Family Approaches to Treatment for Obsessive Compulsive Disorder

Steketee, Gail; Noppen, Barbara Van

doi:10.1300/j085v14n04_06

Cited by 20 publications

(23 citation statements)

References 44 publications

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“…Aspectos como a situação ocupacional resultante do acometimento do indivíduo em fases produtivas da vida 5 e de comprometimentos pessoais 4 , o quadro clínico composto por formas mistas 5 e o fato de residirem com familiares e terem contato diário entre si 11 apresentam-se em concordância com registros na literatura.…”

Section: Discussão Tabela 1 Graus De Sobrecarga Conforme Questões Daunclassified

“…A influência familiar pode conduzir positiva ou negativamente a evolução e o tratamento do sujeito com TOC; esta última por meio de mecanismos de acomodação 5,[8][9][10][11] (participação do familiar nos sintomas, favorecendo a realização da compulsão, terminando por, sem se aperceber, reforçar os sintomas do indivíduo) e de hostilização 5,11 (percebida pelo doente em relação a como os seus familiares lidam com seu problema), que podem contribuir para aumentar o grau de desgaste familiar 5 apesar de os esforços dos familiares serem na tentativa de reduzir o desconforto emocional do paciente e o tempo gasto em rituais. A presença do diagnóstico nos familiares, ou a presença de sintomas ou traços do transtorno neles, pode levá-los a simpatizarem e até a encorajarem comportamentos obsessivo-compulsivos.…”

Section: Introductionunclassified

“…Alta frequência de envolvimento de familiares nos sintomas dos indivíduos com TOC tem sido verificada em pesquisas, com registros de participação, embora de modo mínimo, de grande percentual dos familiares nas compulsões, ou de modificação de seus comportamentos para adaptar-se aos sintomas dos pacientes, experimentando perturbações em suas vidas -prejuízos em relacionamentos pessoais, problemas financeiros, perda de tempo para lazer -por causa do transtorno 11 , ocorrendo o fenômeno da acomodação em situação de estresse e disfunção familiar 9 .…”

Section: Introductionunclassified

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Sobrecarga em familiares de indivíduos com transtorno obsessivo-compulsivo

Neto¹,

Teles²,

Rosa³

2011

Rev. psiquiatr. clín.

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Contexto: A presença de sobrecarga em familiares cuidadores resultante do auxílio/cuidado prestado pode comprometer a saúde deles, implicar deterioração de relacionamentos e manutenção ou agravamento do quadro do enfermo. Objetivos: Avaliar graus de sobrecarga, objetiva e subjetiva, de familiares de indivíduos com transtorno obsessivo-compulsivo (TOC) em amostras na rede pública e privada. Métodos: Estudo descritivo-analítico constituído de: caracterização do sujeito com TOC (N = 30) e de seu familiar cuidador (N = 30), em amostras da rede pública (N = 30) e privada (N = 30), por meio de questionários sociodemográficos; confirmação diagnóstica (TOC) com uso do Mini International Neuropsychiatric Interview (MINI); aplicação da Escala de Avaliação da Sobrecarga de Familiares (FBIS-BR). Resultados: Foram detectadas significância estatística entre as amostras na dimensão objetiva, com maiores graus de sobrecarga na amostra da rede pública, e significância na dimensão subjetiva apenas na questão relativa à "realização de tarefas de casa", com maiores graus na amostra da clínica privada. Conclusão: O estudo constatou graus de sobrecarga diferentes em familiares de sujeitos com TOC em tratamento, em amostras na rede pública e privada de assistência em psiquiatria.Soares Neto EB, et al. / Rev Psiq Clín. 2011;38(2):47-52 Palavras-chave: Sobrecarga familiar, transtorno obsessivo-compulsivo, familiar cuidador. AbstractBackground: The burden present in family members caretakers that results of the care given, could jeopardize their health, provoke the decay of relationships, as well as maintain or worsen the patient's condition. Objectives: Evaluate the levels of objective and subjective burden in family members of individuals with obsessive-compulsive disorder (OCD) in samples from the public and private network. Methods: This is a descriptive-analytical study that characterizes the individual with OCD (N = 30) and their family caretakers (N = 30), in samples of public net (N = 30) and private net (N = 30), with use of standardized socio--demographic data questionnaire; diagnosis confirmation (OCD) by using Mini International Neuropsychiatric Interview (MINI); the Family Burden Interview Schedule (FBIS-BR) was applied. Results: A statistical significance has been detected among the samples through an objective point of view, with higher levels of burden in the sample of public net; the significance through a subjective point of view was only perceived regarding "doing housework", with higher levels in the private practice. Discussion: The study has verified different levels of burden in family members of individuals with OCD under treatment in samples from the public and private network of psychiatric assistance.

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Section: Discussão Tabela 1 Graus De Sobrecarga Conforme Questões Daunclassified

Section: Introductionunclassified

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Sobrecarga em familiares de indivíduos com transtorno obsessivo-compulsivo

Neto¹,

Teles²,

Rosa³

2011

Rev. psiquiatr. clín.

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“…A substantial number of studies have evaluated the use of cognitive-behavioural therapy (CBT) involving exposure and response prevention [6,31,32]. Interventions for OCD, as indeed as for other child psychiatric disorders, have also taken into increasing consideration the involvement of parents and families [28]. For example, CBT packages for childhood OCD often recommend a therapeutic emphasis on psycho education and family involvement [20].…”

Section: Introductionmentioning

confidence: 99%

“…Steketee and Van Nappen [28] reviewed family approaches to treatment for OCD, and concluded that the use of relatives in treatment had benefits for children, especially multiple-family groups that focus on exposure and prevention of rituals. Families could be involved in interventions through a combination of family and individual CBT; use of cognitive-behavioural techniques in family therapy (when symptoms affect the rest of the family), with the parents participating in all joint treatment sessions and using similar techniques to individual CBT; and behavioural family therapy (when the family shows significant dysfunction), with the parents participating in formal parent training and the child participating in individual CBT [6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life therapy for parents of children with obsessive–compulsive disorders in Iran

Abedi

Vostanis

2010

Eur Child Adolesc Psychiatry

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Previous research has provided evidence on the effectiveness of CBT in the symptomatic improvement of children with obsessive-compulsive disorders. There is also increasing recognition of the importance of involving parents and families in treatment. The aim of this study was to evaluate the short-term effectiveness of such an intervention that promoted family strengths [(quality of life therapy (QoLT)] for mothers of children with obsessivecompulsive disorders (OCD). The sample consisted of 40 children with OCD and their mothers, who had been referred to clinics in Esfahan city in Iran. Mothers were randomly allocated to an experimental (QoLT) and waiting list control group. Mothers participated in eight QoLT group sessions over 4 weeks. QoLT incorporated CBT techniques in managing OCD symptoms. Measures were completed pre-and post-intervention by both groups. Children completed the Yale-Brown obsession compulsion scale for Children, the Revised children's manifest anxiety scale, and the brief multidimensional student's life satisfaction scale; mothers completed the quality of life inventory (QoLI). QoLT was associated with decrease in OCD and anxiety symptoms and increase in children's satisfaction in the global, family and environment domains, as well as with increased QoLI scores in their mothers.Parenting interventions like QoLT can complement individual modalities such as CBT in the presence of familyrelated difficulties. This can be particularly applicable in countries and settings with limited resources and high stigma of child mental health problems.

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