Family Responses and Multifamily Behavioral Treatment for Obsessive‐Compulsive Disorder

Noppen, Barbara Van; Steketee, Gail

doi:10.1093/brief-treatment/mhg017

Cited by 17 publications

(15 citation statements)

References 38 publications

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“…Indeed, Cherian and colleagues’ (2014) results indicate that perceived criticism was associated with OCD severity as measured by the Y-BOCS ( r = .24, p < .01) and the Clinical Global Impression (CGI; r = .27, p < .01). Finally, Van Noppen and Steketee (2003 , 2009 ) found no significant association between Expressed Emotions variables (criticism, hostility, emotional over-involvement) and OCD severity, when rated by patients or relatives. When accommodation of the family was entered in the model, criticism lost its significance ( Van Noppen & Steketee, 2003 , 2009 ).…”

Section: Resultsmentioning

confidence: 85%

“…Other authors also found that accommodation by the family could predict the severity of OCD symptomatology. Indeed, Van Noppen and Steketee (2003 , 2009 ) reported that the level of accommodation, as rated by patients, predicted OCD severity in regression analyses ( b = 0.47, p < .01, partial correlation = .42, R 2 change = .16, p > .01). Accommodation was also predictive of OCD severity when rated by relatives ( b = 0.50, p < .01, partial correlation = .46, R 2 change = .20, p > .01).…”

Section: Resultsmentioning

confidence: 97%

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Social support and symptom severity among patients with obsessive-compulsive disorder or panic disorder with agoraphobia: A systematic review

et al. 2018

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Panic disorder with or without agoraphobia (PD/A) and obsessive-compulsive disorder (OCD) are characterized by major behavioral dysruptions that may affect patients’ social and marital functioning. The disorders’ impact on interpersonal relationships may also affect the quality of support patients receive from their social network. The main goal of this systematic review is to determine the association between social or marital support and symptom severity among adults with PD/A or OCD. A systematic search of databases was executed and provided 35 eligible articles. Results from OCD studies indicated a negative association between marital adjustment and symptom severity, and a positive association between accommodation from relatives and symptom severity. However, results were inconclusive for negative forms of social support (e.g. criticism, hostility). Results from PD/A studies indicated a negative association between perceived social support and symptom severity. Also, results from studies using an observational measure of marital adjustment indicated a negative association between quality of support from the spouse and PD/A severity. However, results were inconclusive for perceived marital adjustment and symptom severity. In conclusion, this systematic review generally suggests a major role of social and marital support in PD/A and OCD symptomatology. However, given diversity of results and methods used in studies, more are needed to clarify the links between support and symptom severity among patients with PD/A and OCD.

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Section: Resultsmentioning

confidence: 85%

Section: Resultsmentioning

confidence: 97%

Social support and symptom severity among patients with obsessive-compulsive disorder or panic disorder with agoraphobia: A systematic review

et al. 2018

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“…Therefore, identifying OCD patients whose families exhibit high FA may lead to improved outcomes if these patients are directed towards family-based CBT aimed at reducing FA (Merlo, Lehmkuhl, Geffken, & Storch, 2009). Preliminary studies indicate that family-based interventions lead to more durable symptom improvement than individual CBT (Van Noppen & Steketee, 2003). However, systematic assessment of FA pre- and post-treatment and further study of the impact of FA on patients and family members hinges on the availability of a valid and reliable measure that can easily be administered in clinical and research settings.…”

Section: Discussionmentioning

confidence: 99%

Development and preliminary psychometric evaluation of a self-rated version of the Family Accommodation Scale for Obsessive-Compulsive Disorder

Pinto

Noppen

Calvocoressi

2013

Journal of Obsessive-Compulsive and Related Disorders

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Family accommodation (FA) in obsessive-compulsive disorder (OCD) refers to family members’ or significant others’ participation in or facilitation of patients’ rituals and/or avoidance. With recent studies pointing to FA as a predictor of poorer treatment outcome, there is heightened interest in developing family-based interventions for OCD aimed at reducing FA. The interviewer-rated Family Accommodation Scale for OCD (FAS-IR) is the gold standard for assessing the types and severity of FA in OCD families. However, the cost of training interviewers and the time required for administration may limit its use in some settings. A valid self-rated version could be administered for research and clinical purposes with minimal burden and has the potential to be more widely used. The present study reports on the development and initial psychometric testing of the Family Accommodation Scale for OCD-Self Rated Version (FAS-SR). The FAS-SR was compared to the FAS-IR in a sample of 41 relatives of individuals with primary OCD, demonstrating excellent internal consistency, strong agreement with the FAS-IR, and expected convergence with criterion measures. Though further study using the self-rated version is needed, these findings suggest that the FAS-SR is a valid measure of FA and a time-saving, less costly alternative to the FAS-IR.

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“…Expressed emotion, defined as critical, hostile, or emotionally overinvolved patterns of interaction between family members and the patient, appear to predict poor initial response to OCD treatment, or relapse following successful treatment (Chambless & Steketee, 1999;Leonard et al, 1993). Clinicians working with compulsive hoarding may find it advantageous to work with the family by providing education about the harmful effects of such negative attitudes (e.g., by using cognitive strategies to reframe the patient's behavior as manifestations of an illness rather than as a personality flaw or malicious behavior) and improving coping strategies among family members (Van Noppen & Steketee, 2003).…”

Section: Discussionmentioning

confidence: 99%

Family burden of compulsive hoarding: Results of an internet survey

Tolin

Frost

Steketee

et al. 2008

Behaviour Research and Therapy

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216

134

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Compulsive hoarding, the acquisition of and failure to discard large numbers of possessions, is associated with substantial health risk, impairment in functioning, and economic burden. Despite clear indications that hoarding has a detrimental effect on people living with or near someone with a hoarding problem, no empirical research has examined these harmful effects. The aim of the present study was to examine the burden of hoarding on family members. Six hundred sixty-five family informants who reported having a family member or friend with hoarding behaviors completed an internet-based survey. Living with an individual who hoards during childhood was associated with elevated reports of childhood distress and family strain. Family members reported high levels of patient rejection attitudes, suggesting high levels of family frustration and hostility. Rejecting attitudes were predicted by severity of hoarding symptoms, the individual's perceived lack of insight into the behavior, and having lived in a cluttered environment during childhood. These results suggest that compulsive hoarding adversely impacts not only the hoarding individual, but also those living with them.

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Family Responses and Multifamily Behavioral Treatment for Obsessive‐Compulsive Disorder

Cited by 17 publications

References 38 publications

Social support and symptom severity among patients with obsessive-compulsive disorder or panic disorder with agoraphobia: A systematic review

Social support and symptom severity among patients with obsessive-compulsive disorder or panic disorder with agoraphobia: A systematic review

Development and preliminary psychometric evaluation of a self-rated version of the Family Accommodation Scale for Obsessive-Compulsive Disorder

Family burden of compulsive hoarding: Results of an internet survey

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