Determinants of family functioning in caregivers of persons with obsessive-compulsive disorder

Murthy, N S; Balachander, Srinivas; Nirmala, Bergai Parthsarathy; Pandian, R. Dhanashekara; Cherian, Anish V.; Arumugham, Shyam Sundar; Reddy, Y. C. Janardhan

doi:10.1016/j.jad.2022.02.065

Cited by 7 publications

(4 citation statements)

References 62 publications

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“…At each study timepoint, caregiver burden and age were negatively associated with family functioning. These factors also predicted family function 6 months after stroke, in agreement with the findings from a previous study that investigated the caregivers of persons with obsessive‐compulsive disorder (Murthy et al, 2022). Incorporating professional caregivers or providing caregiving skills to family caregivers may decrease caregiver burden and, consequently, increase family functioning (Zhu & Jiang, 2018).…”

Section: Discussionsupporting

confidence: 90%

“…For instance, a weak positive correlation was noted between social support provided by nurses and family function experienced by parents of critically ill children (Hakio et al, 2015). As factors of the personal level, previous studies have shown that caregiver stress or burden (Murthy et al, 2022), self‐efficacy (Scholten et al, 2020) and coping styles (Huang, Lin, et al, 2022) determine family functioning. All of these factors can be intervention targets, making them worthwhile variables to study.…”

Section: Introductionmentioning

confidence: 99%

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Trajectory and predictors of family function in caregivers of stroke survivors: A longitudinal study of the first 6 months after stroke

Zhang

Zhou

et al. 2023

Journal of Advanced Nursing

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AimsThis study aimed to investigate the trajectory and predictors of family function in caregivers of stroke survivors during the first 6 months after the first episode of stroke.DesignLongitudinal study.MethodsA total of 288 primary caregivers of patients with first‐time stroke were recruited from seven tertiary hospitals in China between July 2020 and March 2021. The following characteristics were assessed by caregivers at hospitalization (T0) and at 1 month (T1), 3 months (T2) and 6 months (T3) after the stroke: family function, general self‐efficacy, social support, coping style, caregiver burden, and sociodemographic and clinical data.ResultsFamily function scores among caregivers of stroke survivors were highest in the resolve dimension and lowest in the growth and adaptation dimensions within the first 6 months. The percentages of families with low functioning were 34.7%, 33.3%, 24.8% and 17.7% at T0, T1, T2 and T3, respectively. The generalized estimating equation model revealed that family function in caregivers increased over the first 6 months (Exp(B) = 1.415–2.689, p < .05). The following factors were identified as predictors of family functioning: caregiver's age, education, residential district, self‐efficacy, social support utilization and caregiver burden.ConclusionsFamily function of caregivers of stroke survivors gradually increased during the first 6 months after stroke. However, some families demonstrated poor functioning. Caregivers' age, education, caregiver burden, self‐efficacy and social support utilization could predict family function over time.ImpactEmpirical data on family function in families of stroke survivors are important for developing psychosocial interventions that can help families adapt to stroke. This study found that families of stroke survivors were likely to be dysfunctional in the first 6 months after stroke, particularly in family growth and adaptation. Therefore, reducing caregiver burden and promoting self‐efficacy and social support utilization can help restore family functioning early after stroke.Patient or Public ContributionStroke caregivers from seven hospitals in China were involved in this study and had the right to be informed of the main findings. A few patients were informed of the research results, who contributed to the dissemination.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Trajectory and predictors of family function in caregivers of stroke survivors: A longitudinal study of the first 6 months after stroke

Zhang

Zhou

et al. 2023

Journal of Advanced Nursing

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“…Similarly, this study is limited to the perspective of the participant and excluded that of caregivers or family members. Importantly, caregiver burden has been found to mediate the relationship between OCD severity and family functioning (Murthy et al, 2022). Although the present study aimed to examine the impact of family functioning on symptoms in terms of the patient's perspective, caregiver burden may have mediated this relationship in the present study, and it remains unclear how caregiver burden and stress relate to different family functioning domains in the present sample.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Family Functioning on Help-Seeking Behavior and Symptom Severity in Obsessive-Compulsive Disorder

2023

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Poor family functioning is associated with higher symptom severity in pediatric obsessive-compulsive disorder (OCD) and delayed help-seeking behavior in other forms of psychopathology. However, little is known about the impact of family functioning on help-seeking behavior and symptom severity in adults with OCD. The present study investigated the association between family functioning and both treatment delay and symptom severity in adults with obsessive-compulsive symptoms. Participants were 194 adults who self-identified as having OCD and completed an internet survey, including measures assessing family functioning, obsessive-compulsive symptom severity, help-seeking behavior, and depression symptom severity. Poorer family functioning was associated with higher obsessive-compulsive and depression symptom severity, after controlling for significant demographic variables. With respect to domains of family functioning, poorer general functioning, problem solving, communication skills, role functioning, affective involvement, and affective responsiveness were associated with higher obsessive-compulsive and depression symptom severity, after controlling for demographics. Poorer problem solving and communication were not significantly associated with treatment delay after controlling for demographics. Findings highlight the need for family intervention within the treatment framework for adult OCD and suggest targets (e.g., communication) to be addressed.

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“…In the last two sessions, special attention is paid to the impact of OCD on family life and how family functioning can be improved. The latter is important because improving family functioning may lead to better patient recovery (Murthy et al, 2022). Hearing similar stories from other families struggling with the same difficulties reduces family members' sense of isolation, feelings of guilt and stigmatisation (Stengler-Wenzke et al, 2004).…”

Section: Reducing Family Burden and Improving Family Functioningmentioning

confidence: 99%

Multi‐family therapy for adult outpatients with obsessive‐compulsive disorder and their family members, targeting family accommodation

Tandt,

Leyman,

Baeken

et al. 2023

Journal of Family Therapy

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This paper describes a multi‐family therapy (MFT) group for adult outpatients with obsessive‐compulsive disorder and their family members. Since family accommodation (FA) is known to maintain OCD symptoms by preventing exposure and response prevention (ERP), reduction of FA is a major focus of the treatment. Furthermore, psychoeducation, conjoint ERP and (re)discovering resources and strengths of families are also important therapeutic foci of the family group. The organisation of MFT is explained and involvement of family is illustrated with clinical vignettes. Finally, some reflections about MFT are provided. On the basis of initial clinical impressions, MFT seems a promising approach. A clinical trial is currently underway.

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Determinants of family functioning in caregivers of persons with obsessive-compulsive disorder

Cited by 7 publications

References 62 publications

Trajectory and predictors of family function in caregivers of stroke survivors: A longitudinal study of the first 6 months after stroke

Trajectory and predictors of family function in caregivers of stroke survivors: A longitudinal study of the first 6 months after stroke

The Impact of Family Functioning on Help-Seeking Behavior and Symptom Severity in Obsessive-Compulsive Disorder

Multi‐family therapy for adult outpatients with obsessive‐compulsive disorder and their family members, targeting family accommodation

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