Family accommodation in obsessive-compulsive disorder (OCD) is characterized by myriad behaviors, such as modifying family routines, facilitating avoidance, and engaging in compulsions to reduce obsessional distress. It has been linked to various deleterious outcomes including increased functional impairment and poorer treatment response for OCD. Although extant literature suggests a linear relationship between family accommodation and OCD symptom severity, the magnitude and statistical significance of this association has been inconsistent across studies, indicating that moderators may be influencing this relationship. The present study examined this relationship using meta-analytic techniques, and investigated sample-dependent (age, gender, comorbid anxiety/mood disorders) and methodological (administration method and number of items used in family accommodation measure, informant type, sample size, publication year) moderators. Forty-one studies were included in the present meta-analysis, and the overall effect size (ES) for the correlation between family accommodation and OCD symptom severity was moderate (r=.42). Moderator analyses revealed that the number of items on the family accommodation scale moderated the ES. No other sample-dependent or methodological characteristics emerged as moderators. In addition to being the first systematic examination of family accommodation moderators, these results highlight the moderate relationship between family accommodation and OCD severity that is influenced by measurement scales. Findings may be used to guide clinical care and inform future investigations by providing a more nuanced understanding of family accommodation in OCD.
Organizational lay theories are beliefs held by organizations regarding the fixed versus malleable nature of abilities and intelligence. Past research found that predominantly White women trusted an organization with an incremental (i.e., malleable) mindset more than an organization with an entity (i.e., fixed) mindset (Emerson and Murphy, 2015). What is still not known is how racial and ethnic minority women would respond to entity vs. incremental company mindsets. This study recruited Black and Latina college women and randomly assigned them to evaluate a health internship organization that held either an incremental or entity mindset about competence and intelligence. Women then rated how much trust they felt for the organization, and then completed a difficult visuospatial matrices task. Findings revealed that both groups trusted the incremental organization more, but for the African American women, the effect was much larger, meaning they trusted the entity organization less than the Latina women. Order in which the moderator scales and manipulation were presented also interacted with race and mindset condition.
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