Strategies ◽  
Obsessive Compulsive ◽  
Family Accommodation ◽  
Parental Modeling ◽  
Compulsive Disorder

AbstractObsessive-compulsive disorder (OCD) is a neuropsychiatric disorder that is frequently diagnosed in children and adolescents. In pediatric OCD, family plays an important role in the development and maintenance of the disease. In this relationship, both genetic and behavioral factors, such as parental modeling and family accommodation, are significant. Parental modeling concerns the daily enactment of dysfunctional behavioral patterns by a parent with OCD, which may influence children. Family accommodation, in contrast, describes the direct participation of parents in their child’s compulsive rituals, by modifying daily routines or by facilitating avoidance of OCD triggers, to decrease the child’s distress and time spent executing compulsions. Approximately 80–90% of the relatives of OCD patients actively participate in patients’ rituals. The literature demonstrates that a high level of family accommodation is associated with OCD symptom severity, reduced response to cognitive-behavioral treatment (CBT), and a higher risk of therapy dropout.Despite this, no studies have aimed at delineating practical guidance for psychotherapists to support parents in reducing family accommodation.The main aim of this paper is to propose a psychoeducation intervention focused on cognitive-behavioral strategies to help families to manage their child’s OCD behaviors without enacting dysfunctional family accommodation behaviors in order to support their child’s successful therapy.

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