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Family accommodation in obsessive-compulsive disorder: An updated systematic review and meta-analysis
Laura Hermida-Barros1, Mireia Primé-Tous1, Blanca García-Delgar1
1Child and Adolescent Psychiatry and Psychology Department, Institute of Neurosciences, Hospital Clínic, Barcelona 08036, Spain.
Neuroscience and Biobehavioral Reviews
|April 15, 2024
Summary
Family accommodation is common in obsessive-compulsive disorder (OCD) and linked to symptom severity. Cognitive behavioral therapy effectively reduces family accommodation in OCD patients.
Area of Science:
- Psychiatry and Behavioral Sciences
- Clinical Psychology
Background:
- Family accommodation, where family members support or participate in a patient's obsessive-compulsive disorder (OCD) rituals, is a significant factor in OCD.
- Existing research on family accommodation in OCD is fragmented, focusing on specific groups or lacking recent data.
Approach:
- A systematic review and meta-analysis was conducted, adhering to a preregistered protocol (CRD42021264461).
- Searches were performed across major databases (PubMed, Scopus, Web of Science) using keywords related to family accommodation and OCD.
- Data from 108 studies, encompassing 8928 individuals with OCD across all age groups, were analyzed.
Key Points:
- Moderate levels of family accommodation were observed in individuals with OCD.
- A significant positive correlation (r = 0.42) was found between the extent of family accommodation and OCD symptom severity.
- Baseline family accommodation did not predict treatment outcomes for OCD severity (g = -0.03).
Conclusions:
- Family accommodation significantly decreases following both individual and family-focused cognitive behavioral therapy (CBT) for OCD (g = 2.00 and g = 1.17, respectively).
- These findings underscore the importance of assessing and addressing family accommodation in OCD treatment.
- Interventions targeting family accommodation can be beneficial for individuals with OCD.
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