Family Accommodation Scale for Obsessive-Compulsive Disorder

Calvocoressi, Lisa; Mazure, Carolyn M.; Kasl, Stanislav V.; Skolnick, Jane; Fisk, Deborah; Vegso, Sally; Noppen, Barbara L. Van; Price, Lawrence H.

doi:10.1037/t44595-000

Cited by 40 publications

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“…The results of this second study were consistent with those of the previous one 4 : of the 32 families whose members accommodated the patient's symptoms, 84% reported patient anxiety, 66% indicated that the patients expressed anger, and 75% reported that the patients spent more time completing rituals whenever the relatives did not accommodate the patient's demands. Most relatives did not associate accommodation with an improvement in symptoms or patient functioning; nevertheless, most of the relatives confi rmed that they accommodated OCDrelated demands, often compromising their own and the family's functioning.…”

supporting

confidence: 81%

“…Family accommodation refers to the participation of family members in rituals, the modifi cation of personal and family routines, facilitation of avoidance behavior, and taking on the patient's responsibilities. 4 Calvocoressi et al 5 reported that family accommodation behaviors were present in 88% of spouses or parents of patients with OCD and was signifi cantly correlated with patient symptom severity, global functioning, family dysfunction, and relatives' stress. Excessive accommodation of relatives to compulsions may undermine exposure-based therapy, perpetuate and reinforce symptoms, and increase the relatives' distress feelings.…”

Section: Introductionmentioning

confidence: 99%

“…Descritores: Transtorno obsessivo-compulsivo, relações familiares, questionários, tradução (processo). Later, in 1999, Calvocoressi et al 5 assessed the psychometric properties of a revised version of the same instrument. The results of this second study were consistent with those of the previous one 4 : of the 32 families whose members accommodated the patient's symptoms, 84% reported patient anxiety, 66% indicated that the patients expressed anger, and 75% reported that the patients spent more time completing rituals whenever the relatives did not accommodate the patient's demands.…”

mentioning

confidence: 99%

“…These fi ndings suggest that many relatives would probably be receptive to interventions specifi cally designed for relatives of OCD patients, such as psychoeducation, in order to reduce family stress and develop more functional ways of responding to OC symptoms. 5 The FAS-IR is a clinician-administered, validated scale comprises two parts: the fi rst part is a checklist which assesses the symptoms of OCD patients; the second part consists of 12 items that assess the level of family accommodation in different dimensions of accommodation. The scale should be administered by a trained professional to an identifi ed relative of the OCD patient who spends at least one hour every day face to face with the patient.…”

mentioning

confidence: 99%

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Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

Gomes

Calvocoressi²,

Noppen³

et al. 2010

Rev. psiquiatr. Rio Gd. Sul

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Objective: To describe the process of translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for ObsessiveCompulsive Disorder -Interviewer-Rated (FAS-IR). Method: The process of translation and adaptation of the scale involved four bilingual health professionals. The scale was initially translated into Brazilian Portuguese independently by two professionals. Then, the two versions were compared, resulting in a preliminary Portuguese version that was administered to 15 relatives of patients diagnosed with obsessive-compulsive disorder (OCD) with different education levels, deliberately chosen to collect language adjustment suggestions. Subsequently, the scale was translated back into English independently by two other professionals. After comparing the two back translations, a new English version was generated. This version was reviewed and approved by the authors of the original scale. Results: The Brazilian Portuguese version of the FAS-IR proved to be easily understood and can be used in relatives of OCD patients from different socioeconomic backgrounds. Conclusion: Adaptation of the FAS-IR into Brazilian Portuguese will enable health professionals to assess the level of accommodation in relatives of OCD patients and allows the development of future studies aimed at 1) studying the infl uence of family accommodation on maintaining and possibly facilitating OCD symptoms, and 2) assessing the effect of family accommodation on treatment outcomes in Portuguese-speaking populations. Keywords: Obsessive-compulsive disorder, family relations, questionnaires, translation. ResumoObjetivo: Descrever o processo de tradução e adaptação para o português do Brasil da Family Accommodation Scale for Obsessive-Compulsive Disorder -Interviewer-Rated (FAS-IR). Método: O processo de tradução e adaptação da escala envolveu quatro profi ssionais de saúde bilíngues. A escala foi inicialmente traduzida de forma independente para o português do Brasil por dois profi ssionais. A seguir, as duas versões foram comparadas, resultando em uma versão inicial em português que foi aplicada a 15 familiares de pacientes com transtorno obsessivo-compulsivo (TOC), com diferentes níveis de instrução, deliberadamente escolhidos para coletar as sugestões de ajuste linguístico. Subsequentemente, a escala foi retrotraduzida independentemente por outros dois profi ssionais da saúde. Depois de comparar as duas retrotraduções, uma nova versão da escala foi gerada em inglês. Essa versão foi revisada e aprovada pelos autores da escala original. Resultados: A versão em português do Brasil da escala FAS-IR mostrou ser facilmente compreendida e pode ser usada em familiares de pacientes com TOC de diferentes níveis socioeconômicos. Conclusão: A FAS-IR adaptada ao português do Brasil fará com que profi ssionais de saúde possam avaliar o nível de acomodação em familiares de pacientes com TOC e permitirá a realização de futuros estudos com os objetivos de 1) estudar a infl uência da acomodação familiar na manutenção e, possi...

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supporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

Gomes

Calvocoressi²,

Noppen³

et al. 2010

Rev. psiquiatr. Rio Gd. Sul

Self Cite

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“…Os comportamentos mais comuns são reassegurar (tranquilizar) o paciente e esperá-lo completar os rituais e assumir suas responsabilidades [2][3][4][5] . A participação direta dos familiares nos rituais, bem como as modificações impostas ao cotidiano da família em decorrência dos sintomas do TOC, é entendida como acomodação familiar 2 .…”

Section: Introductionunclassified

Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática

Gomes

Matte

Vivan

et al. 2011

Rev. psiquiatr. Rio Gd. Sul

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ResumoO transtorno obsessivo-compulsivo (TOC) é uma doença mental grave, com graves consequências para a dinâmica familiar. Desta forma, o envolvimento dos pais parece ser determinante na resolução dos sintomas desse transtorno. O objetivo deste estudo foi avaliar a qualidade da evidência para a recomendação de terapia cognitivo-comportamental (TCC) com intervenção familiar para crianças e adolescentes com TOC. A busca sistemática foi realizada nas bases de dados MEDLINE/PubMed, seguida da análise de resumos e artigos na íntegra por dois avaliadores independentes. Posteriormente, foi realizada a análise de evidência através do sistema Grading of Recommendations Assessment, Development and Evaluation (GRADE). O tamanho de efeito da intervenção foi calculado através do d de Cohen. Foram localizados 77 artigos no PubMed e mais 12 artigos após busca cruzada de referências. Destes, sete artigos foram incluídos na revisão, segundo os seguintes critérios: ser estudo de intervenção, envolver apenas crianças e/ou adolescentes e possuir diagnóstico clínico ou estruturado de TOC. A escala Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS) foi utilizada por todos os artigos para a avaliação de desfecho, permitindo avaliar o tamanho de efeito das intervenções não controladas (d = 1,43), que resultou em uma diferença de médias de cerca 13 pontos (IC95% 11,84-14,39; p < 0,001). Por outro lado, uma alta heterogeneidade foi detectada entre os estudos (I² = 67%). A TCC com intervenção familiar parece ter um efeito importante na redução dos sintomas de TOC na infância e adolescência. No entanto, os poucos estudos disponíveis não nos permitem estabelecer um grau de evidência maior do que C para essa recomendação. Novos ensaios clínicos randomizados são necessários para confirmar essa recomendação. Descritores: Transtorno obsessivo-compulsivo, terapia familiar, terapia cognitiva, terapia comportamental. AbstractObsessive-compulsive disorder (OCD) is a severe mental disorder with serious consequences to family dynamics. Therefore, parental involvement seems to be a key factor for the successful treatment of this psychiatric disorder. The aim of this study was to evaluate the level of evidence available to allow recommendation of cognitive behavioral therapy (CBT) with family intervention for the treatment of children and adolescents with OCD. The systematic search was performed on MEDLINE/PubMed, followed by analysis of abstracts and full-length articles by two independent evaluators. Subsequently, an analysis of the evidence available was conducted using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The effect size of the intervention was calculated using Cohen's d. We found 77 articles on PubMed, plus 12 articles via cross-reference search. Of these, seven articles were included in this review, according to the following criteria: intervention study, involving only children and/or adolescents, and a having a structured or clinical diagnosis of OCD. The Children's Yale-Brown Obsessive ...

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Population-Based, Multigenerational Family Clustering Study of Obsessive-compulsive Disorder

et al. 2013

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Family Accommodation Scale for Obsessive-Compulsive Disorder

Cited by 40 publications

References 0 publications

Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)

Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática

Population-Based, Multigenerational Family Clustering Study of Obsessive-compulsive Disorder

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