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[Family accommodation and an obsessive-compulsive disorder: a meta-analysis and systematic review]
Tijdschrift Voor Psychiatrie
|June 3, 2025
Summary
Family accommodation is significantly linked to obsessive-compulsive disorder (OCD) symptoms in youth, particularly in cleaning/contamination domains. Family therapy effectively reduces accommodation and OCD symptoms, promoting structured parenting.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Therapy
- Family Psychology
Background:
- Obsessive-compulsive disorder (OCD) in youth is often linked to family accommodation.
- Limited scientific evidence exists on this specific association in pediatric populations.
Purpose of the Study:
- To investigate the association between family accommodation and OCD symptoms in individuals aged 18 years and younger.
- To determine the efficacy of family therapy in treating OCD in youth.
Main Methods:
- A systematic review and meta-analysis were conducted.
- Included 14 studies with 1,263 youth diagnosed with OCD.
Main Results:
- A significant moderate association (r = 0.45) was found between family accommodation and OCD symptoms.
- This link was specific to cleaning and contamination symptom domains.
- Family therapy led to significant reductions in family accommodation and OCD symptoms.
Conclusions:
- Family therapy targeting family accommodation is crucial for treating youth OCD.
- This therapeutic approach supports structured parenting and boundary setting.
- Further research should examine boundary-setting's impact and the social context's influence.
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