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Obsessive-Compulsive Disorder01:28

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Updated: May 25, 2026

Exploring the Neural Correlates of Cognitive Reappraisal in Obsessive-Compulsive Disorder Using Task-based Functional Magnetic Resonance Imaging
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Family accommodation in obsessive-compulsive disorder.

Eli R Lebowitz1, Kaitlyn E Panza, Jessica Su

  • 1Yale Child Study Center, 230 S Frontage Rd, New Haven, CT 06520, USA. eli.lebowitz@yale.edu

Expert Review of Neurotherapeutics
|February 1, 2012
PubMed
Summary

Family accommodation, where relatives help manage obsessive-compulsive disorder (OCD) symptoms, is common and linked to symptom severity. Reducing family accommodation may improve OCD treatment outcomes.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Family Studies

Background:

  • Family accommodation involves family members assisting individuals with obsessive-compulsive disorder (OCD) by participating in rituals or modifying routines.
  • This behavior is prevalent and significantly impacts OCD symptom severity and treatment effectiveness.

Purpose of the Study:

  • To review existing research on the role of family accommodation in both pediatric and adult obsessive-compulsive disorder (OCD).
  • To understand the correlation between family accommodation and OCD symptom severity, specific symptom subtypes, and co-occurring problems.

Main Methods:

  • A comprehensive literature search was conducted using PubMed and PsycINFO.
  • Keywords included 'OCD,' 'accommodation,' 'family relations,' and 'parents,' yielding 641 relevant papers for review.

Main Results:

  • Family accommodation is common in OCD and strongly correlates with symptom severity.
  • Accommodation increases with cleaning/contamination symptoms and internalizing/externalizing problems, and is linked to parental OCD and anxiety.
  • Accommodation levels correlate with treatment outcomes, with symptom improvement associated with reduced accommodation.

Conclusions:

  • Family accommodation is a clinically significant factor in obsessive-compulsive disorder (OCD) that warrants monitoring.
  • Therapeutic interventions targeting family accommodation show promise for enhancing OCD treatment outcomes.