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Related Experiment Videos

Family accommodation in obsessive-compulsive disorder

L Calvocoressi1, B Lewis, M Harris

  • 1Department of Psychiatry, Yale University School of Medicine, New Haven, CT.

The American Journal of Psychiatry
|March 1, 1995
PubMed
Summary

Family accommodation of obsessive-compulsive disorder (OCD) patients involves symptom participation and routine changes. This behavior is linked to increased family stress and poorer overall family functioning.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Family Studies

Background:

  • Family accommodation in obsessive-compulsive disorder (OCD) involves family members participating in or facilitating patient symptoms.
  • This accommodation can manifest as changes in personal and family routines to manage patient distress.
  • Understanding the impact of family accommodation is crucial for effective OCD treatment.

Purpose of the Study:

  • To assess family accommodation in patients with obsessive-compulsive disorder (OCD).
  • To examine the relationship between family accommodation and family stress, functioning, and attitudes.
  • To identify factors associated with accommodating behaviors in OCD families.

Main Methods:

  • Interviews were conducted with primary caretakers of 34 OCD patients.

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  • The frequency and nature of accommodating behaviors were assessed.
  • Family functioning measures were administered to caretakers.

    • Main Results:

    • A high prevalence of family accommodation was observed, with 88.2% of caretakers reporting such behaviors.
    • Family accommodation significantly correlated with poorer family functioning.
    • Accommodating behaviors were associated with rejecting attitudes toward the patient and increased family stress.

    Conclusions:

    • Family accommodation in OCD is linked to global family dysfunction and heightened stress.
    • These accommodating behaviors may stem from attempts to alleviate patient anxiety or anger.
    • Interventions addressing family accommodation could improve outcomes for OCD patients and their families.