Pediatric obsessive compulsive disorder: Family climate as a predictor of treatment outcome

Peris, Tara S.; Yadegar, Mina; Asarnow, Joan R.; Piacentini, John

doi:10.1016/j.jocrd.2012.07.003

Cited by 33 publications

(19 citation statements)

References 36 publications

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“…Among adolescents with eating disorders, maternal criticism accounted for 28–34 % of the variance in treatment outcome [34] and was a more robust correlate of outcome than diagnosis, length of illness, or body weight. Parental EE also predicted treatment response [10] and functional outcomes [11] among youth receiving exposure-based treatment for OCD. Among adolescents with bipolar disorder, EE moderated the effects of psychosocial treatment, such that youth whose parents were high-EE at baseline showed greater improvement in depression and mania scores in family-focused treatment compared to youth in a brief treatment control.…”

Section: Ee As a Prognostic Indicatormentioning

confidence: 99%

Parental Expressed Emotion and Youth Psychopathology: New Directions for an Old Construct

Peris¹,

Miklowitz²

2015

Child Psychiatry Hum Dev

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134

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Levels of parental expressed emotion (EE) are prospectively associated with the symptomatic course of a range of childhood psychiatric disorders. This article reviews the literature linking parental EE to youth psychopathology and proposes a novel framework for understanding its mechanisms of action. We find that, despite noteworthy methodological limitations, parental EE is linked consistently to a more deleterious course of mood, anxiety, and psychotic disorders in youth. Its mechanism of action is unknown. Models of “toxic family stress” (referring to frequent, sustained, and uncontrollable stress without protective influences) provide one framework for understanding how high EE environments interact with individual biological vulnerabilities to promote illness onset and recurrence. Research aimed at understanding biological responses (e.g., stress reactivity, arousal) to familial EE is needed. Such work may inform efforts to understand how EE affects the course of psychiatric disorders and may guide the development of novel interventions emphasizing emotion regulation strategies.

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Section: Ee As a Prognostic Indicatormentioning

confidence: 99%

Parental Expressed Emotion and Youth Psychopathology: New Directions for an Old Construct

Peris¹,

Miklowitz²

2015

Child Psychiatry Hum Dev

Self Cite

134

View full text Add to dashboard Cite

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“…High maternal expressed emotion, rates of which differed across the samples, emerged as a significant predictor of poor outcome in the CBT [77] but not the multimodal treatment study [78]. The extent to which discrepant findings can be attributed to age differences in the relevance of the construct is unclear [79].…”

Section: Expressed Emotionmentioning

confidence: 98%

“…High maternal expressed emotion (i.e., attitudes of high criticism, hostility, and/or emotional over-involvement [76]) at baseline significantly predicted poor treatment outcome in youth (N = 58) who participated in a larger RCT testing the efficacy of family-focused CBT for pediatric OCD [77]. Among a subset of POTS participants (N = 62), rates of high maternal expressed emotion and high child expressed emotion were relatively low and associations with treatment outcome were not consistent across informants or measures [78].…”

Section: Expressed Emotionmentioning

confidence: 99%

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Personalizing the Treatment of Pediatric Obsessive-Compulsive Disorder: Evidence for Predictors and Moderators of Treatment Outcomes

Caporino

Storch

2016

Curr Behav Neurosci Rep

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Cognitive behavioral therapy (CBT), delivered alone or with a serotonin reuptake inhibitor (SRI), is efficacious for treating pediatric obsessive-compulsive disorder (OCD), but not all youth respond optimally. Research to understand for whom a given intervention is beneficial can inform efforts to personalize treatment or tailor it to specific youths to enhance outcomes. We review studies that examined potential predictors/moderators of response to CBT, medication, and multimodal treatment for pediatric OCD: demographics, disorder-specific characteristics, general illness characteristics, neuropsychological functioning, biomarkers, family factors, and non-specific therapy factors. Methodological differences across studies make it challenging to synthesize findings and more research with large samples is needed. However, family factors have emerged as relatively consistent and strong predictors of treatment outcomes and there is preliminary support for attention to the presence of tics in treatment selection. There is little evidence for age and other demographic differences in treatment response.

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“…This also exacerbates the symptoms of OCD (12,13). In this regard, some studies have shown direct and indirect effects of family functioning, including criticism (14) and expressed emotion (15,16) on pediatric OCD.…”

Section: Introductionmentioning

confidence: 99%

External criticism by parents and obsessive beliefs in adolescents in Iran: the mediating role of emotional self-regulation

Halvaiepour

Nosratabadi

Khanzadeh

2016

International Journal of Adolescent Medicine and Health

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Background: Obsessive-compulsive disorder (OCD) is considered to be a significant impairment in childhood and adolescence. According to cognitive theories, parents' external criticism and emotional self-regulation are among the variables that can directly or indirectly affect obsessive beliefs. Objective: The present study aimed to examine the mediating role of emotional self-regulation in the relationship between parents' external criticism and obsessive beliefs in adolescents. Methods: In this study, 547 high school students aged between 15 and 18 years were selected using multi-stage cluster random sampling. An obsessive beliefs questionnaire-child version (OBQ-CV), a self-regulatory orientations scale, and a perceived criticism questionnaire were used to collect data. Pearson's correlation was used to investigate the relationship between the study variables. For analysis of the mediation model, structural equation modeling using the AMOS software was employed. Results: The fitness indices for the four-factor structure of the OBQ, two-factor structure of the emotional self-regulation instrument, and single-factor structure of parents' external criticism were reported as favorable [root mean square error of approximation (RMSEA) < 0.1]. External criticism was associated only indirectly with obsessive beliefs through emotional self-regulation. The two variables of emotional self-regulation and external criticism explained 47% of the variance in obsessive beliefs. Conclusion: This study showed that self-regulation can mediate in the relationship between parents' external

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Pediatric obsessive compulsive disorder: Family climate as a predictor of treatment outcome

Cited by 33 publications

References 36 publications

Parental Expressed Emotion and Youth Psychopathology: New Directions for an Old Construct

Parental Expressed Emotion and Youth Psychopathology: New Directions for an Old Construct

Personalizing the Treatment of Pediatric Obsessive-Compulsive Disorder: Evidence for Predictors and Moderators of Treatment Outcomes

External criticism by parents and obsessive beliefs in adolescents in Iran: the mediating role of emotional self-regulation

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